“There is no coming to consciousness without pain… One does not become enlightened by imagining figures of light, but by making the darkness conscious.”
— Carl Jung (CW 13, ¶335)
This post will be a little different from my usual writing. It leans more academic in tone because I want to reflect on one of the most widely respected tools in trauma therapy: EMDR.
For those unfamiliar, EMDR stands for Eye Movement Desensitization and Reprocessing. It has gained endorsements from the American Psychological Association (APA), the Department of Veterans Affairs, and even the World Health Organization. Its place in the clinical world is well established, and its benefits are experienced by many.
What follows is not a dismissal of EMDR’s value but a reframing of how it may actually work. While EMDR is best known for its use of bilateral stimulation (BLS), I propose that the deeper source of its healing power is something more timeless: the direct confrontation with trauma.
To be clear, I fully acknowledge the growing body of research supporting EMDR’s efficacy (Lee & Cuijpers, 2013; Shapiro, 2018). My aim is not to strip away its credibility but to look at it through a symbolic lens. As a clinician-in-training steeped in trauma-informed care and depth psychology, I wonder whether the field has misattributed its effectiveness. Are we focusing so much on the method that we overlook the ritual act at its core?
The Hypothesis: Exposure, Not Eye Movements, Is the Active Ingredient
Let us first dive into the research: EMDR leads to significant symptom reduction in trauma survivors. However, when the role of bilateral stimulation is isolated, the findings become a bit murky. Davidson and Parker (2001) conducted a meta-analysis and found that eye movements did not significantly enhance outcomes beyond exposure alone. van den Hout et al., (2011) observed that while BLS may slightly reduce vividness and emotionality, it appears non-essential to successful treatment.
This brings us to a question that many researchers have asked, but few clinicians or educators seem willing to face directly. Is it wholly the eye movements or the repeated, structured confrontation with trauma that promotes healing?
Here is what has not been explored deeply: the symbolic and psychological function of BLS. What if BLS serves more as an emotional buffer, something that helps to regulate discomfort rather than reveal truth? What if the real healing lies not in tracking a therapist’s fingers, but in walking through the fire of memory without turning back out of fear?
Talk Therapy’s Avoidance Problem
In many graduate counseling programs, students are taught to be trauma-informed by emphasizing non-intrusiveness. Do not push. Do not retraumatize. Do not make the client uncomfortable. While well-intentioned, this approach can backfire. In our effort to “do no harm,” we may do nothing meaningful and cause harm in and of itself. We sit quietly, hoping the client will go deep on their own, while silently colluding in their avoidance.
This avoidance can, moreover, mirror the client’s trauma and merely perpetuate a trauma loop. A sense of being abandoned, unseen, or emotionally unheld in their darkest moments. The therapist’s inability to bear witness to pain perpetuates the very repression that trauma thrives in. If we cannot make space for and hold the heat of a client’s story, how can they ever trust themselves to come to face it with courage?
EMDR as Modern Ritual
Looking through a Jungian lens, EMDR is less about BLS and more about a ritualized descent into the unconscious. It mirrors ancient rites of passage found across cultures. These are journeys into darkness, chaos, or death to retrieve something vital: a lost part of the Self. In this way, EMDR becomes a modern ritual that guides clients into the symbolic underworld to reclaim what was fragmented.
Now this is where the controversy deepens… What if BLS is not a catalyst, but a distraction? A rhythmic soothing agent, not unlike a lullaby or a pacifier, that makes the journey more bearable but less potent. Yes, the bilateral tones and eye movements can regulate the nervous system. But perhaps they also cushion the intensity of the experience. And maybe, just maybe, that is where a fundamental problem lies.
Hypnotherapy: Another Descent-Based Modality
Take hypnotherapy. Dismissed by many for its pseudoscientific reputation, hypnosis also facilitates an altered state of consciousness. It invites a trance, a softening of ego boundaries. Like EMDR, it opens the door to unconscious material. When paired with cognitive-behavioral therapy, hypnosis has been shown to enhance trauma treatment outcomes (Kirsch et al., 1995; Valentine et al., 2019).
From a depth perspective, hypnotherapy is not about control or suggestion. It is about a symbolic descent into the abyss. It is Dante, led by the image of his Beatrice, the guiding archetype of the inner feminine, through the underworld toward integration. It is Persephone, reclaiming her agency. These are not techniques. They are myths made real. What unites EMDR, PE, and hypnotherapy is quite obviously, not their form, but their demand for emotional honesty.
What Actually Heals
When clients wholly come to face their trauma, not just remember it, but feel it fully, symbolically, and viscerally, that is when the inner alchemical transformation begins. These methods succeed not because they are gentle, but because they ask something of the client that many modalities do not: to return to the wound with open eyes.
The client becomes the mythic hero. The one who chooses descent. And the therapist, if they are willing, becomes the witness, the anchor, and the soul guide.
What Needs to Change
If talk therapy wants to remain relevant in trauma work, it must stop pathologizing emotional intensity. Too often, strong emotions are seen as something to avoid or regulate rather than engage with. But it is precisely within these intense emotional states of grief, rage, and fear, that the deepest healing potential lives. Avoiding them keeps both therapist and client circling the wound rather than entering it.
Therapists must be trained not only to avoid harm, but to tolerate discomfort: their own and their clients’. The ability to stay present during emotional upheaval is not optional in trauma work. It is essential. A therapist cannot guide someone through the storm if they are only willing to stand on the shore.
What heals is not comfort, but honest confrontation. True safety is not the absence of emotional risk. It is the presence of someone who can stay steady when everything else feels like it’s falling apart. That is what clients need. That is what trauma work requires.
Revisiting “Do No Harm”
It is important to pause and address what may already be rising in the minds of many readers. The ACA Code of Ethics states that clinicians must avoid harm. Non-maleficence—do no harm—is one of the foundational principles of our profession. It is often cited to justify cautious, client-led, non-intrusive approaches, especially when working with trauma.
But we must ask the harder question: what does “harm” actually mean when it comes to trauma?
Are we being wholly benevolent when we avoid stirring the inner wounds of our clients? Or are we, under the guise of caution, participating in something more insidious? When a therapist avoids a client’s trauma, when they softly reassure, “You don’t have to go there,” while that trauma silently erodes the client from within, is that not a form of harm? Is that not abandonment by another name?
In our effort to be kind, we may become complicit. Complicit in avoidance. Complicit in shame. Complicit in preserving the very suffering we claim to treat.
Let us also be honest about something else: there are far more bad therapists in the world than there are good ones. This not cynicism, it is reality. And the tragedy continues in that nearly everyone believes they are one of the good ones. But sincere trauma work does not come from being “good”. It comes from being whole.
Only those who are themselves on the path to wholeness (not perfection and not performance) can embody what trauma-informed care actually requires. This is not just a clinical posture. It is a way of being. One must be able to sit in the fire with another human being without retreating. That is what heals. Not credentials, not compliance, and certainly not the illusion of safety.
Thus, if we, as clinicians, shy away from that confrontation, we teach our clients to do the same…and nothing changes. The trauma goes on repeating. But when we consciously aim to walk with them, into the depths, through the fire, with eyes unaverted, something ancient stirs. Not just recovery, but resurrection.
“Fear, like love, can become a call into consciousness; one meets the unconscious, the unknown, the numinous and uncontrollable by keeping in touch with fear, which elevates the blind instinctual panic of the sheep into the knowing, cunning, fearful awe of the shepherd.”
— James Hillman, (Pan and the Nightmare, p. 65.)
References… for your viewing pleasure.
Davidson, P. R., & Parker, K. C. H. (2001). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting and Clinical Psychology, 69(2), 305–316. https://doi.org/10.1037//0022-006x.69.2.305
Kirsch, I., Montgomery, G., & Sapirstein, G. (1995). Hypnosis as an adjunct to cognitive-behavioral psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 63(2), 214–220. https://doi.org/10.1037//0022-006x.63.2.214
Lee, C. W., & Cuijpers, P. (2013). A meta-analysis of the contribution of eye movements in EMDR therapy: Psychological Bulletin, 139(2), 241–268. https://doi.org/10.1016/j.jbtep.2012.11.001
Shapiro, F. (2018). Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures (3rd ed.). Guilford Press.
Valentine, K. E., Milling, L. S., Clark, L. J., & Moriarty, C. L. (2019). The efficacy of hypnosis as a treatment for anxiety: A meta-analysis. International Journal of Clinical and Experimental Hypnosis, 67(3), 336–363. https://doi.org/10.1080/00207144.2019.1613863
van den Hout, M. A., Engelhard, I. M., Beetsma, D., Slofstra, C., Hornsveld, H., & Houtveen, J. (2011). EMDR and mindfulness: Eye movements and attentional breathing tax working memory and reduce vividness and emotionality of aversive ideation. Journal of Behavior Therapy and Experimental Psychiatry, 42(4), 423–431. https://doi.org/10.1016/j.jbtep.2011.03.004