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1. 李元華 [Li Yuan-Hua]. (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The therapeutic mechanism of eye movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學心理學研究所,台灣 [National Taiwan University Graduate Institute of Psychology, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
李元華眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 臺灣大學
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向,此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.[Author abstract]

Keywords: Autobiographic Memory  Eye Movement  Valence-Specific Hypothesis  

Accuracy Verified: Yes


2. 李元華 [Li YuanHua] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The Therapeutic Mechanism of Eye Movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學,台灣 [National Taiwan University, Graduate Institute of PsychologyTaiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討的作用眼球運動在眼動脫敏和再加工(EMDR的)。以往的研究指出,眼球運動能降低生動性和情感中的圖像。除了複製以前的研究,本研究提出一個假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。參加者為 132台大本科生參加了普通心理學課程。本研究操縱三個條件眼球運動,以實現不同的效果中斷生動,情緒和心率在正面和負面的自傳回憶。它也記錄眼球運動方向的自發召回期間,即克萊姆斯(共軛側眼動)。這三個條件的實驗是眼球運動,僅僅是圖像的目光和條件。眼動條件分為水平和垂直運動的團體和凝視條件分為左,右的目光群體。結果表明,該方向的克萊姆斯在正面和負面的回憶是一致的,但數字的右向左凝視超過凝視。價的具體偏側假說和右半球假說的情感都是不支持的調查結果克萊姆斯。此外,最強的中斷生動,情感的是眼睛的運行狀況,其次是凝視條件,而僅僅是提高圖像的條件。生動性和情緒之間沒有顯著不同的水平和垂直眼球運動團體在眼球運動狀況,但是,中斷的生動性和情緒在右凝視組強於左側凝視小組。根據這些發現,特效水平眼球運動不支持,也不是價的具體偏側假說。然而,右半球假說可能得到支持。在負的回憶,心率沒有任何的趨勢,在眼球運動的條件,但越來越多的目光幾乎增加條件和單純的意象條件。總之,結果支持這一假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。最後,本研究探討的理論眼球運動在EMDR的,並提出一個綜合觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: Autobiographic Memory  Valence-Specific Hypothesis  

Accuracy Verified: Yes


3. 李元華, 張素凰 [Li Yuan-Hua, & Chang Sue Hwang] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然 [The therapeutic mechanism of eye movements in EMDR: the effect of interrupting spontaneous eye movements during recollections]. 臺灣大學:心理學研究所 [Taiwan: Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低 回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提 出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低 其在回憶時的影像畫面清晰度以及情緒強度。參與者為132 名的修習普通心理學 的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向 自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與 者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。 本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水 平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果 顯示CLEMs 的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向, 此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮 明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼 動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右 凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並 不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右 腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組 則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動, 進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論 做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: autobiographic Memory  Eye Movements  Valence-Specific Hypothesis  

Accuracy Verified: Yes


4. 張素凰、 [Chang Sue-Hwang]. (2008年3月). 眼球運動中的作用機制 EMDR的治療:證據為基礎的研究 [Role of eye movements in the therapeutic mechanisms of EMDR: Evidence-based research]. 論文發表於2008年TACP(台灣臨床心理學協會)年度會議(第三次大會),專題討論會以證據為基礎研究在台灣第1節心理障礙,3月8-9日,政治大學,台北,台灣。 (國科會91 -2413 - H型009 -鹽度-;國科會92 -2413 - H型002 -024-;國科會93 -2413 - H型002 -002-) [Presentation at the 2008 TACP (Taiwan Association of Clinical Psychology) Annual Conference (Third General Meeting), Symposium on Evidence-Based Research in Taiwan; Section of Mental Disorders, March 8-9, Chengchi University, Taipei, Taiwan. (NSC 91-2413-H-009-SSS-; NSC 92-2413-H-002-024-; NSC 93-2413-H-002-002-)].

Language: Chinese

Format: Conference

Abstract:
研討會以證據為基礎的研究,在台灣,部分精神疾病。 (國科會 91 - 2413 - H的009 -量表中文),國家安全委員會 92 - 2413 - H的- 002 - 024 -);國家安全委員會 93 - 2413 - H的- 002 - 002 -)眼動脫敏和再加工(EMDR;夏皮羅,1989 ,1995,2001)最近聲稱要有效地紓緩創傷後應激障礙的症狀,恐怖疾病。眼運動(電磁)是一種治療的關鍵因素,其治療機制有待澄清。在這個談話的目的是要研究系列報告,從我們的實驗室就EM的作用,治療機制 EMDR。具體來說,在EMDR程序被簡單地描述,EM的功效及工藝相比,暴露了問題。此外,對影響電磁情緒變化和生動的圖像或自傳記憶,改變數量和強度的語義協會的報告。此外,關於如何EMDR問題可能的工作,無論是電磁沒有添加任何超出了純粹接觸機制和電磁相互作用,價的刺激,他們的陳述順序進行了討論。最後,在EM的作用方面提出的刺激價為了從理論的角度來看,其臨床意義,提出和未來研究的可能性進行了討論。

Symposium on Evidence-Based Research, in Taiwan; Section of Mental Disorders. (NSC 91-2413-H-009-SSS-); NSC 92-2413-H-002-024-); NSC 93-2413-H-002-002-) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) has recently been claimed to be effective in ameliorating the symptoms of PTSD and phobic disorders. Eye movement (EM) was one of the crucial treatment elements, of which the therapeutic mechanisms await elucidation. The aims of this talk were to report series of studies from our lab regarding the role of EM in the therapeutic mechanism of EMDR. Specifically, after EMDR procedure being briefly described, the efficacy of EM and its process compared to exposure were addressed. Further, the effects of EM on changes of emotionality and vividness of images or autobiographic memories, and changes of amount and strength of semantic associations were reported. Also, the issues regarding how EMDR might work, whether EM did add anything beyond the mechanisms of pure exposure, and the interplay of EM, valence of stimuli, and their presentation order were discussed. Finally, the role of EM in terms of stimulus valence presentation order from theoretical point of view and its clinical implications are proposed, and future research possibilities are discussed.

Keywords: Eye Movement  Exposure  Symposium  Therapeutic Mechanism  

Accuracy Verified: Yes


5. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201.

Language: German

Format: Journal

Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.

In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.

Keywords: Acute Stress Disorder  Anxiety  ASD  Cardiology  Depression  ICD Shocks  Internal Medicine  Posttraumatic Stress Disorder  PTSD  Treatment Manual  

Accuracy Verified: Yes


6. Oh, D. H., & Park, Y. C. (2010, July). Bilateral eye movement: Changes brain default network functions in EMDR treatment. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Introduction: The aim of this study was to clarify the effect of bilateral eye movement as one of the important therapeutic components through EEG analysis. We examined differences between pre-bilateral eye movement and post-bilateral eye movement of normal healthy volunteers in scalp recorded EEGs in two different ways. First, we used qEEG to examine differences in specific band frequencies after bilateral eye movement. Secondly, we utilized low-resolution electromagnetic tomography (LORETA) source imaging (Pascual-Marqui et al., 1994) to explore the underlying neural generators of changed EEG activity. Methods:32 college students participated in the study. EEG was recorded continuously during the experiment. All participants experienced 3 blocks: 1) pre-experiment, eye-closed EEG in resting state, 2) stimuli condition (either eye movement or fixation) and 3) post-experiment, eye-closed EEG in resting state. 32-channel, eyes-closed EEG (30 artifactfree s/subject) was analyzed (source localization using FFT approximation and LORETA). Results: We demonstrated different functional connectivity patterns of the precuneus/posterior cingulate cortex (Brodmann area 23, 31) between bilateral eye movement and eye fixation phase. Conclusion: These results provided evidence to support that the bilateral eye movements in EMDR procedure gives rise to the changes of ‘brain default network’, accompanied by the alteration of regional brain electrical activity.

Keywords: Eye Movements  Poster  

Accuracy Verified: Yes


7. Keller, B., Stevens, L. C., Boyce, K., Lui, C., & Murray, J. (2011). Bilateral eye movements and EEG coherence during positive memories: Implications for PTSD and EMDR. Presentation at the American Psychological Association Conference, Washington, DC.

Language: English

Format: Conference

Abstract:
The purpose of this study was to investigate the role of bilateral eye movements in the processing of long-term emotional memories, especially as it pertains to the treatment method for PTSD known as EMDR. EMDR utilizes methods similar to cognitive therapy and exposure but also employs saccadic eye movements to facilitate the treatment. The saccadic eye movements are theorized by Shapiro and others to decrease emotional valence and vividness of episodic memories allowing for easier reprocessing. There remains some disagreement as to the actual role and importance of the saccadic eye movements as well as to the neurological effects of EMDR. This study used EEG power-spectral analysis and measures of interhemispheric coherence on 30 individuals who underwent one of three conditions while recalling positive episodic memories. The 3 conditions were (1) a solid black dot with no eye movement (control), (2) a low frequency color changing dot with no eye movement, and (3) a bilateral eye movement condition simulating EMDR. After a 5’ eyes-open baseline, participants experienced one of the three conditions while recalling a positive memory for five 1’ episodes. After each episode, each participant had 19-channel EEGs recorded while they stared ahead eyes opened. EEG data were noise artifacted, power spectral analyzed, and statistically analyzed for interhemispheric coherence differences between conditions for clusters of frontal pole (Fp), frontal (F), central (C), parietal (P), and occipital (O) electrodes. ANCOVA analysis of post-treatment coherence values, with baseline values as the covariate, across conditions showed significantly increased Low Beta (12-20Hz) activity in the Frontal region of the brain during the saccadic eye movements condition compared to the low frequency dot condition (p=.012). Also found were significantly increased Low Theta (4-6Hz) coherence values in the Parietal region of the brain in the low frequency dot condition compared to both the eye fixation (p=.017) and saccadic eye movement (p=.022) conditions. Self reports of memory clarity and vividness indicated significantly increased measures across all conditions. LORETA cortical localization analyses revealed Low Beta (12-20Hz) activation during the saccadic eye movements condition occurring primarily in Brodmanns Area 11 (BA11) and Brodmann Area 25 (BA25) and Low Theta (4-6Hz) activation during the low frequency dot condition focused in BA35 and BA36. LORETA neuroimages are presented. Cortical localizations of increased Low Beta interhemispheric coherence in BA11 (VentroMedial Frontal Cortex) and BA25 (Subgenual Anterior Cingulate Cortex) following bilateral eye movements during the recall of positive memories suggest a synchronization of information processing activities in parts of the frontal cortex involved in planning, reasoning, and decision making (11) and in verbal episodic memory retrieval (25). These functions are consistent with the assigned tasks of review of positive episodic memories in this study. Coincident with this pattern of cortical activation was an obtained increase in memory clarity and vividness during episodic memory retrieval. It is possible that the obtained effects on beta activity were an artifact of eye movements; however, the lack of significantly increased signal coherence at the Fp region and the removal of eye movement artifacts prior to data analysis reduce this possibility. These results provide support for an Interhemispheric Coherence Model as an explanation for the positive effects of Eye Movement Desensitization and Reprocessing of retrieved memories. Additionally, these outcomes suggest that it is the saccadic eye movements, not a repetition of a rhythmic stimulus, that elicits the changes in interhemispheric coherence, and possibly in emotional valence and vividness, highlighting the importance of saccadic eye movements in EMDR.

Keywords: Bilateral Stimulation  EEG Coherence  Eye Movements: Positive Memories  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: No


8. Cotraccia, T. (2010, September/October). Bio-psychosocial adaptive information processing. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
The role of neurobiological structures in Adaptive Information Processing (AIP) is becoming more understood. This workshop considers specific psychological and social components of the AIP model. Attunement and internal working models of self and world are suggested as additional components of a systemic AIP model. The psychotherapy relationship is conceptualized as a dynamic feedback system modeled after a securely attached caregiver-child dyad. This workshop draws from affective neuroscience, information theory, philosophy of mind and general systems theory to consider how components interact at multiple levels to resolve disturbing life experiences and enhance bio-psychosocial functioning. The additions to the model will be used to highlight clinical phenomenon relevant to EMDR practice.

Keywords: Adaptive Information Processing  AIP  

Accuracy Verified: Yes


9. 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


10. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149 .

Language: Dutch

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geďntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.

Keywords: Pain Attenuation  

Accuracy Verified: Yes


11. Besson, J., Eap, C., Khazaal, Y., Montagrin, Y., Rihs-Middel, M., Simon, O., Tissot, H., Tomei, A., Zumwald, C., Zullino, D. (2008, Janvier). Dépendances [Addictions]. Revue Medicale Suisse, 4(139).

Language: French

Format: Journal

Abstract:
Cette année, les commentaires de la toxicomanie met en évidence cinq aspects, dans une perspective bio-psycho-sociale: (1) La relation entre la méthadone et de cardiotoxicité. (2) L'introduction de la désensibilisation des mouvements oculaires et retraitement (EMDR). (3) L'apparition d'une pharmacothérapie possible spécifique pour le jeu excessif. (4) Une meilleure connaissance de la relation entre le cannabis et les psychoses. (5) La résistance au traitement dans la relation médecin-patient.

This year reviews on the addictions emphasizes five aspects, on a bio-psycho-social perspective: (1) The relationship between methadone and cardiotoxicity. (2) The introduction of Eye Movement Desensibilization and Reprocessing (EMDR). (3) The apparition of a possible specific pharmacotherapy for excessive gambling. (4) A better knowledge of the relationship between cannabis and psychoses. (5) Resistance to treatment in the doctor-patient relationship.

Keywords: Addiction  Cadiotoxicity  Cannabis  Gambling  Methadone  Psychoses  

Accuracy Verified: Yes


12. Uribe, M. E. R., Ramirez, E. O. L., & Mena, I. J. (2010, May). Effect of the EMDR psychotherapeutic approach on emotional cognitive processing in patients with depression. The Spanish Journal of Psychology, 13(1), 396-405. doi:10.1017/S1138741600003966.

Language: English

Format: Journal

Abstract:
The current investigation, framed within the emotional cognitive science field, was conducted with three patients with major depression. They participated in a therapeutic process which involved EMDR (Eye Movement Desensitization and Reprocessing). Data were obtained in the clinical practice through a longitudinal one subject study design, including: emotional valence identification within affective priming experiments; and depressive emotional representation studies, the data of which was analyzed using multidimensional scaling. The first ones had the purpose of observing the therapeutic impact over the emotional cognitive bias mechanism regarding depresogenic words related to traumatic experiences; and the second, to analyze modifications on depressive schemata. The results showed that EMDR had a positive effect both on emotional cognitive processing and on long-term memory conceptual organization. In the discussion section, interesting remarks are made on the incorporation of emotional cognitive science tools to the EMDR clinical practice

Keywords: Depression  Emotional Cognitive Processing  

Accuracy Verified: Yes


13. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect in one's appearance (American Psychiatric Association (APA), 1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT) (Williams et al.. 2006). CBT interventions which are most often described in the literature are exposure and response prevention (ERP) and cognitive techniques. These interventions successfully weaken the catastrophic expectations of the patients. However, they do not affect the negative valence of patients' appearance. This negative meaning is not inborn but acquired during life through association with distressful or even traumatic events. Patients with BDD often report stressful events as the starting point of their complaints (Buhlmann et al., 2007) as well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004). Processing of these unprocessed memories might free the way to the development of a more positive meaning of their appearance. Indeed, case series have been described in which EMDR has been successfully applied in the treatment of BDD (Brown et al , 1997). In the first part of this workshop background information will be presented which might help identifying BDD patients who might profit from EMDR and planning subsequent EMDR treatment. In the second part of the workshop we share our experiences treating BDD patients with EMDR. Clinical issues will be analysed using videotaped cases of patients for illustration. The goal of this workshop is to increase knowledge and understanding of the use of EMDR in the treatment for BDD. American Psychiatric Association (APA) (1994). Diagnostic and statistical manual of mental disorders. (4th ed.) Washington DC. American Psychiatric Association. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy. 25(2), 203-207 Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007). Perceived teasing experiences in body dysmorphic disorder. Body Image. 4, 381-385. Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004). Spontaneously occurring images and early memories in people with body dysmorphic disorder Memory, 12, 428-436. Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta- analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behaviour Research and Therapy. 44, 99-111.

Keywords: Body Dysmorphic Disorder  

Accuracy Verified: Yes


14. Saęta, L. B. (2012, Novembro). EMDR no tratamento da dor e das sensaçőes fantasmas [EMDR in the treatment of pain and phantom sensations]. In EMDR e dor crônica. Apresentaçăo no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Sujeitos vítimas de amputaçăo podem apresentar, imeditamente após a mesma, algum tipo de desconforto no membro ausente, descrito como formigamento, dormęncia, posiçăo do membro, temperatura, latejamento, choque e apertamento que podem manifestar-se com a presença ou năo de dor, tendo sua qualidade de vida reduzida. Observa-se que atualmente, as abordagens terapęuticas usadas no manejo da dor e das sensaçőes fantasmas podem ser organizadas em tręs modalidades: medicamentosa, de apoio e cirúrgica, feitas em conjunto ou separadamente. Os tratamentos de apoio mais conhecidos incluem estimulaçăo elétrica nervosa transcutânea, terapia vibratória, acupuntura, hipnose e biofeedback. A proposta desse estudo foi verificar a eficięncia do EMDR na reduçăo e/ou eliminaçăo das sensaçőes e da dor fantasmas aplicado a seis sujeitos com amputaçăo de membro inferior, num período de um a tręs meses de duraçăo (de 4 a 12 sessőes de 60 a 90 minutos de duraçăo), utilizando o protocolo EMDR padrăo e o protocolo EMDR para a dor, e também exercícios corporais de respiraçăo consciente, aliados, em casos de resistęncia dos sujeitos ao EMDR, ŕ ativaçăo da visăo macular dos dois olhos e a exercícios rítmicos de espernear. Tais procedimentos proporcionaram uma melhor comunicaçăo entre os hemisférios cerebrais, numa reorganizaçăo cortical que facilitou o aumento da conscięncia e aceitaçăo da perda do membro amputado, sendo possível presenciar efeitos terapęuticos positivos e rápidos. Constatou-se que as sensaçőes e as dores fantasmas diminuíram significativamente em tręs participantes e desapareceram por completo nos outros tręs, comprovando a eficácia e eficięncia do EMDR no processo de inclusăo e readaptaçăo social em sujeitos vítimas de amputaçăo.

Subjected victims of amputation may have, immediately after it, some kind of discomfort absent member, described as tingling, numbness, limb position, temperature, throbbing, clenching and shock that may occur with the presence or absence of pain, having a reduced quality of life. It is observed that currently, the therapeutic approaches used in the management of pain and phantom sensations can be organized into three types: medication, and surgical support, made ​​jointly or separately. The most popular treatments include support transcutaneous electrical nerve stimulation, vibratory therapy, acupuncture, hypnosis and biofeedback. The purpose of this study was to examine the efficacy of EMDR in the reduction and / or elimination of phantom sensations and pain applied to six subjects with lower limb amputation in a period of one to three months duration (4 to 12 sessions of 60 to 90 minutes), using the standard EMDR protocol and the protocol EMDR for pain, and also body conscious breathing exercises, combined, in cases of resistance to the subject of EMDR, the activation of macular vision in both eyes and rhythmic exercises kicking . These procedures allow for a better communication between the cerebral hemispheres, cortical reorganization in which facilitated the increased awareness and acceptance of the loss of the amputated limb, and you can witness the positive therapeutic effects and fast. It was found that the sensations and phantom pain significantly decreased in three participants and disappeared completely in the other three, proving the efficiency and effectiveness of EMDR in the process of inclusion and social rehabilitation of victims subject to amputation.

Keywords: Amputation  Phantom Pain  Phantom Sensation  

Accuracy Verified: Yes


15. Murray, K. (2010, September/October). EMDR to reduce fears of recurrence of breast cancer. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
How can we support women with breast cancer (BC) in their bio-psycho-social healing? Are fearsof recurrence inevitable or a re-experiencing of unresolved BC diagnosis and treatment experiences? Participants will identify traumatic stress symptoms in women with BC, and the impacton treatment, quality of life, and fears of recurrence; review the seven cancer treatment stages, and potential traumas, triggers, and EMDR interventions of each; describe phase two interventions to manage worry, develop healing imagery and promote coping and positive health behaviors; and explain how past-present-future targeting can address fears of recurrence. Expanded from 2008, this workshop draws on psycho-oncology literature, clinical observations, and one client’s EMDR journey from “coping” to “living”.

Keywords: Breast Cancer  

Accuracy Verified: Yes


16. Yehuda, R. (2012, October). Epigenetics: What does it explain about trauma survivors?. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
Most persons who develop PTSD in the aftermath of exposure recover from trauma-related symptoms, but remain at risk for a recrudescence of symptoms. This suggests that there are aspects of the response to high magnitude trauma that are long-lasting, despite variations in symptom intensity over time. Current bio-behavioral models of PTSD fall short of explaining the apparent paradox of an enduring response on the one hand and symptom change over time on the other. However, this phenomenon can potentially be explained by epigenetic mechanisms. Epigenetics (literally: “epi” meaning “in addition to” genetics) refers to a heritable change in the genome that can be induced by environmental events and does not involve an alteration of DNA sequence. Such modifications reflect enduring changes in the function of the DNA that are caused by environmental exposures. These changes can alter gene function influencing its biological activity. This presentation will discuss evidence for such changes in PTSD, and will explain how such mechanisms explain many of the salient features of PTSD, including individual variation in responses to events of similar intensity (e.g., combat exposures), and the relative permanence of biological and psychological alterations associated with the disorder. Current models of stress, or even gene-environment interactions, only partially address the influence of prior exposure(s) on PTSD vulnerability and the long-lasting biological and psychological effects of trauma exposure. In addition, epigenetic modifications can be transmitted intergenerationally, both through the maternal and paternal lines. The implications of such changes as PTSD vulnerability factors will also be discussed.

Keywords: Epigenetics  Plenary  Survivors  Trauma  

Accuracy Verified: Yes


17. 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:
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 diseńo 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 seńalamientos 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.

Keywords: Affective Priming  Cognition  Depression, Depressive Patterns  Emotion  

Accuracy Verified: Yes


18. Barrowcliff, A. L., Gray, N. S., Freeman, T. C. A., & MacCulloch, M. J. (2004, June). Eye-movements reduce the vividness, emotional valence and electrodermal arousal associated with negative autobiographical memories. Journal of Forensic Psychiatry and Psychology, 15(2), 325–345. doi:10.1080/14789940410001673042.

Language: English

Format: Journal

Abstract:
The aim of this study was to examine the effect of eyemovements on subjective and psychophysiological measures of arousal and distress associated with positive and negative autobiographical memories. These memories were ‘brought-to-mind’ whilst engaging in eye-movement or eyes-stationary conditions in a counterbalanced within subjects design, with pre and post eye-condition subjective ratings of emotional valence and image vividness. Participants also rated current symptomatology associated with negative memories using the Impact of Events Scale. Engagement in eye-movements compared to the eyes-stationary condition resulted in significant reductions on measures of vividness and emotional valence for both positive and negative autobiographical memories. Reductions in electrodermal arousal were only observed when engaging in eye-movements following elicitation of the negative memory. This effect was observed independently of symptom severity.

Keywords: Eye Movements  

Accuracy Verified: Yes


19. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives: Know that trauma influences psychotic symptoms, Understand how EMDR can influence paranoia and hallucinations, and Be able to conceptualize EMDR for these symptoms

Keywords: Psychosis  

Accuracy Verified: Yes


20. Chang, S. H. & Lee, Y. H. (2006, September). Interference of spontaneous eye movements during recollections changes the vividness and emotionality of autobiographical memories?: A crucial test of possible EMDR mechanisms. Presentation at the 36th annual congress of the EABCT (European Association for Behavioural and Cognitive Therapies), Paris, France.

Language: English

Format: Conference

Abstract:
This study examined possible therapeutic mechanism of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Several studies have reported that bilateral eye movements during imagery could decrease vividness and emotionality of recollections. This study proposed a hypothesis, that was, the reduction of recall was due to the interference of spontaneous eye movements including conjugate lateral eye movements (CLEMs). 110 undergraduate students (47 men, 63 women) recalled two positive and two negative memories (the CLEMs of these memories were recorded by a digital camera at the same time) and rated their vividness and emotionality of the recollections. Next, participants recalled the memories while they were engaging in five between-group conditions (bilateral eye movements, left gaze, right gaze, central gaze, and mere imagery condition). Then participants recalled the event again and rated its vividness and emotionality. The results showed that the bilateral eye movements made autobiographical memories less vivid and less emotive, while mere image increased the vividness and emotionality of autobiographical memories (ps < .05). Importantly, there was only one significant Valence × Time interaction effect (p < .05) in the left gaze condition. It showed that right hemisphere involved more negative emotions than positive, whereas left hemisphere involved no differences between negative and positive emotions. With regard to CLEMs, there were no different lateral eye movements between negative and positive memories. The study supported the idea that bilateral eye movements during imagery could decrease vividness and emotionality of recollections, and that interfering spontaneous eye movements changed vividness and emotionality of autobiographical memories. The role of eye movements in the EMDR was discussed.

Keywords: Autobiographical Memory  CLEM  Eye Movements  Gaze Direction  

Accuracy Verified: Yes


21. Chang, S. H. & Lee, Y. H. (2005, August). Interfering CLEM reduces vividness and emotionality of autobiographical memories. Presentation at the 2005 American Psychological Association Annual Convention, Washington, DC C. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background: It was noted that when people recalled an emotional event, there is a spontaneous eye movements during retrieval of memory, known as conjugate lateral eye movements (CLEM). Eye movements during mental imagery are not epiphenomenal but assist the process of image generation (Hebb, 1968; Brandt & Stark, 1997). If restricted to a fixed point, then the image of recall is impaired (Laeng & Teodorescu 2002). These findings might shed light on why bilateral eye movements during imagery could decrease vividness and emotionality of recollections. Objectives: Based on the above findings, this study examined possible therapeutic mechanism of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001), of which eye movement was a crucial treatment component. Specifically, the hypothesis that interfering CLEM via introducing bilateral eye movements or a fixed position could reduce vividness and emotionality of autobiographical memories was examined in the present study. Further, whether there are different CLEMs (more rightward in positive and more leftward in negative) during retrieval of positive and negative memories was also investigated. Method: Seventeen healthy volunteers recalled two positive and two negative memories and rated their vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing either bilateral eye movements (interference of CLEM) or mere image condition (non-interference of CLEM). Then participants were asked to recall the event again and to rate its vividness and emotionality. Vividness and emotionality ratings were analyzed using a 2 (EM condition: bilateral eye movement vs. mere image) × 2 (valence of memory: positive vs. negative) × 2 (time: before vs. after the intervention) repeated measures analysis of variance (ANOVA). During the first and last recall of each memory CLEM were recorded by a digital camera. To examine the effect of CLEM during recollections on emotionality and vividness of autobiographical memories, eye movements in each recall were counted into percentage time of eye gaze in three regions (leftward, middle, rightward), instead of counting the first lateral eye movement as used by the traditional method. Results: Compared to mere image condition, recollections after bilateral eye movements made subsequent recollections less vivid and less emotive, while the opposite was true for mere image condition. Regarding vividness, the 2 × 2 × 2 ANOVA showed that there was a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in vividness was significant in the mere image condition, but not in the eye movement condition. As to emotionality, the three way ANOVA showed that there was also a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in emotionality was significant in the mere image condition, and in eye movement condition. Concerning percentage of gaze direction (left, right) in positive and negative memories, pair t test showed that there was a significant right gaze difference between positive and negative memories, and approached significant left gaze difference between positive and negative memories. With regard to CLEM, negative memories showed less right gazes and more left gazes than positive memories. Conclusion:The bilateral eye movements made autobiographical memories less vivid and less emotive than mere image condition, while mere image increased the vividness and emotionality of autobiographical memories. Further, there is different CLEM for negative and positive memories. While the hypothesis that interference of CLEM reduced the vividness and emotionality of autobiographical memories was confirmed, the role of eye movement in the EMDR was discussed and future research possibilities are proposed.

Keywords: Autobiographical Memory  CLEM  Eye Movements  Gaze Direction  

Accuracy Verified: Yes


22. Hermans, H. P., & de Putter, M. (2012). Is een toevoeging van een aspect uit de contraconditionering aan EMDR zinvol? [Is an addition of one aspect of the counter-conditioning to EMDR useful?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye Movement and Desensitization Reprocessing (EMDR) is een beproefde methode voor de behandeling van posttraumatische stressstoornis (PTSS). Het verklaringsmechanisme van EMDR lijkt de werkgeheugentheorie te zijn. De werkgeheugentheorie voorspelt dat het belasten van het werkgeheugen tijdens het ophalen van een nare herinnering, de emotionaliteit van de herinnering doet afnemen. Het huidige onderzoek betrekt een aspect vanuit de contraconditionering bij oogbewegingen. Participanten werden ingedeeld in 3 condities: positief, negatief en neutraal. Elke participant voerde een tweetal reactietijd taken uit op de computer, waarvan één met een stilstaande stip en één met een bewegende stip. Daarnaast haalde elke participant 2 negatieve autobiografische herinneringen op, tijdens het ophalen van één herinnering keken participanten naar een stilstaande stip, terwijl bij de andere herinnering een bewegende stip gepresenteerd werd. Op het beeldscherm werd – afhankelijk van de conditie – een positieve, neutrale of negatieve foto als achtergrond geselecteerd om te kijken of de valentie van aangeboden foto’s het effect van oogbewegingen beďnvloeden. De reactietijd taken bieden inzicht in welke mate oogbewegingen een belasting voor het werkgeheugen vormen. De resultaten tonen significant tragere reactietijden wanneer participanten oogbewegingen moesten maken. Op het gebied van emotionaliteit is er eveneens een significant effect van oogbewegingen gevonden. De narigheid van de opgehaalde herinnering nam – onafhankelijk van conditie - af wanneer participanten oogbewegingen maakten. Uitkomsten van het huidige onderzoek vormen een bevestiging van de werkgeheugentheorie. Het verwachtte effect van valentie is uitgebleven, vermoedelijk doordat participanten de valentie van de foto’s niet goed meekregen. Adequaat vervolg onderzoek zal moeten uitwijzen of een toevoeging aan EMDR vanuit de contraconditioneringstheorie zinvol is.

Eye Movement Desensitization and Reprocessing (EMDR) is a proven method for the treatment of post traumatic stress disorder (PTSD). The declaration mechanism of EMDR seems to be working memory theory. The working memory theory predicts that taxing working memory during retrieval of a bad memory, the emotionality of the memory decreases. The present study involves an aspect from the counter-conditioning at eye movements. Participants were divided into 3 conditions: positive, negative and neutral. Each participant performed a two reaction tasks on the computer, one with a stationary dot and one with a moving dot. In addition, each participant took 2 negative autobiographical memories, while retrieving a reminder to participants watched a stationary spot, while the other memory a moving dot was presented. On the screen was - depending on the condition - a positive, neutral or negative picture as background selected to see if the valence of pictures presented the effect of eye movements influence. The response functions provide insight into the extent to which eye movements constitute a burden on the working memory. The results show significantly slower reaction times when participants had to make eye movements. In the area of ​​emotionality is also a significant effect of eye movements found. The misery of the retrieved memory Rose - regardless of condition - off when participants made eye movements. Results of the present study are a confirmation of the working memory theory. The expected effect of valence failed to materialize, probably because participants the valence of the pictures are not good afterworld. Adequate follow-up study is needed to determine whether an addition to EMDR from the contralateral conditioning theory makes sense.

Keywords: Counter Conditioning  Memory Theory  

Accuracy Verified: Yes


23. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral. Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction. An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual. There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)

Keywords: Persistent Pain  

Accuracy Verified: Yes


24. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.

Keywords: Head Injury  Traumatic Brain Injury  Posttraumatic Stress DIsorder  PTSD  

Accuracy Verified: Yes


25. Hasto, J., & Vojtova, H. (2012). Posttraumatická stresová porucha, bio-psycho-sociálne aspekty EMDR a autogénny tréning pri pretrvávajúcom ohrození: Prípadová stúdia [Post-traumatic stress disorder, bio-psycho-social aspects of EMDR and autogenic training with ongoing risk: A case study]. (1.vyd) Olomouc: Univerzita Palackého v Olomouci.

Language: Slovak

Format: Book

Abstract:
Eye Movement Desenzibilizácia a prepracovanie predstavuje sľubný prístup k liečbe poúrazových porúch. Medzi špecifické faktory, z ktorých jej účinnosť spoliehajú predovšetkým na bilaterálnej stimulácie, ktorá ako sa zdá, vyvolať špecifickú neurobiological odpoveď počas traumatické odvolanie najmä u jedincov s PAS. Empirické poznatky poskytujú dôkazy o vplyve BLS na autonómneho nervového systému dosiahnuť rovnováhu smerom aktivácia parasympatiku (zníženie vzrušenie), ako aj vplyv na subjektívne vnímanú živosťou a emocionálne záťaž z autobiographic pamätí (pokles). Najdôveryhodnejší hypotézy odvodiť účinky z neurobiologických mechanizmov pracujúcich v duálnom zamerať pozornosť, orientujúca reflex a REM spánok. Ďalší výskum je potrebné preskúmať procesy zahrnuté v terapii EMDR podrobnejšie a objasniť úlohu bilaterálne stimulácie. (PsycINFO Database Record (c) 2012 APA, všetky práva vyhradené)

Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disorders. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic activation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiographic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Autonomic Nervous System  Bilateral Stimulation  Neurobiology  Posttraumatic Stress Disorder  PTSD  REM Sleep  

Accuracy Verified: Yes


26. Pagani, M., Di Lorenzo, G., Monaco, L., Niolu, C., Siracusano, A., Verardo, A. R., Lauretti, G., Fernandez, I., Nicolais, G., Cogolo, P., & Ammaniti, M. (2011). Pretreatment, intratreatment, and posttreatment EEG imaging of EMDR: Methodology and preliminary results from a single case. Journal of EMDR Practice and Research, 5(2), 42-56. doi:10.1891/1933-3196.5.2.42.

Language: English

Format: Journal

Abstract:
Electroencephalography (EEG), due to its peculiar time and spatial resolution, was used for the first time to fully monitor neuronal activation during the whole eye movement desensitization and reprocessing (EMDR) session, including the autobiographical script. The present case report describes the dominant cortical activations (Z-score >1.5) during the first EMDR session and in the last session after the client processed the index trauma. During the first EMDR session, prefrontal limbic cortex was essentially activated during script listening and during lateral eye movements in the desensitization phase of EMDR. In the last EMDR session, the prevalent electrical activity was recorded in temporal, parietal, and occipital cortical regions, with a clear leftward lateralization. These findings suggest a cognitive processing of the traumatic event following successful EMDR therapy and support evidence of distinct neurobiological patterns of brain activations during lateral eye movements in the desensitization phase of EMDR.

Keywords: Bilateral Ocular Stimulation  Cortical Activation  EEG  

Accuracy Verified: Yes


27. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars:  Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.

Language: English

Format: Journal

Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]

Keywords: Burns  Comorbidity  Epidemiology  Literature Review  Posttraumatic Stress Disorder  Predisposition  PTSD  Survivors  Treatment  

Accuracy Verified: Yes


28. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model  REM-Sleep Dependent Memory Reprocessing Model  Saccadic Eye Movement  Semantic Association  

Accuracy Verified: Yes


29. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model  REM-Sleep Dependent Memory Reprocessing Model  Saccadic Eye Movement  Sematic Association  

Accuracy Verified: Yes


30. Chang, S. W. (2010, September/October). The role of eye movement in the therapeutic mechanisms of EMDR: An evidenced-based experimental approach. Research symposium conducted at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This presentation will address differential effects of EMs and exposure from outcome/process measures, interplays of EMs, valence of cognitions, and presentation order from theoretical/clinical viewpoints, and how EMDR might work from informational processing evidence.

Keywords: Eye Movements  Symposium  Therapeutic Mechanisms  

Accuracy Verified: Yes


31. Chang, S. H., & Chen, K. P. (2009). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Abstract:
In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.

Keywords: Imagery Vividness  Negative Emotiveness  Posttraumatic Stress Disorder  PTSD  Saccadic Eye Movement  Semantic Association  Working Memory  

Accuracy Verified: Yes


32. Chang, S. H. & Chen, K. P. (2004, July). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. Presentation at the Hawaii International Conference on Social Sciences, Honolulu, Hawaii, In 2004 HICSS (Hawaii International Conference on Social Science) Conference Proceedings (pp. 569-574).

Language: English

Format: Conference

Abstract:
In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.

Keywords: Imagery Vividness  Negative Emotiveness  Posttraumatic Stress Disorder  PTSD  Saccadic Eye Movement  Semantic Association  Working Memory  

Accuracy Verified: Yes


33. Shapiro, F. (1992, December). Stray thoughts:  Frozen childhood, Bio-electrical valence. EMDR Network Newsletter, 2(2), 1-2.

Language: English

Format: Newsletter

Abstract:
Clinical observations of EMDR treatment sessions indicate that therapeutic results are often achieved through the progressive emergence of an adult perspective, particularly when the client was previously locked into the emotional responses of a childhoodbased trauma. Clearly, most childhood experiences are infused with a sense of powerlessness, lack of choice, lack of control, and inadequacy. Even the best of childhoods have moments when the parents attempt to leave for the evening and the child feels abandoned, powerless, and uncared for. Indeed, an entire generation of children was raised by a book that dictated feeding hours and parents were encouraged to avoid reinforcing the child's crying for food at other times. Consequently, thousands of children were left crying in the dark for food. Regardless of the fact that language was not yet encoded, arguably, this situation set up certain emotional nodes regarding "Self," "Suffering," and "Others." The EMDR model posits that the wide variety of childhood experiences are neurological touchstones for many dysfunctions.

Keywords: Bio-electrical Valence  Children  Trauma  

Accuracy Verified: Yes


34. Pagani, M., Lorenzo, Gd., Verardo, A., Nicolais, G., Monaco, L., Niolu, C., Fernandez, I., & Siracusano, A. (2012, March-April). Substrato neurobiologico della terapia con EMDR [Neurobiological correlates of EMDR therapy]. Rivista di Psichiatria,47(2 Supp 1):16S-18S. doi: 10.1708/1071.11734.

Language: Italian

Format: Journal

Abstract:
I EEG in un gruppo di dieci soggetti con grave trauma psicologico trattati con EMDR e in dieci controlli sono stati registrati sia durante l'ascolto del racconto autobiografico del trauma indice (script) e nel corso di una intera sessione EMDR. Gli EEG sono stati eseguiti nuovamente durante l'ultima sessione di EMDR quando i pazienti erano liberi da sintomi. Durante l'ascolto uno script di attivazione prevalente delle regioni limbiche corrispondenti alla corteccia prefrontale e orbitofrontale č stato registrato, essere spiegato come l'eccitazione emotiva durante trauma rivivere nella fase sintomatica. La diminuzione significativa di tali attivazioni durante la fase tardiva asintomatica rappresenta il correlato neurobiologico del recupero. Inoltre, l'evidenza di una significativa attivazione corticale nelle aree temporo-parieto-occipitale, durante l'ultima sessione, suggerisce uno switch del segnale elettrico dominante verso aree corticali con funzione prevalente cognitiva.

The EEGs in a group of ten subjects with major psychological trauma treated with EMDR and in ten controls have been registered both during the listening of the autobiographical narrative of the index trauma (script) and during a whole EMDR session. The EEGs have been performed again during the last EMDR session when patients were free of symptoms. During script listening a prevalent activation of the limbic regions corresponding to prefrontal and orbitofrontal cortex has been registered, being explained as the emotional arousal during trauma reliving at the symptomatic phase. The significant decrease of such activations during the late asymptomatic phase represents the neurobiological correlate of recovery. Moreover, the evidence of significant cortical activation in the parietal-temporo-occipital areas, during the last session, suggests a switch of the dominant electrical signal towards cortical areas with a prevalent cognitive function.

Keywords: Neurobiology  

Accuracy Verified: Yes


35. Grecchi, A., Grecchi, V., & Beraldo, S. (2008, June). Synergism between EMDR & hypnosis: The role of eye movement. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The aim of this paper is a theoretical and practical treatise on the synergism between hypnosis and EMDR focused on the treatment of Anxiety Disorders such as OCD, Panic Attack and Phobia. The clinical experience of the Authors suggests that the integration of both these approaches can help either the exploration or the processing of the cognitive and emotional dysfunction supporting the psychopathology of the Anxiety Disorders. This happens through the ability of these two techniques either in recovering and amplifing memories (somatic memories too) identified by patients as the mental organization supporting the pathology or in processing, neutralizing and integrating these memories (counscious and unconscious) till the re-equilibration of the dysfunctional behaviour. This process is due to two proceedings: induction of Alterated States of Counsciouseness (ASoC) by hypnotic techniques and the related changing in the psycho-physical disposition rhythm of eye movements (EM). The changing of the rhythm of EM integrated to ASoC has some important purposes: slow EM underline all the main and subordinate elements supporting the pathology these elements can be processed using quick EM till their neutralization alternation of slow EM and hypnotic periods can reequilibrate both the cognitive and the psycho-physical fields. The therapist has to pay attention in order to avoid the bio-electrical interferences occurring during the alternations of these two phases that could damage the therapy. Actually the Authors are assessing this integrative model of therapy.

Keywords: Eye Movement  Hypnosis  

Accuracy Verified: Yes


36. Knipe, J. (2005). Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 189-212). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Most clients who enter therapy do not have a simple problem of a single disturbing memory. More typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also a history of conscious or unconscious choices about how best to soothe, contain, or avoid that disturbance. When the client has a problem that includes positive and negative affective components, we could say (in the language of Shapiro's Adaptive Information Processing Model) that the chain of experiential associations -- the dysfunctionally stored memory network -- has positively valued experience at the entry point into the network and disturbing material at other, less accessible places. Clients often experience this situation as one of conflicting ego states. Specifically, one ego state may be positively emotionally invested in an outcome that is an obstacle to the person's larger life goals. When this happens and the usual EMDR method of targeting negative affect is stalled, it may be useful to target the positive side of the issue, that is, an image that has a positive emotional valence. Such clients are asked to hold in mind the enjoyable aspects of a problematic wish or identity while engaging in Dual Attention Stimulation (DAS). In this way, they can process these positive aspects, "disinvest" from the problem, and go on to resolve the conflict. Several session transcripts illustrate how this approach can work in practice. [Adapted from Text, pp. 189-190]

Keywords: Life Experiences  Psychotherapeutic Processes  Survivors  

Accuracy Verified: Yes


37. Zillhart, P. (2007, Juin). Troubles du comportement alimentaire et EMDR [EMDR and eating behavioral disorders]. Présentation ŕ la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Défaut d’intériorsation des objets dans la théorie des relations objectales ou véritable pathologie de la consommation et du changement au carrefour des domains environnementaux et socio-culturels, les TCA constituent un probleme de santé sociale. Leur nature addictive est discutée.
Le problematique des TCA est rendue plus complexe par l’existence d’une lourde comorbidité dont les éléments pathologiques sont autant causes que conséquences. Notons que 40% des patients souffrant de TCA ont eu, ŕ un moment de leur vie, un psychotraumatisme.
La thérapie EMDR permet une approche intégrative dans le traitement des TCA: un aspect cognitif indéniable, le processus associatif unduit par les stimulations alternées met souvent en lumuiere des matériaux reflétant des conflits intrapsychiques plus ou moins archaiques.
Le travail portant sur l’imagerie mentale ou les états dissociés du moi peut aussi etre associé dans les cas difficiles de patients souffrant de TCA Le présent atelier a pour but :
- D’éclairir les points clef des classifications nosographiques actuelles, notamment dans leur incidence thérapeutique, sans oublier les cas l’urgences.
- De présenter les aspects les plus récents du modčle bio-psychosocial des TCA, véritable clef de voute des interventions thérapeutiques, notommanent concernant la therapie EMDR. La therapie EMDR se veut indvidualisée selon l’histoire de vie de chaque patient.
La connaissance profounde de l’histoire de vie des patients avec leurs thématiques existentielles permet la construction de "clusters" multiples. Ceux-ci offrent un mode d’induction privilégié des processus associatifs de restructuration cognitive, émotionnelle, et corporelle proper ŕ la thérapie EMDR.
- Des protocoles sont proposés selon cas et illustrés par quelques exemples et vignettes cliniques.
- De répondre ŕ un maximum de questions durant l’atelier.

Failure intériorsation objects in the theory of object relations or true pathology of consumption and change at the junction of domains environmental and socio-cultural, the CAW is a social health problem. Their addictive nature is discussed. The problematic CAW is complicated by the existence of a significant comorbidity with pathological elements are all causes than consequences. Note that 40% of patients with ABI had, at some point in their life, a psychological trauma. EMDR allows an integrative approach in the treatment of TCA, a cognitive undeniable, the associative process unduit by alternating stimulation is often lumuiere materials reflecting intrapsychic conflicts more or less archaic. The work on mental imagery or dissociated ego states may also be involved in difficult cases of patients with ABI This workshop aims to: - To explain the key points nosographic current classifications, particularly in their therapeutic effect, without forgetting the emergency cases. - Present the most recent aspects of the biopsychosocial model CAW real keystone of therapeutic interventions notommanent on EMDR therapy. The EMDR therapy is meant indvidualisée by life history of each patient. Profound knowledge of the history of life of patients with their existential issues allows the construction of clusters multiple. They offer a privileged mode of induction of associative processes of cognitive restructuring, emotional, and physical Proper to EMDR. - Protocols are proposed under event and illustrated by some examples and clinical vignettes. - To answer many questions as possible during the workshop.

Keywords: Eating Disorders  

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