EMDR Bibliography
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3601. Unknown. (1991, September). Treating children with EMDR and artwork. Special Report of the Children/Adolescents Special Interest Group, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Art Therapy Children
Accuracy Verified: No
3602. Unknown. (2004). What is EMDR?. Symposium conducted at the Korean Neuropsychiatric Association Annual Conference, Seoul, Korea.
Language: English
Format: Conference
Keywords: Symposium
Accuracy Verified: No
3603. Uram, S. (2008, September). The neurobiology of adult and childhood trauma made simple. Presentation at the annual mmeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This workshop presents three interconnecting and integrated themes: The neurobiology of trauma made simple, yet highly “usable” for clinical formulation and treatment planning; The stages of human brain development made simple, but geared for clinical understanding and practice and; Trauma neurobiology + different stages of brain development = potentially very different clinical presentations. How trauma “looks” different in children and adults, and why. The fact that children’s brains interpret “danger” very differently than the adult brain. Trauma is far more commonplace than most clinicians would imagine.
Keywords: Neurobiology Trauma
Accuracy Verified: Yes
3604. Uram, S. (2008, June). The neurobiology of adult and childhod trauma made simple: What every EMDR clinician should know. Presentation at the annual mmeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop presents three related and integrated themes: I. - The neurobiology of trauma made simple, yet highly “usable” for clinical formulation. A. How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines” trauma. Organized and logical presentation of clinically relevant brain parts/circuits and how they process, or don’t adequately process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc. Which brain parts/circuits “trump” one another, and how this shows up in symptoms, in our personalities or in our relationships. II. - Child/Adolescent/Adult stages of human brain development made simple, but geared for clinical understanding and EMDR treatment planning. Childhood through young adulthood brain development generally mature along a sequence; Bottom to Top, and Inner to Outer .The brain areas that become more active as 31 children mature “show up” as increasing or decreasing behaviours, levels of thinking abilities, levels of emotional and mood development/stability, relational abilities, decreased dominance of certain other brain parts, etc.. Symptoms frequently reflect how each person’s level of brain maturation “filters” life experience at a given time. III. - Trauma neurobiology + different stages of brain development = potentially very different EMDR formulations, negative cognitions, etc. How the child and adult brain can identify “danger”, and therefore, “trauma” similarly, or very differently. How trauma is “understood” in the adult brain and the child brain. How and why “danger” or “traumas” are perceived, processed and present differently in children and adults
Keywords: Neurobiology
Accuracy Verified: Yes
3605. Uram, S. (2007, September). Understanding Your Adult EMDR Clients from a Developmental perspective: How childhood brain development correlates with coping skills and vulnerabilities to trauma. Presentation at the annual mmeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop presents a developmental model that is an integration of the three areas that can be utilized when formulating your understanding and treatment of your adult EMDR clients: developmental neurobiology (presented in a simple and down to earth manner), plus development of increasingly sophisticated coping and relating skills that result from the maturing brain, plus relevant traumatology. Participants should be able to then utilize this integrated developmental model to better identify key nodes, targets and interweaves for EMDR processing.
Keywords: Brain Development
Accuracy Verified: Yes
3606. Uram, S. (2009, August). The neurobiology of trauma made simple . Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop is presented in a manner that is highly “usable” for diagnostic and treatment formulation. Some of the areas that will be covered include: 1) How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines”, experiences and reflects trauma; 2) An understandable presentation of clinically relevant brain parts/circuits and how they adequately do or do not process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc., 3) How the developing brain of a human being determines how perceived trauma are integrated into the person’s personality and functioning.
Keywords: Neurobiology Trauma
Accuracy Verified: Yes
3607. Uram, S. (2012, October). The neurobiology of trauma made simple. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This workshop explains the neurobiology of trauma in a simple, yet highly usable manner. Upon completion of this workshop, attendees should be able to readily apply this information for better formulating their clients’ issues and treatment planning. The topics include: 1) How does a normal nervous system operate? 2) What is Trauma? 3) What is the “bottom line” of chronic trauma syndromes (e.g., PTSD)? 4) How does childhood development factor into adult trauma symptoms? 5) Treatment.
Keywords: Neurobiology Trauma
Accuracy Verified: Yes
3608. Urtz, A. (2010, June). Trauma treatment via EMDR after heart attack. A psychologist´s report from a rehabilitation hospital for heart and cardiovascular diseases. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Incidence of heart disease: 43 % of all death cases are
caused by heart disease. In total this means 32,294 persons a
year in Austria.
Stationary treatment receiving 314,010 patients, with an average
term of hospitalization of 8 days (Statistics Austria 2008). For Germany the total figures are around 10 times higher. This
is the largest single patient group.
11.25% of the heart disease patients get PTSD, adjustment
disorder or other reactions to severe stress (Titscher. 2008).
Only for Austria a minimum of 35.000 patients could benefit
from a trauma treatment like EMDR. For Germany the
figure rises up to 350,000 patients a year who could benefit
from EMDR. To physicians the problem is well known, but
the only treatment they can offer is medication or further diagnostics
like angiography which doesn't cure the problem.
Despite the high number of traumatized heart patients, there are
only publications about trauma as a risk factor for heart disease.
There are a few publications about heart disease causing trauma,
but there are nearly no publications about treating trauma
caused by heart disease.
Typical symptoms for trauma after heart attack: Feeling of
tightness or pressure on the chest, tightness in the throat, with
difficulties in breathing. Ascending feeling of heat from the
stomach, trembling, weeping, fear and panic. Flashbacks of the
heart attack, with symptoms looking similar to angina pectoris.
Reduced stress tolerance by getting easily angry or depressed.
Useful questions for differential diagnostics between organic
and mental symptoms: What are the symptoms? How long do
they last? Were there any symptoms prior to the heart disease?
Which symptoms were present during the heart attack? Is it
distressing to remember the heart attack? How distressing on a
SUD-scale 0 to 10.
What are the medical findings? Two specifics:
1. Mainly I use the butterfly hug or tapping on the chest for
processing. This form of tapping is easy applicable and the patients
like it.
2. Weaving in Positive Cognitions (PCs) during the processing,
makes the processing less stressful, I offer PCs during the
processing and look if they help to reduce the stress.
Useful PCs: I survived. I am still alive. I am through. It is a long
time ago. i have trust in my body and my heart. If that doesn't
work: Even when my trust in my heart is shattered, I love and accept
myself. I am grateful. I live as long as I may I am confident.
Usually I use them in that succession with some adoptions according
to the process.
What is special about my presentation.
1. Hear about a large group of patients who can benefit from
EMDR.
2. Mostly heart disease are to consider as mono-traumatic. With
some specific knowledge and experience they are not difficult
to treat.
3. Notice the advantage of bipolar tapping on the chest.
4. Understand the advantage of weaving in PCs during the
processing.
5. The big question is: How to install EMDR in the rehabilitation
system?
Keywords: Heart Attack Medical Issues Symposium
Accuracy Verified: Yes
3609. van den Berg, D. (2011, June). Research on clinical applicaton of EMDR other than PTSD - EMDR with trauma in psychosis: Preliminary findings. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria .
Language: English
Format: Conference
Abstract:
Posttraumatic stress disorder is one of the most common comorbid conditions in patients with psychotic disorders. A large proportion of this group indicate that they want to be treated for their PTSD symptoms. Conversely, a psychotic disorder is nearly always used as an exclusion criterion for effective psychotherapeutic treatments. The clinical experience and limited scientific research conducted in this area, however, indicate that these patients can be effectively treated with techniques directly aimed at processing the trauma. However, research in this area is lacking.
During this presentation the different interactions between trauma, psychosis and PTSD will briefly be discussed. In addition, the results of a feasibility trial of EMDR in patients with psychosis and comorbid PTSD will be presented. The main finding of this trial was that treatment did not result in any adverse effects. EMDR appeared to be very effective in alleviating PTSD symptoms. Even more surprisingly, other symptomatology, such as symptoms of psychosis and depression decreased significantly. Hence, treating PTSD in patients suffering from psychosis with EMDR appears to be feasible and safe.
Accuracy Verified: Yes
3610. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and PTSD: A pilot study. In PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Introduction: Mueser at al. (2008) showed that a treatment
program that was predominantly based on cognitive restructuring
was effective and safe in treating PTSD in patients with Serious
Mental Illness. However, only 15.7% of the participants in this
study had a psychotic disorder. Frueh et al. (2009) conducted a
pilot study into PTSD treatment in patients with schizophrenia and
schizoaffective disorders (n=20). At three month follow-up twelve
out of thirteen completers no longer met criteria for PTSD.
Treatment caused no adverse events. Unfortunately psychosis
measures were not included in this study. A third therapy with
strong empirical support for its efficacy in treating PTSD is Eye
Movement Desensitization and Reprocessing (EMDR, Bisson et al.,
2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler &
Wagner, 2006). In this presentation the results of a feasibility trial
(n=27) of EMDR in patients with psychosis and comorbid PTSD
will be presented.
Method: An open pilot trial of EMDR in treating PTSD symptoms
in participants with a diagnosis of schizophrenia or an other
psychotic disorder. Participants were all outpatients from
community mental health centres in the Netherlands. After referral
to the study patients were screened for PTSD with the Clinician
Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was
diagnosed baseline measurements were performed after which an
informed consent was obtained. Treatment consisted of a
maximum of six weekly EMDR sessions, after which post
measurements were taken.
Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post
measurement. Treatment did not result in adverse events. In fact,
other symptoms, such as delusions, auditory verbal hallucinations,
anxiety and depression decreased significantly, e.g. only four out
of the nine participants that reported voices at baseline still
reported voices at end of treatment.
Conclusions: The preliminary conclusion is that treating PTSD in
patients suffering from psychosis with EMDR is feasible, is safe
and has a positive influence on other symptoms.
Keywords: Pilot Study Postraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
3611. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.
Language: Dutch
Format: Conference
Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt.
Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.
Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments.
We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.
Keywords: Pyschosis
Accuracy Verified: Yes
3612. van den Berg, D., & van der Vleugel, B. (2011, June). Trauma, psychosis and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria .
Language: English
Format: Conference
Abstract:
The associations between trauma and psychosis are diverse and complex. The majority of people suffering from psychosis have been traumatized as a child and trauma appears to be an important causal factor in becoming psychotic later in life. About 35 percent of the people with psychosis suffer from a comorbid Post Traumatic Stress Disorder (PTSD). The psychotic experience itself and the sometimes horrific experiences in psychiatric treatment (e.g., solitary confinement) are traumatizing experiences for many patients. The presence of a comorbid PTSD leads to negative vicious cycles in which the patient can become stuck if effective treatment is not provided. Despite all this, comorbid PTSD is rarely diagnosed, and if so, application of EBP is not common practice.
Learning objectives:
During this workshop these different interactions between trauma, psychosis and PTSD will shortly be discussed. Evidence from research and practice showing that trauma in psychosis can be treated effectively and safely, will be presented. Further, the workshop will focus on the practical application of EMDR within a general cognitive behavioural treatment plan for psychosis. Moreover, the following questions will be addressed. How is trauma history conceptualized within a case formulation? When can EMDR be used? And how can this be done? General problems one may encounter when using EMDR in patients with psychosis will be discussed.
Recommended reading before the workshop:
•W. Larkin and A. Morrison (eds.) Trauma and Psychosis: New directions for theory and therapy. 2006 London: Brunner-Routledge.
After this workshop attendees will be aware of the great importance of assessing the life histories of patients with psychosis, how to incorporate this in a case formulation and how to use EMDR with these patients.
Accuracy Verified: Yes
3613. van den Berg, W., & Spuijbroek, P. (2010, April). EMDR en autismespectrumstoornissen: Een creatieve uitdaging [EMDR and autism spectrum disorders: A creative challenge]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Het doel van deze presentatie is meer mensen vertrouwd maken met knelpunten en oplossingen bij gebruik van EMDR bij mensen met een autisme spectrum stoornis.
In de presentatie wordt aan de hand van casuïstiek en filmbeelden het protocol gevolgd. Aan bod komen welke zaken je kunt verwachten bij de behandeling en welke oplossingen daarvoor kunnen worden aangeboden.
The purpose of this presentation is more people become familiar with problems and solutions when using EMDR in people with autism spectrum disorder.
The presentation is based on case reports and movies followed the protocol. Addressed the matters you can expect in dealing with and what solutions can be offered.
Keywords: Autistic Spectrum Disorders
Accuracy Verified: Yes
3614. van den Houten, M. A. (2010). EMDR, waarom het wel en niet werkt [EMDR, why it works or not]. Presentatie op de jaarlijkse bijeenkomst van De Vereniging voor Gedragstherapie en Cognitieve Therapie (VGCt), Eindhoven, Nederlands .
Language: Dutch
Format: Conference
Keywords: Mechanisms of Action Practice Theory
Accuracy Verified: Yes
3615. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives:
Know that trauma influences psychotic symptoms,
Understand how EMDR can influence paranoia and hallucinations, and
Be able to conceptualize EMDR for these symptoms
Keywords: Psychosis
Accuracy Verified: Yes
3616. van der Gaag, M., van der Vleugel, B., van den Berg, D., de Bont, P., de Jongh, A., & van Minnen, A. (2011, August-September). A randomized multicentered trial of trauma focused treatment of psychotic patients with PTSD in the Netherlands; design and research questions. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland .
Language: English
Format: Conference
Abstract:
Objectives: The prevalence of postraumatic stress disorder
(PTSD) in severe mental illness varies from 10 to 60% is the
published literature. Probably between 10 to 20% of lifetime
psychotic patients, also meet the criteria for having a PTSD. There
is not much evidence for the efficacy and safeness of treatment in
patients with a lifetime psychotic disorder who also meet the
criteria for PTSD. Some pilot studies show promising results.
Method: A study is designed to investigate whether treatment of
PTSD is effective and safe in a group of people with a psychotic
disorder? A multi-site randomised clinical trial with 80 patients
Eye Movement Desensitisation and Reprocessing (EMDR) versus
80 patients Prolonged Exposure (PEx) versus 80 patients
Treatment as Usual/Waiting list (TAU) is now being performed to
answer these research questions. The outcome measures in this
study are: Primary: Posttraumatic stress disorder (diagnose and
severity) Secundary: psychosis, depression, adverse events.
Moderators en mediators of treatment success. Cost-effectiveness
will be assessed and expressed in Euro per gained Quality
Adjusted Life Years. If no effectivity can be demonstrated, a costminimalisation
calculation will be made.
Results: Therapist have been trained in EMDR and in PEx during
eight days. Therapies are closely supervised an monitored during
the study. Fidelity measures are collected from a rond sample of
sessions.
Conclusions and Discussion: Pilots have been promising in
showing effective treatment for PTSD without any adverse events
or worsening of the condition in psychotic patients with a chronic
course. If this study can demonstrate effectivesness and safety,
this can change the treatment for many patients with severe
mental illness and reduce suffering from symptoms of PTSD and
probably also the burden of psychotic symptoms can be reduced
in a subsample of the patients.
Keywords: Netherlands Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
3617. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
A precise understanding of trauma-related dissociation is
essential for clinical practice, including the use of EMDR
with traumatized patients. The existence of many conflicting
and vague definitions of dissociation that include a
mixture of constructs has obscured understanding of the
nature of dissociation. Thus, it is viewed alternately as a
process, a structure, a defense mechanism, a deficit, and
as various symptoms. Most contemporary clinicians and
researchers working with traumatized people have lost a
connection with the unifying and comprehensive theory
of trauma-related dissociation already outlined over the
course of the history of psychiatry. Thus, a return to the
original major studies on trauma-related dissociation is
essential in clarifying the concept of dissociation, in reconciling
it with contemporary science, and in realizing
its importance in treatment. The works of two Masters
will be used to highlight this basic concept: Pierre Janet
(1859-1947) and Charles Myers (1873-1947). The theory
of structural dissociation of the personality integrates
their original views on dissociation with modern findings
from clinical practice and research and developments in
the neurosciences. It emphasizes that the personality system
of the trauma survivor becomes structurally divided
into two or more self-conscious psychobiological subsystems.
Some of these subsystems, which we have called
“dissociative parts of the personality”, are engaged in
daily living and avoidance of traumatic memories, other
parts are fixated in traumatic experiences and essentially
engaged in animal defensive actions toward perceived
danger. More severe chronic traumatization leads to more
complex structural dissociation, and thus to more complex
trauma-related disorders. Although short-term, intensive
treatments such as prolonged exposure and EMDR
are appropriate for simple trauma-related disorders, a
phase-oriented treatment is the standard of care formore
complex disorders. Regardless of treatment modalities
employed, be it EMDR or other approaches, therapists
need to be skilled in the recognition of symptoms of dissociation
and in special treatment approaches that support
personality integration among dissociative parts,
particularly in working with traumatic memories.
Keywords: Dissociation Keynote
Accuracy Verified: Yes
3618. van der Hart, O. (2010, September/October). Dissociation of the personality: The key to understanding chronic traumatization and its treatment. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR treatment of complex trauma-related disorders may benefit from a clear understanding of the dissociative nature of these disorders. Dissociation is an undue division of the personality among two or more psychobiological systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences. The more severe the traumatization, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which should be systematically resolved in phase-oriented treatment. Participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets for EMDR interventions in each of the three treatment phases in terms of overcoming specific phobias.
Keywords: Chronic Traumatization Plenary
Accuracy Verified: Yes
3619. van der Hart, O. (2011, March). Dissociation of the personality: The key to understanding chronic traumatisation and a guide to EMDR treatment. Preconference presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
There is currently consensus that the EMDR standard protocol needs to be modified
for chronically traumatized clients, such as clients with complex dissociative disorders, as it may
destabilize them. Therefore, therapists need to have a good understanding of the dissociative
personality structure that exists in these clients. Dissociation is an undue division of the personality
among two or more biopsychosocial systems or “dissociative parts” that comprise the survivor’s
personality. One or more of them function in daily life; others are fixated in traumatic experiences,
are living in trauma-time. The more severe the traumatisation, the more dissociative parts,
involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have
psychobiological boundaries that are maintained, to a large degree, by different trauma-related
phobias, which are systematically resolved in phase-oriented treatment. Indeed, participants will
be able to describe structural dissociation of the personality as a specific form of integrative failure
that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative
symptoms to the underlying dissociation of the personality, and identify targets such as the
dissociation-maintaining phobias, for EMDR interventions in the respective treatment phases. The
emphasis will be on the preparatory work, including how to work with dissociative parts living in
trauma-time and those perceived as being malevolent, necessary before focusing on the integration
of traumatic memories.
Keywords: Dissocation
Accuracy Verified: Yes
3620. van der Hart, O. (2012, March). Waarom kennis van dissociatie en de dissociatieve stoornissen noodzakelijk is in EMDR-therapie [Why knowledge of dissociation and dissociative disorders is necessary in EMDR therapy]. Keynote presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Vroeger of laat moeten EMDR-therapeuten mensen met een traumagerelateerde dissociatieve stoornis in behandeling krijgen. De prevalentie van DSM-IV dissociatieve stoornissen onder psychiatrische patiënten is ongeveer 10%, waarvan de helft betrekking heeft op de dissociatieve identiteitsstoornis (DIS), dat wil zeggen, de meest complexe dissociatieve stoornis. De prevalentie van de ICD-10 dissociatieve stoornissen van motoriek en zintuiglijke gewaarwording zijn hier niet in mee gerekend, noch andere stoornissen die door dissociatie gekenmerkt worden. De vraag doet zich voor hoe het mogelijk is dat zelfs ervaren therapeuten kunnen opmerken dat ze nimmer patiënten met een dissociatieve stoornis zijn tegen gekomen. Een van de oorzaken is dat psychiatrisch epidemiologisch en klinisch onderzoek nog al te vaak de screening van dissociatieve stoornissen achterwege laat en dat het gezegde “onbekend maakt onbemind” zeker ook op de psychiatrie van toepassing is. Aan de andere kant maken de specialisten op dit terrein niet-ingewijde collega’s niet gemakkelijk. Over de vraag wat onder dissociatie moet worden bestaan, bijvoorbeeld, bestaan enorme meningsverschillen. En waaraan dissociatieve problematiek kan worden afgelezen, wordt evenmin erg duidelijk gemaakt. De doelen van deze presentatie zijn: (1) helderheid verschaffen over dissociatie; (2) het onderscheid laten zien tussen dissociatie van de persoonlijkheid en de manifestaties hiervan; (3) uitleg van de essentie van de theorie van structurele dissociatie; (4) wetenschappelijke evidentie voor dissociatie van de persoonlijkheid weergeven; en (5) laten zien hoe in EMDR-behandelingen van mensen met complexe traumagerelateerde dissociatie van hun persoonlijkheid betrokken moet worden.
Sooner or EMDR therapists should let people with trauma-related dissociative disorder treatment. The prevalence of DSM-IV dissociative disorders among psychiatric patients is approximately 10%, half of which relates to the dissociative identity disorder (DID), ie, the most complex dissociative disorder. The prevalence of ICD-10 dissociative disorders of motor function and sensation are not counted them, or other disorders that are characterized by their cleavage. The question arises how it is possible that even experienced therapists can observe that they never patients with dissociative disorder have encountered. One reason is that psychiatric epidemiological and clinical studies all too often the screening of dissociative disorders is neglected and that the saying "unknown, unloved 'certainly applies to psychiatry. On the other hand, the specialists in this field uninitiated colleagues is not easy. About what should be under dissociation exist, for example, there are enormous differences of opinion. And dissociative problems which can be read, is not very clear. The goals of this presentation are: (1) clarity about dissociation, (2) show the distinction between dissociation of the personality and manifestations, (3) explanation of the essence of the theory of structural dissociation, (4) scientific evidence for dissociation of personality show, and (5) show how EMDR treatments for people with complex trauma-related dissociation of personality should be involved.
Keywords: Dissociation Dissociative Disorders Keynote
Accuracy Verified: Yes
3621. van der Hart, O., & Matthess, H. (2009, June). Dissociative orders and EMDR. Preconference workshop of the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
Keywords: Dissociative Disorders
Accuracy Verified: Yes
3622. van der Hart, O., Solomon, R., & Gonzalez, A. (2010, September/October). The theory of structural dissociation as a guide for EMDR treatment of chronically traumatized clients. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Chronically traumatized clients with complex dissociative disorders need careful preparation. There is currently consensus that the EMDR standard protocol needs to be modified for chronically traumatized clients, as it may destabilize them. Thus, the therapist needs to have a good understanding of the dissociative personality structure that exists in their clients, the dissociative parts, their strengths and deficits, and their interrelationships. Using the framework of phase-oriented treatment and the theory of structural dissociation of the personality, this workshop will help participants understand the preparatory work necessary before integrating traumatic memories and discuss important procedural considerations for each phase of EMDR.
Keywords: Chronic Traumatization Structural Dissociation
Accuracy Verified: Yes
3623. van der Kolk, B. (2011, November). Treating trauma: Helping the entire organism feel safe and live in the present. Presentation at the 27th Annual Meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Trauma affects the entire human organism, which gets stuck in neruobiological, immunological and relational survival modes. Neuroscience research shows that the brain regions most affected by trauma are involved in attention and perception, biasing the organism into preceiving threat and annihilation. The subcortical process are independent from conscious appraisal and conscious control. This presentation will focus on evidence based treatments that address basic issues of safety, threat appraisal and embodied awareness, illustrated by EMDR, meditation, yoga, theater, martial arts and sensory integration.
Accuracy Verified: Yes
3624. van der Kolk, B. (2012, June). Trauma in different mental disorders [El trauma en los distintos trastornos mentales]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective
tools to treat posttraumatic stress disorder. One of the lesser known properties of
EMDR is that it also seems to be an effective psychotherapy method in a number of
disorders that have part of their origins in dysfunctional implicit memory
structures. Some of these disorders are complex trauma based disorders like
dissociative disorders and some patients with symptoms of borderline disorder
others are traumatized offenders, some forms of substance dependencies and
depressive disorders.
Many of these patients are challenging populations and some of the direct EMDR
approaches may only be partly successful.
In this workshop an overview of the new areas for the application of EMDR will be
given and participants will hear where and how EMDR can be used in a treatment
plan. Also the research status of these new approaches will be reported.
If time permits cases can be discussed too.
Los estudios científicos de EMDR han comprobado que es una de las
herramientas más efectivas en el tratamiento del trastorno por estrés
postraumático. Una de las propiedades menos conocidas de EMDR es que también
parece suponer un método de psicoterapia efectivo en varios trastornos que se
originan parcialmente en estructuras disfuncionales de la memoria implícita.
Algunos de estos trastornos son trastornos basados en el trauma complejo, como
los trastornos disociativos y algunos casos de trastorno límite de la personalidad;
también se pueden incluir agresores traumatizados, algunas formas de
dependencias de sustancias y trastornos depresivos.
Muchos de estos pacientes suponen poblaciones de especial dificultad y algunos de
los abordajes directos con EMDR pueden tener un éxito únicamente parcial.
Este taller ofrecerá una perspectiva global de las nuevas áreas de aplicación de
EMDR y se les explicará a los participantes en qué casos y cómo se puede utilizar
EMDR en un plan terapéutico. También se informará respecto al estado de la
investigación de estos nuevos planteamientos.
Si hay tiempo, también se podrán presentar algunos casos.
Keywords: Mental Disorders Trauma
Accuracy Verified: Yes
3625. van der Kolk, B. (2012, June). New perspectives in trauma therapy. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
No abstract available.
Keywords: New Perspectives
Accuracy Verified: Yes
3626. van der Kolk, B. A. (1996, June). Psychological and neurological dimensions of the compulsion to forget and repeat trauma. Presentation at the annual mmeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Trauma
Accuracy Verified: Yes
3627. van der Kolk, B. A. (2000, September). Trauma, attachment and the body. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Partcipants will: 1) be able to describe current research findings about post-traumatic responses at different developmental levels, and in various domains, and explore in depth the treatment implications of these findings; 2) be able to identify how traumatized people process information; and 3) learn how sensorimotor processing can alleviate traumatic re-experiencing.
Keywords: Attachment Body Sensorimotor Processing Trauma Traumatic Re-experiencing
Accuracy Verified: Yes
3628. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the
second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were
generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading
textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in
the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years,
it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of
different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included
in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive
behaviors, problems with close relations and an impairment in the capacity to experience pleasure,
satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than
being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur
depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social
support received and the duration of the traumatic experience(s).
Keywords: Psychobiology
Accuracy Verified: Yes
3629. van der Kolk, B. A. (2004, September). Treatment outcome research in EMDR. Plenary presented at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Despite a large number of well-controlled studies there continues to be considerable skepticism about the specificity of EMDR's usefulness at a treatment of PTSD. It therefore was gratifying that the National institutes of Mental Health in the USA funded the first study to compare a proven psychological treatment (EMDR) with a proven pharmacological agent, Prozac, and the first to use a pill placebo group. Both Prozac and pill placebo did very well in this study - once again demonstrating the power of the placebo response in PTSD. EMDR did significantly better than the placebo after 8 weeks of treatment. After the end of treatment the EMDR group continued to improve, to the point that six months later 60% of the EMDR was entirely asymptomatic, compared with none in the Prozac group. However, the group with adult onset trauma did markedly better than the childhood onset group. The data on how EMDR differentially affected memory of the trauma give another glimpse into possible modes of action of this treatment. This Plenary will discuss issues of research, treatment outcome, the therapeutic relationship, the Impact of trauma at different levels of development, the nature of traumatic memory, and the emerging understanding of how EMDR may effect its therapeutic action.
Keywords: Outcome Research Plenary
Accuracy Verified: Yes
3630. van der Kolk, B. A. (2007, June). Trauma and memory - making bygones into bygones. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
No abstract avaialble.
Keywords: Keynote Memory Trauma
Accuracy Verified: Yes
3631. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy.
Language: English
Format: Conference
Abstract:
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.
Keywords: Neuroscience Plenary Research
Accuracy Verified: Yes
3632. van der Kolk, B. A. (2006). Más allá de la cura por el diálogo: Experiencia somática, impront as subcorticales y tratamiento del trauma [Beyond dialogue cure: Somatic experience, subcortical imprints and the treatment of trauma]. Presentación en la Asociación EMDR España, Madrid.
Language: Spanish
Format: Conference
Abstract:
La investigación realizada en los laboratorios orientada a aclarar los procesos de la memoria en el hombre han mostrado de manera coherente que la memoria es un proceso activo y constructivo: la mente está reensamblando de manera constante las antiguas impresiones, agregándolas a la nueva información. Los recuerdos no son considerados como hechos precisos sino que son transformados en relatos que nos contamos a nosotros mismos y a los demás, con el fin de transmitir una narración coherente de nuestra experiencia en el mundo. En raras ocasiones genera nuestra mente imágenes, olores, sensaciones o acciones musculares precisas que reproduzcan exactamente experiencias previas. De hecho, los más renombrados investigadores de la memoria tales como Elizabeth Loftus, Dan Schachter y John Kihlstrom niegan de manera enfática que la mente sea capaz de reproducir de manera precisa las improntas de experiencias previas.
Research conducted in laboratories oriented to clarify the processes of memory in humans have consistently shown that memory is an active and constructive process: the mind is constantly reassembling the old prints, adding to the new information. The memories are not considered precise facts that are transformed into stories we tell ourselves and others, to convey a coherent narrative of our experience in the world. On rare occasions our mind creates images, smells, feelings or actions that reproduce exactly precise muscle experiences. In fact, the best known memory researchers such as Elizabeth Loftus, Dan Schachter and John Kihlstrom emphatically deny that the mind is able to accurately reproduce the imprints of past experiences.
Keywords: Neurobiology
Accuracy Verified: Yes
3633. van der Kolk, B. A. (2010, July). New developments in the field of treatment of traumatized people. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
This lecture will review our knowledge about how trauma changes the way mind and brain process
information and discuss what this means for treatment. We will show how trauma shuts down the
verbal part of the brain, stores undigested fragments of the past and affects somatic experience. Unable
to focus on the present, traumatized people keep replaying the past over and over again until they can
process and integrate the traumatic experience(s), thereby regaining the capacity to be fully engaged
in the present.
Keywords: Developments Keynote Trauma
Accuracy Verified: Yes
3634. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
3635. van der Kolk, B. A. (2010, July). Frontiers of trauma treatment. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Trauma
Accuracy Verified: Yes
3636. van der Kolk, B. A. (2005, December). Frontiers of trauma treatment. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
Starting with a review of recent studies on the neurobiology of trauma, Dr. van der Kolk will examine the utility of approaches from the
fields of hypnosis, body oriented therapies and EMDR, both with research data and videotapes clinical interventions. The integration
of these approaches during different stages of treatment will be discussed.
Keywords: Trauma Treatment
Accuracy Verified: Yes
3637. van der Kolk, B. A., & Shapiro, F. (2009, December). Trauma. Point/Counterpoint speech at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract: Dialogue 1
Keywords: Point Counterpoint
Accuracy Verified: Yes
3638. van der Kolk, B. A., & Stickgold, R. (1998, July). Current understanding of the psychobiology of trauma. Plenary presented at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will have basic knowledge about 1) the variety of psychophysiological responses to trauma; 2) current status of our knowledge about how the shutting off of the trauma response is mediated on hypothalamic-pituitary-adrenal axis, and the abnormalities of this biological system in PTSD; 3) basic understanding about the functions of different parts of the brain, in particular, the structure; and 4) explorations into possible modes of action of EMDR.
Keywords: Plenary Psychobiology
Accuracy Verified: Yes
3639. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological
systems. However little research has been done on whether it is possible to
“reset” these biological systems with effective psychotherapy of pharmacological
therapy. This symposium will present data on neuroendocrine and
neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome
study comparing EMDR, fluoxetine and pill placebo and demonstrate how
effective treatment resulted in changes in memory processes, utilizing the
Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine,
the change in traumatic memory towards an integrated narrative was linearly
correlated with physiological arousal in response to script driven
imagery. This presentation will also present the relationship between clinical
improvement in the three conditions and change in the cortisol
response to a dexamethasone challenge.
Keywords: Fluoxetine Pill Placebo Posttraumatic Stress Disorder PSTD Symposium
Accuracy Verified: Yes
3640. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Treatment integration of traumatic memories vs. suppression of distress. Presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
This presentation will review a series of three studies that investigated the
quality of traumatic memories in three subject populations, using the
Traumatic Memory Inventory (TMI- van der Kolk & Fisler, 1996): 1) victims
of interpersonal trauma, 2) victims of motor vehicle accidents, and 3)
patients who experienced awareness during anesthesia. We then will present
the results of the Memory component study from a large treatment outcome
study comparing EMDR and fluoxetine for PTSD which showed that,
following effective treatment with EMDR, the fragmentation of memory
imprints was resolved, while treatment with fluoxetine did not alter the
quality of traumatic memories, but suppressed subjective distress.
Keywords: Awareness During Anesthesia Fluoxetine Motor Vehicle Accidents Traumatic Memory Inventory
Accuracy Verified: Yes
3641. van der Kolk, B. A., Hopper, J., Spinazzola, J., Blaustein, M., Hopper, E., & Simpson, W. (2003, October/November). Treatment outcome of fluoxetine vs. EMDR in PTSD. Symposium conducted (B. A. van der Kolk, Chair) at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment
outcome studies using four different treatment modalities (CBT,
EMDR, psychopharmacology and Cognitive Processing) and presents
data on comparative efficacy, treatment responsiveness and
resistance, effects on comorbidity, quality of life, and biological
changes that accompany symptom improvement.
Treatment outcome of fluoxetine vs. EMDR in PTSD: This NIMH funded study compared the efficacy of two widely different
treatment approaches for treating patients with PTSD: fluoxetine,
which acts directly on biological systems (N=30), and Eye
Movement Desensitization and Reprocessing (EMDR) (N=30). There
also was a pill placebo control group (N=30). We assessed subjects
with a multi-modal biological and psychological assessment, in
order to determine whether treatment efficacy is associated with
changes: 1) social adjustment, 2) psychophysiological reactivity to
personalized trauma scripts (heart rate and skin conductance), and
3) basal salivary cortisol. We also tracked the stability of symptom
change for nine months following the cessation of active treatment.
Preliminary results suggest that at the end of 8 weeks of treatment,
there is a 30% improvement in the pill placebo condition, while both
active treatments demonstrate additional symptom improvement,
with EMDR being most effective for the treatment of acute PTSD,
and Prozac for subjects with prolonged childhood histories of trauma.
Clinically significant improvement in CAPS scores is accompanied
by an increase in basal cortisol and improvement in social and
occupational functioning. We will also present data on the differential
rates of symptom change in the different PTSD symptom clusters
between the two treatment groups during the nine months of follow-
up after cessation of the acute treatment phase.
Keywords: Fluoxetine Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
3642. van der Kolk, B. A., Kornfield, J., Siegel, D., & Shapiro, F. (2009, December). Mindfulness, trauma, healing and the spirit. Panel discussion at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Keywords: Healing Mindfulness Panel Trauma
Accuracy Verified: Yes
3643. van der Kolk, B. A., Spinazolla, J., & Hopper, J. (2000, November). Fluoxetine vs. prozac in PTSD: Preliminary analysis of psychological and psychophysiological changes following effective treatment. In B. A. van der Kolk (Chair), Current Research on EMDR. Symposium conducted at the annual meeting of the International Society for the Study of Traumatic Stress, San Antonio, TX.
Language: English
Format: Conference
Keywords: Fluxotine Posttraumatic Stress Disorder Prozac PTSD Research Symposium
Accuracy Verified: Yes
3644. van der Kolk, B., Korn, D., Weir, J., & Rozelle, D. (2004, September). Looking beyond the data: Clinical lessons learned from an EMDR treatment outcome study. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
'Bridging the gap between research and clinical practice" is a euphemism frequently evoked and rarely accomplished The aim of this workshop is to present and discuss lessons learned during a four-year treatment outcome study that compared EMDR to Prozac and control conditions, looking beyond the data toward clinical implications and issues of effectiveness versus efficacy. Using a combination of lecture, handouts and videotapes the presenters will address issues around predictors of positive and negative treatment response including comorbid diagnosis, age of trauma onset, and treatment condition. Case conceptualization, selection and sequencing of targets in treatment planning, the role of therapeutic relationship, and using EMDR as a brief treatment intervention will also be explored.
Keywords: Treatment Outcome Study
Accuracy Verified: Yes
3645. van der Vleugel, B. (2011, August-September). Practical guidelines for PTSD treatment in psychotic patients. In Treating PTSD in patients with psychotic disorders, Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Objectives: Professionals are very cautious, if not reluctant, to
treat trauma-related symptoms in psychotic patients. As is argued
by the other speakers there is growing evidence psychotic patients
can safely be exposed to PTSD treatment. There are several
possible links between trauma and psychosis and an integrative
approach to conceptualizing these relationships is needed
(Morrisson et al., 2003)
Methods: In this presentation practical guidelines are given with
respect to gathering information in the assessment phase and
presenting this information in an individual case
conceptualisation. Choices regarding which experiences to work
with and in what way, will be discussed. Treatment processes are
illustrated by vignettes and video material. Some difficulties one
may encounter when using interventions like EMDR and
prolongued exposure with psychotic patients, will be adressed.
Results: Attendants will be mindful of an integrative model of
trauma and psychosis and will be able to use this to identify the
target(s) for intervening. They will be prepared for some diffuclties
they may encounter while conducting PTSD treatment.
Conclusions: Case formulations aim to explain the development
and maintenance of client‘s experienced problems in terms of
causal relationships. It is vital that both client and therapist have
a shared understanding of the problems that are going to be
addressed in therapy and that interventions are guided by this
formulation.
Keywords: Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
3646. van der Vleugel, B. (2013, April). De behandeling van PTSS bij mensen met een psychotische stoornis [The treatment of PTSD in people with a psychotic disorder]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Trauma is een risicofactor voor het ontwikkelen van psychose. Het hebben van een ernstige psychiatrische aandoening verhoogt de kans op het ontwikkelen van een co-morbide posttraumatische stress stoornis. Desondanks wordt een co-morbide PTSS zelden gediagnostiseerd en wanneer dit wél gebeurt is behandeling van deze PTSS bepaald niet vanzelfsprekend. Behandelaren vrezen vaak dat het openlijk bespreken van traumatische levenservaringen zal leiden tot decompensatie, heropname, middelenmisbruik, zelfbeschadigend gedrag en / of suïcidaliteit. Ondertussen werken de PTSS klachten als olie op het vuur van de psychose.
Omdat mensen met psychotische klachten over het algemeen werden uitgesloten van deelname aan onderzoek naar de effecten van PTSS behandeling was lang niet bekend of psychologische behandeling conform de Richtlijn Angststoornissen ook bij deze populatie veilig en effectief is. Hier begint verandering in te komen.
In deze presentatie komen achtereenvolgens aan bod:
- De resultaten van een pilot onderzoek naar de effecten van EMDR bij mensen met een psychotische stoornis en een co-morbide PTSS (Van den Berg & Van der Gaag, 2012).
- De resultaten van een gecontroleerde multiple baseline study naar de effecten van EMDR en Prolonged Exposure bij mensen met een psychotische stoornis en een comorbide PTSS (De Bont, Van Minnen & De Jongh, submitted).
- De opzet en eerste bevindingen van het onderzoeksproject Treating Trauma in Psychosis (T.TIP), een multicenter RCT naar de behandeling van PTSS bij mensen met een psychotische Trauma is a risk factor for the development of psychosis. Having a severe psychiatric condition increases the chance of the development of a co-morbid post-traumatic stress disorder. Nevertheless, a co-morbid PTSD rarely diagnosed and when this happens, treatment of these PTSD determined not obvious. Clinicians often fear that openly discussing traumatic life experiences will lead to decompensation, reuptake, substance abuse, self-injurious behavior and / or suicidality. Meanwhile, the PTSD symptoms as fuel to the fire of the psychosis.
Because people with psychotic symptoms were generally excluded from research into the effects of PTSD treatment was long unknown or psychological treatment in accordance with Directive Anxiety disorders also in this population safely and effective. Here begins to be changing.
This presentation will subsequently be discussed:
- The results of a pilot study on the effects of EMDR in people with a psychotic disorder and comorbid PTSD (Van den Berg and Van der Gaag, 2012) .
- The results of a controlled multiple baseline study on the effects of EMDR and Prolonged Exposure to people with a psychotic disorder and comorbid PTSD (De Bont, Van Minnen & De Jongh, submitted).
- The design and initial findings of the research Treating Trauma in Psychosis (T.TIP), a multicenter RCT on the treatment of PTSD in people with a psychotic disorder (De Bont et al, submittedstoornis (De Bont et al., submitted).
Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders
Accuracy Verified: Yes
3647. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.
Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women
Accuracy Verified: Yes
3648. van der Zee, H., & Zaal, A. (2011, April). Het emotionele brein; EMDR & neuropsychologie [The emotional brain, EMDR & neuropsychology]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Het menselijk brein is bijzonder veerkrachtig. Als gevolg op een traumatische ervaring ontstaat er in het lichaam een keten aan reacties. De meeste van deze reacties zijn adaptief en gericht op een natuurlijke verwerking. Bij 10 tot 20 % van de mensen die een traumatische ervaring meemaken verloopt de verwerking pathologisch en ontstaat een post traumatische stress stoornis. Lichamelijke veranderingen als gevolg van langdurige stress of een genetische gevoeligheid kunnen hierbij een rol spelen. Bij de verwerking van emotionele gebeurtenissen en psychotrauma zijn verschillende hersenstructuren betrokken. In deze presentatie zal een toelichting worden gegeven op biologische factoren bij het ontstaan van psychotrauma en de rol van ‘ het emotionele brein’ bij traumaverwerking. Ook zal worden ingegaan op de wijze waarop bilaterale stimulatie deze processen mogelijk beïnvloed en hoe dit zich verhoudt tot vigerende verklaringsmodellen over de werkzaamheid van EMDR. Tot slot wordt een casus gepresenteerd waarbij EMDR is toegepast in een neuropsychologische behandeling en is er ruimte voor discussie over de toepassing van EMDR bij neuropsychologische problematiek.
The human brain is very resilient. Due to a traumatic experience develops in the body of a chain reaction. Most of these responses are adaptive and focused on a natural process. At 10 to 20% of people who experience a traumatic experience does the pathological process and creates a post-traumatic stress disorder. Physical changes resulting from prolonged stress or a genetic susceptibility may play a role. In the processing of emotional events and psychotrauma several brain structures involved. This presentation will be given an explanation on biological factors in the development of psychotrauma and the role of the emotional brain in trauma. It will also examine how these processes affect bilateral stimulation and how this relates to current models of explanation about the efficacy of EMDR. Finally, a case presented which EMDR was used in a neuropsychological treatment and there is room for discussion about the use of EMDR with neuropsychological problems.
Keywords: Neurobiology Neuropsychology
Accuracy Verified: Yes
3649. van Dijke, A. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Adults. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: English
Format: Conference
Abstract:
In the
mental health care system adequate treatment for
a large group of children and adults suffering
under the consequences of chronic early childhood
traumatisation is not available. The Netherlands
centre for chronic early childhood traumatisation
(lcvt) is aiming to enhance the treatment
services available with a nationwide offering of
tertiary referral psychotherapy, innovation,
research and education. The LCVT was formed in
2008 with eleven tertiary referral trauma centres
(TRTC), which are affiliated with mental health
care institutions. LCVT affiliated services use a
unique client-monitoring system as ‘sampling
frame’ in order to monitor the progress and results of all TRTC treatments. At the TRLCS information
is gathered systematically at regular intervals
from all patients on clinical symptoms, personality,
day-to-day functioning, quality of life, use of
health care system and social functioning. Evaluation
diagnostics give answers to what degree
treatment goals are realized.
format Workshop.
aim To provide the participants with
information on:
—— Management and implementation of TRTC and
monitoring system; —— Eye movement desensitisation and reprocessing
(emdr) and dissociative identity disorder (DID):
innovative psychotherapy possibilities;
—— Therapy effects of imaginaire exposure versus
imaginaire rescripting versus dramarescripting;
—— Trauma-related inhibitory and excitatory regulation styles.
Keywords: Childhood Traumatization
Accuracy Verified: Yes
3650. van Dijke, A., & Crijnen, A. A. M. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Children and adolescents. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: English
Format: Conference
Abstract: Contents of the workshop: Adequate treatment in the mental health care system is not available for a large group of children and adults suffering from the consequences of chronic early childhood traumatisation. The Netherlands centre for chronic early childhood traumatisation (LCVT) aims to enhance treatment services by offering a nationwide network of tertiary referral trauma centres (TRTC) providing psychotherapy, innovation and research, as well as education. In 2008 LCVT was formed with eleven trtc affiliated with Mental Health Services. lcvt affiliated services use a unique client-monitoring system as ‘sampling frame’ in order to monitor the progress and results of all trtc treatments. Information is gathered systematically and at regular intervals on all patients of the trtc on clinical symptoms, personality, day-to-day functioning, quality of life, use of health care services and social functioning. Evaluation diagnostics provide answers to which degree treatment goals are realised. Format: Workshop Aim: To provide the participants with information on: ——Management and implementation of TRTC in mental health services for children; —— Efficacy of eye movement desensitisation and reprocessing (EMDR) in children; —— The development of a consensus-based treatment monitoring system.
Keywords: Adolescents Childhood Traumatization Children
Accuracy Verified: Yes
3651. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
3652. van Els, H. (2008, Maart). EMDR bij allochtonen en bij ouderen: In proces krijgen én houden met contextuele aanpassingen [EMDR for immigrants and the elderly: In trial and to contextual adaptation]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Ouderen en allochtonen met PTSS zijn groepen patiënten die kunnen profiteren van behandeling met EMDR. Bied je echter, conform de multidisciplinaire richtlijn angststoornissen EMDR aan, dan stuit je op een aantal problemen. Voorbeelden daarvan zijn: geen eigen wens voor deze behandeling, sterke vermijding van het oprakelen van traumatische ervaringen, afzeggen en wegblijven, heftige lichamelijke ervaringen en afbreken van de sessie én taal als hindernis.
In deze workshop worden ervaring besproken met ouderen (N=10; 62-82 jaar) en met een gevarieerde groep allochtonen (N=10) binnen een reguliere 2e lijns GGZ instelling.
Allereerst worden enkele mislukkingen geanalyseerd. Het blijkt lastig te zijn om patiënt in de EMDR-procedure te krijgen en te houden. De rol van cultuur, van motivatie en committent en van taal wordt bekeken.
Vervolgens worden aanpassingen getoond in: de voorbereiding, de uitleg en het te bereiken resultaat. Tevens wordt het belang aangegeven van het werken ‘als team’ met een vaste tolk. Alle inspanningen zijn gericht op het ‘gewoon’ uit kunnen voeren van EMDR.
Elderly and immigrants with PTSD groups of patients who may benefit from treatment with EMDR. However, your bid, according to the multidisciplinary guidelines for anxiety disorders EMDR, then you hit a number of problems. Examples include: no own desire for this treatment, avoiding the sharp rake of traumatic experiences, cancel and stay away, intense physical experiences and abort the session and language barrier.
This workshop experience will be discussed with older people (N = 10, 62-82 years) and with a diverse group of immigrants (N = 10) in a regular second-line mental health institution.
First, some failures analyzed. It seems difficult to be patient in the EMDR procedure to get and keep. The role of culture, motivation and Principals and language is viewed.
Then adjustments shown in: the preparation, interpretation and results to be achieved. It also indicated the importance of working 'as a team "with a fixed interpretation. All efforts are aimed at 'ordinary' can perform EMDR.
Keywords: Anxiety Elderly Immigrants Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3653. van Hoof, E. (2005, June). Chronic fatigue syndrome and EMDR, a favourable combination. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Chronic fatigue syndrome (CFS) is a complex, sometimes controversial and
often confusing condition characterized principally by persistent,
unexplained physical and mental fatigue. Researchers and clinicians
continue to debate many aspects of CFS. The influence of stress, in
conjunction with infection, was introduced early on as a possible cause of
chronic illnesses such as CFS.
Patients themselves often report that a virus combined with stress were the
triggers of their illness. The etiology and pathophysiology of CFS will be clear to all attending the presentation as well as where and when EMDR should
be applied in CFS.
Keywords: Chronic Fatigue Syndrome CFS Peak Performance Symposium
Accuracy Verified: Yes
3654. van Ommeren, M. (2013, June). WHO guidelines for mental disorders and problems specifically related to stress. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
The WHO’s recently completed guideline “Problems and Disorders Specifically Related to Stress” was developed to address the absence of suitable, evidence-based WHO guidelines for managing problems and disorders.
The presentation will include an introduction to the guideline, its rationale and methods. It will discuss the WHO recommendations for CBT, EMDR, stress management and antidepressants for PTSD. The presentation will emphasize challenges and opportunities for EMDR research and practice.
Keywords: Keynote WHO Guidelines
Accuracy Verified: Yes
3655. van Rood, Y., & de Roos, C. (2012, June). EMDR and medically unexplained physical symptoms (MUPS): Case conceptualisation and treatment [EMDR y los síntomas somáticos inexplicables por la medicina (MUPS): Conceptualización del caso y tratamiento]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Medically unexplained physical symptoms (MUPS) are symptoms for which adequate examination did not reveal sufficiently
explanatory structural or other specified pathology. This includes patients with somatoform disorders such as conversion disorder,
hypochondriasis, and pain disorder. But also patients with functional syndromes such as fibromyalgia, chronic fatigue syndrome, and irritable
bowel syndrome and patients with specific physical symptoms such as pain, nausea, itch for which no medical cause has been detected.
Empirical evidence suggests that traumatic experiences can play a role in the aetiology of MUPS and somatoform disorders (Roelofs &
Spinhoven, 2007). Furthermore, unprocessed traumatic memories can play a role in the maintenance of MUPS (de Roos & van Rood, in
press). Indeed,the results of a systematic review suggest that EMDR might be an effective treatment for MUPS and somatoform disorders, particularly when
the somatic complaints are trauma related (van Rood & de Roos, 2009). Clinicians need to establish if the specific complaint of their patient
is trauma related, whether the unprocessed trauma memory maintains the somatic symptom, and if so in what way.
In this presentation the different ways are discussed in which trauma memories can be related to MUPS and how this may maintain the
complaint; i.e. hinder recovery. The presentation will be illustrated with video fragments of the EMDR process in several patients with diverse
somatic complaints.
Los síntomas somáticos médicamente inexplicables (MUPS), son síntomas para los cuales un adecuado examen no muestra
una explicación estructural suficiente ni otra patología específica. Esto incluye pacientes con trastornos somatomorfos como el trastorno de
conversión, hipocondría y trastorno por dolor. Pero también los pacientes con síndromes funcionales como la fibromialgia, síndrome de fatiga
crónica, síndrome del colon irritable y pacientes con síntomas físicos específicos como dolor, náuseas, picores sin causa médica, fueron
detectados. La evidencia empírica sugiere que las experiencias traumáticas pueden jugar un papel en la etiología del MUPS y los trastornos
somatomorfos (Roelofs & Spinhoven, 2007). Es más, los recuerdos traumáticos sin procesar pueden jugar un papel en el mantenimiento del
MUPS (de Roos & van Rood, in press). De hecho, los resultados de revisiones sistemáticas sugieren que el EMDR puede ser un tratamiento
efectivo para MUPS y los trastornos somatomorfos, de manera específica cuando las quejas somáticas de los pacientes están relacionadas
con un trauma. Los clínicos necesitan establecer si existen quejas específicas de sus pacientes relacionadas con el trauma o no. Si el trauma
sin procesar mantiene los síntomas somáticos o no.
En esta presentación diferentes caminos serán discutidos, en donde el trauma puede estar relacionado con el MUPS y cómo éste puede
mantener la queja. La presentación será acompañada de fragmentos de vídeo para el procesamiento de EMDR en numerosos pacientes con
diversas quejas somáticas.
Keywords: Medically Unexplained Physical Symptoms MUPS
Accuracy Verified: Yes
3656. van Rood, Y., & de Roos, C. (2012, March). EMDR en somatisch onvoldoende verklaarde lichamelijke klachten (SOLK)[EMDR and Somatic insufficiently explained physical complaints (SOLK)]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Somatisch onvoldoende verklaarde lichamelijke klachten (SOLK) zijn lichamelijke klachten die niet - of niet geheel - verklaard worden door een bekende ziekte bijvoorbeeld chronische pijn, tinnitus, chronische vermoeidheid, conversie- of prikkelbare darm klachten. Wanneer de beperkingen als gevolg van de lichamelijke klachten aanzienlijk zijn en/of er sprake is van aanzienlijk lijden dan is er sprake van een somatoforme stoornis volgens de DSM-IV.
Er zijn aanwijzingen dat traumatische ervaringen een rol kunnen spelen bij het ontstaan van SOLK en somatoforme stoornissen. Onverwerkte traumatische herinneringen kunnen daarnaast ook een rol spelen bij het in stand houden van SOLK (van Rood en de Roos, in druk). Uit een systematische review van de beschikbare studies blijkt dat EMDR een effectieve behandeling kan zijn voor SOLK als de lichamelijke klachten trauma gerelateerd zijn (van Rood en de Roos 2009). In deze workshop wordt aan de hand van een diagnostisch model voor SOLK (het gevolgenmodel) geïllustreerd welke rol traumatische herinneringen kunnen spelen bij het in stand houden van een SOLK en hoe dit zich verhoudt tot de rol van de andere in stand houdende gevolgen. Aansluitend zullen er drie tot vijf casussen van workshopdeelnemers centraal worden besproken. Hiervoor vragen we u om voor 1 maart 2012 een e-mail te sturen met een korte casus beschrijving en uw vragen naar yrvanrood@lumc.nl of cderoos@ggzkinderenenjeugd.nl o.v.v. VEN congres 2012 Uit de inzendingen zal een selectie worden gemaakt voor de workshop eventueel met videofragmenten wanneer de vraag betrekking heeft op toepassing van het EMDR protocol.
Somatic insufficiently explained physical complaints (SOLK) are physical symptoms that are not - or not entirely - be explained by a disease known as chronic pain, tinnitus, chronic fatigue, conversion or irritable bowel symptoms. When the limitations due to physical problems are significant and / or there is considerable suffering than there is a somatoform disorder according to DSM-IV.
There is evidence that traumatic experiences may play a role in causing SOLK and somatoform disorders. Unprocessed traumatic memories can also play a role in the maintenance of SOLK (of Red and the Rose, in press). A systematic review of the available studies show that EMDR is an effective treatment for SOLK as physical trauma related symptoms (of the Red and Rose 2009).
This workshop is based on a diagnostic model for SOLK (the consequence model) illustrated the role that traumatic memories can play in maintaining a SOLK and how this relates to the role of the other sustaining effects. Afterwards there will be three to five cases of central workshop participants are discussed. For this we ask you to 1 March 2012 e-mail with a brief case study and your questions or yrvanrood@lumc.nl cderoos@ggzkinderenenjeugd.nl stating VEN 2012 congress will be a selection from the submissions made for the workshop, possibly with video clips when the question relates to application of the EMDR.
Keywords: SOLK Somatic Insufficiently Explained Physical Complaints
Accuracy Verified: Yes
3657. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Keywords: Body Dysmorphic Disorder
Accuracy Verified: Yes
3658. van Uitert-Levy, T. (2006, June). Problems in integrating EMDR into an on-going psychodynamic psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Keywords: Psychodynamic Psychotherapy
Accuracy Verified: Yes
3659. van Vliet, I. M. (2010, April). Update van de multidisciplinaire richtlijn angststoornissen [Multidisciplinary guideline update anxiety]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Een herziening van de Multidisciplinaire richtlijn Angststoornissen is nodig in verband met nieuwe wetenschappelijke kennis over effectieve interventies en wijzigingen in de organisatie van de zorg.
Doel: De belangrijkste veranderingen van de herziening van de richtlijnen Paniekstoornis met of zonder agorafobie en Posttraumatische stressstoornis worden besproken alsmede implicaties voor de praktijk.
Methoden: De wetenschappelijke literatuur met betrekking tot de paniekstoornis met of zonder agorafobie en posttraumatische stressstoornis werd vanaf 2001 verzameld, beoordeeld en verwerkt in de herziene versie van de richtlijn.
resultaten Bij de paniekstoornis met of zonder agorafobie is de grootste verandering ten opzichte van de eerste versie van de richtlijn dat de combinatiebehandeling van antidepressiva met exposure in vivo niet meer de meest effectieve behandeling is bij ernstige agorafobie. Bij korter bestaande en lichtere vormen van de aandoening gaat de voorkeur uit naar cognitieve gedragstherapie of daarop gebaseerde interventies. Bij de posttraumatische stressstoornis is de belangrijkste verandering dat cognitieve gedragstherapie en eye movement desensitization and reprocessing (emdr) nog meer dan in de eerste versie van de richtlijn geprioriteerd zijn als behandeling van eerste voorkeur. De nieuwe behandelalgoritmes worden besproken.
Conclusie: De nieuwe richtlijn geeft aanwijzingen voor een stepped-care behandeling van angststoornissen. Meer nadruk is gegeven aan niet-medicamenteuze behandelvormen. medicamenteuze behandelingen worden gereserveerd voor de meer langdurige, ernstige en voor psychotherapie resistente angststoornissen alsmede voor angststoornissen met een comorbide ernstige depressieve stoornis.
A review of the Anxiety Disorders Multidisciplinary guideline is necessary because of new scientific knowledge about effective interventions and changes in the organization of care.
Purpose: The main changes from the revision of the guidelines Panic Disorder with or without agoraphobia, and posttraumatic stress disorder are discussed and implications for practice.
Methods: The scientific literature on panic disorder with or without agoraphobia, and posttraumatic stress disorder since 2001 were collected, assessed and reflected in the revised version of the directive.
Results In the panic disorder with or without agoraphobia is the biggest change from the first version of the directive that the combination treatment of antidepressants with exposure in vivo no longer the most effective treatment for severe agoraphobia. For existing shorter and milder forms of the disease is preferable to cognitive behavioral therapy or interventions based thereon. In the post-traumatic stress disorder is the most important change that cognitive behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR) more than in the first version of the directive are prioritized for treatment of first choice. The new treatment algorithms are discussed.
Conclusion: The new directive gives instructions for a stepped-care treatment of anxiety disorders. More emphasis is given to non-pharmacological treatment modalities. drug treatments are reserved for the more prolonged, severe and resistant to psychotherapy for anxiety disorders and anxiety disorders with a comorbid major depressive disorder.
Keywords: Anxiety Multidisplinary Guideline
Accuracy Verified: Yes
3660. van Winkle, V. (1999, June). Metaphors for affect education and affect tolerance. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) how EMDR is used in indepth psychotherapy; 2) how to access the clients current level of affect tolerance; and what affect education needs the client may have; 3) how to conceptualize the use of metaphors for affect education and affect tolerance; and 4) some specific metaphors that are consistently helpful for flooding and fragmenting.
Keywords: Affect Education Affect Tolerance Indepth Psychoterapy Metaphors
Accuracy Verified: Yes
3661. van Winkle, V. (1998, July). EMDR in the treatment of attention deficit disorder in adults. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) to understand themes common to adults with ADD; 2) to recognize these themes through case examples; 3) how to develop from these themes the "set up" for EMDR, including the development of negative and positive cognitions; and 4) how to understand and break into the cycle of Hyperfocus/ Hypervigilance, Overwhelm/Chaos, Exhaustion/Collpase common to adults with ADD.
Keywords: ADD Adults Attention Deficit Disorder
Accuracy Verified: Yes
3662. Vaughan, K. (1995, June). The effect of eye movement component of EMDR on emotional processing and arousal in PTSD. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract: T
he aim of this study is to investigate in a controlled manner the effect of eye movements on emotional processing and physiological
arousal in 22 PTSD patients. Changes in emotional processing and physiological arousal were measured before during and after
EMDR eye movement procedure: for this experiment the EMDR procedure was varied: with a condition with eyes moving in a
normal manner; with eyes watching a stationary non-moving finger; and with eyes closed acting as a control condition.
In order to measure emotional processing a manual for measuring emotional processing was made. In addition to the results of this
experiment the main features of this manual for scoring emotional processing including reliability measures will also be presented.
Physiological arousal was measured using galvanic skin response.
Keywords: Arousal Emotional Reprocessing Eye movement Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3663. Vaughan, K. (1992, July). The specificity of symptom change in post-traumatic stress disorder treated with eye movement desensitisation. Presentation at the Fourth World Congress on Behaivour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
Since official recognition of post-traumatic stress a number of ways. These include intrusive recollections, indicated by nightmares or “flashbacks” to the event, avoidance of stimuli associated with the trauma, and increased arousal (DSM-III-R, 1987). Behavioural approaches have been somewhat successful in treatment (e.g.., Cooper & Clum, 1989; Keane & Kalouped, 1982) however, such methods have been time consuming, require intense effort by the patient, and symptom improvement can be slow.
Accuracy Verified: Yes
3664. Vaughan, K., & Armstrong, M. (1995, June). An orienting response model to EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The authors reviewed the literature of EMDR and consulted their own clinical experiences to establish the characteristic
phenomenology of EMDR. Dyck's (1993) conditioning model of eye movement desensitization provides a useful account of failure
and habituation in post-traumatic stress disorder (PTSD), but does not account for some of these common EMDR phenomena. The
authors propose an alternative model in which the therapist's waving hand-- in the presence of a trauma-related cortical set-triggers
an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and
provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect their
survival and current safety -- as true outcome of the trauma - and associated conditioned responses extinguish. Some proposals for
experimental evaluation of the model are described.
Keywords: Orienting Response
Accuracy Verified: Yes
3665. Vazquez, A. G. (2008, June). Work with parts in DID & EMDR. Presentation at the annual meeting of the EMDR International Association, London, England.
Language: English
Format: Conference
Abstract:
Work with Dissociative Identity Disorder is a complex therapy process. Many warnings have been made about
using EMDR with this group of patients. But problems with EMDR therapy in DID are basically attributable to the
risk always involved in working directly on traumatic memories in complex dissociative disorders. If we know the
general principles of the treatment of dissociative disorders, we should be able to use EMDR safely. Work with
alters or parts is a specific aspect of therapy in DID patients. This work should be used throughout the therapy
stages: stabilization; trauma work; integration. In this workshop we will show how to implement EMDR protocols
working with dissociative parts or alters in DID therapy. The exposition will be illustrated with clinical vignettes
and short therapy fragments on video.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
3666. Vazquez, A. G. (2007, Novembro). EMDR en trastornos disociativos [EMDR in dissociative disorders]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: English
Format: Conference
Abstract:
Objetivos de aprendizaje:
• Ofrecer una perspectiva de cómo enlazar el
tratamiento de trastornos disociativos y EMDR.
La disociación es un fenómeno clínico
estrechamente ligado al trauma. Todos los que
trabajamos con EMDR nos encontramos
necesariamente con ella. Sin embargo es
frecuente que los conocimientos en el área del
tratamiento de la disociación sean limitados
en muchos países. Muchas veces la información
que se nos transmite al respecto es que “es
preciso tener mucho cuidado cuando
empleamos EMDR en pacientes disociativos”.
Si bien esto es muy cierto, también lo es que
teniendo claro el esquema de tratamiento en
la disociación grave, EMDR puede utilizarse de
forma eficaz y segura en estos pacientes, y
resulta enormemente útil en el proceso
terapéutico, acortando enormemente los
tiempos de terapia.
• Acercar a los asistentes a estos tratamientos
de una forma eminentemente práctica, predominando
en la exposición la presentación
de casos clínicos, fundamentalmente en formato
de video, sobre el desarrollo teórico,
aunque se intentará engarzar ambos aspectos
de un modo coherente y comprensible.
• Crear un espacio de discusión en el que los
participantes puedan aportar sus experiencias
clínicas y compartir perspectivas. (Este trabajo también será presentado en forma
de video. Vea el horario de la Sala 4).
Learning Objectives:
• Provide an overview of how to bind the
treatment of dissociative disorders and EMDR.
Dissociation is a clinical phenomenon
closely associated with the trauma. Everyone
we work with EMDR
necessarily with it. However, it is
common knowledge in the area
dissociation treatment are limited
in many countries. Many times the information
transmitted to us in this regard is that "it is
must be very careful when
employ EMDR in dissociative patients. "
While this is very true, so is that
clear light treatment scheme
severe dissociation, EMDR can be used
effective and safe in these patients, and
is enormously helpful in the process
therapeutic, greatly shortening
days of therapy.
• Bring attendees to these treatments
of an eminently practical, predominantly
presentation in the exhibition
clinical cases, mainly in the form
Video on the theoretical development,
but will try to enshrine both aspects
in a coherent and understandable.
• Create a space for discussion where
Participants can bring their experiences
Clinical and share perspectives. (This work will also be presented as of video. See schedule of Room 4).
Keywords: Dissocative Disorders
Accuracy Verified: Yes
3667. Veenstra, A. C. (2006, April). Fantoompijn, corticale reorganisatie en EMDR [Treatment of PTSD by eye movement desensitization and reprocessing (EMDR)]. Presentatie op het Congres van de Nederlandse Vereniging voor Neuro-psychologie, Utrecht, Engels .
Language: Dutch
Format: Conference
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
3668. Veenstra, A. C. (2006, Mei). EMDR bij PTSS en chronische pijn; mogelijkheden voor de revalidatie [EMDR for PTSD and chronic pain, potential for rehabilitation]. Presentatie Tijdens, de vergadering van de Revalidatie Specialist, Tilburg, Nederland.
Language: Dutch
Format: Conference
Keywords: Chronic Pain Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3669. Veenstra, A. C. (2009, Maart). Spiegeltherapie en EMDR bij fantoompijn [Mirror Therapy and EMDR for phantom pain]. Presentatie op de Reahbilitation Psychologen Conferentie, Egmond aan Zee, English.
Language: Dutch
Format: Conference
Keywords: Mirror Therapy Phantom Pain
Accuracy Verified: Yes
3670. Veenstra, A. C. (2009, September en December). Fantoompijn, pijn en lichamelijke verschijnselen [Phantom pain, pain and physical symptoms]. Presentatie op Congres "EMDR Brede Toepassingen in de Praktijk", Jaarbeurs Utrecht, Nederland.
Language: Dutch
Format: Conference
Keywords: Pain Phantom Pain Physical Symptoms
Accuracy Verified: Yes
3671. Veenstra, A. C. (2005, Oktober). Fantoompijn en EMDR [Phatom pain and EMDR]. Presentation at the annual meeting of the Wetenschappelijke dag van de PAZ (Psychologen Algemene Ziekenhuizen), Amsterdam, Nederlands .
Language: Dutch
Format: Conference
Keywords: Chronic Pain Phantom Pain
Accuracy Verified: Yes
3672. Veenstra, A. C. (2007, Mei). Fantoompijn [Phantom limb]. Presentation at the Voorlichtingsavond Regionale Vereniging van Geamputeerden Noord Brabant (RVVG), ’s-Hertogenbosch, Nederlands.
Language: Dutch
Format: Conference
Keywords: Chronic Pain Phantom Limb
Accuracy Verified: Yes
3673. Veenstra, A. C. (2006, Oktober). EMDR bij posttraumatische stresstoornis [EMDR for posttraumatic stress disorder]. Presentation at the Congres ter ere van het 10-jarig bestaan van de PAAZ binnen het St. Elisabeth Ziekenhuis, Tilburg, Nederlands.
Language: Dutch
Format: Conference
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3674. Veenstra, C. (2011, September). Fantoompijn, pijn en lichamelijke verschijnselen [Phantom pain, pain and physical symptoms]. Presentation at the congres "EMDR brede toepassingen in de praktijk", Jaarbeurs Utrecht, Nederalands 23 september 2011.
Language: Dutch
Format: Conference
Keywords: Chronic Pain Phantom Limb Pain
Accuracy Verified: Yes
3675. Veenstra, C. A. (2010, April). Pijnbehandeling met EMDR [Pain treatment with EMDR]. Presentatie op Het Congres 'Samen Beter Nog 2 "Zeist, Nederland.
Language: Dutch
Format: Conference
Accuracy Verified: Yes
3676. Veenstra, S., & de Roos, C. (2005, November). Behandeling van chronische pijn met EMDR [Treating chronic pain with EMDR]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze lezing staat de toepassing van EMDR bij de behandeling van chronische pijn centraal. Na een introductie over ‘pijn in het brein’ wordt aandacht besteed aan indicatiestelling: waarom en wanneer is EMDR geïndiceerd als behandeling voor chronische pijnpatiënten.
Verder worden de resultaten van een pilot-studie (drs. C. de Roos, Rivierduinen, Leiden; drs. A.C. Veenstra, St. Elisabeth Ziekenhuis, Tilburg; dr. Y.R. van Rood, Leids Universitair Medisch Centrum, Leiden) gepresenteerd. Deze studie werd uitgevoerd om het effect van Eye Movement Desensitisation and Reprocessing op chronische fantoompijn -na amputatie van een been- te onderzoeken. Tien patiënten werden behandeld tussen oktober 2003 en november 2004. Alle tien patiënten reageerden niet op eerdere pijnbehandelingen. Metingen vonden plaats voor en na de behandeling en bij een follow-up na 3 maanden.
Het derde deel van deze lezing is toegespitst op de toepassing van het EMDR pijnprotocol. Casuïstiek van patiënten met fantoompijn of post-whiplash klachten wordt geïllustreerd met videofragmenten.
In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients.
Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg to investigate. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months.
The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips.
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In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients. Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to investigate and evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months.The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips.
Keywords: Chronic Pain
Accuracy Verified: Yes
3677. Veerbeek, H. (2012, June). Revenge fantasy and revengefulness [Fantasía de venganza y plenitud de venganza]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
In
this
workshop
the
focus
will
be
on
the
EMDR
treatment
of
problems
concerning
aggression
and
revenge
as
a
result
of
damaging
experiences
in
the
past.
First
of
all,
the
pitfalls
in
the
therapeutic
relation,
which
could
obstruct
the
trauma
oriented
treatment
of
aggression
and
revenge
will
be
dealt
with.
An
important
question
is
when
to
choose
for
cognitive
behavioral
therapy
techniques
such
as
Anger
Replacement
Treatment
and
when
EMDR
treatment
can
be
expected
to
be
more
effective,
in
treating
aggression
and
revenge.
A
model
introduced
by
Ogden
will
be
presented
to
clarify
this.
It
is
essential
that
the
aggressive
client
will
be
taught
first
how
to
be
able
to
diminish
the
sometimes
dangerous
arousal,
using
the
so-‐called
safe
place.
Only
then
we
can
get
started
with
processing
the
traumatic
experiences
and/or
revenge
fantasies.
Video
recordings
will
illustrate
all
this.
After
explaining
the
origin
of
revenge
fantasies
and
revengefulness,
extensive
video
footage
will
show
how
this
can
be
treated
effectively
by
means
of
an
adjusted
EMDR
protocol.
A
plea
will
be
made
for
paying
more
attention
to
and
also
treating
the
externalizing
side
(anger
and
revenge)
of
PTSD
and
in
the
case
of
treating
aggression,
to
concentrate
more
on
revenge
and
its
traumatic
origin.
En
este
taller
nos
centramos
en
los
problemas
referentes
al
tratamiento
EMDR
en
la
agresión
y
la
venganza
como
resultado
de
experiencias
dañinas
en
el
pasado.
En
primer
lugar,
las
dificultades
en
la
relación
terapéutica
pueden
obstruir
el
tratamiento
orientado
al
trauma
de
la
agresión
y
la
venganza,
y
habrá
que
lidiar
con
ello.
Una
cuestión
importante
es
la
elección
de
las
técnicas
cognitivo
conductuales
como
el
tratamiento
de
remplazo
de
la
ira,
y
donde
el
tratamiento
EMDR
espera
ser
más
efectivo
en
el
tratamiento
de
la
agresión
y
la
venganza.
Un
modelo
introductorio
de
Ogden
será
presentado
para
aclarar
esto.
Es
esencial
que
en
el
cliente
agresivo
se
enseñe
primero
como
ser
capaz
de
bloquear
la
respuesta
peligrosa,
usando
el
también
llamado
lugar
seguro.
Solo
entonces
puede
empezarse
con
el
procesamiento
de
experiencias
traumáticas
o
fantasías
de
venganza.
Todo
esto
será
mostrado
mediante
videos
grabados.
Después
de
explicar
el
origen
de
las
fantasías
de
venganza
y
la
venganza
propiamente
dicha,
una
filmación
de
video
extensivo
mostrará
como
esto
puede
ser
tratado
de
manera
efectiva,
lo
que
supone
un
ajuste
en
el
protocolo
estándar
del
EMDR
Se
rogará
una
mayor
atención
para
tratar
el
lado
externalizador
(ira
y
venganza)
del
síndrome
de
estrés
post-‐traumático
y
en
el
caso
de
tratam
Keywords: Revenge Fantasy Revengefulness
Accuracy Verified: Yes
3678. Veerbeek, H. (2012, March). Wraakfantasie en wraakdrang: de externaliserende kant van PTSS [Revenge and vengeance urge Fantasy: Externalizing side of PTSD]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop richt de aandacht zich op de EMDR-behandeling van agressie- en wraakproblemen als gevolg van beschadigende ervaringen in het verleden.
Allereerst wordt stilgestaan bij valkuilen in de therapeutische relatie die het vanuit trauma-perspectief behandelen van agressie en wraak in de weg kunnen staan.
Een belangrijke vraag is wanneer cognitief gedragtherapeutische technieken geïndiceerd zijn en wanneer verwacht kan worden dat EMDR juist effectiever zal kunnen zijn bij de behandeling van de agressie en wraak. Daartoe wordt een model van Ogden gepresenteerd.
Voordat begonnen wordt met verwerking van traumamateriaal en/of wraakfantasieën, is essentieel dat aan de agressieve cliënt geleerd wordt hoe middels de veilige plek de soms gevaarljike arousel omlaag gebracht kan worden. Dit wordt met videomateriaal geïllustreerd.
Na uitleg over het ontstaan van wraakfantasieen en wraakdrang wordt met gebruikmaking van uitgebreid videomateriaal gedemonstreerd hoe middels een aangepast EMDR-protocol wraakfantasieën en wraakdrang goed behandeld kunnen worden. Een pleidooi wordt gehouden om bij de behandeling van PTSS meer aandacht te hebben voor de externaliserende kant (woede en wraak) en deze ook te behandelen, zoals hier wordt voorgesteld. Daarnaast is het pleidooi om bij de behandeling van agressie en wraak meer aandacht te hebben voor de traumatische oorsprong hiervan.
In this workshop the focus is on the EMDR treatment of aggression and revenge problems resulting from damaging experiences in the past.
First, examines pitfalls in the therapeutic relationship from the trauma perspective in treating aggression and revenge can hinder.
An important question is when cognitive behavioral therapy techniques are indicated and when it is expected that EMDR will be very effective in the treatment of aggression and revenge. To this end, a model of Ogden presented.
Before commencing treatment of trauma material and / or revenge fantasies is essential that the client is taught how aggressive the safe place through the sometimes gevaarljike arousel can be lowered. This is illustrated with video material.
After explanation of the origin of wraakfantasieen and revenge urge is using extensive video demonstrates how using a modified EMDR protocol fantasies of revenge and vengeance urge successfully treated. A plea is held to the treatment of PTSD more attentive to the side externalizing (anger and revenge), and also to treat, as proposed here. In addition, the plea for the treatment of aggression and revenge more attention to the traumatic origin of this.
Keywords: Revenge Vengeance Urge
Accuracy Verified: Yes
3679. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives:
Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients;
Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and
Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.
Accuracy Verified: Yes
3680. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag.
In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn.
Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt.
Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen.
Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.
On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior.
In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance.
When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration.
Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease.
Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.
Keywords: Forensic Examination Violent Behavior
Accuracy Verified: Yes
3681. Ventouratou, D. (2012, June). Help the helpers with EMDR(For all EMDR professionals) [Ayudar a los formadores del EMDR (Especialmente para Supervisores)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Most
therapists
are
confronted
with
feelings
of
insufficiency,
helplessness
and
even
anger
if
a
therapy
is
not
successful.
Feelings
of
shame
often
prevent
the
therapist
to
come
in
contact
with
his
own
countertransference
during
a
supervision
session.
Supervisors
often
get
lost
in
analyzing
history
details
and
making
interpretations
or
offering
tools,
but
they
sometimes
fail
to
help
the
therapists
to
get
in
touch
with
their
own
feelings.
Therefore,
a
“stuck”
therapeutic
process
is
probably
followed
(or
actually
“mirrored”)
by
a
“stuck”
in
supervision
process.
In
this
workshop
we
will
demonstrate
how
we
can
utilize
the
EMDR-‐protocol
in
difficult
supervision
or
intervision
cases,
in
order
to
overcome
impasses
in
therapeutic
processes,
negative
emotions
or
beliefs,
matters
of
countertransference
and
secondary
traumatization
of
the
therapist.
Case
examples
will
show
how
utilizing
EMDR
in
supervision
can
lead
to
a
sudden
change
of
feelings
towards
the
client
and
to
a
deeper
understanding
of
his
attitude,
show
the
connection
to
the
therapists
blocking
issues,
and
therefore
re-‐enable
conscious
empathy.
The
presentation
of
a
specially
modified
EMDR
–
Supervision-‐
Protocol
and
case
examples
will
be
followed
by
a
live
demonstration.
The
workshop
is
addressed
to
all
clinicians
who
work
as
supervisors.
The
modified
EMDR-‐Supervision-‐Protocol
can
be
used
by
all
EMDR-‐Practitioners
(NOT
only
accredited
consultants!),
whereas
their
supervisors
do
not
necessarily
need
to
be
familiar
with
EMDR.
La
Mayoría
de
los
terapeutas
tienen
que
enfrentarse
con
sentimientos
de
insuficiencia,
frustración
e
incluso
ira
si
la
terapia
no
tiene
éxito.
Sentimientos
de
vergüenza
a
menudo
previenen
al
terapeuta
a
ponerse
en
contacto
con
su
propia
contratransferencia
durante
una
sesión
de
supervisión.
Los
supervisores
a
menudo
se
pierden
en
analizar
los
detalles
de
la
historia
y
hacer
sus
interpretaciones
u
ofrecer
herramientas
terapéuticas,
pero
en
muchos
casos,
fallan
en
ayudar
al
terapeuta
a
ponerse
en
contacto
con
sus
propios
sentimientos.
Por
eso
un
“atasco”
en
el
proceso
terapéutico
esta
probablemente
seguido
por
(o
“reflejado”)
por
un
“atasco”
en
el
proceso
de
supervisión.
En
este
taller
vamos
a
demostrar
cómo
podemos
utilizar
el
protocolo
EMDR
en
supervisiones
o
intervenciones
de
casos
difíciles,
con
el
fin
de
sobreponer
los
obstáculos
del
proceso
terapéutico,
las
emociones
negativas,
o
las
creencias
relacionadas
con
la
contratransferencia
y
secundariamente
la
traumatización
del
terapeuta
Casos
prácticos
mostrarán,
cómo
utilizando
el
EMDR,
en
la
supervisión
puede
promover
un
cambio
repentino
de
cara
al
cliente
y
de
un
más
profundo
entendimiento
de
sus
actitudes,
mostraremos
la
conexión
con
los
problemas
de
bloqueos
de
los
terapeutas,
y
por
tanto,
reactivar
la
empatía
consciente.
La
presentación
de
esta
modificación
especial
del
protocolo
EMDR
–
Supervisión-‐
Protocolo
y
ejemplos
de
casos
se
llevaran
a
cabo
con
demostraciones
en
directo.
Keywords: Burnout
Accuracy Verified: Yes
3682. Ventouratou, D. (2011, June). EMDR and self care. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria .
Language: English
Format: Conference
Keywords: Self Care
Accuracy Verified: Yes
3683. Ventouratou, D. (2012, July). Eye movement desensitiation & reprocessing therapy(EMDR). Presentation at the First Panhellenic Psychotherapy Colloquium, Massalis, Greece.
Language: Greek
Format: Conference
Abstract:
The workshops were conducted as sessions of the First PanHellenic Psychotherapy Colloquium which presented the current practice of psychotherapy in Greece. Leading practitioners of various approaches to the practice of psychotherapy gave an overview of their school of thought and relevant scientific findings, and speakers presented their perspectives on the ways in which psychologists work today to achieve one overarching goal: the improvement of a person’s quality of life. The event also served the purpose of informing the general public about the options they have when choosing psychotherapeutic services.
Accuracy Verified: Yes
3684. Verardo, A. R. (2010, Settembre). Il contributo dell'EMDR negli eventi catastrofici che hanno coinvolto i minori [The contribution of EMDR in catastrophic events involving children]. In L. Ostacoli (Proponente) L'EMDR: Un Approccio psicoterapico a Ponte psiche TRA neurologia e, Simposio condotto presso XII Congresso Nazionale della Sezione di Psicologia Clinica e Dinamica, Torino, Italy.
Language: Italian
Format: Conference
Keywords: Catastrophic Events Children
Accuracy Verified: Yes
3685. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come :
- la velocità di intervento;
- l’ esigenza di applicare protocolli rapidi ed efficaci.
La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia);
l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici.
Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali:
-PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione).
-disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie).
Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate.
Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.
Psychological intervention in the hospital has special features that meet certain characteristics such as:
- The speed of intervention;
- 'S need to implement protocols for rapid and effective.
The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography);
effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms.
Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as:
-PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) .
-Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy).
In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations.
Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.
Accuracy Verified: Yes
3686. Vidal, C., Santed, A., Sánchez, S., Mattioli, G., & Serrano, M. J. (2006, Febrero). Un caso clínico de trastorno de identidad disociativo (TID) tratado con EMDR e ICV: Una cierta integración (que para la paciente ha representado una experiencia vitalizante mayúscula) [A clinical case Dissociative Identity Disorder (DID) treated with EMDR and ICV: A certain integration has been reached (which for the patient has represented a major revitalizing experience)]. Comunicación presentada en: 7º Congreso Virtual de Psiquiatría, Barcelona, Spain.
Language: Spanish
Format: Conference
Abstract:
Se aborda el caso de una paciente que sufre un TID (como consecuencia de una infancia traumática). Se presentan las principales características del caso y de los cambios que se fueron produciendo en las sesiones del tratamiento (EMDR e ICV básicamente). Se comparan los resultados con las referencias más relevantes y recientes de los trastornos disociativos y por estrés postraumático. Se discute acerca de que el TID es un diagnóstico mucho más frecuente de lo que se pensaba, instrumentos de valoración, y terapias específicas que están ofreciendo algunos resultados. Se extraen algunas conclusiones acerca de las particularidades del abordaje de este tipo de casos.
The paper addresses the clinical case of a patient suffering from DID (following a traumatic childhood). It also examines the main features of the case and the changes produced in the patient during the course of the sessions of the treatment (basically, EMDR and ICV). We correlate our results with the most recent and relevant references on dissociative and posttraumatic stress disorders. We discuss about the possibility that DID is a much more frequent diagnosis than it was believed to be; instruments of evaluation, and that new specific therapies are offering some results. Some conclusions are extracted about the peculiarities of the handling of this type of cases.
Keywords: DID Dissociation Dissociative Identity Disorder MPD Multiple Personallity Disorder Psychological Trauma Psychotherapy, VCI Psychotherapy
Accuracy Verified: Yes
3687. Vienot, R. C. (1999, June). A comparison of EMDR and biofeedback/stress inoculation training in treating test anxiety. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify issues and problems in treating test anxiety; 2) be able to identify the basic components of both the EMDR and biofeedback/stress inoculation training protocols used in this study; 3) learn the EMDR protocol used in treating test anxiety; 4) learn how EMDR, biofeedback/stress inoculation training, and a no-treatment group compare in treatment effect size on six dependent variables; and 5) learn how EMDR, biofeedback/stress inoculation trainlng and a no-treatment group compare in clinical significance on five dependent variables.
Keywords: Biofeeback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
3688. Vigorelli, M., Fernandez, I., Mastonardi, C., & Barbato, R. (2008, 26-28 Settembre). Valutazione psicologica e neurobiologica di un trattamento con EMDR (eye movement desensitization and reprocessing) di disturbo post traumatico da stress [Assessment of psychological and neurobiological treatment with EMDR (eye movement desensitization and reprocessing) disorder post traumatico da stress post traumatic stress]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.
Language: Italian
Format: Conference
Keywords: Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
3689. Vilaseca, G. A. (2010, 29-1 Octubre/Noviembre). “Deconstrucción dramática” Un modelo de abordaje grupal psicodramático del estress laboral y el burn out integrando EFT y EMDR ["Deconstruction drama" A model of the psychodrama group approach and work stress burn out integrating EFT and EMDR]. Presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador .
Language: Spanish
Format: Conference
Keywords: Burnout EFT Emotional Freedom Technique Psychodrama
Accuracy Verified: Yes
3690. Vilaseca, G. A. (2010, Octubre/Noviembre). ¿Cómo ejercer el rol profesional sin sufrir en el intento? [How to exercise without suffering professional role in the attempt?]. Taller en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Accuracy Verified: Yes
3691. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
3692. Virdi, P., & Farrell, D. (2009, June). The utilisation of EMDR for people with eating disorders. In G. Zaal (Chair), Diverse. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
3693. Virdi, P., Plassmann, R., Seidel, M., & Konuk, E. (2010, June). EMDR and eating disorders. In Eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Frequently for clients with eating disorders their complex histories contain many trauma experiences suggesting the potential illustration of EMDR as an adjunctive psychological treatment intervention. Although the amount of evidence based practice is presently not strong in supporting EMDR with this client group there is increasing practice based evidence outlining its potential usefulness with this client group. This symposium will outline the utilization of EMDR in various eating disorders clinical services in the United Kingdom, Germany and Turkey outlining how utilizing the AiP model end how EMDR was effectively integrated into the overall treatment pathway of care for children, adolescents, and adults.
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
3694. Vogelmann-Sine, S. L. (1993, October). The role of EMDR in crisis intervention. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.
Language: English
Format: Conference
Abstract:
EMDR is a procedure capable of assisting with MPD patients by defusing acute distress associated with current crises. In order to benefit from EMDR without risking retraumatization, the diagnosis of MPD needs to be established and consent obtained from the system as a whole. The systems needs to agree that a decrease in distress is a desirable treatment outcome.
In treating MPD, crises may arise before the system has been fully mapped. EMDR amy be cautiously used in this situation by 1) asking the entire system to listen, 2) explaining the procedure, 3) asking for any parts, know to the therapist or unknown, who disagress to let their concerns be known or they will have to be construed to have consented. The relief provided by the successful defusing of the crisis tends to increase confidence in the therapist and encourage others to alters to reveal themselves.
Several case examples will be presented illustrating the application of EMDR to crisis intervention with MPD patients. Preliminary data from case examples indicate that (1) clients report lasting relief from distress associated with current crisis; (2) clients report relief even though distress levels did not reach zero; (3) EMDR for crisis intervention is a cost-effective procedure for reducing the frequency of hospitalizations by managing crises in an outpatient basis.
Keywords: Dissociation Multiple Personality States
Accuracy Verified: Yes
3695. Vogelmann-Sine, S., & Sine, L. (1994, March). Substance abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
3696. Vogelmann-Sine, S., & Sine, L. (1993, March). Substance abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
3697. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
3698. Vogelmann-Sine, S., Sine, L. F., & Popky, A. J. (1997, July). EMDR treatment for chemical dependency: Training for participation in a multisite study. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
3699. Vogt, R. (2002, Mai). EMDR in verbindung mit ausdrucksformen der körpertherapie [EMDR in conjunction with expressions of body therapy]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.
Language: German
Format: Conference
Abstract:
Chairs: Meusers, M. & Freiha, T.
Keywords: Body Therapy
Accuracy Verified: Yes
3700. Vojtova, H. (2005, June). EMDR-therapy with a patient traumatized during her three marriages – A case study. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The case study presents EMDR-psychotherapy on a female patient,
physically and emotionolly abused by her partners during the course of
three marriages. EMDR-therapy was the second part of the therapeutic
process; the first part successfully treated PTSD (the patient was violently
raped by a stranger) using imaginative stabilisation techniques a half a year
ago. Complex PTSD symptoms in the patient (constant tension, sleep
disorder, anxiety, anhedonia] surfaced during a new relationship. Therapy
took 6 sessions in 8 weeks, in 3 of which the EMDR-technique was used. At
the end of therapy all symptoms decreased and feelings of inferiority were
transformed into increased self-worth, self-confidence, inner satisfaction and
new autonomy.
The participants will obtain encouraging information about successful shortterm
EMDR therapy of chronic PTS
Accuracy Verified: Yes
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