Acknowledgements
Introduction11
1.Description of Lifespan Integration15
2.The Neurobiological Basis of Lifespan Integration17
Effects of Trauma on Early Neural Development17
Implicit Memories Affect Adults in the Present19
Factors which Contribute to Neural Integration20
Neural Plasticity Contributes to Change21
Intervening to Help Ego States in Past22
Use of Imagery and Active Imagination23
Importance of Repetition24
LI Connects and Organizes Self States24
Outcomes Indicate Change at Synaptic Level26
Summary26
3.Applied Neuroscience27
Emotion Affects Encoding of Memory27
LI Differs from Traditional Methods27
Importance of Relationship30
State Transitions across Time30
Importance of Repetition30
Attention Enhances Neural Plasticity31
Emotion Enhances Neural Plasticity31
Autobiographical Narratives and Attachment Research31
Autonoetic Consciousness32
LI Protocol Promotes Neural Integration35
About the Lifespan Integration Time Line37
4.Using the Lifespan Integration Protocol41
Preparing Clients41
Preparing the Memory Cue List42
Follow and Trust Client's System44
When the Early History is Traumatic or Unknown44
Time Required for Lifespan Integration45
When Parts of Self Interfere with LI Processing45
Step 1: Finding the Ego State / Source Memory47
Step 2: Discuss the Source Memory48
Step 3: Current Self Enters Memory Scene49
Step 4: Moving to a Peaceful Place50
Step 5: Bringing in the Current Information51
Step 6: The Time Line / Integration of the Ego State52
Step 7: Bringing the Child Self to the Present54
Step 8: Check the Source Memory55
Step 9: Check the Presenting Problem55
Flow Chart - Standard Protocol Lifespan Integration58
5.Lifespan Integration Birth to Present Protocol59
Birth to Present Protocol61
Time Line for Developmental Stages62
Treatment of Bulimia and Binge Eating w/ BPP64
Birth to Present Protocol for Affect Regulation64
6.Use of Imagery and Active Imagination65
Coaching Internal Conversations67
Constructed 'Memories'67
Cued Self-Soothing with Imagery and Sensory Input69
Soothing the Infant or Child Ego State70
7.Treatment of Eating Disorders71
Working with Anorexics71
Working with Bulimics and Binge Eaters75
Affect Regulation for Bulimia75
8.Treatment of Dissociative Identity Disorder77
Guidelines for Using LI to Treat D.I.D.78
Preparing the Time Line Cue List78
Explaining the Process to the D.I.D. Client79
Using the Birth to Present Protocol with D.I.D. Clients79
Observations80
9.Integration of Separated Self States81
Using the Internal Conference Room Technique82
Polarized Parts83
Case Example: "Peter"84
Locating Ego States which Hold Somatic Memory87
Integrating Somatic Memories87
10.Re-Sourcing and Re-Connecting to Essence and Being88
Client's Description of Reconnection to Essence89
Spontaneous Resourcing during Lifespan Integration91
Case Example: Spontaneous Resourcing -- "Bob"91
11.Other Uses of Lifespan Integration95
Treatment of PTSD with Lifespan Integration95
Treatment of Anxiety and Panic Disorder w/ LI96
Treatment of Depression with Lifespan Integration97
Trauma Occurred Prior to Age Two99
Lifespan Integration with Teenagers and Children101
Adopted Children with Unknown Trauma History102
Working with Older Adults103
12.Common Obstacles to LI Processing104
Client is not retrieving images correctly104
Client interrupts processing with too much talking105
Therapist interrupts processing with too much talking106
Adult Self Has Trouble Entering the Memory Scene106
Interference from split off ego states107
Client dissociates during Time Line processing107
Therapist dissociates during Time Line processing108
Client is undiagnosed D.I.D.108
Client self-medicates with marijuana108
Use of other medications109
13.Frequently Asked Questions110
How much tiime is required for an LI session?110
Is it OK to deviate from LI protocol?110
Why does therapist coach internal conversation?111
What if clients don't have memories?111
When should therapist stop using memory cues?111
Does client have to see self in memory scene?112
What if client reports increased pain during LI?112
Can Lifespan Integration be used to treat addictions?112
What if the adult client dislikes his child self?113
What if the child self dislikes the adult?114
What if the child self doesn't trust the adult?114
The child ego state doesn't want to leave the past.115
How does LI differ from other techniques?116
Lifespan Integration internet discussion list116
Transcripts of Lifespan Integration Sessions117
Driving Anxiety119
Lice Phobia127
Birth to Present Protocol141
Attachment Repair151
Lifespan Integration Flow Charts167
Lifespan Integration standard protocol168
Lifespan Integration Steps170
LI Birth to Present protocol171
Appendix173
Glossary179
References180