The Desensitization of Triggers and Urge Reprocessing (DeTUR) protocol is a specialized therapeutic approach derived from Eye Movement Desensitization and Reprocessing (EMDR). Developed by Dr. A.J. Popky, this protocol was specifically designed to address addictive behaviors, substance abuse, and the underlying triggers that perpetuate compulsive cycles. By focusing on the relationship between past trauma, current triggers, and the resulting urges, DeTUR helps individuals regain control over their responses.
At its heart, DeTUR operates on the belief that addictive behaviors are often maladaptive coping mechanisms used to manage unprocessed trauma or emotional distress. When a person encounters a "trigger"a sensory, emotional, or environmental cuethe brain often defaults to an impulsive, addictive response. The DeTUR protocol works to decouple the trigger from the urge, effectively "reprocessing" the neural pathways so that the individual can experience the trigger without feeling compelled to act on it.
Unlike traditional therapies that might focus exclusively on willpower or behavioral management, DeTUR utilizes bilateral stimulation (such as eye movements, taps, or audio tones) to facilitate the reprocessing of information. The protocol typically follows a structured sequence:
1. Identification of Triggers: The therapist helps the patient identify specific triggers that lead to the urge to engage in the addictive behavior.
2. Target Selection: Specific memories or sensory inputs associated with those triggers are selected for processing.
3. Resource Strengthening: Before addressing the heavy trauma, the patient builds internal resources, such as feelings of calm, control, or safety.
4. Desensitization: Using bilateral stimulation, the patient focuses on the trigger while the therapist helps them process the accompanying urge until the emotional charge is neutralized.
5. Installation of Positive Responses: The patient identifies and installs a positive, healthy way of responding to the trigger in the future.
The strength of DeTUR lies in its ability to address the "urge" directly. Many people in recovery report that they understand the consequences of their actions, yet they feel physically compelled to succumb to their impulses. DeTUR works at a physiological level, calming the limbic systemthe brain's emotional centerwhich is often overactive during moments of craving. By reducing the physical intensity of the urge, the individual gains a "choice point," allowing them to pause and make a conscious decision rather than reacting impulsively.
DeTUR is designed to be highly client-centered. It respects the pace of the individual and ensures that they feel safe and in control throughout the session. Because it focuses on the "urge" rather than the "trauma" exclusively, it is often seen as a less overwhelming way for clients to begin their healing journey, especially if they are not yet ready to process deep-seated traumatic memories in detail.
The DeTUR protocol offers a beacon of hope for those struggling with addictions and compulsive patterns. By transforming the way the brain responds to the world, it turns insurmountable urges into manageable experiences. As with any therapeutic intervention, it is essential to work with a licensed mental health professional trained specifically in this protocol to ensure safety and efficacy. Through the systematic reprocessing of triggers, individuals can move beyond the constraints of their past and reclaim their ability to live freely and intentionally.
