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adapt [2025/03/09 14:05] – andrewtaustinadapt [2026/02/12 19:41] (current) – [Adaptive Model and IEMT] andrewtaustin
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 {{tag>IEMT Model Adaptation reframe Nursing}}  {{tag>IEMT Model Adaptation reframe Nursing}} 
 ==== Integral Eye Movement Therapy (IEMT) - An Adaptive Model? ==== ==== Integral Eye Movement Therapy (IEMT) - An Adaptive Model? ====
-**Based on Sr. Callista Roy’s (1970) Adaptation Model**+**Alligning with Sr. Callista Roy’s (1970) Adaptation Model** 
 + 
 +//While IEMT is not derived from Roy’s model, it aligns with its goal of promoting adaptation by recalibrating emotional responses to past experiences. This page explores how IEMT supports adaptation, drawing parallels with Roy’s Adaptation Model, and offers insights for practitioners and learners.//
  
 Sister Callista Roy[(Callista_Roy>Callista Roy[[https://en.wikipedia.org/wiki/Callista_Roy|Wikipedia]])]  is an influential figure in the modern nursing profession. After graduating from Mount St. Mary’s College with a Bachelor of Science in Nursing and Sociology, she went on to pursue her Master's and Doctorate degrees at the University of California, Los Angeles. She contributed greatly to the field of nursing science with her research into Adaptation Model[( :harvard:Riehl1980>> Sister Callista Roy[(Callista_Roy>Callista Roy[[https://en.wikipedia.org/wiki/Callista_Roy|Wikipedia]])]  is an influential figure in the modern nursing profession. After graduating from Mount St. Mary’s College with a Bachelor of Science in Nursing and Sociology, she went on to pursue her Master's and Doctorate degrees at the University of California, Los Angeles. She contributed greatly to the field of nursing science with her research into Adaptation Model[( :harvard:Riehl1980>>
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 The Adaptive IEMT Model states that well-being is an integral and central feature of a person’s life, and can be represented on a well-being/distress spectrum. Along with health, well-being can be described as a state and process of being and becoming integrated and whole as a person, freed from the negative historical stresses and maladaptive responses. The Adaptive IEMT Model states that well-being is an integral and central feature of a person’s life, and can be represented on a well-being/distress spectrum. Along with health, well-being can be described as a state and process of being and becoming integrated and whole as a person, freed from the negative historical stresses and maladaptive responses.
  
-{{:adaptive_1_.png?600|}}+Unlike EMDR, which focuses on processing trauma over multiple sessions, IEMT emphasises rapid emotional shifts, making it particularly suited for immediate adaptive challenges.” 
 + 
 +{{ :adaptation-facilitation-model.jpg |}}
  
 ==== Environmental stressors have four components: ==== ==== Environmental stressors have four components: ====
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   - **Residual** - past events and traumas that leave a residual kinaesthetic that affects well-being and behaviour in the present moment    - **Residual** - past events and traumas that leave a residual kinaesthetic that affects well-being and behaviour in the present moment 
   - **Prospective** - habitual responses to “routine” triggers   - **Prospective** - habitual responses to “routine” triggers
 +
 +===== Physiological Adaptation & General Adaptation Syndrome (GAS) =====
 +
 +While the Adaptation Model provides the framework for //what// needs to adapt, Hans Selye's **General Adaptation Syndrome (GAS)** provides the biological mechanism for //how// the body responds to stressors over time. In IEMT, understanding GAS is crucial for identifying where a client is stuck in their trauma response.
 +
 +Roy's //Physiological Mode// can be mapped directly onto Selye's three stages of stress response. IEMT interventions are often most critical when a client has moved from "Alarm" into "Resistance" or "Exhaustion."
 +
 +
 +
 +==== Stage 1: Alarm Reaction (The IEMT "Imprint") ====
 +  * **Physiological State:** The immediate "fight or flight" response. The body mobilizes resources (cortisol, adrenaline) to deal with a **Focal Stimulus**.
 +  * **IEMT Context:** This corresponds to the formation of an **Emotional Imprint**. In a healthy adaptive system, this is a temporary state; the danger passes, and the system returns to homeostasis.
 +  * **Relevance:** IEMT does not seek to prevent this stage, as it is a survival mechanism. However, if the emotion is not processed, the "alarm" remains active as a **Residual Stimulus**.
 +
 +==== Stage 2: Resistance (The "Stuck" State) ====
 +  * **Physiological State:** The body attempts to adapt to the continued presence of the stressor. Physiological arousal remains higher than normal, but the individual appears to be "coping."
 +  * **IEMT Context:** This is the domain of **Patterns of Chronicity**. The client is expending massive amounts of energy to maintain a facade of normalcy while suppressing the emotional imprint.
 +  * **The Cost:** This stage creates a high load of **Contextual Stress**. The individual may develop psychosomatic symptoms (headaches, tension) as the body diverts energy from long-term maintenance (digestion, immune system) to immediate stress management.
 +
 +==== Stage 3: Exhaustion (Maladaptation) ====
 +  * **Physiological State:** The body's adaptive energy is depleted. The system can no longer maintain the resistance. Signs of burnout, depression, and chronic illness appear.
 +  * **IEMT Context:** This is typically when a client seeks therapy. The "coping mechanisms" (Patterns of Chronicity) have failed or become too costly to maintain.
 +  * **Therapeutic Goal:** IEMT intervenes here by accessing the original **Imprint** (from the Alarm stage). By neutralising the emotional charge of the memory, the demand on the system drops, allowing the body to exit the "Exhaustion" phase and return to a state of rest and repair.
 +
 +=== Clinical Implication ===
 +In the context of the Adaptation Model, IEMT acts as a catalyst for **Systemic Reorganisation**. By removing the emotional "glitch" (the active memory trace) that keeps the system in the Resistance/Exhaustion phase, the therapist allows the physiological mode to naturally self-regulate back to a healthy baseline.
  
 ==== Adaptation ==== ==== Adaptation ====
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 3. Maladaptive (failure to reorganise) 3. Maladaptive (failure to reorganise)
  
-{{ :coping_processes.png|}}+{{ ::adaptation-model-iemtcallista-roy.jpg |}}
  
 ---- ----
  
-{{:image-2.jpg?800|}} 
  
-----+===== The 5 Patterns of Chronicity as Maladaptive Responses =====
  
 +In the context of the Adaptation Model, the **5 Patterns of Chronicity** identified in IEMT can be understood as specific //maladaptive responses//. While the individual’s system intends to adapt to environmental stressors (focal, contextual, or residual), these patterns represent a failure to achieve systemic reorganization. Instead of resolving the stressor, the system adopts a rigid, cyclical coping mechanism that maintains the problem rather than solving it.
 +
 +Each pattern correlates with disruptions in the four adaptive modes (Physiological, Self-Concept, Role Function, and Interdependence).
 +
 +==== 1. The Three-Stage Over-Reaction ====
 +  * **Maladaptation Type:** Failure of the //Interdependence Mode//.
 +  * **Mechanism:** The individual reacts to a stimulus (input) with a disproportionate emotional output intended to force the //environment// to change, rather than adapting the //self// to the environment.
 +  * **Adaptive Failure:** The system bypasses internal processing and regulation, relying entirely on external validation or submission to regain stability. This prevents the development of internal coping skills.
 +
 +==== 2. The Maybe Man ====
 +  * **Maladaptation Type:** Instability in the //Self-Concept Mode//.
 +  * **Mechanism:** The individual utilizes linguistic uncertainty ("maybe," "it might be," "I'm not sure") to prevent the nervous system from locking onto a specific identity or reality.
 +  * **Adaptive Failure:** By refusing to acknowledge the current state of the system (the "is" state), the individual prevents the //physiological mode// from processing the reality of the stressor. Adaptation cannot occur because the system refuses to define what it is adapting //to//.
 +
 +==== 3. The Great Big "What If" Question ====
 +  * **Maladaptation Type:** Hyper-arousal of the //Physiological Mode//.
 +  * **Mechanism:** The individual projects a //prospective stressor// (a future negative event) that has not occurred. This generates immediate physiological anxiety (focal stimuli) in the present moment.
 +  * **Adaptive Failure:** The system expends energy preparing for a threat that does not exist in the immediate environment. This creates a high //Contextual// stress load, leaving no energy available for adapting to actual, present-moment challenges.
 +
 +==== 4. Testing for the Existence of the Problem ====
 +  * **Maladaptation Type:** Disruption of the //Physiological Mode// and //Self-Concept//.
 +  * **Mechanism:** Even when the system has successfully adapted or the stressor is removed, the individual actively seeks out the "feeling" of the problem to confirm their identity or safety.
 +  * **Adaptive Failure:** This is a failure to recognize the //New Equilibrium//. The system rejects the adaptive state (calm/neutrality) because it feels unfamiliar, interpreting the absence of the stressor as a threat in itself. It artificially re-introduces the //Residual// stressor to return to a familiar (albeit distressed) homeostatic baseline.
 +
 +==== 5. Being at Effect ====
 +  * **Maladaptation Type:** Collapse of the //Role Function Mode//.
 +  * **Mechanism:** The individual perceives themselves solely as a passive recipient of environmental stimuli ("It makes me feel," "He made me angry").
 +  * **Adaptive Failure:** This pattern denies the //adaptive capacity// of the individual entirely. By locating the cause of the state //outside// the system boundaries, the individual relinquishes the agency required to initiate biological or psychological reorganization. Adaptation is rendered impossible because the "control panel" is perceived to be in the hands of the environment.
  
 ==== The IEMT Adaptive Model makes fifteen operating assumptions. ==== ==== The IEMT Adaptive Model makes fifteen operating assumptions. ====
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   - A positive and effective state of adaptation leads toward greater integration in an individual and also frees a person’s energy to respond to other stimuli.    - A positive and effective state of adaptation leads toward greater integration in an individual and also frees a person’s energy to respond to other stimuli. 
   - A limitation of IEMT is to only be able to make changes to the body's conditioned reflex responses, IEMT cannot, for example, change the genetics of a body, although it is hypothesised that further research could well find epigenetic adaptations occurring as a result from working with PTSD clients.   - A limitation of IEMT is to only be able to make changes to the body's conditioned reflex responses, IEMT cannot, for example, change the genetics of a body, although it is hypothesised that further research could well find epigenetic adaptations occurring as a result from working with PTSD clients.
 +
 +===== Comparison: Roy's Model vs. IEMT Model =====
 +
 +While both models share the language of "adaptation," their operational goals differ significantly. Roy's model is designed for **care and management** (Nursing), whereas the IEMT model is designed for **remedial change and resolution** (Therapy).
 +
 +
 +^ Feature ^ Roy's Adaptation Model (Nursing) ^ IEMT Model (Therapeutic Change) ^
 +| **Primary Goal** | To promote **coping** and maintain integrity/equilibrium in the face of illness or change. | To create **resolution** by depotentiating the emotional triggers that necessitate coping. |
 +| **View of Adaptation** | Adaptation is a continuous process of adjusting to environmental stimuli to maintain health. | Adaptation is often a result of **updating** the internal representation of a memory or identity. |
 +| **Focus on Stimuli** | Focuses on **managing** Focal, Contextual, and Residual stimuli to reduce their impact. | Focuses on **identifying** the specific "Lynchpin" (Focal/Residual) to completely neutralize its emotional charge. |
 +| **Role of Practitioner** | To alter the environment or support the patient's coping mechanisms (Caregiver). | To challenge the client's internal structure and provoke neurological change (Change Agent). |
 +| **Handling "Residual" Stress** | Acknowledges past trauma as a factor that influences current health; aims to support the patient despite it. | Views "Residual" stress (past trauma) as the **primary target**; aims to remove its active influence entirely. |
 +| **Approach to Symptoms** | Symptoms (anxiety, pain behavior) are signals that the system is struggling to adapt; the goal is to stabilize. | Symptoms are viewed as **"Patterns of Chronicity"**; the goal is to disrupt the pattern to allow a new adaptation. |
 +| **Desired Outcome** | **Stability:** The patient creates a new "normal" and functions as well as possible within their constraints. | **Evolution:** The client is freed from the constraints of the past, allowing for spontaneous and generative behaviors. |
 ==== Goal and Intention of IEMT ==== ==== Goal and Intention of IEMT ====
  
  • Last modified: 2025/03/09 14:05
  • by andrewtaustin