Francine Shapiro Library - EMDR Bibliography Links
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1. Cohen-Posey, K. (2004, December). Abreaction and reprocessing: The importance of defining terms. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Chief Editor’s Introduction: We are delighted to publish Kate Cohen-Posey’s thoughts on the impact of the clinician’s perception of abreaction, especially as this relates to the practice of EMDR. Thanks to Kate for this thoughtful explanation, and for highlighting some key historic roots from which our current practices have evolved, and continue to! We wish her much success with her new book. -SEB [Editor's abstract]
Keywords: Abreaction
Accuracy Verified: Yes
2. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.
Language: English
Format: Journal
Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.
Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies
Accuracy Verified: Yes
3. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).
Keywords: Abreactions Intense Affect
Accuracy Verified: Yes
4. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An
inherent value of EMDR is to facilitate natural
processing and the client's natural patterns. Assuming client readiness and
preparation to deal with emotional material, an
interweave (which elicits other neural networks),
or resource installation (which initiates a state
change) or prolonged talking (which initiates an
interpersonal process) - though often useful - can
interfere with the client's own internal processing and take the client away from their natural and
unique resolution and integration. The therapist
can enable the client to process intense material
utilizing a) strong attunement skills to hold the
client in one's therapeutic presence, b) recognition
of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally
intervene and when to "stay out of the way". Hence,
more important than the mechanics of bilateral
stimulation is the way EMDR is delivered. EMDR
is a "dance" between client and therapist with the
therapist interacting through bi-lateral stimulation
even more than through verbal communication.
This workshop will focus on dealing with intense
affect with EMDR (the dance) and include
discussjon of 1) How to assess client readiness for
dealing with intense material, both before and during
EMDR processing. 2) Therapist clinical presence
and attunement skills. 3) Detecting behavioral
manifestations of processing and calibrating bilateral
stimulation to the client in order to maximize
processing, and control intensity of processing. 4)
Therapeutic choice points concerning verbal
interventions and "staying out of the way". Demonstration and video tapes will be used to
illustrate teaching points. (Participants should be
aware that the videos have intense emotional content).
Keywords: Abreactions
Accuracy Verified: Yes
5. Paulsen, S. L., & Watkins, J. G. (2005, November). Best resourcing, affect regulation & abreaction techniques: From the armamentaria of hypnoanalytic, EMDR, somatic experiencing, and cognitive behavioral sources. Presentation at the International Society for the Study of Dissociation, Toronto, Ontario Canada.
Language: English
Format: Conference
Keywords: Abreaction Techniques Affect Regulation Techniques
Accuracy Verified: Yes
6. Meignant, I., & Meignant, C. (2008, May). Buddy the dog's E.M.D.R. EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
The Buddy's Extroadinary Momentum for Discovery and Reconciliation is made to help kids from 0 to 99 deal with the abreaction through the story of a traumatized dog.
It allows us to understand the internal process which takes place during the acceptance creation of a trauma, a process caused by eye movements, as during the therapy EMDR.
It's also a magnificent tool for understanding the neuro emotional integration processing which takes place during the bilateral stimulation, for all those suffering traumatism in the broad sense of the term: simple or complex, unique or multiple, the traumatic disorders of development and generally the memories of the past staying emotionally in the present. These events of the past of which we say "it's as if, it was yesterday" which do not become memories which we consult and which do not hurt any more. This book shows an example of the internal process of EMDR which will allow Buddy the dog to become reconciled with himself and to be able to live WITH the memories and not IN the memories.
Keywords: Children
Accuracy Verified: Yes
7. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who
are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in
maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative
clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming
disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing
images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative
abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of
affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of
EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a
procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused
EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety)
procedure, which is a method of slowing down processing, and carefully containing and controlling the
emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video
segments of a therapy session.
Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
8. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.
Language: English
Format: Book Section
Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]
Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
9. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or
prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although
usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate
trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian
Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009)
was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this
workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood
within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event
of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times
of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for
patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident
or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of
Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation
the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the
face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine
Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency
settings where multiple patients need rapid treatment.
The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Early Interventions
Accuracy Verified: Yes
10. Yarosh, D. (2003, September). Effective EMDR for high-functioning clients with intimacy problems (Expanded with new cases). Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will learn to integrate EMDR into the longer-term treatment that is necessary where issues of attachment and relationship are paramount. Trauma treament of these clients involves an understanding of their unique personality characteristics, a comprehensive treatment plan that engages their cooperation, a Motivational Interview to set goals, and a Trauma History to prioritze EMDR targets. Specific techniques that will be demonstrated are the interweaving of Resource Development and Installation into the ongoing treatment, and body-focused interweaves to promote client safety when working with strong abreaction. Special interweaves helping clients integrate the successful parts of their lives into the parts where they are developmentally immature will be illustrated.
Keywords: Attachment Intimacy
Accuracy Verified: Yes
11. Quinn, G. (2012, June). EMDR & acute stress syndrome/EMDR in early intervention - Immediate ERP treatment following trauma. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Victims
of
immediate
trauma
often
exhibit
“silent
terror”
or
extreme
stress
and
often
are
likely
to
develop
PTSD.
The
Emergency
Response
Procedure
(ERP),
described
in
the
Humanitarian
Assistance
Program’s
(HAP)
Disaster
Manual
and
Marilyn
Luber’s:
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
was
developed
to
deal
with
victims
of
natural
and
manmade
disaster
within
minutes
to
hours
of
exposure
to
trauma.
Learning
objectives:
Participants
in
this
workshop
will
learn
how
to
respond
to
clients
in
the
immediate
aftermath
of
trauma,
utilizing
ERP.
This
will
be
understood
within
the
overall
context
of
the
principles
of
Psychological
First
Aid.
This
same
basic
approach
can
be
applied
in
the
event
of
strong
abreaction
during
the
initial
phase
of
history-‐
taking
and
prior
to
the
Preparation
Phase
of
EMDR
or
at
other
times
of
treatment
when
patients
exhibit
strong
emotional
reactions.
Similarly,
treatment
with
ERP
may
also
be
considered
for
patients
exhibiting
this
“silent
terror”
or
extreme
stress
during
initial
treatment
by
first
responders
at
the
scene
of
an
accident
or
in
ambulances
en
route
to
medical
facilities.
A
pilot
study
(in
press)
will
be
presented
showing
effectiveness
at
possibly
preventing
PTSD
2
years
later
compared
to
“treatment
as
usual”
Las
víctimas
del
trauma
inmediato
frecuentemente
exhiben
“terror
silencioso”
o
estrés
extremo
y
a
menudo
son
susceptibles
de
desarrollar
TEPT.
El
Procedimiento
de
Respuesta
en
Emergencia
(ERP),
descrito
en
el
Manual
de
Catástrofes
de
los
Programas
de
Asistencia
Humanitaria
(HAP)
y
en
el
libro
de
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
ha
sido
desarrollado
para
lidiar
con
víctimas
de
desastres
naturales
y
causados
por
el
hombre
a
los
minutos
u
horas
de
haber
sido
expuesto
al
trauma.
Objetivos
de
aprendizaje:
Los
participantes
de
este
taller
aprenderán
cómo
responder
a
los
clientes
en
los
momentos
siguientes
al
trauma,
utilizando
PRE.
Esto
se
entenderá
en
el
contexto
general
de
los
principios
de
los
Primeros
Auxilios
Psicológicos.
Este
mismo
enfoque
básico
se
puede
utilizar
en
el
caso
de
una
abreacción
fuerte
durante
la
fase
inicial
en
la
que
se
realiza
la
historia
del
paciente
y
antes
de
la
Fase
de
Preparación
de
EMDR
o
en
otras
ocasiones
durante
el
tratamiento
cuando
los
pacientes
muestran
reacciones
emocionales
fuertes.
De
manera
similar,
el
tratamiento
con
PRE
puede
considerarse
también
para
pacientes
que
muestran
este
“terror
silencioso”
o
estrés
extremo
durante
el
tratamiento
inicial
llevado
a
cabo
por
los
servicios
de
asistencia
en
emergencias
en
la
escena
del
accidente
o
en
las
ambulancias
de
camino
a
las
instalaciones
médicas.
Un
estudio
piloto
(en
prensa)
será
presentada
mostrando
la
efectividad
de
la
posibilidad
de
prevenir
el
TEPT
2
años
después
comparándolo
con
“tratamiento
habitual.”
Keywords: Acute Stress Syndrome Early Intervention
Accuracy Verified: Yes
12. Quinn, G. (2011, June). EMDR emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Acute Trauma Emergency Treatment Man-Made Disasters Natural Disaasters
Accuracy Verified: Yes
13. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives:
Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP;
To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions;
To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities;
How to utilize the Recent Events Protocol in the face of ongoing danger;
To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment
Keywords: Disaster Emergency Response Procedure ERP Extreme Stress Silent Terror
Accuracy Verified: Yes
14. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive
internal resource images, such as the inner advisor child-self – adult-self assessment and
development, nurturer and protector figures,
spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories;
TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.
Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference
Accuracy Verified: Yes
15. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
has
had
a
profound
positive
impact
on
the
lives
of
many
clients
and
has
been
shown
in
more
than
seventeen
published
trials
to
be
effective
in
the
treatment
of
PTSD
(Maxfield
&
Hyer,
2002).
However,
the
DSM
IV
definition
of
PTSD
is
focused
on
the
single
traumatic
incident,
and
many
clients
seeking
relief
in
therapy
have
a
damaging
traumatic
history
that
extended
over
repeated
events
or
over
long
periods
of
time.
The
term,
Complex
PTSD
(Herman,
1992,
van
der
Kolk,
2005)
has
been
proposed
to
describe
a
pattern
of
negative
effects
of
prolonged
and
extreme
stress,
particularly
during
childhood.
The
focus
of
this
workshop
is
to
describe
a
theoretical
framework,
and
specific
therapy
“tools”
which
may
be
useful
in
providing
effective
therapy,
within
the
EMDR
Adaptive
Information
Processing
Model,
to
individuals
suffering
with
Complex
PTSD.
Important
concepts
and
particular
interventions
will
be
illustrated
through
video
examples
and
transcripts
from
therapy
sessions.
Dr.
Knipe
will
present
methods
for
identifying
and
treating
specific
dissociative
symptoms
with
accompanying
evidence
from
available
research
or
case
studies.
He
will
offer
EMDR
“tools”
that
can
be
used
to
make
the
healing
power
of
EMDR
more
available
to
clients
who
are
avoidant,
and/or
highly
vulnerable
to
dissociative
abreaction,
chronic
shame,
and
unrealistic
idealization
of
self
or
of
others.
He
will
discuss
the
primary
characteristics
of
clients
with
Complex
PTSD,
including
problems
with
disrupted
attachment
and
inappropriate
psychological
defenses.
He
will
illustrate
how
to
identify
various
Ego-‐States
and
work
with
these
within
the
Adaptive
Information
Processing
Therapy
Approach.
Time
will
be
available
for
participants
to
discuss
difficult
EMDR
cases.
EMDR
ha
tenido
un
profundo
efecto
sobre
la
vida
de
muchos
clientes
y
ha
demostrado
en
más
de
diecisiete
ensayos
publicados,
ser
eficaz
para
el
tratamiento
del
TEPT
(Maxfield
&
Hyer,
2002).
Sin
embargo,
la
definición
del
DSM
IV
del
TEPT
está
centrada
en
el
incidente
traumático
único,
mientras
que
en
muchos
de
los
clientes
que
buscan
el
alivio
a
través
de
la
terapia
su
historial
traumático
incluye
episodios
traumáticos
repetidos
o
que
se
extienden
a
lo
largo
de
períodos
prolongados
de
tiempo.
Se
ha
propuesto
el
término
TEPT
complejo
(Herman,
1992,
van
der
Kolk,
2005)
para
describir
un
patrón
de
efectos
negativos
derivados
una
situación
de
estrés
prolongado
e
intenso
que
ha
aparecido
principalmente
en
la
infancia.
Este
taller
estará
centrado
en
describir
el
marco
teórico
y
las
“herramientas”
terapéuticas
específicas
que
pueden
ser
necesarias
para
proporcionar
,
dentro
del
modelo
de
procesamiento
adaptativo
de
la
información
de
EMDR,
una
terapia
eficaz
a
los
individuos
que
sufran
de
un
cuadro
de
TEPT
complejo.
Los
conceptos
importantes
y
las
intervenciones
concretas
que
se
realizan
serán
ejemplificadas
mediante
ejemplos
en
vídeo
y
mediante
transcripciones
de
sesiones
de
terapia.
El
Dr.
Knipe
presentará
diversos
métodos
que
permitan
identificar
y
tratar
los
síntomas
disociativos
específicos,
los
cuales
irán
acompañado
de
la
evidencia
de
que
se
dispone
procedente
de
la
investigación
existente
o
de
los
estudios
de
casos.
Ofrecerá,
además,
aquellas
“herramientas”de
EMDR
que
pueden
ser
empleadas
para
que
el
poder
sanador
del
EMDR
esté
más
disponible
para
aquellos
clientes
con
comportamientos
evitativos
y/o
que
son
extremadamente
sensibles
a
experimentar
abreacciones
disociativas,
vergüenza
crónica
o
conceptos
idealizados
de
sí
mismos
o
de
los
demás
no
realistas.
Comentará
también
cuales
son
las
características
principales
de
los
pacientes
que
padecen
de
TEPT
complejo,
entre
los
que
se
incluyen
los
vínculos
afectivos
perturbados
y
los
mecanismos
de
defensa
psicológica
inadecuados.
Ilustrará,
igualmente,
cómo
poder
identificar
los
diversos
estados
del
ego
que
se
producen
y
cómo
trabajar
con
ellos
en
el
marco
del
procesamiento
adaptativo
de
la
información.
Se
dispondrá
de
un
tiempo
adicional
para
comentar
con
los
participantes
los
casos
difíciles
que
se
presenten
con
EMDR.
Keywords: EMDR Toolbox
Accuracy Verified: Yes
16. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.
Learning Objectives:
1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part.
2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client.
3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.
Keywords: Dissociative Abreaction Psychological Defenses Toolbox
Accuracy Verified: Yes
17. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than
twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV
definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy
have a damaging traumatic history that extended over repeated events or over many years. The term,
Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative
effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop
is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing
effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with
Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are
avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or
of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from
therapy sessions.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox
Accuracy Verified: Yes
18. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can
be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress
Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period
following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency
Response Procedure is an adaptation of the Standard EMDR Protocol which was developed to deal with victims
of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn
the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case
examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the
Tsunami in Thailand and with victims of terror and war. Learning Objectives:
• Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the
immediate aftermath of trauma utilizing ERP
• To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the
Preparation Phase of EMDR or at other time of treatment when patients exhibit strong emotional reactions
• To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial
treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities
• To understand how to utilize the Recent Events Protocol in the face of ongoing danger
• To understand EMDR methods that may be used in emergency settings where multiple patients need rapid
treatment
Keywords: Disasters Emergency Treatment
Accuracy Verified: Yes
19. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that
PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been
used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent
terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance
Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within
hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the
immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the
event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR.
Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress
during initial treatment by first responders at the scene of an accident or in ambulances en route to medical
facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD)
with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in
Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying
the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be
presented and followed by a practicum. [There are 2 PDF files.]
Keywords: Emergency Response Procedure ERP
Accuracy Verified: Yes
20. Paulsen, S. L. (1993, October). Eye movement desensitization and reprocessing: Its role in the treatment of dissociative disorder. Multiple personality/dissociative states: Dissociation: the next ten years. International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.
Language: English
Format: Conference
Abstract:
Eye Movement Desenitization and Reprocessing (EMDR) is a procedure which uses saccadic eye movements as part of a protrocol to detoxify disturbing memories. EMDR has attracted significant attention because of its claims to facilitate recall of repressed material and to relieve the anxiety rapidly. Some patients are able to recall and resolve a disturbing memory during a single session of EMDR, although complex memories require longer. Shapiro (1989, 1991) first described the use of EMDR in patients with Post Traumatic Stress Disorder, and other case studies have described similar results (Wolpe and Abrams, 1991; Kleinknecht & Morgan, 1992). Prelimary studies in larger groups have been reported (Solomon, 1993; Daniels, 1993; Wilson, 1993). This session will discuss the use of EMDR in patients with dissociative disorders.
This session will present the use of EMDR in three areas of the treatment of dissociative disorders: 1) accessing dissociated BASK elements, 2) crisis management, and 3) abreaction. This will be followed by a discussion involving two senior clinicians, Dr. Walter Young, MD, and Richard Lowenstein, MD. A general question and answer will follow.
1. Sandra Paulsen, PhD., will open the session with a general introduction to EMDR and an overview of the general principles of treatment. Following this, she will present a conceptual framework for understanding the use of EMDR insociative disorders using Braun's BASK model. A videotape will be presented which demonstrates the reassociation, one at a time, of BASK elements.
2) Silke Vogelmann-Sine, PhD, will present cases illustrating the use of EMDR in the management of patients in crisis. It will be suggested that the relief provided by EMDR is long-lasting and that EMDR is a cost-effective way to prevent hospitalizations.
3) Steven Lazrove, MD, will discuss the use of EMDR in abreaction. It is proposed that EMDR allows the abreactive work to progress quiickly without traumatizing the patient. This hyposesis will be supported by the presentation of a case including a videotape of the patient's initial EMDR session.
The purpose of this symposium is to expose clinicians to the use of EMDR in dissociative disorders, only. It is not intended to substitute for formal training in use of EMDR.
Keywords: Dissociative Disorder
Accuracy Verified: Yes
21. Grand, D. (1996, June). Integrating EMDR into the psychodynamic treatment process. EMDRIA Newsletter, 1(1), 14-16.
Language: English
Format: Newsletter
Abstract:
EMDR was originally developed utilizing cognitive therapy theories and constructions (i.e., cognitive/behavior restructuring, information processing, rating scales) (Shapiro, 1995). Accordingly, the relevance and potential applications of psychodynamic concepts to EMDR went largely unnoticed. However, Dr. Shapiro formed the concept ‘syclectic’ (synthesis of the eclectic) as she recognized the analytic contributions to EMDR such as the significance of early childhood memories, the unconscious, free association, insight, catharsis, abreaction, and symbolism (Shapiro, 1995). In face, a psychodynamic therapist incorporating EMDR into his or her technique cannot help but learn and recognize the value of many cognitive ideas and practices. The same holds true for cognitive practitioners who can discover that the use of EMDR opens to them the shadowy word so familiar to the analyst. Accordingly, EMDR lies at the confluence of two great rivers of thought which is further evidence of its profound nature.
Keywords: Psychodynamic Syclectic
Accuracy Verified: Yes
22. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Dual Attention
Accuracy Verified: Yes
23. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Great strides have been made in applying EMDR
to different populations with a variety of
diagnoses. Integrating this powerful treatment
into couples therapy is relatively new and very
promising. By augmenting EMDR with the
explanatory power and clinical inventiveness of
ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic
presentation and case illustration, participants will
understand the relational nature of the Self,
psychobiological and psychodynamic mechanisms of attachment, the structure of the
relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be
able to identify clinical manifestations of ego state
conflict in conjoint sessions, including the doublebind,
split loyalty, and reenactments. Participants
will be able to use this learning to diagnose the
interlock of negative cognitions in their client
couples, and implement strategies to contract for
individually-focused EMDR therapy. Participants
will be able to explain to clients the risks and
benefits of conjoint EMDR, and understand the
contraindications for conjoint EMDR. Participants will learn a model of EMDR
treatment planning that includes target selection
and salience, and will be able to utilize a
progressive sequence of techniques for facilitation
EMDR processing with dissociative clients who
are blocked, looping, or at risk of abreaction.
Keywords: Couples Therapy Ego State Therapy
Accuracy Verified: Yes
24. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]
Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors
Accuracy Verified: Yes
25. Forrest, M. S. (1995, June). Self-soothing and the multiple trauma survivor. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Remember the joke about the doctor who says, "The operation was a success, but the patient died"? That's how some clients feel
about EMDR. They succeed in accessing deep and important material, but find themselves extremely depressed and/or anxious in
the days afterward. For these clients, who are often survivors of multiple trauma such as long-tenn child abuse or incest, the ability
to self-soothe (both during and after an EMDR session) makes the difference between whether they regard EMDR as a useful tool or
a necessary evil.
To find out what self-control techniques work best for such clients, I interviewed EMDR clients (all women) who had experienced
long-term sexual abuse in childhood.
The first thing I learned was that for survivors of multiple trauma, the ability to feel safe starts long before EMDR is ever used.
Many women cited their relationship with their therapist as the foundation of their feeling safe with EMDR: "I trust my therapist
absolutely." One client's therapist told her he had used EMDR himself: "That made a huge difference to me," she said.
Other advance work included planning and taking preventative measures. Planning means picking the right time (and pace) for
doing EMDR: being sure the therapist and/or other support people will be available in the days after the session; not driving or
going back to work afterward (if possible); being able to have plenty of alone time; and going slowly, doing EMDR in small
increments. "I didn't expect myself to go out in the world and be social afterward. I was pretty raw for a few days, sometimes for a
whole week," B. told me.
Planning also means taking preventive measures, such as teaching the client how to find "a safe place." Most clinicians know the
importance of this, but one of the women I interviewed was emphatic that creating a safe place was very different from being able to
go to it when she was in a session and reliving the experience of being a three-year-old overwhelmed by extreme grief or terror. She
said she needed a lot of practice accessing her safe place and some special interventions (see below) to get through the intense times.
Being able to self-soothe between sets of eye movements was very difficult for most clients. "I cry all the time we do it," S. told me.
"I have to sit near the door and not have my therapist sit too close," said M. Another woman said, "We do the eye movements for a
few seconds and we talk in between."One successful intervention, especially for clients overwhelmed by the intensity of their
feelings, involved the therapist asking his client to listen to the sound of his breathing and to breathe along with him. Another
clinician has his client when she gets extremely upset ask her "inner guide or "higher power" whether it's "okay to continue;" a third
asks, "Is there more underneath or is it time to wind down?" Letting the client control the pace and progress of his/her own
processing can be an important way to teach self-trust -- especially to people for whom loss of power was endemic to their abuse.
Some clients are able to repeat special phrases or afirmations over and over between sets to calm themselves. L., a ritual abuse
survivor, said she grounds herself by silently reciting a mindfulness verse from Zen master Thich Naht Hanh in time with her inbreath
and out-breath: "In, out. Deep, slow, Calm, ease. Smile, release. In, out. Deep, slow ......
Different kinds of self-soothing techniques work best after the eye-movement sets are completed.
Immediately afterwards, while still in session, one client said she falls asleep for a few minutes -- she finds this a big help in
countering the dissociated state in which she typically concludes an EMDR session. Another said she and her therapist share a cup
of tea and talk over what happened as a way to "come down" and normalize the experience.
Some clinicians close a session by doing eye movements to reinforce the client's safe place. One woman said her therapist has her
"cement the present in place" by doing eye movements on either a present-day image, an image of her inner child in the safe place, or
a positive statement.
Francine Shapiro has often said that what happens after the EMDR session can be as important as what happens during it. The
women I interviewed felt exactly the same way. They had learned the necessity of talung exquisitely good care of themselves in the
hours and days that follow. "I take time-and time out," declared B., who often has a delayed fear reaction following EMDR.
Most clients said they go home and either curl up in bed or in a favorite rocking chair with their stuffed animals. They cry, sleep,
write in their journals, draw pictures, listen to music, look at favorite photographs, and/or call a support person. M. uses self-talk to
ease her feelings: "I say to myself, 'You know that knot of fear. I know it's only fear. I know that nothing is going to hurt me right
now'." For others, going home immediately is not the best option: D. takes a walk along the shores of Long Island Sound; C., the
mother of three young children, finds solace in a favorite bookstore.
Sometimes all the planning in the world doesn't help: the abreaction seems to launch the client back to the age she was when she
was abused - and she simply can't remember how to calm herself. To counter this, several clients said they carry a list of things
they can do to quiet themselves. S. finds reading mystery stories comforting("At the end you always find out what really happened."), but has to keep two of them on her bedside table at all times: "If they're not in full view, I forget about using them."
One interesting example of "assigned" self-soothing was given by a ritual abuse survivor who was new to EMDR. After a session
when a lot of memories came up about how her sexuality was used and degraded during the abuse, her therapist gave her very
specific instructions on how to care for herself, including buying a romantic nightgown and soaking in bath salts for 45 minutes;
listening to romantic music; and not touching or kissing her partner for 48 hours. "It worked out great!" she told me happily. "I felt
SO pretty and so safe."
The conclusion I reached about how multiple-trauma survivors learn to self-soothe in the face of the intense feelings EMDR can
trigger is not revolutionary. The recipe is: Step 1. Plan for the worst. Step 2. Let the client select the self-soothing techniques that
specifically fit for her or him. Step 3. Make sure s/he is able to use these techniques no matter how intense his/her emotions are.
Sometimes this will call for the therapist to take an active role by either leading the client in specific calming techniques or by
assigning very clear-cut homework.
If the recipe calls for planning and practicing, then the pot in which the ingredients are cooked is labeled "TRUST"-trust before
initiating EMDR, trust during the eye movements, and trust after the sets are completed. Unless the client deeply trusts the
clinician, the method itself, and his or her own capacity to go into the feelings and me out safely, the recipe for success with
EMDR can turn into a recipe for disaster.
Accuracy Verified: Yes
26. Strenge, H. (2005). Sexuelle traumata und ihre behandlung mit EMDR [Sexual traumas and their treatment with EMDR]. In G. Nissen, H. Csef, W. Wolfgang, & F. Badura (Eds.), Sexualstörung: Ursachen - Diagnose- Therapie (pp. 147-155). Darmstadt: Steinkopff. doi:10.1007/3-7985-1600-6_12.
Language: German
Format: Book Section
Abstract:
Die EMDR-Therapie mit sexuell traumatisierten Patienten erfordert psychotraumatologische Behandlungserfahrung (Peichl 2000). Auf unbewusste Blockierungen während des Prozesses, Affektdysregulation, chronische Übererregung oder dissoziative Zustände ist zu achten und angemessen zu reagieren, beispielsweise mit geleiteten Imaginationen oder differenzierten Einwebtechniken (Shapiro 1995; Parnell 2003). Der Sicherheitsaspekt spielt eine große Rolle, vor allem bei Patienten aus inzestuösen Familien, die häufig nur im Alleinsein ausreichend Schutz und Sicherheit empfanden. Jede neue Beziehung, auch in der Therapie, muss daher im Vorfeld einen Glaubwürdigkeitstest bestehen und für den Patienten eine klare Unterscheidung zwischen Fürsorglichkeit und ausbeutender Sexualität ermöglichen. Dabei erscheint unentbehrlich, dass sich der Therapeut seiner Wertvorstellungen und Überzeugungen hinsichtlich der zahlreichen Aspekte von sexueller Gewalt bewusst wird. EMDR bei sexuell Traumatisierten stellt erhöhte Anforderungen an die Stabilisierungsbedürfnisse der Patienten und die therapeutische Flexibilität des Therapeuten. Die frühzeitige Erkennung und therapeutisch angemessene Bewertung von spontan auftauchenden dissoziativen Symptomen, Körpersensationen ohne visuelle Erinnerungen und starken Abreaktionen stellen besondere therapeutische Herausforderungen dar. Hierbei entscheidet sich, ob der Therapeut vom Patienten als empathisches, gegenwärtiges und angstfreies Objekt erlebt und geschätzt werden kann.
The EMDR therapy with sexually traumatized patients requires psychotraumatological treatment experience (Peichl 2000). blockages at the unconscious during the process, Affektdysregulation, chronic hyperarousal or dissociative states to respect and respond appropriately, for example with guided imagery or differentiated Einwebtechniken (Shapiro 1995, Parnell 2003). The security aspect plays an important role, especially in patients from incestuous families, often felt only in being alone sufficient protection and security. Each new relationship, even in therapy must, therefore run in a credibility test for the patient there and make a clear distinction between caring and exploitative sex. It seems essential that the therapist's values and beliefs regarding the many aspects of becoming aware of sexual violence. EMDR for sexually traumatized places increased demands on the stabilization needs of patients and the therapeutic flexibility of the therapist. The early diagnosis and therapeutic proper assessment of spontaneously arising dissociative symptoms, body sensations without visual memories and strong abreaction provide special therapeutic challenge this will determine whether the therapist can be experienced by the patient as empathic, present, and fear-free object and appreciated.
Keywords: Sexual Trauma
Accuracy Verified: Yes
27. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in
EMDR with dissociative clients and teach solutions. Procedural modifications have been the
focus in dealing with pathological dissociation in EMDR treatment. Separately, transference
and counter-transference with dissociative patients have been written about extensively by
experts in the dissociation field. Research findings about the effects of mirror neurons and
embedded simulation on the inter-subjective field of patient and therapist have also been
published. Strategies for dealing with these transference and counter-transference in EMDR
treatment have received little attention even though this population has intense transference,
and can activate intense counter-transference. These issues may begin during an evaluation
of the presenting problems. Strategies for identifying and using transference to enhance
dual awareness during history taking will be demonstrated. An elongated preparation phase
to develop enough trust and stabilization before exploring traumatic memories can limit
induced transference. Different parts of a dissociative patient may have different kinds of
transferences. These transferences may cause the patient to withdraw, cling or attack;
affecting the therapist’s abilities to stay attuned and focused on the work in different phases
of EMDR. Strategies of attunement to the activated part of the client will be demonstrated
in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and
different (transferential) parts may activate dissociative parts of the therapist. Strategies to
somatically identify and use these counter-transferential activations in the therapist will be
taught through body based awarenesses. R/D/I strategies can be used to limit countertransference
to remain grounded and attuned. Transference and counter-transference during
the assessment phase will be identified and solutions presented. During the Desensitization
phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions
will be discussed as unacknowledged dissociative moments with indications for inducing
transference, counter-transference, or both. Decisions need be made collaboratively whether
to process or contain these events. Understanding and dealing with dilemmas of dissociative
enactments are crucial to keeping the healing process going. These inter-subjective issues
may be most intense during the first four phases, but some problems may continue into
Installation and the Body Scan. Problems and solutions during Incomplete Closure and the
Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with
the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist
may become activated as well. Solutions to these issues that occur during different phases
will be taught so that participants will leave the workshop with additional strategies to use
with their dissociative patients. Attunement to dissociative parts, identifying transference
and counter-transference binds; The Clinician Self Awareness Questionnaire ;
Compartmentalization; use of self soothing skills; using Relational, Empathic, and
Transferential Interweaves; identifying moments of projective identification and enactments,
and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective
strategies . Case examples and awareness exercises will used throughout the workshop to
facilitate intellectual and experiential learning.
Keywords: Counter-transference Dissociative Disorders Transference
Accuracy Verified: Yes
28. Schwarz, R. (1997, January). The supportive use of EMDR in working with patients with dissociative identity disorder. EMDRIA Newsletter, 2(3), 21-23.
Language: English
Format: Newsletter
Abstract:
When working with a client with Dissociative Identity Disorder (DID), how does the therapist know when an EMDR protocol will lead a client through a trauma to relative safety vs. precipitate an overwhelming abreaction because of all of the trauma linked up in the associative chain?
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
29. Marquis, J. (1995). Tidbits. EMDR Network Newsletter, 5(2), 8-9.
Language: English
Format: Newsletter
Abstract:
It has been a part of Level I training
for several years to teach a signal for
clients to use if they want the therapist
to stop the eye movements. I have a signal to
continue the eye movements at the
same time. This is a usual "come on"
charade signal--palm up with fingers
moving toward the client. It gives
clients an even greater sense of control,
and proves useful when they
have not finished a scene they are
picturing, or if they feel the need of
continuing to process an abreaction.
Keywords: Eye Movements Signal
Accuracy Verified: Yes
30. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15.
Language: English
Format: Newsletter
Abstract:
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect,
dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR
may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative
abreaction.
Keywords: Dissociation
Accuracy Verified: Yes
31. Lazrove, S. (1993, October). The use of EMDR in abreaction. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Abstract:
The role and management of abreaction, defined here as the reexperiencing of trauma in a therapeutic setting, is of particluar importance to clinicians treating patients with multiple personality disorder(MPD). Initial enthusiasm for the abreactive work waned after investigators recognized that patients can be retraumatized by intense abreaction and can decompenate clincially (Kluft). Still, mastery over past events is an essential element of recovery, so there is usually a need to titrate abreaction which results in a prolonged course of treatment. It will be suggested tha the use of EMDR can make abreactive work less painful and therefore has the potential to shorten treastment. This case supports the supposition that detoxifying and resolving traumatic memories is valuable in patients with MPD. Accordingly, it is suggested that the use of EMDR to manage abreaction in patients with MPD accelerates the treatment process, to the benefit of patient and clinician alike.
Keywords: Abreations
Accuracy Verified: Yes
32. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.
Keywords: Dissociative Disorders Plenary
Accuracy Verified: Yes