Francine Shapiro Library - EMDR Bibliography Links
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1. Whisman, M., Bruzzesi, D., Ogren, D., Korn, D., Moore, P., Murphy, J., Hoffman, S., & Rouanzoin, C. (2001, June). "Once upon a trauma in Austin". Skit presented at the annual meeting of the EMDR International Association, Austin, Texas.
Language: English
Format: Other
Abstract:
Cerebella, a gifted facilitators, is teaching a level I training in Austin when fire alarms in the hotel lobby suddenly create fear and panic in our heroine.
Unable to overcome her trauma on her own, she seeks the help of a renknown EMDR therapist, Dr. Bilatera, a senior associate in the Clinical and Research Mental Health Institute of Dewey, Treat Em and Howe.
Narrator - Marcia Whisman,
Amy Glia - Donna Bruzzesi,
Hipo Campia - David Ogren,
Video Cortexa - Debbie Korn,
Anterior Cingulata - Peggy Moore,
Broca Aria - Jerry Murphy,
Prefrona Lobia - Sue Hoffman,
Dr. Bilatera - Curt Rouanzoin, and
Imprimatur - His excellency, the most cerebral Mens Sana
Keywords: Skit
Accuracy Verified: Yes
2. Flint, T. A. (2008, November). ועבודת נרטיב בטיפול בטראומה. [Treating trauma with narrative work]. לגוף עיניים - Models for EMDR treatment with Enhanced Focus on the Body, Tel Aviv, Israel.
Language: Hebrew
Format: Conference
Abstract: Tuly Amit Flint will present an integration of EMDR, SE, and Narrative work in the healing of trauma.
Keywords: Narrative Therapy Somatic Experiencing
Accuracy Verified: Yes
3. 方新 [Fang Xin] (2005年{November]月). 精神创伤和EMDR [Psychotrauma and EMDR]. 論文發表在第四屆泛亞太地區心理衛生學術研討會論文 [Presentation at the 4th Asia Pacific Rim Regional Seminar on Mental Health].
Language: Chinese
Format: Conference
Abstract:
有关EMDR的简介EMDR培训项目演讲者将结合自己的许多病例来介绍这些理论，她还将示范如何使来访者趋于稳定的技术。有关EMDR的简介4EMDR培训项目演讲者将结合自己的许多病例来介绍这些理论，她还将示范如何使来访者趋于稳定的技术
For an introduction to EMDR. EMDR training program will combine their speakers to introduce many cases these theories, she will demonstrate how to make visitors stabilizing technology. For an introduction to 4EMDR EMDR training program will combine their speakers to introduce many cases these theories, she will demonstrate how to make visitors stabilizing technology.
Keywords: Trauma
Accuracy Verified: Yes
4. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
5. Paulsen, S. (2012, October). 31 secrets of the embodied self: Hearing baby’s story in EMDR for trauma in implicit memory. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR targeting relies on explicit memory images and verbalization of cognitions, but attachment trauma is held in the right hemisphere’s implicit memory. Any therapy purporting to treat attachment trauma must meet four criteria (Fosha) (Objective 1). This workshop draws from ego state therapy, somatic therapy, and the Early Trauma protocol of EMDR (Paulsen, in press, O’Shea & Paulsen, 2007) to provide a range of techniques to meet the Fosha criteria (Objective 2). Efficient resolution of attachment injuries can occur through temporal integration, targeting time periods instead of explicit memory (O’Shea & Paulsen, 2007, Paulsen, 2009 and in press) (Objective 3).Transforming early trauma requires listening to reenactment material, the baby state’s only “voice” to tell the non-verbal story.
Keywords: Embodied Self Implicit Memory
Accuracy Verified: Yes
6. Opperman-Schmid, F. (2010, June). 5 years of EMDR in a general practioners practise. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study describes the use of eye movement desensitization
and reprocessing in clients suffering from posttraumatic
stress symptoms after recent traumatic experience.
Between November 2003 and July 2009, 45 clients of a general
medicine practise with stress reactions and inability to work after
a recent traumatic event were treated with EMDR.
The number of active EMDR sessions varied from 1 to 5 sessions.
After this short time of active treatment, everyone of these clients
was free of symptoms and able to take up work again. After
a three months period, those clients were reinvestigated. Up to
this time, none of them had suffered from symptoms of distress
or accumulation of trauma memories or inability to go to work.
The study shows an interesting aspect in EMDR treatment:
general practitioners are the first to be consulted by clients with
recent trauma.
EMDR is shown to be very effective in treatment of stress symptoms
after recent trauma.
Consequently, an early intervention with EMDR reduces stress
symptoms and the period of inability. This is to promote interest
and awareness specially among general practitioners with
psychotherapy training.
Keywords: Acute Stress Symposium
Accuracy Verified: Yes
7. Lynn, B. (2000, September). Accessing pre-traumatic prenatal experience using EMDR: Uncovering a powerful resource of equanimity, integration, and self-esteem in the pre-traumatized self. EMDRIA Newsletter, 5(3), 6-7.
Language: English
Format: Newsletter
Abstract:
This article is a preliminary report on the
remarkable results some of my clients
and I have been achieving using EMDR
to target prenatal trauma, with a focus on the
discovery of an experience of the self prior to
any trauma occurring and the enormous
healing power that derives from revisiting and
reactivating this extraordinarily positive pretraumatic
experience. It is with some hesitation
that I am reporting my experience with prenatal
trauma processing, as I do not wish to be seen
as on the fringe or even over the edge by my
colleagues. However, I realize that I was able
to overcome my prejudices -through
examination of the facts- about the nature of
prenatal experience, when memory begins, and
how it can be accessed. I have found there is a
body of scientific investigation and knowledge
on prenatal experience and trauma, and that
indeed we do experience and are influenced
by our environment in the womb. We can learn
from such experience, and therefore, can be
traumatized prior to birth. The prenatal self
can feel and record this experience. I refer the
reader to www.birthpsychology.com/resources/
index.html for a list of publications on this
matter. The various kinds of pre- and perinatal
trauma and the deep healing that results when
processed with EMDR will be the object of
other articles by myself and Dr. Heather
Pearson, who is also investigating this same
field. What I intend to focus on here is the
discovery of a pre-traumatic experience at the
embryonic stage, which I have found to be a
remarkably powerful internal resource for
healing, already developed and installed,
simply requiring reactivation. When I saw the
powerful healing results of reactivation of this
pre-traumatic experience in a number of
relatively “stuck” clients, I felt ethically bound
to report this immediately to other clinicians
using EMDR so that others may benefit.
Keywords: Prenatal
Accuracy Verified: Yes
8. Shapiro, F. (2000, September). Accommodation, assimilation and growth: Integrating the future, now. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the primary principles of personality developments from an information processing perspective; 2) be able to examine the integration and interface of affect and cognition; and 3) be able to examine parallels of personal and global development.
Keywords: Affect Cognition Information Processing
Accuracy Verified: Yes
9. Follette, W. C., & Beitz, K. (2003, July). Adding a more rigorous scientific agenda to the empirically supported treatment movement. Behavior Modification, 27(3), 369-386. doi:10.1177/0145445503027003006.
Language: English
Format: Journal
Abstract:
As the empirically supported treatment (EST) effort has expanded, there are efforts to make the
study of ESTs a more integral part of training programs. In its present form, the EST list provides
a poor model of how to evaluate treatment and scientific issues related to our field. This article
offers several suggestions regarding how to establish a more relevant scientific agenda for the
committee’swork if the study of ESTs is to usefully influence training programs. Recommendations
are made to encourage programs and the CSP to study mechanisms of change, important
contextual variables for therapy delivery, the distinction between statistical significance and
clinical meaningfulness, dissemination, cost-effectiveness, and iatrogenic effects. It is argued
that any program that created a curriculum educating students to thoughtfully address these
issues when evaluating therapies would be producing sound clinical scientists regardless of the
quality of the EST list itself.
Keywords: Critique Training Committee on Science and Practice CSP Empirically Supported Treatments EST
Accuracy Verified: Yes
10. Grand, D. (1998, July). Advance clinical seminar: Innovation and integration in EMDR based diagnosis, technique, teaching, performance enhancement and creativity. Presentation at the annual meetng of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to understand and utilize EMDR based diagnosis; 2) be able to utilize both forming of "questioning interweaves" and reflection of clients questions for processing; 3) gain an in depth understanding of the rationale and use of auditory and tactile modes of EMDR stimulation; 4) have working knowldge of advanced conceptualizations of parallel protocols, processing interaction between internalized selves and longer term EMDR; 5) have an expanded knowledge of issues in teaching EMDR, such as individual and group supervision and presenting seminars; 6) gain an understanding of a developmental model of performance and techniques for application of EMDR to performance enhancement and sports psychology; and 7) develop comprehensive understanding of issues of creativity and EMDR. This will include both the client's and therapist's creativity in the EMDR process, as well as se of EMDR for creativity enhancement.
Keywords: Creativity Performance Enhancement
Accuracy Verified: Yes
11. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.
Keywords: Children
Accuracy Verified: Yes
12. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.
Language: English
Format: Dissertation/Thesis
Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.
Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress
Accuracy Verified: Yes
13. Browning, C., & Omaha, J. (2001, June). Affect management skills training (AMST): Basic and advanced techniques. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
AMST blends EMDR, imagery, and ego state therapy to assist clients in developing affect tolerance and can be used with extremely vulnerable clients to prepare them for safe EMDR processing. Practicum and video demonstration will be used.
Keywords: Affect Management Skills Training Affect Tolerance AMST Ego State Therapy
Accuracy Verified: Yes
14. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
15. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology: Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27.
Language: German
Format: Journal
Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]
Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Review Stressors Survivors
Accuracy Verified: Yes
16. Borkin, S. (2000, September). All the write stuff: The integration of writing to enhance and expand the use of EMDR. Presentation at the annual meeting of the EMDR International Conference, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participatns will learn to: 1) assist clients in focusing and clarifying targets and cognitions to differentiate between competency blocks vs. creative process blocks; 2) introduce and integrate literary interweaves;" 3) instruct clients in the use of recording practices to enhance EMDR session follow-up; and 4) employ the use of writing for self-use of EMDR.
Keywords: Creative Process Block Literary Intereaves Process Block Re-Evaluation Writing
Accuracy Verified: Yes
17. Tibaldi, M. (1996, June). Analytical psychology and EMDR: “active imagination” and “eye movements” in Jungian practice. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
In this paper I shall be talking about the integration of eye movements in Jungian analysis.
I am going to open my paper with a short historical premise, in order to frame Carl Gustav Jung's analytical
psychology within the broader context of depth psychologies; then I shall be describing the most important concepts of
Jungian model and the methodology of active imagination, explaining, to the end, through a short clinical example, the
reasons why I have been induced to integrate 'eye movements' and 'active imagination' in the analytical setting, to process,
in particular, 'opaque' somatic symptoms.
The aim of this paper is to point out, on the one hand, the surprising affinity among some aspects of the Jungian
model, EMDR and the results of contemporary neuro-scientific trauma researchs and to show, on the other hand, the
synergic effect of eye movements and active imagination in enlightening and unconscious sufferings.
Keywords: Analytical Psychology Jung
Accuracy Verified: Yes
18. Zangwill, W. M. (1993, March). And still more. the Behavior Therapist, 16(3), 89.
Language: English
Format: Newsletter
Abstract:
This article continues "More thoughts on EMDR training" by J. Kleinman
Accuracy Verified: Yes
19. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.
Keywords: Impulse Control Mindfulness Poster Self Harm
Accuracy Verified: Yes
20. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .
Language: English
Format: Dissertation/Thesis
Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
Keywords: Narrative Therapy South Africa Transtheoretical Model
Accuracy Verified: Yes
21. 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
22. De Sensi Fontera, A. (2008, Novembre). Applicazione dell’EMDR i soggetto di 9 anni affetto da ADHD [Applying EMDR the subject of 9 years with ADHD]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’EMDR è stato applicato in un caso di una ragazza d’anni nove, Iris, affetta da ADHD (DSM – IV F90. 0). L’EMDR è stato integrato in un percorso di psicoterapia classica e con interventi sull’interazione dei sistemi Famiglia, Sanità, Scuola. L’EMDR è stato rivolto anche alle figure parentali per elaborare alcuni degli eventi traumatici che avevano contribuito allo sviluppo del disturbo nella bambina e, in particolare, per la madre sulla diagnosi. Il ruolo dell’EMDR è stato significativo nella risoluzione dei sintomi e ha contribuito all’efficacia dell’intervento complessivo.
E’ stato particolarmente efficace per la risoluzione della “coazione a ripetere” e per l’integrazione intrapsichica della personalità d’Iris.
EMDR has been applied in a case of a girl of nine years, Iris, who suffers from ADHD (DSM -- IV F90. 0). EMDR has been integrated into a course of psychotherapy and classical interventions interaction of the family system, Health, School. EMDR has been addressed also to the figures parental to process some of the traumatic events that had contributed to the development of disorder in children and, in particular, for the mother on the diagnosis. The role of EMDR was significant in the resolution of symptoms and has contributed to the effectiveness of the intervention overall. It 'been particularly effective for the resolution of the "repetition compulsion" and Integration Intrapsychic personality of Iris.
Keywords: ADHD Attention Deficit Hyperactivity Disorder Children
Accuracy Verified: Yes
23. Piffaut, A. M. (2007, Juin). Apport de l'EMDR dans le traitement de l'hyperacousie, des vertiges et des acouphenes, ORL psychosomatique [EMDR in the treatment of hypercousy, vertigo, and acouphens. Psychosomatic ORL]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Je voudrais partager avec vous mon bonheur de pratiquer l'EMDR et de la communication des résultats dans ma spécialité (ORL Ear Nose Throat) associée à une compétence dans phoniatrique. Je n'ai jamais réussi à guérir des patients présentant une hyperacousie douloureuse à l'aide de l'analyse transactionnelle et de la thérapie comportementale et cognitive. Ces personnes ont tendance à s'isoler, cesser de travailler, devenir ou sont socialement phobique. J'ai reçu des patients dans l'incapacité de travail. Ils sont obligés de porter un casque pour se protéger des bruits extérieurs. Leur situation est aggravée par l'acouphène, car si elles s'isoler pour se protéger contre le bruit qu'ils perçoivent encore plus leurs acouphènes.
Depuis que j'utilise l'EMDR, ces personnes ne guérir. L'autre jour, une personne qui avait souffert de l'hyperacousie pendant douze ans et même dû arrêter de travailler à cause d'elle, m'a fait écrire un document dans lequel je l'ai noté sous sa dictée qu'elle se trouva guérie. Ce certificat a été destiné à son médecin de l'entreprise afin d'éviter l'incapacité, un processus qui était en cours. Depuis, elle a pu circuler dans un train dans la zone entre deux voitures (pas loin de 100 dB) et n'a pas souffert. Un enfant, même crié à côté d'elle et elle n'a pas non plus se sentir quelque chose de désagréable. Elle est étonnée et je le suis aussi
L'objectif était de supporter le bruit intense d'une formation en passant sur un pont alors qu'elle était sous le pont. Il a été la pire situation pour elle parce que la plus intense en termes de décibels. Elle étudie plusieurs canaux dans sa mémoire jusqu'à ce qu'elle se souvenait d'un avortement horrible. Les bruits, les mots de l'équipe médicale, tous les souvenirs audience ont été poignées. C'est seulement avec l'EMDR que j'ai réussi à traiter les hyperacousie jusqu'à disparition. J'ai reçu cette personne 7 fois ¾ d'heure. Avant l'EMDR, j'ai parfois reçu jusqu'à deux ans, ces patients à la vitesse d'une session tous les deux pue et il a eu, au mieux, une amélioration de leur confort. Le bonheur de ce dernier patient était telle que j'ai eu à le partager. Depuis, elle va sur les forums de discussion pour encourager les personnes qui souffrent de ce trouble.
I would like to share with you my happiness to practice EMDR and to notice it results in my specialty ENT (Ear Nose Throat) associated to a competence in Phoniatric. I never managed to cure patients presenting a painful hyperacusis by using the transactional analysis and the behavioral and cognitive therapy. These persons tend to isolate themselves, stop working, become or are socially phobic. I received some patients in incapacity to work. They are obliged to wear a helmet to protect themselves from outside noises. Their situation is aggravated by tinnitus because if they isolate themselves to protect themselves from the noise they perceive even more their tinnitus.
Since I use EMDR, these persons do cure. The other day, one person that had been suffering of hyperacusis for twelve years and even had to stop working because of it, made me write a document where I noted under her dictation that she found herself cured. This certificate was intended for her company doctor to avoid the incapacity, a process that was in progress. Since then, she was able to circulate in a train in the zone between two cars (not far from 100 DB) and did not suffer. A child even screamed next to her and she also didn’t feel anything unpleasant. She is astonished and so am I.
The target was to bear the intense noise of a training passing on a bridge while she was under the bridge. It was the worst situation for her because the most intense in terms of decibels. She investigates several canals in her memory until she remembered a horrible abortion. The noises, the words of the medical team, all the hearing recollections were handles. It is only with EMDR that I managed to treat the hyperacusis until it disappearance. I received this person 7 times ¾ of an hour. Before the EMDR, I sometimes received up to two years these patients at the rate of a session every two reeks and it led to at best an improvement of their comfort. The happiness of this last patient was such that I had to share it. Ever since, she goes on forums of discussion to encourage the persons who suffer from this disorder.
Keywords: Hyperacusis Vertigo
Accuracy Verified: Yes
24. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised
as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder
(PTSD) and other anxiety disorders, yet we still do not fully understand by which process or
mechanisms it might work. We consider a number of models implicating orienting or
investigatory reflexes as a significant contributor to the success of EMDR as a treatment
method. A series of experiments were designed to test the predictions derived from these
models, examining the physiological effects of eye-movements following auditory challenge
compared to an eyes-stationary condition. A significant physiological de-arousal effect is
observed in conditions requiring eye-movements similar to those used in the EMDR protocol.
We go on to consider the implications for this de-arousal effect in the treatment of PTSD and
present preliminary data from a case series designed to examine the unique contribution of
EMDR when used with treatment resistant clients. A range of psychometric and
psychophysiological process and outcome measures were utilised in this study, providing a
detailed evaluation of change over the course of the treatment design. Specialised software
was developed for use in this study, in addition to a computerised test and software is
provided, along with data obtained from this test.
Keywords: De-Arousal
Accuracy Verified: Yes
25. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.
Language: English
Format: Other
Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages.
Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light.
This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level.
The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks.
The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.
Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors
Accuracy Verified: Yes
26. 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
27. 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
28. Nickerson, M. (2012, October). Attachment at the societal level: Reprocessing internalized stigma and oppression. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Attachment challenges also occur at the societal level as individuals seek to integrate in a meaningful way into social groups and the larger society. An added dimension of clinical work awakens with a cultural context lens that understands social identity and addresses the traumatic impact of social marginalization and oppression. The AIP model successfully predicts that internalized stigma and oppression can be dismantled by building inner resources, reprocessing memories associated with experiencing discrimination and integrating new knowledge about social dynamics. Practical EMDR based strategies will be portrayed with clinical examples, videotaped sessions and the validating feedback from over 60 EMDR therapists who explored these issues in training practicums.
Keywords: Attachment Internalized Stigma Oppression
Accuracy Verified: Yes
29. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. 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:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998).
The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice
Learning Objectives:
Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps.
Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp.
Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.
Keywords: Attachment Repair Early Trauma Temporal Integration
Accuracy Verified: Yes
30. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the
ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative
emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as
healers.
Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol
Accuracy Verified: Yes
31. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).
Keywords: Attachment Repair Model
Accuracy Verified: Yes
32. Cocco, N., & Sharpe, L. (1993, December). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377. doi:10.1016/0005-7916(93)90062-2.
Language: English
Format: Journal
Abstract:
The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]
Keywords: Case Report Males Preschool Age Children Posttraumatic Stress Disorder PTSD Robbery Survivors Terrorism
Accuracy Verified: Yes
33. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
34. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
35. Gierasch, M., Greenwald, R., Shapiro, R., & Schubbe, O. (2005, September). Becoming an EMDRIA-approved trainer. Presentation at the annual meeting of EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Four EMDRlA Approved Providers of basic EMDR training, Molly Gierasch,
Ricky Greenwald, Robin Shapiro and Oliver Schubbe, will speak about their
unique experience of becoming trainers and their particular approach, including
training settings and trainee populations, in teaching EMDR. The panel will
address the present EMDRlA process and criteria for potential Approved
Providers of basic EMDR training and the networking, sharing of resources,
and support that has evolved over the last few years for all EMDRlA Approved
Providers of basic EMDR training.
Keywords: Approved Providers Trainer Training
Accuracy Verified: Yes
36. Kaplan, S., Wolper, B., Knipe, J., Gierasch, M., & Preston, J. (2006, September). Becoming an EMDRIA approved trainer. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The members of this panel will speak about their
unique experiences in becoming Trainers of basic
EMDR and their approaches to teaching basic
EMDR to particular populations in particular
settings: EMDR-HAP training, independent
training, Medical University and University
Graduate School settings, and the challenges and
rewards of training. The panel will address the
process and requirements for becoming an
EMDRIA Approved Trainer and will describe the
networking, sharing of resources, and support that
are available for new, as well as for all, EMDRIA
Approved Trainers.
Keywords: Approved Trainer
Accuracy Verified: Yes
37. EMDRIA Standards and Training Committee. (2002, June). Becoming an independent EMDRIA approved instructor. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for Approved Instructors in EMDR or those who plan to pursue this designation. Becoming an Approved Instructor in EMDR requires an even greater commitment to mastery of EMDR's processes, procedures, theories, and research. It also entails the skills necessary to impart this information, to untrained clinicians, in such a way, that allows them to responsibly practice. This workshop will cover the steps necessary to become an EMDRIA Approved Instructor. It will offer ideas for getting started, for meeting the new EMDRIA criteria, for developing instructional tools and for managing the course structure to maximizing success. A question and answer session will be available to help with specific questions.
Keywords: Approved Instructor Training
Accuracy Verified: Yes
38. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.
Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.
Keywords: Complex Trauma
Accuracy Verified: Yes
39. Gersons, B. (November, 2007). Behandelvormen en-resultaten - Behandeling van PTSS: Op weg naar integratie - [Treatment results - Treatment of PTSS - Towards the integration of]. Presentation at the Dutch Association for Psychotrauma Congress, Zwolle, The Netherlands.
Language: English
Format: Conference
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
40. Hurley, E. C. (2012, February 28). Being a veteran can be hazardous to your health. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1299884.html on 2/28/2012.
Language: English
Format: Other
Abstract:
What are effective treatments for chronic pain? Due to the multi-dimensional aspects of pain, a number of treatment approaches have been used. They take into account the cognitive, affective, behavioral, social, and physical aspects of pain. Cognitive-behavioral therapy (CBT), hypnosis, acupuncture, and biofeedback training have all been used. While EMDR therapy was originally utilized in the treatment of PTSD the neurobiological similarities with PTSD patients and chronic pain disorders has led therapists to use EMDR in the treatment of a broad range of disorders including chronic pain, anger, anxiety, and depression (Silver, Rogers, & Russell, 2008). Studies have found EMDR effective in the treatment of chronic pain (Mazzola, Calcagno, Goicochea, Pueyrredon, Leston, & Salvat, 2009; Shapiro, 2012) [Excerpt]
Keywords: Blog Military Posttraumatic Stress Disorder PTSD Stress Veterans War
Accuracy Verified: Yes
41. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.
Language: English
Format: Journal
Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.
Keywords: Nightmares Posttruamatic Stress Disorder PSTD
Accuracy Verified: Yes
42. Greenwald, R. (1997). A better approach to training: Why you should teach EMDR in your home town?. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/ on 12/27/2008.
Language: English
Format: Other
Abstract:
The controversy about EMDR training previously focused on whether it was necessary. In this paper I argue that the current model of training is not sufficient. I propose a higher standard of training, taking advantage of locally-based trainers who can offer more personal attention and supervised practice over an extended period.[Author abstract]
Keywords: Training
Accuracy Verified: Yes
43. Maxwell, E. (1994). Beyond deficiency motivation: EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.
Language: English
Format: Newsletter
Abstract:
When I initially heard of EMDR, I was
totally uninterested. I was happy with
my repertoire of skills and simply could
not be bothered. However, the reports
of colleagues who had the training
were so exceptional I thought it was
time to have a look. I still was not
prepared to waste my precious hours
on a training, and my way around this
was to experience EMDR myself. I
had genuine difficulties isolating a
problem since I was at a particularly
fulfilling stage of my life; however, I
finally settled on a minor irritation
that I was having with one of my
clients. That session, plus two others,
moved me very rapidly to a decision to
move into private practice, to implementing
that decision, and to currently
experiencing a life of ease, gentle pacing,
and tranquility that I had no previous vision
of being possible. In fact,
there has been a total life style
transformation. I now work only three
days a week, have time to follow the
joyous explorations of my toddler for
hours, am writing a novel, and am experiencing considerable relaxation
of the Puritan work ethic. The starting
point had been a life style I had
previously perceived as fulfilling and
perfectly for me.
Accuracy Verified: Yes
44. Armstrong, R. (2012, October). Beyond the basics: Developing your EMDR practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Drawing on my professional practice and research, with children, young people and adults, this presentation aims to provide information about a range of approaches to the implementation of EMDR therapy, combining theory and practice. There will be time for discussion among participants to share their own discoveries of EMDR refinements that work with different client groups.
Keywords: Implementation Practice Research Training
Accuracy Verified: Yes
45. Nieuwenhuis, S., Elzinga, B. M., Ras, P., Berends, F., Duijs, P., Samara, Z., & Slagter, H. (2013, February). Bilateral saccadic eye movements and tactile stimulation, but not auditory stimulation, enhance memory retrieval. Brain & Cognition, 81(1), 52-56. doi:10.1016/j.bandc.2012.10.003.
Language: English
Format: Journal
Abstract:
Recent research has shown superior memory retrieval when participants make a series of horizontal saccadic eye movements between the memory encoding phase and the retrieval phase compared to participants who do not move their eyes or move their eyes vertically. It has been hypothesized that the rapidly alternating activation of the two hemispheres that is associated with the series of left–right eye movements is critical in causing the enhanced retrieval. This hypothesis predicts a beneficial effect on retrieval of alternating left–right stimulation not only of the visuomotor system, but also of the somatosensory system, both of which have a strict contralateral organization. In contrast, this hypothesis does not predict an effect, or a weaker effect, on retrieval of alternating left–right stimulation of the auditory system, which has a much less lateralized organization. Consistent with these predictions, we replicated the horizontal saccade-induced retrieval enhancement (Experiment 1) and showed that a similar retrieval enhancement occurs after alternating left–right tactile stimulation (Experiment 2). Furthermore, retrieval was not enhanced after alternating left–right auditory stimulation compared to simultaneous bilateral auditory stimulation (Experiment 3). We discuss the possibility that alternating bilateral activation of the left and right hemispheres exerts its effects on memory by increasing the functional connectivity between the two hemispheres. We also discuss the findings in the context of clinical practice, in which bilateral eye movements (EMDR) and auditory stimulation are used in the treatment of post-traumatic stress disorder. [Copyright &y& Elsevier].
Keywords: Bilateral Stimulation Memory Retrieval Saccadic Eye Movements Saccades Tactile Stimulation
Accuracy Verified: Yes
46. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.
Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation
Accuracy Verified: Yes
47. Gannon, J. P. (2011, April). A brain-based peak performance model using meditation, EMDR and cardio imagery and rehearsal. Peak Performance Systems, San Francisco.
Language: English
Format: Other
Abstract:
This pilot study investigated the effectiveness of a new model of peak performance training based on applications of brain research to stimulate mental skill acquisition leading to enhanced performance capabilities. Brain-based techniques such as Mindfulness Meditation (MM), Eye Movement Desensitization and Reprocessing (EMDR) and Cardio Imagery and Rehearsal (CIR) appear to stimulate various neurological processes including alpha and theta brain waves, higher interhemispheric coherence and reduced sympathetic nervous system arousal. Clinical application of these techniques in a preliminary pilot study with a variety of performers was shown in follow-up self-assessments to have enhanced performance outcomes on seven measures including reduced performance anxiety and self-consciousness, enhanced concentration and focus, improved memorization of performance routines and enhanced overall performance goals. The idea that specific performance routines can be installed using these brain-based techniques that enhance peak performance functioning on demand was supported by these findings.. However, the results of this pilot study are preliminary and further studies using a larger subject sample, empirically validated test measurements and independent control groups are necessary before these findings can be corroborated.
Keywords: Brain-Based Peak Performance Brainscripting Cardio Imagery and Rehearsal Flow Interhemispheric Coherence Mindfulness Meditation Neurofeedback Neuroplasticity Performance Anxiety Pilot Study
Accuracy Verified: Yes
48. 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
49. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted 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: Cambodia Thailand Tsunami Typhoon
Accuracy Verified: Yes
50. Talen, J. (1998, April 21). Can trauma be relieved by the wave of a hand? The controversy over eye movement therapy. Washington, DC: The Washington Post, Health, Z12.
Language: English
Format: Newspaper
Abstract:
"When I started teaching EMDR in 1990, I dubbed it experimental because I didn't want therapists using it without training and then hurting their patients," Shapiro said in a telephone interview. "But there's been eight years of research that shows that it effectively treats post-traumatic stress disorder better than anything out there."
Keywords: General Overview Washington, DC
Accuracy Verified: Yes
51. Lipke, H., & Botkin, A. (1992, Winter). Case studies of eye movement desensitization and reprocessing with chronic post-traumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training, 29(4), 591-595. doi:10.1037/0033-3204.29.4.591.
Language: English
Format: Journal
Abstract:
Five hospitalized Vietnam combat veterans with chronic PTSD were treated with Eye Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic procedure. Changes in previously refractory symptoms of intrusiveness and arousal were noted for some subjects. The variability of effects was examined in terms of subject variables and therapist training with the procedure. REM sleep findings and studies of cognitive concomitant of waking eye movement were considered in efforts to understand EMDR effects. The overall results suggest that: (1) EMDR can be a powerful clinical tool in the treatment of PTSD, and (2) further research is strongly recommended. [Author Abstract]
Keywords: Adults African Americans Empirical Study European Americans Males Middle Aged Psychiatric Inpatients PTSD Veterans Vietnam War
Accuracy Verified: Yes
52. Cartwright, L. (2000, September-October). Case Studies: Expanding our tool kit: A new technique that compliments TFT and EMDR. Family Therapy Networker, 24(5), 71-82.
Language: English
Format: Magazine
Abstract:
In recent years, increasing numbers of therapists have discovered the effectiveness of neurologically based therapy techniques, such as Eye Movement Desensitization and Reprocessing (EMDR) and Thought Field Therapy (TFT), not only for trauma, but for a wide range of problems, including anxiety, anger, grief and phobias. Like most therapeutic approaches, however, they provide remarkable results for one client and little or no results for another, no matter how skilled the therapist. Even more mysterious, they can significantly help a client with one problem, but not with a different problem. For instance, Sarah, age 40, had been suffering from depression for five years. The depression was triggered by the death of her father, loss of a good-paying job due to downsizing and her fiance's breaking off their engagement--all within a one-year period. After six months of increasing anxiety and worsening depression (accompanied by low energy, disinterest in life and withdrawal from social situations), Sarah entered therapy. Biweekly sessions for the next three years, which frequently included EMDR, significantly reduced her anxiety, but did not alleviate the depression. Nor did antidepressants. Years before, I had had a similar experience. EMDR had sharply reduced my obsessive-compulsive symptoms, but didn't help my depression. TFT eliminated recurring anger, but also didn't help my depression.
In the course of five years of research into neurologically based approaches, I happened upon a working hypothesis that explains such inconsistent results. The side-to-side eye movements of EMDR that activate the left and right hemispheres of the brain seem to help people resolve problems based on a lack of communication between the left and right hemispheres of the brain. The tapping, or front/back stimulation of acupuncture points, in TFT is effective when there is a lack of communication between the front and back of the nervous system (controlled by the energy center, well known to acupuncturists and martial artists, that lies below the navel). And since we are three-dimensional creatures, I hypothesized that some problems stem from a lack of communication between the top and bottom of the nervous system as well, which I correlate with the brain and the enteric nervous system of the digestive tract (the source of gut feelings). Working from this hypothesis, I have also developed processes to reintegrate the top/bottom dimension.
I have found that although certain emotions tend to be based within a given neurological dimension (indecisiveness is often in left/right, anxiety in front/back and depression in top/bottom, for example), a client may experience any emotion as a block within any dimension or combination of dimensions. As a result, depending upon both the client and the specific problem being addressed, a therapist might need to use techniques that facilitate integration of the left/right, front/back and/or top/bottom dimensions of the nervous system. When a client is blocked within two or three dimensions of the nervous system, working within just one dimension will sometimes activate healing across the entire nervous system. If this does not happen, it is then necessary to work in the remaining dimensions.
From these hypotheses I developed a system called Shifting Consciousness through Dimensions (SCtD), which provides therapists ways to assess the dimension(s) the client is blocked in, processes to identify, if necessary, which dimension to start with and specific integrating techniques for each dimension.
Keywords: TFT Thought Field Therapy
Accuracy Verified: Yes
53. Smith, T. (1993, Spring). A case study. EMDR Network Newsletter, 3(1), 19-20.
Language: English
Format: Newsletter
Abstract:
Following my Level I training, I had a long laundry list of issues that I wanted to tackle with EMDR. Bear in mind that I have received approximately three years of one- to tow-times-per-week talk therapy from three different clinicians ranging in orientation, as well as a complete psychoanalysis four times per week for 4.5 years.
Keywords: Case Study
Accuracy Verified: Yes
54. Cohen, A. (1997, October). Case study: EMDR in hospital intervention. EMDRIA Newsletter, 2(5), 7, 13-16.
Language: English
Format: Newsletter
Abstract:
The therapeutic effectiveness of EMDR has bee well document since 1989, but the technique is far from reaching optimal utilization in the clinical and psychological world. The following is a case in which the improvement of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in the theoretical training sessions were brought home most strongly and many more priceless pieces of advice for those who wish to be of assistance to someone involved in a traumatic incident were made clearly apparent.
Keywords: Hospital Intervention
Accuracy Verified: Yes
55. Miller, P., McGowan, I., McLaughlin, D., & Paterson, M. (2010, April). Cessation of symptoms associated with dissociative schizophrenia following EMDR. Presentation at 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract: Background: Despite over a 100 years experience with schizophrenia it is still only a minority of individuals who make a full recovery. Schizophrenia is a severe enduring mental illness (SMI) and the weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide.
Aim: The aim of the presentation is to highlight the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia. Using a case study approach we will demonstrate the effectiveness of EMDR in relieving the symptoms of dissociative schizophrenia.
Case Study: In Patient ‘M’ using an EMDR paradigm integration was achieved using only outpatient therapy – 12 sessions, over the course of one year. Medication was used initially but made no impact on the psychotic phenomena; even when used within normally efficacious levels and duration. Naltrexone was used to help manage dissociation (Frewen & Lanius, 2006) and to facilitate Patient ‘M’ in engaging in EMDR. Patient ‘M’ is now nearly three years symptom free and medication free.
Conclusion: EMDR is effective in symptoms associated with dissociative symptoms.
Learning Outcomes By the end of the session participants will be able to; Gain an greater understanding of the clinical presentation of dissociative schizophrenia Discuss the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia
Keywords: Dissociative Schizophrenia
Accuracy Verified: Yes
56. Royle, L. (2012, October). The challenges of integrating EMDR basic training into the context of your own practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The workshop will look at common challenges faced by therapists when beginning the task of integrating EMDR basic training into their existing practice and skills. It will discuss how therapists often react to this challenge (including ‘giving up’ and ‘protocol drift’) and offer suggestions on how to overcome this. The specific difficulties encountered by those with different theoretical backgrounds will be highlighted. This workshop is aimed at novice EMDR therapists who may be feeling apprehensive about applying their new skills.
Accuracy Verified: Yes
57. Shapiro, F. (2001, September). The challenges of treatment: Evolution and integration. EMDRIA Newsletter, 6(3), 14-15.
Language: English
Format: Newsletter
Abstract:
No abstract available.
Keywords: Commentary History Hypnotherapy
Accuracy Verified: Yes
58. Shapiro, F. (2001, January/April). The challenges of treatment: Evolution and integration. American Journal of Clinical Hypnosis, 43(3-4), 183-186. doi:10.1080/00029157.2001.10404275.
Language: English
Format: Journal
Abstract:
Asserts that new developments in the use of EMDR should be accompanied by critical investigation of the efficacy of those treatments. [Pilots]
Keywords: Commentary Hypnotherapy
Accuracy Verified: Yes
59. Greenwald, R. (1999, June). Child and adolescent special interest group. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
This special interest group is devoted to fostering the development and availablity of EMDR for children and adolescents. Possible SIG sponsored activities may include: information clearinghouse; development of practice and training standards; protocols for speical populations; education of professional, school, medical, and lay communities; peer support for research and writing; and advocacy for underserved child/adolescent populations. At this meeting we will discuss and begin to plan the first activities to be sponsored by this group.
Keywords: Adolescents Children SIG
Accuracy Verified: Yes
60. Adler-Tapia, R. L. (2012, June). Child psychotherapy: Integrating developmental theory into clinical practice. New York, NY: Spring Publishing.
Language: English
Format: Book
Abstract:
Children are often diagnosed and medicated without the consideration that their symptoms may actually be a healthy response to stressful life events. This integrative guide for mental health practitioners who work with children underscores the importance of considering the etiology of a child's symptoms within a developmental framework before making a diagnosis. By providing advanced training and skills for working with children, the book guides the therapist, step-by-step, through assessment, case conceptualization, and treatment with a focus on the tenets of child development and a consideration of the impact of distressing life events.
The book first addresses child development and the evolution of child psychotherapy from the perspectives of numerous disciplines, including recent findings in neurodevelopment trauma, attachment, and neurobiology. It discusses assessment measures, the impact of divorce and the forensic/legal environment on clinical practice, recommendations for HIPAA compliance, evidence-based best practices for treating children, and the requirements for an integrated treatment approach. Woven throughout are indications for case conceptualization including consideration of a child's complete environment. This book provides an integrative approach to child psychotherapy from the perspective of healthy development through the lens of EMDR.
Keywords: Children
Accuracy Verified: Yes
61. Brand-Wilhelmy, B., Irmler, D., Adam, H., Lucas, T., Möller, B., & Riedesser, P. (2002). Child refugees in Europe: Guidelines on the psychosocial context, assessment of and interventions for traumatised children and adolescents. ECRE.
Language: English
Format: Other
Abstract:
This Good Practice Guide is part of a set of three Guides that have been developed by ECRE
member agencies active in the field of reception and integration of refugees. The Guides cover
educational advice to refugees, working with older refugees, and assisting traumatised childrefugees.
They represent the culmination of two years’ work of thematic networks in these areas,
where practitioners have discussed and developed the guiding principles that should underpin
work with asylum seekers and refugees. Networking activities have also enabled the lead
agencies to identify examples of good practice across Europe, and all these findings are presented
in the Guides.
Keywords: Adolescents Children Refugees
Accuracy Verified: Yes
62. Cohn, L., & Chapman, L. (2001, June). A child trauma treatment intervention: Combining neuroscience, EMDR, and drawings. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will explain through lecture, slides, and case material, how the combination of EMDR and a drawing technique, along with the most recent neuroscience, child psychiatry, and PTSD literature, strengthen the integration of traumatic material in children.
Keywords: Art Therapy Children Drawing Technique Neuroscience
Accuracy Verified: Yes
63. Gelinas, D., & Lipke, H. (2007). Clinical Q & A. Journal of EMDR Practice and Research, 1(1), 62-65. doi:10.1891/1933-3196.1.1.62.
Language: English
Format: Journal
Abstract:
A contribution to the "Clinical Q&A" column, in which master clinicians answer questions posed by readers who are requesting assistance with clinical challenges. The question to which the authors are replying is "I recently took the EMDR training, but I'm having trouble getting started with EMDR. What do you suggest?" [Adapted from Text, p. 62] [Pilots]
Keywords: Professional Training Psychotherapeutic Processes
Accuracy Verified: Yes
64. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
65. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
66. Allen, W. (2002). Coaching amateur athletes: From frozen to fearless. In L. Grodzki (Ed.), The new private practice: Therapist-coaches share stories, strategies, and advice (pp. 178-191). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
This chapter presents a case study in which the coach, who works with amateur athletes, addresses the fear of an amateur horseback rider who broke her arm horseback riding but wanted to continue the sport. The author describes how she set the goals of addressing and diffusing the upsetting mindset; installing a cognitive-behavioral link to support new skill integration and application; and looking at the client's riding through the lens of an amateur but competitive athlete to see how she could best make certain training decisions. She discusses her tools and techniques, including eye movement desensitization and reprocessing (EMDR), neurolinguistic programming, shamanic healing, and Buddhist meditation, and presents an extract from her first EMDR session with her silent thinking about the process as it unfolded. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Keywords: Athletic Performance Buddhism Buddhist Meditation Coaches Coaching Amateur Athletes Emotional Trauma Fear Goals Horses Neurolinguistic Programming NLP Professional Development Shamanic Healing Shamanism Therapists
Accuracy Verified: Yes
67. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
68. Oglesby, C., Foster, S., Sime, W., North, T. C., & Lendl, J. (1999). Collaborative partnerships in sport psychology applications of EMDR: High performance and trauma recovery. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
Clinicians who have grown to accept and support Eye
Movement Desensitization Reprocessing (EMDR) have
begun to diversify the types of trauma populations in which
EMDR is applied. Psychology of injury researchers have
suggested, on the basis of their work, that an exciting new
direction in sport psychology is the implementation and
testing of new interventions aimed at modifying risk factors
for athletes. It has also been suggested that extant models of
athletic injury may reasonably be re-interpreted to account for
other traumatic stressors, additional to injury, in sport. EMDR
may reduce stress and trauma reactions in sport participants.
EMDR, however, has been developed as a clinical tool and
there are limitations on entrance to training in the approach.
There are myriad ways, however, in which valuable
partnerships may be formed, among psychologists, sport
psychologists, and educational sport psychology consultants
to use EMDR on behalf of clients. This symposium, within its
five sections, will report on many such collaborations. The
following are the objectives of the session: (a) provide a brief
overview of the research and theory base for EMDR and its
use in performance work; (b) describe case reports of
successful partnerships among EMDR-trained sport
psychologists and variably trained professionals from sport
performance.
Keywords: Performance Enhancement Sports Psychology Symposium
Accuracy Verified: Yes
69. Barfoot, K. M., Casey, M. C., & Callaway, A. J. (2012, July). Combined EEG and eye-tracking in sports skills training and performance analysis. Presentation at the World Congress of Performance Analysis of Sport IX, University of Wooster.
Language: English
Format: Conference
Abstract:
The use of mobile EEG brainwave monitoring and eye-tracking recorded synchronously
during the training of sports skills offers significant opportunities but creates challenges.
Opportunities:
¨ Measuring neurocognitive activity and visual focus in real time which can be used to
provide immediate feedback to the coach, in ‘real world’ settings, for optimising training
protocols for the individual athlete.
¨ Use of sound output (‘sonification’) in proportion to EEG regions of interest as a
neurofeedback mechanism for athlete self-training.
¨ Application of visualisation protocols and ‘EEG-driven’ PC games where game feedback
based on state of mind is used to optimise mental state prior to performance.
¨ Examining the relationship between eye movement and neuro activity (e.g. saccades and
gamma waves) and in athlete coaching interventions such as sports visual scanning
strategies, Eye Movement Desensitisation & Reprocessing (EMDR) therapy, focussed
relaxation, etc.
Challenges:
¨ The recording of EEG during gross motor behaviour is subject to non-brain artefacts in
the raw (time-domain) EEG, due to the much larger (than EEG) electrical voltages
arising from muscle and eye movements. Practical approaches and signal processing
(frequency domain spectrum) techniques to address these problems will be discussed.
¨ The synchronisation of data recorded on different types of equipment (e.g. EEG, eyetracker,
video, sound, EMG, etc.) with different ‘clocks’ and diverse data formats is
difficult – both in terms of time-stamping the original recordings across all the systems
and playing them back synchronously for subsequent performance analysis. Progress on
creating real-time data export methods which allow synchronous data recording and
playback will be reported.
Examples of studies carried out in archery, golf, motorsport, football and skiing will be
discussed, with a focus on archery where:
¨ Measurements were taken from intermediate, county level, near elite and elite archers.
¨ Archery was chosen to demonstrate the real-time and in-situ quantification of neural
activity compared with target-based measures of performance that archery provides, over a
range of time-spans and skills.
¨ Results demonstrate that there are significant and measurable changes in EEG patterns
during a shot with evidence suggesting that the patterns vary as a function of skill level,
but not simply as a function of score.
Significance of each of these studies for goal-directed learning and performance enhancement
are discussed.
Keywords: EEG Eye Tracking Performance Analysis Sports Skills
Accuracy Verified: Yes
70. 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
71. Phillips, M. (2008). Combining hypnosis with EMDR and ego state therapy for ego strengthening. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 91-120). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter will explore several uses of hypnosis and EMDR that can help to accomplish these objectives. Expert consensus is that trauma clients must move through an ordered process designed to strengthen and stabilize them before progressing to the uncovering, exploration, reworking, and integration of painful past experiences. The SARI model (Phillips 8c Frederick, 1995) is presented here as a framework for the recommended sequence of treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Ego State Therapy Ego Strenthening Hypnosis SARI Model
Accuracy Verified: Yes
72. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
Accuracy Verified: Yes
73. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809).
Language: English
Format: Journal
Abstract:
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]
Keywords: Antimanic Drugs Benzodiazepine Derivatives Hypnotherapy Meta Analysis Monoamine Oxidase Inhibitors Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Relaxation Therapy Selective Serotonin Reuptake Inhibitors Treatment Effectiveness Tricyclic Derivatives
Accuracy Verified: Yes
74. Taylor, S., Thordarson, D., Maxfield, L., Fedoroff, I., Lovell, K., & Ogrodniczuk, J. (2003, April). Comparative efficacy, speed, and adverse effects of three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Consulting & Clinical Psychology, 71(2), 330-338. doi:10.1037/0022-006X.71.2.330.
Language: English
Format: Journal
Abstract:
The authors examined the efficacy, speed, and incidence of symptom worsening for 3 treatments of PTSD: prolonged exposure, relaxation training, or eye movement desensitization and reprocessing (EMDR; N = 60). Treatments did not differ in attrition, in the incidence of symptom worsening, or in their effects on numbing and hyperarousal symptoms. Compared with EMDR and relaxation training, exposure therapy (a) produced significantly larger reductions in avoidance and reexperiencing symptoms, (b) tended to be faster at reducing avoidance, and (c) tended to yield a greater proportion of participants who no longer met criteria for PTSD after treatment. EMDR and relaxation did not differ from one another in speed or efficacy (Pilots).
Keywords: Adults Empirical Study Exposure Therapy Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness Witnesses
Accuracy Verified: Yes
75. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.
Language: English
Format: Dissertation/Thesis
Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.
Keywords: Depression Female Guilt Posttraumatic Stress Disorder PTSD Sexual Assault Survivors
Accuracy Verified: Yes
76. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
77. 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
78. Cook-Vienot, R., & Taylor, R. J. (2012). Comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Journal of EMDR Practice and Research, 6(2), 62-72. doi:10.1891/1933-3196.6.2.62 .
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) and Biofeedback/Stress Inoculation Training (B/SIT)
treatment and no treatment (NT) were compared in reducing test anxiety. Thirty college students with high
test anxiety were randomly assigned to each condition. Pre-post assessments were conducted using the
Test Anxiety Inventory (TAI), State-Trait Anxiety Inventory (STAI), Rational Behavior Inventory (RBI), and
Autonomic Perception Questionnaire (APQ). Treatment therapists were licensed professionals with at least
2 years experience in their respective modality. Statistical analysis using a two-way analysis of variance with
repeated measures found significant interactions between time (pre-post) and treatment conditions for all
measures except the RBI. Post hoc Newman–Keuls analyses were conducted on the change scores, indicating
that both EMDR and B/SIT significantly reduced test anxiety. EMDR generally outperformed B/SIT.
Keywords: Biofeedback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
79. Vienot, R. C. (1998, July). A comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Union Institute and University, Cincinnati, OH. AAT 9822000.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) treatment, Biofeedback/Stress Inoculation Training (B/SIT) treatment, and no treatment (NT) were compared in treating test anxiety. Subjects (30) reporting test anxiety were randomly assigned to EMDR, B/SIT or NT. Treatment consisted of three 90 minute sessions using B/SIT and one 45 minute session/three 75 minute sessions using EMDR. Treatment therapists were licensed psychologists, counselors or social workers with two to twenty years experience using EMDR or B/SIT. Subjects in the NT group were offered treatment following the study. Six dependent variables were measured pre/post: trait and state anxiety (State Trait Anxiety Inventory, STAI-T.S.), test anxiety (Test Anxiety Inventory, TAI-T.W.E.), rationality of personal beliefs (Rational Behavior Inventory, RBI), negative self statements (TAI-W) and self report of physiological response (Autonomic Perception Inventory, APQ) using.05 level. ANOVAs were performed followed by a Newman-Keuls Multiple Comparison. There was a significant interaction between pre-post tests and type of group on all dependent measures except the RBI. EMDR showed a tendency toward greater improvement from pre to post test than B/SIT and NT. There were no significant differences between groups on the pre test. Post group means indicated: (a) STAI-S, there was no difference between the groups; (b) STAI-T and APQ, EMDR and B/SIT had a greater reduction than NT; (c) TAI-E, EMDR showed more reduction than B/SIT and NT; (d) TAI-T and W, there were differences between all three groups with EMDR showing the most reduction. A meta-analysis was performed to determine clinical significance. Prior to treatment all three groups were above the normative effect size of 1 SD. The NT group showed no change on post tests. The EMDR group showed a larger reduction in effect size than B/SIT. Based on the data both EMDR and B/SIT reduced test anxiety with EMDR generally outperforming B/SIT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0430.
Keywords: Biofeedback/Stress Biofeedback Training Empirical Study Inoculation Training Stress Management Test Anxiety Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
80. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.
Language: English
Format: Journal
Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment.
Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.
Keywords: Iran Sexual Abuse SIT Stress Inocculation Training
Accuracy Verified: Yes
81. Kristjánsdóttir, K., & Lee, C. W. (2011). A comparison of visual versus auditory concurrent tasks on reducing the distress and vividness of aversive autobiographical memories. Journal of EMDR Practice and Research, 5(2), 34-41. doi:10.1891/1933-3196.5.2.34.
Language: English
Format: Journal
Abstract:
This study investigated the benefits of eye movement similar to that used in eye movement desensitization and reprocessing (EMDR) on reducing the vividness and emotionality of negative autobiographical memories. It was hypothesized, based on the working memory model, that any task that disrupts working memory would reduce the vividness and emotionality of distressing memories. In addition, it was predicted that the more visual a memory, the greater the reduction in vividness by a concurrent visual task over an auditory task (counting). Thirty-six nonclinical participants were asked to recall an unpleasant autobiographical memory while performing each of three dual-attention tasks: eye movement, listening to counting, or control (short exposure). Results showed that vividness and emotionality ratings of the memory decreased significantly after eye movement and counting, and that eye movement produced the greatest benefit. Furthermore, eye movement facilitated greater decrease in vividness irrespective of the modality of the memory. Although this is not consistent with the hypothesis from a working memory model of mode-specific effects, it is consistent with a central executive explanation. Implications for enhancing exposure treatment for posttraumatic stress disorder (PTSD) are discussed.
Keywords: Autobiographical Memory Counting Method Eye Movement Vividness Working Memory
Accuracy Verified: Yes
82. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Family Relations Family Systems Therapy Family Systems Theory Family Therapy Individuation Integrative Psychotherapy Separation Anxiety Separation Individuation Separation Problems Separation Reactions Structural Family Therapy Young Adulthood
Accuracy Verified: Yes
83. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
84. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
85. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
It will be shown how to get into touch and how to work with traumatic and
somatic ego-states by simultaneously activating resourceful ego-states in mind and
body. The work will be resource integrating from top to bottom. In the body it will be
from bottom to top.
Two different experiential protocols will be given and respective videos will be shown:
the resource integrating protocol and the bottom-up protocol
The neurological background of balancing work with traumatic memories and
resources will be discussed. It lies in promoting effective and permanent links
between the neuronal trauma network and one or more corresponding resource
networks. The integration of resources can greatly accelerate processing. It is
imperative, however, that the use of these resources is not random, rather orients
itself to the specific needs of the client at that specific point in time with attention
given to how much resource or trauma is activated.
Participants will be informed about the impact of complex trauma in mind and body.
They will learn how to apply EMDR combined with Claire Frederick's and Maggie
Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic
Experiencing. By those means complex traumatized clients are enabled to broaden
their windows of tolerance.
Participants will be able to supply their clients with a powerful tool for self healing.
Se mostrará cómo ponerse en contacto y trabajar con los estados del yo
traumático y somático mediante la activación simultánea de estados del yo
recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde
arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba.
Se darán dos protocolos experienciales distintos y se presentarán vídeos
pertinentes de los protocolos respectivos: el protocolo de la integración de
recursos y el protocolo desde abajo hacia arriba.
Se hablará de los antecedentes neurológicos del trabajo de equilibrio con
recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y
permanentes entre la red neuronal del trauma y una o más de las redes de
recursos correspondientes. La integración de recursos puede acelerar en gran
medida el procesamiento. Sin embargo, es imperativo que el empleo de estos
recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del
cliente en ese momento concreto con atención prestada a la cantidad de recursos o
el trauma activado.
Se les informará a los participantes sobre el impacto que tiene el trauma complejo
en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la
“imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al
“Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos
medios los clientes con trauma complejo son capaces de ampliar sus ventanas de
tolerancia.
Los participantes podrán ofrecer a sus clientes con una herramienta potente para
la auto-curación.
Accuracy Verified: Yes
86. Pace, P. (2003, September). Connecting ego states through time with EMDR and lifespan integration. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will be introduced to Lifespan Integration, an effective new technique, which connects dissociated ego states to one another, and eventually produces an integrated self. This technique brings up images related to the targeted trauma, and gives the client insights about the lifelong pattern of behaviors resultant from the trauma. External resources are rarely needed as clients spontaneously connect to internal resources. Participants will learn how Lifespan Integration can be used adjunctive to EMDR: 1) to quickly resolve feeder memories which are interfering with processing; 2) to help clients who are flooding with emotion regain connection to their cognitive capacities; and 3) to help clients access positive internal resources related to the targeted trauma.
Keywords: Ego States Lifespan Integration
Accuracy Verified: Yes
87. Greenwald, R., McClintock, S. D., & Bailey, T. D. (In press). A controlled comparison of progressive counting and eye movement desensitization & reprocessing. Journal of Aggression, Maltreatment, & Trauma.
Language: English
Format: Other
Abstract:
Ten therapists who were already trained and experienced in eye movement desensitization
& reprocessing (EMDR) received training in progressive counting (PC), a newer trauma
resolution method. Nineteen volunteers with single-incident trauma or loss were assigned to a
therapist and then randomized to treatment condition; 15 completed treatment to termination
criteria or until the fourth session. Participants in both conditions experienced significant
reductions in PTSD symptoms, memory-related distress, and presenting problems at one week
post-treatment, maintained at 12-week follow-up, with no significant differences in outcomes,
treatment efficiency, or dropout rate. The preliminary findings of this pilot study suggest that PC
is an efficient, well-tolerated, and effective trauma treatment that is relatively easy for therapists to
master.
Keywords: CBT Cognitive Behavior Therapy Exposure Loss Progressive Counting Trauma Treatment
Accuracy Verified: No
88. Grand, D., Hartung, J., & Bergmann, U. (2007, Novembro). Conversando com… David Grand, John Hartung, Uri Bergmann [Talking with ... David Grand, John Hartung, Uri Bergmann]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Nos últimos dez anos, as pesquisas sugerem
que o Transtorno de Estresse Pós-Traumático
(TEPT) seja uma desordem de humor, memória e integração somatossensorial. Estudos com
neuroimagens e neuroendocrinologia têm
demonstrado marcadores muito claros desse
transtorno, destacando a compreensão de que o
TEPT seja uma desordem neurobiológica e não o
reflexo de fraqueza psicológica.
Nesta apresentação examinaremos o processo de
formação e consolidação da memória, a
neurobiologia do TEPT e as neuroimagens
correspondentes. A integração dessas três linhas
ilustrarão os efeitos do TEPT sobre a regulação do
humor, memória e integração somatossensorial.
Over the past decade, research suggests
that Post-Traumatic Stressm Disorder
(PTSD) is a disorder of mood, memory and somatosensory integration. Studies with
neuroimaging and neuroendocrinology have
markers demonstrated very clear that
disorder, highlighting the understanding that
PTSD is a neurobiological disorder and not the
reflection of psychological weakness.
In this presentation we will examine the process
formation and consolidation of memory,
neurobiology of PTSD and neuroimaging
corresponding. The integration of these three lines illustrate the effects of PTSD on the regulation of mood, memory and somatosensory integration.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
89. de Jongh, A. (2005, June). Could EMDR be a promising treatment in the immediate aftermath of a traumatic incident?. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Various studies have shown that the counselling routinely offered to people
in the immediate aftermath of a traumatic incident seldom protects them
from developing post-traumatic stress -and could even delay their recovery.
On the other hand, clinical experience suggests that in many cases with the
proper utilization of EMDR an almost spontaneous integration of perceptions
of sensory input and the cognitive components of the experience takes
place. Although controlled data about types of interventions. the optimal
time to intervene or predictors of response and recovery are still lacking.
within the organization D.O.E.N., providing critical incident stress
management services in the Netherlands, there is broad experience in
utilizing EMDR with clients who exhibit severe early symptoms following
trauma and who need 'first-aid' treatment. EMDR treatment is generally
started when there is no evidence of change or recovery within the course
of 1 or 2 weeks. Since there is a tremendous unmet need, there is an
important challenge to demonstrate in controlled research the advantages
of EMDR for those who suffer from symptoms of acute stress, for example in
emergency departments and/or the immediate aftermath of mass trauma. This presentation will focus on the rationale for early treatment with the use
of EMDR. This approach is illustrated by segments of video taped treatment
sessions of clients with symptoms of acute stress.
Keywords: Practice Symposium Theory
Accuracy Verified: Yes
90. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.
Language: English
Format: Magazine
Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]
Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
91. Dean, B. (2010, July 4). Counselors to get training for treating post-traumatic stress. Military, Oklahoma Military News and Articles, NewsOK.
Language: English
Format: Newspaper
Abstract:
Experts said that's what life is like for soldiers who return from war with post-traumatic stress disorder. With about 3,400 Oklahoma National Guardsmen set to deploy to Afghanistan next year with the 45th Infantry Brigade Combat Team, Guard leaders want to make sure those soldiers can get the help they need when they return to the state.
Accuracy Verified: Yes
92. Seubert, A. (2008, June). The courage to feel. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Courage to Feel is a practical and inspiring workshop, designed to give the clinician
the experience and tools for guiding our clients into emotional expertise. It is not
simply a theoretical training that gives you a lot of information about emotions.
Because the emotional journey cuts through what is foreign territory for many of our
clients, there is need of a map, a hands-on, practical guide that clients can refer to
when learning how to do this “feelings thing”. To meet this need, this master
workshop offers four concrete steps to emotional competence and seven skills in
achieving them, all tried and proven over 25 of clinical practice. This training also
teaches the use of such a trauma-informed phase model, as well as bilateral
stimulation to reinforce learning, through video clips and in vivo practice. Andrew’s
first book, The Courage to Feel: a Practical Guide to the Power and Freedom of
Emotional Honesty, will be available through Infinity Publishing by May of 2008.
Keywords: Emotions
Accuracy Verified: Yes
93. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
94. Lv, Q. (2010, July). Crisis intervention and trauma therapy in China. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
We reviewed the development of crisis intervention and trauma therapy in China since 1980s.
During the past three decades, there is a gradual increase of concern and awareness among different level of Chinese
government and the society for the need of human-focused disaster intervention.
The Chinese crisis intervention and trauma therapy team’s experiences and studies have supported the fact that prompt and
adequate intervention will significantly reduce the negative effect of disaster or trauma.
It’s essential to develop the crisis intervention and trauma therapy teams systematically at different sites of the country to
provide emergency intervention service at local areas.
Formal and special training are needed to provide to all health and rescue-related workers involved in the disaster. This is
based on the fact that immediate care and intervention require a large number of trained staff after disaster.
Finally, it ‘s essential to study and improve the culturally suitable crisis intervention programs and trauma therapy.
Keywords: China Crisis Intervention
Accuracy Verified: Yes
95. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.
Language: English
Format: Book
Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention.
Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]
Keywords: Crisis Intervention Trauma
Accuracy Verified: Yes
96. Nurse, A. R., & Rouanzoin, C. C. (1995). Criteria for special EMDR training standards (for other than University/Professional Schools and Agency/Internship Instruction). Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is a psychological method/intervention that should only be used by licensed
mental health professionals adequately trained in EMDR. The Training and
Standards Committee has the authority and responsibility to recommend to the
Board of EMDRIA, and hence to the public and inquiring agencies (e.g., managed
care, licensing boards, insurance companies) those training programs that meet the
following criteria.
Keywords: Training Standards
Accuracy Verified: Yes
97. Tol, W. A., Jordans, M. J. D., Regmi, S., & Sharma, B. (2005, June). Cultural challenges to psychosocial counselling in Nepal. Transcultural Psychiatry, 42(2), 317-333. doi:10.1177/1363461505052670.
Language: English
Format: Journal
Abstract:
This article describes the way in which the practice of psychosocial
counselling was adapted culturally to the context of Nepal within the
Centre for Victims of Torture, Nepal (CVICT). After a brief description of
the Nepali setting and CVICT’s counselling and training approach and the
relationship of its psychosocial counselling intervention with existing
methods of dealing with psychosocial problems, the cultural challenges of
implementing psychosocial counselling and our response to them are
sketched along with concepts deemed important in psychosocial counselling.
A discussion follows in which the authors’ stance on the export of
psychosocial counselling to non-western cultures is outlined.
Keywords: Centre for Victims of Torture Cross-Cultural Nepal Training
Accuracy Verified: Yes
98. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro.
Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato.
Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite.
In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.
The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.
Accuracy Verified: Yes
99. Cornil, L. (2013, April). De kracht van het NU in EMDR [The power of NOW in EMDR]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze uiteenzetting brengt een theoretisch-filosofische kijk op het tijdsconcept in EMDR. Sinds het prille begin speelt het tijdsconcept een centrale rol in de EMDR benadering. Aan de basis van het AIP model ligt het idee dat geheugennetwerken vervrozen zijn in de tijd (Shapiro 1995). De informatie is op een disfunctionele manier gestockeerd in het vervrozen nu en kan op elk moment worden getriggerd. In EMDR hebben patiënten (en therapeuten) het moeilijk om het NU van de negatieve cognitie te pakken te krijgen. Patiënten begrijpen niet wat gevraagd wordt en raken verward wanneer therapeuten vragen wat ze nu over zichzelf denken als ze denken aan toen. In de EMDR basistraining wordt aangegeven dat het vinden van een adequate negatieve cognitie een moeilijk deel is van het EMDR protocol, maar wel een noodzakelijk deel.
Het NU is wat op dit moment gebeurt. Er is geen verleden, enkel de huidige perceptie van het verleden. Net zoals er geen toekomst is, enkele de huidige perceptie van mogelijkheden. Het heden is datgene waarmee men zich identificeert: wat je ziet, geloof je: wat je op een gegeven moment gewaarwordt, wordt de realiteit van het NU. Wanneer de patiënt getriggerd wordt in de perceptie van het kind, wordt de patiënt het kind en de tijdsperceptie wijzigt.
Het punt dat in deze uiteenzetting naar voor wordt gebracht, is dat verandering ontstaat wanneer de patiënt stopt met zich te vereenzelvigen met het verleden dat daardoor het NU wordt. In EMDR wordt de patiënt door de therapeut uitgenodigd om dingen te laten gebeuren en te merken wat er verandert. Tijd heeft beweging nodig om te bestaan: de wijzers van de klok, de zon in de lucht, de rimpels die verschijnen op de huid verwijzen allemaal naar tijd. In plaats van de pijnlijke informatie op een afstand te proberen houden, die zich bevindt in de niet-tijd zonder beweging, wordt de patiënt juist uitgenodigd om de beweging te observeren die kan ontstaan door de positie van de dubbele aandacht in te nemen: één voet in de reële tijd en één voet in de niet-tijd. We zullen linken met mindfullness aangeven.
This statement brings a theoretical-philosophical perspective on the concept of time in EMDR. Since the very beginning the concept of time plays a central role in the EMDR approach. At the base of the AIP model is the idea that in the memory networks vervrozen time (Shapiro, 1995). The information is stored in a dysfunctional way vervrozen now and can be triggered at any time. In EMDR, patients (and therapists) is difficult to the NOW of the negative cognition to catch. Patients do not understand what is required and get confused when therapists ask what they think about themselves when they think of when. In the EMDR basic training indicated that finding an adequate negative cognition is a difficult part of the EMDR protocol, but a necessary part.
The NOW is what is currently happening. There is no past, only the current perception of the past. Just as there is no future, some of the current perception of opportunities. The present is that with which one identifies: what you see, you believe what you become aware at any given time, the reality of the NOW. When the patient is triggered in the perception of the child, the patient is a child and time perception changes.
The point in this discussion forward is brought, is that change occurs when the patient stops to identify with the past that result it is NOW. In EMDR, the patient by the therapist invited to make things happen and to notice what is changing. Time needs movement to exist: the clockwise direction, the sun in the sky, the wrinkles that appear on the skin all refer to time. In place of the painful information try to keep at a distance, which is located in the non-time without movement, the patient is invited to precisely observing the movement which may be caused by the position of the double attention to take: a foot in real time, and a foot in the non-time. We will link with mindfulness state.
Keywords: Present Focus
Accuracy Verified: Yes
100. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. "Online First".
Language: Dutch
Format: Journal
Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer.
Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental.
Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.
The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue.
Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership.
All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.
Keywords: Mindfulness and Meditation Training, MTT
Accuracy Verified: Yes
101. Rana, M. (2010, July). Dealing with psychotrauma in war against terror: East meets West through EMDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The ‘War on Terror’ on the borders of Pakistan and Afghanistan has committed almost two hundred thousand troops on
either side with more than five million civilians directly affected by terrorist acts, bombings, blasts, drone attacks, and air
strife. Children, women, and men of all ages report to health facilities in hundreds with psycho trauma ranging from acute
stress reactions, posttraumatic stress disorders, dissociation, depression, anxiety and Medically Unexplained Symptoms
(MUS). The health professionals with hardly any training in handling of psycho trauma are clueless about how to deal with
these cases.
A handful of mental health professionals trained by EMDR UK and EMDR Europe experts, through a humanitarian assistance
programme are the only trained human resource currently available to deal with these massive numbers of survivors. A
strategic placement of this grossly limited number of trained EMDR human resource ( four females, six males), in the war zone
has helped scores of soldiers to return to the battlefield, hundreds of children to return to their schools, dozens of families to
return to normality and many adults to return to work. The elementary yet devoted and dedicated EMDR services in the war
torn regions of Swat, Wazirastan, Kohat and tertiary care services at Rawalpindi are a result of a timely collaboration between
EMDR trainers from West providing training in EMDR to psychiatrists, psychologists, nurses and social workers of Pakistan;
indeed a fine example of ‘Building Bridges between East & West through EMDR’.
Keywords: Psychotrauma Symposium: Terror War
Accuracy Verified: Yes
102. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]
Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization
Accuracy Verified: Yes
103. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
104. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
105. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
106. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
is
about
the
application
of
EMDR
in
the
treatment
of
secondary
and
tertiary
structural
dissociation
with
survivors
of
early
chronic
traumatization.
The
succeeding
of
the
EMDR
sessions
in
the
treatment
of
DID,
depends
mainly
on
the
appropriate
indication
and
a
thorough
preparation.
How
to
do
this
in
clinical
practice,
will
be
pointed
out
in
this
presentation.
What
follows
is
an
explanation
of
the
process
(and
the
essential
elements
in
it)
of
the
integration
of
traumatic
memories
and
this
process
will
be
demonstrated
by
a
dvd
of
Maria,
an
woman
with
DID.
We
can
select
and
analyze
particular
scenes,
depending
on
the
requests
from
the
audience.
For
example
scenes
about
confirming
positions
of
ANP's
and
EP's
at
the
beginning
of
the
session,
attacking
the
NC
by
the
self-‐destructive
part,
guiding
reliving
experiences,
presentification,
coping
with
anger,
differentiating
between
the
past
and
the
present,
personification,
preventing
the
flight-‐reaction,
coping
with
transference
and
facilitate
internal
cooperation.
After
reporting
on
the
outcome
of
this
therapy,
the
conclusion
will
be
that
EMDR
can
be
effective
for
dissociative
patients
if
several
specific
criteria
are
met.
These
criteria
are
about
conceptualization
according
to
the
model
of
structural
dissociation,
about
indication,
timing
and
preparation
of
the
sessions,
about
adaptations
in
the
EMDR-‐protocol
and
about
integration
of
EMDR
in
the
broader
phase-‐oriented
treatment
of
DID.
Este
taller
trata
la
aplicación
de
EMDR
en
el
tratamiento
de
disociaciones
estructurales
secundarias
y
terciarias
con
supervivientes
de
la
traumatización
crónica
temprana.
El
éxito
de
la
sesiones
de
EMDR
en
el
tratamiento
de
Trastornos
de
identidad
disociativo,
depende
principalmente
de
unas
instrucciones
apropiadas
y
una
dura
preparación.
Como
hacer
esto
en
la
práctica
clínica
será
el
tema
de
esta
presentación.
Continuaremos
con
una
explicación
del
proceso
(y
los
elementos
esenciales
dentro
de
este)
de
la
integración
de
los
recuerdos
traumáticos
y
este
proceso
será
demostrado
en
el
DVD
de
María,
una
mujer
con
trastorno
de
identidad
disociativos.
Podemos
señalar
y
analizar
escenas
particulares,
dependiendo
de
las
peticiones
que
hagan
los
participantes
a
la
presentación.
Por
ejemplo,
escenas
acerca
de
la
confirmación
de
posiciones
de
ANP
y
EP
al
principio
de
la
sesión,
atacando
al
NC
por
la
parte
autodestructiva
del
yo,
guiando
y
reviviendo
experiencias,
atención
al
presente,
gestionar
la
ira,
diferenciar
entre
pasado
y
presente,
personificación,
prevenir
la
evitación,
afrontar
la
transferencia
y
facilitar
la
cooperación
interna
Después
de
informar
acerca
de
los
resultados
de
la
terapia,
la
conclusión
es
que
el
EMDR
puede
ser
efectivo
para
pacientes
disociados
si
cumplen
muchos
requisitos
previos.
Este
criterio
es
sobre
la
conceptualización
de
acuerdo
con
el
modelo
estructural
de
disociación,
sobre
la
indicación,
temporalización
y
preparación
de
las
sesiones,
sobre
las
adaptaciones
del
protocolo
del
EMDR
y
la
integración
del
mismo
en
un
tratamiento
más
amplio
en
fases
del
tratamiento
del
Trastorno
de
Identidad
Disociativo.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
107. Kiessling, R. (2009, August). Demystifying the cognitive interweave. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Frequently, clinicians perceive that the cognitive interweave stems from either a well-constructed table of ‘cause and effect’ criteria or is magically ‘conjured’ up by a wizardry clinician. This practical, down-to-earth, basic workshops will ‘demystify’ the cognitive interweave for all clinicians who have completed the Basic Training. Participants will understand the cognitive interweave and how it seamlessly integrates into the AIP model, how preparing for the cognitive interweave begins at intake and continues to develop throughout the client’s reprocessing, and how to utilize their own clinical ‘wizardry’ skills ‘on-the-fly’ when needed to assist clients in successfully reprocessing their traumatic experiences.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
108. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
109. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]
Keywords: Addiction Addictions Behavior Problems Behavior Therapy Bilateral Stimulation Compulsions Craving Desensitization of Triggers Dysfunctional Behaviors Information Processing Model Psychotherapeutic Techniques Urge Reduction Protocol
Accuracy Verified: Yes
110. Tareen, S., Farrell, D., Keenan, P., & Poole, D. (2008, June). Developing EMDR in Pakistan. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
In October 2005 a devastating earthquake swept through Northern Pakistan causing untold destruction. In March
2007 an EMDR Humanitarian Assistance Programme Training went out to Abbotabad to train a group of mental
health workers in EMDR who were specifically dealing with earthquake survivors. This paper will provide an
account as to how the trainings progressed.
Accuracy Verified: Yes
111. DeGraffenried, D. F. (2005, September). Developing EMDR practice in community mental health & agency settings: Working with clinical or administrative reluctantance. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR has not achieved full acceptance as a practice model within community
mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities of color, those that are impoverished and often in settings where post traumatic stress is the focus of treatment. This workshop
will identify the three common areas or agency reluctance concerning EMDR and will demonstrate the use af a simple assessment tool designed to identify where thc intervention is needed to accomplish change and support EMDR integration into the agency.
Keywords: Client or Administrative Reluctance Community Mental Health Agencies
Accuracy Verified: Yes
112. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.
Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma
Accuracy Verified: Yes
113. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Inhoud van de workshop: Dissociatie
en trauma zijn nauw met elkaar verbonden.
Dissociatieve stoornissen worden toch vaak niet
herkend en dissociatieve stoornissen bij kinderen
gelden als controversieel. Kinder- en jeugdpsychiaters
leren in de opleiding weinig over dissociatieve
stoornissen.
In de workshop wordt aandacht besteed aan
het herkennen van dissociatieve stoornissen bij
(seksueel) getraumatiseerde kinderen en aan de
behandeling ervan, geïntegreerd in de traumabehandeling.
Ernstig getraumatiseerde kinderen
hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een
goede traumabehandeling. We bespreken de
internationale richtlijnen en recente literatuur
over diagnostiek en behandeling van dissociatieve
stoornissen bij kinderen. Neurobiologische aspecten
van vroegkinderlijke traumatisering en de
gevolgen hiervan voor het kind worden behandeld.
Verschillende behandelmethoden zoals eye
movement desensitisation and reprocessing (EMDR) en
differentiatiefasetherapie worden besproken.
Vorm:
—— Aan de hand van presentaties worden de theorie
en de praktijk van de diagnostiek en het behandelen
van dissociatieve stoornissen bij kinderen
en jeugdigen besproken.
—— We tonen beeldmateriaal van diagnostiek en
behandeling van dissociatieve stoornissen bij
kinderen en jeugdigen.
—— Uitwisselen van ervaring en kennis, inbrengen
van casuïstiek en discussie.
Leerdoel:
—— Aan het einde van de workshop erkent de deelnemer
het belang van herkennen en behandelen
van dissociatieve stoornissen bij getraumatiseerde
kinderen en jeugdigen.
—— De deelnemer vergroot zijn kennis van diagnostiek
en behandeling van dissociatieve stoornissen
van kinderen en jeugdigen, waarbij hij op de
hoogte is van de recente literatuur.
stressstoornis (PTSS) en hechtingsstoornis.
Dissociatieve problematiek kan ook verward
worden met onder meer obsessieve-compulsieve
stoornissen (ODD), aandachtstekortstoornis met
hyperactiviteit (ADHD) en vele andere kinderpsychiatrische
stoornissen en zo het resultaat van
therapieën bemoeilijken. Wij gaan er daarom vanuit
dat herkennen en behandelen van dissociatieve.
Contents of the workshop: Dissociation
and trauma are closely linked.
Dissociative disorders are often not yet
recognized and dissociative disorders in children
construed as controversial. Child and adolescent psychiatrists
learning in the training little dissociative
disorders.
The workshop focuses on
recognition of dissociative disorders
(Sexual) traumatized children and the
its treatment, integrated into the trauma treatment.
Severely traumatized children
often have multiple diagnoses, such as post traumatic stress is essential for the success of a
good trauma treatment. We discuss the
International guidelines and recent literature
about diagnosis and treatment of dissociative
disorders in children. Neurobiological Aspects
of early childhood trauma and
consequences for the child to be treated.
Various treatments such as eye
Movement Desensitisation and Reprocessing (EMDR) and
phase modulation therapy are discussed.
Form:
- Based on the theory presentations
and practice of diagnosis and treatment
of dissociative disorders in children
and adolescents are discussed.
- We show footage of diagnosis and
treatment of dissociative disorders
children and adolescents.
- Share the experience and knowledge, contribute
of cases and discussion.
Objective:
- At the end of the workshop, the participant acknowledges
the importance of recognizing and treating
of dissociative disorders among traumatized
children and adolescents.
- Participants increased their knowledge of diagnosis
and treatment of dissociative disorders
of children and youth, taking on the
aware of the recent literature.
stress disorder (PTSD) and attachment disorder.
Dissociative problem can also confused
are including obsessive-compulsive
disorder (ODD), attention deficit
hyperactivity disorder (ADHD) and many other children's psychiatric
disorders and as a result of
therapies difficult. We therefore assume
that recognition and treatment of dissociative.
Keywords: Adolescents Children Dissociative Disorders Sexual Abuse
Accuracy Verified: Yes
114. Bambach, S. (2003). Die 5-4-3-2-1-Übung [The 5-4-3-2-1-Exercise]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Die Ausbildung in EMDR (Eye Movement
Desensitization and Reprocessing) führte
mich über längere Zeit zu einer intensiven
Auseinandersetzung über die Vereinbarkeit
von EMDR mit meiner bisherigen traumatherapeutischen
Arbeit. Diese war und ist
stark geprägt durch die lösungs- und ressourcenorientierte
Therapie, wie ich sie
von Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan und später in anderer Form
von Gunther Schmidt erlernt habe. Zentrale
Elemente der Arbeit mit traumatisierten
Menschen nach lösungsorientierten Konzepten
sind u. a. die aktive Unterstützung
der Klienten1 bei der Entwicklung einer
positiven Zukunftsvision, bei der Identifikation
der individuellen Kriterien für Therapieerfolg
und der kleinstmöglichen, aktiv
zu unternehmenden Schritte in diese Richtung.
Diese konsequent ressourcen- und
lösungsorientierte Arbeitsweise schien im
Widerspruch zur Traumafokussierung als
zentralem Moment von EMDR zu stehen.
The training in EMDR (Eye Movement
Desensitization and Reprocessing) led
for a longer time to intensive
Arguments on the compatibility
traumatherapeutischen of EMDR with my previous
Work. This was and is
strongly influenced by the solution-and resource-
Therapy, as I
by Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan and later in another form
I learned by Gunther Schmidt. Headquarters
Elements of the work with traumatized
Solution-oriented approaches to human
are amongst the active support
the Klienten1 in developing a
positive vision for the future, in the identification
the individual criteria for treatment success
and the smallest, active
steps to be taken in this direction.
This resource consistently and
solution-oriented way of working seemed
Focusing as a contradiction to the trauma
to be central moment of EMDR.
Keywords: 5-4-3-2-1 Exercise
Accuracy Verified: Yes
115. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie vereinigung von ego- state-, hypno-, energie- und EMDRPsychotherapie [Energizing the self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag auf dem Kongress Europäischer für Energie-Psychologie ® und Psychotherapie, Heidelberg, Deutschland.
Language: German
Format: Conference
Abstract:
Im Seminar wird Maggie Phillips die ganze Vielfalt ihres Wissens vermitteln, insbesondere die spezifischen Anwendungsmöglichkeiten einer Integration von Ego- State- Therapie/
Hypnotherapie, Energie-Psychologie, EMDR und anderen hilfreichen Konzepten.
Dieses Seminar stellt sicher ein professionelles Juwel dar für alle KollegInnen, die mit Traumata,
Schmerzproblemen, Ängsten, Depressionen, Suchtproblemen und psychosomatischen Problemen
arbeiten, darüber hinaus aber auch für alle PsychotherapeutInnen und BeraterInenn. Für alle an
Energie- Psychologie Interessierten ist es die optimale Ergänzung und Erweiterung der Konzepte
von F. Gallo und Anderen.
Maggie Phillips in the seminar will provide the full range of their knowledge, especially the
specific applications of integration of ego-state therapy / Hypnotherapy, Energy Psychology, EMDR and other useful concepts.
This seminar certainly constitutes a professional jewel for all colleagues, with the trauma, Pain problems, anxiety, depression, addiction problems and psychosomatic problems
work, but also to all psychotherapists and BeraterInenn. For all of Energy Psychology is interested in is the perfect complement and extension of the concepts F. Gallo, and others.
Keywords: Energy Psychology
Accuracy Verified: Yes
116. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
117. van der Hart, O., Nijenhuis, E. R. S., & Solomon, R. (2010). Dissociation of the personality in complex trauma-related disorders and EMDR: Theoretical considerations. Journal of EMDR Practice and Research, 4(2), 76-92. doi:10.1891/1933-3196.4.2.76.
Language: English
Format: Journal
Abstract:
As eye movement desensitization and reprocessing (EMDR) has been increasingly applied in complex trauma-related disorders, including complex dissociative disorders, and trauma-related borderline personality disorder, EMDR practice may benefit from theories developed to account for the dissociative nature of these disorders, such as the theory of structural dissociation of the personality (TSDP). TSDP postulates that the personality of traumatized individuals is unduly divided in two basic types of dissociative subsystems or parts. One type involves dissociative parts primarily mediated by daily life action systems or motivational systems. The other type involves dissociative parts, fixated in traumatic memories, primarily mediated by the defense action system. The more severe and chronic the traumatization, the more dissociative parts can be expected to exist. This article presents the basics of TSDP, and a second article will provide guidelines for the treatment of complex trauma-related disorders based on this theory.
Keywords: Complex Trauma Dissociation Dissociation of the Personality Dissociative Disorders Integration Ohase-Oriented Treatment Structural Dissociation
Accuracy Verified: Yes
118. 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
119. 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
120. Fraser, G. A., & Welburn, K. R. (2000, November). The dissociative table technique and the integration of EMDR and ego-state therapy. Presentation at the International Society for the Study of Dissociation Fall Conference, San Antonio, TX.
Language: English
Format: Conference
Keywords: Dissociative Table Technique Ego State Therapy
Accuracy Verified: No
121. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.
Language: English
Format: Journal
Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.
Keywords: Anxiety Depression
Accuracy Verified: Yes
122. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.
Language: English
Format: Journal
Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic PTSD. Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitivebehavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts
Accuracy Verified: Yes
123. Tate, K. (2003). Does naturally occurring EMDR-like phenomena in the work environment increase employment risk for survivors of violent crimes?. Mental Health Santuary. Retrieved from http://www.naturalhealthweb.com/articles/tate1.html on 3/29/2013.
Language: English
Format: Other
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a controversial yet exciting therapy that assists many, including survivors of violent crimes to process their experiences so that they can move forward in their healing. The therapist deliberately stimulates left-right brain processing while facilitating an environment similar to that experienced while dreaming. It is particularly effective in treating people with post traumatic stress disorder.
While this carefully constructed set of circumstances is beneficial in the hands of a qualified EMDR practitioner and in a safe environment, is it possible that the very factors which lead to healing in EMDR therapy present themselves unawares outside the clinical environment causing post-traumatic stress episodes? The actual triggers leading to a post traumatic stress episode vary, but perhaps upon inspection a naturally occurring commonality mimicking the EMDR phenomenon is present.
Although eye movements are the most commonly used external stimulus employed by EMDR therapists, they also use auditory tones, tapping, or other types of tactile stimulation. Are there naturally occurring corollaries in the everyday environment which would make it difficult for a survivor of violent crime to function in their day to day duties? Are work tasks unknowingly triggering the beginnings of an EMDR session without the presence of an EMDR practitioner to facilitate the information processing? Is a post-traumatic stress response the result? Survivors of violent crimes are at high risk for employment. Does Naturally Occurring EMDR-Like Phenomena in the Work Environment Increase Employment Risk for Survivors of Violent Crimes?
Keywords: Posttraumatic Stress Disorder PSTD Survivors Violent Crimes
Accuracy Verified: Yes
124. Campbell-Beattie, J. (2004, June). Dog solution to cat phobia. The EMDR Practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Editor's Note: Dr Campbell-Beattie provides us with a creative, three
session EMDR case utilizing both visual/light and auditory bilateral
stimulation to resolve a cat phobia. Readers may especially appreciate his
example of the potential value of "opportunistic" treatment props! - SEB
Keywords: Cat Phobia
Accuracy Verified: Yes
125. Shapiro, F. (1995, September/October). Doing our homework. Family Therapy Networker, 19(5), 49-53.
Language: English
Format: Journal
Abstract:
Michael Lerner's call to arms at last spring's Family Therapy Network Symposium (see page 44) challenged therapists to become a greater moral force in the world and to take more responsibility for the collective good. Lerner stirred an audience of 2,500 therapists with his impassioned appeal for the mental health community to mobilize politically, yet 1 was struck by an important omission in his address there was little mention of our own individual and collective responsibility for the current crises feeing our profession. I don't think therapists can take the moral high ground with anyone when we haven't cleaned up our own house.
I remember hearing about a conversation in which a therapist who said he did family therapy was asked where he was trained. "What's the big deal?' he replied. "I'm a therapist and 1 was born into a family. What more do I need?" I asked the person who told the story, "How did you respond to that?" She shrugged and said, "Nothing. You know how people are. It goes on all the time."
In a field that prides itself on its mavericks and creative innovators, from Freud to Milton Erickson, doing therapy without training is often viewed as an indicator of a willingness to reject stultifying orthodoxies and break with outmoded clinical traditions. But the argument that individual clinicians need the autonomy to work intuitively can often become an excuse for not bothering to become thoroughly prepared and knowledgeable about what has already been developed.
As the originator of a new therapeutic approach called Eye Movement De-sensitization and Reprocessing (EMDR), I have had the opportunity to get a close-up view of how therapists incorporate new clinical methods into their practices. After publishing a controlled study on EMDR in 1989, I decided to teach it to licensed mental health professionals as an experimental procedure. This way, as we awaited further research, clinicians could use EMDR judiciously, careful to employ other procedures if the method did not work. However, I soon began getting reports about clients who appeared to be harmed by EMDR and discovered that they had been treated with improvised versions of the method taught to their therapists by past participants in EMDR trainings. Some participants had even trained lay hypnotists and massage therapists in their version of EMDR. There seemed to be little understanding that you are not qualified to teach something you just learned. My psychiatrist friends laughed at my shock and said, "Why are you surprised? Haven't you heard of 'See one, do one, teach one?" Advertisements for "eye movement therapy" started appearing around the country taught by people who had never been fully trained themselves. Some even started to run workshops based on their reading of the two-page procedure section of my eight-year-old research publication.
The intentions of these therapists may have been benign, but the consequences for their clients were sometimes disastrous. One young woman who had been raped was treated by a therapist who had heard that EMDR was useful for treating trauma. Without any other information, preparation or procedural safeguards, the therapist started using the eye movement component of EMDR, without any real grasp of the method. The young woman appeared to calm slightly, but when she returned home, she started crying uncontrollably, ended up in a fugue state and had to be hospitalized. When I told the story to another therapist, his response was, "Clients do that all the time. How do you know it wouldn't have happened anyway?" The answer is I don't, but I know that there is much less likelihood of a client being hurt if clinicians are well trained in their methods. As long as we shrug off the use of methods by colleagues who haven't been adequately trained in them, we have to accept part of the responsibility for their results.
Accuracy Verified: Yes
126. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with traumatized clients can be overwhelming
for the therapist, especially when the trauma is complex, involves
dissociative symptoms or different personality states, fragmented
memories or client affect is intense and poorly regulated. My
experience as a supervisor of EMDR practitioners has shown that
it is not uncommon for therapists, in an attempt to be helpful to
the traumatized clients, to unintentionally use strategies, which
are experienced as re-traumatizing or which lead to an increase
in their clients’' survival based coping strategies, including the
further strengthening of the ANP (Apparently Normal Personal-
~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop
highlights different therapeutic challenges, which often arise
for therapists when working with trauma and introduce strategies
that EMDR practitioners can use in their work with such
clients. This workshop embeds the principles of Positive Growth
Therapy (PGT - Herbert, 20071, which encompasses combined
knowledge from a variety of disciplines, including positive psychology,
information-processing theory, neurobiology, somatic
psychology, developmental psychology and attachment theory,
mindfulness and others. These strategies, designed to nurture
growth rather than dysfunction, are linked to specific therapeutic
factors relevant to the work with trauma, such as different types
of trauma, the nature of dissociation, the therapeutic pathway
toward integration. the concept of safety, the importance of resource
installation, individual pacing of therapy and the window
of tolerance, different types of processing, and the integration of
rational and experiential processing systems and others, which
will be explored in the course of this workshop
This workshop offers opportunities for both, EMDR therapists,
who are fairly new to the trauma field and would like to enhance
and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop
as an opportunity to re-view, further refine or validate
their current ways of working.
The specific learning objectives for this workshop are:
1. To find out about specific therapeutic factors that is relevant
to the work with trauma.
2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity.
This workshop is unique in the way in which it transcends specific
(and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to
EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.
Accuracy Verified: Yes
127. Laliotis, D. (2009, March). Dreaming the future: Part 1 & Part 2 - Creating new possibilities with EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
EMDR is often used to help clients access and rewire neural pathways to integrate traumatic memories and relieve dissociation, hyperarousal, and numbing. But it can also help clients move toward a better future by mentally rehearsing aspects of more positive, fulfilling lives. In this workshop, we'll describe how to use EMDR to develop alternative neural pathways freeing clients from the fears and self-doubts that keep them from developing to their fullest potential. We'll review the brain circuitry involved in moving from an internal state of disconnection and helplessness to one of integration and empowerment. Then through lecture, discussion, and videotaped examples, you'll learn guidelines for using EMDR to help clients develop new internal maps, future scenarios, and a clear sense of how to get from their present state to their future self.
Accuracy Verified: Yes
128. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment
dropout? We will examine clinical impressions and research in this area. First,
clinical perspectives on the tolerability of exposure will be presented.Then,
three empirical papers will explore: dropout rates for exposure, symptom
exacerbation in women undergoing imaginal exposure, and factors that influence
treatment choices.
Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the
treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing
outcome literature, a concern that this treatment may exacerbate
symptoms and lead to premature dropout has been voiced on the basis of a
few reports. In the present paper, we examined the hypothesis that treatments
that include exposure will be associated with a higher dropout rate
than treatments that do not include exposure. A literature search identified
17 controlled studies of cognitive behavioral treatment for PTSD that
67
Concurrent Sessions–Saturday,November 9
Saturday: 1:00 p.m.–2:15 p.m.
included data on dropout. The results indicated no difference in dropout
rates among exposure therapy, cognitive therapy, stress inoculation training,
and EMDR.These findings are consistent with previous research about the
tolerability of exposure therapy.
Keywords: Dropout Rate Symposium
Accuracy Verified: Yes
129. Manfield, P. (2013, May). Dyadic resourcing: Creating a foundation for treating early trauma [La dyade comme ressource: Créer une base solide pour traiter les traumas de la petite enfance]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing
of very early trauma with severely deprived clients, including those with attachment disorders. The goal of
this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child
relationship. This workshop will address the basic principles and processes central to this form of resourcing,
including each of the five steps involved in establishing this resource. The process will be illustrated using clinical
videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be
provided.
Learning Objectives:
• Explain why cognitive interweaves are often not helpful to clients with attachment disorders
• List 15 possible sources of resource figures a client might have that the client can feel a present affective
connection to.
• List 8 techniques that can be used to help a client feel more intensely connected to a resource.
• Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly
identifying with their child selves.
• Describe how the “morphing” process minimizes a client’s resistance to feeling nurtured.
Cet atelier présente la dyade comme ressource, une approche conçue pour faciliter le retraitement en EMDR pour
les traumas de la petite enfance chez des clients qui ont été sévèrement négligés dont ceux avec un trouble de
l’attachement. L’objectif de ce processus est d’aider le client à se connecter au niveau affectif à une expérience
intérieure d’être dans une relation nourrissante parent-enfant. Cet atelier portera sur les principes de base et
les processus centraux de cette forme de ressourcement incluant les 5 étapes pour établir cette ressource. Le
processus sera illustré à l’aide de vidéos de transcription sur les ressources et une démonstration en direct. Il
fournira aussi des ‘’liens’’ afin d’avoir accès gratuitement à des formations sur les ressources.
Objectifs d’apprentissage:
• Expliquer pourquoi les tissages cognitifs ne sont pas aidant pour les clients ayant un trouble de l’attachement
• Une liste de 15 figures ressourçantes pour le client et pour lesquelles il peut ressentir une connexion sur le
plan affectif.
• Une liste de 8 techniques qui peut être utiliser afin d’aider le client à se sentir de plus en plus connecter à une
ressource.
• Décrire 4 indications que le client n’adopte pas une position d’observateur mais plutôt qu’il soit vraiment
identifié avec leurs ‘’soi’’ d’enfant.
• Décrire comment le processus de ‘’morphing’’ peut diminuer la résistance au sentiment d’être nourrit
affectivement
Keywords: Dyadic Resourcing Morphing Resource Figures
Accuracy Verified: Yes
130. Manfield, P. (2011, August). Dyadic resourcing: EMDR with difficult clients. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child relationship. This workshop will address the basic principles and processes central to this form of resourcing, including each of the five steps involved in establishing this resource. The process will be illustrated using clinical videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be provided.
Keywords: Difficult Clients Dyadic Resourcing
Accuracy Verified: Yes
131. Bisson, J. (2006, June). Early intervention method as an EMDR method. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Recommendation
• All chronic PTSD sufferers should be
offered a course of trauma-focused CBT
or EMDR, normally on an individual OP
basis, regardless of time since trauma.
• Usually 8-12 sessions, some at 90
minutes.
• May need to be longer than 12 sessions if
multiple trauma, co-morbidity, traumatic
bereavement…
• Training and competence essential.[Excerpt]
Keywords: Recents Events Protocol
Accuracy Verified: Yes
132. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Affect Phobias Phobias Relational Trauma
Accuracy Verified: Yes
133. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Poster Social Engagement
Accuracy Verified: Yes
134. Biehle, D. A., & Keller, M. W. (2008, September). East meets west: Capacity building and EMDR training with mental health professionals in Aceh, Indonesia. Poster presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Other
Keywords: Aceh, Indonesia Poster Training
Accuracy Verified: Yes
135. Staemmler, F. M. (2004, Spring). Editorial. International Gestalt Journal, 27(1), 5-7.
Language: English
Format: Journal
Abstract:
The article gives an introduction to the papers included in the present issue of "International Gestalt Journal". Spurred by the positive feedback we have received for the last two volumes of our journal the editorial board has once again made a special effort to provide our readers with interesting material. The contribution by Stephan Tobin (see record 2004-19782-003) addresses an issue that has gained great attention in recent years: the therapy of trauma. In his paper Tobin outlines his idea of an integration of EMDR and relational gestalt therapy. Dan Bloom's (see record 2004-19782-005)paper describes the development of the world's first gestalt therapy institute, which has been one of the major sources of gestalt therapy and its vicissitudes over the course of half a century. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Editorial Emotional Trauma Multimodal Treatment Approach Neurophysiology Physiology Posttraumatic Stress Disorder Psychological Stress
Accuracy Verified: Yes
136. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.
Language: English
Format: Dissertation/Thesis
Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.
Keywords: Brain Stimulation Drug Abuse Drug Rehabilitation Empirical Study Military Veterans Relaxation Therapy Self Efficacy Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
137. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.
Language: English
Format: Dissertation/Thesis
Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.
Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness
Accuracy Verified: Yes
138. Silverman, S. J. (2011). Effecting peak athletic performance with neurofeedback, interactive metronome®, and EMDR: A case study. Biofeedback, 39(1), 40-42. doi:10.5298/1081-5937-39.1.08.
Language: English
Format: Journal
Abstract:
This case study chronicles the application and effects of a customized combination of therapies, including neurofeedback, Interactive Metronome® (IM), and Eye Movement Desensitization and Reprocessing (EMDR) created to help a professional athlete improve his brain function and performance. Brian, a 28-year-old professional baseball player, sought help for difficulty maintaining focus and concentration while playing baseball. He felt his challenges impeded his athletic performance, and he wanted to perform at the highest possible level during the upcoming spring training season. Brian's history combined with the results of a QEEG brain map led to a diagnosis of Attention Deficit Disorder–Inattentive Type. The individualized treatment program for Brian included neurofeedback to lower theta activity and increase beta, IM to improve coordination and timing, and EMDR to address his feelings of anger and lack of self-confidence. At the conclusion of his training, Brian described feeling “clear-headed” and was able to focus his mind when needed. His timing and coordination improved, and he showed a positive attitude about playing baseball and felt confident that he would perform well at spring training.
Keywords: Athelete Attention Deficit Disorder–Inattentive Type IM Interactive Metronome® Neurofeedback Performance ENhancement QEEG Brain Map
Accuracy Verified: Yes
139. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
140. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18, 148-158.
Language: English
Format: Journal
Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.
Keywords: Horitzontal Eye Movements
Accuracy Verified: Yes
141. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.
Language: English
Format: Journal
Abstract:
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required. [Author Abstract]
Keywords: Adults Anger Canadians Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
142. Hensel, T. (2006, April). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Kindheit und Entwicklung, 15 (2), 107-117. doi:10.1026/0942-5403.15.2.76.
Language: German
Format: Journal
Abstract:
EMDR (eye movement desensitization and reprocessing) has proved to be an independent, effective, and empirically validated approach for the treatment of chronic post-traumatic stress disorder (PTSD) in adults. This work provides an overview of the status of research into the use of EMDR in traumatized children and adolescents. The available randomized controlled studies are summarized and assessed for their methodistic value. The empirically supported and effective treatment is described. The results show - albeit on a narrow empirical basis - that EMDR, when used in children and adolescents, demonstrates a Comparable effectiveness in symptom reduction and efficiency (limited treatment duration) to that observed in adults. Issues relating to the integration of the treatment into the existing care structure are discussed.
Keywords: Adolescents Bilateral stimulation Care Children Chronic Illness Chronic PTSD Effectiveness Emotional Trauma Empirically Supported Treatment Empirical Study Psychologically Traumatized Children Quantitative Study Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
143. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
144. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
145. Taylor, S. (2004). Efficacy and outcome predictors for three PTSD treatments: exposure therapy, EMDR, and relaxation training. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (1st ed.) (pp. 13-37). NewYork: Springer Publishing.
Language: English
Format: Book Section
Abstract:
In a study that directly compared exposure therapy, EMDR, and relaxation training in patients with PTSD, we simply provided patients with a verbal description of PTSD and its treatment, then assessed the patient's treatment goals, and discussed how the treatment was relevant to the goals. For patients who do not drop out of treatment, our findings suggest that the most consistent predictor of good outcome is whether or not the patient receives exposure therapy, and that the severity of reexperiencing symptoms is an important predictor of treatment outcome, largely because relaxation training has a poorer outcome when these symptoms are severe. The efficacy of exposure and EMDR does not appear to be affected by the severity of reexperiencing. These findings provide further support for the efficacy of exposure and, to a limited extent, support the use of EMDR. Our findings, however, suggest that exposure is a first-line psychosocial treatment for PTSD. [Adapted from Text, pp. 16, 34] [Pilots]
Keywords: Adults Exposure Therapy Manual-Based Treatments Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
146. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
147. Jeffres, M. J. (2003). The efficacy of EMDR with traumatized children. Fielding Graduate Institute, Santa Barbara, CA. AAT 3100543.
Language: English
Format: Dissertation/Thesis
Abstract:
This study evaluated the effectiveness of up to five 60-minute sessions of eye movement desensitization and reprocessing (EMDR) for children (ages 8-12) who had suffered one or more traumas. Participants (N = 48) were randomly assigned to either an EMDR experimental group or a waiting list control. They were provided treatment by one of five therapists, all of whom were experienced, independent clinicians having received Level 2 training in the EMDR technique. The therapists followed Shapiro's protocol for children and were in 90% compliance with the protocol. The participants were carefully screened according to Shapiro criteria. This study was unique in that it included an integrated outcome measure (UCLA PTSD Index), consisting of an assessment of PTSD criteria and a rating of symptoms, reported by both parent and child. Analysis of pre-post changes consisted of two 2 x 3 ANCOVAs, one each for the child and adult report. The analysis of covariance revealed a main effect for the covariate (the pretest total PTSD Score), a main effect for group, and a significant group x time interaction effect, for both the child and adult report. Post hoc (Scheffe) analysis revealed that participants maintained the benefits of treatment at 1-month follow-up. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(8-B), 2004, pp. 4042.
Keywords: Emotional Trauma Empirical Study Eye Movements Quantitative Study
Accuracy Verified: Yes
148. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.
Language: English
Format: Dissertation/Thesis
Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
149. Sellers, J. L. (1997, October). Efficacy of the eye movement desensitization procedure as compared to accelerated massed desensitization in the treatment of test anxiety. California School of Professional Psychology, San Diego, CA. ATT 9729659.
Language: English
Format: Dissertation/Thesis
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure had been widely promoted as an effective anxiety reducing treatment, yet the methodology of many studies has not been adequate to clearly investigate the procedure (Lohr, Kleinknecht, Conley, Dal Cerro, Schmidt, & Sonntag, 1992) and comparison treatments have been inappropriately applied (Lohr, Kleinknecht, Tolin & Barrett, 1995). This study compared EMDR and Accelerated Massed Desensitization (AMD), which has been empirically supported as a short term intervention in the treatment of test anxiety. All participants were screened for participation and 38 were determined test anxious, according to the Test Anxiety Inventory (TAI; Spielberger, 1980). No subjects were involved in any form of relaxation training or taking any medications to reduce anxiety at the time of their participation. All participants were recruited from college and university classes in the Orange and San Bernardino counties and were paid $10 for their participation. Six therapists and the primary investigator conducted therapy sessions for both treatments. All therapists completed the EMDR training, completed relevant reading materials for the AMD procedure, and followed protocols for both procedures throughout the therapy sessions. Participants were randomly assigned to either the EMDR or AMD treatment condition and a therapist. Participants completed the state portion of the State-Trait Anxiety Inventory (STAI; Spielberger, 1983) and the Subjective Units of Distress scale (SUD; Wolpe, 1982) measures at pre and post treatment and at pre and post in-class exam. Participants received two sessions of treatment for each of the conditions. This study hypothesized that the EMDR treatment would significantly reduce anxiety as measured by the STAI and the SUD as compared to the AMD treatment. This study also hypothesized that EMDR would significantly reduce anxiety in both treatment and in vivo settings. Supplementary hypotheses predicted that the AMD treatment would reduce anxiety in both the treatment and in vivo settings. Results indicated that students in the AMD condition experienced more anxiety reduction than students in the EMDR condition. However, both treatments were effective in reducing anxiety in both the treatment and in vivo setting, as measured by the STAI and SUD scales. These results suggest that both treatments may be effective for reducing anxiety. However, the AMD treatment led to greater reductions in anxiety, as compared to the EMDR treatment. It is suggested that further research of the EMDR procedure include suitable comparison groups in order to assess its effectiveness and allow clinicians to choose appropriate treatments based on empirical support. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(4-B), Oct 1997, pp. 2139.
Keywords: College or University Students Identified As Test Anxious Efficacy of Eye Movement vs Accelerated Massed Desensitization for Treating Test Anxiety Psychotherapeutic Techniques Sellers Test Anxiety
Accuracy Verified: Yes
150. Stapleton, J. A., Taylor, S., & Asmundson, G. J. G. (2007, Spring). Efficacy of various treatments for PTSD in battered women: Case studies. Journal of Cognitive Psychotherapy, 21(1), 91-102. doi:10.1891/088983907780493287.
Language: English
Format: Journal
Abstract:
Spousal abuse and other forms of domestic violence can lead to PTSD. Little is known about how to best treat this form of PTSD. The current case series, based on data collected as part of a larger clinical trial, was designed to evaluate the effectiveness of exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), or relaxation therapy. 3 women with battered-spouse-related PTSD were assigned to one of these treatments. The patient receiving exposure responded well to treatment and no longer met the criteria for PTSD at post-treatment or at 3-month follow-up. The battered women in the other two conditions continued to meet the criteria for PTSD at post-treatment and at follow-up. The patterns of treatment response were similar to those experienced by individuals with other forms of PTSD (N = 42) examined in the larger trial. The results of these case studies encourage further studies of exposure therapy for battered-spouse-related PTSD. [Author Abstract]
Keywords: Adults Battered Women Canadians Exposure Therapy Domestic Violence Empirical Study Females Follow-Up Study Posttraumatic Stress Disorder PSTD Quantitative Study Relaxation Training Spouse Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
151. Taylor, S., Thoradarson, D. S., & Maxfield, L. (2002). Efficacy, speed, and adverse effects of three PTSD treatments: Exposure therapy, relaxation training, and EMDR [Abstract]. Canadian Psychology, 43, 139.
Language: English
Format: Journal
Keywords: Exposure Therapy Posttraumatic Stress DIsorder PTSD Relaxation Training Treatment
Accuracy Verified: Yes
152. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Espagna.
Language: Spanish
Format: Conference
Abstract:
La pérdida de un ser querido es un evento de gran impacto emocional
que afectando a todo el sistema familiar, puede ser muy diferente en el modo
en que cada uno de sus miembros perciba, interprete, afronte y se adapte
a la nueva situación tras la pérdida y las demandas por ella creadas. Es
frecuente que una pérdida no elaborada de forma adecuada dé paso a problemas
emocionales e incluso trastornos psicopatológicos al cabo de meses
o incluso años; sin embargo, un duelo adecuadamente elaborado mejora las
capacidades futuras para enfrentarse a las situaciones de pérdida, frustración
o sufrimiento.
La premisa fundamental del modelo de procesamiento adaptativo de información
(PAI) en la que se basa la terapéutica de EMDR sería: la perturbación
que la persona sufre en la actualidad es el resultado de un almacenamiento
disfuncional de la información (Shapiro, 2001). El procesamiento
implica el forjar nuevas asociaciones con información adaptativa proveniente
de otras redes de memoria disponibles para vincularse en la red de memoria
restaurando la información disfuncional almacenada. Desde este modelo, el
duelo complicado se desarrolla cuando los componentes individuales son
tan dolorosos, que se desarrolla una alta sensibilidad cada vez que se reactiva
un fragmento del recuerdo y no se logra la integración. Los fragmentos
activados pueden competir por la atención en la mente, haciendo que ésta
vaya de atrás para adelante entre dos o más aspectos de la muerte. Esta
falta de foco impide el procesamiento de los fragmentos individuales, como
cuando el procesamiento de la pérdida en si misma se desvía por el recuerdo
de los detalles de cómo la persona murió.
En esta comunicación, presentamos el protocolo de EMDR aplicado al
duelo complicado a través del análisis de un caso clínico.
The loss of a loved one is an event of great emotional impact
that affect the entire family system, may be very different in the way
in that each of its members perceive, interpret, and adapt confronts
to the new situation after the loss and the demands created by it. this is
loss often not adequately prepared to give way to problems
psychopathology emotional and even after months
or even years, but properly prepared duel improves
future capabilities to face situations of loss, frustration
or suffering.
The fundamental premise model adaptive information processing
(AIP) which is based on EMDR therapy would be: the disturbance
the person is currently suffering is the result of a storage
Dysfunctional information (Shapiro, 2001). processing
involves forging new partnerships with adaptive information from
other networks available memory on the network to link memory
restoring the dysfunctional information stored. From this model,
Complicated grief occurs when the individual components are
so painful that develops high sensitivity reactive whenever
a fragment of memory and integration is not achieved. fragments
activated can compete for attention in the mind, causing it
go back and forth between two or more aspects of death. this
lack of focus prevents processing of the individual fragments, as
when processing the loss itself is diverted by the memory
the details of how the person died.
In this paper, we present the EMDR protocol applied to
Complicated grief through the analysis of a clinical case.
Keywords: Bereavement Case Study Grief Symposium
Accuracy Verified: Yes
153. Holmshaw, M. (2008, June). EMDR & CBT work equally well for psychological trauma – Why?. Presentation at the annual meeting of the EMDR Europe Association, London, UK.
Language: English
Format: Conference
Abstract:
The use of EMDR, CBT or a combination of the two, in managing psychological ill health following road Traffic
Accidents (RTA): The Results and analysis of 1100 consecutive referrals. This paper determines the role of
trauma-focused psychological treatment in the management of psychological ill health following road traffic
accidents in the UK. RTA’s are the biggest cause of PTSD in this country. All consecutively referred patients with
possible psychological ill-health following a RTA were offered a comprehensive psychological assessment by an
established provider of trauma services in the UK. Those with significant psychological ill health were offered
trauma-focused psychological treatment, EMDR and/or CBT, in line with NICE (National Institute for Health and
Clinical Excellence) guidelines. During the psychological assessment a clinical diagnosis was made and a number
of psychometric scores were used. These comprised
1 DSM IV criteria for PTSD and illness severity,
2 General Health Questionnaire,
3 Impact of Event Scale,
4 Hospital Anxiety and Depression Scale.
Similar subjective and objective measurements were made after every fourth session of therapy and on
discharge. The results offer a breakdown of diagnoses, the number of patients who proceeded to treatment and
the type of treatment and outcome of such treatment. Of the 658 patients who proceeded to Trauma-focused
psychological treatment, patients had either EMDR by itself (31%), CBT by itself (36%) or a Combination of EMDR
and CBT (33%). Subjectively and objectively three out of four patients were completely relieved of their
symptoms or were much better. There was no significant difference between CBT and EMDR in terms of
treatment results. Closer analysis of the three subgroups revealed a number of variables which seemed to be
associated with failure of EMDR treatment and failure of CBT treatment. These variables will be discussed against
the background of the trauma focused CBT model of Clarke, D and Ehlers A, 2002. Recommendations will be made of ways to improve the outcome of EMDR Therapy and improving EMDR training.
Keywords: CBT Cognitive Behaviorial Therapy Trauma
Accuracy Verified: Yes
154. MacDonald, H. (2008, October). EMDR & pain. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
This workshop will give participants an introduction to using EMDR with people who have persistent pain. The EMDR protocol (Grant and Threlfo 2002) can be
used to promote more successful management of pain, and can change pain sensations. Targets might also include the impact of the pain on life situation. The
workshop is aimed at people who have completed EMDR training, but who may not have applied it with this client group.
Keywords: Pain
Accuracy Verified: Yes
155. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
156. Kavakci, O., Dogan, O., & Kugu, N. (2010, September). EMDR (Göz hareketleri ile fuyarsızlaştırma ve yeniden işleme): Psikoterapide farklı bir deçenek [EMDR (eye movement desensitization and reprocessing): A different option in psychotherapy]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 23(3), 195-205. doi:doaj.org/doaj?func=openurl&genre=article&issn=10188681&date=2010&volume=23&issue=3&spage=195.
Language: Turkish
Format: Journal
Abstract:
Göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and
Reprocessing), son yıllarda oldukça ilgi çeken terapi yöntemlerinden biridir. Bu ilginin bir nedeni, özellikle
Travma Sonrası Stres Bozukluğu (TSSB) tedavisindeki etkinliğinin pek çok çalışma ile gösterilmiş olmasıdır.
EMDR, bilgi işleme süreçlerini kolaylaştıran ve travmatik anı parçalarının bütünleşmesini sağlayan yenilikçi
bir terapi yöntemidir. Bu yaklaşımla bilginin gelecekte daha iyi işlevsellik sağlayacak şekilde işlenmesi sağlanır.
Son yıllarda, tedavi kılavuzlarında ve meta analizlerinde EMDR, önerilen tedaviler arasında belirtilmektedir.
Travma ve sonrası bozuklukların görülme sıklığı oldukça yüksektir. Buna karşın, Türkçe alanyazında bu
bozuklukların tedavi seçenekleri ile ilgili yayınlar oldukça sınırlıdır. EMDR’nin etki mekanizması henüz tam olarak
aydınlanmamıştır. Shapiro bir uyumsal bilgi işleme modeli önermiştir. Daha sonra, çeşitli araştırmacılar
laboratuvar ve görüntüleme yöntemlerine dayanan çeşitli nörobiyolojik modeller önermişlerdir. Bu çalışmada,
EMDR ve sekiz evresi açıklanmış, bir olgu örneği, seans kayıtları ile sunularak uygulaması gösterilmiş ve
bu tekniğin çalışma biçimi açıklanmış, etki mekanizması ile ilgili önerilen nörobiyolojik modeller özetlenmiş,
Türkiye’de EMDR ile yapılan az sayıdaki yayın gözden geçirilmiştir. Bu tekniğin ruh sağlığı çalışanlarının uygulamalarına
daha çok girmesi, hem uygulayıcıların psikiyatrik bozukluklar üzerindeki yetkinliklerini arttıracak hem
de travma ve benzeri bozukluklardan yakınan hastalara hızlı iyileşme şansı verecektir.
In recent years, there has been an interest in using the EMDR (Eye Movement Desensitization and
Reprocessing) therapy. One of the reasons for this interest may be its effectiveness shown by numerous
studies, especially, conducted with individuals who suffer from Post Traumatic Stress Disorder (PTSD).
The EMDR is known to be an innovative approach that accelerates information processing and facilitates
the integration of fragmented traumatic memories. This process is stated to allow better integration of
the information that a person has to handle in the future. Recent practice guidelines and meta-analyses
have designated the EMDR as a first-line treatment for trauma. Although the prevalences of trauma
and trauma related disorders are high in Turkey, there has been a limited number of published studies
highlighting treatment options. The EMDR’s mechanism of action has not yet been fully explained. Shapiro
has proposed an adaptive information processing model. Later, based on laboratory and neuroimaging
methods, a number of neurobiological models have been suggested. The present study explained the
EMDR and its eight-phases. A case example with session records was provided to show the application
and operation of the technique. After that, leading neurobiological models which attempt to explain the
mechanisms of action of the EMDR were summarized. Finally, few studies conducted in Turkey using the
EMDR were reviewed. Given the effectiveness of the EMDR regarding trauma and related disorders, the
utilization of the technique by a broad number of mental health professionals may not only increase the
professionals’ competency on psychiatric disorders, but also may provide patients suffering from these
disorders a chance to recover in a relatively short period of time.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD Therapy
Accuracy Verified: Yes
157. Gagnon, A. (2006). EMDR - L’introduction d’une nouvelle approche [EMDR - The introduction of a new approach]. Santé Mentale au Québec, 31(2), 257-261.
Language: French
Format: Magazine
Abstract:
L’amélioration continue de nos expertises pose un défi immense en
sciences cliniques. Si l’Art clinique s’affine avec l’expérience, la
Science avance aussi de son côté. À titre d’éducateur et de concepteur
de projets éducatifs, on demeure perplexe devant l’écart entre les intérêts
et les besoins réels de formation. Sans parler de la difficulté d’introduire
de nouvelles connaissances, face aux chapelles de gens « qui savent
mieux » ; ni, ce qui compte le plus, du défi de modifier les pratiques au
bénéfice des patients, enjeu éthique immense et souvent mal perçu.
Continuous improvement of our expertise poses a huge challenge in
Clinical Sciences. If Art is refined with clinical experience,
Scientific progress is also on his side. As an educator and designer
educational projects, we remain puzzled by the discrepancy between the interests
and the actual training needs. Not to mention the difficulty of introducing
new knowledge, meet the chapels of people "who know
better "or, what matters most, the challenge of changing practices in
benefit of patients, ethical issue, and largely unwelcome.
Accuracy Verified: Yes
158. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]
This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]
Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
159. Adler-Tapia, R. L., & Settle, C. S. (2009, March). EMDR and adaptive information processing theory: A comprehensive approach to child psychotherapy. Clinical Child Psychology and Psychiatry, (1), 12-15.
Language: English
Format: Journal
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing
(EMDR) or you have participated in EMDR training, the goal of this article is to provide the
reader with a brief overview of strategies for using the full protocol with young children. To
understand the process by which the phases of the protocol are applied with child clients, it is
important to understand the theoretical underpinnings that Adaptive Information Processing
(AIP) theory creates as a foundation for healing and health with children. After discussing the
application of AIP to children, the chapter will continue with an overview of skills therapists can
use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with
references for additional study and training on using EMDR with children. Finally, therapists
will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through
developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
160. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
EMDR directly addresses the physiologically stored
memory networks that underlie both psychological problems
and mental health. This orientation to both case conceptualization
and treatment will be explored to address
diverse clinical applications, including attachment issues,
body image, chronic pain, substance abuse, sexual dysfunction,
personality disorders, and other presenting complaints.
The Integration of EMDR with family therapy
practices will also be discussed.
Keywords: Adaptive Information Processing
Accuracy Verified: Yes
161. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
162. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.
Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium
Accuracy Verified: Yes
163. Cohen-Posey, K. (1998, March). EMDR and bibliotherapy. EMDRIA Newsletter, 3(1), 20-21.
Language: English
Format: Newsletter
Abstract:
I fell in love with EMDR after my Level I training in October of 1995 and have used it as much as possible since. Using it with people who have experienced trauma is like having a front row seat to the healing processes of the universe. I no longer struggler with the perennial question: “What do I do next?” When processing becomes stuck, cognitive interweaves usually come to me during an eye movement set.
Keywords: Bibliotherapy
Accuracy Verified: Yes
164. Beley, T. (2001, June). EMDR and Bowen theory: A natural integration of technique and theory in therapy. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Although very distinct in their respective technical and theorectical approaches, EMDR and Bowen Theory hold important commonalities. Participatns will be able to 1) dsecribe the relationship of the triune brain, emotional reactiveness, and anxiety; 2) develop a basic understanding of the relationship between evolutionary processes, biologic processess, and human behavior; and 3) identify how EMDR can be used within the context of Bowen Theory and therapy.
Keywords: Bowen Theory
Accuracy Verified: Yes
165. Moses, M. D. (2002, June). EMDR and conjoint couples therapy. Presnetation at the annual meeting of the EMDR International Assocation, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation represents an integration of EMDR with Conjoint
Couples Therapy. The protocol offered is clinically and anecdotal derived,
applying EMDR with both members of a couple witnessing the other's
work. This mutual sharing around triggers and traumas, holds powerful
potential for building mutual understanding, compassion and empathy in
the relationship. As a work in progress, the presenter will welcome dialog
and empirical investigation of this protocol. The workshop will include:
guidelines; potential benefits; indications and contraindications; protocol
for EMDR and Conjoint Couples Therapy; case illustration; do's and
don'ts: coordination with other therapies/therapists; and when Conjoint
EMDR is not possible or indicated.
Keywords: Conjoint EMDR Couples Therapy
Accuracy Verified: Yes
166. EMDRIA Standards and Training Committee. (2002, June). EMDR and consultation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for Approved Consultants in EMDR or those who plan to pursue this designation. Consultation in EMDR is essential to the development of competence in the use of EMDR procedures and the integration of the EMDR model into clinical practice. This course will cover the philosophy of consultation, the ethical and legal considerations, models of consultation, and the different ways in which the consultation process can be completed. A question and answer period will also be available.
Keywords: Consultation Standards and Training
Accuracy Verified: Yes
167. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
168. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This presentation addresses how creativity has
been interwoven into the discovery and
development of EMDR, as well as how EMDR is
an effective tool in unblocking and enhancing
creativity. Dr. Shapiro's discovery of EMDR and
her development of the EMDR Protocol, are
examined as underpinnings of EMDR and
Creativity. EMDR processing will also be
examined as an essentially creative process at the
core of healing trauma-based blocks. The
therapeutic relationship in EMDR is discussed as
a co-creative process. This presentation addresses
creative enhancements EMDR's healing tools
including: "open listening" - avoiding
assumptions while attending to all in-the-moment
verbal and non-verbal client communications, creative use of eye movements with flowing hand
movements and shifting rates of speed, integrating
music and nature sounds into left/right auditory
stimulation and enhancing of body sensations with
color and imagery. This presentation also
addresses using EMDR in addressing issues of
creativity. Creative blocks are regularly reported
by both artists and non-artists and often cripple
and traumatize the artist, and interfere with the
creativity of diallng living of non-artists. Using
EMDR protocol to target creative blocks is
discussed, as well as the contribution of trauma
to these blocks. The EMDR future template is
discussed as a tool for enhancing creativity with
artists free of significant blocks. This includes
actors, singers, dancers, writers and graphic
artists. Mini-practica and demonstrations are used
to operationalize the concepts presented in lecture and handout format.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
169. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR.
EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation
addresses creative enhancements of EMDR's healing tools: ''open
listening." eye movements, integrating music and nature sounds into
auditory stimulation and using body sensations with color and imagery.
Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed.
Mini-practica and demonstrations also used.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
170. Dodgson, P. (2009, March). EMDR and diversity. Keynote presented at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract: In this keynote address, Philip Dodgson will outline some of the ways in which EMDR has been developed through the application of the Adaptive Information Processing model to new areas of clinical practice. Drawing on clinical material and published research, Philip will include case material from work in the National Health Service, private practice and the EMDR Humanitarian Assistance Program. Case material will include work with people in a setting of ongoing conflict, people involved in gender re-assignment, and people who experience hearing voices. EMDR and diversity will be explored not only in terms of current clinical work but also as a challenge for the future, both in clinical practice and in encouraging and training EMDR practitioners from a wide range of backgrounds.
Keywords: Diversity
Accuracy Verified: Yes
171. Inobe, S. P. (2000, September). EMDR and ego state therapy: Practical implications for the desensitization and reprocessing of EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will learn to: 1) employ ego state therapy techniques and language to use with clients during desensitization and reprocessing phases of treatment; 2) work with and strengthen a self-system's internal strengths and weaknesses during processing, installation, and integration; 3) name specific techniques to ensure safety and containment; and 4) identify ways to recover from mid-EMDR processing failure.
Keywords: Ego State Therapy Processing Failure
Accuracy Verified: Yes
172. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
173. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples
Accuracy Verified: Yes
174. Silvestre, M., & Morris-Smith, J. (2010, June). EMDR and family therapy around the issue of domestic violence. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
During this pre-conference, we will discuss the integration of EMDR and family therapy through the work done with domestic violence cases. In these particular situations, the therapist is faced with complex clinical issues that require one to think and intervene at different levels: the victim, the children's victim, the perpetrator, the family dynamics. This complex clinical situation is challenging us to develop a multilevel way of thinking and working; it is a good example of integration between personal and interrelation issues. Such an integration proves to be a necessary process when faced with the trauma consequences of domestic violence, which we all know impact each family member greatly. We will look into attachment disorder, problems with affect regulation, safety issues and the transmission of perturbed family dynamics.
We will also discuss treatment planning and how to articulate work with one person and work with a family with regard to the therapist's affiliation.
Keywords: Domestic Violence Family Therapy
Accuracy Verified: Yes
175. Bender, S., Hollander, H., & Accaria, P. (2001, June). EMDR and hypnosis. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) describe how EMDR and hypnosis differ; 2) utilize a muscle testing ideomotor signaling procedure to develop EMDR protocols; 3) apply Eriksonian training in the EMDR protocol; and 4) employ an aspect of EMDR, the eye movements, in an hypnotic protocol.
Keywords: Eriksonian Training Hypnosis Muscle Testing
Accuracy Verified: Yes
176. Sitting, K. J. (2008, August). EMDR and hypnotherapy. Presentation at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Keywords: Hypnotherapy
Accuracy Verified: Yes
177. Sitting, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Pre-congress presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Previous knowledge is not necessary.
Keywords: Hypnotherapy
Accuracy Verified: Yes
178. Welch, K. L. (2007, August). EMDR and neuroscience research: Some questions and implications for psychotherapy integration. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Since its introduction, Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1989) has received the attention of many mental health professionals. There has been much critical debate on the subject of EMDR. Most of the clinical discussion has centered on the role of EMDR in the treatment of Posttraumatic Stress Disorder (PTSD).
While the EMDR procedure has been compared to Mesmerism (McNally, 1999), declared as pseudoscience (Herbert, Lilienfeld, Lohr, Montgomery, O’Donohue, Rosen, and Tolin, 2000), or regarded as a highly marketed placebo (Lilienfield, 1996), most studies support the efficacy of EMDR in treating PTSD (Ironson, Freund, Strauss, and Williams, 2002; Lee, Gavriel, Drummond, Richards, and Greenwald, 2002; Marcus, Marquis, and Sakai, 1997; Rothbaum, 1997; Van Etten and Taylor, 1998; Wilson, Becker, and Tinker, 1997). There has been some evidence for accompanying physiological changes in PTSD subjects treated with EMDR with patterns of cortex functioning, (Levin, Lazrove, and van der Kolk, 1999; Nicosia, 1994) event-related potential changes (Lamprecht, Kohnke, Sack, Matzke and Munte, 2004), as well as positive effects on the level of the stress hormone cortisol (Haber, Kellner and Yehuda, 2002).
Keywords: Neuroscience
Accuracy Verified: Yes
179. Kraemer, L. (2007). EMDR and photography. M.E.M.
Language: English
Format: Other
Abstract:
Working with EMDR and the
photographs people bring,
enables access to feelings which
can then be reprocessed,
allowing integration in
remarkable ways, creating a
new ‘ Innerscape’
EMDR.
Keywords: Photography
Accuracy Verified: Yes
180. Wachtel, P. L. (2002). EMDR and psychoanalysis. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 123-150). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Although EMDR is clearly an integrative approach, it is an integrative approach with a strong cognitive-behavioral flavor. In this chapter, EMDR is examined and considered from a different vantage point. For some time, I too have been engaged in developing an integrative approach to therapy. However, apropos the previous paragraph, my integrative efforts have a different flavor; they are rooted most deeply in the psychodynamic tradition, not the cognitive- behavioral.As a consequence of my psychodynamic vantage point, my view and use of EMDR differ somewhat from the "classic" approach to EMDR. This chapter is thus likely to reflect clinical and theoretical views that differ in important ways from those of many of this book's other authors. However, my discussion does not constitute a critique of EMDR. I began using EMDR and am writing this chapter because I am intrigued by EMDR -- by its clinical potential, the experiences it seems to generate, and the challenges to theory and research that it presents. My goal is to expand our ways of viewing and thinking about EMDR, and to consider the ways in which EMDR can be enriched by a psychoanalytic perspective and vice versa. For an integration or combination of EMDR and psychoanalysis to be viable, two conditions must be satisfied. The differences must not be so fundamental and unbridgeable that any effort to bring the two approaches together is inherently incoherent and contradictory. At the same time, the differences must not be so trivial or superficial that putting them together adds little or nothing. The interface between EMDR and psychoanalysis meets both these conditions, and the chapter will attempt to demonstrate this as it proceeds. [Adapted from Text, p. 124] [Pilots]
Keywords: Psychoanalytic Psychotherapy Psychotherapeutic Processes
Accuracy Verified: Yes
181. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
182. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of
a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation,
treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s
inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and
will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific
EMDR targets, facilitating the enhancement of EMDR processing.
Learning Objectives:
• Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to
all phases of the EMDR protocol in order to facilitate the treatment of clients.
• Participants will be able to discuss and describe how to developmentally assess, identify, map and access
client roles and how to treat roles with traditional EMDR protocols.
• Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of
clients’ issues and resolution of symptoms.
Keywords: Role Therapy
Accuracy Verified: Yes
183. Nadel, B. (2009, April 18). EMDR and somatic experiencing: A body-expansive integration. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will explore EMDR and Somatic Experiencing as different paradigms for trauma resolution. It will then demonstrate that the two modalities overlap in several ways thar can facilitate a powerful integration that enhances the effectiveness of EMDR. Participants will gain somatic tools for application to their own EMDR work. They will learn how these somatic skills can deepen the Safe Place; Sensation and the Body Scan in the 8-phase Protocol.
Keywords: Somatic Experiencing
Accuracy Verified: Yes
184. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.
Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization
Accuracy Verified: Yes
185. Lipke, H. (1997, July). EMDR and the integration of psychotherapy. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Integration Psychotherapy
Accuracy Verified: Yes
186. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
187. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Dr. Marquis will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
188. Marquis, P., & Sprowls, C. (2011, August). EMDR and the treatment of anxiety disorders: Clinical applications using the anxiety protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Dr. Marquis and Dr. Sprowls will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing, (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interoceptive exposure, psycho-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients can integrate self-use of bilateral stimulation to increase treatment results. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
189. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
190. Lindsay, J. (1995, June). EMDR and the treatment of rape survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The study employed single case experimental design to test the efficacy of EMDR in the treatment of rape survivors. EMDR was
introduced sequentially to five subjects by five licensed psychotherapists with Level II EMDR training. Each subject received from
4 to 6 sessions depending upon her position in the sequence. Each met criteria for PTSD prior to treatment.
The study emphasized clinical significance, and with minor exceptions, all scores meet criteria for both clinical and statistical
significance.
Independent variables were the Beck Depression Inventory (BDI), the Brief Symptom Inventory (BSI), the Dissociative Experience
Scale (DES), the State-Traft Anxiety Inventory (STAI) and the PTSD Symptom Scale, Self-Report (PSC-SR). Pre- post- and followup
scores demonstrated dramatic changes (<.O1,DES<.05).
Subjects monitored PTSD symptomotology throughout the baseline, treatment and follow-up phases. The visual analog scales
which display these graphed data provide some interesting information regarding individual response to treatment and inter- and
intra- subject variability. These quantitative data were also analyzed with respect to qualitative data from pre- and post and followup
interviews and from clinical reports.
Keywords: Rape
Accuracy Verified: Yes
191. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation: A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.
Language: English
Format: Journal
Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.
Keywords: Assimilative Integration Cognitive Behavior Therapy Cognitive-Behavioral Therapy Empirical Study Humanistic Psychotherapy Integrative Psychotherapy Humanistic Therapy Psychodynamic Psychotherapy Psychodynamic Therapy Psychotherapeutic Processes Psychotherapy Integration Qualitative Study Treatment Outcomes
Accuracy Verified: Yes
192. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
193. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
Keywords: Addiction Memory Substance Abuse
Accuracy Verified: Yes
194. Horacek, C. (2005, Winter). EMDR as a therapeutic tool. The Conejo Connection, 4(1), 2-4.
Language: English
Format: Newsletter
Abstract:
The main feature of EMDR is that by bilaterally
stimulating the brain trauma, phobias and other disturbing
experiences are “reprocessed” to move from one part of
the brain to the higher-thinking cortical structures of the
brain, and seem to lose their power to be disturbing. This
is the “eye movement” part. In EMDR, the therapist
moves their fingers back and forth in front of the client’s
face and the client watches by moving their eyes (not
turning their head) left right, left right. However, it has
since been discovered that any type of bilateral stimulation
works—auditory, tactile, even walking up and down,
as the body moves first the left leg and then the right.
Accuracy Verified: Yes
195. Shapiro, F. (2002). EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism. Washington, DC: American Psychological Association Books.
Language: English
Format: Book
Abstract:
Beyond the talking cure: somatic experience and subcortical imprints in the treatment of trauma; The developing mind and the resolution of trauma: some ideas about information processing and an interpersonal neurobiology of psychotherapy; EMDR and psychoanalysis; EMDR and cognitive-behavior therapy: exploring convergence and divergence; Combining EMDR and schema-focused therapy: the whole may be greater than the sum of the parts; EMDR: an elegantly concentrated multimodal procedure?; EMDR and hypnosis; EMDR and experiential psychotherapy; Feminist therapy and EMDR: theory meets practice; EMDR in conjunction with family systems therapy; Transpersonal psychology, eastern nondual philosophy, and EMDR; Integration and EMDR.
Keywords: Adults Psychotherapy Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
196. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Keywords: HAP Project Q-Methodology Pakistan Poster
Accuracy Verified: No
197. Rougemont-Bucking, A. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
Background: EMDR has been recognized to be an efficacious
treatment of Posttraumatic Stress Disorder (PTSD). Other,
more recent indications comprise anxiety disorders and substance
use disorders (SUD). With regard to SUD, the application of EMDR
iS very challenging as patients frequently suffer from many
comorbidities. Another concern is the fact that the dissociative
experiencing during EMDR-sessions can potentially weaken the
patients' coping strategies and provoke relapse through activation
of intense drug craving.
General procedure. Sessions were proposed once a week. Specific
techniques like 'Safe Place', the technique of absorption, heart coherence training and ClPOS were applied prior to proposition
of the standard EMDR-protocol. Drug consumption and craving
was regularly monitored by means of the patents' self-reports
and drug craving scores. The therapist was regularly supervised
on the basis of video recordings.
Patient 1: A 49 year old man being diagnosed for PTSD and dependency
of opiates and benzodiazepines asked to benefit form
EMDR with regard to his PTSD symptoms. Patient was abstinent
from heroine consumption but consumed midazolam 3 times per
week when entering the therapy. Initial evaluation showed an
Impact of Event Scale (IES) score of 60, a Dissociative Experiences
Scale (DES) score of 39.6 and a midazolam craving score of 14.
Patient 2 :A 37 old man was diagnosed for borderline personality
disorder and for dependency of opiates. Heroine consumption occurred 1 to 3 times per month when starting the therapy
EMDR based therapy was proposed as he complained about
pertinacious insomnia due to trauma-like events during his childhood.
Initial evaluation showed a DES score of 7.8 and a heroine
craving score of 17.
Global impression: EMDR based treatment of severely affected
SUD patients appears to be a difficult and challenging endeavor
However, some beneficial effects on general comfort and on drug
consumption can be observed. A long stabilisation phase seems
to be mandatory and the standard EMDR protocol needs to be
conducted with much flexibility as patients were not able to handle
intensive emotional stress for a long time period. There was
no provocation of a prolonged psychological crisis or of relapse.
Experiencing of emotional stress could be limited to the sessions
and dissociation could be absorbed with specific techniques without
increasing permanently drug craving.
Learning objectives:
1. EMDR-based treatment is feasible in severely affected drug
abusers
2. Extensive stabilisation of the patient using flexible adaptation
of EMDR-related techniques is mandatory
3. Dissociation occurring during treatment has to be addressed
carefully as it can easily bridge into drug craving and relapse
What is unique: EMDR-based treatment may be a suitable way
to treat patients who are still abusing drugs as these interventions
focus on maladaptive associations that arise from both trauma
and substance related cues.
Keywords: Drug Abusers Heroine Psychotraumatic Antecedents
Accuracy Verified: Yes
198. Korn, D. (2010, April). EMDR behandeling bij volwassenen met een verleden van incest en verwaarlozing. Het herstellen van ontwikkelings tekorten en het beschadigde ‘zelf’ [EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop zal er worden ingegaan op het integreren van EMDR in een algemeen behandelingsplan voor volwassenen die incest en verwaarlozing in hun jeugd hebben meegemaakt.
De workshop is een verdieping van de keynote van het congres. De werkwijze zal gedetailleerd worden uitgelegd en zal worden geïllustreerd aan de hand van videopresentaties en bespreking van casuïstiek.
In eerste instantie wordt uitgelegd hoe de ontwikkelings- en hechtingsbehoeften van de cliënt onderzocht kunnen worden en hoe een betekenisvolle beschrijvende diagnose kan worden ontwikkeld om tot een geïntegreerd, logisch opgebouwd behandelingsplan te komen.
Bij deze groep cliënten, waarbij er sprake is van beperkte affect tolerantie, kwetsbaarheid voor hyper- en hypoarousal, en dissociatieve kenmerken, kan het standaard EMDR protocol worden aangepast met specifieke strategieën. Daar zal uitvoerig op worden ingegaan.
Ook zal er veel aandacht besteed worden aan het integreren van specifieke EMDR technieken, zoals diverse ego-versterkende protocollen en hulpbron installatie (RDI), in alle fasen van de behandeling.
Tevens zullen er technieken besproken worden die cliënten helpen om hun disfunctionele afweermechanismen los te laten, waardoor het veranderen van schema’s met hun kenmerkende kerngedachten en kernaffecten mogelijk wordt
Deelnemers aan deze workshop zullen leren om pathogene gevoelstoestanden, (zoals schaamte, wanhoop, onverdraagelijke eenzaamheidsgevoelens), angsten en ‘blocking beliefs’, ego state conflicten te herkennen, zodat de meest effectieve interweaves en hulpbron opties kunnen worden toegepast.
Verder zullen er strategieën voor herstel, zoals het verduidelijken van verantwoordelijkheid, het vaststellen van veiligheid en keuze, en het verwerken van rouw, verlangen en woede, worden besproken.
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced.
The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies.
Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment.
In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail.
Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment.
Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten
Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied.
Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.
Keywords: Adults Developmental Deficits Incest
Accuracy Verified: Yes
199. Hofmann, A. (2008, September). EMDR bei dissoziativen störungen [EMDR and dissociative disorders]. Presentation at Pre-Congress on EMDR auf dem European Congress of Hypnosis, Wien, Österreich.
Language: German
Format: Conference
Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer bedingter Störungen sind auch neuere erfolgreiche Zugänge zur Behandlung dieser Störungen entwickelt worden. Einer dieser neuen Ansätze ist die von Dr. Francine Shapiro in Palo Alto (Kalifornien) entwickelte und mittlerweile international anerkannte EMDR-Methode.
Diese in ihrer Effektivität gut belegte Behandlungsmethode verwendet einen
acht Phasen umfassenden Behandlungsansatz und kann in vielen Psychotherapien auch bei schwer dissoziativen PatientInnen wichtigen Beitrag zur Verarbeitung belastender Erinnerungen leisten.
Dies gilt auch für PatientInnen, die unter schwersten dissoziativen Störungen wie einer multiplen Persönlichkeitsstörung leiden. Die oft langwierige Behandlung dieser PatienInnen ist durch Methodenintegration und kann durch den Einsatz der EMDR-Methode sehr profitieren. Der diagnostische und behandlungstechnisch integrative EMDR-Ansatz bei diesen PatientInnen wird in seinen Forschungsergebnissen und klinischen Anwendungen im Einzelnen diskutiert werden.
Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action.
With the growing research in the field of psycho-traumatic disorders induced newer successful approaches to the treatment of these disorders have been developed. One of these new approaches is that of Dr. Francine Shapiro in Palo Alto (Calif.) has developed and now internationally recognized EMDR method.
This well-documented in effectiveness treatment method uses a
eight phases comprehensive approach to treatment and can afford in many psychotherapies in severely dissociative patients also important contribution to the processing of stressful memories.
This also applies to patients suffering from severe dissociative disorders, such as a multiple personality disorder. The often lengthy treatment of this PatienInnen is through integration of methods and can benefit by using the EMDR method very much. The diagnostic and treatment technique EMDR integrative approach in these patients will be discussed in its research and clinical applications in detail.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
200. van Nijnatten, A. (2012). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Verschil in effectiviteit tussen visuele en auditieve stimulatie [EMDR with traumatized asylum seekers and refugees: difference in effectiveness between visual and auditory stimulation]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Objective: Recent studies suggest that eye movements are the most effective form of stimulation in
EMDR, but this assertion is based primarily on studies using the general population. This study
evaluated whether tones and eye movements in EMDR are equally effective in reducing symptoms of
trauma, anxiety and depression among asylum seekers and refugees, who are diagnosed with PTSD.
As a control the entire EMDR condition was compared with a waiting list condition, who received no
treatment.
Method: In the present study 43 asylum seekers and refugees in the age of 20 to 73 years, who were
indicated for treatment at Stichting Centrum ’45, participated. They were assigned to three different
conditions: EMDR with eye movements, EMDR with tones or no treatment. The patients were not
randomly assigned to the three conditions. Trauma symptoms were measured with the CAPS and HTQ
and anxiety and depression symptoms with the HSCL-25.
Results: Both tones and eye movements in EMDR lead to a reduction in symptoms of trauma,
according to the HTQ. When trauma symptoms are reported according to the CAPS both conditions do
not lead to a significant reduction in complaints. Concerning symptoms of anxiety and depression both
conditions lead to a reduction in symptoms. Again there is no difference between tones and eye
movements. It appears that EMDR is not significantly better in reducing symptoms of trauma,
compared to the waiting list condition. Both EMDR and no treatment do not lead to a significant
reduction in symptoms of anxiety and depression and there is no distinction between the conditions.
Conclusion: Eye movements and tones lead to a significant reduction in symptoms of trauma, anxiety and depression, but this reduction is insufficient compared to the control condition. This is probably
due to the small sample size of the present study. The present study implies that the theory that eye
movements are more effective than tones in EMDR may not be generalizable to a complex group of
patients, namely asylum seekers and refugees diagnosed with PTSD.
Keywords: Asylum Seekers Auditory Stimulation Refugees Visual Stimulation
Accuracy Verified: Yes
201. Forester, D. (2012, October). EMDR boot camp: An intensive refresher course. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This is an EMDR skills refresher course designed for clinicians who have not had the ability to practice EMDR. This course is perfect for the clinician who took some time off following EMDR Basic Training or would like some hands on practice to build technical competence. Build confidence through a review of the AIP model, the 8 phases and 3 prong approach followed by a guided practicum experience to build your proficiency. With EMDR Boot Camp you will get a personal, hands on experience that will activate your Adaptive Information Processing and allow you to practice EMDR with confidence.
Keywords: Refresher Course
Accuracy Verified: Yes
202. Adler-Tapia, R., & Settle, C. (2008, February). EMDR butterfly hug/group protocol: Fidelity research manual. Hamden, CT : EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001); and, the EMDR Group Protocol created by Dr. Ignacio Jarero and Dr. Lucina Artigas documented in Artigas,L., Jarero,I., Mauer,M., López Cano,T., & Alcalá,N.(2000); Jarero, Artigas, López Cano, Maure, & Alcalá, (1999). This manual also references the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001); and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001).
In addition, we have included information provided by Dr. Robert Tinker and Dr. Sandra Wilson regarding additional directions for the group protocol with children.
This protocol references the book and treatment manual, EMDR and the Art of Psychotherapy with Children (2008) by Dr. Adler-Tapia and Ms. Settle.
This is a fidelity manual created for use in research. The protocol will need to be adjusted for the environment, culture and unique needs of the participants. All resources are documented in the reference section of this manual.
This manual was donated to the EMDR Humanitarian Assistance Program in order to sustain and advance the EMDR HAPKIDS Project which supports programs providing EMDR for children by training therapists, conducting research, and most importantly, providing treatment for those children who are most in need.
Keywords: Butterfly Hug Group Protocol
Accuracy Verified: Yes
203. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5.
Language: English
Format: Newsletter
Abstract:
As a physician board-certified in Psychiatry,
Addiction Medicine, Addiction
Psychiatry, Sexology, Traumatology, and with
credentials in Massage Therapy, EMDR, and
as a Forensic Examiner, I have worked in
almost every practice setting imaginable and
with a broad variety of patients. Having been
based from a hospital, community clinic,
halfway-house residence, private office,
Veterans Administration Medical Center,
training institution, and doing outreach on the
streets, I am clinically familiar with the
behavioral challenges of children, adolescents,
young adults, old adults, couples, families, and
groups manifesting acute symptoms and
exacerbations of chronic disorders, with and
without chemical dependency, physical
problems, and sociological impairments. I like
to teach trainees, do interactive lectures, travel
and experience ‘difference.’ It is thus that I
have found myself a settled homeowner on
Saipan, a Manhattan-sized island that, as part
of the Commonwealth of the Northern Mariana
Islands (U.S.), is the farthest-flung American
overseas possession. Always the outsider; here
among the various tan tones of complexion
found among the indigenous of the western
Pacific, I have experimented with several
interventional strategies, both to establish
rapport and some trust and also to start creating
that unique and culturally competent treatment
modality that will foster growth among my
patients. Cognitive-behavioral approaches
generally work better than insight-oriented
ones because of the ‘here-and-now’ mindset
of Chamorros, Carolinians, Yapese, Chukese,
Pohnpeians, Kosraeans, and Filipinos who
comprise the population base here. Let me
briefly discuss one fascinating case. Twenty two
year old Chamolinian woman, married and
with three young children was involved in a
minor motor vehicle accident. This accident was
a spinoff of a more serious one primarily
involving two other vehicles. In a large truck
(Toyota T100), she was not hurt, and the two
children riding with her were also unharmed.
Keywords: Case Study Micronesia
Accuracy Verified: Yes
204. Manfield, P. (2003). EMDR casebook: Expanded (2nd Ed.). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book picks up where formal EMDR training leaves off. Research has now shown that EMDR is powerfully effective in the treatment of residual psychological effects of a single-incident trauma. Through case studies, this book explores other areas where EMDR may be helpful, including long-term childhood abuse and complex PTSD. The eleven case reports illustrate the application of EMDR to a broad range of cases. The many clinical transcripts will help newly trained EMDR clinicians fell comfortable using EMDR with their clients and provide models for experienced EMDR clinicians to broaden their use of EMDR. The clear explanations of the treatment processes will demystify EMDR for both clinicians and clients.
The introduction includes basic descriptions of EMDR and the accelerated information processing model, as well as definitions of its terminology. Each of the following chapters begins with a discussion of the contributors background, the principles of the traditional treatment approach used before incorporating EMDR, and the ways he or she has integrated EMDR into that approach. The contributors, who represent various orientations, including psychodynamic, behavioral, cognitive, and systems, demonstrate the importance of procedural fidelity while extending EMDR protocols.
Keywords: Miscellanous
Accuracy Verified: Yes
205. Sterpone, R., & Paiuzzi, E. (2008, Novembre). EMDR come momento di ulteriore integrazione professionale tra differenti operatori di cura di un ospedale infantile [EMDR as a moment of further integration between vocational different operators care children's hospital]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La presentazione si propone di “raccontare” come l’EMDR sia diventata, in un ospedale infantile, strumento di ulteriore integrazione professionale tra i differenti operatori di cura.
L’EMDR viene utilizzata, infatti, non solo con bambini e adolescenti che giungono nella Struttura Operativa di Psicologia, ma viene richiesta dai medici dei vari reparti per i pazienti, ed eventualmente per i loro familiari, ricoverati in seguito ad esposizione ad eventi critici. L’intervento con EMDR viene, inoltre, effettuato con alcuni genitori i cui figli sono ricoverati in merito a malattie gravi o croniche. Gli stessi operatori di cura, in seguito ad eventi potenzialmente traumatici in ambito lavorativo, vengono aiutati con gruppi di debriefing, e, se necessario, con l’EMDR per riprocessare situazioni dolorose, ritrovare benessere e funzionalità lavorativa. Operatori di cura differenti, sistemi conoscitivi$differenti, ma insieme… insieme per cocostruire con il paziente e la sua famiglia una nuova narrativa ed aiutarli ad attribuire nuovi significati ad esperienze dolorose o fallimentari.
The presentation aims to "tell" how EMDR has become, in a children's hospital, tool for further integration between the different operators of professional care. EMDR is used, in fact, not only with children and adolescents who come in the Structure Works on psychology, but is required by doctors of various departments for patients, and possibly for their families, hospitalized after exposure to critical events. Intervention with EMDR is also made with some parents whose children are hospitalized on serious or chronic illnesses. Operators themselves to care, in the aftermath of potentially traumatic in employment, are helped with groups of debriefing, and, if necessary, with EMDR for reprocess painful situations, to find wellness and functionality work. Operators care
ifferent cognitive systems different, but together ... together with the patient and cocostruire its family a new narrative and help to give new meaning to experiences painful or unsuccessful.
Keywords: Children
Accuracy Verified: Yes
206. Freitag, W., & Swan, S. (2011, August). EMDR consultation: Comprehensive review and new directions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Consultation is vital to the proper training and professional development of EMDR therapist. Effective consultation can aid in the development of highly competent EMDR therapists, which is always the goal. Although the general goals of consultation may seems clear; the purpose, role and implementation of consultation at the differing credential levels have caused confusion for many EMDRIA Approved Consultants (AC). This workshop will provide both comprehensive reviews of clinical and administrative issues of the four types of consultation conducted by Approved Consultants. The clinical review includes, but is not limited to, the level of competency, skills and capabilities that should be demonstrated at each credential level. The administrative review will include organizational strategies for effective evaluation and record-keeping, as well as the formal documentation requirements of EMDRIA.
Keywords: Consultation
Accuracy Verified: Yes
207. Lichti, J. (2009, May). EMDR consultation: Using practice research to develop best practices. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
This workshop is for Approved Consultants, Consultants-in-training and those considering becoming ACs. We will
review the context of EMDR consultation and identify the differences between therapy, consultation and
consultation-of-consultation [Objective 1]. The implications of the supervision/consultation literature will be reviewed
[Objective 2]. Tools, resources and recordings from actual consultations will be presented. Original research about
EMDR consultation will be reviewed. Best Practices emerging from the literature and EMDR consultation research
will be identified [Objective 3]. Participants will use all the above information to analyze their own consultation
practices [Objective 4] and discuss with peers how to improve their consultation services [Objective 5].
Keywords: Consultation
Accuracy Verified: Yes
208. Zabukovec, J., & Tetreault, M.A. (2006, September). EMDR consultation: How to be the best you can be. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The functions of EMDRIA Approved Consultants
include the provision of consultation and
supervision. However, consultation is not the same
as supervision. One of the areas of consultation is to provide guidance and training to applicants for EMDRIA Certification. There is support in the
literature that EMDR works best in a therapeutic
relationship, when fidelity to the method is
maintained. This workshop will address ways to
examine and assess the expectations of the
consultants-in-training, such as skills with case
conceptualization, knowledge and ability to implement the EMDR treatment method, and
ablllty to assert that knowledge with confidence.
This workshop hopes to build upon the skills that
consultants already possess, refining and upgrading their competencies. It is hoped that it will assist EMDRIA-Certification Applicants and Consultants-in-Training in determining their needs for consultaton.
Keywords: Consultation
Accuracy Verified: Yes
209. Grégoire, P. A. (2010, Avril/Mai). EMDR dans les cas de deuil et de dépression [EMDR in bereavement and depression]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le deuil et la dépression sont des expériences de vie qui présentent un défi pour les mécanismes d’adaptation et remettent en question les états d’équilibre déjà établis. Les liens qui deviennent de plus en plus évidents entre ces états expérientiels et la présence de mécanismes défectueux de traitement de l’information soulignent l’importance d’offrir des services psychothérapeutiques, telle l’approche EMDR qui tient compte de ces besoins et de ces processus spécifiques. Notre présentation veut souligner : 1) l’importance des protocoles et des principes de base de l’approche EMDR comme modèle d’intégration des processus de psychothérapie 2) les recherches qui explorent les mécanismes dysfonctionnels des réseaux de mémoire impliqués lors du travail du deuil et 3) les applications de protocoles spécifiques EMDR pour les diverses étapes du deuil. La partie expérientielle de cette présentation explorera certains des facteurs adaptatifs permettant le renouvellement de cet équilibre perdu et la consolidation de mécanismes reliés à la résilience. (Tous les niveaux)
Grief and depression are life experiences that are challenging for coping and challenge the already established equilibrium states. The links are becoming increasingly evident between these experiential states and the presence of defective mechanisms of information processing emphasize the importance of providing psychotherapeutic services, such as the EMDR approach that addresses these needs and these specific processes. Our presentation will highlight: 1) the importance of protocols and basic principles of the EMDR approach as a model for the integration of psychotherapy process 2) research that explores the dysfunctional mechanisms of memory networks involved in the work of mourning and 3) applications of EMDR protocols specific for the various stages of grief. The experiential part of this presentation will explore some of the factors adaptive to the renewal of this lost balance and strengthening mechanisms associated with resilience. (All levels)
Keywords: Bereavement Depression: Grief
Accuracy Verified: Yes
210. Shapiro, F. (1993). EMDR déjà vu. the Behavior Therapist, 16(8), 187-188.
Language: English
Format: Newsletter
Abstract:
The letter from Dr. Thomson in
Nova Scotia (the Behavior Therapist, Vol.
16, No. 4, pp. 113-114) addresses
some interesting issues. First of all, let
me say that I sympathize with his
travel problem. The Australians called
it the "tyranny of distance." Therefore,
after a half dozen clinicians flew
into the US to be trained, they coordinated
a series of workshops in Australia
later that year. During that first trip
to Australia we trained almost 500 clinicians
in EMDR, and another 350 clinicians
six months later. The simple
message here is "coordinate it and we
will come." The larger issue, however,
remains client safety and the consequent
need for quality control.
Keywords: Training
Accuracy Verified: Yes
211. EMDR Dissociation Task Force. (1994). EMDR Dissociation Task Force position paper. EMDR Institute, Pacific Grove, CA.
Language: English
Format: Publication
Abstract:
Ths paper will offer general guidelines in the application of EMDR with the
dissociative disorders, with paramount concern for client day. The intended audience is
the established clinician who is new to the diagnosis and treatment of dissociative
disorders. The paper is not intended to define standards of care or specific training
requirements or cenfication guidelines. Further, it is not intended to supercede expert
clinical judgment, or training in dissociative disorders or hypnosis.
Keywords: Dissociation Position Paper Task Force
Accuracy Verified: Yes
212. Hartung, J. (2007, Novembero). EMDR e Psicologia de la Energía [EMDR and the psychology of energy]. Pós-Conferência presentación en el Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
John Hartung, Psy.D. tem trabalhado há mais
de dez anos em 25 países como clínico e treinador
de EMDR. Defende o uso do EMDR para eliminação
de sintomas assim como para o aprimoramento
do pensamento, emoções e comportamentos
positivos. John tem observado que a aplicação
do EMDR pode avançar se outras estratégias forem
utilizadas em conjunto com EMDR, tais como
aquelas idealizadas para a contenção de emoções
intensas (“ab-reações”), que ocorrem
freqüentemente no EMDR. Com o aumento da
contenção emocional, certos riscos vinculados ao
emprego do EMDR por profissionais também são
reduzidos: 1) EMDR pode ser utilizado com
populações mais vulneráveis e que
tradicionalmente tem sido excluídas do
tratamento com esta abordagem, e 2) os
terapeutas têm menor relutância em expandir o
seu alcance. Entre as estratégias e táticas a serem discutidas
e apresentadas neste workshop estão:
respiração terapêutica e parassimpática,
treinamento em coerência cardíaca da tradição
Heartmath, métodos baseados na medicina
chinesa, e métodos especiais para o uso de
estimulação bilateral do EMDR de forma mais
lenta e menos intensa.
John Hartung, Psy.D. has worked for more ten years in 25 countries as an EMDR clinician and trainer. Advocates the use of EMDR for disposal
of symptoms as well as for the improvement
of thought, emotions and behaviors
positive. John has observed that the application
EMDR can move forward if other strategies are
used in conjunction with EMDR, such as
those envisioned for the containment of emotions
intense ("ab-reactions") that occur
frequently in EMDR. With increasing
emotional restraint, certain risks linked to
use of EMDR professionals are also
reduced: 1) EMDR can be used with
vulnerable populations and
has traditionally been excluded from
treatment with this approach, and 2) the
therapists are less reluctant to expand
their reach.
Among the strategies and tactics to be discussed
and presented in this workshop are:
breathing therapy and parasympathetic
training in cardiac coherence of tradition
HeartMath, methods based in medicine
Chinese, and special methods for the use of
bilateral stimulation of EMDR more
slow and less intense.
Keywords: Energy Psychology
Accuracy Verified: Yes
213. Hartung, J. (2007, Novembro). EMDR e psicologia positiva: Treinamento em resiliência, aprimoramento de desempenho e outros assuntos que nunca ouvimos na universidade [Positive psychology and EMDR: Training resilience, performance enhancement and other matters that we have never heard in the university]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
No treinamento profissional de um
psicoterapeuta, tende-se a focalizar aquilo que
está “errado” com clientes: psicopatologia,
transtornos de ajustamento, categorias
diagnósticas, mesmo abordagens de tratamento
baseiam-se na premissa de que nossos clientes
vêm nos ver apenas quando algo está errado com eles. O terapeuta, por sua vez, pode finalizar o
trabalho depois que os sintomas foram corrigidos,
ou ao menos reduzidos. Nos últimos anos, muitos
terapeutas (e seus clientes) têm prestando atenção
ao que está certo conosco; como podemos
incrementar nossos recursos pessoais e nossas
emoções positivas, com a finalidade de obter
maiores benefícios para nós mesmos e os outros
com quem convivemos.
In the professional training of an
psychotherapist, tends to focus on what
is "wrong" with customers: psychopathology,
adjustment disorders, categories
diagnostic, treatment approaches that
based on the premise that our customers
come see us only when something is wrong with them. The therapist, in turn, may end
work after the symptoms have been corrected,
or at least reduced. In recent years, many
therapists (and their customers) are paying attention to what is right with us, as we
increase our resources and our personal
positive emotions, in order to obtain
greater benefits for ourselves and others
with whom we live.
Keywords: Positive Psychology
Accuracy Verified: Yes
214. Balbo, M. (2006). EMDR e psicopterapia cognitivo-comportamentale: quale integrazione? [EMDR and cognitive-behavioral psychotherapy: What integration?]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 215-247). Milano, Italy: McGraw-Hill.
Language: Italian
Format: Book Section
Accuracy Verified: Yes
215. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi
utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.
Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was
used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.
Keywords: Family Therapy Fibromyalgia
Accuracy Verified: Yes
216. Baita, S. (2012, June). EMDR en niños con trastornos disociativos [EMDR in children with dissociative disorders]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
Sandra Baita will describe the case of a dissociative girl whose traumatization was a consequence of early exposure to chronic sexual abuse
by her father. In this case, Dr. Baita will explain the challenge of working with systems surrounding the child other than the family, for example,
the Justice System. She will focus on the paramount importance of the first stage of treatment and the achievement of external security when
working with severely traumatized children. Dr. Baita will offer for discussion with the attendees, the development of a treatment plan for this
dissociative girl using EMDR during the therapeutic stages of security and stability, working with traumatic memories, and integration.
Sandra Baita expondrá el caso de una niña con un trastorno disociativo en el cual la traumatización ha sido consecuencia de la exposición
temprana a abuso sexual por parte del padre. En este caso, la Dra. Baita explicará el desafío que implica trabajar con otros sistemas además
del familiar, tales como el sistema de Justicia. Ilustrará además la relevancia que adquiere la primera etapa del tratamiento y el establecimiento
de un contexto real de seguridad externa en el tratamiento de niños severamente traumatizados, y mostrará, para su discusión con los
asistentes, el desarrollo del tratamiento exhaustivo de esta niña utilizando EMDR a lo largo de las etapas de seguridad y estabilidad, trabajo
con las memorias traumáticas e integración.
Keywords: Children Dissociative Disorders
Accuracy Verified: Yes
217. Spierings, J., Oren, U., & Hofmann, A. (2008, June). EMDR Europe training standards: Past, present & future. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
It is a workshop with the emphasis on ‘working’. It is a meeting of Masterminds. The program
consists of a series of challenges, presented by Joany Spierings. Every challenge provokes a debate, a contest, where the participants are asked to come up with convincing arguments for their position. The challenges are based on actual developments of EMDR in the different countries in Europe, collected by Joany Spierings on behalf of the EMDR Europe Board. Her role is to present the challenges one by one, to watch over the process and to make sure the rules of the game are strictly
followed.
Keywords: Training Standards
Accuracy Verified: Yes
218. Meignant, M. (2012, April). EMDR for a child (EMDR training on the River Kwai). Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
During the EMDR training session, organized in Thailand by Trauma-Aid, HAP Germany and «Terre des Hommes» Germany , psychologist, Dagmar Eckers treated a young Indonesian boy called Ooz, who suffered from the Tsunami. His symptoms showed nightmares and a lack of concentration. This documentary film presents two sessions of EMDR on the 10 year-old child. It also shows the efforts of the EMDR trainers who, with the help of charitable organizations, trained the Burmese, Chinese, Indian, Indonesian and Thai therapists to become autonomous in practicing and teaching EMDR.
Learning objectives:
1. How to use EMDR to relieve the traumatic consequences of a disaster
2.The use of EMDR with a child in a different social and cultural setting. (the 8 phases of EMDR in this context)
Keywords: Children River Kwai Training
Accuracy Verified: Yes
219. Parnell, L. (2010). EMDR for anxiety and guilt. Vernon, CT: Fair Point Productions.
Language: English
Format: Video
Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, Dr. Parnell worked with a woman who was overly anxious and concerned about her sons.
Accuracy Verified: Yes
220. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .
Language: English
Format: Conference
Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process
Keywords: Case Conceptualization Children Dissociation Stabilization Trauma
Accuracy Verified: Yes
221. Laurel Parnell, L., & Burns, M. (2010). EMDR for the traumatized caregiver. Vernon, CT: Fair Point Productions.
Language: English
Format: Video
Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman bothered by a recent traumatic event: the serious/chronic illness of a close family member.
Keywords: Caregivers
Accuracy Verified: Yes
222. Jacob, P. (2012, Novembro). EMDR gerando frutos: Relato de caso [EMDR generating fruits: A case report]. In casos clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Já é sabido no meio científico ligado ao EMDR e percebido diariamente nos consultórios dos psicoterapeutas que utilizam essa técnica inovadora que a terapia por EMDR tem um alcance muitas vezes maior do que o inicialmente planejado. A presente apresentação objetiva relatar um desses casos: o caminho da psicoterapia de Ana (nome fictício), de trinta e seis anos de idade, desde seu pedido inicial de amenizar sua autocobrança excessiva, passando pelo momento em que percebeu que sua crença negativa mais atuante poderia ser um dos fatores que impediam sua fertilidade, até sua gravidez, antes imaginada como impossível. Após quase três anos de tentativas frustradas de engravidar naturalmente, Ana procurou uma clínica de reprodução humana. Nos sete anos seguintes Ana passou por vários tratamentos, entre eles duas inseminações com resultado positivo que resultaram em abortos retidos algumas semanas depois, e uma fertilização com sucesso até o final, a gestação da qual nasceu seu filho, hoje com cinco anos de idade. Embora sem um diagnóstico preciso, os médicos que a acompanharam durante todos esses anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada. Palavras-chave: EMDR; esterilidade; infertilidade; gestação.
4. 3. Depressão por Parto na Adoção: A Cura pelo EMDR
Roberta Vanessa Torres - Psicóloga Clínica, Especialista em Saúde Coletiva, Psicóloga Social em abrigos, Terapeuta de EMDR (em formação)
Esse trabalho anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada.
It is known in scientific circles connected to EMDR and perceived daily in the offices of psychotherapists who use this innovative technique that EMDR therapy has a range many times greater than originally planned. This presentation aims to report a case in point: the path of psychotherapy Ana (not her real name), thirty-six years old, since its initial order to mitigate their excessive autocobrança past the moment he realized that his negative belief more active could be one of the factors that hindered their fertility until her pregnancy before imagined as impossible. After nearly three years of failed attempts to conceive naturally, Ana sought a clinical human reproduction. In the seven years following Ana underwent various treatments, including two inseminations with positive outcome that resulted in miscarriages held a few weeks later, and a successful fertilization until the end of the pregnancy which was born his son, now five years old. Although without an accurate diagnosis, doctors who accompanied her all these years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated. Keywords: EMDR; sterility, infertility, pregnancy.
4th. 3rd. Depression by Calving in Adoption: Healing the EMDR
Roberta Vanessa Torres - Clinical Psychologist, Specialist in Public Health, Social Psychologist in shelters, EMDR Therapist (in training)
This work years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated.
Keywords: Case Study Fertility Pregnancy Sterility
Accuracy Verified: Yes
223. Luber, M. (2013, February). EMDR HAP client handbook. Humanitarian Assistance Programme UK & Ireland (HAP UK&I).
Language: English
Format: Other
Abstract:
If you're interested, or already engaged, in EMDR therapy with a registered EMDR therapist, this is the ideal supporting guide to take you through preparation and the main work.
This is the electronic version of a simple EMDR Clients Handbook usually to be found on sale at EMDR Conferences and workshops in the UK and Ireland.
All proceeds go to support the work of EMDR HAP UK&I, taking trauma training to therapists in regions around the world of conflict or disaster.
Please visit the HAP UK&I website for more background information, at www.hapuk.org.
Keywords: Handbook
Accuracy Verified: No
224. Thomas, R., & Kafoury, A. (2008, Spring). EMDR HAP in India, Indian EMDR set to bloom. HAP What's Happening Now Newsletter, 4(3), Supplement to the Spring Newsletter.
Language: English
Format: Newsletter
Abstract:
In 1995 Dr. Sushma Mehrotra of Mumbai first read about a new therapy called EMDR. After studying all of the information available to her, she introduced it to the Bombay Psychological Association and then to the Bombay Psychiatric Society. To make sure she understood it correctly, Dr. Mehrotra established contact with EMDR training facilitator and HAP volunteer, Ann Kafoury. She later invited Ann to come to India to give a presentation on EMDR to mental health professionals. Since that time they have worked together to develop trainings and to bring EMDR to the people of India. Ann has served as the coordinator of EMDR HAP programs in India since that time.
Accuracy Verified: Yes
225. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
226. Farrell, D., Tareen, S., & Keenan, P. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘War on terror’. Presentation at the 24th Annual Meeting of the International Society for Traumatic Stress Studies .
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan
Accuracy Verified: Yes
227. Farrell, D. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘war on terror’. Symposium conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan Symposium Terror
Accuracy Verified: Yes
228. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
To know the present status of EMDR in Asian countries:
Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people
were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India,
Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand.
Questions were on the origin of EMDR, the first training, the number of trainings so far, the number
of trained practitioners, credentials, academic organization, acceptance from government, media, and
professional world, future possibilities, and difficulties expected.
Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems
to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization
started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started
publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on
trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early
stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural
disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could
be a good opportunity to start mutual understanding and cooperation in Asia.
Keywords: Asia Keynote History
Accuracy Verified: Yes
229. Knipe, J., Hartung, J., Konuk, E., Colelli, G., Keller, M., & Rogers, S. (2003, September). EMDR Humanitarian Assistance Programs: Outcome research, models of training, and service delivery in New York, Latin America, Turkey and Indonesia. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Since 1995, there have been many programs to provide EMDR humanitarian assistance throughout the world, and from these programs, several lessons have been learned. In this presentation, we will describe four recent programs, which, viewed together, define an emerging model
of how to best initiate and structure programs of EMDR therapist training and direct service. In addition, EMDR outcome research from three of
the sites will be presented.
Keywords: Humanitarian Assistance Symposium
Accuracy Verified: Yes
230. Grant, M. (1997, July). EMDR in a multi-modal approach to chronic pain. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
This is an outline of a psychological treatment approach to chronic
pain, integrated with medical treatment, based on EMDR.
EMDR consists of a combination of various elements of standard approaches to pain
management, together with innovations such as dual focus of attention and bilateral
stimulation. Although EMDR initially utilized bilateral eye-movements (EM'S), bilateral tones
and tapping are now also utilized. One of the central elements of EMDR is a desensitization
procedure in which the patient is assisted to focus on the negative thoughts feeling and
sensations associated with their problem, whilst simultaneously attending to a bilateral
stimulation (visual, auditory or tactile). This is frequently followed by change in the level of
distress associated with the problem (Shapiro. 1989, 1995).
Keywords: Chronic Pain
Accuracy Verified: Yes
231. Mehrotra, S. (2013, June). EMDR in Asia: Needs, challenges and way ahead. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This paper tries to highlight the milestones of some of the Asian EMDR Associations and the evolution of EMDR Asia and the practices and challenges faced. Some of the issues are related to the parity of trainees’ qualifications with those from USA, Europe and within Asia. Similarly it impacts upon the training standards. Attention is also drawn to the cultural, language and economical diversity. The task ahead is to reinforce the uniformity of EMDR practice by developing accreditation procedures, standardization, training standards, contents and duration, selection criteria and requirements for the trainees and trainers, certification process, curriculum, linkages with associations, methods of supervision and consultation. UN agencies have a huge presence in Asia for developmental and relief work. UN agencies engaged in a wide range of the health spectrum could make a huge difference if they promoted the efficacy of EMDR for effective management of psychological health. This would include the use of EMDR not only for manmade and natural disasters, but also for other chronic and life threatening illnesses e.g. HIV, cancer and other psycho-social issues related to mental health.
Keywords: Asia Diversity Keynote
Accuracy Verified: Yes
232. Staff (1995). EMDR in Belgrade, former Yugoslavia. EMDR Network Newsletter, 5(2), 13.
Language: English
Format: Newsletter
Abstract:
Mental health workers feel overwhelmed and burned
out by the increased amount of motional disturbance brought on not only by direct experiences of war, but by Living at its edge. Because of this Barbara's discusses the need of more training of EMDR professionals who can assist the mental health workers and suffering refugees in the Serbian part of former-Yugoslavia.
Keywords: Serbia Refugees War Yugoslavia
Accuracy Verified: Yes
233. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
234. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
235. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 236. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen [EMDR in child and adolescent psychotherapy]. Auflage: Seiten, Kartoniert . Language: German Format: Book Abstract: Keywords: Adolescents Children Psychotherapy Accuracy Verified: Yes 237. Eckers, D. (2010, June). EMDR in difficult circumstances - Working with a complex traumatized boy in Thailand. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Adolescent Male Thailand Trauma Accuracy Verified: Yes 238. Gonzalez, A. (2013, June). EMDR in dissociative disorders: The progressive approach. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Progressive Approach Accuracy Verified: Yes 239. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre. Language: English Format: Book Section Abstract: Keywords: Adults Case Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness Accuracy Verified: Yes 240. 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: Keywords: Pilot Study Postraumatic Stress Disorder PTSD Psychotic Disorders Symposium Accuracy Verified: Yes 241. Browning, C. (2000, March). EMDR in the inner city: Paterson, New Jersey. EMDRIA Newsletter, 5(1), 26. Language: English Format: Newsletter Abstract: Keywords: Family Violence: HAP Training Accuracy Verified: Yes 242. 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: Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference Accuracy Verified: Yes 243. Hofmann, A. (2000, May 6). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 244. Whisman, M. (1997, June). EMDR in the Treatment of Panic, Phobia, and Obsessive Compulsive Disorders. Presentation at the EMDR International Association Annual Conference, San Francisco, CA. Language: English Format: Conference Abstract: Keywords: Anxiety Disorders Obsessive Compulsive Disorders OCD Panic Disorders Accuracy Verified: No 245. Rodriguez, G., Luber, M., Hofmann, A., Marquis, P., Sprowls, C., & Snyker, E. (1998, July). EMDR in the world: Training and practice in different cultures. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Multi-Cultural Practice Training Accuracy Verified: Yes 246. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion. Keywords: DID Dissociative Identity Disorder Accuracy Verified: Yes 247. Romero, M. B. (2010, 29-1 Octubre/Noviembre). EMDR integracion con la terapia sexual [EMDR integration with sex therapy]. Conferència presentada II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador. Language: Spanish Format: Conference Keywords: Sex Therapy Accuracy Verified: Yes 248. Puk, G. (2008, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Master Series Accuracy Verified: Yes 249. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224. Language: Italian Format: Newsletter Abstract: Keywords: Affect Bridge Compulsion Trauma Withdrawal Accuracy Verified: Yes 250. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Optimism Protocol Accuracy Verified: Yes 251. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain. Language: English Format: Dissertation/Thesis Abstract: Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 252. Maccarrone, B., & De Divitiis, A. M. (2008, Novembre). EMDR per eventi recenti - Un modello e un nuovo protocollo [EMDR to recent events - a model and a new]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Recent Events Protocol Accuracy Verified: Yes 253. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Performance Enhancement Protocol Accuracy Verified: Yes 254. Lanius, U. F. (2005). EMDR processing with dissociative clients: Adjunctive use of opioid antagonists. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 121-146). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Analgesic Drugs Dissociative Symptoms Posttraumatic Stress Disorder PTSD Stressors Survivors Accuracy Verified: Yes 255. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self Accuracy Verified: Yes 256. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol. Language: English Format: Conference Abstract: Accuracy Verified: Yes 257. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing. Language: English Format: Book Abstract: Keywords: Adjunct Approaches Attachment Children Dissociation Trauma Accuracy Verified: Yes 258. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam,
Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Armed Conflicts Nanggroe Aceh Darussalam, Indonesia Poster Survivors Tsunami Accuracy Verified: Yes 259. Ralaus, D. (2005, June). EMDR training in a new country. In Psychotrauma and EMDR in China and Slovakia, Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Belgium, Brussels. Language: English Format: Conference Abstract: Keywords: China Psychotrauma Slovakia Symposium Training Accuracy Verified: Yes 260. 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 261. Greenwald, R., Ricci, R. J., Clayton, C. A., Lebeau, T., Farkas, L., Cyr, M., & Lemay, J. (2007, September). EMDR treatment for sex offenders, substance abusers, and youth in care. Symposium conducted at the annual meeting of EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Sex Offenders Substance Abusers Symposium Youth Accuracy Verified: Yes 262. Korn, D. (2010, April). EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self. Presentation at the 4th EMDR Association Netherlands Conference, Nijmegen, The Nederlands. Language: English Format: Conference Abstract: Keywords: Adults Developmental Deficits Incest Accuracy Verified: Yes 263. Galvin, M. (2007, June). EMDR treatment tactics: Using the accelerating-decelerating model and energy psychology to enhance interventions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Energy Psychology Treatment Tactics Accuracy Verified: Yes 264. Korn, D. L. (2008, May). EMDR treatment with survivors of chronic abuse and neglect: Repairing developmental deficits and
shattered selves - [Utilisation d’EMDR dans le traitement des survivants d’abus ou négligence chroniques: Réparer les déficits développementaux et les sois éclatés]. Presentation at an annual meeting of EMDR Canada, Montréal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Complex PTSD Dissociative Disorders Accuracy Verified: Yes 265. Shapiro, F. (2002). EMDR treatment: Overview and integration. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 27-55). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Cognitive Therapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 266. Bambach, S. (1994). EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten
menschen [EMDR and active future orientation in the treatment of complex trauma human]. Author. Language: English Format: Other Abstract: Keywords: Complex Trauma Future Orientation Accuracy Verified: Yes 267. Lipke, H. (2001). EMDR und andere ansätze der psychotherapie - Ein integratives modell: Theoretische und klinische empfehlungen mit schwerpunkt auf traumatischem stress [EMDR and other approaches of the psychotherapy - An inclusive model: Theoretical and clinical recommendations focusing on traumatischem stress]. Paderborn: Junfermann. Language: German Format: Book Abstract: Accuracy Verified: Yes 268. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b. Language: German Format: Journal Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten
Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern
bzw. zu hemmen und somit auch die Symptomatik der
posttraumatischen Belastungsstörung abzubauen.
Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen
Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv,
verhaltenstherapeutischen Vorgehens das Modell
von Ehlers und Clark, ebenso das EMDR-Verfahren von
Shapiro. Das Biofeedbackverfahren nutzen die Autoren
als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches
Therapiekonzept und Behandlungsprotokoll vor.
Es wird eingehend auf die Diagnostik (psychologische
Testverfahren sowie Biofeedback eingegangen, ein wichtiger
Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt
die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten
zwischen den Sitzungen bekommen mit eingehenden
Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative
Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien.
Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll
für EMDR. Gegen Ende des Bandes schließen sich Fallstudien
aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen.
Im Anhang gibt es Adressenverzeichnisse über den
Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen.
Zusammenfassend kann man sagen, dass der Band
kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische
Praxis in Bezug auf Traumabehandlungen erscheint.
Das Buch richtet sich an Fachleute und ist für
Laien eher weniger geeignet. Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 269. Wintersperger, S. (2008, September). EMDR und psychoanalyse [EMDR and psychoanalysis]. Pre-Congress am 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich. Language: German Format: Conference Abstract: Keywords: Psychoanalysis Accuracy Verified: Yes 270. Rouanzoin, C. (2011, August). EMDR update and refresher course. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Refresher Update Accuracy Verified: Yes 271. Shapiro, F. (2007, September). EMDR update: Theory, research, and practice. Keynote presented at the EMDR International Association annual conference, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Adaptive Processing Model AIP Keynote Research Accuracy Verified: Yes 272. Blanford, C., & Blanford R. (1991 December). EMDR used as a treatment in chronic pain. EMDR Network Newsletter, 1(2), 8. Language: English Format: Newsletter Abstract: Keywords: Chronic Pain Accuracy Verified: Yes 273. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques Accuracy Verified: Yes 274. Silvestre, M., & Morris-Smith, J. (2010, July). EMDR with children and families. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Accuracy Verified: Yes 275. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol
. Language: English Format: Conference Abstract: Keywords: Children Deafness Hearing Impairment Accuracy Verified: Yes 276. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 277. Burdova, I., Lievegoed, R., & Wijga, S. (2006, June). EMDR with mentally ill children and adults. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 278. Keenan, L., Keenan, P., & Wright, C. (2007, June). EMDR with perinatal post traumatic stress disorder. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Health Problems Perinatal Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 279. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Trauma Accuracy Verified: Yes 280. Bardin, A. (2004). EMDR within a family system perspective. Journal of Family Psychotherapy, 15(3), 47-61. doi:10.1300/J085v15n03_04. Language: English Format: Journal Abstract: Keywords: Clinical Case Study Emotional Trauma Empirical Study Family Family Therapy Posttraumatic Stress Disorder PTSD Therapeutic Process Trauma Victims Accuracy Verified: Yes 281. Hornsveld, H. & van den Hout, M. A. (2010, June). EMDR working mechanisms research. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Mechanism of Action Research Symposium Accuracy Verified: Yes 282. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain. Language: Spanish Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 283. Shapiro, F. (2013). EMDR – Case formulation, principles, forms, scripts and worksheets, based on the work of Dr. Francine Shapiro, Ph.D.,- For clinical use by EMDRIA/EMDR Europe approved therapists only.. Humanitarian Assistance Programme UK & Ireland (HAP UK&I). Language: English Format: Other Abstract: Keywords: Handbook Accuracy Verified: Yes 284. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 285. Thordarson, D., Taylor, S., Maxfield, L.¸ Wilensky, M. S., Ladd, W. G., Lanius, U. F., Fedoroff, I. C., & Sochting, I. (2001, July). EMDR, exposure therapy, and relaxation training for PTSD: A controlled outcome study. Presentation at the World Congress meeting of Association for the Advancement of Behavior Therapy, Vancouver, British Columbia Canada. Language: English Format: Conference Keywords: Research Accuracy Verified: Yes 286. Weston, D. L. (1992, Winter). EMDR, grief and mourning. EMDR Network Newsletter, 2(3), 9. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 287. Lendl, J., & Kong, C. (2011, August). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 288. Kong, C., & Lendl, J. (2012, October). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Consultants Updates Accuracy Verified: Yes 289. Lendl, J., & Kong, C. (2010, September/October). EMDR-AIP update for EMDRIA approved consultants. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Update Accuracy Verified: Yes 290. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD Accuracy Verified: Yes 291. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124. Language: English Format: Journal Abstract: Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis Accuracy Verified: Yes 292. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC Accuracy Verified: Yes 293. Balbo, M. (2006). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies]. Milano: McGraw-Hill. Language: Italian Format: Book Abstract: Accuracy Verified: Yes 294. Shapiro, F. (2008). EMDR: Desensibilización y reprocesamiento por medio de movimiento ocular [EMDR: Eye movement desensitization and reprocessing]. Santa Cruz Atoyac: Pax Mex Editorial. Language: Spanish Format: Book Abstract: Accuracy Verified: Yes 295. Φαίη Γαλάνη [Galani, F.] (2011). EMDR: Eye movement desensitization and reprocessing - Μια νέα ψυχοθεραπευτική μέθοδος [EMDR: Eye movement desensitization and reprocessing - A new psychotherapeutic method]. Womanity, 2, 58-61. Language: Greek Format: Magazine Abstract: Accuracy Verified: Yes 296. Muntter, A. (2002, July/August). EMDR: Eye movement desensitization and reprocessing - Strange name for a powerful psychotherapeutic intervention. M. D. News, West Michigan. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 297. Beer, R., Ten Broeke, E., Hornsveld, H., de Jongh, A., Meijer, S., se Roos, C., & Spierings, J. (2011). EMDR: Oogbewegingen of een andere duale taak? [EMDR: Eye movements or any other dual task?]. [2 pages] Retrieved from http://www.emdr.nl/acrobat/EMDR%20Richtlijnen%20door%20trainers%202011DEF.pdf on 8/28/2012. Language: Dutch Format: Other Abstract: Keywords: Eye Movements Dual Attention Working Memory Accuracy Verified: Yes 298. Mueser, K. T., & Herbert, J. T (1993, September). EMDR: Caveat emptor!. the Behavior Therapist, 16(8), 218-219. Language: English Format: Newsletter Abstract: Keywords: Letter Accuracy Verified: Yes 299. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11. Language: English Format: Newsletter Abstract: Keywords: Training Accuracy Verified: Yes 300. Carnes, J. (1994). EMDR: A part of the whole. EMDR Network Newsletter, 4(2), 5-7. Language: English Format: Newsletter Abstract: Keywords: Outcome Accuracy Verified: Yes 301. Stickgold, R. (2002, January). EMDR: A putative neurobiological mechanism of action. Journal of Clinical Psychology, 58(1), 61-75. doi:10.1002/jclp.1129. Language: English Format: Journal Abstract: Keywords: Cognitive Processes Mechanism of Action Neurobiology Posttraumatic Stress Disorder Psychophysiology PTSD Review Sleep Behavior Treatment Effectiveness Accuracy Verified: Yes 302. Jones, K. R. (2006, June). EMDR: Warning on safe use. Therapy Today, 17(5), 23. Language: English Format: Magazine Abstract: Keywords: Letter Accuracy Verified: Yes 303. Shapiro, E. (1993, Fall/Winter). EMDR: Warts and all. EMDR Network Newsletter, 3(2), 4-5. Language: English Format: Newsletter Abstract: Keywords: Outcome Positive Effects Accuracy Verified: Yes 304. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Experimental Use Selective Mutism Accuracy Verified: Yes 305. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Keywords: Art Therapy Emergency Intervention Somatic Experiencing Accuracy Verified: Yes 306. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel. Language: English Format: Book Section Abstract: Keywords: Emergency Room Protocol Accuracy Verified: Yes 307. Beaulieu, P. D.
(2005, October). EMI et EMDR: Ressemblances et différences. Bulletin APQ, 1(1), 14-15. Language: English Format: Other Abstract: Keywords: Eye Movement Integration Therapy Accuracy Verified: Yes 308. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635.. Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT Accuracy Verified: Yes 309. Weisz, J. R., Hawley, K. M., &
Doss, A. J. (2004). Empirically tested psychotherapies for youth
internalizing and externalizing problems
and disorders. Child and Adolescent Psychiatric Clinics of North American, 13, 729–815. doi:10.1016/j.chc.2004.05.006. Language: English Format: Journal Abstract: Keywords: Adolescents Externalization Internalization Accuracy Verified: Yes 310. Sack, M., Lempa, W., & Lamprecht, F.
(2005, September 24). Empirische befunde zu wirkmechanismen des EMDR [Empirical evidence of mechanisms of action of EMDR]. In A. Karl & W. Lempa, (Moderators), Symposium 2
Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden . Language: German Format: Conference Abstract: Keywords: Mechanism of Action Accuracy Verified: Yes 311. Moses, M. D. (2007). Enhancing attachments: Conjoint couple therapy. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 146-166). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Attachment Attachment Behavior Conjoint Couple Therapy Conjoint Therapy Couples Couples Therapy Marriage Counseling Accuracy Verified: Yes 312. Moses, M. D. (2004, September). Enhancing couples therapy with EMDR: A protocol. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 313. Butler, K. (1993, November/December). The enigma of EMDR: Too good to be true?. Family Therapy Networker, 17(6), 19-31. Language: English Format: Magazine Abstract: Keywords: Professional Training Accuracy Verified: Yes 314. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75. Language: French Format: Journal Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 315. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document présenté au Congrès de l' European Association for Psychotherapy Europan (EA), Florence, Italie. Language: French Format: Conference Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 316. Luber, M., & Shapiro, F. (2010). Entretien avec Francine Shapiro: Aperçu historique, questions actuelles et directions futures de l'EMDR [Interview with Francine Shapiro: Historical, current issues and future directions of EMDR]. Journal of EMDR Practice and Research, 4(2), 1E-17E. doi:10.1891/1933-3196.3.4.217. Language: French Format: Journal Abstract: Accuracy Verified: Yes 317. EPPD Task Group (2003, December). The EPPD Task Group introduced EMDRIA’s definition of EMDR. EMDRIA Newsletter, 8(4), 14-15. Language: English Format: Newsletter Abstract: Keywords: Definition of EMDR Accuracy Verified: Yes 318. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the
integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy . Language: English Format: Book Abstract: Keywords: EAP Equine-Assisted Psychotherapy Horses Accuracy Verified: Yes 319. Wagner, F. W. (2007, Februar). Erfolgsgeschichte EMDR, von den ersten experimenten in den USA bis zur wissenschaftlichen Anerkennung in Deutschland [History of the success of EMDR, from the first experiments in the USA to the scientific acceptance in Germany]. Trauma und Gewalt, 1(1), 73-75. Language: German Format: Journal Abstract: Keywords: Historical Account Accuracy Verified: Yes 320. Patriarca, G. (2003, May). Ericksonian hypnotherapy and EMDR: Integration in the therapy of eating disorders of traumatic origin. In Eating disorders. Symposium at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Keywords: Symposium: Eating Disorders Hypnotherapy Ericksonian Accuracy Verified: Yes 321. Stofsel, M. (2005, November). Ervaringen met EMDR bij complex trauma [Experience with complex trauma and EMDR]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Complex Trauma Accuracy Verified: Yes 322. Grand, D. (2007, Novembro). A Essência do EMDR [The essence of EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: EMDR á uma abordagem poderosa que já trouxe
cura emocional a milhões de pessoas que
sofrem com traumas ao redor do mundo. Os
protocolos e procedimentos estão claramente
desenvolvidos e delineados, mas a essência do
EMDR permanece ainda por ser explorarada. Nesta
apresentação olhamos de forma profunda os
fatores que estão por detrás do EMDR, incluindo as capacidades inerentes do cliente, o ambiente
de contenção que o terapeuta provê, as qualidades
da relação terapêutica, a sabedoria da integração
mente-corpo e o uso da esperança, possibilidades,
espiritualidade e filosofia que emergem no
processo. Accuracy Verified: Yes 323. Morrow, R. (2012, October). Essential skills for EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 324. Rosa-Uribe, M. E., & Ramírez, E. O. L. (2011). Evaluación de la naturaleza cognitiva dual de la depresión bajo la psicoterapia EMDR [Assessment of cognitive dual nature of EMDR psychotherapy on depression]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [29 pages]. Language: Spanish Format: Other Abstract: Keywords: Affective Priming Cognition Depression, Depressive Patterns Emotion Accuracy Verified: Yes 325. Greenwald, R. (1995). Evaluating Shapiro's stance on EMDR training. OnLine Journal of Psychology, 1(1), 130-134. Language: English Format: Other Abstract: Keywords: Commentary Professional Training Accuracy Verified: Yes 326. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Impact of Events Scale - Revised UIES Urdi Version Accuracy Verified: Yes 327. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness Accuracy Verified: Yes 328. Lamprecht, F., Kohnke, C., Lempa, W., Sack, M., Matzke, M., & Munte, T. F. (2004, June). Event-related potentials and EMDR treatment of post-traumatic stress disorder. Neuroscience Research, 49(2), 267-272. doi:10.1016/j.neures.2004.02.013. Language: English Format: Journal Abstract: Keywords: Brain Imaging Adults Cognitive Processes Empirical Study Germans Longitudinal Study Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 329. Ginger, S. (2008, October). The evolution of psychotherapy in Europe. Presentation at the 5th World Congress of Psychotherapy, Beijing, China. Language: English Format: Conference Abstract: Keywords: EMDR History Accuracy Verified: Yes 330. Nicol, M. (2009, November). Experiences of peer supervision for
EMDR in Lanarkshire. DCP in Scotland, 1, 23-26. Language: English Format: Newsletter Abstract: Keywords: Lanarkshire Peer Supervision Accuracy Verified: Yes 331. Kennedy, J. (2013, April 24). Exploring alternate ways to deal with trauma. Truro Daily News, Colchester County, Nova Scotia. Language: English Format: Newspaper Abstract: Keywords: Adaptive Information Processing AIP General Overview Accuracy Verified: No 332. Hembree, E. A., Rothbaum, B. O., & Foa, E. B.
(2009). Expositionsfokussierte therapie der posttraumatischen belastungsstörung [Focused exposure therapy of post-traumatic stress disorder]
. Posttraumatische Belastungsstörungen, II, 203-216. doi:10.1007/978-3-540-88489-7_12. Language: German Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 333. Follette, V., & and Smith, A. (2004). Exposure Therapy. In A. Freeman, S. H. Felgoise, A. M. Nezu, C. M. Nezu, & M. A. Reinke (Eds.), Encyclopedia of Cognitive Behavior Therapy (pp. 185-188). Springer. Language: English Format: Book Section Abstract: Keywords: Exposure Cognitive Processing Therapy Posttraumatic Stress Disorder PTSD Stress Inoculation Training Accuracy Verified: Yes 334. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL . Language: English Format: Conference Abstract: Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium Accuracy Verified: Yes 335. Kitchiner, N. J., Bisson, J. I., & Robert, N. (2005, October). Eye movement desensitisation and reprocessing is now recommended as one of the first-line treatments for post-traumatic stress disorder. Mental Health Practice, 9(7), 19-22. Language: English Format: Magazine Abstract: Keywords: Posttraumatic Stress Disorder Professional Training PTSD Treatment Effectiveness Accuracy Verified: Yes 336. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011. Language: English Format: Other Abstract: Keywords: Intervention Summary Accuracy Verified: Yes 337. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35. Language: English Format: Journal Abstract: Accuracy Verified: Yes 338. Parnell, L. (1996). Eye movement desensitization and reprocessing (EMDR) and spiritual unfolding. Journal of Transpersonal Psychology, 28(2), 129-153. Language: English Format: Journal Abstract: Keywords: Psychospirituality Accuracy Verified: Yes 339. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012. Language: English Format: Other Abstract: Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 340. Greenwald, R. (2001, 1999). Eye movement desensitization and reprocessing (EMDR) in child and adolescent psychotherapy. Northvale, New Jersey: Jason Aronson. Language: English Format: Book Abstract: Keywords: Adolescents Children Stressors Survivors Accuracy Verified: Yes 341. Lindsay, J. K. (1994). Eye movement desensitization and reprocessing (EMDR) in the treatment of rape survivors. University of Oregon. AAT 9519676. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Empirical Study Females Postttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Accuracy Verified: Yes 342. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N.L., & Muraoka, M. Y. (1998, January). Eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 11(1), 3-24. doi:10.1023/A:1024448814268. Language: English Format: Journal Abstract: Keywords: Adults Americans Arousal Biofeedback Training Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Treatment Effectiveness Veterans War Accuracy Verified: Yes 343. Greenwald, R. (1995, March). Eye movement desensitization and reprocessing (EMDR): A new kind of dreamwork?. Dreaming, 5(1), 51-55. doi:10.1037/h0094423 . Language: English Format: Journal Abstract: Keywords: Dreaming Empirical Study Stressors Survivors Accuracy Verified: Yes 344. Greenwald, R. (1994, Spring). Eye movement desensitization and reprocessing (EMDR): An overview. Journal of Contemporary Psychotherapy, 24(1), 15-34. doi:10.1007/BF02306581. Language: English Format: Journal Abstract: Keywords: Treatment Effectiveness Accuracy Verified: Yes 345. Hyer, L., & Kushner, B. (2007). Eye movement desensitization and reprocessing and stress: Research, theory and practical suggestions. In P. M. Lehrer, R. L. Woolfolk, & W. Sime (Eds.), Principles and Practice of Stress Management (3d ed.) (pp. 545-578). New York, NY, US: Guilford Press. xvii, 734 pp. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 346. Field, A., & Cottrell, D. (2011, November). Eye movement desensitization and reprocessing as a therapeutic intervention for traumatized children and adolescents: A systematic review of the evidence for family therapists. Journal of Family Therapy, 33(4), 374-388. doi:10.1111/j.1467-6427.2011.00548.x. Language: English Format: Journal Abstract: Keywords: Adolescents Children Family and Systemic Therapy Accuracy Verified: Yes 347. Servan-Schreiber, D., Schooler, J., Dew, M. A., Carter, C., & Bartone, P. (2006). Eye movement desensitization and reprocessing for posttraumatic stress disorder: A pilot blinded, randomized study of stimulation type. Psychotherapy and Psychosomatics, 75(5), 290-297. doi:10.1159/000093950. Language: English Format: Journal Abstract: Keywords: Bilateral Kinesthetic Stimulation Type Distress Empirical Study Posttraumatic Stress Disorder Psychotherapy PSTD Quantitative Study Stimulus Parameters Subjective Units of Distress SUD Accuracy Verified: Yes 348. Marich, J. (2010, September). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Additive Behaviors, 24(3), 498-507. doi:10.1037/a0018574. Language: English Format: Journal Abstract: Keywords: Client-Centered Therapy Client Safety Phenomenology Protocols Therapeutic Alliance Therapists Training Accuracy Verified: Yes 349. Maxfield, L. (2002). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder. In C. R. Figley, (Ed.), Brief treatments for the traumatized: A project of the Green Cross Foundation (pp. 148-169). Westport, Connecticut: Greenwood Press. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 350. Shepherd. J., Stein, K., & Milne, R. (2000, July). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: A review of an emerging therapy. Psychological Medicine, 30(4), 863-871. Language: English Format: Journal Abstract: Keywords: Health Care Costs Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 351. Salkovskis, P. (2002, February). Eye movement desensitization and reprocessing is not better than exposure therapies for anxiety of trauma. Evidence-Based Mental Health, 5(1), 13. doi:10.1136/ebmh.5.1.13. Language: English Format: Journal Abstract: Keywords: Practice Theory Treatment Effectiveness Accuracy Verified: Yes 352. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 353. Fensterheim, H. (1996, March). Eye movement desensitization and reprocessing with complex personality pathology: An integrative therapy. Journal of Psychotherapy Integration, 6(1), 27-38. Language: English Format: Journal Abstract: Keywords: Empirical Study Multimodal Treatment Approach Nonclinical Case Study Personality Disorders Psychotherapeutic Techniques Accuracy Verified: Yes 354. Greenwald, R. (2006). Eye movement desensitization and reprocessing with traumatized youth. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 246-264). New York: Guilford Press. xx, 316 pp. Language: English Format: Book Section Abstract: Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors Accuracy Verified: Yes 355. Lagerkvist, S. (2009, January 7). Eye movement desensitization and reprocessing, EMDR. ASP Bladet, 1-4. Language: Swedish Format: Newsletter Abstract: Accuracy Verified: Yes 356. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press. Language: English Format: Book Abstract: Keywords: Abuse Adults Assessment Child Abuse Children DID Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Survivors Veterans Accuracy Verified: Yes 357. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press. Language: English Format: Book Abstract: Keywords: Adults Assessment Child Abuse Children Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Abuse Survivors Veterans Accuracy Verified: Yes 358. Yarvis, J. S., & Spivey, C. (2003, Fall-Winter). Eye movement desensitization and reprocessing: Ethical considerations of EMDR marketing, training, and research. The Scientific Review of Mental Health Practice, 2(2), 89-95. Language: English Format: Journal Abstract: Keywords: Ethical Considerations Professional Certification Professional Standards Training Practices Accuracy Verified: Yes 359. 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: Keywords: Dissociative Disorder Accuracy Verified: Yes 360. Carere-Comes, T. (2001, Augusto). Eye movement desensitization and reprocessing: Stimolazione bilaterale e integrazione psicoterapeutica [Eye movement desensitization and reprocessing: Bilateral stimulation and integration of psychotherapy]. Psicoterapia Cognitiva e Comportamentale, 7(2), 143. Language: Italian Format: Journal Abstract: Keywords: Bilateral Stimulation BLS Integration Psychotherapy Accuracy Verified: Yes 361. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.. Language: English Format: Conference Abstract: Keywords: Athletes Performance Enhancement Accuracy Verified: Yes 362. Paulsen, S. L. (1995, March). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 8(1), 32-44. Language: English Format: Journal Abstract: Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 363. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA. Language: English Format: Conference Abstract: Keywords: Athletes Colloquium Performance Enhancement Accuracy Verified: Yes 364. Pinker, S. (2002, June 25). The eyes may have it. Toronto, Ontario: The Globe and Mail, Health, R7. Language: English Format: Newspaper Abstract: Keywords: General Ontario Overview Accuracy Verified: Yes 365. Shapiro, F. (2004). Facilitator day. Watsonville, CA: EMDR Institute Inc. Language: English Format: Other Abstract: Keywords: Facilitator Training Training Manual Accuracy Verified: Yes 366. McNally, R. J., & Solomon, R. M. (1999, February). The FBI’s Critical Incident Stress Management program. FBI Law Enforcement Bulletin, 68(2), 20-26. Language: English Format: Newsletter Abstract: Eye movement desensitization
and reprocessing (EMDR) is a component
of the FBI's integrated response
to critical incidents. A therapeutic
method that must be
administered only by mental health
professionals trained in the procedure,
EMDR frequently accelerates
the treatment of trauma. Reportedly,
EMDR stimulates the brain's
natural information-processing
mechanisms, allowing the ÒfrozenÓ
traumatic information to be processed
normally and achieve integration.
8 Negative images often
fade; negative emotions subside. Irrational
thoughts give way to appropriate,
adaptive thoughts and interpretations
(e.g., I did the best I
could...I survived and I am now
safe...I can exercise control). With
EMDR, an individual discards what
is not useful (e.g., irrational
thoughts, distressing emotions, intrusive
images), retains what is
useful, and learns from the event, as
the following hypothetical example
illustrates. Keywords: Critical Incident Stress FBI Recent Events Accuracy Verified: Yes 367. Parnell, L. (2010). Fear of learning. Vernon, CT: Fair Point Productions. Language: English Format: Video Abstract: Keywords: Fear of Learning Accuracy Verified: Yes 368. Mankuta, D., Aziz-Suleyman, A., Yochail, L., & Allon, M. (2012, November). Field evaluation and treatment of short-term psycho-medical trauma after sexual assault in the Democratic Republic of Congo. Israel Medical Assocation Journal, 14, 653-657. Language: English Format: Journal Abstract: Keywords: Congo IES Impact of Event Scale Sexual Assault Trauma Violence Accuracy Verified: No 369. Cahill, S., Foa, E., Rothbaum, B., & Resnick, P. (2004, November). First do no harm: Worsening or improvement after
prolonged exposure. In A. Maercker & G. Berthold (Chairs), Beyond RCT research: Evaluating cmmon and new treatment components. Symposium conducted at the 20th International Society of Traumatic Stress Studies Conference, New Orleans, LA . Language: English Format: Conference Abstract: Keywords: Prolonged Exposure Symposium Accuracy Verified: Yes 370. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana. Language: Spanish Format: Conference Abstract: Keywords: Floatback Technique Float Foward Technique Accuracy Verified: Yes 371. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Essential Listening Flow EMDR Accuracy Verified: Yes 372. Fay, D., Corrigan, F. Fisher, J., Galloway, J., & Mcafee, F. (2010, April). An fMRI study of the integration of “Becoming safely embodied” and EMDR techniques for the de-activation of fear motor neurocircuitry. Symposium presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Fear Motor Neurocircuitry fMRI Study Accuracy Verified: Yes 373. Russell, M. C., & Friedberg, F. (2010). Formation, accès au traitement et recherche sur les interventions dans les cas de trauma dans les forces armées [Training, access to treatment and intervention research in cases of trauma in the military]. Journal of EMDR Practice and Research, 4(2), 18E-26E. doi:10.1891/1933-3196.4.2.E18. Language: French Format: Journal Abstract: Keywords: Military Training Trauma Treatment Accuracy Verified: Yes 374. Sime, W. (1999). From critic to consumer: Evolving personal
conceptions of EMDR applications in sport
psychology. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada. Language: English Format: Conference Abstract: Keywords: Athletes Performance Breakdown Sports Psychology Symposium Accuracy Verified: Yes 375. Adler-Tapia, R. (2006, September). From research to practice: What the research has taught us about training therapists to use EMDR with young children. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 376. Royle, L., & Kerr, C. (2012). From the general to the specific—selecting the target memory. Journal of EMDR Practice and Research, 6(3), 101-109. doi:10.1891/1933-3196.6.3.101. Language: English Format: Journal Abstract: Keywords: Client Anxiety Negative Cognition Preparation Phase Target Memory Treatment Plan Accuracy Verified: Yes 377. 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: Keywords: Trauma Accuracy Verified: Yes 378. 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: Keywords: Trauma Treatment Accuracy Verified: Yes 379. Adler-Tapia, R. L., & Settle, C. S. (2009, March). The full works. Counselling Children and Young People, 12-15. Language: English Format: Newsletter Abstract: Keywords: Adaptive Information Processing AIP Children Child Psychotherapy Accuracy Verified: Yes 380. Bergmann, U. (2000, September). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Traumatology, 6(3), 175-200. doi:10.1177/153476560000600303 . Language: English Format: Journal Abstract: Keywords: Cognitive Processes Neurobiology Posttraumatic Stress Disorder PTSD Sleep Behavior Stressors Survivors Accuracy Verified: Yes 381. Lipke, H., Rogers, S., & Errebo, N. (2005, September). Getting past “You weren’t there”: EMDR and the combat veteran. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Combat Countertransference Veteran Accuracy Verified: Yes 382. Macdonald, H. (2009, October). Getting to grips with the pain protocol. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 383. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium Accuracy Verified: Yes 384. Leeds, A. M. (2012, November). Guía de protocolos estándar de EMDR para terapeutas, supervisores y consultores [A guide to the standard EMDR protocols for clinicians, supervisors, and consultants]. Bilbao ESPAÑA: Desclée De Brouwer. Language: Spanish Format: Book Abstract: Keywords: Prtactice Protocols Theory Accuracy Verified: Yes 385. Schneider, C. & Gismondi, M. (1999, February). A guide to the neurodevelopmental "power therapies" and their use in the treatment of PTSD and related somatic complaints . Presentation at the Winter Brain Meeting, Plam Springs, CA. Language: English Format: Conference Abstract: Keywords: Energy Psychology Neurodevelopment Power Therapies Accuracy Verified: Yes 386. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Complex Trauma Ego State Therapy Somasensory Accuracy Verified: Yes 387. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136. Language: English Format: Journal Abstract: Keywords: Caregiving System Connection: Contingecy Differentiation Mentalization Regulation Accuracy Verified: Yes 388. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co. Language: English Format: Book Abstract: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 389. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley. Language: English Format: Book Section Abstract: Keywords: Adolescents Children Accuracy Verified: Yes 390. Herbert, C. (2003, May). Healing the “inner child” – EMDR imagery rescripting techniques with complex trauma clients. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Attachment Theory Complex PTSD Imagery Inner Child Rescripting Symposium Accuracy Verified: Yes 391. Bayliss, S. (2010, April). Healing trauma with eye movement integration - with reference to victims of controlling and abusive relationships. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Keywords: Abuse Relationships Accuracy Verified: Yes 392. Marcus, S. (2008, Maart ). Het behandelen van hoofdpijn met geïntegreerde EMDR [Treating headaches with integrated EMDR]. Presentatie op het derde congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands. Language: English Format: Conference Abstract: Keywords: Headaches Accuracy Verified: Yes 393. Koppel, H. (2002, February). High-speed therapy. CPJ: Counselling & Psychotherapy Journal, 13(1), 20-21 . Language: English Format: Magazine Abstract: Accuracy Verified: Yes 394. Barrowcliff, A., Gray, N., MacCulloch, S., Freeman, T., & MacCulloch, M. (2003, September). Horizontal rhythmical eye movements consistently diminish the arousal provoked by auditory stimuli. British Journal of Clinical Psychology, 42(3). 289-302. doi:10.1348/01446650360703393. Language: English Format: Journal Abstract: Keywords: Distraction Effect Empirical Study Orienting Reflex Quantitative Study Accuracy Verified: Yes 395. Bergmann, U. (1999, November). How does EMDR work? An exploration of possible neurobiological mechanisms. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami, FL. Language: English Format: Conference Abstract: This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks Keywords: Cognitive Processes Neurobiology Posttraumatic Stress Disorder PTSD Sleep Behavior Stressors Survivors Accuracy Verified: Yes 396. Gunter, R. W. (2007, 2008). How eye movements affect unpleasant memories: Support for a working memory account. University of Calgary, Canada. AAT NR44352. Language: English Format: Dissertation/Thesis Abstract: Keywords: Eye Movements Working Memory Accuracy Verified: Yes 397. Gunter, R. W., & Bodner, G. E. (2008, August). How eye movements affect unpleasant memories: Support for a working-memory account. Behaviour Research and Therapy, 46(8), 913-931. doi:10.1016/j.brat.2008.04.006. Language: English Format: Journal Abstract: Keywords: Autobiographical Memory Eye Movements Psychotherapy Working Memory Accuracy Verified: Yes 398. 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: Keywords: Psychosis Accuracy Verified: Yes 399. Acierno, R., Hersen, M., van Hasselt, V. B., Tremont, G., & Mueser, K. T. (1994, November). How valid is eye-movement desensitization and reprocessing?. Clinician's Research Digest, 12(11), 2. Language: English Format: Newsletter Abstract: Keywords: Eye Movements Methodology Statistical Validity Accuracy Verified: Yes 400. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the
wellbeing in rescue-working activity: EMDR (Eye
movement desensitization and reprocessing),
Mirror Neuron and Stress Inoculation: The role of
training methods, practice and simulation for
psychological risks prevention and management in
emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy . Language: English Format: Conference Abstract: Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management Accuracy Verified: Yes 401. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Personality Disorders Accuracy Verified: Yes 402. Solomon, R. M. (1993-1994, Winter). ICISF suggests EMDR training for clinicians. LifeNet, 4(4). Language: English Format: Magazine Abstract: Accuracy Verified: Yes 403. 有村達之, 山本宙, 早川洋, 久保千春 [Tatsuyuki Arimura, Hiroshi Yamamoto, Hiroshi Hayakawa, & Chiharu Kubo]. （1999年5月）. IIE-8 腹痛を伴う学校不適応にEMDRと自律訓練法を用いて改善した二例(小児・思春期) [IIE-8 Two improved cases using EMDR and autogenic training for school maladjustment patients associated with abdominal pain during childhood and adolescence]. 心身医学：日本誌、39（追補Ⅱ）、141 [Japanese Journal of Psychosomatic Medicine, 39(Supplement II), 141]. Language: Japanese Format: Journal Keywords: Abdominal Pain Adolescents Autogenic Training Children Accuracy Verified: Yes 404. Flemke, K., & Protinsky, H. (2001, December). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 12(4), 1-14. doi:10.1300/J085v12n04_01. Language: English Format: Journal Abstract: Keywords: Childhood Childhood Development Conversation Couples-Dialogue Couples Relationships Couples Therapy Emotional Trauma Healing connection Imago Relationship Therapy Interventions Intimacy Marital Relations Parent Child Communication Parent-Child Dialogue Psychotherapeutic Techniques Relationship Therapy Trauma Accuracy Verified: Yes 405. Flemke, K., & Protinsky, H. (2003). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 14(2), 31-45. doi:10.1300/J085v14n02_03
. Language: English Format: Journal Abstract: Keywords: Child Dialogue Childhood Childhood Development Conversation Couples-Dialogue Couple Relationships Couples Therapy Emotional Trauma Healing Connection Imago Relationship Therapy Intimacy Marital Relations Parent Child Communication Parent-Child Interventions Psychotherapeutic Techniques Relationship Therapy Trauma Accuracy Verified: Yes 406. DeGraffenried, D. F. (2007, September). Implementing EMDR practice in community mental health & agency settings: Working with clinical or administrative reluctance. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Client or Administrative Reluctance Community Mental Health Agencies Accuracy Verified: Yes 407. Kiessling, R. (1998, July). Implementing present and future templates (Utilizing the three stage EMDR protocol). Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Blocking Beliefs Blocks Feeder Memory Future Templates Present Templates Targeting Strategies Accuracy Verified: Yes 408. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Ai Chi Mind/Body Connection Accuracy Verified: Yes 409. Lichti, J. (2009, August). Improving EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 410. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Affect Tolerance Poster Self-Regulation Social Functioning Accuracy Verified: Yes 411. Seedat, R. (2010, July). Incorporating EMDR in IMEGO couple's therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Couples Therapy IMEGO Accuracy Verified: Yes 412. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti
con disturbi da eventi stressanti: Impiego
della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Heart Rate Variability Poster Stress Disorders Accuracy Verified: Yes 413. O'Malley, A. (2009, March). Infant mental health & EMDR. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 414. Greenwald, R. (1996, February). The information gap in the EMDR controversy. Professional Psychology: Research & Practice, 27(1), 67-72. doi:10.1037/0735-7028.27.1.67 . Language: English Format: Journal Abstract: Keywords: Literature Review Professional Training Treatment Effectiveness Accuracy Verified: Yes 415. Manfield, P. (2000). Innovative EMDR-Ansätze: Die Anwendungsfelder von EMDR [Innovative approaches to EMDR]. Paderborn: Junfermann. Language: German Format: Book Abstract: Keywords: Innovations Accuracy Verified: Yes 416. Andresen, K. (1993, Fall/Winter). Innovative uses: EMDR body centered processing. EMDR Network Newsletter, 3(2), 19. Language: English Format: Newsletter Abstract: Keywords: Body Innovative Uses Accuracy Verified: Yes 417. Servan-Schreiber, D. (2004). The instinct to heal: Curing stress, anxiety, and depression without drugs and without talk therapy - [Guérir le stress, l'anxiété et la dépression sans médicaments ni psychanalyse]. Emmaus, PA: Rodale. Language: English Format: Book Abstract: Keywords: Anxiety Brain Depression Emotional Brain Emotions Heart Rate Heart Rate Coherence Training Major Depression Natural Treatment Approaches Neuropsychology Psychotherapeutic Techniques Stress Accuracy Verified: Yes 418. Potexki, A. K. (2012, Novembro). Integração da dimensão espiritual na cura do trauma [Integration of the spiritual dimension in healing trauma]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Integration of the Spiritual Dimension Accuracy Verified: Yes 419. Marcus, S. (2005, September). Integrated EMDR headache treatment. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Headache Accuracy Verified: Yes 420. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder Accuracy Verified: Yes 421. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complementary Therapies Counselor Approaches Qualitative Study Accuracy Verified: Yes 422. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Egp State Therapy Dissociative Disorders Trauma Accuracy Verified: Yes 423. Talan, B. S. (2007). Integrating EMDR and imago relationship therapy in couple treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 187-201). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Conflict Couples Couples Therapy Couple Treatment Imago Relationship Therapy Integrative Psychotherapy Integrative Therapy Approach Marriage Counseling Accuracy Verified: Yes 424. Heber, R., Linnihan. C., Butler, P., Leighton, J., & Knipe, J. (2003, September). Integrating EMDR and psychoanalytic psychotherapies. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Psychoanalytic Psychotherapies Symposium Accuracy Verified: Yes 425. Cooke, L. J., & Grand, C. (2007, September). Integrating EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Eating Disorders Accuracy Verified: Yes 426. Laliotis, D. (1998, July). Integrating EMDR into a clinical practice. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Clinical Integration Accuracy Verified: Yes 427. Lipke, H. (2003, December). Integrating EMDR into clinical work: When getting started is a problem. EMDRIA Newsletter, 8(4), 11-13. Language: English Format: Newsletter Abstract: Keywords: Practice Accuracy Verified: Yes 428. Gelinas, D. (2003). Integrating EMDR into phase-oriented treatment for trauma. Journal of Trauma and Dissociation, 4(3), 91-135. doi:10.1300/J229v04n03_06. Language: English Format: Journal Abstract: Keywords: Dissociative Identity Disorder Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 429. Bergmann, U. (2003, May). Integrating EMDR into specific therapeutical approaches - Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state work. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 430. Royle, L., & Kerr, C. (2010). Integrating EMDR into your practice. New York: Springer Publishing. Language: English Format: Book Abstract: The book offers practical guidance and strategies to avoid the common pitfalls of EMDR practice through the 8-phase protocol. Chapters will include Frequently Asked Questions about subjects, such as confidence and other 'horror stories' that are often heard by EMDR therapists. The text proposes to guide those therapists into a safer way of working while encouraging them to access accredited training and supervision for their practice. The scope of the book is limited to EMDR practice with adults. It includes case studies that illustrate common pitfalls and strategies for preventing them. There are FAQ's and 'Whatever you do, don't do this' provided for each stage. Narratives from EMDR clients offer insight for the practitioner. Accuracy Verified: Yes 431. O'Malley, O. (2010, March). Integrating EMDR mindfulness & sensorimotic psychotherapy. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Watch Wait and Wonder Approach WWW Approach Accuracy Verified: Yes 432. Zangwill, W. M. (1998, December). Integrating EMDR with schema-focused therapy. EMDRIA Newsletter, 3(4), 16. Language: English Format: Newsletter Abstract: Keywords: Schema-Focused Therapy Accuracy Verified: Yes 433. McGuinness, V. (2001). Integrating play therapy and EMDR with children. EMDRResources.com. Language: English Format: Book Abstract: Keywords: Children Play Therapy Accuracy Verified: Yes 434. McGuinness, V. (2003). Integrating play therapy and EMDR with children. Bloomington, IN: 1st Books Library. Language: English Format: Book Abstract: Keywords: Children Play Therapy Accuracy Verified: Yes 435. Kiessling, R. (2000, September). Integrating the EMDR approach into your clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Accuracy Verified: Yes 436. Moore, R. H., Dryden, W., Frater, A., Volkman, M., Volkman, V. R., & Gerbode, F. A. (2004). Integrating therapies. In V. R. Volkman (Ed.), Beyond conversations on traumatic incident reduction (pp. 155-179). Ann Arbor, MI: Loving Healing Press. ix, 292 pp. Language: English Format: Book Section Abstract: Keywords: Behavior Therapy Cognitive Therapy Counseling Multimodal Treatment Approach EFT Emotional Freedom Therapy Emotional Trauma Integrative Psychotherapy Integrative Therapy Rational Emotive Behavior Therapy Reduction Psychotherapeutic Processes Psychotherapeutic Techniques Psychotherapy TFT Thought Field Therapy TIR Traumatic Incident Visual/Kinesthetic Dissociation V/KD Accuracy Verified: Yes 437. Norcross, N. C., & Shapiro, F. (2002). Integration and EMDR. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 341-356). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Psychotherapy Psychotherapy Integration Accuracy Verified: Yes 438. Keenan, L. (2010, June). The integration and progression of EMDR
within a generic primary care mental health
service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Generic Primary Care Symposium Training Issues Accuracy Verified: Yes 439. Yordy, J. (2008, Mai). Intégration des techniques de gymnastique cérébrale et de psychologie énergétique afin d’améliorer le traitement EMDR avec les enfants et les adultes [Integrating brain gym & energy techniques to Enhance EMDR processing (for children and adults)]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada. Language: French Format: Conference Abstract: Keywords: Brain Gym Energy Techniques Accuracy Verified: Yes 440. Silvestre, M. (2007, Juin). Integration EMDR et therapie familiale [Integration of EMDR and family therapy]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France. Language: French Format: Conference Abstract: Keywords: Family Therapy Accuracy Verified: Yes 441. Nutting, R. W. (2003, May). The integration of EMDR and body dialogue. Presentation at the annual meeting of the EMDR Europe Assocation, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Body Dialogue Accuracy Verified: Yes 442. Konuk, E., & Epozdemir, H. (2010, June). The integration of EMDR and brief strategic
therapy. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Brief Strategic Therapy Accuracy Verified: Yes 443. Forgash, C. A. (2006, June). The integration of EMDR and ego state. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Accuracy Verified: Yes 444. Maxfield, L., Kaslow, F. W., & Shapiro, F. (2007). The integration of EMDR and family systems therapies. In F. Shapiro, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and Family Therapy Processes (pp. 407-422). Hoboken, NJ: John Wiley & Sons Inc. xxxiii, 470 pp. Language: English Format: Book Section Abstract: Keywords: Family System Therapy Accuracy Verified: Yes 445. Rouanzoin, C. (2007, September). The integration of EMDR in the treatment of
dissociative clients. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Dissociation Dissociative Disorders Accuracy Verified: Yes 446. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Research Symposium Training Issues Accuracy Verified: Yes 447. Lyhus, K. E. (2003, April). Integration of EMDR with other therapeutic approaches: A survey investigation. Catholic University of America, Washington, DC. AAT 3067496. Language: English Format: Dissertation/Thesis Abstract: Keywords: Assimulative Integration Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Traumatic Memories Accuracy Verified: Yes 448. Armstrong, M. (2002, May). Integration of focusing and EMDR. Presentation at the 14th International Focusing Conference, Asilomar, California. Language: English Format: Conference Keywords: Focusing Accuracy Verified: Yes 449. Holstein, B. (2008). The integration of focusing with EMDR and kabbala concepts. Presentation at the 10th International Focusing Conference, Spring Valley, New York. Language: English Format: Conference Abstract: Keywords: Kabbala Accuracy Verified: Yes 450. Lazrove, S. (1994, November). Integration of fragmented dissociated traumatic memories using EMDR. Presentation at the 10th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL. Language: English Format: Conference Keywords: Dissociation Accuracy Verified: Yes 451. Faretta, E. (2004, June). Integration of hypnotic therapy with EMDR for the treatment of panic disorder: Report of twelve single case studies. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Anxiety Disorders Case Study Hypnosis Integrated Approach Panic Disorder Symposium Accuracy Verified: Yes 452. Faretta, E., & Parietti, P. (2003, May). Integration of hypnotic therapy with EMDR in the psychodynamic treatment of panic attacks disorder: Trauma and panic. In Anxiety disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Anxiety Disorders Hypnotic Therapy Hypnotism Panic Attacks Psychodynamic Therapy Symposium Accuracy Verified: Yes 453. Tobin, S. (2004, Spring). The integration of relational gestalt therapy and EMDR. International Gestalt Journal, 27(1), 55-82. Language: English Format: Journal Abstract: Keywords: Brain Brain Functioning Emotional Trauma Gestalt Therapy Integrative Therapy Integrative Psychotherapy Psychotherapy Trauma Accuracy Verified: Yes 454. Twombly, J. H., & Schwartz, R. C. (2008). The integration of the internal family systems model and EMDR. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 295-311). New York, NY: Springer Publishing. Language: English Format: Book Section Abstract: Keywords: Family Systems Model Accuracy Verified: Yes 455. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy Accuracy Verified: Yes 456. Sittig, K.-J. (2008, September). Integration von EMDR und hypnose. Eine innovative,
hocheffektive, ressourcenbasierte methode der PTBS – behandlung [Integration of EMDR and hypnosis. An innovative, highly effective, resource-based method of PTSD treatment]. Presentation at the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria. Language: German Format: Conference Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 457. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Sexual Abuse Survivors Accuracy Verified: Yes 458. de Villiers, E. F. (2005). An integrative approach to narrative therapy and eye movement desensitization and reprocessing (EMDR). University of Stellenbosch, South Africa. Language: English Format: Dissertation/Thesis Abstract: Keywords: Education Narrative Therapy Psychic Trauma Accuracy Verified: Yes 459. Wade, T., & Wade, D. (1996, June). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and EMDR in a psychosocial developmental context. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Clinical Hypnosis Ego State Therapy Integrative Psychotherapy Accuracy Verified: Yes 460. Smyth, N., Vogelmann-Sine, S., & Sine, L. (1998, July). Integrative treatment for chemical dependency: Training for participation in multisite, single subject, pilot trials. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Addictions Integrative Approach Accuracy Verified: Yes 461. Sacco, G. (2006). Integrazioni ed eclettismo in psicoterapia - Psicoterapia: Integrazione, condivisione? - Alcune riflessioni preliminari [Integration and eclecticism in psychotherapy - Psychotherapy: Integration, sharing? - Some preliminary thoughts]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
EMDR ist eine psychotherapeutische Methode zur Behandlung traumatischer Erinnerungen. In seinem sehr gut lesbaren und informativen Buch beschreibt Ricky Greenwald, ein Pionier in der Anwendung von EMDR und einer der aktivsten Erforscher dieser Methode, wie EMDR zur Behandlung von Verlusterfahrungen, Ängsten, somatischen Problemen, Depression und Verhaltensproblemen von Kindern und Jugendlichen angewendet werden kann. "Das vorliegende Buch konzentriert sich auf den Einsatz von EMDR bei Kindern und Jugendlichen. EMDR ist eine noch recht neue Methode, und die meisten bei Kindern und Jugendlichen benutzten Varianten dieser Methode sind noch jüngeren Ursprungs. Der größte Teil des methodischen Materials, das in diesem Buch beschrieben wird, wurde bisher noch nicht veröffentlicht. Ich habe das Buch für all jene geschrieben, die lernen wollen, therapeutisch mit Kindern und Jugendlichen zu arbeiten, oder die ihre diesbezüglichen Kenntnisse erweitern wollen. Aus der Trauma-Orientierung bei der Durchführung einer Therapie in Verbindung mit verschiedenen Anwendungsbereichen von EMDR sind einige innovative und effektive Ansätze zu gängigen Behandlungsbereichen entwickelt worden. Die Anwendung von EMDR in der Therapie erfordert eine formelle Ausbildung und Supervision, wie sie ein Buch allein niemals leisten kann. Doch können Leser, die bereits an einer EMDR-Ausbildung teilgenommen haben, dieses Buch auch als Leitfaden für die Anwendung von EMDR zur Behandlung von Kindern und Jugendlichen benutzen." - Ricky Greenwald
EMDR is a psychotherapeutic method for the treatment of traumatic memories. Describes in his very readable and informative book Ricky Greenwald, a pioneer in the use of EMDR and one of the most active explorers of this method, how EMDR for treatment of loss experience, anxiety, somatic problems, depression and behavior problems in children and adolescents are applied. "This book focuses on the use of EMDR in children and adolescents. EMDR is still a very new method, and most children and adolescents used variants of this method are even more recent origin. The bulk of the methodological material, which in this Paper describes has not yet been published. I wrote the book for those who want to learn therapeutically with children and young people to work, or want to extend their knowledge in this regard. From the trauma reference for the implementation of a therapy in connection with different applications of EMDR are some innovative and effective approaches to common treatment areas have been developed. The use of EMDR in the treatment requires a formal training and supervision as a book alone can never achieve. But to readers who are already suffering from EMDR have participated without training to use this book as a guide for the application of EMDR to treat children and adolescents. " - Ricky Greenwald
In 2009 a training in psychotraumatology and EMDR
was conducted in Thailand with participants from Thailand, Indonesia, Burma, Kambodscha and other countries. During that
training of 8 days a 9-years-old boy was treated after some
stabilization with 'safe place' and special containment - with
EMDR. He was diagnosed with Asperger-syndrome (a form
of autism), was traumatized by the loss of a near relative, the
burning of his home, a car accident and by Tsunami. Time was
limited, the boy wasn't acquainted with the therapist, didn't
speak much English, needed his aunt to translate and was first
time in his life away from his home. But even in these conditions treatment was possible in 1 session stabilization and 3 sessions of EMDR The case will be demonstrated with the boy's
drawings and video clips of the stabilization phase and of the
EMDR session about Tsunami.
Learning objectives: 1. Understanding a client-adapted way to applicate EMDR in children. 2. Creative working with children in their cultural and individual context, What is essential in EMDR even with child-adapted and creative modifications?
After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Nevertheless EMDR is still considered by many clinicians as an intervention that is limited to the treatment of traumatic memories in highly functioning dissociative clients, after a long preparation phase. From this conceptualization the use of EMDR is strongly limited, and many trauma survivors cannot benefit of it.
In this workshop a comprehensive model for EMDR therapy in Dissociative Disorders (the Progressive Approach) will be proposed. From this extended framework, different interventions with EMDR in dissociative clients will be described, including procedures to prepare and stabilize these clients. The integration of these specific EMDR procedures into a group therapy for trauma survivors will be described. The interweaving between theoretical developments, clinical procedures and video examples will allow the audience to assimilate information and translate it to their clinical practice.
Learning objectives:
Propose a comprehensive model to approach dissociative clients from the EMDR perspective, connecting theoretical developments and clinical procedures;
Identify difficult situations in EMDR therapy of severely traumatized people and describe EMDR procedures for dissociative clients, all along the different phases of treatment;
Illustrate the “progressive approach” for the treatment of dissociative disorders with clinical examples and video fragments of individual and group sessions so EMDR therapists can understand when, where and how to apply these procedures in their clinical practice.
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]
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.
During my Level I training, I couldn’t
help thinking about a family I’d treated
several years earlier while working in
Paterson, New Jersey, a
socioeconomically impoverished inner
city. The family was a grandmother and
four young grandchildren who had
recently been placed in her custody.
Their mother and little sister had been
brutally slaughtered with a knife by their
father while they were home. The four
surviving children were suffering from
nightmares about the incident, grief and
loss issues, and fears that their father
would get out of jail and come after them.
One of the children, a five-year-old girl,
had developed elective mutism. She had
narrowly escaped the same fate as her
mother and sister. The little girl had been
an eyewitness to the murders and as she
fled from her father, she slipped on her
mother’s blood and was nearly caught
by him. As I listened and learned at Level
I, I wished that I’d known EMDR when
I was working in Paterson.
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.
Patients with dissociative disorders are a complex patient population in which EMDR can be one of the key treatment approaches in a therapy setting that usually needs to enclose a number of other treatment modalities and an overall comprehensive treatment plan. If undiagnosed, dissociative patients are, on the other hand, at increased risk of developing complications during the treatment with EMDR. In this workshop, participants will learn how to: (1) develop a comprehensive treatment plan that includes trauma work with EMDR, (2) integrate the 8 phases of EMDR with the three general phases of trauma treatment according to Janet (stabilization, trauma work, integration), (3) find a good balance to interchange in therapy between stabilization phases, trauma work with EMDR and work within the therapeutic relationship, and (4) recognize and possibly counter treatment complications.
I have been using EMDR to treat Anxiety Disorders for five years now. I
received my training back when Francine taught Level I herself. EMDR is to
mental health what penicillin was to medicine. It seemed to me that I had
traded in a jack hammer for a laser beam.
Participants will learn to: 1) share different experiences of working in different cultures to help therapists in their work; 2) realize the possibilities of the EMDR method across different languages and cultures; 3) facilitate development training practices that are sensitive to preserve cultural differences.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).
Patients experiencing severe and repeated psychological trauma are among the most complicated patients to be treated in psychotherapy. Their treatment tends to be a multi-faceted approach of which EMDR is only one part, albeit a very important component. The objectives of the presentation are to assist the treating clinician in identifying the self-regulation deficits and degree of dissociation of their patients, as well as conceptualizing and implementing an effective treatment plan for the patient. This will include integrating the traditional three-stage model (stabilization, trauma processing and integration) of working with multiply-traumatized patients with the EMDR eight phase treatment model. Emphasis will be placed on stabilization, identifying when your patient is ready to begin trauma processing, as well as pacing the trauma work and managing clinical challenges during EMDR sessions. Clinical case material will be discussed in depth to illustrate the above.
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute.
Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché
assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato
positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC
(Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///
Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently,
studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the
EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the
“Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects
before and after the EMDR treatments.[Author Abstract]
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They
discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic
explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is
reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way.
Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative
feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al.
23
(2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a
new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be
useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively
researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of
the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster
(1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced
by creative and performing artists, and for competition preparation and psychological recovery from injury in
athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential
with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It
has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show
that this EMDR optimism protocol can easily improve athletic performance.
Introducción: La violencia de género es uno de los problemas sociales más graves de
nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74
mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas),
como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el
Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS
o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el
objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas
emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus
capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al
cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor,
Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física
extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de
manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el
entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con
EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados
por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los
ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo.
Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias
superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que
posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la
habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida
en la intervención de sucesos traumáticos de violencia de género, por lo que resulta
altamente recomendable para estos casos.
Introduction: Gender violence is one of the most serious social problems
our society because of its prevalence (in the past year 2010 were killed 74
women, and it is estimated that about 11.1% of women are battered Andalusian),
as for the psychological consequences on the victims involved. Objectives: In the
Cabinet of Psychology, University of Jaén, we look at women (students, PAS
or PDI or their relatives) who have been or still are victims of domestic violence, with
priority objective of exceeding trauma and who are prepared
emotionally and cognitively to lead a full life with the maximum development of their
capabilities. During the assessment, including scales, users answer the
questionnaire on PTSD (Echeburúa, Corral, Love,
Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual
extreme than most living, result in 100% of cases this syndrome
chronically and charged. Methodology: To treat this syndrome is undertaken the
training in breathing and relaxation techniques and subsequent treatment with
EMDR. This technique consists in processing events that were blocked
sense of fear at the time they occurred, by mobilizing the
eyes simultaneously listening to the episode, trying to revive him again.
We apply this technique in 5 patients. Results: In all cases the user
exceeded the 4 or 5 position in 5-minute sessions each, so that
subsequently reported that the situation no longer produce sadness or pain, and that the
had accepted. Discussion: These results suggest that this technique is effective and fast
intervention in the traumatic events of violence, so it is
highly recommended for these cases.
Il ricordo di un trauma recente differisce da quello di un trauma avvenuto in un passato più distante, poiché è ancora frammentato e disorganizzato e quindi non si è ancora integrato all’interno di un evento coerente, pertanto potrebbe non essere ancora generalizzato e rappresentato da un’immagine. Questo è il motivo per cui per il trattamento terapeutico di eventi traumatici avvenuti da alcune settimane, o forse anche da pochi mesi, sarà necessario ricorrere ad un protocollo specifico che pur preservando l’integrità delle 8 fasi del protocollo EMDR standard, sia in grado di approcciare l’evento all’interno di un resoconto.
In questo lavoro verrà descritto un protocollo, elaborato da Elan Shapiro e Brurit Laub per il trattamento dell’Episodio Traumatico Recente ( Recent Traumatic Episodi Protocol ; R-TEP), il quale approccia l’evento in termini di episodio intero (definito come il periodo che va dall’evento traumatico ad oggi) ed introduce una strategia per la scelta del target, da loro denominata “Google Search”. L’ipotesi è che l’assimilazione e l’integrazione dell’informazione traumatica avvenga ristabilendo la regolazione adattiva dell’attenzione; le relazioni parte/tutto si muovono attraverso catene associative nella direzione della differenziazione e integrazione puntando al completamento, nel senso dell’integrazione armonica delle esperienze negative e positive. L’elaborazione si muove da un ristretto focus sull’immagine (livello percettivo), ad un più ampio focus sull’evento /episodio (livello esperienziale), sino ad un focus esteso riferito al tema/identità (livello di significato).
Il completamento dell’elaborazione di un trauma recente potrà prevenire lo sviluppo di un PTSD, ristabilendo l’Elaborazione Adattiva dell’Informazione (AIP).
The memory of a recent trauma differs from that of a trauma occurred in a past more distant it is still fragmented and disorganized and therefore not yet integrated in a event consistent, so it may not yet be generalized and represented by an image. That is why for the treatment of traumatic events that occurred some weeks, or maybe even a few months, you must use a specific protocol that even preserving the integrity of the 8 phases of EMDR standard protocol, is able to approach the event within a report.
In this paper we describe a protocol, developed by Elan Shapiro and Laub Brurit for Traumatic handling of the episode recently (Traumatic Recent Episodes Protocol, R-TEP) which approaches the event in terms of the whole episode (defined as the period from event traumatic present) and introduces a strategy for choosing the target, which they called "Google Search. The hypothesis is that the assimilation and integration of information occurs traumatic adaptive re-establishing control of attention, relations part/whole move through associative chains in the direction of differentiation and integration aiming at completion, harmonious integration in the sense of positive and negative experiences. Processing moves by a narrow focus on the image (perceptual level), to a broader focus on the event/episode (experiential level), up to an expanded focus refers to theme / identity (level of meaning).
Completing the development of a recent trauma may prevent the development of PTSD, restoring the Adaptive Information Processing (AIP).
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
Dissociative symptoms are common in traumatic stress syndromes (e.g., complex PTSD, disorder of extreme stress not otherwise specified [DESNOS], borderline personality disorder, and dissociative disorders). They commonly interfere with psychotherapy including EMDR treatment. It appears that the adaptive information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience and thus precluding positive treatment outcomes. A series of case studies by Ferrie and Lanius found that the administration of an opioid antagonist prior to EMDR treatment significantly reduced dissociative symptoms, somatization, and numbing, as well as aiding trauma processing. The present chapter describes the relevant scientific research, as well as a theoretical rationale and a protocol, for the use of opioid antagonists in trauma processing with EMDR. [Text, p. 121]
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR
processing, and to work to create a secure, responsive, and positive relational environment that supports change
and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from
other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation)
will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making
within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress
with greater precision, using both verbal and non-verbal markers to determine where the client is on a given
conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different
types of interweaves will be delineated with a clear description of the purpose or function associated with each.
Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both
didactic and video material.
Learning Objectives:
• Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment
decision-making during an EMDR session.
• Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice)
reflected in a client’s presenting issues, choice of targets, and stuck points.
• Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal
of maintaining and even accelerating processing within a window of tolerance.
• Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal
experiences (i.e. affect, sensation, urges, fantasies).
• Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies,
completing incomplete or truncated actions, and addressing various domains of developmental repair.
Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource
durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive
favorisant ainsi le changement et l’intégration.
Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de
la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision
‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment
suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour
déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou
approfondir le traitement du client. Objectifs d’apprentissage:
• Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas
comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR.
• Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité,
contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les
blocages.
• Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance
émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de
tolérance.
• Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides
et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes).
• Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de
compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les
dommages survenus au cours du développement.
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features:
•Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field
•Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio
•Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology
•Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems,
among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events
have generated a widespread impact on the lives of the communities. One of the most crucial issues to be
addressed aside from legal, security, social and economic problems is the matter of health, including mental
health. In regards to mental health issues, comprehensive steps have been formulated into various mental health
care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia
for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the
implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support
from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been
developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be
addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of
trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also
arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts
for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam
including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being
stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation,
varieties of stabilization technique that have been used in this population will be addressed. More specifically, as
culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable
stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with
stabilization technique. These techniques might be useful for other population with similar culture and religion.
In Slovakia, as a country with socialist past, the problem of
psychotraumatology was underestimated. Thanks to the Humanitarian
Assistance Program-Europe (HAP], it was possible to bring the new
knowledge and skills to this field. At the beginning there was the EMDR
training in Germany for two psychiatrists from Slovakia, then the seminars
and supervisions in Slovakia with mentors from HAP, which still continue. The
result is 40 therapists with the training including Psychotraumatology in
general and EMDR Level I and II.
This talk offers you the review of a history of bringing psychotraumatology
and EMDR to our country, first results and feedback.
This symposium presents data from treatment studies of (1) sex offenders, (2) mentally ill substance abusers, and (3) acting-out youth in care. These populations have in common low affect tolerance, severe problem behaviors, and involvement in “the system”. Each treatment used a population-specific phase model approach including motivational interviewing, skills training, and trauma resolution (EMDR). This trauma-informed phase treatment approach appears to represent an advance in helping these treatment-resistant populations. Discussion will focus on the relationship between the client characteristics and treatment approaches in common across studies.
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced.
The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies.
Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment.
In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail.
Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment.
Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten
Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied.
Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.
EMDR therapists are frequently faced with two situations where treatment must be adjusted: blocked processing and incomplete sessions. The first is address in the Part I Training Manual under Facilitating Black Processing in Phase Four. That secion describes three situations: Where processing proceeds “favorably,” where the client over-responds, and where the client under-responds. The manual then describes decelerating tactics for addressing the second situation and accelerating strategies for addressing the third situation. We will use a format introducing an expansion of the TICES (Trigger, Image, Cognition, Emotion, Sensation) model for improves pacing of treatment. The expanded model draws on Multimodal Therapy and adds the modalities of Behavior, Interpersonal Aspects, and Drugs (actually all areas of health including diet, mediation, exercise, and the like). Clinicians can utilize the concepts to recognize when therapy has stalled (or is about to stall) because of client’s under responding and over responding in the sesson, and then apply appropriate interventions. The interventions are from EMDR, from other methods, and from Energy Psychology (EP). Increasingly, EMDR therapists are also practitioners of EP. The second challenging situation faced by EMDR therapists us when time is running out, yet the level of disturbance is still elevated. The Training Manual describes a procedure for closing such a session in Phase Seven, including a containment exercise. This workshop will show how EP techniques are an additional resource to bring to bear when dealing with incomplete sessions. There will be a description and demonstration of a couple of simple but powerful EP techniques. Participants can quickly learn these methods and will be able to immediately incorporate them into their practices. Handouts on the TICES/BID/Acceleration-Decelerating model and on the Energy Psychology techniques will be distributed.
Cet atelier d’une journée met l’accent sur l’intégration de l’EMDR à l’intérieur d’un plan thérapeutique. Nous aborderons l’utilisation d’EMDR pour traiter le Stress post-traumatique complexe, de même que d’autres syndromes cliniques d’origine traumatique, tels que le Trouble de personnalité limite et les Troubles
dissociatifs. Des modifications et/ou additions au protocole EMDR seront proposées afin de tenir compte des capacités limitées à tolérer les affects, des défenses rigides, de la sur-utilisation des stratégies d’évitement, des conflits entre les états du moi, des tendances à la dissociation ou des dérégulations émotionnelles
importantes.
Nous aborderons l’évaluation des aspects développementaux et des besoins d’attachement du client, l’établissement d’une bonne compréhension de la situation clinique et le développement d’un plan de traitement intégré avec des objectifs atteignables et réalisables. On portera plus particulièrement notre attention sur l’intégration de l’EMDR comme moyen de renforcer l’Ego et le développement des ressources au
cours des différentes étapes du traitement.
This full-day workshop will focus on integrating EMDR into an overall recovery plan. The use of EMDR in treating complex PTSD as well as other trauma-related syndromes such as borderline personality disorder and dissociative disorders will be addressed. In recognition of clients’ limited affect tolerance, rigid defenses,
overdeveloped avoidance patterns, ego state conflicts, dissociative tendencies, and extreme emotional dysregulation, strategies for modifying and supplementing standard EMDR protocols will be explored.
Assessing the developmental and attachment needs of the client, establishing a useful case conceptualization, and developing an integrated treatment plan with achievable goals will be discussed. Considerable attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment.
EMDR is not viewed as a panacea but rather as a comprehensive approach to be applied to experiential contributors of disorder and self-enhancement. The information-processing model that governs EMDR practice invites clinicians to view the overall client picture to identify the past events that contribute to the dysfunction, the present events that trigger disturbance, and the skills and internal resources that need to be incorporated for healthy and adaptive living in the future. The approach to the clinical picture is termed the adaptive information-processing model. It was previously termed the accelerated information-processing model because the rapid learning and transmutation of characteristics can take place without the time limitations accepted and imposed on the previous traditional therapies. [Text, p. 27]TOPICS TREATED: Eight phases of treatment (client history and planning; preparation; assessment; desensitization; installation; body scan; closure; re-evaluation); Adaptive information processing (mimicking spontaneous processing; case study); Future explorations
Die Ausbildung in EMDR (Eye Movement
Desensitization and Reprocessing) führte
mich über längere Zeit zu einer intensiven
Auseinandersetzung über die Vereinbarkeit
von EMDR mit meiner bisherigen traumatherapeutischen
Arbeit. Diese war und ist
stark geprägt durch die lösungs- und ressourcenorientierte
Therapie, wie ich sie
von Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan und später in anderer Form
von Gunther Schmidt erlernt habe. Zentrale
Elemente der Arbeit mit traumatisierten
Menschen nach lösungsorientierten Konzepten
sind u. a. die aktive Unterstützung
der Klienten1 bei der Entwicklung einer
positiven Zukunftsvision, bei der Identifikation
der individuellen Kriterien für Therapieerfolg
und der kleinstmöglichen, aktiv
zu unternehmenden Schritte in diese Richtung.
Diese konsequent ressourcen- und
lösungsorientierte Arbeitsweise schien im
Widerspruch zur Traumafokussierung als
zentralem Moment von EMDR zu stehen.
The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.
EMDR (Eye Movement Desensitization and Reprocessing) wurde vor mehr als zehn Jahren von Dr. Francine Shapiro entwickelt und galt anfangs insbesondere aufgrund nachweislich sehr schneller und überzeugender Behandlungserfolge als eine der ungewöhnlichsten psychotherapeutischen Methoden überhaupt. Aufgrund der positiven Ergebnisse wissenschaftlicher Untersuchungen wird EMDR mittlerweile von vielen Therapeuten erfolgreich eingesetzt.
Im Mittelpunkt des Buches steht das von Lipke entwickelte Vier-Aktivitäten-Modell, eine Ergänzung zu dem von Francine Shapiro (1995) entwickelten AIP-Modell der beschleunigten Informationsverarbeitung. Damit schafft Lipke einen Rahmen für das Verständnis psychotherapeutischer Arbeit im allgemeinen und für die Integration von Shapiros Theorie über die Verarbeitung dysfunktionaler Erinnerungen in die bisherigen Formen psychotherapeutischer Arbeit. Das vorgestellte Modell liefert eine Handlungsanleitung für die Anwendung von EMDR in der therapeutischen Praxis. Dabei kann Lipke auf seine fast dreißigjährige klinische Erfahrung mit traditionelleren Behandlungsansätzen ebenso zurückgreifen wie auf seine über zehnjährige Praxis in der Anwendung und Vermittlung von EMDR. Das Buch ist nicht als Einführung in die Theorie und Praxis von EMDR, sondern eher als Erläuterung der Arbeit mit dieser Methode in einem umfassenderen therapeutischen Zusammenhang gedacht.
EMDR (Eye Movement Desensitization and Reprocessing) was developed more than ten years ago by Dr. Francine Shapiro and was initially due in particular proved very fast and impressive treatment success as one of the most unusual methods of psychotherapy in general. Due to the positive results of scientific studies EMDR is now used by many therapists successfully. The focus of the book which is developed by Lipke four activities model, a complement to the Francine Shapiro (1995) developed the AIP model of accelerated information processing. This creates a framework for understanding Lipke psychotherapeutic work in general and for the integration of Shapiro's theory about the dysfunctional processing of memories in the previous forms of psychotherapeutic work. The proposed model provides a guide to action for the application of EMDR in therapeutic practice. It can draw on his nearly thirty years Lipke clinical experience with more traditional treatment approaches as well as on its more than ten years of practice in the use and placement of EMDR. The book is not intended as an introduction to the theory and practice of EMDR, but rather as an explanation of the work with this method in a wider therapeutic context.
In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy,
the EMDR method and biofeedback
combined to the fear reaction Framework to reduce traumatic memories
or to inhibit and thus the symptoms of
reduce post-traumatic stress disorder.
In the first part of the book, the authors detail
to the theoretical background (neurophysiology,
Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories.
Here, they argued that the neuronal
Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model
by Ehlers and Clark, as well as the method of EMDR
Shapiro. The biofeedback method, the authors use
as a diagnostic tool for the subjective evaluation
on the part of the patients also
making objectively verifiable by measuring
electrodermal activity (EDA).
In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at
all patients, and patients had a significant positive Detect symptom change the PTB have been.
In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis (
Test procedures and biofeedback received an important
Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises.
The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded.
The stabilization exercises are described practically
(Safe Place, Safe), as well as the practical
Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice.
In the appendix, there are records of the address
Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.
EMDR wurde als ein Verfahren entwickelt, um belastende/traumatische Erinnerungen nachträglich zu verarbeiten/integrieren. Phase 4 des EMDR- Standardprotokolls, das sogenannte „Prozessieren“ hat hierbei eine zentrale Bedeutung, es ist ein spezifisches Kernstück in der EMDR-Behandlungstechnik.
Es handelt sich dabei um eine gezielt in Gang gesetzte besondere Form des assoziativen „Denkens“, (das neurobiologisch gesprochen ein „subkortikales Denken“ ist), welches an das Freie Assoziieren in der Psychoanalyse erinnert.
EMDR was developed as a method to integrate process stressful / traumatic memories later /. Phase 4 of the EMDR standard protocol, the so-called "litigation" has a central role here, there is a specific key instrument in the EMDR treatment technology.
This is a deliberately set in motion particular form of associative "thinking" (which is spoken a neurobiological "subcortical thinking"), which commemorates the free associating in psychoanalysis.
Based on this observation I would make the attempt, on the one hand against the background Psychotraumatological concepts of integration and the other along the dimension of psychoanalytic concepts of insight and change illustrate this phenomenon.
My working hypothesis is: The KH-views and treatment concepts of psychoanalysis and the neurobiological findings of psycho trauma are not incompatible in the focal point of change, he is now litigating or free association, faces some of the ways.
As a conclusion I'm going to answer the question, can be combined if and under what conditions the EMDR treatment technique of psychoanalytic psychotherapy.
This workshop is for any clinician who has received the Basic Training in EMDR through an EMDRIA-Approved Training. The workshop will review and update information on: AIP case conceptualization; the 8 phases of EMDR treatment; developing the Target Sequencing Plan; the three prongs of EMDR treatment; and the use of cognitive interweave for stuck processing.
The participants will also have an opportunity to improve their skills in the use of Floatbacks and Affect Scans. A practicum experience will help further consolidate these concepts.
New research continues to shed light on EMDR as a distinct psychotherapy approach. Dr. Shapiro will review several new studies and their implications for both theory and future clinical development. The Adaptive Information Processing model and research on underlying mechanisms will be used as a springboard to explore potential applications and ways to overcome a variety of clinical difficulties. Specific clinical cases will be used to illustrate the integration of EMDR with other orientations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.
My wife Carol returned from the EMDR
Level I Basic Training and posed a question
regarding the effectivenessof EMDR
on chronic pain. It seems that if we
believe that the eye movements in EMDR
produce something that assists or facilitates
the brain to reprocess thought,
memory, and emotions, then we can
speculate or hypothesize that the same
procedure could effect how the brain
processes chronic pain.
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
During this practical skills gaining workshop using video examples of clinical material and theoretical presentation, we will talk
about basic ideas of EMDR work with children, EMDR protocol adaptation according to the child developmental level, safety
and attachment issues, family dynamics and integration with family therapy work. We will discuss case conceptualisation
and treatment planning through video clips analysis. The participants will be invited to bring case material and questions
during the course of the workshop.
This presentation will outline the utilisation of EMDR with deaf clients exploring the
challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case
examples this session will outline the ways in which EMDR needs to be adapted for this population
Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to
some of the abstract ideas used and the heavy reliance on spoken language. Many people, both
hearing and deaf find it difficult to think about thinking, and develop levels of insight into their
emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse
at a much higher rate than hearing people, but there are few established therapies to help them.
As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult
experiences that bring them to therapy may have been stored visually or kinaesthetically rather than
linguistically. Trauma may also be caused by smaller events due to lack of information available to
them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic
memories and their triggers. It does this through a combination of physical stimulation and the
recollection and discussion of memories. As such, it seems ideally suited for use with people who are
Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use
with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf
children in British Sign Language.
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming
the client’s capacity and resources. Practitioners must
screen for dissociation and use special procedures to safely
use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot
EMDR with dissociative clients within the phased
treatment model, for clients ranging from DDNOS to DID.
Assessment and stabilization are key to preparing clients
for trauma work. The workshop offers methods to increase
affect tolerance, establish a two-step containment habit, and
orient personalities to person place and time. Other topics
include: increasing tolerance of body sensation and affect,
and enhancing compassion for self and others, directly
working with introjects or other “monstrous” shame-laden
parts, essential to reducing internal conflict and resistance
to therapy. The workshop instructs in specific ego state
strategies and imagery to provide sufficient resources,
maintain an observing ego. Rooted in the hypnotic tradition,
stabilization methods to pace and fractionate the work
within EMDR while interspersing trauma work with sessions
that consolidate gains. The workshop also describes the
conference room method and means to trouble-shoot
stuck processing. Finally, the workshop describes the final
phases of therapy, skills building, integration and fusion.
Participants will be able to :
♦♦ explain why and when to assess every client for degree
of dissociation and choose an appropriate protocol.
♦♦ list six tactics for stabilizing clients, prior to doing
EMDR for dissociative clients, to increase rapport,
contain affect, orient to present circumstances,
reduce inner conflict, and build coping resources.
♦♦ structure EMDR sessions using imagery
and ego state interventions for pacing,
fractionating and trouble-shooting the work.
Fragments of a treatment
different from the protocol
Asking the client to choose the aspect of the
abuse that is most difficult to her at the
moment, accomponied by auditory
stimuli.
Installing the positive cognition while the
tension is still 9 (SUD). [Excerpt]
For most people, childbirth is a time for celebration and joy. However, for some women it can prove a harrowing and traumtising experience. This may result in mothers developing Peri-Natal Post Traumatic Stress Disorder (PN-PSTD), (Slade, 2006)). The reported prevalence of PTSD following childbirth ranges from 1.5% to 6% (Beck, 2004). However, there is a general lack of awareness of this issue, encompassing all health care professions (General Practitioners, Health Visitors, Obstetricians, and non-specialist Psychiatrists) (Robinson, 2003)). This can lead to misdiagnosis and inappropriate treatments being offers (Czamocks & Slade, 2000). This paper will critically examine some of the common themes associated with PN-PTSD. It will explore how Eye Movement Desensitization and Reprocessing (EMDR) can and should be used as an effective treatment intervention (Madrid, Skolek, and Shapiro 2007). Evidence based practice and practice based evidence (case studies) will show how EMDR can be adapted for this client group. The presentation will also reflect on future training needs and research implications.
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive
training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills.
It is uncertain what percentage follow through in this regard.
Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys).
Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR
has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With
correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and
awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and
treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the
mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of
what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive
way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals.
Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those
professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they
work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree
that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the
challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a
successful course of therapy and a disaster.
Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many
therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1
responses which arise and how they are communicated to the patient.
In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with
victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and
what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate
certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will
engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e.,
countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or
less effective usage of EMDR.
EMDR is a method used to help the individual trauma victim process the psychological aftereffects of trauma (PTSD). The effects of traumatic experiences, however, spread throughout the victim's family. The case presented here describes the treatment from three perspectives: individual, family, and social context (eco-social). EMDR, used with a nine-year-old stabbing victim, was integrated into wider therapeutic work within the family. This integration widened the focus from the IP to other members of the system, allowing the use of EMDR to “spread” to four out of the five family members. The effects of the trauma on the family and its members were most effectively treated by a combination of individually and systemically oriented interventions.
It has repeatedly been shown that eye movements during retrieval of negative memories reduce their emotionality. In this presentation we will present a series of analogue studies (with undergraduate students) which further investigates the role of eye movements and other dual tasks.
Study 1 shows that the positive findings for eye movements could be replicated in subjects with negative memories of experiences of loss. This provides an empirical basis for the suggestion that EMDR can be used in the treatment of complicated grief.
Study 2 examined whether another secondary task that taxes working memory has beneficial effects, and whether the stronger the taxing, the stronger the reductions in vividness adversity.
Study 3 shows that eye movements do tax working memory but right-left auditory stimulation does not.
Study 4 compared eye movements (EM), auditory bilateral stimulation (ABS) and no stimulation. Results show EM do better (i.e, larger decreases in emotionality) than ABS and ABS do better than no stimulation.
Study 5 is a replication of study 4 in PTSS patients. EM will be compared to ABS and no stimulation. Data are expected to be available in June 2010.
Objective: Implications for a working-memory explanation of EMDR and for clinical practice will be discussed.
El EMDR se ha desarrollado como una psicoterapia integrada que se ha
utilizado a nivel mundial en la última década como tratamiento empíricamente
validado para el trauma. A lo largo de este tiempo, se ha hecho evidente
que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y
abordar los devastadores efectos de la transmisión generacional.
Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento
para acceder a los sucesos vitales perturbadores, los disparadores actuales
y las experiencias futuras proyectadas, y procesarlas con una resolución
adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia
(imaginación, creencias, afecto y sensaciones corporales), mientras de
forma simultánea se da estimulación dual de la atención, por movimientos
oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias
perturbadoras indica un cambio simultáneo en la cognición, el afecto
y las sensaciones físicas, dando como resultado una integración adaptativa
de la experiencia.
Este acercamiento integra elementos de distintas escuelas de psicoterapia,
haciendo del EMDR aplicable a una enorme variedad de patologías
y accesible a terapeutas de distintas orientaciones dentro de una serie de
protocolos estandarizados (Van der Kolk, B., 1997).
En esta presentación exponemos las líneas generales de este modelo
psicoterapéutico a partir de la descripción del protocolo básico en EMDR
que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente;
2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes
de la diana de tratamiento 4) desensibilizar el material traumático
objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición
positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual
sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del
evento reprocesado.
EMDR has been developed as an integrated psychotherapy has
used worldwide in the last decade as a treatment empirically
validated for trauma. Throughout this time, it has become evident
it is possible to alleviate suffering, help stop the cycle of violence and
address the devastating effects of the generational transmission.
This approach uses a psychotherapeutic treatment protocol
accessing disruptive life events, current triggers
and projected future experiences, and process them with a resolution
Adaptive (Shapiro, 2002). Access to all aspects of the experience
(Imagination, beliefs, affection and bodily sensations), while in
simultaneously gives dual attention stimulation for movement
bilateral eye tones or tactile stimulation. The processing of memories
disturbing indicates a simultaneous change in cognition, affection
and physical sensations, resulting adaptive integration
experience.
This approach integrates elements from different schools of psychotherapy,
doing the EMDR applicable to a wide variety of pathologies
therapists and accessible to different orientations within a range of
standardized protocols (Van der Kolk, B., 1997).
In this paper we present the outlines of this model
psychotherapeutic from the description of the basic EMDR protocol
which is divided into eight phases: 1) collection on the history of the client;
2) preparing the client for the work to be performed, 3) evaluate all components
treatment of the target 4) desensitize traumatic material
object of the target by bilateral stimulation; 5) install cognition
positively identified; 6) reviewing the body to locate any residual material
unresolved; 7) logoff and 8) reassessment of the impact of
reprocessed event.
Based on the work of Dr Francine Shapiro, this concisely written handbook sums up all the basics you need to know as an EMDR therapist working with clients.
All profits from the sale of this handbook go to support the invaluable work of EMDR's Humanitarian Assistance Programme UK & Ireland (HAP UK&I), taking EMDR training to therapists in zones around the world of conflict and disaster.
The therapists' handbook can be used in conjunction with the HAP UK&I EMDR client's handbook, also available here on Amazon Kindle.
For further information about the work of HAP UK&I, please visit our website, www.hapuk.org.
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
In the November, 1992 EMDR training, Dr. Shapiro stated that using EMDR in grief and mourning challenges the concept of how long mourning “should” last. This case example shows how EMDR has assisted in the process of mourning by dealing with some of the self-messages that create pain without denying the reality of the loss experience.
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to cite EMDRIA’s definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; explain the 8-Phase/3-Prong Protocol through the AIP lens; and describe several coaching methods for use in EMDR consultation. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to: 1) cite EMDRIA’s definition of EMDR and apply it in consultation situations; 2) describe Adaptive Information Processing (AIP) Theory as it applies to EMDR psychotherapy, for use in consultation; and 3) explain the 8-Phase/3-Prong Protocol in EMDR for use in consultation situations. The workshop will include lecture, handouts, and role-play of consultation situation vignettes, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA Certification, and for becoming an Approved Consultant. Participants will be able to cite EMDRIA’s Definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; and explain the eight-Phase/three-Prong Protocol through the AIP lens. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA Certification requirements or how to become an Approved Consultant.
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering.
The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource.
The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique
Learning objectives:
To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases.
To recognise the indications in which it provides added value to the classical protocol.
To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases.
The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.
Negli ultimi anni, con l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) come approccio terapeutico consolidato, sono stati formati nel mondo più di 80.000 terapeuti di matrice psicoterapeutica diversa, 1600 soltanto in Italia. Un così ampio interesse per questo metodo potrebbe far rilevare che proprio nell’EMDR i terapeuti, seppure di differente formazione, abbiano ricercato e intravisto uno strumento per poter avviare un dialogo, costruttivo e non soltanto oppositivo, iniziando a considerare la patologia attraverso un nuovo e integrante punto di vista.
Il paradigma dell’Elaborazione Adattiva dell’Informazione messo a punto da Francine Shapiro parte dal presupposto che i fenomeni patologici dipendono da esperienze disturbanti del passato che avviano un modello permanente di emozioni, cognizioni, comportamenti e le strutture di identità che ne conseguono. Il paradigma, pertanto, offre una teoria unificante che può essere considerata come substrato per tutti gli orientamenti terapeutici quando si definisce la patologia come informazione immagazzinata in modo disfunzionale e che può essere adeguatamente integrata attraverso un sistema di elaborazione e risoluzione adattiva, attivato attraverso il protocollo EMDR.
Questo è il primo testo che affronti il tema assai vivo e di attualità dell’integrazione fra i diversi orientamenti psicoterapeutici attraverso un metodo eclettico quale l’EMDR. I contributi degli autori - rappresentanti delle principali scuole di pensiero attualmente presenti nel mondo della psicoterapia italiana - tracciano un percorso di lettura che dimostra come i costrutti teorici e il protocollo EMDR siano compatibili ed efficacemente integrabili con i maggiori nuclei teorici, tradizionali e innovativi. E sono proprio l’elaborazione dei vissuti e i nuovi e più adattivi insight dei pazienti che si attivano attraverso l’approccio EMDR a poter consentire ai terapeuti di capirsi e di utilizzare un linguaggio comune.
In recent years, with l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) as consolidated therapeutic approach have been trained in the world of 80,000 practitioners of different psicoterapeutica array, 1600 only in Italy. A so broad interest for this method could detect that your nell’EMDR therapists, albeit different training, have looked up and saw a tool to be able to start a constructive dialogue and not only oppositivo, beginning to consider the disease through a new and an integral point of view.
The Adaptive Information Processing model paradigm made to point by Francine Shapiro part from the assumption that the pathological phenomena depend on disturbing experiences of the past that initiate a permanent model of emotions, knowledge, attitudes and structures of identity that it entails. The paradigm, therefore, provides a unifying theory that can be considered as a substrate for all therapeutic guidelines when you define the pathology as information stored so dysfunctional and can be adequately integrated through a system of processing and adaptive resolution activated through the EMDR protocol.
This is the first text that tackles the issue very live and topical dell’integrazione between the different psychotherapy guidelines through an eclectic method such as EMDR. Contributions by authors - representatives of major schools of thought are currently in the world of Italian psychotherapy - draw a path of reading that shows how the theoretical constructs and EMDR Protocol are compatible and effectively integrate with the more theoretical, traditional and innovative nuclei. And its elaboration of the living and the new and more adaptive insight of patients that trigger through EMDR to allow practitioners understand you and use a common language.
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, mode EMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Πρόκειται για μια καινούργια μέθοδο ψυχο-τραυματο-θεραπείας και όχι
για μια νέα ψυχοθεραπευτική προσέγγιση, καθώς η άσκησή της γίνεται
αποκλειστικά από ψυχολόγους με κλινική εμπειρία, στους οποίους
απαραίτητα πρέπει να έχει προηγηθεί βασική εκπαίδευση σε μια από τις
ποικίλες ψυχοθεραπευτικές κατευθύνσεις.
Εμπνεύστρια της μεθόδου είναι η Francine Shapiro το 1989, ανώτερη
επιστημονική ερευνήτρια στο Ινστιτούτο Πάλο Άλτο στην Καλιφόρνια,
συγγραφέας του πρώτου εγχειριδίου για το EMDR, η οποία έχει τιμηθεί για
το έργο της με το βραβείο "Διακεκριμένου επιστημονικού επιτεύγματος
στην ψυχολογία".
This is a new method of psycho-traumatic therapy and not
for a new psychotherapeutic approach, as the exercise becomes
exclusively by psychologists with clinical experience, which
necessarily be preceded basic training in one of the
various psychotherapeutic orientations.
Conceived method is the Francine Shapiro 1989, upper
scientific researcher at the Institute of Palo Alto, California,
author of the first handbook for EMDR, which has been honored for
her work with the award for "Outstanding Scientific Achievement
in psychology. "
When a therapist friend told me
about EMDR, it was so unlike any
therapy I had ever known I was completely
baffled. Nonetheless, I underwent
the intensive training and to this
day am in awe of its powerful effects.
Although it doesn't work for everyone,
when it does work it can be an
Naar aanleiding van alle nieuwe onderzoeksresultaten over EMDR en de rol van het werkgeheugen (zie
referentielijst), hebben de Nederlandse EMDR trainers (i.o.) zich gebogen over de consequenties van deze
resultaten voor de praktijk. Ze zijn daarbij tot de volgende richtlijnen gekomen, die ook vanaf heden
gedoceerd worden in de EMDR opleidingen.
Following the latest research on EMDR and the role of working memory (see
reference), the Dutch EMDR trainers (io) examined the consequences of this
results for the practice. They have reached the following guidelines come also from today
taught in the EMDR training.
The past year has witnessed a
flurry of letters to the Behavior Therapist
about Eye Movement Desensitization
and Reprocessing (EMDR) treatment.
Most of these letters address the controversy
over the methods used to
train clinicians in EMDR, such as the
requirement that participants in workshops
sign statements agreeing not to
share any of the training materials
with other clinicians. The recent surge
in interest in EMDR is reflected by the
explosive growch in training opportunities
and applications to diverse clinical
populations and syndromes (e.g.,
the children of alcoholics). Given such
widespread interest, it is troubling that
the most fundamental question about
EMDR-its efficacy-has received so
little attention.
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
Since I took the first EMDR training
in September, 1993, I have been exploring
the outcome of EMDR as compared
to more traditional therapy, as
well as how EMDR works in conjunction
with more traditional techniques.
The following two cases include one in
which EMDR was all that was needed
at that time and one in which EMDR
was (and is) but apart of a longer and
more complicated process.
Numerous studies have provided evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR) in the treatment of PTSD, including recent studies showing it to be more efficient than therapist-directed flooding. But few theoretical explanations of how EMDR might work have been offered. Shapiro, in her original description of EMDR, proposed that its directed eye movements mimic the saccades of rapid eye movement sleep (REM), but provided no clear explanation of how such mimicry might lead to clinical improvment. We now revisit her original proposal and present a complete model for how EMDR could lead to specific improvement in PTSD and related conditions. We propose that the repetitive redirecting of attention in EMDR induces a neurobiological state, similar to that of REM sleep, which is optimally configured to support the cortical integration of traumatic memories into general semantic networks. We suggest that this integration can then lead to a reduction in the strength of hippocampally mediated episodic memories of the traumatic event as well as the memories' associated, amygdala-dependent, negative affect. Experimental data in support of this model are reviewed and possible tests of the model are suggested. [Author Abstract]
For EMDR to be used safely, I strongly agree with the position emphasised during training with the EMDR Institute, that this is an adjunct technique which should only be integrated into existing and appropriate professional practice. Furthermore, practitioners should be qualified to carry out an effective mental health assessment, to screen potential clients for contraindicative effects (eg dissociation or psychosis) prior to treatment, as well as being competent to deal with adverse effects such as strong abreactions. Given the potential for harm with techniques such as EMDR, I believe that it is essential for practitioners to have a 'practising certificate' before offering this approach to clients, rather than simply undertaking 'some training' as noted by the author.
After my first training with Francine
in 1989, in Israel, I was excited by
this promising method and infected
with her enthusiasm. I went on to
use EMDR whenever I could in my
work at the Nazareth Ilite Educational
Psychological Service and in
my private practice, as well as during
my present sabbatical leave in London.
I often incorporated EMDR into
my work and felt comfortable and
confident with a wide range of clients,
ages, and difficulties and was
ready to explore further with the
method. Since my Level II training
in November of 1992, I have learned
to be more discerning, perhaps even
overcautious for the time being, in
applying EMDR. Reflecting over my
earlier years of bolder and freer uses
of EMDR, I did not encounter any
negative effects. The worst that happened
was that nothing much happened,
and this occurred in a minority
of cases (perhaps in less than
20%). Even with those cases, I had
noticed that there may have been a
tendency to underestimate positive
effects. One of the subtle difficulties
I observed assessing outcomes was
that the cognitive changes that occurred
were sometimes so spontaneous
and "naturally" that the client took
them for granted. I first notice this
phenomenon clearly in two cases.
This case concerns a 4,5 year old girl with Selective Mutism.
In this particular case. I considered Selective Mutism a symptom
of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom
as a target. I applied EMDR within a phase model: the preparation
phase, confrontation phase and integration phase. During
these three phases I continuously worked with bilateral stimulation
It is my hypothesis that in this case the bilateral stimulation:
1. stimulated and strengthened positive links in the adaptive
network.
2 synchronized the activity of both cerebral hemispheres, resulting
in a connection between the primary emotions of traumatic
experiences and rational insights and language.
3. unblocked the traumatic information and reactivated the natural
healing process of the brain. I used several forms of bilateral
stimulation as visual stimulation, tactile stimulation and the butterfly
hug. Because of her lack of words, she wasn't able to tell me
anything. So through storytelling I offered her different themes to
which she could respond by making drawings, figures in clay, etc.
During the preparation phase, I focused on safety, ego strengthening
and affect management to reduce the fear to speak.
1. Working with safety : the eye movements were first accomplished
using a safe Image which brought up her own sense
of security. Then, after imagining this safe place, the child was
willing to play tapping games to strengthen feelings of safety.
2. Ego strengthening : to feel as strong as possible by installing
resources and positive cognitions, and guiding the child towards
acceptance and development of its unique being. Bilateral stimulation
was used to strengthen the positive experiences.
3. Affect management: in the process of strengthening affect
management, the child was given access to her anxiety by storytelling
linked to visualization, the use of images and bodywork.
Again, bilateral stimulation was used to strengthen the
positive experiences/skills. After a few sessions. I introduced
the use of language and stimulated her to make sounds, followed
by pronouncing places of words and finally the pronunciation
of complete words and sentences. Through this whole
process, 1 combined the specific exercises to learn how to speak
with bilateral stimulations. During the twelfth session, the child
started talking spontaneously Given the fact that there wasn't
any direct confrontation work during the sessions, we are left
to wonder whether there has or hasn't occurred any trauma
processing. The symptom came to a halt, together with the disappearance
of other symptoms that were Inked to the trauma.
The question is whether it is necessary to confront young children
with their trauma in order to heal. Nevertheless, it seems
like the combination of bilateral stimulation with storytelling,
art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients
From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING
When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means.
The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.
Dans le champ de la psychothérapie, les
intervenants peuvent avoir recours à
différentes techniques: l’hypnose, la
PNL, la désensibilisation systématique, la
thérapie d’Impact, etc. À l’heure actuelle,
deux d’entre elles se démarquent plus
particulièrement: l’EMI (Eye Movement Integration
Therapy) et l’EMDR (Eye Movement Desensitization and
Reprocessing). Comme chacun le sait, ces techniques sont
utilisées pour traiter les états de stress post-traumatiques
et les souvenirs récurrents et négatifs. Comme elles
présentent certaines ressemblances – dont la plus
évidente est qu’elles font toutes deux appel à des
mouvements oculaires –, il arrive souvent qu’elles soient
confondues. Le présent article ayant comme principal
objectif de les distinguer, nous aborderons divers aspects
permettant de circonscrire leurs particularités propres:
nous verrons donc les origines de chacune de ces
techniques, le type de segments effectués, les mouvements
oculaires impliqués et, enfin, la manière dont ces
techniques s’appliquent lors des traitements.
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]
The term psychotherapy has come to be applied to a broad array of nonmedical
interventions designed to alleviate psychologic distress, reduce maladaptive
behavior, or increase deficient adaptive behavior through counseling,
interaction, a training program, or a predetermined treatment plan. Although the
specific term is relatively recent historically, the general idea is ancient. Roots of
psychotherapy can be found in the ageless tradition of helping by listening,
discussing, and questioning. Among the early Greek philosophers, Socrates
developed a method and a thesis that presaged some modern forms of psychotherapy.
His approach involved questioning others to provoke them to examine
their beliefs, with the goal of bringing them closer to truth. His method reflected
his ‘‘midwife thesis,’’ the notion that the philosopher’s role is to deliver the truth
that already is within others, much as the midwife delivers the baby that is within
a mother. This idea, of course, is not so different from the view many modern
therapists have of their own professional roles. Other approaches that fall under the ‘‘psychotherapy umbrella’’ do not involve talk therapies but rather procedures
that parents, teachers, and other adults use to limit disobedient or disruptive
behavior by boys and girls or to help youngsters focus attention or behave less
impulsively. The struggle by adults to shape, manage, and guide youth behavior
certainly predates even the ancient Greeks.
Das Traumabearbeitungsverfahren EMDR (Eye Movement Desensitization and Reprocessing) kombiniert die imaginäre Exposition mit der traumatischen Erinnerung mit repetitiver Stimulation durch Augenbewegungen oder durch taktile bzw. auditive Reize. Während die Wirksamkeit des EMDR gut belegt ist, sind die spezifischen Wirkungen der bilateralen Stimulation noch weitgehend unbekannt. Wir führten ein psychophysiologisches Monitoring mittels Impedanzkardiographie aller EMDR-Behandlungssitzungen ( N= 55) bei 10 Patienten mit PTSD durch. Aufgezeichnet wurden Herzfrequenz (HR), Parasympathikotonus (RMSSD), Sympathikotonus (PEP), und Atemfrequenz (RESP). Beginn und Ende der Stimulationsperioden (N = 811) wurden markiert. Es fand sich ein steiler Anstieg des Parasympathikotonus verbunden mit einem signifikanten Abfall der Herzfrequenz zu Beginn der Stimulationsperioden, entsprechend dem psychophysiologischen Reaktionsmuter einer deutlich ausgeprägten Orientierungsreaktion. Im weiteren Verlauf der Stimulation nahm der Parasympathikotonus wieder ab und der Sympathikotonus nahm zu, was sich als Stresseffekt während der Exposition interpretieren lässt. Im Sitzungsverlauf zeigte sich jedoch eine signifikante Abnahme der Herzfrequenz und eine Zunahme des Parasympathikotonus. Unsere Befunde weisen darauf hin, dass es während EMDR-Sitzungen zu einem signifikanten psychophysiologischen Dearousal kommt. Die Stimulation durch Augenbewegungen scheint eine Orientierungsreaktion auszulösen, die über eine passagere Erhöhung des Parasympathikotonus eine Entspannungsreaktion auslöst. Es stellt sich die Frage, inwieweit die von uns beobachteten psychophysiologischen Reaktionen mit dem Therapieerfolg korrelieren.[Author abstract]
The EMDR trauma processing method (Eye Movement Desensitization and Reprocessing) combines the imaginary exposure to the traumatic memory with repetitive stimulation of eye movements or tactile or auditory stimuli. While the effectiveness of EMDR is well documented, the specific effects of bilateral stimulation are still largely unknown. We conducted a psycho-physiological monitoring using impedance cardiography of EMDR treatment sessions (N = 55) of 10 patients with PTSD. Recorded were heart rate (HR), parasympathetic tone (RMSSD), sympathetic (PEP) and respiratory rate (RESP). Beginning and end of the stimulation periods (N = 811) were selected. There was a steep increase in parasympathetic tone associated with a significant decrease in heart rate at the beginning of the stimulation periods, according to the psycho-physiological Reaktionsmuter a clearly marked orientation reaction. In the course of the stimulation of the parasympathetic tone took off again and the sympathetic tone increased, which can be interpreted as a stress effect during exposure. During the session, however, showed a significant decrease in heart rate and an increase in parasympathetic tone. Our findings indicate that occurs during EMDR sessions to significant psychophysiological Dearousal. The stimulation of eye movements seems to trigger a policy response that triggers a transient increase in parasympathetic tone a relaxation response. This begs the question of the extent to which we have observed psychophysiological responses correlate with treatment success. [Author abstract]
This chapter addresses the integration of EMDR processing when working with couples in conjoint therapy, specifically targeting the problem of attachment issues. When precautions are taken, applying EMDR with couples produces the potential for a deepand mutually productive experience. EMDR’s uniquely rapid processing of interrelated attachment issues lessens the intensity of “triggers” and can free the couple from their long-standing impasses. Many couples struggle with over- or under-reactivity, generally referred to as “triggers”. These triggers are typically rooted in early attachment injuries, as well as injuries generated from the couple’s own relationship. While EMDR is most commonly used in individual treatment, it can also be bridged to the relationship system as a powerful and effective treatment modality for couples. The therapeutic effect of the partners witnessing each other’s EMDR processing work is often enormous. Done conjointly, each partner becomes increasingly more compassionate and understanding of the other. Ultimately, progress is hastened … enhancing the therapy, and allowing the couple to develop new and more fulfilling connections and attachments. In sequence, this chapter covers the following areas: attachment issues from a Family Systems perspective; therapeutic guidelines for EMDR usage with couples; identification of “small t” attachment triggers; indications and contraindications; a specific EMDR protocol for work with couples; two detailed couples case illustrations and treatments, focused on problems rooted in attachment issues; and finally, reflection and discussion of the advantages and benefits for integrating EMDR into work with couples.
The model proposed in their workshop is an integration, elaboration and system for applying EMDR as an experiential technique within a conjoint (both partners present) couples therapy, focused an uncovering and processing triggers from previous traumatic events. The protocol is intended as a useful roo1 for applying EMDR lo lessen the intensity of interactional triggers. Done conjointly, there is n compassionate witnessing by each partner respectively. This mutual sharing around the traumas holds powerful potential far building mutual understanding, compassion and empathy in the relationship.
Since 1987, when an unknown clinical psychology graduate student named Francine Shapiro discovered the technique while walking in a California park, more than 4,000 therapists in America, Israel and Australia have been trained in eye movement desensitization and reprocessing (EMDR), and it has captured the attention of respected therapists from widely divergent psychological traditions.This article discusses the effectiveness of such treatment, including clinical, research, professional and ethical issues. Emphasis is especially given to the importance of training therapists in its use. [Adapted from Text, p. 22]
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? » — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même. Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite). Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches. Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde ; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanist.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "- Where I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections and changes in neurotransmitters), partly explaining its effectiveness.
When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt.
Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanist.
Cet entretien avec Dr Francine Shapiro, inventrice et conceptrice de la thérapie EMDR (Eye Movement
Desensitization and Reprocessing : thérapie d’intégration neuro-émotionnelle par des stimulations bilatérales
alternées) apporte un aperçu de l’histoire et de l’évolution de l’EMDR depuis ses origines jusqu’aux
résultats actuels et à leur utilisation, ainsi que les directions futures pour la recherche et le développement
de la clinique. Dr Shapiro examine les traditions psychologiques qui ont guidé le développement
de l’EMDR et le modèle de l’information adaptative, ainsi que les implications pour les traitements
actuels. La logique qui sous-tend l’application de l’EMDR à un large éventail de troubles est envisagée,
tout comme son intégration avec d’autres approches thérapeutiques. Les sujets évoqués comprennent la
recherche sur le rôle des mouvements oculaires, l’utilisation de l’EMDR avec les vétérans de guerre, les
troubles somatoformes, les questions de l’attachement et les caractéristiques uniques de l’EMDR qui ont
permis son utilisation lors d’interventions de crise à travers le monde.
This interview with Dr. Francine Shapiro, inventor and developer of EMDR (Eye Movement Desensitization and Reprocessing: Integration Therapy Neuro-Emotional alternating bilateral stimulation) provides an overview of the history and evolution of EMDR from its origins to the present results and their use as well as future directions for research and development of the clinic. Dr. Shapiro examines the psychological traditions that have guided the development of EMDR and adaptive information model, and the implications for current treatments. The logic behind the application of EMDR to a wide range of disorders is considered, as its integration with other therapeutic approaches. Topics discussed include research on the role of eye movements, the use of EMDR with war veterans, somatoform disorders, issues of attachment and the unique features of EMDR which allowed its use in Response to crisis around the world.
The EMDRIA Board of Directors has charged the Educational Program and Professional Development (EPPD) Task Group with the task of
developing policies for all educational programs and professional development. These umbrella policies will provide consistency and creditability
throughout all programs to maintain the integrity of EMDR in training, practice, and research. All EMDRIA programs and products will be
aligned with the existing and emerging knowledge and scientific research on EMDR. To that end, the EPPD Task Group has completed a twotiered
definition of EMDR, which is rooted in the current scientific research on EMDR. The Tier One definition is designed for the general
public. The Tier Two definition is for EMDRIA use, to guide the development of all programs and products throughout the organization. The
Tier Two definition is also for external distribution and to be the basis for explaining EMDR to the public and other professionals. As the
foundation, this definition will direct EMDRIA in every aspect of the organization from training and continuing education programs in EMDR,
standards of practice, research, publications, and EMDRIA Member support programs, such as Clinician Support and Regional Coordinating
programs.
The EPPD Task Group introduces EMDRIA’s Definition of EMDR.
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!
EMDR oder genauer gesagt Eye Movement Desensitization and Reprocessing< ist eine kontrover diskutierte Therapiemethode, die ENDR der 80er Jahre von der amerikanischen Psychologin Francine Shapiro entwickelt wurde und sich gut in die Psychotherapien verschiedener Schulenintegrieren lasst.
EMDR, or more precisely Eye Movement Desensitization and Reprocessing is a controversial treatment method that was developed ENDRE the 80 years by the American psychologist Francine Shapiro and led well into the school integration of different psychotherapies.
Binnen de instelling waar ik werk, het SinaiCentrum (gespecialiseerd in de behandeling van de psychische gevolgen van structureel geweld bij slachtoffers van de tweede wereldoorlog (concentratiekampoverlevende, jappenkampoverlevenden, verzetsmensen, burgeroorlogsgetroffenen), de tweede generatie, vluchtelingen, asielzoekers en veteranen uit recente oorlogsgebieden treffen wij vooral type 2 trauma/complex trauma aan. De afgelopen drie jaar heb ik een ruime ervaring opgegaan met de toepassing van EMDR bij deze doelgroepen.
De toepassing van EMDR bij type 2 trauma is een nog relatief nieuw gebeid. In deze lezing wil ik stilstaan bij de ervaringen met betrekking tot
- de indicatiestelling en diagnostiek,
- stabilisatiefase, therapeutische relatie en de organisatorische inbedding hiervan,
- keuzes met betrekking tot de te bewerken situaties en hoe beelden van mekaar te onderscheiden,
- abrecations,
- aantal sessies,
- de taaiheid en soms moeizame vooruitgang,
- verwevenheid met andere problematiek,
- de fouten die gemaakt kunnen worden.
Ik zal een ander illustreren met enig video-materiaal
Daarna gelegenheid tot diskussie.
Within the institution where I work, the Sinai Center specializing in the treatment of psychological consequences of structural violence in victims of WWII (concentration camp survivor, Japanese camp survivors, resisters, civil war victims), second generation refugees, asylum seekers and veterans of recent war zones we especially take Type 2 trauma / complex trauma. In the last three years I have extensive experience in applying EMDR absorbed by these groups.
The application of EMDR in type 2 trauma is a relatively new gebeid. In this lecture, I want to experience on
- The indication and diagnostics,
- Stabilization phase, therapeutic relationship and the organizational embedding of this,
- Choices about the situations and how to edit images of each to distinguish
- Abrecations,
- Number of sessions,
- The toughness and sometimes painful progress
- Integration with other problems,
- The mistakes that can be made.
I will illustrate with some video material with the opportunity for discussion afterwards.
EMDR will be a powerful approach that has brought
emotional healing to millions of people who
suffer from trauma around the world. the
protocols and procedures are clearly
developed and designed, but the essence of
EMDR remains yet to be explorarada. in this
Presentation to look so deep
factors that underlie EMDR, including the inherent capabilities of the client, the environment contention that the therapist provides the qualities the therapeutic relationship, the wisdom of integration
mind-body and the use of hope, possibilities,
spirituality and philosophy that emerged in
process.
What skills do successful consultants utilize in consultation? Therapy, Training and Consultation have several overlapping skills, but each of these disciplines do contain some different skill sets. A good therapist does not necessarily make a good consultant. This presentation will attempt to tease out consultation specific skills that seem to improve the experience for both consultees and consultants. This presentation will include lecture, self evaluative experiences and role play.
La presente investigación se llevó a cabo con personas que fueron diagnosticadas con
depresión mayor y que participaron en un proceso terapéutico EMDR (por sus siglas en
inglés -Eye Movement Desensitization and Reprocessing-). La recolección de datos se
realizó en la práctica clínica mediante el diseño de estudios de caso longitudinales, dentro de
los cuales se consideraron a la vez dos tipos de estudios cognitivos, organizados en tres
fases (inicial, intermedia y final). Los estudios cuasiexperimentales, de identificación de
valencia emocional bajo el paradigma de facilitación afectiva, se realizaron para observar los
cambios en el mecanismo de sesgo cognitivo emocional sobre las palabras depresogénicas.
Por su parte los estudios descriptivos, de análisis de representación emocional
depresogénica bajo la técnica de escalamiento multidimensional y de escalamiento
PathFinder, se utilizaron para determinar la forma en la que el esquema disfuncional era
modificado. Los resultados muestran que EMDR impactó tanto el procesamiento cognitivo de
la información emocional, como la organización conceptual en memoria a largo plazo. En la
sección de la discusión se hacen señalamientos interesantes sobre la integración de las
herramientas de la ciencia cognitiva de la emoción a la práctica del EMDR para la evaluación
cognitiva dual (implícita/explícita) de la recuperación de la depresión.
This research was conducted with people who were diagnosed with
major depression who participated in a therapeutic process EMDR (for short
English-Eye Movement Desensitization and Reprocessing-). Data collection is
performed in clinical practice by designing longitudinal case studies, within
which were considered simultaneously two types of cognitive studies, organized in three
phases (initial, intermediate and final). Quasi studies, the identification of
emotional valence in the affective priming paradigm were conducted to observe the
changes in the mechanism of emotional cognitive bias on the words depressogenic.
For their part, descriptive studies, analysis of emotional representation
depresogénica under the multidimensional scaling technique and scaling
PathFinder, were used to determine the manner in which the pattern was dysfunctional
modified. The results show that both EMDR impacted cognitive processing
emotional information, such as conceptual organization in long term memory. in the
discussion section of the interesting remarks are made on the integration of
tools of cognitive science of emotion to the practice of EMDR for the evaluation
cognitive dual (implicit / explicit) of recovery of depression.
Shapiro has enjoined clinicians not to use eye movement desensitization and reprocessing (EMDR), a treatment for traumatic memories, unless trained by her organization. Some have objected, especially on the grounds that sole-source training may interfere with independent research. However, those trained in EMDR agree that such training is important. Research findings have been consistently positive when treatment was conducted according to the full EMDR protocol taught by Shapiro, and negative only when that protocol was not used. Shapiro's stance has supported the effectiveness and research integrity of EMDR. [Author Abstract]
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005
earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the
work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided
to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims
to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its
Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back
translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants.
The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English
versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All
these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used
for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in
Pakistan the utilisation of the U-IES-R will be an extremely useful addition.
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.
10 patients suffering from PTSD following a severe traumatic event, were assessed with event-related brain potentials (ERPs) in a modified oddball paradigm containing auditory standard, target, and novel tones. ERPs were assessed before and after a treatment session using the eye movement desensitization and reprocessing method. Compared to a control group that underwent sham treatment, ERPs of the patients showed a reduction of the P3a component in the post-treatment recording, suggesting a reduced orienting to novel stimuli and reduced arousal level after the treatment. Moreover, psychometric assessment revealed a marked improvement of the PTSD symptoms after treatment. [Author Abstract]
It is a great honour and pleasure for me to have been asked to present a brief overview of
the Evolution of Psychotherapy in Europe at this 5th World Congress of Psychotherapy in China,
in October 2008.
I shall begin with outlining the 5 main categories (mainstreams) of Psychotherapy; then,
recalling some information about Europe itself and its 50 very different countries; after that,
mentioning the development of the main psychotherapies actually practiced in Europe:
psychoanalysis and the different so called “new therapies.” I shall conclude with the sociological
dimension of psychotherapy and the need of specialized training institutes.
Following a decision by NHS Lanarkshire to provide funding for training in
Eye Movement Desensitisation and Reprocessing (EMDR) 11 professionals,
including clinical psychologists, counselling psychologists, a clinical associate and
a psychological therapist undertook the three-part training in 2008 and 2009 provided
by EMDR workshops, a leading UK EMDR training organisation and affiliated to the
European EMDR Network. The rationale for providing this training was to allow staff
to offer a variety of therapeutic interventions for individuals who have experienced
trauma. EMDR is an evidence-based treatment for trauma and is recommended by the
National Institute for Health and Clinical Excellence (NICE) guidelines as a treatment
for Post Traumatic Stress Disorder (PTSD). Whilst it is acknowledged that there
continues to be some debate within clinical psychology regarding the use of EMDR
and its scientific status, this will not be discussed within this article (see Van Etten &
Taylor, 1998; Davidson & Parker, 2001; and Chemtob et al., 2000 for more information).
As most of the therapists who undertook this training already had experience
of working with trauma, mostly within a Cognitive Behavioural Therapy (CBT) framework,
it was felt that providing an additional theoretical and practical framework for
working with these individuals would provide further client choice
I recently received EMDR training to add to my skill set of interventions to offer clients. What is EMDR, you might ask? It is the acronym for eye movement desensitization and reprocessing. This treatment was developed by Dr. Francine Shapiro to help those with trauma related disorders such as, PTSD (post traumatic stress disorder), whose natural ability to process traumatic experiences was compromised. The hypothesis is that EMDR bilateral stimulation (eye movements, audio beeps, tactile pulses) replicates REM sleep, which is presumed to assist the brain in processing the information it received during the day. The idea being that the eye movements, or other forms of bilateral stimulation, add to the therapy’s effectiveness by evoking neurological and physiological changes to aid in the reprocessing of the traumatic memories. [Excerpt]
Seit der letzten Auflage dieses Buches ist die Anzahl der Wirksamkeitsstudien kognitiver Verhaltenstherapien (KVT) der posttraumatischen Belastungsstörungen (PTBS) stark gestiegen. Die Befundlage aus diesen Studien ist eindeutig: Für KVT wie die Expositionstherapie, die kognitive Therapie, das Stressimpfungstraining sowie Kombinationen dieser Verfahren und die sog. Augenbewegungstherapie (EMDR) konnte wiederholt eine signifikante Reduktion der PTBS-, Depressivitäts- und Angstsymptomatik sowie weiterer problematischer Traumafolgen gezeigt werden.
Since the last edition of this book is the number of efficacy studies of cognitive behavior therapy (CBT) of post-traumatic stress disorder (PTSD) has risen sharply. The clinical findings from these studies is clear: For CBT, such as exposure therapy, cognitive therapy, stress inoculation training, and combinations of these procedures and the so-called eye movement therapy (EMDR) was repeated a significant reduction of PTSD, depression and anxiety symptoms and other problematic consequences of trauma shown be.
Exposure therapy has increasingly been used in conjunction with other cognitive—behavioral therapies in a variety of formats and techniques, particularly in the treatment of anxiety disorders. Reasons for the addition of cognitive enhancements to exposure therapy include concerns for client well-being and/or an interest in increasing client willingness to engage the treatment. Other newer therapies such as CPT, ACT, and EMDR, while based in differing theoretical paradigms, incorporate cognitive and behavioral strategies that are consistent with exposure and cognitive change.
Several empirical studies support combinations of exposure and other cognitive—behavioral therapies. However, studies evaluating a possible augmenting effect of other CBT components have generally shown equally promising effects with exposure alone and exposure combined conditions. Further research is needed to more fully understand which components of other cognitive—behavioral therapies are most helpful in addressing concerns of using exposure therapy alone, and the manner in which exposure therapy can be most effectively integrated.
Several psychosocial treatments appear to be effective in treating
posttraumatic stress disorder (PTSD). However, little is known about
the predictors of treatment outcome. It is possible that some variables
predict poor outcome for some treatments but not for others.
To investigate this issue, outcome predictors were examined for
three 8-session treatments: Exposure therapy (entailing prolonged
imaginal and in vivo exposure), relaxation training, and eye movement
desensitization and reprocessing (EMDR). Sixty people with
PTSD entered and 45 completed treatment. To our knowledge, ours
was the first EMDR study to meet all the Foa and Meadows Gold
Standards for methodologically sound outcome research.
Treatments did not differ in attrition or perceived credibility.
Predictors of treatment outcome in PTSD:
While psychological treatments for PTSD have developed considerably
in recent years, large variation in individual treatment response
is apparent. This symposium integrates research from the USA,
Canada, and Australia to examine the impact of personal characteristics,
childhood abuse history, and treatment setting as predictors
of response to cognitive behavioral interventions.
PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation
did not differ in efficacy. Low patient ratings of treatment credibility
(assessed in session 2) predicted treatment dropout, regardless of
treatment type. Of the potential outcome predictors examined,
severe reexperiencing symptoms (assessed prior to treatment) predicted
poor outcome for relaxation training but not for the other
therapies. The best predictor of treatment outcome was whether or
not patients received exposure therapy.
Interest in the area of traumatic stress has grown considerably since post-traumatic stress disorder (PTSD) was first classified as a mental health condition in 1980 by the American Psychiatric Association (APA 1980). The current classification can be viewed in Box 1. There is now a well-established literature on the effects of traumatic experience following a range of traumatic events. The National Institute for Health and Clinical Excellence (NICE 2005) has reviewed the evidence base for the treatment of PTSD and recommended trauma-focused cognitive behavioural therapy (TFCBT) and EMDR as the two first-line treatments for PTSD.
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered.
The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma.
EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
The purpose of this article is to desctibe how EMDR functions therapeutically and explore some of the psychospiritual potentials that may have been associated with its use. EHtically, only licensed mental health professionals and interns who are supervised by EMDR-trained clinicians may practice EMDR. Once such professionals have completed such training, they will also need to apply all of their clinical skils to help their clients safely experience the deep and complex transformations that come about in the intensive sessions. For these reasons, non-therapists and therapist not formoally trained in EMDR should not attempt to use the eye movements of this procedure on themselves and others. (Author purpose]
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]
This book serves several functions. First, it provides an introduction to a trauma-based integrative approach to child and adolescent psychotherapy, incorporating the selective use of EMDR. It also provides a practical reference for clinicians seeking both theoretical and technical guidance on how to use EMDR with children and adolescents, and it serves as a documented standard of care for training and research purposes. [Text, p. xxvi] [Pilots]
In the context of managed care, effective short-term treatment has become a priority for psychologists. This is particularly true for the recalcitrant symptoms of PTSD which are often associated with protracted treatment and disappointing outcome.This study investigated the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) as a short-term treatment for PTSD. The independent variable, EMDR, was introduced sequentially in a multiple baseline design across subjects. 5 survivors of rape who met DSM-III-R criteria for PTSD received 4 to 6 weekly sessions of EMDR provided by five licensed psychotherapists with Level 2 EMDR training. Treatment outcomes included (a) large reductions in symptomatology evident in self-monitored data and objective measures, (b) replication of treatment effect in 5 out of 5 subjects, (c) qualitative and behavior change data which corroborate treatment effect, and (d) analyses which demonstrate the clinical significance of the changes, as well as the statistical significance of the differences between pretreatment and follow-up scores (with a confidence level of .05 or beyond). The study suggests that EMDR is very effective for treating long-term, recalcitrant symptoms of PTSD which have not resolved with time or previous therapy. The study provides a methodological model for calibrating treatment and developing accountability for treatment efficacy which can be applied across treatments and settings. [Author Abstract]
Despite the clinical and social impact of PTSD, there are few controlled studies investigating its treatment. In this investigation, the effectiveness of two psychotherapeutic interventions for PTSD were compared using a randomized controlled outcome group design. 35 combat veterans diagnosed with combat-related PTSD were treated with either (a) 12 sessions of eye movement desensitization and reprocessing, EMDR (n = 10), (b) 12 sessions of biofeedback-assisted relaxation (n = 13), or (c) routine clinical care, serving as a control (n = 12). Compared with the other conditions, significant treatment effects in the EMDR condition were obtained at posttreatment on a number of self-report, psychometric, and standardized interview measures. Relative to the other treatment group, these effects were generally maintained at 3-month follow-up. Psychophysiological measures reflected an apparent habituation effect from pretreatment to posttreatment but were not differentially affected by treatment condition. [Author Summary]
Eye movement desensitization and reprocessing (EMDR) is described. EMDR features focussing on a traumatic memory while moving the eyes rapidly from side to side. This appears to lead to rapid integration of the memory, and elimination of associated symptomatology. EMDR's apparent similarity to dreaming and to therapeutic dreamwork is suggested as a possible key to understanding its underlying mechanism. An illustrative case example is presented. [Author Abstract]
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy procedure which has been reported to dramatically increase efficiency in the treatment of psychological disturbances rooted in traumatic memories. Following a review of the research on EMDR's efficacy, clinical considerations are addressed, including the client's experience and the potential for negative effects or treatment failure. Finally, the role of EMDR in clinical practice is discussed. Initial reports are encouraging, and further research is recommended. Clinicians who choose to use EMDR are urged to obtain formal training. [Author Abstract]
This chapter addresses several things. First, we consider the key features of eye-movement desensitization and reprocessing (EMDR), its theoretical foundations, and later its integration with other therapies. We consider the merits of the key (and controversial) components of EMDR and discuss the integration of EMDR in psychotherapy. We then consider the efficacy of EMDR in posttraumatic stress disorder (PTSD) and examine meta-analyses and studies that evaluate this therapeutic program. We rate the salient studies of EMDR and PTSD. Then we discuss EMDR and its limitations and contraindications. Finally, we present the EMDR protocol and three cases that demonstrate the use of EMDR. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy for post-traumatic symptoms of relevance to systemic therapists. The literature available on individual EMDR in traumatized children is reviewed in this article. A sample of eight studies was examined, consisting of three controlled trials, two uncontrolled studies and three case reports or series. The controlled trials compared EMDR with waiting list controls or cognitive behavioural therapy (CBT). The study samples were small and their methodological quality variable. In all the studies, the results suggested a positive effect for EMDR but did not appear superior to CBT. It is therefore possible that systemic interventions may be improved by the integration of EMDR and family therapy with children and adolescents.
Backgroound: Eye movement desensitization and reprocessing (EMDR) is becoming a recognized and accepted form of psychotherapy for posttraumatic stress disorder (PTSD). Yet, its mechanism of action remains unclear and much controversy exists about whether eye movements or other forms of bilateral kinesthetic stimulation contribute to its clinical effects beyond the exposure elements of the procedure. Methods: Twenty-one patients with single-event PTSD (average Impact of Event Scale score: 49.5) received three consecutive sessions of EMDR with three different types of auditory and kinesthetic stimulation (tones and vibrations): intermittent alternating right-left (as commonly used with the standard EMDR protocol), intermittent simultaneous bilateral, and continuous bilateral. Therapists were blinded to the type of stimulation they delivered, and stimulation type assignment was randomized and counterbalanced. Results: All three stimulation types resulted in clinically significant reductions of subjective units of distress (SUD). Yet, alternating stimulation resulted in faster reductions of SUD when only sessions starting with a new target memory were considered. Conclusions: There are clinically significant effects of the EMDR procedure that appear to be independent of the nature of the kinesthetic stimulation used. However, alternating stimulation may confer an additional benefit to the EMDR procedure that deserves attention in future studies.
Traditional models of addiction treatment and relapse prevention fail to consider the role that unresolved trauma plays in an addicted woman's recovery experience. Implementing Eye Movement Desensitization and Reprocessing (EMDR) into the treatment process offers a potential solution to this problem. Ten women (alumnae of an extended-care treatment facility) participated in a semistandardized interview to share their experiences with active addiction, treatment, EMDR therapy, and recovery. With the use of A. P. Giorgi's descriptive phenomenological psychological method for analysis, four major thematic areas emerged from the interview data: the existence of safety as an essential crucible of the EMDR experience, the importance of accessing the emotional core as vital to the recovery experience, the role of perspective shift in lifestyle change, and the use of a combination of factors for successful treatment. All 10 women, to some degree, credited EMDR treatment as a crucial component of their addiction continuing-care processes, especially in helping with emotional core access and perspective shift. Implications emerge from the data on how to best implement EMDR into a comprehensive addiction treatment program.
Since Eye Movement Desensitization and Reprocessing (EMDR) was introduced 12 years ago it has become the most researched treatment for PTSD and its efficacy has been widely recognized. EMDR is a comprehensive treatment protocol in which the client attends to emotionally disturbing material in short sequential doses while simultaneously focusing on an external stimulus (therapist-directed eye movements, hand-tapping, auditory tones). This chapter provides an overview of the development of EMDR and Shapiro's Adaptive Information Processing model, which hypothesizes that EMDR works by forging new links between elements of traumatic memories and adaptive information contained in other memory networks. The empirical evidence is examined, with summaries of 12 controlled studies: civilian participants demonstrated a 70 to 90% decrease in PTSD diagnosis after 3 to 4 EMDR sessions, and combat veterans a 78% decrease in PTSD diagnosis after 12 sessions. A concise explanation of the 8 phases of EMDR treatment process is augmented with multiple client vignettes. Finally, a case illustration provides a detailed description of the application of EMDR in the treatment of PTSD (Pilots). [Text, p. 148]
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy for PTSD. We critically reviewed randomized controlled trials of EMDR. Methods: A wide range of electronic databases and reference lists of articles obtained were searched and relevant experts were consulted. Studies were critically appraised according to established criteria. Results: We found 16 published randomized controlled trials (RCTs) comparing EMDR with alternative psychotherapy treatments, variants of EMDR, and with delayed treatment groups. Studies were generally small (mean number of patients = 35) and of variable methodological quality, with only 5 reporting blinding of outcome assessors to treatment allocation, and in some cases with high loss to follow-up. In most cases EMDR was shown to be effective at reducing symptoms up to 3 months after treatment. In one case benefit was maintained up to 9 months and in another (uncontrolled) followup treatment effect was present at 15 months. 2 studies suggest that EMDR is as effective as exposure therapies, 3 claim greater effectiveness in comparison to relaxation training, and 3 claim superiority over delayed treatment groups. Of the studies examining specific treatment components, 2 found that treatment with eyes moving was more effective than eyes fixed, while 3 studies found the two procedures to be of equal effectiveness. CONCLUSION: The evidence in support of EMDR is of limited quality but results are encouraging for this inexpensive, simple therapy. Further research is warranted in larger samples with longer periods of follow-up. [Author Abstract]
Comment on: Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316; with the QUESTION: Is eye movement desensitisation and reprocessing (EMDR) effective for trauma or anxiety? Do the presence of eye movements, therapist training, or disorder influence effectiveness?
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.
Among the explorations of psychotherapy integration, attempts to integrate the cognitive behavioral and psychodynamic approaches are receiving much attention. Eye movement desensitization and reprocessing (EMDR) is one newly developed method that appears to have successfully achieved such integration. The author presents cases of 2 patients with complex personality problems to illustrate how EMDR does achieve this integration. The cases demonstrate the formulation of dynamic hypotheses based first on a thoughtful clinical understanding of the patient and then reformulated as new information emerges from the free associations elicited by this method. Treatment based on these formulations is through the cognitive and behavioral aspects of the EMDR procedures. Unlike many other integrative methods that have been proposed, the different aspects of this method are not applied separately but form a cohesive whole. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This chapter provides an overview of how eye movement desensitization and reprocessing (EMDR) may be used to treat trauma/loss memories and related symptoms in children and adolescents. The literature on EMDR indicates not only that it works well, but that it may be more efficient than other methods. The reasons for its effect are unclear. Several cases are presented. It is important that clinicians receive formal training to use EMDR, and that it is integrated into a comprehensive trauma-informed treatment approach. [Text, p. 246]
Hon upptäckte att när hon lät ögonen vandra rytmiskt vandra fram och tillbaks i takt med sitt
gående, kunde hon lättare hantera det problem som hon var upptagen av. Shapiro upptäckte på så
vis den bilaterala stimuleringens förmåga att lösa upp de blockeringar som hindrade hennes
förmåga att hantera problemet. Shapiro utvecklade den metod som kom att kallas EMDR. Kort
innebär detta att man via ögonrörelserna ökar hjärnans aktivitet så att blockeringar löses upp och
minnena blir mer tillgängliga för bearbetning samtidigt som de också länkas samman med våra
övriga minnen till en sammanhängande minnesupplevelse. Vid alltför svåra upplevelser är det
just denna integreringsprocess som blir satt ur spel så att det vi upplevt kodas in och lagras som
splittrade minnesfragment hopkopplade med de känslor vi upplevde vid traumatillfället.
She discovered that when she let her eyes wander rhythmic walk back and forth as its
going, she could better manage the problems that she was busy. Shapiro discovered so
thus the bilateral stimulation ability to dissolve the blockages that prevented her
ability to handle the problem. Shapiro developed the method that was called EMDR. Brief
this means using eye movements increase brain activity so that blockages are dissolved and
memories are more accessible for processing, while also linking with our
other memories into a coherent memory experience. At too difficult experiences is the
precisely this integration process will be put out of action so that our experience is encoded and stored as
shattered fragments of memory coupled with the emotions we experienced at the time of trauma.
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias.To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text]
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias. To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text of 1st Edition]
Eye movement desensitization and reprocessing (EMDR) has been both popularized and criticized in recent literature. Although a number of investigators continue to examine the efficacy of EMDR, few articles have critically evaluated the training practices and requirements for EMDR certification. This editorial is a qualitative and informal look into some of the training practices and requirements of EMDR level I training. The marketing of EMDR is discussed to identify ethical concerns relevant to EMDR's promotion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
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.
Non disponibile astratto.
No abstract available.
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Eye Movement Desensitization and Reprocessing (EMDR) is described in terms of clinical phenomena, the need for appropriate training in EMDR, and the consistency of neural network theory with BASK theory of dissociation. EMDR treatment failures occur in dissociative disorder patients when EMDR is used without making diagnosis of the underlying dissociative condition and without modifying the EMDR procedure to accommodate it. Careful informed consent and the use of the dissociative table technique can allow EMDR to move successfully to completion in a dissociative patient. Certain "red flags" contraindicate the use of EMDR for some dissociative patients. A protocol for EMDR with dissociative patients is offered, for crisis intervention (rarely appropriate), abreactive trauma work, and integration/fusion. The safety and effectiveness of EMDR's use in the dissociative disorders requires adequate preparation and skillful trouble-shooting during the EMDR. [Author Abstract]
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
When Sophie read about EMDR in the newspaper, she immediately felt the psychotherapy approach might help her. It was worth a try. She'd been in what she calls regular therapy for several years to resolve divorce issues and had already tried hypnosis and massage therapy, even training as a massage therapist in the process. Despite all this time, effort and money, the 39-year-old communications executive - who chose a pseudonym to protect her privacy - felt little relief from early traumatic memories that were not only distorting her present experiences, but were likely at the root of her failed marriage as well, she said.
No abstract available.
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman who had a life-long fear of learning. She felt anxious whenever she was in a classroom situation, feeling that she would fail and wouldn't be able to learn.
Background: During the horrific war in the Democratic
Republic of Congo during the years 1996–2007 the number
of casualties is estimated to be 5.4 million. In addition, 1.8
million women, children and men were raped, many as a
social weapon of war. Many of these women still suffer
from post-traumatic stress disorder (PTSD) and mutilated
genitals.
Objectives: To assess a short-term interventional team for
the evaluation and treatment of sexual trauma victims.
Methods: The intervention program comprised four components:
training the local staff, medical evaluation
and treatment of patients, psychological evaluation and
treatment of trauma victims, and evacuation and transport of
patients with mutilated genitals. A diagnostic tool for posttraumatic
stress disorder (PTSD) – the Impact Event Scale
(IES) – was used. The psychological treatment was based
on EMDR (eye movement desensitization and reprocessing)
principles. Using questionnaires, the information was
obtained from patients, medical staff and medical records.
Results: Three primary care clinics were chosen for intervention.
Of the 441 women who attended the clinics over
a period of 20 days, 52 women were diagnosed with severe
PTSD. Psychological intervention was offered to only 23
women because of transport limitations. The most common
medical problems were pelvic inflammatory disease
and secondary infertility. Nine patients suffered genital
mutilation and were transferred for surgical correction. The
32 local nurses and 2 physicians who participated in the
theoretical and practical training course showed improved
knowledge as evaluated by a written test.
Conclusions: With the short-term interventional team model
for sexual assault victims the combined cost of medical and
psychological services is low. The emphasis is on training
local staff to enhance awareness and providing them with
tools to diagnose and treat sexual assault and mutilation.
During the past years, PTSD treatment competencies raised tremendously
due to the development and evaluation in randomized controlled trials.
Exposure and cognitive restructuring techniques are basics of a variety of
effective psychotherapies. Our symposium discusses challenges, possible
shortcomings, implications, and new applications of efficacious techniques
(e.g., using the internet).
First do no harm: Worsening or improvement after
prolonged exposure: Despite a substantial body of research accumulated over the 15 years indicating
that exposure therapy programs are highly effective in reducing
PTSD symptom severity and associated anxiety and depression across a
wide range of trauma populations, few therapists utilize this treatment. One
reason offered by therapists for not providing this treatment is their concern
that exposure therapy may result in symptom worsening among individuals
with PTSD (Becker et al., 2003). The purpose of this study was to
investigate the frequency of symptoms worsening and symptom improvement
following Prolonged Exposure (PE), one particular exposure therapy
protocol developed for use in the treatment of PTSD, across five separate
treatment studies (Foa et al., 1991, 1999, in preparation; Resick et al., 2002;
Rothbaum et al., in preparation) and to compare it with other forms of cognitive
behavior therapy (stress inoculation training, cognitive processing
therapy, EMDR) and waitlist controls. Preliminary results based on two of
the five studies (Foa et al., 1999; in preparation) found worsening of PTSD
symptom in less than 1% of participants completing active treatment (N =
162) and 8% of participants completing waitlist (N = 39). PTSD symptom
improvement was found in 90% of participants completing cognitive behavior
therapy (N = 149) compared to 36% participants completing waitlist.
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Although the structured protocols and procedures of EMDR practice have provided therapists
with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to
many EMDR therapists. However, EMDR can be modified to a more natural face-to-face
flowing treatment process.
This presentation will comprehensively examine flow EMDR and its dual naturalising
components of "essential listening" and extended bi-lateral stimulation. "Essential listening"
entails the therapists accepting that all potential answers reside in the clients system.
This information and the ensuing healing process is supported by the therapist suspending all meta
communications emanating from the client. Following this procedure, combined with the
targeted information of the protocol activated by bi-lateral stimulation, allows the client to
process information until they arrive at their "essential truths".
Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by
auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will
also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation
will be reviewed as to its current modes and tactile stimulation will also be explored in terms
of tapping, pressing and mechanical activation.
Flow EMDR also actively integrates ego state work, part protocols, multiple protocols,
parallel protocols, self questioning interweaves, targeting of present mood states, resource
activation's of locating and installing positive body sensations and body processing enhanced
by colour and image associations.
This presentation will include lecture, clinical demonstratipn, audience participation and
extensive hand-out material.
An fMRI Study of the Integration of “Becoming Safely Embodied” and EMDR Techniques for the De-Activation of Fear Motor Neurocircuitry Frank Corrigan, Consulting Psychiatist, Argyll & Bute Hospital, Lochgilphead, Argyll This panel discussion explores brain imaging results using BSE skills activating left anterior insula intensified with alternating bilateral stimulation (ABS) from Eye Movement Desensitisation and Reprocessing (Shapiro 1992). It suggests positive feelings associated with brain activations deactivate areas involved in motor responses to threat.
Depuis 2001, les guerres en Irak et en Afghanistan exercent une pression considérable sur la médecine militaire pour gérer efficacement la demande croissante de soins en santé mentale du personnel déployé. Cet article examine la capacité du Ministère de la défense des Etats-Unis à fournir des services de santé mentale de qualité en fonction de la disponibilité (a) de la formation clinique, (b) des interventions en santé mentale et (c) de la recherche subventionnée portant sur les traitements de l'état de stress post-traumatique. Alors que des progrès notables ont été réalisés au niveau de l'accès au traitement cognitivo-comportemental et des études dans ce domaine, l'Intégration neuro-émotionnelle par les stimulations bilatérales alternées ou EMDR (Eye Movement Desensitization & Reprocessing) est beaucoup moins disponible - peut-être à cause de la controverse actuelle qui entoure la technique. Nous suggérons qu'une meilleure disponibilité des traitements comportementaux basés sur les données probantes, peut-être par le biais de la poursuite d'un récent programme régional de formation, serait bénéfique pour les vétérans qui y ont aujourd'hui peu accès.
Since 2001, wars in Iraq and Afghanistan is considerable pressure on military medicine to effectively manage the growing demand for mental health of deployed personnel. This article examines the capacity of the Ministry of Defence of the United States to provide mental health services quality depending on availability (a) of clinical training, (b) mental health interventions and (c) sponsored research into the treatment of posttraumatic stress disorder. While significant progress has been achieved in access to cognitive behavioral treatment and studies in this field, neuro-emotional integration by alternating bilateral stimulation or EMDR (Eye Movement Desensitization Reprocessing &) is much less available - perhaps because of the current controversy surrounding the art. We suggest that greater availability of behavioral treatments based on evidence, perhaps through the continuation of a recent regional training program would be beneficial for veterans who now have little access.
Initial responses of this presenter to EMDRIA years ago were
not favorable. Now there is cautious optimism that the
procedure is safe, valid, and effective. While multichannel
EEG wave forms do not reveal a significant change in brain
state before and after a bout of training, there may be more
quantifiable measures with newer brain mapping procedures.
Successful cases have been seen ranging from severely
injured athletes fearful of return to competition to an
obsessive/compulsive disorder involving exercise as the
repetitive, problematic behavior. Ironically, the procedure
itself is so routine that it probably is used unknowingly by
some elite athletes who have developed preperformance
routines that involve repetitive left/right motions or eye
movement. Regardless of the function, process, and
mechanism of action, it would appear that EMDR is a
promising technique that can be applied effectively with
athletes who have injury and/or performance breakdown
Our initial research study explored the therapist's ability to demonstrate fidelity to the EMDR protocol with young children. While data collection focused on documenting fidelity to the EMDR protocol, ancillary data emerged that identified skills and training that therapists needed in order to successfully implement the full EMDR protocol in the treatment of children. The preliminary content analysis of the data from the research group identified six major themes that impact treating children with the full EMDR protocol that include therapist issues, client issues, treatment issues, parent/home environment issues, clinical environment issues and therapist training issues. This presentation will review the findings from the research with focus on teaching specific skills for therapists to improve their practice of using EMDR with young children. Therapists need to understand the implication of attachment and attunement in the therapeutic relationship, the impact of parents and the home environment on the treatment, and learn skills to teach children emotional literacy in order to improve the efficacy of EMDR in the treatment of young children. This presentation will summarize the advanced skills that therapists working with young children will need after completing basic training in EMDR. With consultation focused on EMDR and additional training in using EMDR with young children, the research study has demonstrated that therapists trained in child development and play therapy can successfully implement the full eight phases of EMDR with children.
This article is an excerpt from the book Integrating EMDR Into Your Practice (Royle & Kerr, 2010), which is a hands-on guide to facilitate the successful integration of eye movement desensitization and reprocessing (EMDR) training into therapists' practice while recognizing that trainees come from a range of theoretical backgrounds. This excerpt focuses on identifying the appropriate target memory and its related negative cognition (NC) in preparation for desensitization. Clients and therapists need to understand the rationale for selecting a particular target utilizing prioritization and clustering techniques. The importance of the belief system is discussed and methods of identifying the initial targets are offered, including the floatback technique. Many practitioners experience difficulty in getting the right NC, and methods for drawing this out are illustrated. Final preparations prior to desensitization are considered as well as the importance of addressing client anxieties and expectations. Throughout the excerpt, case vignettes are used to outline cautions and common pitfalls encountered by the novice EMDR therapist.
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.
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.
Whether you are first learning about Eye Movement Desensitization and Reprocessing (EMDR) or you have participated in EMDR training, the goal of this article is to provide the reader with a brief overview of strategies for using the full protocol with young children. To understand the process by which the phases of the protocol are applied with child clients, it is important to understand the theoretical underpinnings that Adaptive Information Processing (AIP) theory creates as a foundation for healing and health with children. After discussing the application of AIP to children, the article will continue with an overview of skills therapists can use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with references for additional study and training on using EMDR with children. Finally, therapists will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through developmentally suited language and interventions with even the youngest of clients.
This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks. [Author Abstract]
The EMDR trauma protocol was based, in part, on Shapiro's early work with combat veterans. In a time of ongoing military conflicts, private practitioners may be encountering the challenges of working with returning veterans for the first time. Using a combination of case examples, videotapes, and research, the presenters will discuss common characteristics of combat veterans, countertransference and other therapist issues, and integration and modification of the EMDR protcol.
The Pain Protocol workshop will focus on the practical application of the Pain Protocol (based on Grant and Threlfo 2002); in the context of evidence available regarding its effectiveness. The emphasis of the workshop will be on clinical work using the protocol, and sharing experiences in practice. It is aimed at participants who have completed EMDR training, but who may have not had extensive experience working with this client group using EMDR.
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy.
Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used.
NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere.
To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment.
The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.
Aprender a utilizar el EMDR con seguridad y eficacia requiere la integración de una amplia gama de conocimientos y competencias. Esta guía quiere ser una orientación para las cuestiones clínicas, profesionales y de gestión de riesgos con las que los profesionales del EMDR se encuentran a diario.
Siguiendo el modelo de las ocho fases de la EMDR, el libro propone una guía clara y detallada para la utilización de los protocolos convencionales de EMDR para el tratamiento del trastorno de estrés postraumático, fobias y ataques de pánico. También se incluyen pautas para la formulación de casos, la planificación del tratamiento y para preparar a los pacientes para el reprocesamiento con EMDR. Además, la guía también contiene muestras de contratos para supervisión y formularios para documentar los resúmenes de los casos y los resultados de los tratamientos, así como:
- gráficos, formularios, ilustraciones, tablas y árboles de decisión para guiar la planificación del tratamiento y la documentación.
- estudios de casos con trascripciones que ilustran los distintos protocolos y pautas para tomar decisiones informadas.
- cuestiones éticas de aplicación clínica, consulta, supervisión e investigación.
Gracias a las pautas de tratamiento claras y concisas sobre el uso clínico del EMDR, este libro es un recurso de incalculable valor para terapeutas en activo, supervisores, consultores y directores clínicos.
Learning to use EMDR safely and effectively requires the integration of a wide range of knowledge and skills. This guide is intended as a guide for clinical, professional and risk management with which EMDR practitioners encounter daily.
Modeled after the eight phases of EMDR, the book offers a clear and detailed guide to the use of EMDR protocols for treating PTSD, phobias and panic attacks. Also included are guidelines for case formulation, treatment planning and to prepare patients for reprocessing with EMDR. The guide also contains samples for monitoring contracts and forms to document summaries of cases and treatment outcomes, as well as:
- Charts, forms, illustrations, tables and decision trees to guide treatment planning and documentation.
- Case studies with transcripts illustrating the different protocols and guidelines to make informed decisions.
- Ethical issues in clinical application, consultation, supervision and research.
With treatment guidelines clear and concise on the clinical use of EMDR, this book is an invaluable resource for practicing therapists, supervisors, consultants and clinical directors.
In this four-hour workshop, we will combine hands-on technique demonstration with psychobiological theory concerning the state-of-the-art psychotherapeutic treatment of trauma and related somatization disorders.
Learning Objectives
(1) Understand the significance and evolution of the Power Therapies, i.e., those new or little known trauma psychotherapy techniques that offer significant improvements over traditional methods in terms of the speed, depth and permanence of trauma symptom
reduction while minimizing client retraumatization or destabilization. The original "Power Therapies" categorization was developed by traumatologist Dr. Charles Figley and involves four "cutting edge" trauma psychotherapy techniques, Eye Movement
Desensitization and Reprocessing (EMDR), Thought Field Therapy (an accupressure-based desensitization tool) , Traumatic Incident Reduction and Neurolingusitic Programming's Visual-Kinesthetic Dissociation. Protocols for all four methods will be reviewed.
(2) Achieve introductory-level working knowledge of both the techniques, their underlying theoretical rationale and suspected neurophysiological mechanisms of action.
(3) Learn Power Therapy integration strategies and explore their clinical utility.
(4) Become familiar with the concept of the Neurodevelopmental Power Therapy integration strategies, it's roots in the work of Allen Schore, Bruce Perry and Bessel Van der Kolk and it's implications for Neurotherapy and the Neurosciences as a whole.
(5) Review the field experiments of Dr. Schneider combining EMDR with the "crossover point" in alpha-theta training and the possible therapeutic/ scientific synergies between EEG Brainmapping and neurotherapy on the one hand and the neurodevelopmental power therapies on the other.
The integration of Ego state and Somatosensory work and EMDR will be
shown to help patients with Complex PTSD repair fragmentation.
disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and
anxiety, additional trauma responses may lead them to encounter difficulty
in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated
"parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the
history taking about inability to love. fragmentation, and alienation; defining
and selecting the appropriate ego state/somatosensory/affect
management strategies to help challenging clients.
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy
"This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center
"Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma
The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
EMDR-based imagery re-scripting techniques with a modified concept of Cognitive Schema Modes (Young, 1999). Based on clinical case examples, the use of imagery techniques, which draw on all sensory modalities (involving cognitive, emotional and somatic systems) during the auditory application of EMDR will be described, to help complex trauma clients firstly approach and recognize and subsequently attach to and nurture the image of their own “inner child”. Rather than establishing a sense of unrealistic dependency on the therapist by integrating him or her as the sole nurturer, clients are encouraged to develop an image of their own ‘healthy adult’, who can learn to take on the role of internal re-nurturing, protection and healing of the ‘inner child’. Techniques for overcoming blockages between a client’s ‘healthy adult’ and their ‘inner child’ representations are described. It is proposed that differentiating between ‘child’ and ‘adult’ modes and tuning into these through deep-level EMDR processing, allows clients to re-connect to feelings associated with their earlier experiences of helplessness and dependency during childhood, which can now be re-experienced within a safe and nurturing context. It is suggested that this will allow higher order brain systems, such as the hippocampus, to remain active and therefore enable cognitive and structural re-organization of the stored material in the brain and body cells. Once a positive attachment bond between a client’s internalised ‘inner child’ and ‘healthy adult’ modes has been achieved this can then be utilized further during direct trauma processing work. It is argued that healing of the ‘inner child’ enables healing of the adult client so that a more positive and secure sense of self can be achieved.
Negentig procent van het Amerikaanse publiek krijgt af en toe hoofdpijn. Naar schatting vijfenveertig miljoen Amerikanen hebben ernstige terugkerende hoofdpijn. Tot dusver is het primaire behandeling voor hoofdpijn is farmaceutica. Deze workshop beoogt u vertrouwd te maken met een niet-veilige alternatieve medicatie voor de behandeling van hoofdpijnen die gebruik maakt van EMDR.
De bedoeling van dit seminar is om artsen te trainen in het gebruik van een geïntegreerde aanpak van EMDR bij de behandeling van spanning en migraine. Meer dan 50% van deze presentatie is de opleiding en "hands on" de praktijk van de geïntegreerde aanpak van EMDR. De twee primaire doelstellingen van dit seminar zijn aan a) een overzicht van de huidige professionele praktijken van de behandeling hoofdpijn en b) de deelnemers te trainen in het gebruik van geïntegreerde EMDR, Fase 1 (acute hoofdpijn reliëf) en fase 2 (multi-sessie behandeling van hoofdpijn ). Andere doelstellingen zijn onder andere inzicht hoofdpijn ontstaan, hoofdpijn trigger identificatie, hoofdpijn drempel theorie, overzicht van dr. Marcus 'Migraine Onderzoek, training in de geïntegreerde EMDR protocol dat ontwikkeld is voor de klinische praktijk, informed consent en inzicht in de rol van de provider bij de inzet van deze benadering in de klinische praktijk . Hoewel deze workshop is voor slechts EMDR getrainde clinicus, hoofdpijn eerdere ervaring in behandeling is niet vereist.
Dit seminar zal u helpen om:
1. Geef hoofdpijn opluchting voor uw patiënten.
2. Herkennen de verschillende soorten hoofdpijn.
3. Inzicht in de biologie van de hoofdpijn.
4. Combat rebound of verslavingsproblemen gemaakt door migraine medicatie door het gebruik van natuurlijke methoden voor hoofdpijn behandeling.
5. Hier 8 niet-hoofdpijn medicatie interventies.
6. Integratie van een nieuw specialisme in uw praktijk.
Ninety percent of the American public gets occasional headaches. An estimated forty five million Americans have severe reoccurring headaches. Up until now the primary treatment for headaches has been pharmaceuticals. This workshop seeks to familiarize you with a safe non-medication alternative for the treatment of headaches that utilizes EMDR.
The intent of this seminar is to train clinicians in the use of an integrated EMDR approach to treating tension and migraine headaches. Over 50% of this presentation is training and “hands on” practice of the Integrated EMDR approach. The two primary objectives of this seminar are to a) provide a professional overview of current practices of headache treatment and b) to train participants in the use of Integrated EMDR, Phase 1 (acute headache relief) and Phase 2 (multi-session headache treatment). Other objectives include understanding headache etiology, headache trigger identification, headache threshold theory, overview of Dr. Marcus’ Migraine Research, training in the Integrated EMDR protocol designed for clinical practice, informed consent and understanding the role of provider when deploying this approach in clinical practice. Although this workshop is for EMDR trained clinician’s only, previous experience in headache treatment is not required.
This seminar will help you to:
1. Provide headache relief for your patients.
2. Recognize the different headache types.
3. Understand the biology of headaches.
4. Combat rebound or addiction problems created by migraine medication by utilizing natural methods for headache treatment.
5. Learn 8 non-medication headache interventions.
6. Integrate a new specialty into your practice.
Objectives: Theoretical models implicating the orienting reflex as an explanatory mechanism in the eye-movement desensitization and reprocessing (EMDR) treatment protocol are contrasted and tested empirically. We also test whether EMDR effects are due to a distraction effect. Design: A repeated measure design is used in two experiments. The first experiment employed two independent variables, eye condition (moving vs. stationary) and tone (a pseudo-randomized series of low and high intensity tones). In Expt 2, eye condition was replaced by attentional demand conditions (low or high). In both cases, electrodermal responses served as the dependent variable. Method: Participants were recruited from the Psychology Department at Cardiff University. In Expt 1, participants were required to either pursue a moving stimulus following auditory challenge or engage in an eyes-stationary task. In Expt 2, the task following auditory challenge required participants to identify specific items from letter strings in low and high attentional demand conditions. Results: Lower levels of electrodermal arousal were identified in tasks eliciting eye movements, compared to no eye movements. This effect was not due to the attentional requirements of the task. Conclusions: Eye movements following auditory challenge result in an effect of psychophysiological de-arousal. This supports the reassurance reflex model of EMDR proposed by MacCulloch and Feldman (1996).
Eye movement desensitization and reprocessing can reduce ratings of the vividness and emotionality of unpleasant memories--hence it is commonly used to treat posttraumatic stress disorder. The present experiments compared three accounts of how eye movements produce these benefits. Participants rated unpleasant autobiographical memories before and after eye movements or an eyes stationary control condition. In Experiment 1, eye movements produced benefits only when memories were held in mind during the movements, and eye movements increased arousal, contrary to an investigatory-reflex account. In Experiment 2, horizontal and vertical eye movements produced equivalent benefits, contrary to an interhemispheric-communication account. In Experiment 3, two other distractor tasks (auditory shadowing, drawing) produced benefits that were negatively correlated with working memory capacity. These findings support a working-memory account of the eye movement benefit in which the central executive is taxed when a person performs a distractor task while attempting to hold a memory in mind.
Eye movement desensitization and reprocessing can reduce ratings of the vividness and emotionality of unpleasant memories—hence it is commonly used to treat posttraumatic stress disorder. The present experiments compared three accounts of how eye movements produce these benefits. Participants rated unpleasant autobiographical memories before and after eye movements or an eyes stationary control condition. In Experiment 1, eye movements produced benefits only when memories were held in mind during the movements, and eye movements increased arousal, contrary to an investigatory-reflex account. In Experiment 2, horizontal and vertical eye movements produced equivalent benefits, contrary to an interhemispheric-communication account. In Experiment 3, two other distractor tasks (auditory shadowing, drawing) produced benefits that were negatively correlated with working-memory capacity. These findings support a working-memory account of the eye movement benefits in which the central executive is taxed when a person performs a distractor task while attempting to hold a memory in mind.
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
Eye-movement desensitization and reprocessing (EMDR), which combines the use of imaginal exposure with eye movement, has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. The authors question Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. They argue that this practice impedes unbiased replication research, and they call for public dissemination and scientific scrutiny of EMDR methodology.
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.
Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.
Eye Movement Desensitization and
Reprocessing (EMDR) is an exciting
new therapeutic process for the treatment
of anxiety, panic disorders and
traumatic stress (see the article on
EMDR by Dr. Roger Solomon in this
issue). It is only for trained mental
health clinicians since it is far more
complex than is suggested when one
first hears about it in casual conversations
or in newspaper reports.
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-Dialogue and the Parent-Child Dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-dialogue and the Parent-Child dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
EMDR has not achieved full acceptance as a practice model within community mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities with the greatest need and often in settings where post traumatic stress is the focus of treatment. This workshop will identify the three common areas of agency reluctance concerning EMDR and, via a PowerPoint presentation, will demonstrate the use of a simple assessment tool designed to identify where the intervention is needed to accomplish change and support EMDR integration into the agency.
Participants will: 1) review the three stage EMDR protocol with emphasis being placed on the technical aspects of identifying and targeting present and future anxiety producing incidents; 2) learn present and future template set-up; 3) discuss how to identify and reprocess additional blocking beliefs or feeder memories that emerge; and (4 through a series of practice vignettes, have the opportunity to brainstorm appropriate targeting strategies and potential blocks to a successful integration of the original positive cognition.
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource,
because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing
environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and
construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients
to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the
EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a
little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel,
levels of integration that constitute mental health will be explored. It will become clear that the characteristics
that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai
Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The
experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will
learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most
populations, it is particularly helpful for people with chronic pain issues as well as an older population.
Learning Objectives:
• Come to a basic understanding of mental health from an interpersonal neurobiological point of view
• Learn about the practice of Ai Chi
• Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel
MD
• Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety
of mental health issues
• Experience Ai Chi and/or watch video demonstrating Ai Chi.
This workshop is for EMDRIA Approved Consultants, Consultants-In-Training and those seriously considering becoming Approved Consultants. We will review the context of EMDR consultation and identify the differences between therapy, consultation and consultation-of-consultation. The implications of the supervision/consultation literature will be reviewed, and the tools, resources, and recordings from actual consultations will be presented. Original research on the practices of EMDRIA Approved Consultants will be reviewed and Best Practices emerging from the literature and EMDR consultation research will be identified. Participants will use all the above information to analyze their own consultation practices and discuss with peers how to improve their consultation services.
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
This paper will look at the effective use of the eight phases of the EMDR protocol in IMAGO therapy. It will be used to provide
theoretical linkages between the use and integration of EMDR and IMAGO in couple’s therapy.
Both these will be understood in relation to how they will help achieve integration with couples at diverse levels. Therapists
will learn how to utilise both modalities (EMDR & IMAGO) effectively. They will understand the use of the touchstone event, to
bring about shifts in individual and couples behaviour. They will also witness that without the use of EMDR the behavioural
change cannot be long term. Capacitate participants in process and strategies for incorporating EMDR into IMAGO couples
therapy practices. Provide participants with practical examples of EMDR and IMAGO through the behaviour change.
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione
delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere
l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing
(EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore
biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime
l’integrità funzionale del sistema neurovegetativo in risposta
allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi
d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici,
SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico
breve (4-6 sedute a cadenza settimanale) di tipo
specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento
(TBASE: colloquio anamnestico, MINI, Brief
COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi
delle correlazioni (Spearman) e delle differenze
(Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità
SCL e SDNN [r = -0,95; p =.014]; depressione SCL e
r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r
= -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni:
IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043].
Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.
Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration
of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote
the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing
(EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator
organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses
functional integrity of the autonomic nervous system in response
stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders
anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic
SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic
short (4-6 sessions weekly) type
specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment
(TBASE: anamnestic interview, MINI, Brief
COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis
correlations (Spearman) and differences
(Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility
SCL SDNN [r = -0.95, p =. 014]; SCL depression
r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r
= -0.9, P =, 037]. Were statistically significant, the following changes:
IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043].
Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.
The watch wait and wonder (www) approach to parental and infant mental
health was developed in Toronto over the last 20 years. In the last few years a number of
therapists have set up www clinics in the UK. We have been running a joint EMDR and www
clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer
trauma focussed psychotherapy together with infant mental health in either the UK or
Ireland.
Infant brain development occurs sequentially implying vulnerabilities during the early years
of life. This has a direct relationship on attunement, which is influenced by developmental
neglect and trauma. The effects of this trauma for EMDR therapy are explored. New
information about the probable mechanism of action of the bilateral stimulation used in
EMDR is presented. The mechanism of translating sensory input into new neuronal patterns
is explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the
reasons why EMDR can help alleviate trauma by expanding the window of tolerance.
An additional model of applying EMDR is outlined. This involves multilateral activation of
sympathetic nervous systems to consciously overcome traumas. This process will be shown
to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular
muscles generating rapid eye movement. This approach involves motor and sensory
integration at the level of the 12 cranial nerves. Some case examples using bilateral olfactory
desensitisation are discussed.
Recommendations for the development of parent infant mental health services within the
NHS are outlined
Eye movement desensitization and reprocessing (EMDR) is a recently developed treatment for traumatic memories. The literature on EMDR is characterized by widely contrasting results and interpretations of findings. The author traces this variation to the substantial information gap between those with and without formal EMDR training. Misconceptions are highlighted, and EMDR is reassessed favorably with fidelity to the treatment protocol emerging as a critical factor. Recommendations are made for higher standards of publication, research, and training in EMDR, particularly in light of the wider availability of information and training engendered by the publication of an EMDR textbook. [Author Abstract]
EMDR wurde von Francine Shapiro infolge einer zufälligen Entdeckung, die sie im Jahre 1987 machte, entwickelt. Wie sie selbst in ihrem Vorwort zu diesem Buch schreibt, ist "EMDR ... mittlerweile zu einer Methodologie geworden, die Aspekte aller wichtigen psychotherapeutischen Methoden zu einem fokussierten Ansatz für die Behandlung eines großen Spektrums von Pathologien vereint."
Das vorliegende Buch setzt an, wo die formelle EMDR-Ausbildung endet. Mittlerweile wurde mit Hilfe wissenschaftlicher Untersuchungen nachgewiesen, daß EMDR die psychologischen Nachwirkungen traumatischer Erinnerungen ungeheuer erfolgreich zu behandeln vermag. Anhand von Fallstudien wird im vorliegenden Buch untersucht, in welchen anderen Bereichen EMDR nützliche Dienste leisten könnte. Unter diesen befinden sich so schwierig zu behandelnde Probleme wie längerfristiger Kindesmißbrauch und komplexe Fälle von posttraumatischer Belastungsstörung. Die wiedergegebenen elf Fallberichte veranschaulichen die Anwendung von EMDR auf ein großes Spektrum von Fällen.
Die zahlreichen klinischen Beispiele werden angehenden EMDR-Therapeuten helfen, die neu erlernte Methode bei ihren Klienten anzuwenden, und sie liefern erfahrenen EMDR-Praktikern Modelle zur Erweiterung der Anwendung dieser Methode. Durch die gut verständlichen Erklärungen des Behandlungsprozesses wird EMDR sowohl für Kliniker als auch für Klienten entmystifiziert. Die Autoren der Einzelbeiträge sind Vertreter unterschiedlicher psychotherapeutischer Ansätze, unter anderem des psychodynamischen, des behavioristischen, des kognitiven und des systemischen.
EMDR was developed by Francine Shapiro as a result of an accidental discovery she made in 1987. As she writes in her foreword to this book, "EMDR is ... now become a methodology that combines aspects of all major psychotherapeutic methods into a focused approach to the treatment of a wide spectrum of pathologies." This book is at, where the formal EMDR training ends. Now been shown through scientific studies that EMDR can handle the psychological aftermath of traumatic memories enormously successful. Through case studies is examined in this book could make in what other areas EMDR useful services. Among these are so difficult to treat problems such as longer-term complex cases of child abuse and post traumatic stress disorder. The reproduced eleven case reports illustrate the application of EMDR to a wide range of cases. The numerous clinical examples will help prospective EMDR therapists who learned new method for their clients to apply and provide experienced EMDR practitioners to increase their use of this method. Due to the easily understandable explanations of the treatment process is demystified both EMDR for clinicians and for clients. The authors of individual contributions are representatives of different psychotherapeutic approaches, including the psychodynamic, the behavioral, cognitive, and systemic.
Soon after I took the Level I training,
I read an EMDR Newsletter article by
Ron Martinez (August, 1991), in which
Ron described having clients touch
and press the area of their body where
they were feeling emotion. (He said
that he got this idea from his familiarity
with therapeutic body-work.) Ron
reported that 70% of the clients obtained
a picture or memory, which they then processed.
The seven natural treatment approaches that the author describes in this book all capitalize on the mind and brain's own healing mechanisms for recovering from depression, anxiety, and stress. All seven methods have been researched and studies documenting their benefits have been published in prestigious scientific journals. Because the mechanisms through which they operate remain poorly understood, these methods have remained largely excluded from the mainstream of medicine and psychiatry. The natural methods of treatment that are presented directly impact the emotional brain, almost entirely short-circuiting language. Although many such methods are being proposed today, in the author's clinical practice, and in this book, he has selected only those that have received enough scientific attention to make him comfortable in using them with patients and in recommending them to his colleagues. Each of the following chapters presents one of these approaches, illustrated by the stories of patients whose lives have been transformed by their experience. He also tries to show the degree to which each method has been scientifically evaluated. Some of the very recent methods include "eye movement desensitization and reprocessing" (better known as EMDR), or heart rate coherence training, or even the synchronization of chronobiological rhythms with artificial dawn (which should replace the alarm clock). Other approaches, like acupuncture, nutrition, exercise, emotional communication, and cultivating your connection to something larger than yourself, stem from age-old traditions, though new scientific data are giving them a renewed importance. (PsycINFO Database Record (c) 2008 APA, all rights reserved). Available in English and French.
Objetivo: Apresentar situações que sugerem que um trauma afeta a dimensão espiritual e, uma vez reintegrada, colabora com a cura do trauma. David Grand, diz que o EMDR integra corpo, mente, pensamento, emoção e espírito. Então, as interconexões entre essas partes voltam a acontecer. Sabe-se que alguns traumas estão ligados a pensamentos referentes a Deus, como: “Deus me abandonou”; “Deus me castigou”. A sensação de “abandono por Deus”, causa um profundo sofrimento à pessoa, Bessel Van Der Kolk, evidencia aquilo que ele denomina God-Forsaken (sensação de abandono por parte de Deus, solidão; não se acredita mais em nada, há falta de significado para a vida). Um paciente, violentado na infância, durante a sessão disse: “Eu tenho mágoa de Deus ... Deus esta olhando e não está fazendo nada!... Abandono de Deus... isso me corroía... Eu estendia o bracinho, mas não havia ninguém...Deus não estava lá!” Certa paciente veio com um histórico de agressão física por parte do marido. No decorrer da sessão, foi se lembrando dos piores episódios. A pior surra foi quando estava grávida. Ao longo das sessões foi possível perceber que as frases a respeito de Deus afetaram diretamente sentimentos, emoções, relacionamentos, enfim, a vida como um todo. No momento em que o paciente reprocessa essas frases a cura acontece.
Objective: To present situations that suggest that trauma affects the spiritual dimension and once reinstated, collaborates with the healing of trauma. David Grand, says the EMDR integrates body, mind, thought, emotion and spirit. So, the interconnections between these parties happen again. It is known that some traumas are linked to thoughts concerning God as "God forsaken me", "God punished me." The feeling of "abandonment by God," cause deep suffering to the person, Bessel van der Kolk, highlights what he calls God-Forsaken (feeling of abandonment by God, loneliness, no longer believe in anything, there is a lack of meaning to life). A patient abused in childhood, during the session said: "I have hurt God ... God is watching and not doing anything! ... Abandonment of God ... it gnawed me ... I stretched a little arm, but there was nobody ... God was not there! "One patient came with a history of physical abuse by her husband. During the session, was remembering the worst episodes. The worst spanking was when I was pregnant. Throughout the sessions was possible to see that the phrases about God directly affected feelings, emotions, relationships, finally, life as a whole. At the time the patient reprocesses these phrases healing occurs.
Ninety percent of the American public gets occasional headaches. An estimated fifty million Americans have severe re-occurring headaches. Up until now, the primary treatment for headaches has been pharmaceuticals. This workshop
seeks to familiarize you with a non-medication natural alternative for the treatment of headaches that utilizes EMDR. This workshop will employ lecture, demonstration and actual practice of the Integrated EMDR approach. The purpose of this teaching strategy is to prepare you for clinical practice. Objectives include understanding headache etiology, headache trigger
identification, threshold theory, training in the integrated EMDR prorocol used in Dr. Marcus' headache research, discussion of protocol utilization in clinical practice, informed consent, transference issues, and discussion of the role of provider when deploying this approach. This workshop is for advanced
EMDR practitioners but previous experience in headache treatment is not required.
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system.
Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.
There is a growing interest in the United States in complementary therapies (CT) to
address the health needs and hopes of individuals. Research in the medical and allied
health communities has reflected the expanding interest, however, the counseling
profession has limited literature focusing on CT integration practices. The current study
expands on existing research using a constructivist lens and grounded theory approach; a
sample of 16 practicing counselors were interviewed to develop a theoretical model of
CT integration in the counseling context. Scholarly literature has described CT and
reasons for its use, which can be linked to counseling through professional identity, the
wellness model, and ethical practice. The results of this study indicate that experience,
beliefs, competence, and practice are primary factors in the integration of CT in
counseling. Implications of the results on the counseling profession will be detailed in
terms of practice, training, and future research.
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Imago Relationship Therapy (IRT; Hendrix, 1996, 2001) is designed to process negative experiences to heal early wounds of childhood, resolve marital conflict and criticism, and increase connection and intimacy. The goal of treatment is for the partners to become individually whole and conscious and an "intentional couple"; this concept emphasizes the importance of making conscious and deliberate choices rather than being reactive. Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) is a psychotherapy created to access and process the disturbing memories and deep wounds of childhood and bring them to adaptive resolution (Shapiro, 2001; Shapiro & Maxfield, 2002). In the integrative therapy approach described in this chapter, IRT is used to organize the approach to therapy, identify unprocessed targets for EMDR processing, facilitate communication between the partners, and help couples become less reactive and more intentional, separate and ultimately more connected. Advantages of integrating EMDR and IRT may include faster and deeper resolution of early childhood wounds and trauma and increased compassion and intimacy, enabling the couple to establish a healing connection, which breaks the symbiosis created in early childhood. Separation due to personal growth allows the couple to honor each other's differences and often results in greater connection. The integration of EMDR with IRT appears to provide more comprehensive desensitization, reprocessing, and healing than either of these therapies might provide individually. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
The symposium will explore integration of EMDR into analytic framework and promote a dialogue among clinicians of various orientations. The chair will provide overview and panelists will present three cases representing somewhat different orientations. Issues addressed
will include reason for doing EMDR, timing, ways of introducing and incorporating EMDR, relational considerations, and challenges of identifying and dealing with such phenomena as transference,
countertransference, enactment or resistance. Discussant will provide additional perspective by reframing some analytic constructs in term of
the EMDR trauma-based, information processing model. Second part will consist of audience participation and discussion. Case materials are
invited. Clinicians from all perspectives (analytic, cognitive, etc.) are
encouraged to participate.
This is a day-long program designed for the EMDR professional interested in enhancing their ability to conceptualize and provide effective EMDR treatment in working with the complexity of eating disorder symptoms. Paralleling phase-oriented treatment for trauma, this workshop will focus on stabilization skills utilizing state-to-state techniques with or without bilateral stimulation; working through underlying traumatic experiences utilizing the standard protocol; and future template work for integration of the psycho-biological changes. Current treatment approaches on attachment issues and emotion regulation, trauma’s impact on the brain and body, and affect management will be integrated throughout the program. Participants are invited to bring their most challenging cases to work on in practice sessions or during the case consultation segment of the program.
Participants will be able to: 1) describe how they might modify their standard clinical assessment procedures in order to improve the linkage between evaluation and EMDR treatment; 2) report an enhanced level of confidence employing EMDR with client populations they are qualified to treat; and 3) report an improved understanding of issues relted to billing, informed consent, and managing referrals for EMDR.
Updated May 31, 2004
As EMDR is traditionally taught the components are each described and then combined
for the practice sessions. When EMDR is then used with clients it is natural for therapists to
expect themselves to apply it as a whole, with the exception of perhaps pairing eye movement
with a “safe place” or “resource installation” exercise instead of a trauma processing protocal.
For many new EMDR practitioners this is an effective and satisfactory way of introducing
EMDR. For many others it does not work as well, for reasons such as differential comfort
thresholds in trying a new method with a client, or having no clients who appear to meet the
criteria for beginning EMDR. Because, in these, and other situations, it is difficult to bring the
whole package to clients at once, the method doesn’t get used, even when the practitioner has
had positive experiences in the training sessions.
Originally introduced a century ago by Pierre Janet, phase-oriented treatment has been independently proposed by many authors and is now widely considered by trauma specialists to be the treatment of choice for PTSD and other posttraumatic disorders. Much more recently, introduced by Francine Shapiro in 1989, Eye Movement Desensitization and Reprocessing (EMDR) has also become available for the treatment of PTSD and other trauma-based disorders. EMDR has become widely accepted by clinicians and has received strong support regarding its efficacy from a wide range of empirical studies. However, with a very few exceptions (highlighted in this paper), these two major approaches for treating trauma have developed largely independently. The present paper integrates the major EMDR developments with the different stages of the phase-oriented approach to assess if such an integration is conceptually and clinically useful. The EMDR developments integrated into the phases of trauma treatment include: Shapiro's prototypic protocol for PTSD and the protocols for other trauma-based disorders, safety protocols, Leeds' and Korn's work with Resource Development and Installation, and Kitchur's Strategic Developmental Model for EMDR. The usefulness of integrating phase-oriented treatment and EMDR is then assessed. These approaches were found to strongly complement each other in their clinical strengths and weaknesses, while sharing many underlying theoretical and structural elements. [Author Abstract]
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of
personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental
coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to facilitate robust processing.
The watch wait and wonder (www) approach to parental
and infant mental health was developed in Toronto over the last 20 years. In the last few
years a number of therapists have set up www clinics in the UK. We have been running a
joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the
only clinic to offer trauma focussed psychotherapy together with infant mental health in
either the UK or Ireland.
Over the last 12 months the service has developed as a combined clinic between Adult
mental health and child & adolescent mental health services. The team comprises myself
and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant
psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives
referrals from the access and advice team or directly from the adult inpatient unit. Thelma
Osborn practises as a specialist health visitor in primary care and is employed by the
Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers
referred with post natal depression. She has recently completed basic EMDR training
(2008-9)
I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma
focussed psychotherapy in a new theoretical paradigm which I have termed integrated
reprocessing therapy (IRT). I will outline the use of this approach where traumatic births
and neonatal vulnerabilities are a key feature of the presentation
Recommendations for the development of parent infant mental health and a tier 3
perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will
be outlined.
The following is an overview on the integration of EMDR with schema-focused therapy.
Integrating Play Therapy and EMDR with Children is a reference book for clinicians who have been formally trained in both EMDR and Play therapy techniques. Creative and safe methods teach clinicians how to weave experiential play therapy and EMDR together for successful treatment philosophies and actions of play therapy and EMDR are reviewed and integrated so that the inherent polarized energies emerge in a compatible therapeutic balance. This book is not intended to provide training in EMDR, per se, instead, various ideas for using EMDR with children are explored. Integrating Play Therapy and EMDR focuses on the use of traditional child-centered therapy for the post-language child whether they actually use language or not. Because so many children are initially resistant to EMDR this is a very useful tool to facilitate the maximum benefit for the child’s treatment experience.[EMDRResources Abstract]
Integrating Play Therapy and EMDR with Children is a reference book for clinicians who have been formally trained in both EMDR and Play therapy techniques. Creative and safe methods teach clinicians how to weave experiential play therapy and EMDR together for successful treatment philosophies and actions of play therapy and EMDR are reviewed and integrated so that the inherent polarized energies emerge in a compatible therapeutic balance. This book is not intended to provide training in EMDR, per se, instead, various ideas for using EMDR with children are explored. Integrating Play Therapy and EMDR focuses on the use of traditional child-centered therapy for the post-language child whether they actually use language or not. Because so many children are initially resistant to EMDR this is a very useful tool to facilitate the maximum benefit for the child’s treatment experience.[EMDRResources Abstract]
Participants will: 1) be able to understand and utilize the EMDR approach in treatment conceptualization, planning, and reprocessing; 2) learn to identify and integrate their years of clinical training and experience seamlessly into their EMDR treatment sessions; and 3) through a live interactive demonstration, practice advanced cognitive interweave strategies based on their clinican training and experience.
"TIR and Rational Emotive Behavioral Therapy (REBT): A Conversation with Robert H. Moore, Ph.D" / Robert H. Moore / Moore, who is well-versed in Rational Emotive Behavioral Therapy (REBT) provides insights on how lessons learned from TIR can influence an REBT practice. /// "A Conversation with Windy Dryden, Ph.D" / Windy Dryden / Dryden also describes integration of REBT with TIR. /// "Using TIR in a Psychotherapy Practice: A Conversation with Alex Frater" / Alex Frater / Frater describes the use of TIR, REBT, and Thought Field Therapy in a psychotherapy practice. /// "TIR and EFT: A Practitioner's Perspective A Conversation with Marian Volkman" / Marian Volkman / Volkman describes the use of TIR and EFT (emotional freedom technique) in her private practice. /// "TIR and EMDR: Notes from the Field" / Victor R. Volkman / Describes similarities and differences in TIR and EMDR. /// "Comparing TIR and Other Techniques" / Frank A. Gerbode / Gerbode compares TIR with other techniques, such as EMDR, V/KD, DTE (direct therapeutic exposure), and TFT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
EMDR is a psychotherapy phenomenon that has been confronted
with multiple paradoxes. Its title explicitly invokes “eye movements,” but
the extant research now suggests that eye movements are not the only
means of invoking the central mechanism of therapeutic action (see Shapiro,
1995, 2001). The early EMDR training was criticized as closed and
unduly restrictive, yet the formal training course has now been completed
by more than 30,000 mental health professionals. The EMDR procedure
emerged from personal observations outside the scientific academy, yet
EMDR is currently the most extensively researched treatment for posttraumatic
stress disorder (PTSD; Maxfield & Hyer, 2002; Van Etten & Taylor,
1998). And EMDR originated from a rather narrow behavioral orientation
but has evolved into a leading integrative treatment.
In 2007 the Department of Health (DoH. UK) published
"Improving Access to Psychological Therapies" (IAPT). This meant
that primary care mental health services (PCMHS) had to seriously
consider the mode, method and efficacy of their service delivery.
This paper will consider one such service, critically reflecting on the
integration of EMDR as a mainstream therapeutic intervention.
The service utilises therapists from various therapeutic paradigms,
counselors, graduate workers, cognitive behavioural psychotherapists,
cognitive analytical psychotherapists, clinical psychologists
and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders,
OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts,
One EMDR Consultant/Facilitator, three accredited practitioners,
three level three trained therapists and two clinicians at level two.
This paper will present a brief history of the development of EMDR
within the PCMHS, exploring how EMDR has been utilised
not only in the treatment of PTSD (NIHCE 20051, but also in the
treatment of other psychological pathologies. The paper will highlight
the number of clients treated with EMDR (retrospectively
over a twelve month period), the average number of sessions per
client and the therapeutic outcomes as measured by the Patients
Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the
Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et
al 2006). The Dissociative Experience Scale is used when considering
EMDR as an intervention strategy and the Impact of Events
Scale- Revised (WEISS et al 2004) when appropriate. The paper
will conclude with a brief analysis of qualitative data from clinicians
as to the impact EMDR has had on their clinical practice.
Learning Outcomes:
By the conclusion of the presentation the participants will:
1. Be able to discuss the application of EMDR in the treatment
of psychopathologies other than PTSD.
2. To consider the integration of EMDR with other psychotherapeutic
paradigms.
3. To critical consider the treatment outcomes and in particular
the cost effectiveness of EMDR as a psychotherapeutic tool in a
generic primary care setting.
4. Be aware of the ethical and political considerations of integrating
EMDR into a generic primary care mental health service.
Innovation: This work is innovative as it focuses on how EMDR
can be utilised within generic mental health services. It critically
reflects on the phenomenology of integrating EMDR into
a PCMHS and it has encouraged the training of other EMDR
clinicians outside of the primary care mental health team.
Cet atelier regroupe à la fois des éléments de la théorie triunique du cerveau, la kinésiologie éducative et les développements récents sur le fonctionnement du cerveau. Le matériel présenté aidera le thérapeute EMDR à comprendre pourquoi le retraitement des traumas cesse ou bloque pendant les stimulations bilatérales avec
certains clients lorsqu’il cible du matériel traumatique. L’atelier aborde aussi l’évolution et le développement du cerveau et comment des informations sensorielles envahissantes peuvent déclencher des réactions primaires qui bloquent un fonctionnement adapté du cerveau. Une portion de la discussion portera sur la relation entre
les 3 vecteurs énergétiques du cerveau/corps et leur influence sur le retraitement des traumatismes. Enfin, cet atelier présente et offre des outils et stratégies que les cliniciens peuvent utiliser pour aider leurs clients à être
présents, équilibrés et intégrés au plan énergétique de façon à optimiser le travail avec l’EMDR.
Integrating Brain Gym and Energy Techniques to Enhance EMDR Processing is a presentation which
encompasses the Triune Brain Theory, Educational Kinesiology and recent research on Brain development and functioning. Information will be presented which will help EMDR trained therapists to understand why their clients stop processing while conducting bilateral stimulation for issues related to trauma. This workshop will look at evolutionary brain development and how overwhelming sensory information can trigger the brain into habitual “bottom up” processing which will block adaptive functioning. A discussion of the three energy vectors of the brain/body and their influence on trauma processing will also be correlated. The workshop will end with the sharing of practical, hands on tools which therapists can use to assist clients to become energetically present, balanced and to have integrated brain functioning for optimal EMDR processing.
Cette présentation s'articule autour de l'intégration du travail EMDR avec des enfants et de l'approche de thérapie familiale systémique. Nous savons qu'à la suite d'un incident traumatique vécu par un member d'une famille, les liens familiaux souffrent au point parfois de se déchirer. Nous pouvons aider la personne traumatisée et aussi permettre à la famille de digérer les conséquences de cet incident sans perdre son unité. Le travail insistra sur l'aide individuelle (EMDR) et l'aide aux liens familiaux malmenès lors l'accidents traumatiques. Le système familial peut alors garder son intégrité et ètre un lieu de ressources. Les points de comment, quand et pourquoi intégrer ces deux approches seront illustrés par des éléments théoriques et des exemples cliniques.
This presentation focuses on the integration of EMDR work with children and the approach to systemic family therapy. We know that following a traumatic incident experienced by a member of a family, family relationships suffer sometimes to the point of tearing. We can help the traumatized person and also allow the family to digest the implications of this incident without losing its unity. The work on individual aid insistra (EMDR) and assistance to abused family ties in the traumatic accident. The family system can then maintain its integrity and be a resource. The points of how, when and why to integrate these two approaches are illustrated by theoretical and clinical examples.
This paper details the Body Dialogue process and the EMDR protocol for its use and presents two case studies that demonstrate this integrative technique. Recent studies show that trauma can profoundly affect the body. Many symptoms felt by individuals who have experienced trauma appear to be somatically based. Imprinted memories from 'big T' traumas and 'little t' traumas appear to have their origins sometimes decades before the body 'remembers'. When triggered by a present stimulus, these imprinted body memories recur and the body relives the past trauma. Most methods of trauma counselling and therapy address only the cognitive and emotional components of trauma, lacking the techniques that work directly with the physiological components of past traumatic incidents. The Body Dialogue technique (Stone J, Stone H, Stone S) offers a way to explore the psychological significance of sensations such as pain, motor impulses, muscular tension, trembling, breathing and heart rate. Since such somatic disturbances contain emotional and cognitive components, this dialogue process is able to identify and explore the deep psychological issues surrounding these imprinted body sensations and muscular reactions. The Body Dialogue process is integrated into the EMDR protocol (Shapiro, 2002) when the individual is confronted with body sensations. Having identified the issues (traumas) surrounding these sensations using the dialogue technique, the EMDR protocol is resumed. This enables the processing of the original trauma to occur as well as the instillation of a positive belief. During the therapeutic process using these two therapies, the therapist never has to touch the client.
Directives and strategic interventions were used in
therapy for the first time almost half a century ago by a small
number of 'communication researchers' at MRI (Mental Research
institute) in Palo Alto. California.
First time in the history of therapy, the therapist was not alone
with the dent in the therapy room. He began inviting to the
sessions the family members. people who are contributing to
the problem and people who will come up and help to find
solutions.
The radical difference was that; The Palo Alto Group was not
preoccupied with searching the reasons why there is a problem.
Their emphasis was to find a solution to the problems the individual or the family is having. Therefore they always asked how
change is possible. Another major shift in therapy was that:
they focused not on the "intra-psychic" phenomena but on the
relationships. Hence the terms 'interactional' and 'systemic'.
They assumed that, if you can manage to change the interaction
(behavior) or the system (how the family gets organized
around the problem) you can overcome the problem. Another contribution was that the new map or the new paradigm was
large enough to allow the therapist to incorporate and use varieties
of techniques that belong to other approaches without
any confusion.
In '50s and '60s therapy used to take couple of sessions a week
for many years. The Interactional or the Systemic approach
heaped reduce the number of sessions per client to an average
of 7-15 sessions. They coined the term 'Brief' to described their
approach. Traditionally the new approach took several names:
Interactional Therapy, Family Therapy, Brief Strategic Family
Therapy, Systemic Family Therapy, Solution Focus Therapy and
some others.
One of the approaches that Family and Marriage Therapists integrate
efficiently into their practice is EMDR. Especially when
trauma is particularly having a role in the formation of the problem,
then EMDR 18 a "life saver" for the therapist.
Our learning objectives are:
1. to describe basic principles and techniques of EMDR and
Brief Strategic Family Therapy
2 to explain the rationale of integrating EMDR and BSFT
3 to demonstrate skills on designing and implementing an intervention.
The innovative view which stands behind this workshop is that
the BSFT and EMDR can be efficiently integrated, which has
not been frequentiy addressed in previous literature. At times
the therapist may need to intervene in the process by using interventions
other than BSFT EMDR very nicely serves this purpose
without causing any mental confusion on the part of the
therapist and the client.
This workshop, heterogeneous and complex disorders, including PTSD, is a highly complex set of diagnostics was traumatized patients focuses on integrating identity status and EMDR. These problems are usually the people who lived and stabilization to establish a therapeutic relationship to work with, management, heterogeneous resistance to influence symptoms and the need for large-scale preparation.
Availability to work with this self EMDR to integrate in the extended protocol, only the heterogeneous symptoms of PTSD and reach can be disposed much more comprehensive results.
Trauma, loss and the related disorders of the effects of empathy and understanding by working with an approach that meets with the patient and help resolve critical issues of our life plan and create.
Workshops open and clear theoretical base, technical innovation and EMDR and ego state work in the field of practical strategies and case presentations will take place.
With these workshops, participants will understand the following topics
1. Self status of the theory of information processing model can be associated with Apate
2. Foundations of the theory of self status
3. EMDR and the status of all Self reasons
4. Separation and stabilization strategies for specific disorders help to manage
5. Processing phase to be resolved in EMDR trauma provider of advanced techniques assemblies
A fundamental tenet of systems theory is that the whole is greater than the sum of its parts (von Bertalanaffy, 1968). Clearly, this basic principle can be applied to the integration of Eye Movement Desensitization and Reprocessing (EMDR) and family systems therapy (FST): The combined approach has a synergistic effect, with each of the two treatment components intertwining to maximize the individual effects of the other. This integrative treatment approach can result in profound changes for both the individual and the family. This chapter presents a case study of EMDR treatment of Tara, a 15-year-old girl, who was treated successfully with EMDR (for details, refer to Chapter 1; see record 2007-01569-001). This case is summarized here to serve as a foundation for a discussion of similarities and differences among the various FST models, as well as to provide an overview of an integrative FST and EMDR treatment. The authors suggest how the various integrative treatment approaches described in this book could have been used if the parents had been willing to engage in family therapy with Tara. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This workshop will focus on the use of EMDR in the treatment of patients who span the dissociative spectrum. The participants will learn how to understand dissociative process from simple to complex dissociation and how to utilize EMDR in their treatment. This presentation will discuss dissociative process from the Adaptive Information Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the ‘Red Flags’ of treatment concerns; the differential diagnoses of dissociation – from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; and therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this highly traumatized population of individuals.
40% of Therapists trained in EMDR report difficulties
integrating EMDR into their clinical practice. This paper will report
on a qualitative study of Therapists who were interviewed
as part of my Doctoral research project at the University of
Middlesex, London. The paper will explore and report on the
types of difficulties which therapists are reporting and the reasons
why. It will explore ways forward to resolve these issues
including the implications for training, and the need for ongoing
clinical supervision post training.
Participants will learn of the difficulties in integration of EMDR
in clinical practice and the reasons why.
Participants will come away with a better understanding of the
professional and organizational difficulties involved in integration
Participants will also learn how to resolve these issues.
This study is unique because it is the first study undertaken with
Therapists trained in EMDR outside the USA and because the
qualitative nature of the study is counterbalanced with the findings
of quantitative data which make the findings more generalizable
and cross cultural in nature.
The present study examined assimilative integration, i.e., when techniques from various therapeutic approaches are imported into a single, consistent theoretical framework. Specifically, the aim of this study was to investigate how Eye Movement Desensitization and Reprocessing (EMDR), a manualized therapeutic approach originally developed as a treatment for traumatic memories, is incorporated into clinical practice. In assimilative integration, elements of the EMDR protocol would be expected to be conceptualized and possibly modified in ways that are consistent with the therapist's theoretical framework. A survey design, using web-based questionnaires, was implemented to gather information from therapists who use EMDR. Therapists responded to a broad range of questions regarding their theoretical orientation, involvement in EMDR organizations, and practice of EMDR. A large sample (N = 532) was obtained, and results demonstrated that most therapists integrated EMDR with other therapeutic methods. Further, there was some evidence that therapists were practicing assimilative integration. Specifically, therapists typically added methods consistent with their primary theoretical orientation and conceptualized the effective elements of EMDR as those that were most consistent with their orientation. Most therapists reported using most of the elements of the EMDR protocol, perhaps reflecting the high level of interest in EMDR among therapists in the sample. However, there were some differences related to therapists' level of commitment to EMDR. For example, members of the EMDR International Association used more elements of the protocol and were more likely to report that they did not combine other methods with EMDR when compared to nonmembers. The diagnosis of the client was also an important factor in how EMDR was integrated into treatment. For example, therapists treating clients with PTSD were more likely to report on their use of EMDR as the primary therapeutic approach and to integrate cognitive/behavioral methods than were those treating clients with other disorders. This study was among the first to examine the process of assimilative integration. The findings show that psychotherapy integration varies by therapists' base theoretical orientation, client factors, and therapists' commitment to the treatment method being integrated. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4912.
This session will be a presentation of concepts and exercises from the Kabbala as applied to living forward in one's life through focusing and EMDR. Specific struggles, such as addictive eating, repeated relationship difficulties, and identity and esteem issues will be addressed. This workshop will include experiential exercises toward living the life you envision. 1.5 hrs. Bonnie Holstein, PsyD.
The author describes a special protocol she designed for the psychotherapy of Panic Disorders based upon a precise integration of Ericksonian hypnotic techniques with EMDR. This symposium presentation reports on the results of twelve completed singles cases and four in which treatment will still be ongoing at the time of the conference. This therapy approach is based upon the standard EMDR protocol and it eight phases of treatment. However, a noteworthy aspect of this intervention is the comprehensive management of the panic episodes themselves. This protocol assists the client in learning to cope with all the symptomology related to panic attacks, that is, the physiological, cognitive, emotional, and behavioral aspects. The first panic attach is considered the primary traumatic event. From this beginning point, the client is taught to face, step by step, the subsequent panic attacks utilizing both hynotherapeutic strategies and the EMDE processing. This protocol has permitted the successful processing of the memories related to the panic episodes (including imagining of the entire scene from start to finish), appropriate cognitive restructuring of the elements of irrational fear, and planned exposure through encouragement and support for confronting avoid situations and places. A conclusion of treatment is an agreement to face new situations of life that had seemed impossible before treatment because of the level of fear.
The authors illustrate here a special intervention plan that has demonstrated particular benefit in the treatment of Panic Disorder. They introduce here a specific modality of treatment, based upon the integration of hypnotic techniques with EMDR, and following a carefully planned procedure.
This modality of treatment is comprised of several steps that allow the articulation of a structured intervention. This precise scheme of work is based on the eight phases of EMDR and its integration with hypnosis therapy.
The authors present an elaborated single case study of one patient with Panic Disorder along with summaries of several others who were treated with this integrated modality.
The results of the intervention show a noteworthy decrease in the frequency of panic attacks, a reduction in anticipatory anxiety, the alleviation of the somatic symptoms, depression, and other difficulties associated with this disorder.
These clinical case studies suggest the efficacy of this modality of EMDR integrated with hypnosis, and encourage further research in this area. [Author abstract]
In this article I attempt to show how the integration of “eye movement desensitization and reprocessing” (EMDR) techniques within a relational gestalt therapy approach results in a more powerful method than either therapeutic method alone. I describe the steps in the EMDR standard protocol, as outlined by Francine Shapiro, the founder of EMDR. I briefly discuss what we now know about how trauma affects brain functioning and EMDR’s effectiveness in resolving ‘simple’ trauma. I then explain how EMDR, within the context of a relational gestalt approach, can help to resolve therapeutic impasses, enhance the working through process of therapy and trigger associations that neither therapists nor clients anticipate or predict.
Although EMDR can be used successfully with the majority of clients, there are times when its effectiveness is limited, and clients for whom it simply doesn't work. Often this occurs when affect is partially or completely unavailable and the flow of the processing becomes partially or completely blocked. The Internal Family Systems Model (IPS; Schwartz, 1995) is an elegant, efficient, and powerful ego state treatment modality that, when used with EMDR, can increase its range of effectiveness. This chapter will provide an introduction to IPS and describe ways of using it to enhance or enable EMDR processing. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.
The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other
cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be
discussed.
1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized.
Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping
skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation,
assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift
negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are
examples of negative cognitions whlch interfere with first stage stabilization goals:
- I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better.
- If I take care of myself, no one will know I hurt. - I'm pathetic, a failure.
- I will die/go crazy fiom these feelings. - I can never do anything right.
- I can't stand this feeling. I must cut myself. - Don't trust anyone or anything.
Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be
encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc.
2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic
stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues:
- fear/terror and associated avoidance
- sense of powerlessnesshelplessness
- responsibility/accountability
- safety - self, others, environment
- self-esteem/self as bad, defective, unlovable
- lack of individuation
- dependency
- anger
- grief/mouming
- trust/mistrust
- fear of abandonment
- guilt/self-blame
- shame/self-loathing
With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for
supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be
discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing
assessment and data collection in making decisions about EMDR targets will be addressed.
3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and
issues addressed via EMDR include:
- Increasing intimacy and healthy connections - Increasing self-esteem
- Increasing self-efficacy and sense of mastery - Reclaiming sexuality
- Increasing self-efficacy and sense of mastery - Identity exploration and development
- Establishing goals, initiating new projects, and taking reasonable risks
At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and
increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid
in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive
and vital self-image.
The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying
EMDR at a specific stage of treatment.
As I engaged in a therapy journey with a single client, the possibilities for research on the
integrative use of narrative therapy and EMDR unfolded. I investigated recent literature and
realised that much had been written about narrative therapy as single approach to therapy
within the postmodern paradigm. There was also extensive writing on EMDR and its
integrative use with other therapies in assisting people who struggle with upsetting memories
of trauma.
Since I was unable to find any literature to date on the integrative use of narrative therapy
and EMDR, I realized that there was much to be discovered and learned on such an
integrative research journey.
The client's experiences and descriptions of overwhelming emotional distress (as the
problem in her life) during the process of integration was the main focus of this qualitative
case study. During our therapy conversations knowledges were gathered and
deconstructed. Video or tape recordings, photographs, work with clay, sketches, letters and
other documents were useful in keeping track of the research journey. A reflecting team and
the participation of the client's boyfriend contributed and enriched both the therapy and
research journeys.
Tydens terapeutiese werk met 'n enkele kliënt het die moontlikhede van navorsing oor die
integrasie van narratiewe terapie en EMDR vir my 'n werklikheid geword. Ek het onlangse
navorsing bestudeer en besef dat narratiewe terapie as 'n enkele benadering tot terapie
binne die post-moderne paradigma, al 'n geruime tyd lank nagevors is. Daar bestaan ook
literatuur oor EMDR en die integrasie daarvan met ander terapeutiese benaderings in die
ondersteuning van persone wat probleme ondervind met ontstellende herinnerings van
trauma.
Aangesien ek tot op hede geen literatuur oor die integrasie van narratiewe terapie en EMDR
kon vind nie, het ek vermoed dat 'n navorsingsreis op hierdie terrein verskeie ontdekkings en
die ontginning van nuwe kennis moontlik sou maak.
Die fokus van hierdie kwalitatiewe gevallestudie val op die kliënt se belewing en beskrywings
van oorweldigende emosies (as probleem in haar lewe) tydens die terapeutiese
integrasieproses. Waarhede of kennis is tydens terapiegesprekke versamel en
gedekonstrueer. Video- of bandopnames, foto's, kleiwerk, sketse, briewe en ander
dokumente was waardevol om die koers van die navorsingsreis aan te dui. Insette en
deelname van 'n refekterende span, asook die kliënt se kêrel, het beide die terapie- en
navorsingsreise verryk en uitgebrei.
Conceptual framework:
Ego state theory and therapy;
Psychosocial development;
EMDR;
Clinical hypnosis;
Integration; and
Brief psychotherapy
Participants will be able to: 1) select appropriate clients fo integrative EMDR treatment for chemical dependency; 2) implement the protocol for integatve EMDR treatment for chemical dependency; 3) understand the use of brief assessment instruments and protocol logs to collect pilot data; and 4) understand how to participate in the pilot study.