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Your Results - you searched for the keyword Blood Phobia, Panic Attacks 341 Results
1. Whisman, M., Bruzzesi, D., Ogren, D., Korn, D., Moore, P., Murphy, J., Hoffman, S., & Rouanzoin, C. (2001, June). "Once upon a trauma in Austin". Skit presented at the annual meeting of the EMDR International Association, Austin, Texas.
Language: English
Format: Other
Abstract:
Cerebella, a gifted facilitators, is teaching a level I training in Austin when fire alarms in the hotel lobby suddenly create fear and panic in our heroine.
Unable to overcome her trauma on her own, she seeks the help of a renknown EMDR therapist, Dr. Bilatera, a senior associate in the Clinical and Research Mental Health Institute of Dewey, Treat Em and Howe.
Narrator - Marcia Whisman,
Amy Glia - Donna Bruzzesi,
Hipo Campia - David Ogren,
Video Cortexa - Debbie Korn,
Anterior Cingulata - Peggy Moore,
Broca Aria - Jerry Murphy,
Prefrona Lobia - Sue Hoffman,
Dr. Bilatera - Curt Rouanzoin, and
Imprimatur - His excellency, the most cerebral Mens Sana
Keywords: Skit
Accuracy Verified: Yes
2. 木津明彦 [Kizu Akihiko]. (1999). パニック障害の統合的治療におけるEMDRの位置づけ [Positioning of EMDR in the integrative treatment of panic disorder]. こころの臨床ア・ラカルト, 18(1), 83-87 [Clinical Psychology: Various Aspects, 18(1), 83-87].
Language: Japanese
Format: Journal
Keywords: Panic Disorder
Accuracy Verified: Yes
3. Dibajnia, P., Reza Zahirodin, A., & Gheidar, Z. (2012). اثر حساسيت زدایي چشمي حرکتي بر اختلال استرس پس از سانحه [Eye-movement desensitization influence on post-traumatic stress disorder]. Pejouhandeh Journal, 16(7), 322-326.
Language: Persian
Format: Journal
Abstract:
چکيده
سابقه و هدف: ا ختلال پس از سانحه ) Post traumatic stress disorder ( با شيوع 5 تاا 15 درصادي در واول زنادگي 3( ماي تواناد
اثرات سوء و زيانباري بر فرد و جامعه وارد كند. پژوهش حاضر با هدف بررسي اثرحساسيت زداياي شایي حركتاي Eye movement desensitization reprocessing ( در كاهش نشانه هاي PTSD در اين دسته از بيیاران انجام شده است.
مواد و روشها: تعداد 13 بيیار مبتلا به PTSD به وور تصادفي انتخاب و بوسيله روش EMDR تحت درماان رارار گرفتناد. اولاعاات
جیعيت شناختي و نوع يادآوري حادثه به وسيله دو پرسشنامه محقق ساخته جیع آوري گرديد. هیچنين ميازان ضاربان رلاف، فشاار
خون و تعداد تنفس اين بيیاران ربل و بعد از EMDR اندازه گيري گرديد. داده هاا باه وسايله نارم افازار SPSS.16 و روشاهاي آمااري
توصيفي و مجذوركا مورد تجزيه و تحليل ررار گرفتند.
یافته ها: 50 % گروه مورد مطالعه در رده سني 19 تا 19 سال ررار دارند و 10 % را زنان تشكيل ميدهند. EMDR به وور باارزي ناوع و
گونگي يادآوري سانحه را تغيير داد. ميزان فشار خون، ضربان رلف و تعداد تنفس به وور معناداري هیراه با يادآوري ساانحه افازايش
Background: The 5% to 25% prevalence of post-traumatic stress disorder (PTSD) during life-time can cause irrefutable
harms an individuals and society. This research carried out to examine; or not eye movement desensitization and reprocessing (EMDR) treatment
can improve PTSD symptoms. Materials and methods: 71 patients (56 females and 15 males) have been selected randomly. Demographic and kind of trauma-reminding
information were collected by two questionnaires. Blood pressure, Heart beating and Breathing numbers before and after EMDR were measured. Data were analyzed by
descriptive statistic and Q2 using SPSS software version 16. Results: 59% of patients were under 20-30 years old. 79% were females. According to the results,
EMDR resulted to significant reduction of trauma reminding. Blood pressure, heart beating and breathing increased by trauma reminding significantly.
Conclusion: EMDR techniques promote improvement of negative symptoms of PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
4. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.
Language: Chinese
Format: Conference
Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)
Keywords: Complication Grief Personality Theory
Accuracy Verified: Yes
5. 有村達之, 高瀬元治, 早川洋, 久保千春 [Arimura Tatsuyuki, Takase Motoharu, Hayakawa Hiroshi, and Kubo Chiharu ]. (2000年6月). 心理的外傷体験にEMDRを用いて改善した二例(パニック) [Two improved cases with EMDR for psychological trauma experience]. 心身医学:日本誌、40(サプリメント)、144 [Japanese Journal of Psychosomatic Medicine, 40(Supplement), 144].
Language: Japanese
Format: Journal
Keywords: Case Study Panic
Accuracy Verified: Yes
6. 仁木 啓介 [Niki Keisuke]. (2006年3月). 痙攣発作とパニック発作を繰り返した解離性同一性障害の症例--観念運動シグナル法を用いて [A patient with dissociative identity disorder who repeatedly developed seizures and panic attacks: use of ideomotor signaling] . 臨床催眠、7、52から58の日本誌 [Japanese Journal of Clinical Hypnosis, 7, 52-58].
Language: Japanese
Format: Journal
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
7. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
陳致豪 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論
Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy
Accuracy Verified: Yes
8. 陳致豪 張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上, 研討會焦慮症:心理素質,調解員和治療問題。 政治大學,台北,台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].
Language: Chinese
Format: Conference
Abstract:
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)
是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力
疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療
效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不
同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除
(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治
療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設
計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名
懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。
在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下
降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速
率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程
分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息
時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀
的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試
者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身
便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可
能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯
著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的
治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出 討論。
[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b)
was initially used to treat post-traumatic stress disorder (PTSD) and later has been
thought to be effective in treating other psychological disorders also. Shapiro
suggested that eye movement procedure could accelerate information processing and
further reduced the client’s anxiety and disturbance. However, psychotherapy
evaluation regarding crucial therapeutic parameters awaits elucidation. This
dismantling study was to investigate the therapeutic effects of eye movement and
positive cognition on phobias. Specifically, via a 2×2 between subject design, with
“eye movement/non eye movement” and “treatment process” being two independent
variables, a total of 40 female university students with fear of cockroaches were
screened and recruited from introductory psychology class to explore the treatment
effect of those two components. The results showed that, according to macro
therapeutic indices, the effect of therapy was significant, and was not significantly
different among groups. As to micro treatment process, while the participants’ SUDs
decreased linearly, and so did the negative cognition VOCs, the positive cognition
VOCs increased linearly only for the eye movement condition. In addition, while for
macro index, the physical index, heart rate, was significantly higher at pre-test than at
baseline and returned to baseline at post-test, the process measures indicated that heart
rate increased during the first treatment stage, returned during rest period, and
increased again during the second treatment stage. According to the micro process,
the results also suggested that when presented with positive cognition participants’
VOCs of positive cognitions increased only for the eye movement condition. As to the
therapeutic effects, although exposure by itself might be effective, eye movement
could further promote participants’ VOCs of positive cognitions at the second
treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups
within one-session therapy, and the superiority of positive cognition installation
remained obscure, which implied that to become obvious more sessions might be
called for. The implications of the present results and further research possibilities are
postulated.]
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium
Accuracy Verified: Yes
9. シャピロ、フランシーヌ [Shapiro, Francine]. (2004). 眼球運動脱感作と再処理:基本的な考え方、プロトコル、および手順 [Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures]. 大阪:Niheisha [Ōsaka: Niheisha].
Language: Japanese
Format: Book
Abstract:
"この雑誌は、この本の初版(1996年世#4頁99〜100)の主要な貢献として賞賛した。この新しい版は大幅に拡大され、更新された、反対の一部の研究者は、EMDRしなければならなかったことは多くを解決。結果は恐怖症の治療に有用な補助ステップバイステップの歴史的、理論的、実用的な導入され、心的外傷後ストレス障害を投稿してください。"-初版臨床老年学者称賛、"この実用的な本が重要であるの決定的なプレゼンテーションとしてEMDR法....臨床医は、その詳細な説明をお迎えいたします....いくつかの事例や五注釈転写物はきれいにし、メソッドの機微を示していますセラピストのクライアントは、ロールを中心に"-現代心理学は"書き込みは一般的には明らかである具体的な手順とサンプルのフレーズを説明するために典型的なケースのイラストでバランスのガイドラインは....利点の説明は特別な注意が、可能性のある副作用の説明で全体のバランスが期待されるセラピストによって使用されるように、困難な集団が発生したと手続きバリエーションは必要ありません。"- プライベート実践心理の"非常に数年間で、EMDRも進められている数多くの追加のアプリケーションとの(心的外傷後ストレス障害のための最も広く研究治療に奇妙な音新技術から成長してきた)....数最近のではなく、説得力のある研究が正当かつ強力な治療法としてEMDR確立している"-専門心理学-レビュー
"This journal praised the first edition of this book (1996 XVI #4, pp. 99-100) as a major contribution. This new edition is greatly expanded and updated, addressing many of the objections that some researchers have had to EMDR. The result is a step-by-step historical, theoretical, practical introduction to a useful adjunct for the treatment of phobia and post traumatic stress disorder."--Clinical Gerontologist PRAISE FOR THE FIRST EDITION "This pragmatic book is important as the definitive presentation of the EMDR method....Clinicians will welcome its detailed explanation....Several case examples and five annotated transcripts nicely illustrate subtleties in the method and the therapist's client-centered role."--Contemporary Psychology "The writing is clear with general guidelines balanced by exemplary case illustrations to illustrate specific procedures and sample phrases to be used by the therapist....The description of the benefits to be expected is balanced throughout by descriptions of the special precautions, possible side effects, difficult populations encountered and procedural variations needed."--Psychotherapy in Private Practice "In a very few years, EMDR has grown from a bizarre sounding new technique to the most extensively researched treatment for PTSD (with numerous additional applications also being pursued)....A number of recent, rather convincing studies have established EMDR as a legitimate and powerful treatment."--Professional Psychology -- Review
Accuracy Verified: Yes
10. 生月 誠 , 田上 不二夫 [Ikezuki Makoto, and Tagami Fujio]. (2003年12月). 視線恐怖の治療メカニズム [Terror mechanism eye treatment]. 教育心理学研究, 51(4), 425-430 [Educational Psychology, 51 (4), 425-430].
Language: Japanese
Format: Journal
Abstract:
本研究では,視線恐怖を主訴とする被験者の,視線恐怖軽減のメカニズムを解明することが目的である。実験1では,言語反復を含むリラクゼーションによる脱感作の手続きを,実験2では,拮抗動作法による脱感作の手続きを用いた。いずれも,自己視線恐怖より,他者視線恐怖の軽減に効果的であり,distractionが視線恐怖軽減の重要な要因となることが示唆された。また,自己視線恐怖は自己の視線に関する独特の認知を伴っ …
In this study, the subjects complained of fear that someone, the goal is to elucidate the mechanism of reduced eye phobia. In Experiment 1, the relaxation process of desensitization by repetitive language, including, in the second experiment, using a desensitization procedure by antagonistic action. Both look over fear, self and others effectively to reduce eye phobia, distraction was suggested to be an important factor in reducing the look of fear. The look of fear on the unique self-awareness accompanied by their own eyes ...
Accuracy Verified: Yes
11. 伊丽 武国城 苏芳 (Yi Li, Wu Guocheng, & Su Fang] (2008, November). 运用EMDR技术治疗恐惧反应案例 [Treatment of Phobic Reaction with the EMDR]. 中国首届心理咨询师大会暨心理危机干预研讨会论文集 [1st Seminar of Psychotherapists and Psychological Intervention in China].
Language: Chinese
Format: Conference
Keywords: Phobia
Accuracy Verified: Yes
12. Βεντουράτου, Δ. [Ventouratos, D.] (2004. Μιά νέα ελπίδα για τη θεραπεία ψυχικών τραυμάτων [A new hope for treating trauma]. Αθήνα, Ελλάδα Ελευθεροτυπία [Athens, Greece: Free Press][3 pages].
Language: Greek
Format: Other
Abstract:
Μια νεαρή γυναίκα, η Μαρία, δέκα εβδομάδες μετά από να υποστεί μια συντριβή αυτοκινήτων από τους ισχυρούς πονοκεφάλους και πόνους στο λαιμό. Οι δοκιμές, όμως έδειξε ότι δεν υπάρχει καμία οργανική βλάβη. τρομάζει εύκολα, ειδικά όταν είναι σε ένα αυτοκίνητο (φοβάται xanaodigisei μετά το ατύχημα). Η ξαφνική ήχος της κόρνας του προκαλεί πανικό. Όπως μπορεί να αποφύγει να βγουν στον δρόμο, ακόμη και τα πόδια της κυκλοφορίας. Η νύχτα ξυπνά μούσκεμα στον ιδρώτα, ενώ οι εικόνες από ατύχημα δεν τους αφήσουμε να κοιμηθεί. Αισθάνεται ένοχος και κατηγορεί τον εαυτό της ότι δεν ήταν αρκετά προσεκτικοί (από τη σύγκρουση τραυματίστηκαν ο οδηγός του άλλου αυτοκινήτου), επειδή δεν είναι σε θέση να θυμηθεί τι ακριβώς συνέβη. Η οικογένεια θεωρεί αλλάξει, είναι μελαγχολική και κλεισμένη στον εαυτό της.
A young woman, Mary, ten weeks after suffering an automobile
crash from strong headaches and neck pain. The tests, however,
showed that there is no organic lesion. frightens easily, especially when it is
in a car (she is afraid xanaodigisei after the accident). The sudden
sound of a horn of causing panic. As can avoid to go out on road
even foot traffic. The night awakens soaked in sweat, while images from
accident did not let them sleep. He feels guilty and blames herself that
was not careful enough (from the collision injured the driver of the other
car), because they are not able to remember exactly what happened. The
family finds it changed, it is melancholy and closed in on itself.
Keywords: Trauma
Accuracy Verified: Yes
13. 飯森 洋史 [Iimori Hiroshi]. (2009年6月). 12-092 EMDRにより短期間で軽快した広場恐怖を伴うパニック障害の一例 [12-092 EMDR cases of agoraphobia with panic disorder were accompanied by light in a short period. (精神科2、一般演題(ポスター発表)、近未来医療を担う心身医学、第1回日本心身医学5学会合同集会)(Psychiatry II, general abstracts (Poster), psychosomatic medicine responsible for the near future. Kickoff Meeting the 5th Congress of Japan Society of Psychosomatic Medicine)]; 心身医学:日本誌、49(6)、580 [Japanese Journal of Psychosomatic Medicine, 49(6), 580] .
Language: Japanese
Format: Journal
Keywords: Agoraphobia Panic Disorder Poster
Accuracy Verified: Yes
14. 手代木 君枝, 古暮 恒夫 [Tshirogi Kimie, & Kogure Tsuneo]. (1999年6月). 15. EMDRが奏効した片頭痛発作に伴ったトイレ恐怖症の1例(第43回 日本心身医学会東北地方会 演題抄録) [A case of toilet phobia accompanied with a migraine attack successfuly treated by EMDR](Meeting Abstracts: the 43rd Tohoku Regional meeting of the Japanese Society of Psychosomatic Medicine)]. 心身医学、日本の学会誌39(5)、398 [Japanese Journal of Psychosomatic Medicine, 39(5), 398].
Language: Japanese
Format: Journal
Keywords: Migraines Toilet Phobia
Accuracy Verified: Yes
15. Amano, T., Selyama, A., & Toichi M. (2012, June). The activity of the brain cortex measured by NIRS during EMDR session of phantom limb pain [La actividad del cortex cerebral medida por espectroscopía casi infrarroja (NIRS) durante una sesión de EMDR en Dolor de Miembro Fantasma]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
We are reporting the case of
a
female
patient
with
severe
chronic
pain,
which
was
successfully
treated
applying
a
phantom
limb
pain
(PLP)
protocol
of
the
Eye
Movement
Desensitization
and
Reprocessing
(EMDR).
The
patient
is
a
seventy-‐
year-‐old
female,
who
suffered
from
paralysis
in
the
left
lower
limb
due
to
an
accident
during
an
orthopedic
operation
for
herniated
disc.
After
the
operation,
she
began
to
experience
sharp
pain
in
the
paralyzed
limb,
and
neither
nerve
blocks
nor
trials
of
medicine
were
effective
for
this
pain.
It
continued
for
8
years
until
a
PLP
protocol
was
applied.
During
the
sessions
of
the
protocol,
her
sharp
pain
gradually
diminished
and
virtually
disappeared
at
the
end
of
the
EMDR
sessions.
A
follow-‐up
interview,
held
three
years
after
the
sessions,
confirmed
no
recurrence.
The
study
was
designed
to
examine
the
changes
of
frontal
and
temporal
cortices
in
the
blood
flow
in
brain
by
NIRS
during
sessions
of
EMDR.
During
the
recall
of
her
trauma-‐related
events,
her
heart
rate
and
the
blood
flow
increased
in
the
area
of
the
right
superior
temporal
sulcus.
Eye
movement
with
the
recall
of
traumatic
events
leads
to
a
generalized
decrease
in
brain
blood
flow.
The
results
suggest
that
a
PLP
protocol
may
be
an
effective
option
for
the
treatment
of
chronic
pain.
It
is
probably
because
the
technique,
which
is
effective
for
post-‐traumatic
stress
disorder,
can
potentially
dissolve
traumatic
pain
memory.
The
findings
on
blood
flow
seem
to
suggest
that
EMDR
is
effective
in
treating
PTSD
by
normalizing
excessive
cerebral
activation,
particularly
in
the
right
hemisphere,
which
is
related
to
the
memory
of
trauma.
Presentamos
el
caso
de
una
mujer
con
dolor
crónico
severo
tratado
con
éxito
mediante
un
protocolo
de
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
para
dolor
de
miembro
fantasma
(DMF).
Se
trata
de
una
mujer
de
setenta
y
dos
años
de
edad
que
sufría
una
parálisis
en
la
extremidad
inferior
izquierda
debido
a
un
accidente
durante
una
intervención
quirúrgica
ortopédica
por
una
hernia
discal.
Tras
la
operación,
empezó
a
experimentar
un
dolor
agudo
en
el
miembro
paralizado;
ni
los
bloqueos
nerviosos
regionales
ni
las
pruebas
con
fármacos
fueron
eficaces
para
tratar
su
dolor.
Así
siguió
durante
8
años
hasta
la
aplicación
de
un
protocolo
para
el
tratamiento
del
DMF.
Durante
las
sesiones
en
las
que
se
seguía
el
protocolo,
el
dolor
agudo
que
sufría
disminuía
progresivamente
y
desaparición
por
completo
al
finalizar
las
sesiones
de
EMDR.
Durante
una
entrevista
de
seguimiento
a
los
tres
años
se
confirmó
la
ausencia
de
una
recurrencia
del
dolor.
Se
diseñó
el
estudio
para
examinar
los
cambios
del
flujo
sanguíneo
cerebral
en
las
cortezas
frontal
y
temporal
mediante
NIRS
en
las
sesiones
de
EMDR.
Durante
el
recuerdo
de
los
eventos
relacionados
con
el
trauma,
se
aumentó
la
frecuencia
cardiaca
y
el
flujo
sanguíneo
en
el
área
del
sulco
temporal
superior
derecho.
Los
movimientos
oculares
que
se
producen
con
el
recuerdo
de
los
eventos
traumáticos
conlleva
una
disminución
generalizada
del
flujo
sanguíneo
al
cerebro.
Los
resultados
sugieren
que
un
protocolo
específico
para
DMF
puede
representar
una
alternativa
efectiva
para
el
tratamiento
del
dolor
crónico.
Probablemente
se
debe
a
que
esta
técnica
que
es
efectiva
en
el
trastorno
por
estrés
post-‐traumático,
tiene
el
potencial
de
disolver
el
recuerdo
del
dolor
traumático.
Los
hallazgos
sobre
el
flujo
sanguíneo
parecen
sugerir
que
EMDR
es
efectivo
en
el
tratamiento
del
TEPT
al
normalizar
la
activación
cerebral
excesiva,
sobre
todo
en
el
hemisferio
derecho,
que
guarda
relación
con
el
recuerdo
del
trauma.
Keywords: Brain Cortex NIRS Phantom Limb Pain
Accuracy Verified: Yes
16. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
17. Leeds, A. (2012, June). Affect phobias in EMDR therapy - developing affect tolerance capacities in client and clinician [Fobias afectivas en la terapia con EMDR -‐ El desarrollo de habilidades para la tolerancia afectiva en el cliente y el clínico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Affect phobias may also be described as psychodynamic or dissociative
defenses or as ego state conflicts. When patients present with affect phobias and
fail to progress with standard EMDR procedural interventions, EMDR therapy can
still be effective when clinicians have the conceptual knowledge and perceptual
skills to recognize these defenses, and when they can make use of a flexible set of
advanced EMDR procedural stills for responding. EMDR trained clinicians must
also confront their own affect phobias and psychodynamic conflicts as they
experience a range of responses to their work with patients including
countertransference and vicarious traumatization that can disrupt their ability to
make use of their conceptual, perceptual and procedural knowledge and skills.
This presentation provides an overview of concepts from Short-Term Dynamic
Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural
Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and
identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b,
2010c), Mosquera (2010, 2011), Mosquera and Gonzalez (2010), and Leeds
(2001), which clinicians can employ with cases involving affect phobia. We will
also consider how clinicians can be sensitive to and mitigate the potential impact
of their own affect phobias in their clinical work.
Las
fobias
al
afecto
también
se
pueden
describir
como
defensas
psicodinámicas,
disociativas
ó
como
conflictos
del
estado
del
yo.
Cuando
los
pacientes
presentan
fobias
al
afecto
y
no
avanzan
con
las
intervenciones
siguiendo
los
procedimientos
de
EMDR
habituales,
EMDR
aún
puede
ser
efectivo
cuando
los
clínicos
gozan
del
conocimiento
conceptual,
así
como
las
habilidades
perceptivas
para
reconocer
dichas
defensas
y
cuándo
puede
servirse
de
un
conjunto
flexible
de
habilidades
de
procedimiento
de
EMDR
para
responder
[ante
ellas].
Los
clínicos
formados
en
el
uso
de
EMDR
también
han
de
afrontar
sus
propias
fobias
y
conflictos
psicodinámicos
a
medida
que
pasen
por
una
variedad
de
respuestas
a
su
trabajo
con
pacientes,
incluidas
la
contra-‐transferencia
y
la
traumatización
indirecta
que
pueden
perturbar
su
capacidad
para
aprovechar
sus
conocimientos
y
habilidades
conceptuales,
perceptivos
y
habilidades.
La
presente
ponencia
ofrece
una
visión
del
conjunto
de
los
conceptos
de
Short-‐Term
Dynamic
Psychotherapy
(STDP:
McCullough,
1997,
2003)
[psicoterapia
dinámica
breve]
y
de
Theory
of
Structural
Dissociation
of
the
Personality
(TSDP:
van
der
Hart,
Nijenhuis
&
Steele,
2006)
[teoría
de
la
disociación
estructural
de
la
personalidad]
e
identifica
procedimientos
de
Knipe
(1999,
2003,
2005,
2008,
2009,
2010a,
2010b,
2010c),
Mosquera
(2010,
2011),
Mosquera
y
Gonzalez
(2010)
y
Leeds
(2001)
que
pueden
aplicar
los
clínicos
en
casos
de
fobia
al
afecto.
También
se
contemplará
cómo
los
clínicos
pueden
estar
sensibles
ante
el
impacto
potencial
de
sus
propias
fobias
al
afecto
y
cómo
mitigarlo
en
su
trabajo
clínico.
Keywords: Affect Phobias
Accuracy Verified: Yes
18. Solvey, P., & Ferrazzano de Solvey, R. C. (2006, January 2). Algunas fobias...¿Algunos traumas? - Segunda Parte [Some phobias...some traumas - Part 2]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=542/8/2009.
Language: Spanish
Format: Other
Abstract:
Este artículo postula una relación unívoca, causa efecto entre la existencia de un trauma y la aparición posterior de una fobia. Estos traumas pueden ser de distinta naturaleza, pueden ser recordados y relacionados con la fobia, recordados y no relacionados con la fobia, olvidados y cuyo recuerdo emerge con las técnicas de avanzada, y traumas perinatales, cuyo recuerdo también puede emerger durante el reprocesamiento de la fobia. Se incluye una casuística de ejemplos clínicos, complementando la parte teórica de este trabajo, que postula una función de evolución adaptativa para las fobias.
This article posits a unilinear relation cause-effect relationship between the existence of a trauma and the subsequent appearance of a phobia. These traumas can be of different nature, can be remembered and associated with the phobia, remembered and not related to the phobia, forgotten and whose memory emerges with advanced techniques, and perinatal trauma, the memory may also emerge during the reprocessing of phobia. It includes a case series of clinical examples, complementing the theoretical part of this work, we hypothesize a role of adaptive evolution for phobias.
Accuracy Verified: Yes
19. Solvey, P., & Ferrazzano de Solvey, R. C. (2006, January 3). Algunas fobias...¿algunos traumas? [Some phobias...some traumas?]. DePsicoterapias S.R.L. Retrieved from ://translate.google.com/translate?hl=en&sl=es&u=http://www.depsicoterapias.com/articulo.asp%3FIdArticulo%3D54&ei=jV-zS9rxA4aKlwfm1_m7BA&sa=X&oi=translate&ct=result&resnum=1&ved=0CA0Q7gEwAA&prev=/search%3Fq%3DAlgunas%2Bfobias...%25C3%2582%25C2%25BFalgunos%2Btraumas%253F%26hl%3Den%26rlz%3D1T4SNNT_enUS353US354 3/12/2006.
Language: Spanish
Format: Other
Abstract:
Este artículo postula una relación unívoca, causa efecto entre la existencia de un trauma y la aparición posterior de una fobia. Estos traumas pueden ser de distinta naturaleza, pueden ser recordados y relacionados con la fobia, recordados y no relacionados con la fobia, olvidados y cuyo recuerdo emerge con las técnicas de avanzada, y traumas perinatales, cuyo recuerdo también puede emerger durante el reprocesamiento de la fobia. Se incluye una casuística de ejemplos clínicos, complementando la parte teórica de este trabajo , que postula una función de evolución adaptativa para las fobias.
This article posits a unilinear relation cause-effect relationship between the existence of a trauma and the subsequent appearance of a phobia. These traumas can be of different nature, can be remembered and associated with the phobia, remembered and not related to the phobia, forgotten and whose memory emerges with advanced techniques, and perinatal trauma, the memory may also emerge during the reprocessing of phobia. It includes a case series of clinical examples, complementing the theoretical part of this work, we hypothesize a role of adaptive evolution for phobias.
Accuracy Verified: Yes
20. Sukirna, S. (2010, July). Alleviating physical tension and pain using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract: This paper describes the utilization of EMDR for physical pain and tension suffered by three tsunami survivors. Physical pain can be conceptualized as caused by trauma, a reaction to trauma, may be exacerbated by trauma or a cause of trauma. Even if it is purely physical, pain apparently impacts psychological aspect of a person e.g. emotion, cognition. EMDR was used to process physical pain due to motorbike accidents and severe headache that presumably related to high blood pressure or sun stroke. During desensitization phase the patients focused mainly on their pain or part of the body that was dysfunctional, while simultaneously attended to the sensation of tapping. All of the patients admitted that the pain were completely alleviated and positive change of cognition occurred after one session of 25-35 minute (desensitization phase with tapping) EMDR. The effect of these one-session EMDR treatments on those patients maintained for months later.
Keywords: Pain Physical Tension
Accuracy Verified: Yes
21. Leeuwenkamp, J. (2005). Als tijd niet heelt [If time does not heal]. Beter, 5, 58-59,61.
Language: Dutch
Format: Magazine
Abstract:
Tijd heelt niet alle wonden. De moeder die haar eigen kidn zag voronglukken. Het kind dat meerdeere malen s misbruikt. Het moment dat de overvaller de een mes op de keel drukte. Herinneringen die zo anstaanjagend of verdrietig zijn, dat ze j eleven depalen. De radeloze angst, woede, paniek, het blokkeert je voledig. Geen therapie die helpt. Of toch wel? Over een methode waarbij het verdriet blijft, maar de klachten verdwijnen.
Time heals all wounds is not. The mother saw her own kidn voronglukken. The child s more deere times abused. When the robber of a knife pressed to the throat. Memories so anstaanjagend or sad, they j depalen Eleven. The desperate anxiety, anger, panic, it blocks your full dot LDC. No therapy helps. Or is it? A method whereby the grief remains, but the symptoms disappear.
Accuracy Verified: Yes
22. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.
Language: English
Format: Book Section
Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]
Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness
Accuracy Verified: Yes
23. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.
Language: French
Format: Journal
Abstract:
L'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé
The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]
Keywords: Brief Therapy Clinical Case Study Sexotherapy Sexual Trauma
Accuracy Verified: Yes
24. de Jongh, A. (1999, June). The application of EMDR in the treatment of specific phobias. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will 1) gain an understanding of when and how to apply the phobia protocol; and 2) learn to integrate the use of adaptive coping skills and exposure techniques into their EMDR work with phobic individuals.
Keywords: Phobias
Accuracy Verified: Yes
25. Cocco, N. (1995, June). Applications of EMDR to children: EMDR in the treatment of darkness phobia in children. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR in the treatment of darkness phobia in children:
1. Overview of Darkness Phobia:
A. Assessment of Childhood Phobias;
B. Definition;
C. Prevalence;
D. Consequences.
2. Treatment Literature on Darkness Phobia:
A. Invivo Exposure;
B. Imaginal Desensitization;
C. Modeling Symbolic and Participant;
D. Coping Self Talk;
E. Emotive Imagery.
3. [Preliminary Data on Controlled Comparison Between Emotive Imagery and EMDR:
A. Aims of Study;
B. Method: Subject,
Design,
Procedure: Assessment, Treatment Protocols;
C. Results;
D. Discussion.
4. EMDR Protocol:
A. Assessment of Darkness Phobia;
B. Hero Interview;
C. EMDR Target Selection;
D. Fantasy Based Cognitive Interweave:
Linking Cues/Cognition/Affect Superheros to Change Cognition and Affect.]
Keywords: Children Darkness Phobia
Accuracy Verified: Yes
26. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
27. De Marco, A. (2008, Novembre). Applicazione dell’EMDR nel lutto complicate-resoconto di un caso clinico [Application EMDR in complicated grief-reporting of clinical case]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’articolo si propone di evidenziare l’efficacia dell’EMDR nei casi di lutto, in particolare quando questo evento implica un trauma psicologico, che interferisce con il normale processo di elaborazione della perdita. Si delinea allora una situazione definita “lutto complicato o traumatico”, che determina una elaborazione complessa dell’evento luttuoso bloccandone la sua risoluzione.
Una perdita traumatica sconvolge le capacità di coping della persona e pregiudica le sue facoltà di adattamento, aumentando il disagio e complicando l’elaborazione dell’evento.
Laddove il lutto acuto è dominato dal trauma, l’impiego dell’EMDR facilita il passaggio il passaggio attraverso le varie fasi dell’elaborazione del lutto e favorisce l’assimilazione e l’adattamento alla perdita.
Ad illustrare quanto enunciato dal punto di vista teorico viene presentato un caso clinico, nel quale un lutto complicato, strettamente connesso a sintomi depressivi, viene sbloccato e ricondotto ad un normale processo di elaborazione grazie all’applicazione dell’EMDR su un solo targhet specifico.
La paziente, una giovane donna di 24 anni, presentava un disturbo distimico di gravità moderata, con spunti ansiosi. Non prendeva psicofarmaci. Qualche anno prima le era stato diagnosticato un disturbo di panico con agorafobia e aveva assunto Lexotan per un certo periodo.
Sono stati somministrati appositi test psicologici, all’inizio e al termine della terapia finalizzata all’elaborazione del lutto. Un altro re-test è stato fatto a distanza di un anno circa.
The article aims to highlight the effectiveness of EMDR in cases of bereavement, particularly when this event involves a psychological trauma, which interferes with the normal process of elaboration of the loss. It then outlines a situation as "complicated grief or traumatic, determines a complex event processing mournful blocking its resolution. A traumatic loss upsets the coping skills of the person and impairs his ability to adaptation, increasing the discomfort and complicating the development of the event.
where the mourning is dominated by acute trauma, the use EMDR facilitates the passage through the various stages of mourning and promotes assimilation and adaptation to loss.
Illustrate what is stated by the theoretical point of view is presented a clinical case in which a complicated grief, which is closely linked to depressive symptoms, is unlocked and returned to a normal process by applying EMDR on one target specific. The patient, a young woman of 24 years, had a dysthymic disorder of moderate severity, with ideas anxious. Not taking psychotropic drugs. A few years earlier had been diagnosed with panic disorder with agoraphobia and had taken Lexotan for a certain period. Appropriate psychological tests were administered at the beginning and end of therapy aimed elaboration of mourning. Another re-test was done at a distance of about one year.
Keywords: Complicated Grief Poster
Accuracy Verified: Yes
28. de Jongh, A., ten Broeke, E., & Meijer, S. (2011). Approche des deux méthodes: Un modèle de conceptualisation de cas dans le contexte de l’EMDR. Journal of EMDR Practice and Research, 4(1), 12–21. doi:10.1891/1933-3196.5.1.E12.
Language: French
Format: Journal
Abstract:
Cet article décrit un modèle complet qui permet d’identifier des souvenirs cibles essentiels pour le traitement
EMDR. L’“Approche des deux méthodes” peut s’appliquer à la conceptualisation et à la réalisation
du traitement pour une large gamme de symptômes et de problèmes autres que ceux qui sont directement
en lien avec l’ESPT. Le modèle se compose de deux types de conceptualisation de cas. La Première
méthode s’applique aux symptômes permettant de préciser de manière significative les événements
étiologiques ou aggravants sur une ligne du temps. Elle est principalement destinée à la conceptualisation
et au traitement de troubles de l’Axe I du DSM-IV-TR. La Seconde méthode est utilisée pour identifier
les souvenirs qui sous-tendent les croyances fondamentales dysfonctionnelles. Cette méthode est
principalement destinée à traiter les formes plus graves de psychopathologie, comme la phobie sociale
sévère, l’ESPT complexe ou les troubles de la personnalité. Les deux méthodes de conceptualisation de
cas sont expliquées point par point, en détail, et sont illustrées par des exemples de cas.
This article describes a comprehensive model that identifies key target of memories for the treatment
EMDR. The "approach of the two methods " can be applied to the conceptualization and implementation
treatment for a wide range of symptoms and problems other than those directly
related PTSD. The model consists of two types of case conceptualization. First
method applies to specific symptoms for significantly Events
causative or aggravating on a timeline. It is mainly intended for the conceptualization
and treatment of disorders of Axis I DSM-IV-TR. The second method is used to identify
memories that underlie dysfunctional core beliefs. This method is
primarily intended to address the more serious forms of psychopathology such as social phobia
severe complex PTSD or personality disorders. Both methods of conceptualizing
cases are explained point by point in detail and are illustrated by case examples.
Keywords: Case Conceptualization Model
Accuracy Verified: Yes
29. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.
Language: English
Format: Journal
Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.
Keywords: Phobias
Accuracy Verified: Yes
30. Wilson, D. L., & Covi, W. (1991, December). Autonomic correlates of EMDR. EMDR Network Newsletter, 1(2), 6.
Language: English
Format: Newsletter
Abstract:
The purpose of this study was to identify autonomic correlates of EMDR as sampled by common measures of physiological
functioning: respiration, heart rate,
blood pressure, and the galvanic skin response.
Keywords: Autonomic Correlates
Accuracy Verified: Yes
31. Nagle, A. (1998, October 29). Before your panic, try checking out a self-help book: Authors offer some ideas for transforming anxiety and changing your life. Syracuse, NY: The Post-Standard, Final, Neighbors Northwest, 38.
Language: English
Format: Newspaper
Abstract:
EMDR," by Francine Shapiro and Margot Silk Forrest, focuses on Eye Movement Desensitization and Reprocessing therapy, described by the authors as a breakthrough therapy for overcoming anxiety, stress and trauma.
Keywords: General Overview Syracuse
Accuracy Verified: No
32. Mevissen, L., & Lievegoed, R. (2011, April). Behandeling van tandartsfobie bij een niet sprekend kind met pre-verbaal medisch trauma [Treatment of dental phobia in a non-speaking child with pre-verbal trauma medical]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop staat de behandeling van een 5-jarig jongetje met extreme tandartsangst centraal. Er is sprake van een genetisch bepaalde overgevoeligheid van het mondgebied. Het patientje krijgt zijn dagelijkse voeding voornamelijk via een sonde. De oorsprong van de angst wordt toegeschreven aan pré-verbaal medisch trauma. Aan de hand van videobeelden worden zowel casusconceptualisatie, verloop van de behandeling als de effecten in de tandartskamer geïllustreerd. De complexe gehechtheidsrelatie is in de problematiek verweven; de behandeling daarvan wordt eveneens belicht.
In this workshop the treatment of a 5-year-old boy with extreme dental fear central. There is a genetically determined hypersensitivity of the mouth area. The young patient gets his daily diet primarily through a tube. The origin of fear is attributed to pre-verbal medical trauma. Using both video conceptualization, course of treatment if the effects illustrated in the dental room. The complex is in the attachment relationship issues intertwined their treatment is also highlighted.
Keywords: Dental Phobia Mutism Pre-Verbal Trauma
Accuracy Verified: Yes
33. von Knorring, L., Thelander, S., & Pettersson, A. (2005, November 21-27). Behandling av angestsyndrom. En systematisklitteraturaversikt. SBUs sammanfattning och slutsatser [Treatment of anxiety syndrome: A systematic literature review. Summary and conclusions by the SBU]. Lakartidningen , 102(47), 3561-3562, 3565-3566, 3569.
Language: Swedish
Format: Journal
Abstract:
En rapport från det svenska rådet för medicinsk utvärdering (SBU) har gått igenom, klassificeras och utvärderas den vetenskapliga litteraturen om behandling av panik-syndrom, specifika fobier, social fobi, tvångssyndrom syndrom (OCD), generaliserat ångestsyndrom (GAD) och posttraumatiskt stressyndrom (PTSD). Översynen ingår behandling av barn, ungdomar och vuxna. Rapportens slutsats är att det finns effektiv behandling tillgänglig för alla ångest syndrom. Men i allmänhet, är effekten ofta måttliga och symtomen återkommer när behandlingen perioden avbryts. För vuxna, stödjer vetenskapliga bevis användning av paroxetin och sertralin för alla syndrom utom specifika fobier. För övriga SSRI-preparat Det finns också bevis för användning av Fluoxetin i OCD och PTSD, för fluvoxamin i social fobi och tvångssyndrom och för escitalopram i social fobi. Andra antidepressiva läkemedel med ett starkt vetenskapligt stöd är venlafaxin i social fobi och GAD, imipramin i panik syndrom och chlomipramine i panik syndrom och tvångssyndrom. Bland de psykologiska behandlingar, det finns vetenskapliga bevis för kognitiv beteendeterapi (KBT) för behandling av panik-syndrom, specifika fobier, social fobi, PTSD och GAD. Exponering, med eller utan andra psykoterapeutiska interventioner har vetenskapligt stöd för effekt vid paniksyndrom (både i termer av antalet panikattacker och agorafobi för), specifika fobier, tvångssyndrom och PTSD. Användning av ögonrörelser desensibilisering och upparbetning (EMDR) har vetenskapligt stöd för behandling av PTSD.
A report by the Swedish Council on Technology Assessment in Health Care (SBU) has reviewed, classified and evaluated the scientific literature on treatment of panic syndrome, specific phobias, social phobia, obsessive-compulsive syndrome (OCD), generalized anxiety syndrome (GAD) and post-traumatic stress disorder (PTSD). The review included treatment of children, adolescents and adults. The report concludes that there is effective treatment available for all anxiety syndromes. However in general, the effect is often moderate and symptoms reappear when the treatment period is discontinued. For adults, scientific evidence supports the use of paroxetine and sertraline for all syndromes except specific phobias. For the other SSRI's there is also evidence for the use of fluoxetin in OCD and PTSD, for fluvoxamine in social phobia and OCD and for escitalopram in social phobia. Other antidepressant drugs with a strong scientific support is venlafaxin in social phobia and GAD, imipramin in panic syndrome and chlomipramine in panic syndrome and OCD. Among psychological treatments, there is scientific evidence for cognitive behavior therapy (CBT) for treatment of panic syndrome, specific phobias, social phobia, PTSD and GAD. Exposure, with or without other psychotherapeutic interventions, has scientific support for efficacy in panic disorder (both in terms of number of panic attacks and for agoraphobia), specific phobias, OCD and PTSD. Use of eye movement desensitization and reprocessing (EMDR) has scientific support for treatment of PTSD.
Keywords: Review
Accuracy Verified: Yes
34. 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. doi:10.1007/s00399-011-0148-8.
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
35. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized
history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the
“Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each
other in working with complex bereavement. The Presentation outlines the conceptualization of the case based
on this theory, the working process and milestones. As the individual grieves, various levels of structural
dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts
of the Personality”. The working procedures within the EMDR framework involve processing materials from
different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia,
anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment,
traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]
Keywords: Dissociation Personality Theory Poster
Accuracy Verified: Yes
36. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
37. Pagani, M., Salmaso, D., Looi, J., & Hogberg, G. (2008, June). Brain functional and volumetric analyses post traumatic stress disorder treated by EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Neuro-imaging investigations in PTSD have reported findings for either functional or structural modifications.
Only two studies have investigated the changes in cerebral blood flow (CBF) following EMDR therapy and one
single-patient study recently reported EMDR-related structural changes. The aim of this study was to analyse the
structural and functional changes occurring in brain regions implicated in the patho-physiology of PTSD along
with the impact on CBF and volumetric data after EMDR treatment. Thirty six train drivers having being exposed
to traumatic experiences at work were assigned to different two groups: symptomatic (S, n=17) or nonsymptomatic
(NS, n=19), according to PTSD diagnosis. SPECT, following administration of an individualised
35
trauma script, and MRI were performed and EMDR therapy was administered to S. According to EMDR outcome S
were further subdivided in responders (R, n=11) and non-responders (NS, n=5). One patient was not treated. CBF
and volumetric analyses were performed on temporal lobes, hippocampi and nuclei caudati. ANOVA showed a
significantly higher CBF distribution in the left temporal lobe of S as compared to NS and the right nc.caudatus
was significantly larger in S. The R group had larger hippocampi and nc.caudati as compared to NR and the size of
hippocampi correctly identified 81% of R and NR. The increased left temporal lobe CBF distribution among
symptomatic PTSD subjects may reflect the affective significance of higher effort in emotional episodic memory
stimulation among symptomatic individuals. Hippocampi volume as measured before EMDR was shown to
predict with high accuracy the therapy outcome.
Keywords: Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
38. Rossello-Mir, J., Revert-Vidal, X., Obrador, P., & Cardell, E. (2007, June). Brief EMDR protocol versus bilateral stimulation in the treatment of spider phobia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR, that includes bilateral stimulation, causes the desensitization and reprocessing of traumatic memories, thus reducing anxiety, distress, fear, and other symptoms related with several anxiety disorders. Previous results show it is effective in reducing symptoms of PTSD, panic disorder, public speaking anxiety, etc. Relying on some previous results we think that a brief EMDR protocol could be applied to relieve symptoms of specific phobias.
To investigate this issue, we study the efficacy of a new brief EMDR protocol in the treatment of spider phobia. Furthermore, our design tries to clarify the controversy about which components of the EMDR procedure are relevant for patient’s improvement. More specifically, we compare the effectiveness of our brief procedures with that of simple bilateral stimulation that is, without eye movements, which necessity to obtain therapeutic outcome has been questioned.
We randomly assign twenty volunteers, female university students with spider phobia to one of three groups. We applied the brief EMDR protocol to the first one and bilateral stimulation to the second one, being the third group the control one. To assess the effectiveness of both treatments, in addition to apply traditional questionnaires, we designed a specific emotional Stroop task in order to make use of this tool to evaluate, before and after each treatment, the selective attentional biases, that seem to play an important role in the etiology and maintenance of anxiety disorders. We discuss the differences found in our results in reference to the controversy aforementioned and how they can help to understand the EMDR mechanism of action.
Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia
Accuracy Verified: Yes
39. Khift, R. N. (1994). Building upon our foundations. Dissociation, 7(2), 79-80.
Language: English
Format: Journal
Abstract:
It is easy to become demoralized in the face of repeated
assaults on the credibility and legitimacy of our patients,
our patients' given histories and allegations of mistreatment,
and the very conditions that they suffer. As clinicians and
scientific investigators working with trauma victims and dissociative
disorder patients, we have found it difficult to withstand
withering and venomous attacks upon our professions,
our motivations, and ourselves as individuals. Although there
have been some notable exceptions, the last several months
have been remarkable for the video and print media' s love
affair with those who protest the veracity of allegations of
childhood mistreatment, and their willingness to promulgate
polarized negative representations of those who allege
childhood mistreatment and those who treat them. Since
the New Year, I have been interviewed by a large number of
reporters and journalists. Only two diverged from a rather
stereotyped and weary script in which the legitimacy of the
perspective of the False Memory Syndrome Foundation was
assumed, and this assumption colored the majority of the
dialog that transpired. I strongly suspect that matters will
get worse before they improve.
Keywords: Editorial
Accuracy Verified: Yes
40. Feske, U., & Goldstein, A. J. (1998). Can EMDR be used to treat panic disorder?. Clinician's Research Digest, 16(5), 3.
Language: English
Format: Newsletter
Abstract: 43 outpatients with DSM-III-R panic disorder were randomly assigned to receive 6 sessions of eye movement desensitization and reprocessing (EMDR), the same treatment but omitting the eye movement, or to a waiting list. Posttest comparisons showed EMDR to be more effective in alleviating panic and panic-related symptoms than the waiting-list procedure. Compared with the same treatment without the eye movement, EMDR led to greater improvement on 2 of 5 primary outcome measures at posttest. However, EMDR's advantages had dissipated 3 months after treatment, thereby failing to firmly support the usefulness of the eye movement component in EMDR treatment for panic disorder. [Author Abstract].
Examined whether eye movement desensitization and reprocessing can be used to treat panic disorder. This research appeared in Journal of Consulting and Clinical Psychology, 65, 1026-1035.
Keywords: Panic Disorder
Accuracy Verified: Yes
41. Campbell-Beattie, J. (2002, May). Case presentation: "Swimming/fish phobia" - A single session case using an abbreviated EMDR protocol . The EMDR Practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
I have been using a short EMDR session along the same protocol lines as Parnell(1999),
being less pedantic about the ordered protocol set-up.
While the patient tells me about self and their issues, I consider the necessary approach.
In this case the value of EMDR, and a focus on what is needed for it to work best.
Working within a 40 minute time limit window some direct questioning is usually
necessary to focus the patient's attention.
Keywords: Fish Phobia Swimming Phobia
Accuracy Verified: Yes
42. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.
Language: English
Format: Journal
Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.
Keywords: Korea Psychiatric Patients
Accuracy Verified: Yes
43. Mendoza-Weitman, L. (1992, May). Case study. EMDR Network Newsletter, 2(1), 11-12.
Language: English
Format: Newsletter
Abstract:
A ten year-old Hispanic boy was referred
by his mother for outpatient
psychotherapy. The mother described
her son as having been depressed
since the father abandoned
the family over five years ago. The
depression was now worsening, although
the mother could not identify
any new stressors. The boy was described
as having little or no interest
in pleasurable activities, doing poorly
academically, experiencing significant
weight loss, panicking each
morning about leaving home for
school, complaining of stomachaches
every morning, and having sad affect.
Additionally, the mother was
distressed that the boy had an intense
phobia of eating in public and refused to do so. He complained of
"picturing vomit" each time he tried
to eat. The boy's stated goal of treatment
was "to stop thinking about
throwing up." He also asked for help
" to not feel sick every morning, even
though I'm not really sick."
Keywords: Case Study Throwing Up Vomiting
Accuracy Verified: Yes
44. Krohn, D., & Whisman, M. (1999, April 29 - May 1). A case study examining the effects of eye movement desensitization and reprocessing (EMDR) therapy on clients diagnosed with panic disorder. Presentation at the Midwestern Psychological Association, Fort Wayne, IN.
Language: English
Format: Conference
Abstract:
No abstract available.
Keywords: Clients Panic Disorder
Accuracy Verified: No
45. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.
Language: Spanish
Format: Other
Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico.
El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia.
Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Chronic Posttraumatic Stress Disorder Chronic PTSD
Accuracy Verified: Yes
46. Oppenheim, H.-P. (2009). Casus 10 - De kwetsbaarheid van kracht: Vrouw met depressies en paniekaanvallen na overlijden van haar vader [Case 10 - The vulnerability of strength: A woman with depression and panic attacks after the death of her father]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 157-167). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_16.
Language: Dutch
Format: Book Section
Abstract:
Doriene werd in augustus 2007 door de huisarts aangemeld in verband met paniekaanvallen. In het intakegesprek vertelde Doriene dat ze het gevoel heeft dat de angst haar overvalt. Tijdens een paniekaanval heeft ze het koud en warm tegelijkertijd, krijgt ze hartkloppingen, voelt ze een knoop in de maag en tintelingen in de armen. Op zo'n moment is ze bang de controle te verliezen en gek te worden. In mei 2007 heeft ze een aanval gehad in de trein. Zodra de trein reed, ging het wel, maar bij elk station, als ze de mogelijkheid had om uit te stappen, kwam de angst weer terug. In juli kreeg ze opnieuw een aanval, ditmaal tijdens haar vakantie, anticiperend op de vliegreis terug naar huis. Sindsdien was ze constant bang voor nieuwe aanvallen. Vlak voor het eerste gesprek heeft ze voor het eerst ook's nacht in bed een aanval gekregen. Treinreizen en lange autoritten werden sindsdien zo veel mogelijk vermeden. Doriene vertelde dat ze zich de laatste tijd overwerkt voelt. Ze kon zich nog maar moeilijk concentreren en sliep's nachts slecht. Ze gaf aan zich veel zorgen te maken om haar moeder die aan chronische bronchitis en longemfyseem (COPD) leed en vermoedelijk niet lang meer te leven had. Doriene blijkt in 1998 eerder een korte periode van paniekaanvallen te hebben gehad. Daarvoor, in 1994 en 1995, is ze een periode ernstig depressief geweest. Zowel de depressie als de paniekstoornis zijn destijds door middel van wekelijkse gesprekken en het innemen van een antidepressivum met succes behandeld.
Doriene in August 2007 was signed by the physician associated with panic attacks. Doriene said in the interview that she feels that her anxiety about falling. During a panic attack while they are cold and hot, she gets palpitations, she feels a knot in the stomach and tingling in the arms. At such times she is afraid of losing control and going crazy. In May 2007 she had an attack on the train. Once the train was, it went well, but at each station, when she had the opportunity to step out, the fear came back. In July she was again attacked, this time during her vacation, anticipating the flight back home. Since then, she was constantly afraid of new attacks. Just before the first meeting for the first time she's in bed a night attack received. Train travel and long car trips have since been avoided wherever possible. Doriene said she feels overworked lately. She could still have difficulty concentrating and poor sleep at night. She said many are concerned about her mother from chronic bronchitis and emphysema (COPD) suffering and probably not have long to live. Doriene show in 1998 before a brief period of panic attacks had. Previously in 1994 and 1995, a period she is severely depressed. Both depression and panic disorder at the time by means of weekly meetings and taking an antidepressant treated successfully.
Keywords: Depression Traumatic Mourning Panic Attacks Woman
Accuracy Verified: Yes
47. Groenendijk, M. (2009). Casus 14 – Ik! Ben! Goed!: Een cliënte van 55 jaar met een dissociatieve identiteitsstoornis (DIS) [Case 14 - I! Am! Good!: A woman of 55 years with a dissociative identity disorder (DIS)]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 205-222). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_21.
Language: Dutch
Format: Book Section
Abstract:
Miranda is 55 jaar en getrouwd met Peter, garagehouder. Zij hebben twee volwassen kinderen (een zoon en een dochter) en twee kleinkinderen. Miranda woont in een klein dorp in het noorden van het land. Tot acht jaar geleden werkte ze als administratief medewerkster op een kantoor, maar zij kwam in de ziektewet wegens problemen op het werk en in haar huwelijk. Ze meldde zich aan voor behandeling en bij haar werd als diagnose gesteld: reactieve depressie en sociale fobie bij een persoonlijkheid met ontwijkende trekken. Na een ambulante start werd ze aangemeld voor klinische psychotherapie en gedurende deze opname kwam voor het eerst haar geschiedenis met ernstig seksueel misbruik ter sprake. Op de deeltijdbehandeling die daarop volgde, kreeg ze steeds meer last van dissociatieve klachten. Ook thuis namen deze klachten toe en kreeg ze woedeaanvallen. Ze ging's nachts geregeld zwerven. Ze werd heropgenomen en nu werd de diagnose DIS gesteld. In de kliniek werden in het kader van traumaverwerking enkele EMDR-sessies gedaan, maar dit had weinig resultaat. Miranda herinnert zich er nauwelijks iets van.
Miranda is 55 years and married to Peter, mechanic. They have two grown children (a son and a daughter) and two grandchildren. Miranda lives in a small village in the north of the country. Until eight years ago she worked as an administrative assistant at an office, but she was on sick leave due to problems at work and in her marriage. She signed up for treatment and was considered its diagnosis: reactive depression and social phobia with avoidant personality in a draw. After a patient start, she was signed up for clinical psychotherapy and during this recording first came her history with sexual abuse seriously discussed. On the day hospital treatment that followed, she was increasingly suffering from dissociative symptoms. Also took home these complaints, and she rages. She went regularly roam at night. She was re-recorded and now the diagnosis was made DIS. In the clinic under some EMDR trauma processing sessions done, but this had little effect. Miranda remembers hardly anything.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
48. Mevissen, E. (2009). Casus 15 – Groetjes van de tandarts: Meisje met ernstige verstandelijke beperking en ingrijpende medische voorgeschiedenis [Case 15 - Greetings from the dentist: Girl with severe intellectual disabilities and a comprehensive medical history]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 229-241). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_23.
Language: Dutch
Format: Book Section
Abstract:
Nina is 10 jaar oud als ze bijmij wordt aangemeld. Voor de ouders zijn Nina's hevige angsten het kernprobleem. Ze hebben altijd overal oplossingen voor kunnen vinden, maar als de paniek bij Nina toeslaat en Nina blokkeert, dan helpt geen enkel pedagogisch middel meer. Nina heeft last van paniekaanvallen als ze (para)medische behandelingen moet ondergaan. De angst voor ziekenhuizen en artsenbezoeken is het sterkst. In verband met haar aandoening moet zij iedere zes weken naar de oorarts. Deze bezoeken zijn het allermoeilijkst. Haar angsten zijn ook het gewone dagelijkse leven gaan beheersen. Dan is de aanleiding voor een paniekaanval niet altijd zichtbaar.
Nina is 10 years old when they bijmij notified. For Nina's parents are strong fears the core problem. They have always been able to find solutions for anywhere, but when the panic strikes and Nina Nina blocks will help any teaching tool anymore. Nina suffers from panic attacks if they (para) medical treatments. The fear of hospitals and medical care is the strongest. Due to her condition must every six weeks to the audiologist. These visits are the most difficult. Her fears are normal everyday life to dominate. Then the reason for a panic attack is not always visible.
Keywords: Dentistry Intellectual Disability
Accuracy Verified: Yes
49. Oh, D. H., & Choi, J. (2007). Changes in the regional cerebral perfusion after eye movement desensitization and reprocessing: A SPECT study of two cases. Journal of EMDR Practice and Research, 1(1), 24-30. doi:10.1891/1933-3196.1.1.24.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, the neurobiological mechanism of EMDR has not been well understood. This study reports changes in the resting regional cerebral blood flow after successful EMDR treatment in 2 patients with PTSD. Brain 99mTc-ECD-SPECT (Technetium 99m-ethyl cysteinate dimmer-single photon emission computerized tomography) was performed before and after EMDR, and, in addition, a pre- and posttreatment comparison was made with 10 non-PTSD participants as a control group. After EMDR, cerebral perfusion increased in bilateral dorsolateral prefrontal cortex and decreased in the temporal association cortex. The differences between participants and normal controls also decreased. Changes appeared mainly in the limbic area and the prefrontal cortex. These results are in line with current understanding of neurobiology of PTSD. EMDR treatment appears to reverse the functional imbalance between the limbic area and the prefrontal cortex. [Author Abstract]
Keywords: Adults Brain Imaging Females Koreans Motor Traffic Accidents Neuroimaging Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Rape RCBF Regional Cerebral Blood Flow Single Photon Emission Computerized Tomography Survivors Treatment Effectiveness
Accuracy Verified: Yes
50. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be
insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in
opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including
individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing.
Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by
a babysitter, along with the EMDR treatment of her older brother who bullied her.
Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on
the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include
interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after
EMDR treatment.
A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be
presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's
functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and
behaviors to be used later as content for installations.
A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to
undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold
girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal,
some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately,
the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his
younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening.
Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some
individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for
each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to
his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and
threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the
therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video.
The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man
with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to
the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following
session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her
next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough.
Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a
car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that
he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to
access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on,
to express concerns about missing his mother.
Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This
case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to
healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained
by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion,
EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.
Keywords: Case Presentations Children
Accuracy Verified: Yes
51. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]
Keywords: Adults Anaphylactic Shock Case Report CBT Child Abuse Choking Phobia Cognitive Behaviorial Therapy Eating Disorders Females Phobia Spouse Abuse Survivors
Accuracy Verified: Yes
52. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.
Language: English
Format: Journal
Abstract:
Behavioral and cognitive psychotherapies are the most widely studied
psychological interventions for anxiety disorders. In the present article, the
results of ten years of meta-analytic studies on psychotherapies for the
various anxiety disorders are reviewed and the relative effectiveness of
cognitive and behavioral therapeutic methods is examined. Meta-analytic
results support the effectiveness of combined cognitive and behavioral
approaches for anxiety disorders. Pure behavioral therapies also are effective
and appear to work as well as combined treatment for some disorders.
Due to the small number of outcome studies involving pure cognitive
treatments, reliable conclusions about the effectiveness of this approach
cannot be offered. Additional theoretical and practical considerations are
discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441,
2004.
Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
53. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
54. Lipke, H. (1997, November-December). Commentary on the Bates et al. report on eye-movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 11(6), 599-602. doi:10.1016/S0887-6185(97)00044-3.
Language: English
Format: Journal
Abstract:
In their 1996 paper, Bates, McGlynn, Montgomery, and Mattke were critical of eye-movement desensitization and reprocessing (EMDR) as an effective method of behavior therapy. The present commentary challenges the Bates et al. review of the literature, and the implementation of EMDR used in reaching their conclusions. Evidence is offered to support the clinical use of EMDR.
Keywords: Commentary Female Spider Phobia
Accuracy Verified: Yes
55. Grey, E. (2010, September/October). Concentrated EMDR: A case study of EMDR with co-morbid depression and anxiety. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
The efficacy of EMDR treatment for PTSD is established. EMDR is globally recognized as a level one
evidence-based practice for PTSD. The studies that were used to determine these findings tended to have weekly
EMDR sessions; however it may be possible that more frequent sessions could produce more effective outcomes.
This pilot study investigated concentrated EMDR treatment using a quantitative single case study design with a
participant with co-morbid major depressive disorder, severe without psychotic features and panic disorder with
agoraphobia. The purpose of this pilot study was to determine concentrated EMDR treatment warrants further
research attention. The researcher used the Beck's Depression Inventory and The Beck's Anxiety Inventory as the
outcome measures. A non-predetermined treatment trial of twelve EMDR reprocessing treatment sessions
occurred at a frequency of three 90 minutes sessions per week for a period of one month. Thc baseline mean
scores were. BAI: M=38, BDI: M=49. At a 3-month follow-up the scores decrease to raw outcome scores of BAI:
7; BDI: 8. The results of this pilot study are significant in indicating that (a) concentrated EMDR may promote
favorable treatmenr outcomes and (b) concentrated EMDR may be effective in treating co-morbid major
depressive disorder, severe without psychotic features and panic with agoraphobia.
Keywords: Anxiety Case Study Depression Poster
Accuracy Verified: Yes
56. Negadi, F., Jouvent, R., & Pelissolo, A. (2007, July). Contribution of EMDR's cognitive approach: A case of driving phobia. Journal International de Victimologie, 5(3), 146-152.
Language: English
Format: Journal
Abstract:
Most studies evaluating the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) therapy for various problems have focused on the importance of eye movements and largely ignored the fact that EMDR is an integrative therapeutic approach in which the cognitive approach plays a large part. The case study presented here includes an evaluation of the efficacy of EMDR, on various standardised evaluation scales, for a patient with driving phobia due to a traumatic event. The treatment of this patient was largely based on a cognitive approach (cognitive interweave) and the reprocessing of dysfunctional information according to the EMDR thérapy. The outcome one month after treatment was favourable, with the absence of phobic avoidance and a marked improvement in the patient's mood.
Keywords: Cognitive Interweave Driving Phobia Dysfunctional Belief
Accuracy Verified: Yes
57. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.
Language: English
Format: Journal
Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).
Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
58. Hyer, L. A., Boudewyns, P. A., Peralme, L., Touze, J., & Kiel, A. (1995, June). Controlled treatment outcome study using EMDR on combat-related post traumatic stress disorder (PTSD). Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
After the status of PTSD was established, subjects were randomly assigned to one of three conditions; EMDR, exposure control (EC), and group (GT). Subjects in EMDR condition received at least five but no more than eight sessions of EMDR. EC condition subjects therapy procedure as the EMDR subjects but without the eye movements. Subjects in the GT condition received five to eight session of group therapy only.
Outcome measures were at intervals; prior to therapy, immediately following therapy and at two follow-up periods. These include: (1) self report or interview-related psychological measures (Combat Exposure scale, MMPI-2 PTSD, Veterans Adjustment Scale (VETS), Mississippi Scale, Hamilton (Depression and Anxiety); (2) behavioral outcome measures (employment, treatment seeking behavior medication therapy, and re hospitalization rate); and (3) psychophysiological response measures (skin conductance, frontalis EMG, heart rate and blood pressure). The last measures involved a change measure in psychological arousal during exposure to tape recorded scripts depicting the patients' most traumatic combat memory. In addition to these pre-, post-,
follow-up measures, measures (SUD, profile of mood scale (POMS), and impact of events scale (IOE) were taken at each therapy session.
Early results on selected outcomes show differences in positive outcome between conditions POMS EMDR>GT (p<.01); IOE Avoidance, EMDR>GT (p<.04); IOE Intrusion, EMDR>GT(p<.03); Heart Rate, EMDR>GT (p<.04). Presently, there were no other significant differences between EMDR or EC. Trends, however suggest that EMDR may be superior to EC on several of the measures.
These results indicate that EMDR may be producing greater reduction in the conditioned emotional response to traumatic memories in these patients, when compared to group therapy approach commonly used to treat these types of patients in a special VA treatment program.
Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
59. Pagani, M., Högberg, G., Fernandez, I., & Siracusano, A. (2013). Correlates of EMDR therapy in functional and structural neuroimaging: A critical summary of recent findings. Journal of EMDR Practice and Research, 7(1), 29-38. doi:10.1891/1933-3196.7.1.29.
Language: English
Format: Journal
Abstract:
Neuroimaging investigations of the effects of psychotherapies treating posttraumatic stress disorder
(PTSD), including eye movement desensitization and reprocessing (EMDR), have reported findings
consistent
with modifications in cerebral blood flow (CBF; single photon emission computed tomography
[SPECT]), in neuronal volume and density (magnetic resonance imaging [MRI]), and more recently in
brain electric signal (electroencephalography [EEG]). Additionally in the recent past, EMDR-
related neurobiological
changes were monitored by EEG during therapy itself and showed a shift of the maximal
activation from emotional limbic to cortical cognitive brain regions. This was the first time in which
neurobiological changes occurring during any psychotherapy session have been reported,
making
EMDR
the first psychotherapy with a proven neurobiological effect. The purpose of this article was to review the
results of functional and structural changes taking place at PTSD treatment and presented during the
period of 1999–2012 by various research groups. The reported pathophysiological changes are presented
by neuropsychological technique and implemented methodology
and critically analyzed.
Keywords: EEG Limbic System MRI Neurobiology SPECT
Accuracy Verified: Yes
60. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.
Language: English
Format: Journal
Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.
Keywords: Crisis Intervention Non-drug Treatment Panic dsiorder Nonpharmacological Interventions
Accuracy Verified: Yes
61. Greenwald, R. (1994, March). Criticisms of Sanderson’s and Carpenter’s study on eye movement desensitization. doi:10.1016/0005-7916(94)90072-8. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 90-91.
Language: English
Format: Journal
Abstract:
Discusses the validity of a study on the efficacy of eye movement desensitization that did not follow the exact principles of EMDR as enunciated by Francine Shapiro. [Pilots]
Keywords: Experimental Design Letter Phobia Professional Criticism Professional Criticism Reply
Accuracy Verified: Yes
62. Maxfield, L. (2002, June). Current research perspectives: What we know and don’t know about EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Besides providing an overview of current EMDR research, this presentation examine related clinical implications. Although EMDR is efficacious in PSTD treatment, different studies have achieved a range of results. Factors that might account for this disparity are examined, and their therapeutic relevance is emphasized. Possible explanations for poor outcomes in phobia/panc disorder studies are discussed, with treatment recommendations highlighted. Although fingings for the contribution of eye-movements are inconclusive, this research suggests aspects of dual attention stimulation that could be clinically monitored. Finally, suggestions are made to assist clinicians in objectively assessing client progress and evaluating edivence from their own practices.
Keywords: Research
Accuracy Verified: Yes
63. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia.
In particolare si vuole verificare se dopo trattamento con EMDR:
- i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori.
- si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione).
Lo studio consente inoltre di osservare
- per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress,
- se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR
The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease.
In particular, we want to check if after treatment with EMDR:
- The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values.
- There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation).
The study also allows you to observe
- For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress,
- Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.
Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
64. Muris, P., & Merckelbach, H. (1996). De behandeling van specifieke fobieën met eye movement desensitization and reprocessing: Een gecontroleerde studie. Directieve Therapie, 16(1), 1-5. doi:10.1007/BF03060128 .
Language: Dutch
Format: Journal
Abstract:
In deze studie werd onderzocht of Eye Movement Desensitization and Reprocessing (EMDR) van nut kan zijn bij het behandelen van een specifieke fobie. De studie bestond uit twee fasen. Tijdens de eerste fase werden spinfobici toegewezen aan drie onderzoeksgroepen: een EMDR groep, een imaginaire exposure groep of een controlegroep die geen behandeling ontving. De behandeling werd geëvalueerd met een gestandaardiseerde gedragstest waarbij de fobici werd verzocht het gevreesde object (i.c. spin) zo dicht mogelijk te benaderen. Geen van de drie groepen – dus ook de EMDR–groep niet – boekte vooruitgang. De exposure in vivo behandeling, die alle fobici tijdens de tweede fase van het onderzoek ontvingen, leidde daarentegen wel tot een significante verbetering op de gedragstest.
This study investigated whether Eye Movement Desensitization and Reprocessing (EMDR) can be useful in treating a specific phobia. The study consisted of two phases. During the first phase spinfobici assigned to three research groups: one group of EMDR, an imaginary exposure group or a control group that received no treatment. Treatment was evaluated with a standardized behavioral test in which the phobic invited the feared object (ie spin) as close as possible to approach. None of the three groups - including the EMDR group did not - made progress. Exposure in vivo treatment, all phobic during the second phase of the study, led however to a significant improvement on the behavioral test.
Keywords: Specific Phobia
Accuracy Verified: Yes
65. Rana, M. (2010, July). Dealing with psychotrauma in war against terror: East meets West through EMDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The ‘War on Terror’ on the borders of Pakistan and Afghanistan has committed almost two hundred thousand troops on
either side with more than five million civilians directly affected by terrorist acts, bombings, blasts, drone attacks, and air
strife. Children, women, and men of all ages report to health facilities in hundreds with psycho trauma ranging from acute
stress reactions, posttraumatic stress disorders, dissociation, depression, anxiety and Medically Unexplained Symptoms
(MUS). The health professionals with hardly any training in handling of psycho trauma are clueless about how to deal with
these cases.
A handful of mental health professionals trained by EMDR UK and EMDR Europe experts, through a humanitarian assistance
programme are the only trained human resource currently available to deal with these massive numbers of survivors. A
strategic placement of this grossly limited number of trained EMDR human resource ( four females, six males), in the war zone
has helped scores of soldiers to return to the battlefield, hundreds of children to return to their schools, dozens of families to
return to normality and many adults to return to work. The elementary yet devoted and dedicated EMDR services in the war
torn regions of Swat, Wazirastan, Kohat and tertiary care services at Rawalpindi are a result of a timely collaboration between
EMDR trainers from West providing training in EMDR to psychiatrists, psychologists, nurses and social workers of Pakistan;
indeed a fine example of ‘Building Bridges between East & West through EMDR’.
Keywords: Psychotrauma Symposium: Terror War
Accuracy Verified: Yes
66. Chen, C. H. & Chang, S. H. (2009). Dismantling effect of eye movement and positive cognition components of EMDR on the treatment of cockraoch phobias. National Taiwan University, Taipei, Taiwan.
Language: English
Format: Dissertation/Thesis
Abstract:
This dismantling study investigated the therapeutic effects of eye movement and
positive cognition components on phobias. Forty female Ss with cockroach phobias
received a single therapy session. The therapy conditions constituted a 2 (eye
movement/non eye movement) × 2 (treatment procedure: positive cognition
installed/negative cognition prolonged) between subject design. The results revealed
that all groups showed significant therapeutic effects according to macro therapeutic
indices and with regard to some micro indices such as SUDs, HRs and VOCs for
negative cognition. However, VOCs for positive cognition were significantly
increased only for the eye movement group. The findings suggested that although
exposure itself might be effective in treating phobias, eye movement could further
promote participants’ VOCs for positive cognitions at the second treatment stage,
probably by facilitating information processing.
Keywords: Coackroach Phobia Dismantling Study Positive Cognition
Accuracy Verified: Yes
67. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.
Language: English
Format: Journal
Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.
Keywords: Anxiety Depression
Accuracy Verified: Yes
68. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33. doi:10.1016/S0887-6185(98)00039-5.
Language: English
Format: Journal
Abstract:
Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).
Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
69. Campbell-Beattie, J. (2004, June). Dog solution to cat phobia. The EMDR Practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Editor's Note: Dr Campbell-Beattie provides us with a creative, three
session EMDR case utilizing both visual/light and auditory bilateral
stimulation to resolve a cat phobia. Readers may especially appreciate his
example of the potential value of "opportunistic" treatment props! - SEB
Keywords: Cat Phobia
Accuracy Verified: Yes
70. Nelson, K. L. (2000, May 10). Don't panic: Anxiety disorders understandable, treatable. Knoxville, TN: The Knoxville News-Sentinel, Final, Health and Science, B1.
Language: English
Format: Newspaper
Abstract:
What helped Ben is a controversial and still scientifically unproven therapy called EMDR, for eye movement desensitization and reprocessing. EMDR has been used with survivors of the Oklahoma City bombing and the Columbine High School shooting.
Keywords: General Knoxville Overview
Accuracy Verified: No
71. Hollander, H. E. (2009, October). ECEM (eye closure, eye movements): Application to depersonalization disorder. American Journal of Clinical Hypnosis, 52(2), 95-109. doi:10.1080/00029157.2009.10401701.
Language: English
Format: Journal
Abstract:
Eye Closure, Eye Movements (ECEM) is a hypnotically-based approach to
treatment that incorporates eye movements adapted from the Eye Movement
Desensitization and Reprocessing (EMDR) protocol in conjunction with
hypnosis for the treatment of depersonalization disorder. Depersonalization
Disorder has been differentiated from post-traumatic stress disorders and
has recently been conceptualized as a subtype of panic disorder (Baker et
al., 2003; David, Phillips, Medford, & Sierra, 2004; Segui et. al., 2000).
During ECEM, while remaining in a hypnotic state, clients self-generated six
to seven trials of eye movements to reduce anticipatory anxiety associated
with depersonalization disorder. Eye movements were also used to process
triggers that elicited breath holding, often followed by episodes of
depersonalization. Hypnotic suggestions were used to reverse core symptoms
of depersonalization, subjectively described as "feeling unreal" (Simeon et
al., 1997).
Keywords: ECEM Eye Closure Eye Movements
Accuracy Verified: Yes
72. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
73. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.
Language: English
Format: Journal
Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
74. Mei, Y. (2005, June). The effect of stabilization in helping patients to regain security and control. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Before using the Eye Movement Desensitization and Reprocessing (EMDR) to
treat an undergraduate student who suffered from AIDS-Hypochondrias is
(caused by a traumatic event), stabilization was applied on this patient. It
was found that stabilization was very significant in helping the patient to
regain security. control and self-management for his emotion. This result was
strongly supported by results of two subsequent Post Traumatic Stress
Disorder (PTSD) undergraduate student patients. Moreover, compared to
former Panic Attack cases. which were treated by using supportive skills?
stabilization was found to be far more effective than supportive skills. It was
profoundly effective in helping the patient to be empowered to manage
their own emotions and to regain security and control.
Keywords: AIDS China Hypochondria Symposium
Accuracy Verified: Yes
75. Dunn, T. M. (1995). Effectiveness of eye movement desensitization and reprocessing (EMDR) in a non-clinical population. University of Cincinnati, OH.
Language: English
Format: Dissertation/Thesis
Abstract:
Panic disorder, worsening of depression and relapse of alcohol symptoms (Pitman, et al.).
A relatively new technique for treating PTSD is reported to result in lasting reduction of
anxiety, changes in the cognitive assessment of memory and cessation of flashbacks, intrusive
thoughts, and sleep disturbances. Eye Movement Desensitization and Reprocessing (EMDR) is
an experimental treatment for PTSD which is reported to have almost immediate, long lasting
effects (Shapiro, 1989a). EMDR involves having the patient engage in a series of
therapist-directed saccadic eye movements accompanied by cognitive exercises. The treatment
may take less than an hour to administer and, it is claimed, may completely eliminate some of the
more severe symptoms associated with PTSD and can have long lasting effects (one subject
showed desensitization a year later [Shapiro, 1989a.1) Shapiro found the treatment to produce
the best effect if performed while the patient is recalls a disturbing memory of the traumatic event.
Keywords: Non-clinical Population
Accuracy Verified: Yes
76. Pagani, M., Hogberg, G., Salmaso, D, Tarnell, B., Nardo, D., Sundin, Ö., Jonsson, C., Soares, J., Aberg-Wistedt, A., Jacobsson, H., Larsson, S.A., Hällström, T. (2007, October). Effects of EMDR psychotherapy on 99mTc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), 757-765. doi:10.1097/MNM.0b013e3282742035.
Language: English
Format: Journal
Abstract:
Background: Post-traumatic stress disorder (PTSD) is a derangement of mood control with involuntary, emotionally fraught recollections that may follow deep psychological trauma in susceptible individuals. This condition is treated with pharmacological and/or cognitive therapies as well as psychotherapy with eye movement desensitization and reprocessing (EMDR). However, only a very limited number of studies have been published dealing with work-related PTSD, and investigations on the effect of treatment on cerebral blood flow represent an even smaller number. Aim: To investigate the short-term outcome of occupation-related PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Method: Fifteen patients, either train drivers suffering from PTSD after having been unintentionally responsible for a person-under-train accident or employees assaulted in the course of duty, were recruited for the study. 99mTc-HMPAO SPECT was performed on these patients both before and after EMDR therapy while they listened to a script portraying the traumatic event. Tracer distribution analysis was then carried out at volume of interest (VOI) level using a three-dimensional standardized brain atlas, and at voxel level by SPM. The CBF data of the 15 patients were compared before and after treatment as well as with those of a group of 27 controls who had been exposed to the same psychological traumas without developing PTSD. Results: At VOI analysis significant CBF distribution differences were found between controls and patients before and after treatment (P=0.023 and P=0.0039, respectively). Eleven of the 15 patients responded to treatment, i.e., following EMDR they no longer fulfilled the DSM-IV criteria for PTSD. When comparing only the eleven responders with the controls, the significant group difference found before EMDR (P=0.019) disappeared after treatment. Responders and non-responders showed after therapy significant regional differences in frontal, parieto-occipital and visual cortex and in hippocampus. SPM analysis showed significant uptake differences between patients and controls in the orbitofrontal cortex (Brodmann 11) and the temporal pole (Brodmann 38) both before and after treatment. A significant tracer distribution difference present before treatment in the uncus (Brodmann 36) disappeared after treatment, while a significant difference appeared in the lateral temporal lobe (Brodmann 21). Conclusion: Significant 99mTc-HMPAO uptake regional differences were found, mainly in the peri-limbic cortex, between PTSD patients and controls exposed to trauma but not developing PTSD. Tracer uptake differences between responders and patients not responding to EMDR were found after treatment suggesting a trend towards normalization of tracer distribution after successful therapy. These findings in occupational related PTSD are consistent with previously described effects of psychotherapy on anxiety disorders. [PubMed]
Keywords: 99mTc-HMPAO Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
77. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents
the form of psychotherapy which has the most research data to
build on in the treatment of mental disorders for adults.
Method: In this review we will introduce CBT and present the
results of pertinent outcome research for mood and anxiety
disorders. Efficacy at the end of the treatment will be discussed,
as well as long term effectiveness and the efficacy of combined
treatment with medication and CBT
Results: The results of this review show that CBT is an effective
treatment for mood and anxiety disorders; depression,
dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and
specific phobia. Results of follow-up studies also show that the
efficacy of CBT lasts for a considerable time after the termination
of treatment. CBT is more effective than other forms of
psychotherapy except for behaviour activation and interpersonal
therapy in treatment for depression and EMDR in treatment for
PTSD. When CBT is compared with medication (SSRI) results
reveal that CBT is as effective or more effective than medication.
This is true except for the treatment of dysthymnia, especially
when the long-term effects are considered. Results are
contradictory regarding whether medication improves or reduces
the efficacy of CBT, e.g., there are indications that the medication
reduces the efficacy of CBT for some disorders, like panic disorder.
Discussion: It is clear that CBT is an effective treatment for most
common mental disorders. Side effects are almost never a
problem and long-term success is a good. Further research is
needed on combined treatment – CBT and medication.
Conclusion: Numerous studies support the efficacy of CBT for
common mood and anxiety disorders and its good long term effects.
Accuracy Verified: Yes
78. de jongh, A., & van de Oord, H. J. M. (2002). Efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of specific phobias: Four single-case studies in dental phobia. Presentation at the 80th General Session of the International Association for Dental Research, San Diego, CA.
Language: English
Format: Conference
Abstract:
Objectives: Several years ago a new treatment for anxiety related problems was introduced, named Eye Movement Desensitization and Reprocessing (EMDR). EMDR combines short exposure periods with an external distracting stimulus. The aim of this study was to examine the applicability of EMDR to trauma-based dental phobia. Methods: EMDR treatment outcome was tested with four dental phobic individuals by means of a single-subject experimental design. Pretreatment assessment included: severity of dental fear (DAS), trauma-related symptomatology (IES), occurrence and believability of negative cognitions (DCQ), and general psychopathology (SCL-90-R). A psychologist administered a clinical interview and a behavior test. Behavior tests were videotaped and rated for observed anxiety level (0-10) by a blind and independent observer. Results: Following two to three sessions of EMDR treatment three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs, and behavior changes. These gains were maintained at six weeks follow-up. In all four cases the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. Conclusion: The findings support the notion that EMDR can be an effective treatment alternative for traumatically induced dental phobia.
Keywords: Specific Phobias
Accuracy Verified: Yes
79. de Jongh, A., van den Oord, H., & ten Broeke, E. (2002, December). Efficacy of eye movement desensitization and reprocessing in the treatment of specific phobias: Four single-case studies on dental phobia. Journal of Clinical Psychology, 58(12), 1489-1503. doi:10.1002/jclp.10100.
Language: English
Format: Journal
Abstract:
A series of single-case experiments was used to evaluate the application of Eye Movement Desensitization and Reprocessing (EMDR) to traumatically induced dental phobia. Following two to three sessions of EMDR treatment, three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs concerning dental treatment, and significant behavior changes. These gains were maintained at six weeks follow-up. In all four cases, the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. The findings support the notion that EMDR can be an effective treatment alternative for phobic conditions with a trauma-related etiology. [Author Abstract]
Keywords: Adults Case Report Dental Procedures Females Follow-up Study Males Phobia Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
80. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]
Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness
Accuracy Verified: Yes
81. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Other
Abstract:
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real.
En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.
Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change.
In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health.
The letters called EMDR that mean in English:
Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.
Keywords: Practice, Theory
Accuracy Verified: Yes
82. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji.
Language: Turkish
Format: Other
Abstract:
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.
EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.
Keywords: Emre Konuk Headaches Migraines
Accuracy Verified: Yes
83. Barr, L. (1994). EMDR after a terrorist attack. EMDR Network Newsletter, 4(2), 4.
Language: English
Format: Newsletter
Abstract:
0n the 18th of July, 1994, we had a
terrorist attack at a Jewish institution,
a building of eight floors that
was completely destroyed. More than
150 people died and 147 were
wounded. The next day,several people
with panic attacks were found walking in the streets.
They had no memory
of what had caused them to be so far
away from their homes or work.
Keywords: Terrorism
Accuracy Verified: Yes
84. Shapiro, F. (2003). EMDR als integrativer psychotherapeutischer ansatz: Experten verschiedenster psychotherapeutischer orientierung erforschen das paradigmenprisma [EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism]. Paderborn: Junfermannsche.
Language: German
Format: Book
Abstract:
Im vorliegenden Buch beschäftigen sich führende Vertreter der wichtigsten aktuellen psychotherapeutischen Schulen damit, wie EMDR, eine ursprünglich zur Behandlung von PTBS entwickelten Methode, sich mit ihren jeweiligen eigenen Ansätzen verbinden läßt. Die Autoren der einzelnen Beiträge geben Anwendungshinweise und beschreiben anschaulich Techniken für die Behandlung zahlreicher Probleme und Störungen, darunter Depression, Bindungsstörung, soziale Phobie, generalisierte Angststörung, Störung des Körperbildes, Eheprobleme und Existenzangst. Aus der Vielfalt der Sichtweisen schält sich ein Bild der Ähnlichkeiten zwischen den verschiedenen Disziplinen heraus: Es werden Möglichkeiten einer wirksameren Behandlung aufgezeigt, und die durch EMDR eröffneten Möglichkeiten einer integrativen Behandlungsweise werden erkennbar.
Mit Beiträgen von: Francine Shapiro, Bessel A. van der Kolk, Paul L. Wachtel, Arnold A. Lazarus, Stephen Gilligan, John Norcross, u.a. Ein ausführlicheres Bild von diesem Buch können sich die Leser durch die Leseproben auf der Verlags-Website machen.
In this book, leading representatives of the main current schools of psychotherapy deals with how EMDR, one originally for the treatment of PTSD developed method to connect with their own approaches can. The authors of individual contributions provide application notes and vividly describe techniques for the treatment of many problems and disorders, including depression, attachment disorder, social phobia, generalized anxiety disorder, body image disturbance, marital problems and existential angst. From the variety of perspectives emerges a picture of the similarities between the different disciplines: There are opportunities for more effective treatment identified, and the possibilities offered by EMDR treatment of an inclusive manner to be determined. With contributions by: Francine Shapiro, Bessel A. van der Kolk, Paul L. Wachtel, Arnold A. Lazarus, Stephen Gilligan, John Norcross, and Others A more complete picture of this book can make the reader through the excerpts on the publisher's website.
Accuracy Verified: Yes
85. Schmidlin, L. (2003). EMDR als therapie für spezifische phobien? [EMDR as a therapy for specific phobias?]. Med. Bern: ZB.
Language: German
Format: Dissertation/Thesis
Keywords: Special Phobia
Accuracy Verified: Yes
86. Nickeson, C. (2010, September/October). EMDR and panic disorder. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This workshop will be a practical presentation on how to use EMDR in the treatment of panic disorder. Information will be given on what needs to be accomplished in each of the eight phases of EMDR to be effective with this population. Participants will be taught how to provide psycho-educational information using the AIP model to explain panic disorder. In panic disorder, interoceptive cues become triggers for subsequent panic attacks and it is useful to view panic disorder as a phobic reaction to bodily sensations. The workshop will conclude with the presentation of a structured protocol for treatment planning and target selection.
Keywords: Panic Disorder
Accuracy Verified: Yes
87. de Jongh, A. (2008, September). EMDR and phobias: Treatment of fears and phobias with eye movement desensitization and reprocessing (EMDR)[EMDR bei angst: Und panikstörungen]. Pre-Congress presentation at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be a structured, noninvasive, time-limited, and evidence-based treatment for the processing of memories of traumatic conditioning events and related symptomatology.
There is a growing body of evidence showing the effectiveness of EMDR for specific phobias, a group of conditions that have been found to be more prevalent than any other group of psychiatric disorders studied.
This workshop focuses on EMDR as a treatment approach for fear reactions related
to - and avoidance of - specific objects and situations. The participants will learn:
1) about the fascinating possibilities of using EMDR in their work
2) how EMDR can be applied with clients who suffer from fears and phobias
3) to assess clients with patterns of fearful avoidance and to identify strategically important memories of earlier negative learning experiences for processing
4) to integrate EMDR interventions into a general (hypno)therapeutic approach.
This will be illustrated by segments of video taped treatment sessions of clients suffering from a broad diversity of phobias (e.g., dental phobia, vomiting phobia, shark phobia).
Keywords: Phobias Dental Phobias Shark Phobias Vomiting Phobias
Accuracy Verified: Yes
88. de Jongh, A. (2009). EMDR and specific fears: The phobia protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 575-610). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Keywords: Fears Phobias Protocol
Accuracy Verified: Yes
89. de Jongh, A., & ten Broeke, E. (2009). EMDR and the anxiety disorders: Exploring the current status. Journal of EMDR Practice and Research, 3(3), 133-140. doi:10.1891/1933-3196.3.3.133.
Language: English
Format: Journal
Abstract:
Based on the assumptions of Shapiro's adaptive information-processing model, it could be argued that a large proportion of people suffering from an anxiety disorder would benefit from eye movement desensitization and reprocessing (EMDR). This article provides an overview of the current empirical evidence on the application of EMDR for the anxiety disorders spectrum other than posttraumatic stress disorder (PTSD). Reviewing the existing literature, it is disappointing to find that 20 years after its introduction, support for the efficacy of EMDR for other conditions than PTSD is still scarce. Randomized outcome research is limited to panic disorder with agoraphobia and spider phobia. The results suggest that EMDR is generally more effective than no-treatment control conditions or nonspecific interventions but less effective than existing evidence-based (i.e., exposure-based) interventions. However, since these studies were based on incomplete protocols and limited treatment courses, questions about the relative efficacy of EMDR for the treatment of anxiety disorders remain largely unanswered.
Keywords: Anxiety Disorders Panic Disorder Specific Phobia
Accuracy Verified: Yes
90. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
91. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Dr. Marquis will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
92. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
93. Merckelbach, H., & Muris, P. (1995). EMDR bij spinnenfobie: Twee gevalsbeschrijvingen [EMDR with spider phobia: Two case reports]. Directieve Therapie, 15(2), 64-70. doi:10.1007/BF03060109.
Language: Dutch
Format: Journal
Abstract:
Nogal wat auteurs geven hoog op van de effecten die met Eye Movement Desensitization and Reprocessing (EMDR) te behalen zijn bij de behandeling van angststoornissen. Voor een aanzienlijk deel steunen deze loftuigingen op dubieuze casuïstiek, dat wil zeggen casuïstiek waarin de werking van EMDR wordt gedocumenteerd aan de hand van subjectieve en ongevalideerde uitkomstmaten. Dit artikel beschrijft twee spinnenfobische gevallen waarbij eerst EMDR en vervolgens exposure in vivo werd uitgevoerd. Behandelingseffecten werden geëvalueerd met zowel subjectieve als objectieve maten. De resultaten laten zien dat de gunstige effecten van EMDR zich vooral afspelen op het niveau van de subjectief gerapporteerde angst en veel minder spectaculair zijn wanneer het gaat om vermijdingsgedrag. Deze observatie stelt die EMDR–critici in het gelijk die beweren dat positieve zelfrapportage–maten na EMDR niet noodzakelijkerwijze hand in hand gaan met vergelijkbare gedragseffecten.
Quite a few authors give high on the effects of Eye Movement Desensitization and Reprocessing (EMDR) can be achieved in the treatment of anxiety disorders. For a significant part in supporting these loftuigingen dubious casuistry, ie case studies where the effect of EMDR is documented by means of subjective and non-validated outcome measures. This article describes two cases where spinnenfobische first EMDR and exposure in vivo was then performed. Treatment effects were evaluated with both subjective and objective measures. The results show that the beneficial effects of EMDR mainly play at the level of subjectively reported anxiety and much less spectacular when it comes to avoidance. This observation suggests that EMDR critics were right who claim that positive self-report measures after EMDR does not necessarily go hand in hand with similar behavioral effects.
Keywords: Case Study Spider Phobia
Accuracy Verified: Yes
94. Leeds, A. (2011, August). EMDR Case Conceptualization and Treatment Planning: How AIP leads to divergent strategies in different cases. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Many clinicians seek guidance with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the AIP Model with adult attachment classification. Case examples illustrate clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation proposes a symptom informed approach for cases with an Axis I focus – PTSD, depression, specific phobias and panic – from parallel models of de Jongh (2010), Korn (2004) and Leeds (2004, 2009). Criteria from Korn (2004, 2009), Leeds (2009) and Hofmann (2004, 2005) indicate when to consider containing and deferring reprocessing early life experiences in complex cases – personality disorders and complex PTSD.
Keywords: Adult Attachment
Accuracy Verified: Yes
95. Shapiro, F. (2007, November). EMDR clinical parameters and research findings: “What’s new and useful”. Master clinician series at the 23rd annual meeting of the International Society for Traumatic Stress, Baltimore MD.
Language: English
Format: Conference
Abstract:
Numerous controlled studies have indicated that EMDR´s effects on
PTSD symptoms are comparable to those of trauma-focused CBT.
However, EMDR does not require homework, sustained arousal,
detailed verbalization of the index trauma, or prolonged exposure to
the event. In this invited presentation, videotapes of an incest survivor
and a disaster victim will demonstrate the EMDR treatment,
and the de-arousal effects of the eye movements, which have been
documented in numerous controlled laboratory studies. In addition,
the clinical procedures of an EMDR group-protocol used subsequent
to disasters and terrorist attacks will be illustrated.
The presentation will review research findings, with long-term follow
up, indicating that the resolution of etiological events can result in
the successful treatment of conditions that have often been considered
intractable. A recent study will be used to explore the clinical
parameters of the EMDR treatment of child molesters, which has
resulted in the sustained reduction of deviant arousal. Likewise, representative
case examples from studies documenting the elimination/
reduction of phantom limb pain subsequent to EMDR processing
will be presented to explore both the clinical and theoretical
implications.
Keywords: De-arousal Effects of Eye Movement Group Protocol Master Series
Accuracy Verified: Yes
96. Faretta, E. (2012, March-April). EMDR e la terapia cognitivo-comportamentale nel trattamento del disturbo di panico: Un confronto [EMDR and cognitive-behavioural therapy in the treatment of panic disorder: A comparison]. Rivista di Psichiatria, 47(Supplement 1), 19S-25S. doi: 10.1078/1071.11735.
Language: Italian
Format: Journal
Abstract:
Un confronto tra due trattamenti utilizzati nel disturbo di panico: EMDR, un metodo evidence-based per il PTSD, e la Terapia Cognitivo Comportamentale (CBT), che è oggi considerato l'approccio più efficace psicoterapeutico per questo disordine. Metodo. Al fine di valutare eventuali miglioramento ottenuto dal trattamento adottato, un'analisi descrittiva attraverso l'uso del software SPSS è stata effettuata, su un campione di 20 soggetti, divisi in due gruppi (EMDR e CBT). Risultati. Dai dati ottenuti, una tendenza a migliorare è già chiaro dalla prima valutazione (dopo 12 sedute), in tutte le prove proposte. Il progresso sintomatica è risultato essere molto simile nei due gruppi a confronto. EMDR trattamento sembra però avere un progresso più veloce nella riduzione dei sintomi che viene mantenuta nel tempo, come evidenziato al follow-up. Conclusione. Dai risultati hanno mostrato, è possibile confermare che entrambi i trattamenti sono efficaci per la risoluzione di un disturbo di panico, anche se alcune differenze tra i due terapie sono chiari, sia dal sintomatico e un punto di vista temporizzazione. Così, si suggerisce di portare avanti la ricerca in questo settore di interesse.
A comparison between two treatments used in the Panic Disorder: EMDR, an evidence-based method for PTSD, and Cognitive Behavioural Therapy (CBT), which is nowadays considered the most effective psychotherapeutic approach for this disorder. Method. In order to evaluate any improvement obtained from the adopted treatment, a descriptive analysis through the use of the SPSS software has been carried out, on a sample of 20 subjects, divided in two groups (EMDR and CBT). Results. From the data obtained, a tendency to improve is already clear from the first evaluation (after 12 sessions), in all the proposed tests. The symptomatic progress turned out to be quite similar in the two compared groups. EMDR treatment however seems to have a faster progress in symptom reduction which is maintained over time, as evidenced at follow-up. Conclusion. From the showed results, it is possible to confirm that both treatments are effective for the resolution of a Panic Disorder, even if some differences between the two therapies are clear, both from a symptomatic and a timing point of view. So, it is suggested to carry on the research in this area of interest.
Keywords: CBT Cognitive Behavioral Therapy Panic Disorder
Accuracy Verified: Yes
97. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo.
Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR.
Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate.
In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico.
Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico
Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo.
Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP.
Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.
As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application
therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to
prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.
Keywords: Panic Disorder
Accuracy Verified: Yes
98. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
99. Guedalia, J. B., & Yoeli, F. (2009). EMDR emergency room and wards protocol (EMDR-ER). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 241-250). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR-Emergency Room and Wards Protocol (EMDR-ER®) was developed by Dr. Judith Guedalia, after being present at more than 26 Mass Casualty Events (MCEs). She and the other members of Shaare Zedek Medical Center's Trauma Team attended to more than 38% of the 1,623 patients injured in Jerusalem terror attacks during the "Second Intifada." The Second Intifada spanned nearly 4 years, lasting from November 2000 until September 2004. The EMDR Emergency Room and Wards Protocol (EMDR-ER) Script is provided. [PsychoINFO]
Keywords: Emergency Room Protocol Wards
Accuracy Verified: Yes
100. Goldstein, A. J., de Beurs, E., Chambless, D., & Wilson, K. (2000, December). EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attention-placebo control conditions. Journal of Consulting & Clinical Psychology, 68(6), 947-956.
Language: English
Format: Journal
Abstract:
In a randomized controlled trial, eye movement desensitization and reprocessing (EMDR) for panic disorder with agoraphobia (PDA) was compared with both waiting list and credible attention-placebo control groups. EMDR was significantly better than waiting list for some outcome measures (questionnaire, diary, and interview measures of severity of anxiety, panic disorder, and agoraphobia) but not for others (panic attack frequency and anxious cognitions). However, low power and, for panic frequency, floor effects may account for these negative results. Differences between EMDR and the attention-placebo control condition were not statistically significant on any measure, and, in this case, the effect sizes were generally small (eta2 = .00-.06), suggesting the poor results for EMDR were not due to lack of power. Because there are established effective treatments such as cognitive-behavior therapy for PDA, these data, unless contradicted by future research, indicate EMDR should not be the first-line treatment for this disorder. [Author Abstract]
Keywords: Adults African Americans Asian Americans Empirical Study European Americans Panic Disorder Phobia Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
101. Garza, J. (1995). EMDR for through disorder clients. EMDR Network Newsletter, 5(1), 5-6.
Language: English
Format: Newsletter
Abstract:
I have found that EMDR is a useful therapy in the treatment of persons with a major mental illness. The people with whom I have been work ing have been diagnosed with Paranoid Schizophrenia, Personality Disorder NOS, Bipolar Mixed, SchizoaEective Disorder, Borderline, Personality Disorder, Panic Disorder, Agoraphobia, and Dysthymic Disorder. All of these people have been der physically and/or sexually abused. Although we can treat thought and mood disorders with medication, the emotional memories of the trauma remain and can exacerbate the illness.
Keywords: Major Mental Illness
Accuracy Verified: Yes
102. Farrell, D., Tareen, S., & Keenan, P. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘War on terror’. Presentation at the 24th Annual Meeting of the International Society for Traumatic Stress Studies .
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan
Accuracy Verified: Yes
103. Farrell, D. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘war on terror’. Symposium conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan Symposium Terror
Accuracy Verified: Yes
104. Shapiro, F., & Forrest, M. (2002). EMDR in aktion - Die neue kurzeittherapie in der praxis [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Paderborn, Germany, Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist eine von Francine Shapiro entwickelte innovative klinische Behandlungsmethode für Trauma-Opfer. Aufgrund äußerst positiver neuer Untersuchungsergebnisse ist EMDR mittlerweile die am gründlichsten untersuchte Methode zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Gleichzeitig werden Untersuchungen über die Möglichkeiten der Anwendung von EMDR bei anderen Störungen durchgeführt. EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode. Zu den vielen Patientengruppen, bei denen mit EMDR gearbeitet werden kann, zählen die Opfer von sexuellem Mißbrauch, von Verbrechen, kämpferischen Auseinandersetzungen, Kriegsfolgen und Phobie-Patienten. Als Einführung in eine neue wichtige Methode im Bereich der Traumabehandlung ist dieses Buch eine unverzichbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren. Das Lehrbuch zu EMDR, dieser neuen, so überaus erfolgreichen Therapiemethode zur Behandlung von Traumaopfern.
EMDR (Eye Movement Desensitization and Reprocessing) is a technology developed by Francine Shapiro innovative clinical treatment for trauma victims. Due to extremely positive new findings EMDR is now the most thoroughly studied method for the treatment of post traumatic stress disorder (PTSD). At the same tests are carried out on the possibilities of the use of EMDR with other disorders. EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method. Among the many groups of patients that can be worked in those with EMDR, including the victims of sexual abuse, crime, fight conflicts, war and phobia patients. As an introduction to an important new method in the field of trauma treatment, this book is a unverzichbare reading for all clinicians and researchers interested in working with trauma victims. The textbook to EMDR, this new, so very successful treatment method for the treatment of trauma victims
Accuracy Verified: Yes
105. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.
Keywords: Combat Controlled Study
Accuracy Verified: Yes
106. Horst, F., & Baeten, B. (2012, Maart). EMDR in de behandeling van paniekstoornissen met of zonder agorafobie [EMDR in the treatment of panic disorders with or without agoraphobia]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Op de polikliniek psychiatrie van het St. Elisabeth Ziekenhuis in Tilburg loopt sinds anderhalf jaar een wetenschappelijk onderzoek (RCT) naar de behandeling van paniekstoornissen met of zonder agorafobie. De therapievorm Eye Movement Desensitisation and Reprocessing (EMDR) wordt hierbij vergeleken met Cognitieve Gedrags Therapie (CGT).
Zo wordt onder meer onderzocht of EMDR een effectieve behandelmethode is voor patiënten met een paniekstoornis met of zonder agorafobie. EMDR wordt hierbij direct vergeleken met een CGT behandeling. Daarnaast wordt in dit onderzoek onderzocht wat de impact van beide behandelingen is op de kwaliteit van leven. Als behandelaren in de EMDR conditie van dit onderzoek willen we graag vertellen wat onze ervaringen zijn met een geprotocolleerde behandeling van paniekstoornissen middels EMDR. Tijdens onze workshop zal getracht worden de theorie en praktijk met elkaar te verbinden. Aangezien een groot gedeelte van de EMDR behandelingen binnen dit wetenschappelijk onderzoek gefilmd wordt, zullen we ons verhaal ondersteunen met veel filmmateriaal.
On the psychiatry outpatient clinic of the St. Elisabeth Hospital in Tilburg runs a half years since a scientific trial (RCT) for the treatment of panic disorders with or without agoraphobia. The form of therapy Eye Movement Desensitisation and Reprocessing (EMDR) is hereby compared with Cognitive Behavioural Therapy (CBT). These include whether EMDR is an effective treatment for patients with panic disorder with or without agoraphobia. EMDR is hereby directly compared with a treatment CBT. In addition, this study investigated the impact of both treatments on the quality of life. As clinicians in the EMDR condition of this research we would like to tell you what our experiences with food allergies treatment of panic disorder using EMDR. During our workshop will be tried with the theory and practice together. Since a large part of the EMDR treatments within this research is being filmed, we will support our story with lots of footage.
Keywords: Agoraphobia Panic Disorders
Accuracy Verified: Yes
107. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre.
Language: English
Format: Book Section
Abstract:
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]
Keywords: Adults Case Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness
Accuracy Verified: Yes
108. Browning, C. (2000, March). EMDR in the inner city: Paterson, New Jersey. EMDRIA Newsletter, 5(1), 26.
Language: English
Format: Newsletter
Abstract:
During my Level I training, I couldn’t
help thinking about a family I’d treated
several years earlier while working in
Paterson, New Jersey, a
socioeconomically impoverished inner
city. The family was a grandmother and
four young grandchildren who had
recently been placed in her custody.
Their mother and little sister had been
brutally slaughtered with a knife by their
father while they were home. The four
surviving children were suffering from
nightmares about the incident, grief and
loss issues, and fears that their father
would get out of jail and come after them.
One of the children, a five-year-old girl,
had developed elective mutism. She had
narrowly escaped the same fate as her
mother and sister. The little girl had been
an eyewitness to the murders and as she
fled from her father, she slipped on her
mother’s blood and was nearly caught
by him. As I listened and learned at Level
I, I wished that I’d known EMDR when
I was working in Paterson.
Keywords: Family Violence: HAP Training
Accuracy Verified: Yes
109. van der Horst, F. (2013, June). EMDR in the treatment of panic disorders with or without agoraphobia. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
At the department of Psychiatry at the St. Elisabeth Hospital in Tilburg, The Netherlands, several years ago a study (RCT) started investigating the treatment of panic disorder with or without agoraphobia. Within this study Eye Movement Desensitisation and Reprocessing (EMDR) is compared with Cognitive Behavioural Therapy (CBT).
Among other things, the goal is to determine whether EMDR is an effective treatment method for patients with a panic disorder with or without agoraphobia. IN this study EMDR is directly compared with a CBT treatment. In addition, this study examines the impact of both treatments on quality of life.
As a therapist in the EMDR condition of this study I would like to share my experiences with a protocolised treatment of panic disorders by means of EMDR. During the workshop, I will try to connect theory and practice. Since a large part of the EMDR treatments within this research is filmed, I will support my presentation with video material. Finally, I will present the first results of my research.
Learning objectives:
Describe if EMDR is an effective treatment method for PDA compared to CBT;
Describe the impact on QOL before and after both treatment methods;
Describe qualitative differences between both treatment methods; and
Share experiences with a protocolised treatment of panic disorders by means of EMD
Keywords: Agoraphobia Panic Disorders
Accuracy Verified: Yes
110. Whisman, M. (1996, June). EMDR in the treatment of panic, phobia, and obsessive compulsive disorders. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Obsessive Compulsive Disorder OCD Panic Disorders Phobias
Accuracy Verified: Yes
111. Whisman, M. (1997, June). EMDR in the Treatment of Panic, Phobia, and Obsessive Compulsive Disorders. Presentation at the EMDR International Association Annual Conference, San Francisco, CA.
Language: English
Format: Conference
Abstract:
I have been using EMDR to treat Anxiety Disorders for five years now. I
received my training back when Francine taught Level I herself. EMDR is to
mental health what penicillin was to medicine. It seemed to me that I had
traded in a jack hammer for a laser beam.
Keywords: Anxiety Disorders Obsessive Compulsive Disorders OCD Panic Disorders
Accuracy Verified: No
112. Kaiser, L. (2005). EMDR in the treatment of specific phobia. Norwegian University of Science and Technology, St. Olavs Hospital, Trondheim, Norway.
Language: English
Format: Other
Abstract:
Aims: To test the hypothesis that one session EMDR is more effective for the treatment of specific (animal) phobia than relaxation immediately after treatment and at follow-up. Secondly to test whether an additional one-session exposure therapy offered to both treatment groups (EMDR patients and relaxation patients) improves outcome in the EMDR-group and results in equal outcome for both treatment groups.
Keywords: Animal Phobia Specific Phobia
Accuracy Verified: Yes
113. Brown, S., & Gilman, S. (2011, July). EMDR in the treatment of trauma and substance abuse. Presentation at CalSouthern’s Master Lecture Series at California Southern University in Irvine, CA.
Language: English
Format: Other
Abstract:
This lecture will provide an overview of a comprehensive psychotherapy treatment approach called EMDR by two Certified EMDR Approved Consultants who each have over 25 years of clinical experience. EMDR is one of the most widely researched psychotherapies for Post-traumatic Stress Disorder (PTSD) and it also has research support for the treatment of other trauma-driven disorders including substance abuse and behavioral addictions, depression, panic disorder, generalized anxiety disorder, borderline personality disorder and phantom limb pain. This workshop will focus on the application of EMDR with PTSD, trauma, and co-occurring substance use disorder.
Keywords: Substance Abuse Trauma
Accuracy Verified: Yes
114. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress.
As a pilot experience, we have been able to use this EMDRIT framework with 64 clients.
Their complex disorders included, for each of them, at least 3 of the following symptoms:
Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions.
For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis:
•Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN).
•The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN).
•The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system.
•Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent.
•Need to standardize appropriate scale for database, in order to foster international research and results sharing.
We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.
Keywords: EMDR Intensive Therapy EMDRIT
Accuracy Verified: Yes
115. Dale, S. (2007, September). EMDR successfully treats needle phobia in the ART setting. Poster presentation at the annual meeting of the Canadian Fertility and Andrology Society, Halifax, NS, CA.
Language: English
Format: Conference
Accuracy Verified: Yes
116. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29.
Language: English
Format: Journal
Abstract:
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]
Keywords: 9/11 Americans Crisis Intervention Empirical Study Quantitative Study September 11 Survivors Terrorism Terrorist Attacks Treatment Effectiveness
Accuracy Verified: Yes
117. de Roos, C., & de Jongh, A. (2008). EMDR treatment of children and adolescents with a choking phobia. Journal of EMDR Practice and Research, 2(3), 201-211. doi:10.1891/1933-3196.2.3.201.
Language: English
Format: Journal
Abstract:
Given the limited number of reported cases in literature, it might be concluded that it is rare to develop a choking phobia in childhood. However, it appears as though confusion in terminology and the time lapse between the onset of the disorder and treatment often results in the diagnosis being missed. In this article, we discuss a review of the clinical symptoms, differential diagnosis, comorbidity, etiology, and treatment options for choking phobia. We present a case series, describing the successful EMDR treatment of choking phobia for 4 children and adolescents, with positive outcomes achieved in 1 or 2 sessions. In addition, a detailed transcript is presented of a 15-year-old girl with a choking phobia related to an incident that occurred 5 years previously. The rapid elimination of symptoms in all 4 cases indicates that EMDR can be an effective treatment for choking phobias resulting from previous disturbing events. Randomized research on this promising intervention is strongly suggested.
Keywords: Adolescents Children Choking Phobia Specific Phobia
Accuracy Verified: Yes
118. Marr, J. (2012). EMDR treatment of obsessive-compulsive disorder: Preliminary research. Journal of EMDR Practice and Research, 6(1), 2-15. doi:10.1891/1933-3196.6.1.2.
Language: English
Format: Journal
Abstract:
This article reports the results of two experiments, each investigating a different eye movement desensitization
and reprocessing (EMDR) protocol for obsessive-compulsive disorder (OCD) and each with two
young adult male participants with long-standing unremitting OCD. Two adaptations of Shapiro’s (2001)
phobia protocol were developed, based on the theoretical view that OCD is a self-perpetuating disorder,
with OCD compulsions and obsessions and current triggers reinforcing and maintaining the disorder.
Both adaptations begin by addressing current obsessions and compulsions, instead of working on past
memories; one strategy delays the cognitive installation phase; the other uses mental video playback in
the desensitization of triggers. The four participants received 14–16 one-hour sessions, with no assigned
homework. They were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with scores
at pretreatment in the extreme range (mean 5 35.3). Symptom improvement was reported by participants
after 2 or 3 sessions. Scores at posttreatment were in the subclinical/mild range for all participants
(mean 5 8.5). Follow-up assessments were conducted at 4–6 months, indicating maintenance of treatment
effects (mean 5 7.5). Symptom reduction was 70.4% at posttreatment and 76.1% at follow-up
for the Adapted EMDR Phobia Protocol and 81.4% at posttreatment and at follow-up for the Adapted
EMDR Phobia Protocol with Video Playback. Theoretical implications are discussed, and future research
is recommended.
Keywords: Adapted EMDR Phobia Protocol Adapted EMDR Phobia Protocol with Video Playback OCD Obsessive-Compulsive Disorder Treatment Outcome Research
Accuracy Verified: Yes
119. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110.
Language: English
Format: Journal
Abstract:
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.
Keywords: Agoraphobia CBT Cognitive Behavior Therapy Panic Pharmacotherapy Review
Accuracy Verified: Yes
120. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.
Keywords: Agoraphobia Panic Disorder
Accuracy Verified: Yes
121. Young, W. (1994, June). EMDR treatment of phobic symptoms in multiple personality disorder. Dissociation, 7(2), 129-133.
Language: English
Format: Journal
Abstract:
Two multiple personality disorder patients with severe, persistent phobias were treated using Eye Movement Desensitization/Reprocessing (EMDR). Both patients achieved significantly beneficial results with a single session in one patient and two sessions in another. Each patient confronted the previously phobic object successfully showing an objective measure of success and results were maintained at six months follow-up. Caution should be exercised from generalizing the use of EMDR for specific target symptoms to using it as a total treatment technique. Further research is needed to determine the efficacy of EMDR as a treatment procedure in general and its role in the overall treatment of dissociative conditions. [Author Abstract]
Keywords: Adults Child Abuse DID Dissociative Identity Disorder Empirical Study Females Follow-up Study Incest Phobia Rape Survivors
Accuracy Verified: Yes
122. Holmshaw, M. (2001, May). EMDR treatment of sexual dysfunction. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The prevalence of sexual dysfunction in women within primary care settings is often
estimated to be as high as 42% with vaginismus, pain with intercourse, anorgasmia and lack
of sexual desire being most commonly reported. Additionally, major clinical complaints
among women often centre on their dissatisfaction with such non-genital behaviours as
affection, communication, and non-genital touching, as well as issues of attraction and
passion. Despite this high prevalence of sexual disorders, and the use of psychotherapy and
sexual therapy in treatment the problems women experience,this is a frequently neglected
area of both research and development of new treatment tdchniques. In fact, referring to
vaginismus, some authors conclude the basic strategies and methods for assessing and
treating vaginismus were proposed by the early 20th Century and have not essentially
changed.
This paper discusses an alternative approach to treatment vaginismus and "sexual phobia" in
women. By way of case study material, the use of EMDR in combination with sensate focus
techniques with partner involvement, is discussed. In a significant number of cases, past
trauma and severe body image disturbances were detected. EMDR was successful not only in
resolving such trauma, but also in correcting distorted body image and enabling imaginary
exposure to appropriate sexual behaviour.
Keywords: Sexual Dysfunction
Accuracy Verified: Yes
123. Haour, F., Meignant, I., & De Beaurepaire, C. (2012, June). EMDR treatment of sexual traumas in a child offender [Tratamiento EMDR de traumas sexuales en un pedófilo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Child
offenders
have
been
abused
3
to
6
time
more
than
controls
during
childhood
and
these
figures
are
probably
grossly
underestimated.
Most
of
them
exhibit
all
or
many
symptoms
of
Post
Traumatic
Stress
Disorders
(PTSD)
in
association
with
anxiety-‐depression-‐addiction.
TCC
treatments
are
useful
but
with
limited
efficacy
(Brooks-‐
Gordon
B
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:442-‐466).
The
treatment
by
the
EMDR
approach
of
the
traumatic
memories
should
be
beneficial
to
these
patients.
Previous
work
(Ricci
RJ
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:538-‐562)
has
provided
preliminary
results
in
child
molesters.
Clinical
Case:
A
40
years
old
male
convicted
and
jailed
for
sexual
abuse
(pedophilia)
at
33
years
of
age.
He
lives
with
a
wife
and
a
son
(9
year
old)
and
has
a
regular
job.
His
medications
are:
antipsychotic,
antidepressor,
antiepileptic,
anxiolytic
and
anti
androgens.
He
sees
regularly
a
psychologist
but
is
submitted
to
anxious
attacks
and
pedophilic
desires.
He
usually
needs
to
be
hospitalized
several
weeks
twice
a
year.
Following
assessment
and
psychological
evaluation
(DSM
IV,
PCLS,
SOS,
BECK
21,
DES)
and
case
conceptualisation,
the
traumatic
events
were
desensitized
and
reprocessed
through
EMDR
treatment:
rape
and
sexual
abuse
by
an
older
brother
from
5
to
12,
familial
humiliations,
rape
under
threat,
at
11
year
of
age
by
an
adult,
accusation
by
a
13
years
old
partner
at
33
years
of
age,
prison,
trial,
etc.
The
themes
of
the
first
8
EMDR
sessions
(first
3
months)
were:
helplessness/control,
danger/
security,
and
will
be
exposed
in
details.
The
changes
in
the
patient
appreciation
of
himself
and
his
symptoms
were
followed
during
this
period.
A
sharp
decline
in
the
anxiety
scores
(Beck
21)
and
a
rapid
increase
in
the
SOS
(Schwartz
outcome
scale:
quality
of
life)
were
observed.
At
the
same
time
the
pedophilic
desires
were
disappearing.
This
allowed
the
psychiatrist
to
reduce
the
antiandrogenic
treatments
as
well
as
antipsychotic,
antiepileptic
and
antidepressor.
Nine
month
after
the
beginning
of
therapy
the
patient
was
without
antiandrogens.
The
SOS
scores
remained
high
but
episodes
of
anxiety
and
depression
were
still
present
(9
to
12
months
after
beginning
of
EMDR
treatment).
In
conclusion,
desensitization
of
traumatic
memories
lied
to
a
dramatic
improvement
of
anxiety
and
changes
in
sexual
desire
in
a
man
convicted
for
pedophilia.
Los
abusadores
sexuales
han
sido,
durante
la
infancia,
víctimas
de
abusos
sexuales
de
3
a
6
veces
más
que
los
controles
y
estos
datos
están
lejos
de
aproximarse
a
un
dato
real.
Muchos
de
ellos
exhiben
todos
o
muchos,
síntomas
del
Trastorno
de
Estrés
Post-‐traumático
(TEPT)
en
asociación
con
ansiedad,
depresión
o
adicciones.
Los
tratamiento
TCC
son
útiles
pero
de
limitada
eficacia.
(Brooks-‐
Gordon
B
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:442-‐466).
El
tratamiento
a
través
de
EMDR
de
los
recuerdos
traumáticos
debería
ser
beneficioso
para
el
paciente.
En
trabajos
previos
(Ricci
RJ
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:538-‐562)
han
mostrado
resultados
preliminares
en
pedófilos.
Caso
Clínico:
Un
convicto
varón,
40
años,
entró
en
la
cárcel
por
abusos
sexuales
(Pedofilia)
a
la
edad
de
33
años.
Vive
con
su
mujer
y
su
hijo
(9
años
de
edad)
y
posee
un
trabajo
estable.
Su
tratamiento
farmacológico
es:
Antipsicóticos,
antidepresivos,
antiepilépticos,
ansiolíticos
y
anti-‐andrógenos.
Muestra
un
patrón
psicológico
regular
pero
está
supeditado
a
ataques
de
ansiedad
y
deseos
pedófilos.
Normalmente
necesita
ser
hospitalizado
durante
varias
semanas
2
veces
al
año.
Siguiendo
las
tareas
y
la
evaluación
psicológica
(DSM
IV,
PCLS,
SOS,
BECK
21,
DES),
conceptualización
del
caso,
los
eventos
traumáticos
donde
se
ha
aplicado
el
tratamiento
EMDR:
Violación
y
abuso
sexual
por
su
hermano
mayor
desde
los
5
hasta
los
12
años,
humillaciones
familiares,
violación
bajo
amenaza
por
un
adulto
a
la
edad
de
11
años.,
acusación
por
un
niño
de
13
años,
ingreso
en
prisión,
juicio…
Las
temáticas
en
las
primeras
8
sesiones
de
EMDR
(los
primeros
3
meses)
fueron:
Desesperanza/Control,
peligro/
Seguridad,
y
serán
expuestas
en
detalle.
Se
hizo
un
seguimiento
de
los
cambios
apreciados
por
el
paciente
y
sus
síntomas.
Una
fuerte
bajada
de
las
puntuaciones
en
ansiedad
(Beck21)
y
un
rápido
aumento
de
la
SOS
(Schwartz
outcome
scale:
quality
of
life)
fueron
observadas.
Al
mismo
tiempo
que
los
deseos
pedófilos
iban
desapareciendo.
Esto
permitía
al
psiquiatra
reducir
los
tratamiento
antiandrogénicos,
antiepilépticos,
antidepresores
y
antipsicóticos.
Nueve
meses
más
tarde
del
comienzo
del
tratamiento
el
paciente
abandonó
los
antiandrógenos.
Las
puntaciones
del
SOS
seguían
altas
pero
los
episodios
de
ansiedad
y
depresión
seguían
presentes
(de
9
a
12
meses
después
del
tratamiento
EMDR)
En
conclusión,
desensibilizar
recuerdos
dramáticos
ligados
a
una
espectacular
mejora
de
la
ansiedad
y
cambios
en
el
deseo
sexual
del
convicto
por
pedofilia.
Keywords: Child Offenders Sexual Trauma
Accuracy Verified: Yes
124. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.
Keywords: Road Traffic Incidents RTI Travel Phobia
Accuracy Verified: Yes
125. van Haaften, H., Muris, P., & Mayer, B. (1996, July-August). EMDR versus exposure-in-vivo bij kinderen met een spinfobie [EMDR versus exposure in vivo in children with a spider phobia]. De Psycholoog, 7, 280-285.
Language: Dutch
Format: Magazine
Abstract:
Uitgevoerd een cross-over studie van de werkzaamheid van EMDR en in vivo exposure bij de behandeling van spinangst bij kinderen en adolescenten. Human Ss: 22 Nederlandse school-kinderen en adolescenten (leeftijd van 10-14 jaar) (spinangst). Ss werden getest, en hun galvanische huid reactie werd gemeten. Tests die worden gebruikt: De korte vorm van de Spider Phobia Questionnaire for Children (M. Kindt et al., 1996), de Self Assessment oefenpop (RL Hodes et al., 1985) en de gedragsmatige Vermijden Test. Behandelingen: alle SS werden behandeld met 1 sessie van in vivo blootstelling en 1 sessie van EMDR. (Engels abstract) (PsycINFO Database Record (c) 2008 APA, alle rechten voorbehouden)
Conducted a cross-over study of the efficacy of EMDR and in vivo exposure in the treatment of spider phobia in children and adolescents. Human Ss: 22 Dutch school-age children and adolescents (aged 10-14 yrs) (spider phobia). Ss were tested, and their galvanic skin response was measured. Tests used: The short form of the Spider Phobia Questionnaire for Children (M. Kindt et al, 1996), the Self Assessment Manikin (R. L. Hodes et al, 1985) and the Behavioral Avoidance Test. Treatments: All Ss were treated with 1 session of in vivo exposure and 1 session of EMDR. (English abstract) (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Children Empirical Study Exposure In Vivo Spider Phobia
Accuracy Verified: Yes
126. [Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1(1)、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43].
Language: Japanese
Format: Journal
Abstract:
The junior high school girl in this case witnessed her mother's suicide at the age of four. She
has been acting violently since she entered elementary school. One yearbefore the author met
her, a consultation office for children intervened due to physical abuse by her father. Flashbacks
and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic
and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved
her interpersonal relationship and began to trust others. The consultation aclivities by a school
counselor, namely the offering of psycho-educational information to the school, supporting teachers
and improving teacher's psychological understandings about her, was also important in addition to
individual treatment. The author discussed about the treatment of school children survivors who
rarely visit mental or medical institutions.
Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
127. Wilcox, J. (1994). EMDR with panic disorder: Patients who inhibit anxiety reactions. EMDR Network Newsletter, 4(1), 9-10.
Language: English
Format: Newsletter
Abstract:
Introducing EMDR to panic disorder
patients who have been educated in
that reduce anxiety responses can pose some interesting
challenges. Several patients who had
been in therapy with me for a year or
more had learned quite well the skills
of using deep breathing, relaxation,
and cognitive pattern interruption
techniques to inhibit their anxiety
reactions. I discovered how well they
internalized these strategies as we
began the EMDR in
our attempts
to clear the root causes of their
panic disorder.
Keywords: Panic Disorders
Accuracy Verified: Yes
128. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli.
The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions.
Learning objectives:
This workshop will provide you with the following information:
•a short review of current research and literature
•the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations
by working with flashforwards, future template and video check
•ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.
Keywords: Dentophobia
Accuracy Verified: Yes
129. Kim, K. I. (2004, June). EMDR with phobia and panic disorder. Presentation at Annual Summer Conference of KEMDR, Hanyang University, Seoul, Korea.
Language: Korean
Format: Conference
Keywords: Phobia Panic Disorder
Accuracy Verified: Yes
130. Quinn, G. M. (1996, June). EMDR with victims of Jerusalem’s wave of suicide bus bombings and terrorists attacks. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Jerusalem Suicide Bombings Terrorist Attacks
Accuracy Verified: Yes
131. Boodman, S. G. (2001, October 30). EMDR, In the eye of the storm: Volunteers offer a controversial trauma therapy to September 11 survivors. Washington, DC: The Washington Post, Health, F01.
Language: English
Format: Newspaper
Abstract:
Now proponents of a controversial and increasingly popular treatment for post-traumatic stress disorder (PTSD) called Eye Movement Desensitization and Reprocessing, or EMDR, are offering free therapy sessions to the latest group of traumatized Americans: survivors of the Sept. 11 attacks at the Pentagon and World Trade Center, relatives of those who were killed and workers involved in the ghastly rescue and recovery efforts.
Keywords: 9/11 General Overview Volunteers Washington, DC
Accuracy Verified: Yes
132. Faust, T. (2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
We
present
a
case
of
Test
Anxiety,
handled
using
a
combination
of
EMDR
and
Ego
State
Short
Term
Therapy.
Shira,
aged
27,
is
a
bright
science
student.
She
recently
failed
a
math
test
due
to
an
anxiety
attack.
Shira
feels
that
her
ability
to
complete
her
degree
studies
is
under
a
real
threat.
Reported
symptoms:
great
stress,
chest
pain,
pessimistic
thoughts,
and
a
general
feeling
of
low
self-‐esteem.
The
treatment
consisted
of
four
sessions
before
her
forthcoming
math
exam,
and
a
fifth
follow-‐up
session
after
it.
The
therapeutical
approach
Psycho-‐educational
counseling,
self-‐relaxation
and
guided
imagery,
EMDR
phobia
protocol
(Shapiro
F.),
use
of
puppets
for
work
on
Ego
States
(Cohen-‐Posey
K.)
based
on
Voice
Dialogue
(Stone).
During
her
EMDR
processing,
Shira
chose
different
puppets
to
represent
both
her
negative
and
positive
cognitions
(PC,
NC).
A
Policeman
puppet
(NC)
represented
the
"protecting
part"
of
the
vulnerable
child.
This
failed
part
lacks
in
self-‐confidence
and
blocks
her
progress.
Shira's
successful
PC
part
is
represented
by
the
Queen
puppet.
She
is
sure
Shira
will
succeed,
because
she's
able
to.
During
the
desensitization
process,
Shira
created
a
dialogue
between
her
different
parts,
and
empowered
the
successful,
functioning,
Queen
part.
This
reinforced
her
self-‐esteem
and
her
Ego
Awareness
The
awareness
of
these
parts
in
her
becomes
a
resource
used
by
Shira
for
a
successful
performance
in
her
math
exam,
in
which
she
gets
the
highest
grades.
We
shall
present
the
protocol
of
our
sessions,
and
the
use
of
puppets
as
projection
tools
of
the
Ego
parts.
Presentamos
un
caso
de
ansiedad
ante
exámenes,
llevado
a
través
del
uso
del
EMDR
y
la
terapia
breve
de
estados
del
Ego
combinados.
Shira,
tiene
27
años,
es
una
brillante
estudiante
de
ciencias.
Recientemente
suspendió
un
test
de
matemáticas
debido
a
un
ataque
de
ansiedad.
Shira
siente
que
su
habilidad
para
completar
sus
estudios
de
grado
esta
bajo
una
amenaza
real.
Síntomas
registrados:
Gran
estrés,
dolor
de
pecho,
pensamientos
pesimistas,
y
sentimientos
generales
de
baja
autoestima.
El
tratamiento
consistió
en
cuatro
sesiones
antes
de
su
siguiente
examen
de
matemáticas,
y
un
seguimiento
de
5
sesiones
después
de
este.
El
enfoque
terapéutico.
El
consejo
psico-‐educacional,
auto-‐relajación
e
imaginación
guiada,
protocolo
EMDR
para
fobia(Shapiro
F.),
uso
de
marionetas
para
trabajar
con
los
estados
del
Ego
(Cohen-‐Posey
K.)
basado
en
el
la
voz
del
dialogo
(Stone).
Durante
su
procesamiento
EMDR,
Shira
escoge
diferentes
marionetas
para
representar
sus
cogniciones
negativas
y
positivas
(PC,
NC).
Una
marioneta
de
agente
de
policía
(NC)
representaba
la
“parte
protectora”
de
un
niño
vulnerable.
Esta
parte
fallo
en
su
autoconfianza
y
bloque
su
progreso.
La
parte
que
representaba
el
éxito
de
Shira
PC
era
la
marioneta
de
la
Reina.
Ella
estaba
segura
de
que
Shira
Durante
el
proceso
de
desensibilización,
Shira
creó
un
dialogo
entre
sus
diferentes
partes,
y
reforzó
el
existo,
y
el
funcionamiento
de
la
parte
de
la
Reina.
Esto
reforzó
su
autoestima
y
su
conciencia
del
Ego.
La
conciencia
de
estas
partes
se
convirtió
en
un
recurso
usado
por
Shira
para
el
existo
en
la
realización
de
su
examen
de
matemáticas,
en
donde
saco
las
notas
más
altas.
Presentaremos
el
protocolo
con
nuestras
sesiones
y
el
uso
de
marionetas
como
herramientas
de
proyección
de
las
partes
del
ego.
Keywords: Ego States Policement, Queens Test Anxiety
Accuracy Verified: Yes
133. Burkhardt, L. (2010, June). The EMDR-treatment of traumatisation in World War 2 in an elderly patient: The story of Luise. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Goals: How to deal with medical and psychological
problems of patient aged over 70 and encourage colleagues to
work with older patients.
To show how war traumatization may shake up a live as long as
60 years after the end of war.
To understand the shock of mass-bombing on a person.
In this presentation I would like to present the biography and
the treatment with EMDR of an old women suffering from
PTSD since 1945 after surviving three mass-bombings and two
attacks of strafers in WW 2. She came in treatment after the attack
on W C on 9/11/2001 witch had increased her intrusions
to a very high level.
The practical part of the presentation will show a video of her
EMDR-treatment and the necessity to use cognitive interweaves
in this particular situation.
Keywords: Elderly Patient Symposium World War II
Accuracy Verified: Yes
134. Eschenröder, C. T. (2003). EMDR. La nuova tecnica sul movimento guidato degli occhi che fa superare traumi, fobie e ansia [EMDR. The new technique on the guided movement of the eyes that overcomes trauma, phobias and anxiety]. Red Edizioni, collana L'altra medicin, Libreria Universitaria.
Language: Italian
Format: Book
Abstract:
Emdr è una nuova psicoterapia che mediante precisi movimenti degli occhi, guidati dalle dita del terapeuta, permette in poco tempo di superare positivamente i traumi dovuti a esperienze particolarmente dolorose: incidenti gravi, abusi, violenze. Ma il suo campo di intervento si è ora allargato fino a comprendere le fobie, gli attacchi di panico, i disturbi dell'alimentazione, le tossicodipendenze.
EMDR is a psychotherapy that new form of specific eye movements, led by the fingers of the therapist, brings us quickly to overcome the traumas caused by positive experiences particularly painful accidents, abuse, violence. But its field of action has now expanded to include phobias, panic attacks, eating disorders, drug addiction.
Accuracy Verified: Yes
135. Nadler, W. (1996, January). EMDR: Rapid treatment of panic disorder. International Journal of Psychiatry, 2, 1-8.
Language: English
Format: Journal
Abstract:
This article describes Eye Movement Desensitization and Reprocessing (EMDR), a new treatment for Panic Disorder, and gives as an example of its application, details of a recent case which resulted in alleviation of panic attacks and a significant decrease in anticipatory anxiety within two sessions. The EMDR method also brought into consciousness a nexus of underlying issues and conflicts concerning loss, separation, anger and guilt. Implications for the treatment of panic are discussed within the context of the etiology of panic including the disparate ideas of Davanloo and Clark. EMDR may possess unique features that allow for a diverse array of treatment targets ranging from conditioned interoceptive sensations and catastrophic beliefs to repressed rage and grief. [Author abstract]
Keywords: Panic Disorders
Accuracy Verified: Yes
136. Jones, J. (1995, June). EMDR: A candid view from the psychiatrist's couch. Presentation at the EMDR Network Conference, Santa Monica, CA .
Language: English
Format: Conference
Abstract:
I will attempt to present an overview of the major psychiatric disorders, some medical and neurologic syndromes and general concepts on how I approach diagnosis, prognosis and treatment. Our time will include all this and put special focus on psychpharmacology. The nature and scope of this material will be mostly introductory but i will certainly be open to exploring my topic at greater depth depending the needs of the group present. The audience should be any among you who would likea way to begin organizing you approach to pharmacology and the impact that is having on your practice and the use of EMDR. Licensed clinical social workers, marriage and family counselors and psychologists should especially benefit form the discussion. You can expect to hear about major depression and its variants, bipolar disorder, panic disorder and the general anxiety disorders- some coverage of eating disorders, PTSD and adult attention deficit disorder but in less detail. I shall only touch upon schzophrenia and the psychotic disorders unless you show a special interest. The same is true for medical and neurologic diagnosis which have psychotic sequelas. I shall then to proceed to describe the differences and similarities among the antidepressants following that with a less detailed presentation of anit-anxiety agents, anti-psychotics, lithium and its siblings and a few of the "tried-and-true" substances of abuse like alcohol, stimulants, hallucinogens and narcotics. Please forgive me if I draw the line at designer drugs. This is a vast amount of information. I shall empasize general organizing concepts which will help the clinician who would like to understand some of his/her clients better, know better when to make a referral to a psychiatrist, now some of the potentials and limitations of EMDR when your clients are taking medications and/or have a major psychiatric disorder. Do not come to if you wish to set sail on a sea of psychiatric and medical details - 90 minutes just will not suffice! I will depend on you to speak up at any time with your concerns and queries (not to mention contradictions) so we can tailor the moment to the real interests of those present. I will attempt to reserve a substantial amount of time for question, answers, and observations but, if we are lucky, this will be happening throughout the ninety minutes. If we have time left I will explore the subject of "you and your psychiatrist" with both panache and hubris. We have a reputation for not being the most ingratiating of colleagues. I have a number of suggestions from a psychiatrist perspective which could make it easier to manage (sic) your psychiatrist. I hope we will be able to conclude with some high spirits and as they say here in California, a time for sharing and mutual understanding.
Accuracy Verified: Yes
137. Staff (2012, December). EMDR: Técnica ajuda a superar traumas,Tratamento dura em média 15 sessões e ajuda as pessoas traumatizadas a transmutarem o pensamento negativo [EMDR: Technique helps overcome trauma, Treatment lasts an average of 15 sessions and helps traumatized people ransmute negative thinking]. Folha de Londrina Website. Retrieved from http://www.folhaweb.com.br/?id_folha=2-1--3403-20121231 12/31/2012.
Language: Portuguese
Format: Other
Abstract:
Traumas psicológicos trazem consequências emocionais e físicas. Quem passou por um trauma geralmente lembra da situação com certa frequência e o sofrimento vivido vem à tona fazendo com que a pessoa reviva o momento. Angústia profunda, sensação de estar preso, fobia, isolamento, raiva, agressividade, depressão, dificuldade nos relacionamentos interpessoais são algumas consequências de um trauma.
A questão é que a pessoa também pode apresentar sintomas físicos como enxaqueca, fibromialgia, síndrome do intestino irritável, amnésia psicogênica, tontura, sudorese, distúrbio do sono e outros. ''O trauma é um estresse crônico porque a pessoa que passa por uma situação assim fica reincidindo, lembrando da ocasião, e acaba ficando o tempo todo em estado de alerta, por isso desenvolve uma porção de sintomas que caracteriza o estresse pós-traumático'', conta a psicóloga Dorotéia Murcia Souza.
As terapias com psicólogos são eficazes na superação de traumas, mas a psicologia convencional costuma ser um tratamento de longo prazo. Uma das técnicas usadas nesta área é uma abordagem psicoterápica chamada EMDR, ou Movimento Ocular, Dessensibilização e Reprocessamento (sigla em inglês). A técnica consiste em acessar as memórias traumáticas do paciente, dessensibilizá-lo para a ocasião e reprocessar o entendimento dele referente àquelas memórias. Este tipo de tratamento dura em média 15 sessões.
Psychological traumas bring emotional and physical consequences. Who went through the trauma. Usually remember the situation with some frequency and experienced Suffering comes up Causing the person to relive the moment. Deep distress, feeling of being trapped, phobia, isolation, anger, aggression, depression, difficulty in interpersonal relationships are some Consequences of the trauma. The point Is that the person may have physical Also Symptoms such as migraines, fibromyalgia, irritable bowel syndrome, psychogenic amnesia, dizziness, sweating, sleep disturbance, and others. '' The trauma is a chronic stress because the person who goes through a situation like this is reincidindo, remembering the occasion and end up all the time on the alert, so a lot of Develops Symptoms That characterize the post-traumatic stress '' says psychologist Dorothy Souza Murcia. therapies with psychologists are effective in overcoming trauma, but conventional psychology is Often the long-term treatment. One of the techniques used in this area is a psychotherapeutic approach called EMDR, or Eye Movement, Desensitization and Reprocessing. The technique Consists in Accessing the patient's traumatic memories, it desensitize and reprocess the occasion is his understanding Regarding Those memories. This type of treatment lasts an average of 15 sessions.
Accuracy Verified: Yes
138. Pacheco, J. Q. (2010, Febrero-Marzo). EMDR: Tratamiento de la fobia social [EMDR: Treatment of social phobia]. Communicacion presentada en: 11º Congreso Virtual de Psiquiatría, Trujillo, Peru, Interpsiquis 2010. Psiquiatria.com..
Language: Spanish
Format: Conference
Abstract:
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and
Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Keywords: Social Phobia Treatment
Accuracy Verified: Yes
139. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..
Language: Dutch
Format: Book
Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
Accuracy Verified: Yes
140. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland.
Language: English
Format: Conference
Abstract:
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami
Accuracy Verified: Yes
141. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.
Language: English
Format: Journal
Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]
Keywords: Cognitive Therapy Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
142. O'Brien, E. (1993, November/December). The enigma of EMDR: Pushing the panic button. Family Therapy Networker, 17(6), 33-39.
Language: English
Format: Magazine
Abstract:
When she first heard about EMDR, and the CWMS about its high success rate with agoraphobics, I thought, 'Yeah,
right-I just roll my eyeballs around and suddenly I'm
cured!" That this trendy, new technique could end almost
20 years of paralyzing fear and dread seemed doubtful,
to put it mildly. I'd already experienced enough standard,
name-brand therapies and assorted snake-oil cures to
become a one-woman encyclopedia of clinical failures.
So my cynicism about this latest entry in the cure-all
sweepstakes was almost, almost as great as my desperation
to try anything once. Desperation won out by a hair.
Nothing, I thought, not even putting myself through the
paces of another half-baked new fad, could be as bad
as what I was going through now, and what I had been
through, off and on, for the last 18years of my life.
Keywords: Panic
Accuracy Verified: Yes
143. Doering, S., Bisping, V., Nora Liebergesell, N., Höffkes, B., Junghöfer, M., & Dobel, C. (2012). Erfassung neurobiologischer orrelate der EMDR-behandlung bei patienten mit zahnbehandlungsangst [Detection of neurobiological correlates of EMDR treatment in patients with dental anxiety]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie, Forschung, Munster, Deutschland.
Language: German
Format: Other
Abstract:
Im Rahmen des zuvor dargestellten Projektes werden die Patienten vor und nach der EMDR-Intervention mit einer Magnetencephalografie (MEG) untersucht. Dabei soll erfasst werden, ob die erwarteten angstassoziierten kortikalen Aktivierungen nach der EMDR-Behandlung zurückgehen. Als Angst auslösende Stimuli werden im MEG Bilder, Geräusche und Gerüche dargeboten werden, die in Zusammenhang mit der Zahnbehandlung stehen.
As part of the [Wirksamkeit des Eye Movement Desensitization and Reprocessing (EMDR) bei Patienten mit Zahnbehandlungsphobie, (Doering, Bisping, Bohnke)] project a Magnetencephalografie (MEG) will be presented before the patients were examined before and after the EMDR intervention. It should be recognized that the expected angst associated cortical activations to go back to the EMDR treatment. As fear-inducing stimuli in the MEG images, sounds and smells will be presented, which are associated with dental treatment.
The purpose of this study is to find out whether Eye Movement Desensitization and Reprocessing (EMDR) is effective in the treatment of patients with dental phobia. This U.S. National Institues of Health Clinical trial has been completed. (U.S. National Institutes of Health ClinicalTrials.gov Identifier: NCT01207960)
Keywords: Dental Phobia
Accuracy Verified: Yes
144. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.
Language: English
Format: Dissertation/Thesis
Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.
Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness
Accuracy Verified: Yes
145. Rodebaugh, T. L., Curran, P. J., & Chambless, D. L. (2002, Spring). Expectancy of panic in the maintenance of daily anxiety in panic disorder with agoraphobia: A longitudinal test of competing models. Behavior Therapy, 33(2), 315-336. doi:10.1016/S0005-7894(02)80031-4.
Language: English
Format: Journal
Abstract:
Although panic expectancy and the experience of anxiety are clearly related, their
causal relationship remains unclear. A series of autoregressive latent trajectory
models was used to evaluate the relationship between the highest level of daily
anxiety and panic expectancy over time. Participants (N = 45) who met criteria for
panic disorder with agoraphobia filled out daily diary measures over a 10-day period.
It was hypothesized that expectation of panic (measured in the morning)
would be primarily responsible for the maintenance of daily anxiety (measured in
the evening). Daily anxiety was found to be influenced by a traitlike anxiety component,
anxiety from the previous day, and morning expectation of panic. Panic
expectancy was found to be influenced by a traitlike expectancy component, but
not by the previous day's anxiety. Limitations of the model and future applications
are discussed.
Keywords: Agoraphobia Anxiety Panic Disorder
Accuracy Verified: Yes
146. Hollander, H. E. (2009, March 10). Eye closure, eye movements: ECEM for the treatment of panic and depersonalization disorders. Presentation at the 51st American Society of Clinical Hypnosis Annual Scientific Meeting, Boston, MA .
Language: English
Format: Conference
Abstract:
ECEM, a novel technique that integrates the eye movement component of EMDR
within hypnosis, will be presented, with specific application to panic disorder and to
depersonalization disorder, conceptualized as a subtype of panic disorder. The workshop
will (1) provide a research review of neurophysiology and behavioral measures that support
conceptualization of depersonalization disorder as a subtype of panic disorder; (2) discuss
the use of ECEM (eye movements within hypnosis) to treat panic and depersonalization
disorder; (3) describe specifi c procedures using ECEM to interrupt attacks of panic and
depersonalization disorder; (4) describe how ECEM is used to reverse (up-regulate) feeling
of unfamiliar self, sensory numbness, cognitive freezing, de-realization - core symptoms
of depersonalization disorder; and (5) describe how ECEM is used to manage anticipatory
anxiety associated with panic or depersonalization disorder, recognizing overlap and
differences in hypnotic techniques and utilization of eye movements within hypnosis for
each disorder. Participants should be familiar with, or planning to take courses in EMDR.
The experiential component will include practice in managing dysfunctional breathing
patterns, practice in utilization of self-generated eye movements within hypnosis to treat
anticipatory anxiety-fear of panic or depersonalization episodes, and demonstration of
hypnotic techniques to up-regulate core symptoms of depersonalization disorder.
Upon completing this workshop, the participant should be able to:
1. Define three key characteristics of panic disorder and depersonalization;
2. Discuss ECEM and describe how ECEM is varied to treat one key similarity and
one key diff erence that is required in the management of an episode of
depersonalization disorder as distinct from panic disorder; and
3. Apply ECEM (hypnotic techniques and eye movements within hypnosis) to
modify anticipatory anxiety that is a feature of both panic and depersonalization
disorder.
Keywords: Depersonalization Disorders ECEM Eye CLosure Eye Movements Panic Disorders
Accuracy Verified: Yes
147. Linsker, S. W. (1995, December 10). Eye motions that limit trauma. New York, NY: The New York Times.
Language: English
Format: Newspaper
Abstract:
Weeks after a Westchester
woman was
raped by her date at an
upstate New York college,
she started having panic attacks.
They continwd for five years
until, she sald, she found relief
through a new psychotherapeutic
technique: Eye Movement Desensitization
and Reprocesslng.
Her theraplst, Bonnie R. Cohen, a
cllnical social worker in private
practice In Mount Kisco and Miilwood,
said she believes that with the
therapy, she has acquired a powerful
new tool.
Keywords: Bonnie R. Cohen General New York Overview
Accuracy Verified: Yes
148. Montgomery, R. W., & Ayllon, T. (1994, March). Eye movement desensitization across images: A single case design. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 23-28. doi:10.1016/0005-7916(94)90059-0 .
Language: English
Format: Journal
Abstract:
The use of eye movement desensitization (EMD) was investigated in a multiple baseline across two images. The subject was diagnosed as suffering from PTSD and had suffered from two distinct traumas which continued to generate intrusive disturbing images. Dependent variables included self-report information (Subjective Units of Distress, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). Subjective and physiological data both demonstrated significant changes during the course of treatment which were maintained at a 2-month follow-up. This study represents the first investigation of EMD with multiple images within a single subject experimental design. Findings suggest that generalization across the images under investigation was not demonstrated. EMD treatment gains were clinically significant. However, the immediate and profound effects often cited in the literature were not demonstrated. [Author Summary]
Keywords: Americans Assault Case Report Females Longitudinal Study Middle Aged Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
149. Montgomery, R. W., & Ayllon, T. (1994, September). Eye movement desensitization across subjects: Subjective and physiological measures of treatment efficacy. Journal of Behavior Therapy and Experimental Psychiatry, 25(3), 217-230. doi:10.1016/0005-7916(94)90022-1.
Language: English
Format: Journal
Abstract:
Eye movement desensitization (EMD) was investigated in an experimental multiple baseline across subjects design. Six subjects who met the diagnostic criteria for PTSD were included in the study. While the EMD technique advanced by Shapiro has been reported to be clinically effective, major methodological issues have been raised which remain to be addressed. One issue raised is whether exposure to the traumatic image is sufficient to account for the reported clinical effects of EMD or whether the addition of saccadic eye movements is central to the treatment. This study attempted to address this concern by comparing two EMD-based procedures: a Non-saccade phase (without the saccadic eye movements) which functioned as a control and a second that included saccadic eye movements. Dependent variables included self-report information (SUDs, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). The results showed no significant decreases in SUDs level with the EMD minus the saccadic eye movements procedure. However, five of the six subjects reported clinically significant decreases in their SUDs levels with the inclusion of the saccadic eye movements. This study appears to corroborate previous work employing single-case design as well as pre and postcomparisons. [Author Summary]
Keywords: Adults Americans Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
150. Muris, P., & de Jongh, A. (1996, August). Eye movement desensitization and reprocessing. Kind en Adolescent, 17(3), 128-134. doi:10.1007/BF03060628.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een nieuwe behandelingsmethode voor posttraumatische stress–stoornis en andere trauma–gerelateerde angstklachten. In essentie behelst EMDR het volgende: cliënten nemen een traumatische of aversieve herinnering in gedachten en voeren onderwijl oogbewegingen uit door de hand van de therapeut te volgen. Onder invloed van de oogbewegingen zouden negatieve herinneringen hun pathogene karakter verliezen en alsnog adequaat worden verwerkt. Na een beknopte uiteenzetting over de achtergrond van EMDR en de toepassing van deze techniek bij kinderen, wordt de procedure beschreven en toegelicht aan de hand van twee gevalsbeschrijvingen. Speciale aandacht gaat daarbij uit naar behandelingsaspecten die voor het gebruik van EMDR bij kinderen relevant kunnen zijn. EMDR lijkt een nuttige aanvulling op reeds beschikbare behandelingsvormen. Vooralsnog is een kritische houding echter geboden.
Eye Movement Desensitization and Reprocessing (EMDR) is a new treatment for post traumatic stress disorder and other trauma-related anxiety. EMDR involves essentially the following: clients take an aversive or traumatic memory in mind and implement the while eye movements in the hands of the therapist to follow. Under the influence of eye movements were negative memories lose their pathogenic character and still be properly processed. After a brief discussion of the background of EMDR and the application of this technique in children, the procedure is described and illustrated by two case reports. Special attention is paid to aspects of treatment for the use of EMDR in children may be relevant. EMDR appears to be a useful complement the available treatment modalities. For now, however, offered a critical attitude.
Keywords: Anxiety Case Report Children Female Phobias Spider Phobia Posttraumatic Stress Disorder PTSD Trauma-Related Anxiety
Accuracy Verified: Yes
151. Posterski, J. (2005, July 1). Eye movement desensitization and reprocessing. EAP News, 9(3), 1-2.
Language: English
Format: Newsletter
Abstract:
What is EMDR? EMDR (Eye Movement Desensitization
and Reprocessing) is a powerful and relatively new form of psychotherapy which has been very successful in helping people
who suffer from trauma, anxiety, panic, disturbing memories, post traumatic stress, and many other emotional challenges.
The EMDR therapy uses bilateral stimulation (eye movement, tactile stimulation, or acoustic stimulation) which repeatedly
activates the opposite sides of the brain, releasing emotional experiences that are Atrapped@ in the nervous system. This assists
the neuro‑physiological system, the basis of the mind/body connection, to free itself of blockages and reconnect itself.
Keywords: EAP Employee Assistance Program
Accuracy Verified: Yes
152. Aetna, Inc. (2005, June 28). Eye movement desensitization and reprocessing (EMDR) therapy, No. 0583 (Rev). Aetna Clinical Policy Bulletins.
Language: English
Format: Publication
Abstract:
Policy: Aetna considers eye movement desensitization and reprocessing (EMDR) therapy medically necessary for the treatment of post-traumatic stress disorder (PTSD).
Aetna considers EMDR experimental and investigational for the prevention of PTSD or for the treatment of other psychiatric and behavioral disorders including anger, guilt, phobias, dissociative disoders, eating disorders, as well as panic and anxiety disorders other than PTSD because its effectiveness for these indications has not been established.
Keywords: Practice Guidelines
Accuracy Verified: Yes
153. de Jongh, A., & ten Broeke, E. (1996, April). Eye movement desensitization and reprocessing (EMDR): Een procedure voor de behandeling van aan trauma gerelateerde angst [Eye movement desensitization and reprocessing (EMDR): A procedure for the treatment of trauma-related anxiety]. Tijdschrift voor Psychotherapie, 22(2), 53-64. doi:10.1007/BF03079287.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR ) is een relatief nieuwe procedure op het terrein van de psychotherapie. Ervaringen met EMDR geven aanleiding tot hoopvolle verwachtingen van de behandeling van diverse aan trauma gerelateerde angststoornissen, met name post–traumatische stress–stoornis (PTSS). Onderdeel van deze procedure is dat de therapeut bij de cliënt een aantal snelle en ritmische oogbewegingen uitlokt door te vragen zijn of haar vinger te volgen, terwijl de cliënt een beeld van de traumatische herinnering in gedachten houdt. In dit artikel worden de achtergronden en de principes van EMDR belicht en wordt de stapsgewijze procedure uitvoerig beschreven. Een gevalsbeschrijving van een cliënt met een paniekstoornis en een tandartsfobie laat zien dat EMDR kan leiden tot een langdurige vermindering van angstklachten. Tevens wordt ingegaan op de huidige stand van zaken van de wetenschappelijke ondersteuning van EMDR . Het toepassen van EMDR bij PTSSwordt door wetenschappelijk onderzoek gesteund, maar empirische ondersteuning voor de therapeutische effectiviteit van EMDR bij andere angststoornissen ontbreekt.
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new procedure in the field of psychotherapy. Experiences with EMDR give rise to hopes of treating various anxiety disorders related to trauma, especially post-traumatic stress disorder (PTSD). Part of this procedure is that the therapist and the client a number of rapid rhythmic eye movements provoked by asking his or her finger to follow, while the customer a picture of the traumatic memory in mind. This article describes the background and principles of EMDR and highlights the stepwise procedure in detail. A case report of a patient with a dental phobia and panic disorder showed that EMDR could lead to a prolonged reduction of anxiety. It also discusses the current state of the scientific support of EMDR. The use of EMDR in PTSSwordt supported by scientific research, but empirical support for the therapeutic efficacy of EMDR with other anxiety disorders is lacking.
Keywords: Clinical Case Study Dental Phobia Empirical Study Follow-up Study Panic Disorder Phobia Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
154. Goldstein, A., & Feske, U. (1994, October-December). Eye movement desensitization and reprocessing for panic disorder: A case series. Journal of Anxiety Disorders, 8(4), 351-362.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), a new technique that has shown some promise in the treatment of traumatic memories, was evaluated in this pilot study. Subjects were seven clients suffering from panic disorder who received EMDR treatment for memories of past and anticipated panic attacks and other anxiety-evoking memories of personal relevance. Standardized self-report inventories and behavioral monitoring instruments were employed to measure change with treatment. After five sessions of EMDR, subjects reported a considerable decrease in the frequency of panic attacks, fear of experiencing a panic attack, general anxiety, thoughts concerning negative consequences of experiencing anxiety, fear of body sensations, depression, and other measures of pathology (ScienceDirect).
Keywords: Adults Americans Anxiety Disorders Empirical Study Panic Disorder Phobia Treatment Effectiveness
Accuracy Verified: Yes
155. Derksen, M. T., & Baeten, B. M. (2009). Eye movement desensitization and reprocessing in de ziekenhuispsychiatrie: Een stap voorwaarts [Eye movement desensitization and reprocessing in hospital psychiatry: A step forward]. Tijdschrift voor Psychiatrie, 51(3).
Language: Dutch
Format: Journal
Abstract:
EMDR (eye movement desensitization and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een schokkende ervaring. Een deel van de getroffenen 'verwerkt' deze ervaringen op eigen kracht. Anderen ontwikkelen psychische klachten. Juist deze klachten in het hier en nu als gevolg van een schokkende gebeurtenis in het verleden maken de gebeurtenis tot een traumatische gebeurtenis. In 1993 werd emdr in Nederland geïntroduceerd. Na een bloeiende ontwikkeling onder therapeuten die werken met getraumatiseerde patiënten en tegelijkertijd veel wetenschappelijke scepsis, is emdr tegenwoordig vastgesteld als behandeling van eerste keus voor posttraumatische stressstoornis (ptss). In de afgelopen jaren werd de procedure verfijnd en evolueerde zij tot een volwaardige therapeutische behandelmethode met protocollen voor verschillende vormen van traumagerelateerde psychopathologie zoals ptss, fobieën, rouw, pijnstoornis, paniekstoornis, somatoforme stoornis en verslaving. Het is een snelle, effectieve therapievorm die zelfstandig of aanvullend binnen de behandeling kan worden gebruikt.
Vorm: Tijdens deze workshop wordt de emdr-procedure in hoofdlijnen uiteengezet. De bijzondere kenmerken en effecten van emdr worden besproken en geïllustreerd met videobeelden van behandelingen van patiënten met traumatische ervaringen in de levensgeschiedenis. Het toepassingsgebied wordt besproken zodat adequaat verwezen kan worden. Er is tijd voor vragen en een interactieve discussie.
Leerdoel: (1) Kennis van de emdr-procedure; (2) kennis van de plaats van emdr binnen de psychotherapie; (3) inzicht in de indicatiestelling van emdr; (4) inzicht in het nut voor psychiaters zich de emdr-methode eigen te maken als welkome aanvulling op bestaande psychotherapieën.
EMDR (Eye Movement Desensitization and Reprocessing) is an intensive form of psychotherapy for people to suffer from the effects of a shocking experience. Some of the victims 'process' these experiences on their own. Others develop psychological problems. Precisely these problems in the here and now because of a shocking event in the past to make the event a traumatic event. In 1993, EMDR was introduced in the Netherlands. After a thriving development among therapists working with traumatized patients, while many scientific skepticism, EMDR is now established as the treatment of choice for post-traumatic stress disorder (PTSD). In recent years, the procedure was refined and evolved it into a valuable therapeutic approach with protocols for various forms of trauma related psychopathology such as PTSD, phobias, grief, pain disorder, panic disorder, somatoform disorder and addiction. It is a fast, effective form of therapy on their own or within the additional treatment may be used.
This workshop will form the EMDR procedure guidelines put out. The particular characteristics and effects of EMDR are discussed and illustrated with video images of treatment for patients with traumatic experiences in the life. The scope is to be discussed so that appropriate reference. There is a time for questions and interactive discussion.
learning goal (1) Knowledge of the EMDR procedure, (2) knowledge of the location of EMDR in psychotherapy, (3) understand the indications for EMDR, (4) perceptions of the usefulness of psychiatrists to the EMDR method to own make a welcome addition to existing psychotherapies.
Keywords: Hospital Psychiatry
Accuracy Verified: Yes
156. Fernandez, I., & Faretta, E. (2007, February). Eye movement desensitization and reprocessing in the treatment of panic disorder with agoraphobia. Clinical Case Studies, 6(1), 44-63. doi: 10.1177/1534650105277220.
Language: English
Format: Journal
Abstract:
This article describes a comprehensive treatment of a case of panic disorder with agoraphobia. A thorough history taking revealed that experiential contributors had a pivotal role in the development of the condition. Therefore, eye movement desensitization and reprocessing (EMDR) was used to address early traumatic events as well as the present stimuli that caused disturbance and had maintained symptomatology for the past 12 years. Although the client's symptoms were resolved after 15 sessions, EMDR was also effective in addressing future behaviors and resolving anticipatory anxiety. During EMDR processing, the client demonstrated emotional and cognitive changes consistent with trauma resolution, insight, and personal growth. The client gradually enacted functional new behaviors spontaneously as treatment unfolded. The therapeutic process and the targets are described in detail. [Author Abstract]
Keywords: Adults Agoraphobia Case Report Clinical Case StudyFemales Italians Panic Disorder Phobia Psychotherapeutic Processes Stressors Survivors Trauma
Accuracy Verified: Yes
157. Feske, U., & Goldstein, A. (1997, December). Eye movement desensitization and reprocessing treatment for panic disorder: A controlled outcome and partial dismantling study. Journal of Consulting & Clinical Psychology, 65(6), 1026-1035. doi:10.1037/0022-006X.65.6.1026 .
Language: English
Format: Journal
Abstract:
43 outpatients with DSM-III-R panic disorder were randomly assigned to receive 6 sessions of eye movement desensitization and reprocessing (EMDR), the same treatment but omitting the eye movement, or to a waiting list. Posttest comparisons showed EMDR to be more effective in alleviating panic and panic-related symptoms than the waiting-list procedure. Compared with the same treatment without the eye movement, EMDR led to greater improvement on 2 of 5 primary outcome measures at posttest. However, EMDR's advantages had dissipated 3 months after treatment, thereby failing to firmly support the usefulness of the eye movement component in EMDR treatment for panic disorder. [Author Abstract]
Keywords: Empirical Study Manual-Based Treatments Panic Disorder Random Clinical Trial RCT Treatment Effectiveness
Accuracy Verified: Yes
158. Muris, P., Merckelbach, H., van Haaften, H., & Mayer, B. (1997, July). Eye movement desensitization and reprocessing versus exposure in vivo: A single-session crossover study of spider-phobic children. British Journal of Psychiatry, 171(1), 82-86. doi:10.1192/bjp.171.1.82 .
Language: English
Format: Journal
Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) is a relatively new therapeutic technique that has been proposed as a treatment for post-traumatic stress disorder and other anxiety complaints. Method: We compared the efficacy of EMDR with that of exposure in vivo in the treatment of a specific phobia. Twenty-two spider-phobic children who met the DSM-III-R criteria for specific phobia participated in the study. Children were treated with one session of exposure in vivo and one session of EMDR in a crossover design. Treatment outcome was evaluated by self-report measures, a behavioural avoidance test and a physiological index (skin conductance level). Results: Results showed positive effects of EMDR, but also suggest that it is especially self-report measures that are sensitive to EMDR. Improvement on a behavioural measure was less pronounced, and exposure in vivo was found to be superior in reducing avoidance behaviour. With regard to skin conductance level, EMDR and exposure in vivo did not differ. Conclusions: EMDR has no additional value in treatment of this type of animal phobia, for which exposure in vivo is the treatment of choice.
Keywords: Empirical Study Exposure Therapy Phobias Spider Phobia
Accuracy Verified: Yes
159. Quinn, G. (2005). Eye movement desensitization and reprocessing with victims of traffic accidents, suicide bus bombings, and terrorist attacks in Israel. Presentation at the American Psychiatric Association Annual Conference, Atlanta, GA.
Language: English
Format: Conference
Keywords: Suicide Bombings Terrorist Attacks Traffic Accidents
Accuracy Verified: Yes
160. Protinsky, H., Sparks, J., & Flemke, K. (2001, June). Eye movement desensitization and reprocessing: Innovative clinical applications. Journal of Contemporary Psychotherapy, 31(2), 125-135. doi:10.1023/A:1010217707351.
Language: English
Format: Journal
Abstract:
Neurologically-based therapies such as Eye Movement Desensitization and Reprocessing (EMDR) are being clinically implemented and researched in the field of psychotherapy. While EMDR has a theoretical base and some research support for its effectiveness with PTSD, therapists are now developing and using EMDR for other clinical problems. This report illustrates some of the unique applications of EMDR with clinical problems such as: driving phobia, interpersonal arguments, dyspareunia, depression, anxiety, and eating problems. [Author Abstract]
Keywords: Anxiety Conflict Depressive Disorders Dyspareunia Eating Disorders Interpersonal Interaction Phobia Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Somatic Symptoms Stressors Survivor Treatment Effectiveness
Accuracy Verified: Yes
161. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Performance Enhancement
Accuracy Verified: Yes
162. Wilson, D. L., Silver, S. M., Covi, W. G., & Foster, S. (1996, September). Eye movement desensitization and reprocessing: Effectiveness and autonomic correlates. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 219-229. doi:10.1016/S0005-7916(96)00026-2.
Language: English
Format: Journal
Abstract:
18 subjects distressed by memories of a specific traumatic event were randomly assigned to a single session of 1 of 3 conditions: Eye Movement Desensitization and Reprocessing (EMDR), a Time Interval Condition (TIC), or Tapping Alternate Phalanges (TAP). All subjects treated in the EMDR group showed desensitization as monitored by SUDs, which correlated with the physiological data and cessation of pronounced symptomatology. Only 1 subject in a control group showed desensitization. Compared to TIC and TAP, autonomic measures showed distinct changes during EMDR: (1) respiration synchronized with the rhythm of the eye movements in a shallow, regular pattern; (2) heart rate slowed significantly overall; (3) systolic blood pressure increased during early sets, invariable declined during abreactions, and decreased overall; (4) finger tip skin temperature consistently increased; and (5) the galvanic skin response consistently decreased in a clear "relaxation response." This relaxing effect of the eye movements suggests that at least one of the mechanisms operating during EMDR is desensitization by reciprocal inhibition, by pairing emotional distress with an unlearned or "compelled" relaxation response. [Author Summary]
Keywords: Adults Arousal Empirical Study European Americans Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
163. Lohr, J., Tolin, D., & Kleinknecht, R. (1995, June). Eye movement desensitization of medical phobias: Two case studies. Journal of Behavior Therapy and Experimental Psychiatry, 26(2), 141-151. doi:10.1016/0005-7916(95)00011-N.
Language: English
Format: Journal
Abstract:
We treated two medical phobic subjects with eye movement desensitization (EMD). Using detailed images of fear-related events, the treatment design conformed to an additive, within-series phase change to examine enduring effects. Results indicated that both subjects' verbal reports of fear decreased substantially using the EMD procedure. There were no consistent changes in heart rate. Similarly, self-reported fear toward a simulated blood draw decreased, but heart rate and blood pressure did not. Data for a number of standardized measures of medical fear indicated posttreatment reduction for both subjects. Anecdotal reports of medical procedures revealed limited generalization of treatment effects.
Keywords: Medical Phobias
Accuracy Verified: Yes
164. Bolen, D. W. (1999, August). Eye movement desensitization reprocessing for the treatment of anxiety in psychology internship applicants: An interrupted time series design. The Chicago School - School of Professional Psychology, Chicago, IL. AAT 9920131.
Language: English
Format: Dissertation/Thesis
Abstract:
This study used an interrupted time series design to study the effectiveness of Eye Movement Desensitization Processing (EMDR) on the anxiety levels of 17 psychology graduate student participants who were in the process of applying to psychology internship sites. Participants were screened for pathology using the Symptom Checklist - Revised. Anxiety was assessed four times using the State Trait Anxiety Scale, twice prior to and twice following treatment with EMDR. Additionally, in an attempt to the account for some of the error variance due to history, the Schedule of Recent Events was given twice during the study, once prior to the EMDR treatment and once along with the final administration of the State Trait Anxiety Scale. Additional information about the effects of EMDR on anxiety, were obtained by monitoring heart rate and blood pressure changes during EMDR treatment for half of the participants. A dependent t-test on pre- and post-EMDR State Trait Anxiety Scale data failed to yield significant results. Other analyses also showed no effect of treatment. However, visual inspection of the data suggested that EMDR may have been effective for some participants. The range and diversity of participant's responses to anxiety over the course of the study, the relatively small sample size and design factors that increased the error variance were discussed in relation to the insignificant results. It was suggested that specific personality traits (e.g. characterological anxiety) and attributes of the distressing target event (e.g. amount of affect evoked) may act as intervening variables in an individual's response to EMDR treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(2-B), Aug 1999, pp. 0819.
Keywords: Anxiety Empirical Study Interrupted Time Series Design Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
165. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Colloquium Performance Enhancement
Accuracy Verified: Yes
166. Feske, U. (1996). Eye movement desensitization und wiederaufbereitung behandlung der panikstörung: wirksamkeit und mechanismen [Eye movement desensitization and reprocessing treatment for panic disorder: efficacy and mechanisms]. (Mikrofiche-Ausg.ed.) Philipps-Universität Marburg, Bl. in getr. Zählung, Germany.
Language: German
Format: Dissertation/Thesis
Keywords: Panic Disorder
Accuracy Verified: Yes
167. Sanderson, A., & Carpenter, R. (1992, December). Eye movement desensitization versus image confrontation: A single-session crossover study of 58 phobic subjects. Journal of Behavior Therapy and Experimental Psychiatry, 23(4), 269-275. doi:10.1016/0005-7916(92)90049-O.
Language: English
Format: Journal
Abstract:
Eye movement desensitization (EMD) and a control procedure, image confrontation (IC) were compared in a group of 58 phobics, 31 of them arachnophobes. [There were 7 cases of "traumatic phobia" and 1 of "classical PTSD."] Subjects confronted disturbing images in a single-session crossover trial. Anxiety levels were recorded on the SUD Scale. Whenever practicable, SUDs to feared objects were also recorded. EMD and IC were equally effective in reducing anxiety levels. After 1 month, during which subjects were encouraged to use IC daily, improvement was maintained. Since exposure to the disturbing image is common to both methods it must be presumed to be the basis of change when EMD is used in cases of phobia. [Author Summary]
Keywords: Accidents Adults British Dog Bites Exposure Therapy Phobia Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
168. Spates, C. R., & Burnette, M. M. (1995, March). Eye movement desensitization: Three unusual cases. Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 51-55. DOI:10.1016/0005-7916(95)00001-G.
Language: English
Format: Journal
Abstract:
Three complex cases are presented to document further the broad applicability of eye movement desensitization (EMD) for PTSD. In the first subject this disorder was combined with panic attacks; in the second, sexual dysfunction was an additional consequence of childhood sexual abuse; and in the third the causative situation directly resulted in profound impairment of occupational and social function. In all three cases treatment produced rapid resolution of symptoms and functional recovery. [Author Summary]
Keywords: Adults Case Report Child Abuse Females Incest Males Multiple Traumatic Events Panic Disorder Police Personnel Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Survivors Treatment Effectiveness Wounds
Accuracy Verified: Yes
169. de Jongh, A. (2010, April). Fijne kneepjes bij angsten en fobieën [Intricacies of fears and phobias]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
De fijne kneepjes van het behandelen van angsten- en fobieën
Een fobie is de meest voorkomende psychische aandoening. Het hebben van een dergelijke angst is vervelend en degene die er last van heeft wordt vaak behoorlijk beperkt in het dagelijks functioneren. Omdat angsten meestal ontstaan als gevolg van gebeurtenissen blijkt EMDR – middels het op therapeutische wijze beïnvloeden van de kennisbestanden die daaraan ten grondslag liggen - een bijzonder geschikte behandelaanpak.
Deze workshop is bedoeld voor ervaren therapeuten die hun reikwijdte ten aanzien van behandeling van patiënten met een angst of fobie - al dan niet met behulp van EMDR - verder wil vergroten. De deelnemers krijgen naast tips en ideeën, een nieuwe vorm van casusconceptualisatie en targetselectie aangereikt die vooral bij patiënten met veel vermijdingstendenties effectief is. Daarnaast wordt uitgelegd hoe cognitieve gedragstherapeutische interventies behulpzaam kunnen zijn om de patiënt voor te bereiden op - of te laten wennen aan – toekomstige, potentieel moeilijke confrontaties met de fobische stimulussituatie. Het aangeleerde materiaal - dat wordt ondersteund door videobeelden uit de praktijk - kan direct in de praktijk worden toegepast. Aan de orde komen een grote variëteit aan voorbeelden van behandelingen van patiënten met fobische problematiek: braakfobie, tandartsfobie, stikfobie, kattenfobie en bloed-letsel-injectiefobie. De workshop is geschikt voor behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd.
Het doel van de workshop is deelnemers na de workshop in staat te stellen om:
● fobische problematiek te conceptualiseren in termen van EMDR
● gebruik te maken van een nieuwe methode van casusconceptualisatie en targetselectie voor het behandelen van angsten en fobieën
● de verschillende effectieve componenten van een EMDR behandeling aan te wenden en te integreren (cognitive interweaves, future template, mental video etc.) ten behoeve van de behandeling van angsten en fobieën
● EMDR te combineren met diverse evidence based interventies zoals, copingstrategieën (bijvoorbeeld bij injectiefobie) gedragsexperimenten (bijvoorbeeld bij stikfobie) en applied tension (bij bloed-letsel-injectiefobie)
This workshop is designed for experienced therapists who range in relation to treatment of patients with a fear or phobia - or not using EMDR - continue to increase. Participants receive tips and ideas in addition, a new form of target selection and casusconceptualisatie handed mainly in patients with many avoiding tendencies effective. Besides explaining how cognitive behavioral interventions may be helpful to the patient to prepare for - or get used to - future, potentially difficult confrontation with the phobic stimulussituatie. The learned material - supported by video footage from the ground - straight into practice. It discusses a variety of examples of treatments of patients with phobic problem: empty phobia, dentist phobia, phobia sewing, cats phobia and blood-injection-injury phobia. The workshop is suitable for therapists, both in the field of adults and children and youth.
The aim of the workshop participants after the workshop to allow for:
● phobic to conceptualize problems in terms of EMDR
● Using a new method of target selection and casusconceptualisatie to treat fears and phobias
● the various components of an effective EMDR treatment to use and integrate (cognitive interweaves futures template, mental video etc.) for the treatment of fears and phobias
● EMDR combined with various evidence based interventions such as coping strategies (eg injection phobia) behavioral experiments (eg nitrogen phobia) and Applied tension (In blood-injection-injury phobia)
Accuracy Verified: Yes
170. Logie, R. (2012, October). Flash forwards. A special type of future template. Presentation at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The “Flashforwards” procedure will explained as a sub category of the existing concept of the “Future Template”. Situations in which the use of Flashforwards might be appropriate will be explained. The use of Flashforwards for various disorders in which there is a fear of future events (eg phobia, PTSD, OCD) will be outlined together with case examples including video. Participants will work through the Assessment phase of the EMDR protocol for a future feared situation using their own material.
Keywords: Flash Forward Future Template
Accuracy Verified: Yes
171. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.
Language: Spanish
Format: Conference
Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Keywords: Floatback Technique Float Foward Technique
Accuracy Verified: Yes
172. Terwilliger, K. (1994, September 25). Fly anxiety: Fears of air travel can be paralyzing. Colorado Springs, CO: The Gazette, Lifestyle, 1.
Language: English
Format: Newspaper
Abstract:
Some therapists claim success with Eye Movement Densensitization and Reprocessing - EMDR - an innovative technique that involves eye movement in tandem with visualization.
Friedman participated in a recent Colorado Springs study of EMDR; she's also done some conventional therapy. Neither seemed to help her overcome her phobia - "but in some ways, I gave up," she says.
Now, she's considering trying again.
Keywords: Colorado Springs Fear of Flying
Accuracy Verified: Yes
173. Pagani, M. (2013, June). Functional and structural neuroimaging and EEG monitoring related to EMDR and CBT treatments for PTSD. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
In the recent past several neuroimaging studies aimed at evaluating the neural correlates of PTSD-related psychotherapies revealing their neurobiological effects on brain function. Functional studies by single photon emission computed tomography (SPECT) and electroencephalography (EEG) detected changes in cerebral blood flow and neuronal activation patterns, identifying the brain areas implicated in the various components of emotional processing and/or affected by the disorder. Investigations by magnetic resonance imaging (MRI) have also revealed PTSD-related structural changes.
The first part of the workshop will review the neuroimaging methodologies and findings in PTSD treatment-related research with an extensive review of previous literature on the neurobiological effects of the various psychotherapies. The second part will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in recent studies published by our group. In the third part the EEG monitoring of a complete set of Eye Movement Desensitization and Reprocessing therapies in 30 patients suffering of major trauma as compared to 20 healthy controls will be presented. These findings will also be compared to the neurobiological effects of trauma-focussed Cognitive Behavioural Therapy in a second group of psychologically traumatized clients. The results are the first report ever on the neurobiological changes occurring before, during and after PTSD-related psychotherapies shedding light on the neuronal processes underlying their clinical efficacy.
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind neuroimaging techniques (SPECT, EEG and MRI) and their possible applications in research and clinic; (2) the up-dated critical knowledge of the published papers in the field of PTSD-related psychotherapies functional and anatomical studies; (3) the basic research principles and examples to be motivated to start, take part and/or collaborate to functional studies in order to better understand the neural basis of psychotherapeutic techniques. The presented material will represent the state-of-the-art of the current neuroscience PTSD-related research and of the neuroimaging methodologies available at the moment.
Accuracy Verified: Yes
174. Bériault, M., & Larivée, S. (2005). Guérir avec l'EMDR: Preuves et controversies [Healing with EMDR: Evidence and controversies]. Revue de Psychoéducation, 34(2), 355-396.
Language: French
Format: Journal
Abstract:
L'EMDR est une approche psychothérapie intégrative proposé de traiter un large éventail de troubles psychologiques. Il s'agit de la première revue française de l'efficacité de l'EMDR. L'efficacité EMDR est d'abord montrer par des études de cas non contrôlé qui souffre d'importantes lacunes méthodologiques. études de cas expérimentale des résultats équivoques. Des études contrôlées sont ensuite examinés en fonction du type de contrôle expérimental utilisé et le type de trouble traité. EMDR semble aussi efficace que la thérapie cognitivo-comportementale pour le traitement du trouble de stress post-traumatique, mais la thérapie cognitivo-comportementale reste le traitement de choix pour la phobie spécifique et le trouble panique. En outre, des études montrent que le démantèlement de façon répétée les mouvements oculaires ne sont pas nécessaires à l'efficacité de l'EMDR. Une analyse des différences et des similitudes entre l'EMDR et l'approche cognitivo-comportementale est présentée. pseudoscience éléments intégrés dans le développement de l'EMDR et la diffusion sont également présentées. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
EMDR is an integrative psychotherapy approach proposed to treat a wide range of psychological disorders. This is the first French review of EMDR effectiveness. The EMDR effectiveness is initially show with uncontrolled cases studies that suffers from important methodological weaknesses. Experimental case studies provide equivocal results. Controlled studies are then reviewed as a function of the type of experimental control used and the type of disorder treated. EMDR appears as effective as cognitive-behavioral therapy for the treatment of post-traumatic stress disorder but cognitive-behavioral therapy remains the treatment of choice for specific phobia and panic disorder. In addition, dismantling studies repeatedly show that eye movements are not necessary for the efficacy of EMDR. An analysis of the differences and similarities between EMDR and the cognitive behavioral approach is presented. Pseudoscience elements embedded in EMDR development and diffusion are also presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Behavioral Therapy Cognitive Therapy Integrative Psychotherapy Approach Mental Disorders Psychological Disorders
Accuracy Verified: Yes
175. Leeds, A. M. (2012, November). Guía de protocolos estándar de EMDR para terapeutas, supervisores y consultores [A guide to the standard EMDR protocols for clinicians, supervisors, and consultants]. Bilbao ESPAÑA: Desclée De Brouwer.
Language: Spanish
Format: Book
Abstract:
Aprender a utilizar el EMDR con seguridad y eficacia requiere la integración de una amplia gama de conocimientos y competencias. Esta guía quiere ser una orientación para las cuestiones clínicas, profesionales y de gestión de riesgos con las que los profesionales del EMDR se encuentran a diario.
Siguiendo el modelo de las ocho fases de la EMDR, el libro propone una guía clara y detallada para la utilización de los protocolos convencionales de EMDR para el tratamiento del trastorno de estrés postraumático, fobias y ataques de pánico. También se incluyen pautas para la formulación de casos, la planificación del tratamiento y para preparar a los pacientes para el reprocesamiento con EMDR. Además, la guía también contiene muestras de contratos para supervisión y formularios para documentar los resúmenes de los casos y los resultados de los tratamientos, así como:
- gráficos, formularios, ilustraciones, tablas y árboles de decisión para guiar la planificación del tratamiento y la documentación.
- estudios de casos con trascripciones que ilustran los distintos protocolos y pautas para tomar decisiones informadas.
- cuestiones éticas de aplicación clínica, consulta, supervisión e investigación.
Gracias a las pautas de tratamiento claras y concisas sobre el uso clínico del EMDR, este libro es un recurso de incalculable valor para terapeutas en activo, supervisores, consultores y directores clínicos.
Learning to use EMDR safely and effectively requires the integration of a wide range of knowledge and skills. This guide is intended as a guide for clinical, professional and risk management with which EMDR practitioners encounter daily.
Modeled after the eight phases of EMDR, the book offers a clear and detailed guide to the use of EMDR protocols for treating PTSD, phobias and panic attacks. Also included are guidelines for case formulation, treatment planning and to prepare patients for reprocessing with EMDR. The guide also contains samples for monitoring contracts and forms to document summaries of cases and treatment outcomes, as well as:
- Charts, forms, illustrations, tables and decision trees to guide treatment planning and documentation.
- Case studies with transcripts illustrating the different protocols and guidelines to make informed decisions.
- Ethical issues in clinical application, consultation, supervision and research.
With treatment guidelines clear and concise on the clinical use of EMDR, this book is an invaluable resource for practicing therapists, supervisors, consultants and clinical directors.
Keywords: Prtactice Protocols Theory
Accuracy Verified: Yes
176. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley.
Language: English
Format: Book Section
Abstract:
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Adolescents Children
Accuracy Verified: Yes
177. Tehrani, N. (2002, December). Healing the wounds of the mind. The Psychologist, 15(12), 598-599.
Language: English
Format: Magazine
Abstract:
A world the terrorist attacks of the 11
September 2001 faced a new
atrocity on 12 October. About 200 people
were killed and more than 300 injured
when a bomb exploded in a Bali nightclub.
Accuracy Verified: Yes
178. Rijkes, A., & Smeele, G. (2012, March). Hoofdzaken, EMDR behandeling van migraine en hoofdpijn [Basics, EMDR treatment of migraine and headache]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Naast een op de toepassing gerichte theoretische inleiding krijgt u meerdere demonstraties voorgeschoteld van de EMDR behandeling van migraine en hoofdpijn. Live en video. U kunt zich een eerste indruk vormen van methode, werkwijze en effectiviteit van de behandeling. Circa 15% van de mensheid heeft last van deze pijnsoort. Migraine komt bij vrouwen ongeveer driemaal zo vaak voor als bij mannen. De meeste medicijnen bieden geen oplossing op langere termijn, hebben bovendien als bijwerking hoofdpijnklachten. De Wereld Gezondheid Organisatie, WHO, heeft in 2011 aandacht gevraagd voor de ontwikkeling van nieuwe behandelmethoden, mede gelet het enorme productiviteitsverlies in de wereld. Werkgevers en Arbo-diensten hebben interesse in deze vorm van behandelen van werknemers.
De geïntegreerde EMDR behandeling bestaat uit twee fasen; fase 1 is gericht op repressie: de behandeling van acute pijnklachten. Fase 2 is gericht op preventie: het voorkomen van pijnaanvallen in de toekomst. Cliënten hebben onmiddellijk baat bij de behandeling. Tijdens de workshop wordt tot slot informatie gegeven over de Nederlandse Special Interest Group (SIG) EMDR en Hoofdpijn.
Besides a theoretical introduction on the dedicated you presented several demonstrations of the EMDR treatment of migraine and headache. Live and video. You can first impression of method, process and effectiveness of treatment. Approximately 15% of humanity suffers from this kind of pain. Migraine affects women about three times as often as men. Most drugs do not address the longer term, also have as a side effect headaches. The World Health Organization, WHO, in 2011 has drawn attention to the development of new treatment methods, taking into account the enormous loss of productivity in the world. Employers and occupational health services are interested in this form of treatment of workers. The integrated EMDR treatment consists of two phases: Phase 1 focused on repression: the treatment of acute pain. Phase 2 focuses on prevention: prevention of pain attacks in the future. Clients benefit directly from the treatment. During the workshop, finally, information about the Dutch Special Interest Group (SIG) EMDR and Headache.
Accuracy Verified: Yes
179. Kwiatkowski, J. (2001, April 17). Hypnosis is hip: More and more people are turning to trance therapies for help with emotional problems. Buffalo, NY: The Buffalo News, Final, Lifestyles, C1.
Language: English
Format: Newspaper
Abstract:
Eye Movement Desensitization and Reprocessing, developed on the West Coast in 1987, is a treatment Bath uses to help people who suffer from post-traumatic stress syndrome.
He estimates that 30 to 40 percent of his clients experience anxiety problems: social phobias, panic disorders, obsessive compulsive disorders. Post-traumatic stress disorder is a key anxiety disorder, according to Bath, and EMDR helps people confront their traumas.
Keywords: Buffalo Hypnosis Kent Bath Trance Therapies
Accuracy Verified: Yes
180. Cowan, B. (2002, April 23). I felt the memory gush out. London, England: The Times, Features.
Language: English
Format: Newspaper
Abstract:
"After ten hours of EMDR, I had made the breakthrough I needed and I left the
surgery in a state of euphoria. I haven't had a panic attack or nightmare since
and now realise that they were the physical memory of the rapist crushing and
suffocating me. Replaying events gave my brain another chance to process them.
This time it got it right and emotionally, not just rationally, I now
acknowledge that you can't control everything."
Keywords: General London Overview
Accuracy Verified: Yes
181. Solomon, R. M. (1993-1994, Winter). ICISF suggests EMDR training for clinicians. LifeNet, 4(4).
Language: English
Format: Magazine
Abstract:
Eye Movement Desensitization and
Reprocessing (EMDR) is an exciting
new therapeutic process for the treatment
of anxiety, panic disorders and
traumatic stress (see the article on
EMDR by Dr. Roger Solomon in this
issue). It is only for trained mental
health clinicians since it is far more
complex than is suggested when one
first hears about it in casual conversations
or in newspaper reports.
Accuracy Verified: Yes
182. 有村 達之 高瀬 元治 早川 洋 久保 千春 [Arimura Tatsuyuki, Takase Motoji, Hayakawa Hiroshi, and Kubo Chiharu]. (2000年6月). IG-11 心理的外傷体験にEMDRを用いて改善した二例(パニック) [EMDR experience psychological trauma for improved two cases (panic)]. 心身医学、40の日本誌(サプリメント)、144 [Japanese Journal of Psychosomatic Medicine, 40(supplement), 144].
Language: Japanese
Format: Journal
Accuracy Verified: Yes
183. Giannantonio, M., & Lenzi, S. (2009). Il disturbo di panico: Psicoterapia cognitiva, ipnosi e EMDR [The panic disorder. Cognitive psychotherapy, hypnosis and EMDR]. Milano: R. Cortina.
Language: Italian
Format: Book
Abstract:
La psicoterapia cognitiva, l’ipnosi e l’EMDR vengono per la prima volta inserite in un modello di intervento organico e coerente, il cui obiettivo principale è l’efficacia degli interventi proposti.
L’approccio evidence-based alla psicoterapia conferisce una cornice teorica e operativa di grande rigore a modelli di intervento che garantiscono robustezza metodologica e applicabilità immediata.
Cognitive psychotherapy, hypnosis, and EMDR are for the first time on an intervention model and consistent, whose main objective is the effectiveness of interventions proposed. The evidence-based approach to psychotherapy gives a theoretical framework and operational rigorous models of intervention that provide immediate applicability and methodological robustness.
Keywords: Hypnosis Panic Disorder
Accuracy Verified: Yes
184. Faretta, E. (2000). Il panico e l’EMDR [Panic and EMDR]. Lidap Onlus, No. E, 6-9, Parma, Italia.
Language: Italian
Format: Journal
Keywords: Panic
Accuracy Verified: Yes
185. Shusta-Hochberg, S. R. (2003). Impact of the World Trade Center disaster on a Manhattan psychotherapy practice. Journal of Trauma Practice, 2(1), 1-16. doi:10.1300/J189v02n01_01.
Language: English
Format: Journal
Abstract:
On September 11, 2001, when two hijacked planes destroyed the World Trade Center, the world changed. As a clinical psychologist practicing in Manhattan, and specializing in trauma, the author has found the event's impact upon her work to be profound. For most of her patients, in particular the severely dissociative, this event triggered the deepest feelings of vulnerability, fear and rage. She describes the varied trauma responses of her patients, effective interventions, and her own experiences as a psychologist and a New Yorker both on and since September 11. [Author Abstract]
Keywords: 9/11 Americans DID Dissociative Identity Disorder Personal Narrative Posttraumatic Stress Disorder Psychologists PTSD September 11 Survivors Terrorism Terrorist Attacks
Accuracy Verified: Yes
186. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.
Language: Italian
Format: Conference
Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD).
L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia.
Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali.
Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia.
L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4).
Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso).
Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene.
Bibliografia:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532.
2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
4. Lindauer et al. (2005). Psychol Med ; 35 :1-11.
5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61.
6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]
Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD).
The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy.
The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data.
The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment.
The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4).
Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted).
Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders.
Bibliography:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532.
2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476.
4. Lindauer et al. (2005). Psychol Med, 35 :1-11.
5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61.
6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]
Keywords: Brain Functions Neurobiology
Accuracy Verified: Yes
187. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
Keywords: Affect Tolerance Poster Self-Regulation Social Functioning
Accuracy Verified: Yes
188. Magirena, S. (2009, Julio 7). Incorporación de EMDR en la terapia sexual. Caso clínico de vaginismo [Incorporating EMDR in sex therapy. Case report of vaginismus]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Journal
Abstract:
El vaginismo es una de las causas más frecuentes de matrimonio no consumado y fobia al coito.
Es preciso diferenciar el vaginismo de la evitación fóbica del acto sexual y también de cualquier causa orgánica que pueda obstruir la entrada de la vagina. Por lo tanto es imprescindible el examen ginecológico de la paciente.
A pesar del desarrollo y relativa proliferación de los tratamientos psicológicos para las disfunciones sexuales desde los trabajos pioneros de Masters y Johnson (1970), y a pesar del convencimiento de los psicólogos clínicos de la eficacia de estos tratamientos, la verdad es que existen pocos tratamientos empíricamente validados.
En el caso de las mujeres el panorama no ha sido muy alentador, salvo el empleo de terapia hormonal en los trastornos del deseo, no es mucho lo que se ha avanzado.
Vaginismus is one of the most common causes of unconsummated marriage and sex phobia.
We must distinguish vaginismus phobic avoidance of sexual intercourse and also any organic cause that may prevent the entrance of the vagina. Therefore it is essential to the gynecological examination of the patient.
Despite the development and proliferation on psychological treatments for sexual dysfunction from the pioneering work of Masters and Johnson (1970), despite the belief of clinicians of the effectiveness of these treatments, the truth is that there are few treatments empirically validated.
For women the situation has not been very encouraging, but the use of hormone therapy in disorders of desire, not much progress has been made.
Keywords: Sex Therapy Vaginismus
Accuracy Verified: Yes
189. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti con disturbi da eventi stressanti: Impiego della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione
delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere
l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing
(EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore
biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime
l’integrità funzionale del sistema neurovegetativo in risposta
allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi
d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici,
SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico
breve (4-6 sedute a cadenza settimanale) di tipo
specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento
(TBASE: colloquio anamnestico, MINI, Brief
COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi
delle correlazioni (Spearman) e delle differenze
(Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità
SCL e SDNN [r = -0,95; p =.014]; depressione SCL e
r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r
= -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni:
IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043].
Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.
Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration
of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote
the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing
(EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator
organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses
functional integrity of the autonomic nervous system in response
stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders
anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic
SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic
short (4-6 sessions weekly) type
specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment
(TBASE: anamnestic interview, MINI, Brief
COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis
correlations (Spearman) and differences
(Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility
SCL SDNN [r = -0.95, p =. 014]; SCL depression
r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r
= -0.9, P =, 037]. Were statistically significant, the following changes:
IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043].
Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.
Keywords: Heart Rate Variability Poster Stress Disorders
Accuracy Verified: Yes
190. Aloisio, T. M. F. (2012, October). Integrating structural Bowen theory and EMDR: Healing trauma and sexual disorders after a rape suffered. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
The couple was assaulted by four men, one appeared to be a minor. They forced the couple into their own car and raped the wife, forcing the husband to watch the rape under gunpoint.
With both parents assaulted and raped, the family reported a history of sexual trauma and underwent an EMDR therapy in addition to Bowen theory.
They presented the following symptoms: The wife: episodes of panic, depression, insomnia and nightmares, anorgasmia and vaginismus. The husband: anxiety disorder, insomnia, intrusive negative thoughts, premature ejaculation and erectile difficulties. The children: Larissa - difficultues in sleeping and concentrating in her studies. Yago - nocturnal enuresis and difficulty sleeping alone in his bedroom.
The EMDR standard protocol was used to clear the trauma within the relationship as well as with outside relationships. Experiences from before and after the rape were also targeted, as well as differentiation in the couple, including unsatisfactory sex.
There were nine encounters, during nine weeks, with an average of three hours each.
Follow up data from the couple was obtaained after six months.
Keywords: Bowen Theory Poster Rape Sexual Disorders Victim
Accuracy Verified: Yes
191. Faretta, E. (2004, June). Integration of hypnotic therapy with EMDR for the treatment of panic disorder: Report of twelve single case studies. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The author describes a special protocol she designed for the psychotherapy of Panic Disorders based upon a precise integration of Ericksonian hypnotic techniques with EMDR. This symposium presentation reports on the results of twelve completed singles cases and four in which treatment will still be ongoing at the time of the conference. This therapy approach is based upon the standard EMDR protocol and it eight phases of treatment. However, a noteworthy aspect of this intervention is the comprehensive management of the panic episodes themselves. This protocol assists the client in learning to cope with all the symptomology related to panic attacks, that is, the physiological, cognitive, emotional, and behavioral aspects. The first panic attach is considered the primary traumatic event. From this beginning point, the client is taught to face, step by step, the subsequent panic attacks utilizing both hynotherapeutic strategies and the EMDE processing. This protocol has permitted the successful processing of the memories related to the panic episodes (including imagining of the entire scene from start to finish), appropriate cognitive restructuring of the elements of irrational fear, and planned exposure through encouragement and support for confronting avoid situations and places. A conclusion of treatment is an agreement to face new situations of life that had seemed impossible before treatment because of the level of fear.
Keywords: Anxiety Disorders Case Study Hypnosis Integrated Approach Panic Disorder Symposium
Accuracy Verified: Yes
192. Faretta, E., & Parietti, P. (2003, May). Integration of hypnotic therapy with EMDR in the psychodynamic treatment of panic attacks disorder: Trauma and panic. In Anxiety disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
The authors illustrate here a special intervention plan that has demonstrated particular benefit in the treatment of Panic Disorder. They introduce here a specific modality of treatment, based upon the integration of hypnotic techniques with EMDR, and following a carefully planned procedure.
This modality of treatment is comprised of several steps that allow the articulation of a structured intervention. This precise scheme of work is based on the eight phases of EMDR and its integration with hypnosis therapy.
The authors present an elaborated single case study of one patient with Panic Disorder along with summaries of several others who were treated with this integrated modality.
The results of the intervention show a noteworthy decrease in the frequency of panic attacks, a reduction in anticipatory anxiety, the alleviation of the somatic symptoms, depression, and other difficulties associated with this disorder.
These clinical case studies suggest the efficacy of this modality of EMDR integrated with hypnosis, and encourage further research in this area. [Author abstract]
Keywords: Anxiety Disorders Hypnotic Therapy Hypnotism Panic Attacks Psychodynamic Therapy Symposium
Accuracy Verified: Yes
193. Balenger, V. (2001, November 2). Interactions. Washington, DC: Washington Post, Health, F02.
Language: English
Format: Newspaper
Abstract:
With its misplaced emphasis on the supposed controversy around Eye Movement Desensitization and Reprocessing, "EMDR, In the Eye of the Storm" [Oct. 30] seemed intent on derailing the EMDR's Disaster Response Network's generous offer to provide free treatment to survivors of the Sept. 11 terrorist attacks. The article's biases and distortions are too numerous to cite, but the headline describing EMDR as an "aggressively marketed but unproven therapy" captures them pretty well.
Keywords: General Letter Overview Washington, DC
Accuracy Verified: Yes
194. Rossman, M. & Bresler, D. (1995, June). Interactive guided imagery and EMDR: Synergy and complementarity. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
I. What is Imagery?
An image is a thought-form with sensory qualities. It is an internal representation of personal reality. Imagery is the
natural, efficient way the human nervous system stores, processes and accesses information. Imagery is the major
natural language of the unconscious
II. What is Interactive Communication?
There are three levels of interactive communication.
(1) Non-interactive communication in which the client is a passive participant of suggestion and the guide sets the
pacing and direction of the experience.
(2) One way interactive communication in which the guide provides the direction but the client sets the pace (e.g.
"let me know when you are feeling more comfortable and relaxed).
(3) Two way interactive communication in which the client provides both the pace and the direction of the
experience.
There are many great advantages to working interactively. Greater client participation in the process leads to greater
client empowerment, and with a greater sense of personal control, clients are able to progress more rapidly with less
resistance to the change process.
III. What is Interactive Guided Imagery"? -
Interactive Guided Imagery is a therapeutic approach that quickly accesses and simultaneously utilizes the rich
resources available from both the client's conscious and unconscious minds. It includes a set of techniques designed to
enhance relaxation, reduce the effects of stress, modulate affect, increase motivation, expand creativity and problem
solving abilities, resolve conflicts and the sequellae of trauma and facilitate action planning.
IV. The Inner Advisor -
The Inner Advisor is an internalized image that has the qualifies of wisdom and compassion. It can represent a
crucial inner support system for clients dealing with PTSD. Participants are taught how to find their own Inner
Advisors and to establish a dialogue that can lead to future inner exploration. The benefits and potential
complications of working with Advisor figures are discussed.
V. EMDR and Interactive Guided Imagery - (IGI)
Drs. Bresler and Rossman discuss what Interactive Guided Imagery and EMDR have in common and how they differ.
In particular, EMDR therapists are encouraged to utilize Conditioned Relaxation to enhance the clearing process
during eye movements, and to recruit the assistance of the Inner Advisor to prevent or reduce flooding, traumatic
insight, and/or regression panic. Conflict resolution techniques are also discussed.
Keywords: Guided Imagery
Accuracy Verified: Yes
195. Pagani, M. (2010, June). Introduction to neuroimaging in EMDR research. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In the recent years the number of neuroimaging studies
evaluating neural correlates of psychotherapy has steadily
increased revealing its clear neurobiological effects on brain
function across a wide range of psychiatric disorders. Functional
studies by single photon emission computed tomography
(SPECT) and positron emission tomography (PET) detect
changes in cerebral blood flow and metabolism patterns, identifying
the brain areas processing the various components of
emotional processing and/or affected by the disorders. investigations
by magnetic resonance imaging (MRI) have also revealed
psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the
neuroimaging methodologies implemented in EMDR research
and their possible clinical implementations will be discussed.
In the second part (10 minutes) neuroimaging studies on the
neurobiological effect of EMDR will be reviewed (1-5).
The third part of the workshop (30 minutes) will deal with the
last findings in EMDR research and will focus on a recent studies
published by our group on the Journal of Psychiatry Research
about the predictive value of MRI on the outcome of
EMDR therapy (6).Moreover a collaborator of our group will
describe and present the preliminary findings of an ongoing experiment
aiming to identify the neurophysiological mechanisms
active during EMDR therapy.
The description and the discussion about the contents of the
workshop will provide the audience
1 the necessary information to understand the methodological
principles behind the neuroimaging techniques (PET and
SPECT) and their possible applications in research and clinic;
2, the critical knowledge of the limited number of published
papers in the field of EMDR-related functional and anatomical
studies (1-6);
3. the basic research principles and examples to be motivated
to begin, take part and/or collaborate to EMDR research in order
to shed light on the neural basis of this fascinating psychotherapeutic
technique.
The presented material will represent the state-of-the-art of the
current neuroscience EMDR-related research and of the neuroimaging
methodologies available at the moment.
in case more contributions will be included in this workshop the
proposed presentation time schedule might change.
References:
Lansing et al. (2005). J Neuropsych Clin Neurosci; l7(4):526-532.
Propper et al. (2007). J Nerv Met Dis; 195:785-788.
Ho DH and Choi J. (2007). J EMDR Pract Res; l(l):24-30.
Pagani et al. (2007). Nuc Med Comm: 28(10):757-65.
Bossini et al (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
Nardo et al. (2010). J Psychiatry Res; D0110.1016/jjpsychires.2009.10.014
Keywords: Neuroimaging Research
Accuracy Verified: Yes
196. Simpson, E. (1994, August 27). Keep an eye on the latest phobia cure. London, England: Daily Mail.
Language: English
Format: Newspaper
Abstract:
John Spector, currently the only clinical psychologist fully-trained in EMDR, has found the technique invaluable with patients, including those traumatised by assaults, road accidents or having seen, a close friend in the military die.
Keywords: John Spector London Phobias
Accuracy Verified: Yes
197. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir psikoterapotik yaklaþým: Göz hareketleri ile duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41.
Language: Turkish
Format: Journal
Abstract:
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.
Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.
Keywords: Chronic Pain Pain Disorders Pain Psychotherapy
Accuracy Verified: Yes
198. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana..
Language: Italian
Format: Dissertation/Thesis
Abstract:
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi.
“E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929).
Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6
consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche.
Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione.
Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione.
Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza.
L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD.
7
Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali.
Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto.
Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti.
Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto.
Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.
In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy
Accuracy Verified: Yes
199. Herceg-Eichler, S. (2007, Juin). L'emploi del la technique "butterfly" en cas de haute tension artérielle [The use of the "butterfly" technique in high blood pressure]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Le EMDR, avec sa technique “Butterfly,” est un instrument très valuable a etre untilisé par les patients aussi bien entre less séances-cabinet comme après avoir terminer les séances proprement dites.
La tension artielle trop élevée (outré 75/80 sur 140) cause des risques (crise cardiaque, serrement de Coeur, infarctus du myocarde, apoplexie…). Il y a un certain number of personnes qui tendent à voir une tension arterielle haute en raison de névroticismes et/ou de tress mal-ménagé. Ici la “butterfly” permet un très bon coping: la tension artielle élevée peut-etre diminuée sans médicant lorsqu ils agit “simplement” de stress (réactions névrotiqies en général ou à cause traumatisms).
Cet exposé a été dans mon travel de cabinet (illustré avec plusieurs examples) et je l'
ai déjà présenté en férvier 2006 lors de la reunion annuelle del al Société EMDR Autriche.
The EMDR, with its technical "Butterfly" is a very Valuable to be used as basis by both patients and between-sessions less firm as after completing the sessions themselves.
Tension artiele too high (over 140 outraged 75/80) because of the risks (heart attack, heart tightness, myocardial infarction, stroke ...). There are a number of people who tend to see a high blood pressure because of Nevrotic and / or ill-tress spared. Here the "butterfly" makes a very good coping: artiele high voltage may be reduced without medication when they act "simply" stress (névrotiqies reactions in general or because Traumatism).
The presentation was in my travel of staff (illustrated with several examples) and I
férvier have already presented in 2006 at the annual meeting al del Company EMDR Austria.
Keywords: Butterfly High Blood Pressure
Accuracy Verified: Yes
200. Faretta, E., & Fernandez, I. (2003, Novembre). L'integrazione dell'EMDR nel trattamento del disturbo da attacchi di panico [Integrating EMDR in the treatment of the panic disorder attacks ]. In F. Rovetto, Panico - Origini, dinamiche, terapie. cap. 16, (pp. 469-488) Centro de Ricerche e Studi in Psicotraumatologia, Milano: McGraw-Hill.
Language: Italian
Format: Book Section
Keywords: Panic Disorders
Accuracy Verified: Yes
201. Leeds, A. (2006, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Keywords: Affect Tolerance and Integration Protocol
Accuracy Verified: Yes
202. Leeds, A. (2007, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Keywords: Positive Affect Tolerance and Integration Protocol
Accuracy Verified: Yes
203. Parietti, P., & Faretta, E. (2002, Settembre 25-29). Memoria traumatica e panico. Un approccio integrato tra ipnosi e EMDR [Traumatic memory and panic. An integrated approach between hypnosis and EMDR]. Presentazione al IX congresso della Società Europea di Ipnosi, Roma, Italia.
Language: Italian
Format: Conference
Keywords: Hypnosis Panic Trauma
Accuracy Verified: Yes
204. Kutz, I., & Bleich, A. (2005). Mental health interventions in a general hospital following terrorist attacks: The Israeli experience. Journal of Aggression, Maltreatment and Trauma, 10(1/2), 425-437. doi:10.1300/J146v10n01_10.
Language: English
Format: Journal
Abstract:
Over three years of repeated terrorist attacks in Israel have shown that the victims suffering from acute stress syndromes constitute the bulk of the casualties. The large number of psychological victims presents an immediate problem of hospital surge capacity. The need for alleviating acute suffering and preventing chronic, disabling posttraumatic syndromes requires organizational and clinical skills. The article reviews deployment and intervention protocols for the treatment of victims and affected staff members in a general hospital setting. [Author Abstract]
Keywords: Acute Stress Disorder ASD Crisis Emergency Rooms Group Psychotherapy Israelis Posttraumatic Stress Disorder PTSD Survivors Terrorism
Accuracy Verified: Yes
205. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137.
Language: English
Format: Journal
Abstract:
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: Attachment Attachment Behavior Brief Psychotherapy Early Memories Memory Theory Panic Disorder Psychodynamic Psychotherapy Psychotherapeutic Processes Relapse Short-term Dynamic Psychotherapy
Accuracy Verified: Yes
206. Winter, L. B. (2004). Moglichkeiten der behandlung von patienten mit folgeerkrankungen nach psychischer traumatisierung: Eine literaturubersicht [Allowed the treatment of patients with sequelae after psychological trauma: A literature review]. Aus der Klinik fur Psychiatrie und Psychosomatik, Abteilung fur Psychosomatische Medizin und Psychotherapie der Albert-Ludwigs-Universitat Feiburg im Breisgau.
Language: German
Format: Dissertation/Thesis
Abstract:
In unserem Sprachgebrauch werden immer wieder Worte wie „traumatisch“ oder „katastrophal“ zur
Beschreibung unangenehmer Erlebnisse benutzt. Dabei führen längst nicht alle derartig betitelten
Ereignisse zu einem seelischen Trauma. Vielmehr ist die Entwicklung eines Traumas im Sinne einer
seelischen Verletzung abhängig von dem Stressor.
Während eine Trennung, eine hohe Belastung am Arbeitsplatz oder auch der Verlust desselben nur selten
zu einem Trauma führen, obwohl diese Ereignisse meist als tragisch empfunden werden, ähneln sich die
Stressoren, die häufig ein Trauma auslösen, vor allem in einem: Die Person befindet sich in einer
unerwartet eingetretene Gefahrensituation, die sie aus eigener Kraft nicht verändern kann und die große
emotionale Aufruhr wie Angst und Panik oder körperliche Verletzungen und Schmerzen bewirkt.
Manchmal reicht es auch aus, Zeuge einer solchen Situation zu sein.
In our language again and again such words as "traumatic" or "catastrophic" for the
Description of unpleasant experiences in use. This result not all such titled
Events to a psychic trauma. Rather, the development of trauma in terms of a
mental injury depends on the stressor.
During a separation, a high stress at work or even the loss of it rarely
lead to trauma, although these events are often perceived as tragic, similar to the
Stressors that cause frequent trauma, especially in one: The person is in a
unexpected conditions hazardous situation, which they can change their own efforts and not the great
emotional turmoil such as fear and panic or causes physical injury and pain.
Sometimes it is better just to witness such a situation
Keywords: Literatire Review Trauma
Accuracy Verified: Yes
207. Prado-Gasco, V. J., Perez-Marin, M., & Molero-Zafra, M. (2010, July). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: An intervention protocol. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.
Language: English
Format: Conference
Abstract: From the model of Narrative family therapy we use tales that could symbolically represent in therapy settings a person or a legal entity, both individual and collective, and which expresses a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity (White, 1991; White y Epston, 1993). In psychotherapy, externalising is the use of language to convert problems that affect the person or family on to an independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique through the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in children adoption cases. The objective here is not to fight against the external representation of the family. We use tales inside the symbolic techniques that permits families to work together with meanings, individualism and cohesion within their members, and after adoption. We present a therapeutic protocol that combined EMDR and narrative family therapy externalisation techniques. We expose in a format of clinical case report the therapeutic work with a family that have adopted a child who suffer of a simple phobia. Using the protocol we describe above we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes. This protocol has been useful to manage the phobia symptoms and to improve the adoptive family identity and cohesion. The combined approach we describe could help adoptive families to understand and to interpret the meanings from the construction that family systems make of their own world and relieve psychological symptoms that children could present.
Keywords: Adoption Intervention Protocol Narrative Family Therapy Poster
Accuracy Verified: Yes
208. Willemsen, H., Chowdhury, U., & Briscall, L. (2002, October). Needle phobia in children: A discussion of aetiology and treatment options. Clinical Child Psychology and Psychiatry, 7(4), 609-619. doi:10.1177/1359104502007004012.
Language: English
Format: Journal
Abstract:
In this article we review the current literature surrounding needle phobia, concentrating
on clinical symptoms, aetiology and treatment options. Clinical symptoms
include sudden increase in heart rate and blood pressure on exposure to needles
followed by an immediate slowing of the heart and decrease in blood pressure
(vasovagal reflex). The various schools of thought surrounding aetiology of this
condition include biological, psychological and psychodynamic theories. Treatment
options vary from simple education and reassurance to medication and
specific behavioural approaches. Consideration should be given to past trauma
associated with the phobia and relevant family factors. Careful clinical assessment
will not only identify the problem but will also help to indicate appropriate treatment
options.
Keywords: Behavioural Therapy Needle Phobia Psychotherapy Trauma Vasovagal Reflex
Accuracy Verified: Yes
209. Pagani, M. (2010, Novembre). Neurobiologia e nuovi concetti fisiopatologici dell’EMDR [Neurobiology and new concepts pathophysiological EMDR]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La sindrome da stress post-traumatico (PTSD) causa nel cervello cambiamenti sia anatomici sia funzionali in specifiche aree cerebrali associate alla risposta emotiva al trauma ed alla relativa insorgenza dei sintomi. Studi di immagini funzionali (tomografia ad emissione di fotone singolo, SPECT, e a emissione di positroni, PET) e strutturali (risonanza magnetica, RM) hanno evidenziato significative variazioni neuropatologiche in pazienti con PTSD durante la rivisitazione del trauma.
L’impiego di queste tecniche ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulle funzioni cerebrali. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Desensibilizzazione e rielaborazione attraverso i movimenti oculari) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Tuttavia solo un numero esiguo di studi ha indagato il substrato neurobiologico di questa psicoterapia. Verranno discussi studi che il nostro gruppo ha recentemente pubblicato su riviste internazionali e che hanno dimostrato con la SPECT come l’EMDR normalizzi il flusso ematico cerebrale nelle aree limbiche implicate nel PTSD (1) e con la RM come nei pazienti che non rispondono a terapia molte di queste aree presentino una diminuzione rilevante della densità della sostanza grigia (2). Verranno inoltre presentati i risultati preliminari del primo studio che monitora completamente con EEG una seduta EMDR e dimostra le attivazioni che i cicli di desensibilizzazione per se provocano a livello corticale e subcorticale sia durante la prima seduta che durante l’ultima quando il soggetto ha elaborato il trauma.
1. Nardo D et al. J Psychiat Res 2010; 44:477-485
2. Pagani M et al. Nucl Med Commun 2007; 28: 757-765
The syndrome of post-traumatic stress disorder (PTSD) causes changes in the brain is anatomical and functional in specific brain areas associated with emotional response to trauma and the related onset of symptoms. Studies of the functional (single photon emission computed tomography, SPECT, and emission tomography, PET) and structural (magnetic resonance imaging, MRI) have shown significant neuropathological changes in patients with PTSD during revisiting the trauma.
The use of these techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (Desensitization and reprocessing through eye movements) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action neural circuits. However, only a small number of studies have investigated the neurobiological substrate of this psychotherapy. They will discuss studies that our group has recently published in international journals and who have demonstrated with SPECT as EMDR normalize cerebral blood flow in the limbic areas implicated in PTSD (1) and with MRI as in patients who do not respond to therapy many of these areas present a significant decrease in the density of gray matter (2). We will also present the preliminary results of the first study that monitors completely with EEG and demonstrates an EMDR session activations and cycles of desensitization if they cause in the cortex and subcortical both during the first session that during the last when the subject has developed the trauma.
1. D Nardo et al. J Psychiat Res 2010; 44:477-485
2. Pagani M et al. Nucl Med Commun 2007; 28: 757-765
Keywords: Neurobiology
Accuracy Verified: Yes
210. Pagani, M., Flumeri, F., Salmaso, D., Nardo, D., Sanchez-Crespo, A., Danielsson, A. M., Brolin, F., Jacobsson, H., Larsson, S. A., & Hogberg, G. (2008, October). Neurobiological changes in post traumatic stress disorder following treatment with eye movement desensitisation reprocessing. Presentation at the European Association of Nuclear Medicine Congress, Munich, Germany, European Journal of Nuclear Medical and Molecular Imaging, 35(Supp 2).
Language: English
Format: Conference
Abstract:
Background: Only few studies have reported functional or structural modifications in Post Traumatic Stress Disorder (PTSD) patients following pharmacological treatment or psychotherapy. Eye movement desensitization and reprocessing (EMDR) is a novel eclectic psychotherapy utilising, among other techniques, relaxation and safe place exercises, cognitive restructuring, future projections, and imaginal exposure of the trauma combined with sensory stimulation. The aim of the study was to analyse the differences in regional cerebral blood flow (rCBF) distribution and in brain volumetry before and after EMDR therapy.
Subjects and Methods: Fifteen subjects with chronic PTSD following occupational health hazards were treated with five sessions of EMDR. They were assessed with psychometric scales and diagnostic interviews before and directly after treatment. SPECT, during administration of an individualised trauma script, was performed using 99mTc-HMPAO. After EMDR, the subjects were subdivided into responders (R, n=10) and non-responders (NS, n=5), based on the absence or presence, respectively, of full PTSD diagnosis. SPECT and volumetric data (MRI) analyses were carried out by Statistical Parametric Mapping (SPM2). SPECT and MRI data were covaried by age and by time elapsed from trauma to SPECT. SPECT data were further covaried by the amount of grey matter normalised by the total intracranial volume.
Results: Immediate significant post-treatment changes towards normality in all scales measuring psychological status were found in responders. As compared to NR, R showed a significantly decreased tracer uptake in parieto-occipital (Brodmann Area, BA, 37, fusiform gyrus) and in primary visual cortex (BA17) and in the hippocampus (p<0.001). The opposite comparison highlighted an increased tracer uptake in left frontal cortex (BA 44; p<0.05). Structural grey matter modifications were found in visual, posterior cingulate and parieto-temporal cortex, paralleling the functional changes.
Conclusion: The positive EMDR outcome corresponded to increased 99mTc-HMPAO uptake in the left dorsolateral frontal cortex, processing attention and self confidence and exerting an inhibitory effect on the amygdala whose firing is supposed to be responsible for PTSD. After successful treatment significant decreases were found in primary visual cortex, processing images of traumatic memories and flashbacks; in fusiform gyrus, processing the memories of faces, bodies and words and in the hippocampi, involved in episodic and autobiographical memories. Volumetric changes paralleled the ones in tracer uptake in all regions Taken as a whole these findings suggest that the positive clinical outcome following EMDR therapy causes functional and structural neurobiological changes towards normality.
Keywords: Brain Volumetry Neurobiological Changes Posttraumtic Stress Disorder PTSD rCBF Regional Cerebral Blood Flow
Accuracy Verified: Yes
211. Pagani, M., Salmaso, D., Flumeri, F., & Hogberg, G. (2008, June). The neurobiological substrates of PTSD and EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
In the recent years, the number of studies using neuro-imaging to evaluate neural correlates of psychotherapy
has steadily increased revealing its clear neurobiological effects on brain function across a wide range of
psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron
emission tomography (PET) can now reliably detect changes in cerebral blood flow (CBF) and metabolism
patterns, suggesting a specific role for each of the brain areas in various components of emotional processing.
Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural
changes. Some regions have been reported to be associated with emotional response to trauma, and with
symptom formation in posttraumatic stress disorder (PTSD). Several studies have provided evidence for the
efficacy of Eye Movement Desensitization and Reprocessing therapy (EMDR) in the treatment of PTSD. However
a very limited number of studies have investigated the neurobiological substrate of such therapy in clinical
practice. SPECT and MRI studies, performed to examine the effects of EMDR on brain patho-physiology have
provided some preliminary evidence that changes in brain CBF and structure patterns may follow effective
treatment. In general in PTSD and in anxiety disorders functional deactivations parallel symptoms relief and
decreased hyperreactivity to emotional and memory disturbances. Functional neuro-imaging is a promising tool
for the investigation of the physiological impact of psychotherapy in anxiety related disorders and may thus pave
the road for a better detection of its effects in psychiatric treatment. The scientific literature reporting
PTSD/EMRD related neuro-imaging studies will be extensively reviewed.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
212. Pagani, M. (2011, June). Neuroimaging and novel neurobiological findings in EMDR research [Neuroimaging und neuartige neurobiologische erkenntnisse in der EMDR forschung]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy.
Learning objectives:
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.
Keywords: Neurobiology Neuroimaging
Accuracy Verified: Yes
213. Maxfield, L. (2012, April). New advances with EMDR: A summary of interesting new research. Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
This presentation reviews new advances in EMDR, reporting on recent research studies which have investigated EMDR's application with new problems, new populations, and/or with new protocols. It looks at EMDR treatment of somatic and physical health problems, such as migraine headaches and chronic pain, as well as the role of EMDR in reducing the stressful impact of life-threatening health problems such as cardiac events and neuromuscular disorders. Preliminary research on new EMDR applications is summarized, including treatment of clients with psychosis and individuals with developmental disorders. An effective new protocol for recent critical events is explained and examined, as well as a new protocol for obsessive-compulsive disorder. The presentation also reviews studies investigating the role of eye movements on memory and physiology, and what these findings reveal about possible mechanisms of action in EMDR.
Learning Objectives:
1. Participants will be able to describe applications for EMDR with non-PTSD populations and related supportive research
2. Participants will be able to summarize clinical practice strategies for EMDR treatment of several somatic and physical health problems
3. Participants will be able to explain the new EMDR Protocol for Recent Critical Events and to recount the differences between this and the standard EMDR protocol, and to summarize the research evidence for this intervention
4. Participants will be able to explain the new EMDR Adapted Phobia Protocol for OCD, and to discuss the theoretical implications of this protocol
5. Participants will develop a basic knowledge of research findings regarding the effects of eye movements, and will be able to apply these to an understanding of EMDR’s mechanisms of action.
Keywords: Research
Accuracy Verified: Yes
214. Kadala, T. (2001, September 19). New website launched to assist Americans suffering from trauma. Hastingson-Hudson, N.Y., PR Newswire.
Language: English
Format: Other
Abstract:
Anticipating that millions of Americans have been traumatized by the recent terrorist attacks on the United States, a new website, EMDRnews.com has been launched providing information on the therapy commonly referred to as EMDR, (Eye Movement Desensitization and Reprocessing) for the public at large. Furnishing insight, information and education, the website will make a free 3-page monthly newsletter available, written in easy-to-understand laymen's terms. EMDR is particularly useful in treating trauma, anxiety, phobias, grief, and personality issues. The website/publication is a joint offering of ATC, Inc., an online publisher, Robert Buck, M.S.W., A.C.S.W. of Hastings-on-Hudson and NY City, and Victoria Britt of Bender/Britt Seminars, Montclair, NJ. Ms. Britt, in the forefront of the EMDR movement, stated "Never before have so many people been exposed to such trauma. EMDR will be available to facilitate the mind/body self-healing process needed in the months to come; we are inviting the public to learn how we can help," she concluded.
Keywords: Website EMDRNews.com
Accuracy Verified: Yes
215. Armbruster, S. (2000, July 9). No fear Valley: Readers share their flying anxieties and how they got over them. Fresno, CA: The Fresno Bee, Final, Life, E1.
Language: English
Format: Newspaper
Abstract:
Fresno therapist Stark, who specializes in helping people with trauma, including flying phobia, claims success with a psychotherapy method called EMDR, or eye movement desensitization and reprocessing.
Keywords: Fear of Flying Fresno
Accuracy Verified: Yes
216. Krystal, S. (2003). A nondual approach to EMDR: Psychotherapy as satsang. In J. J. Prendergast, P. Fenner, & S. Krystal (Eds.), The sacred mirror: Nondual wisdom and psychotherapy, (1st ed.) (pp. 116-137). St. Paul, MN: Paragon House Publishers.
Language: English
Format: Book Section
Abstract:
Tibetan Buddhist Dzogchen, Hindu Advaita, Taoism, Kabbalism, and mystical Christianity all suggest that the fulfillment of human potential and the liberation from suffering happen when attention rests peacefully in its source, prior to thought. These traditional spiritual disciplines inform a nondual approach to psychotherapy that views form as a natural and temporary expression of a unified, omnipresent, nonlocatable, and pregnant emptiness. In time all forms--everything and everyone--dissolve back into this emptiness which is present now. Once clients begin to appreciate that they are actually not their distracting thoughts, emotions, or bodily sensations, but rather a dispassionate, observing Presence, a process of disidentification begins and peace of mind unfolds naturally. Clients learn that they have within a natural predisposition toward health and wholeness. Freedom from psychological suffering is often immediately available when clients know how to look or how to just be. Clients learn that simply being fully present now in a timeless moment of silence can reveal what is already and always free. This philosophy informs the EMDR therapeutic approach. This chapter explains the EMDR model, illustrating its use with a case study. EMDR is an integrative psychotherapeutic appproach first discovered and developed by Dr. Francine Shapiro (2001) in 1987, which is guided by an information processing model that has numerous protocols and procedures including the administration of bilateral stimulation to the client. The procedure was originally used to treat trauma, but it has now developed into a comprehensive approach used widely to ameliorate a variety of psychological symptoms and disorders including anxiety and depression, phobia, addiction and substance abuse, among others. In fact, EMDR is now used to target experiential contributors of all clinical complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Being Fully Present Now Clinical Case Study Cognitive Processes Emptiness Information Processing Model Integrative Psychotherapeutic Approach Models Nondual Approach Psychotherapeutic Processes Psychotherapy
Accuracy Verified: Yes
217. Dias, A. N. A. (2012, Novembro). O corpo que adoece x o corpo que sara e EMDR [The body that gets sick and the body that get well with EMDR]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Em sua prática clínica, a autora tem se deparado com pacientes que apresentavam um quadro clínico onde prevalecia um diagnóstico ligado a doenças físicas. Por meio deste trabalho, pretende-se mostrar a história de vida desses pacientes, as crenças negativas que os levaram a adoecer e a eliminação dos sintomas dos referidos pacientes, por intermédio da abordagem EMDR, com diagnósticos característicos de três dessas doenças: síndrome de Ménière (complexo de sintomas de etiologia desconhecida que podem afetar a audição e o equilíbrio), espondilite anquilosante (tipo de inflamação dos tecidos conectivos, que por sua vez é responsável por uma inflamação das articulações da coluna e grandes articulações, como os quadris, ombros e outras regiões) e hipertensão arterial (conhecida popularmente como pressão alta, é uma das doenças com maior prevalência no mundo moderno, tendo como causas a hereditariedade, a obesidade, o sedentarismo, o alcoolismo, o estresse, o fumo e outras causas).
In his clinical practice, the author has encountered patients who had a clinical diagnosis which prevailed linked to physical ailments. Through this work, we intend to show the history of life of these patients, the negative beliefs that led them to get sick and the elimination of the symptoms of these patients through the EMDR approach with diagnostic characteristic of these three diseases: Meniere's syndrome (symptom complex of unknown etiology that can affect hearing and balance), ankylosing spondylitis (type of inflammation of connective tissue, which in turn is responsible for an inflammation of the spinal joints and large joints such as the hips, shoulders and other regions ) and hypertension (commonly known as high blood pressure, is one of the most prevalent diseases in the modern world, with the causes heredity, obesity, physical inactivity, alcoholism, stress, smoking and other causes).
Keywords: Ankylosing Spondylitis Arterial Hypertension Ménière's Syndrome
Accuracy Verified: Yes
218. Bittu, S. S. (2007, Novembro). O uso do EMDR no tratamento do transtorno de ansiedade: Um estudo de caso [The use of EMDR in the treatment of disorder anxiety: A case study]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
A autora apresenta um protocolo de
atendimento de uma criança de onze anos que
apresentava sintomas de transtorno de ansiedade,
agorofobia e síndrome do pânico. A metodologia
utilizada foi Psicodrama associado ao EMDR. Os
atendimentos ocorreram dentro de um período
de dois meses e tiveram como resultado a cura dos sintomas. O objetivo deste trabalho é compartilhar essa experiência e ratificar o alcance e a capacidade desta metodologia psicoterapêutica,
quebrando antigos paradigmas e
crenças sobre psicoterapia. Ao término desta
apresentação o participante será capaz de
reconhecer a importância do método no
tratamento de pessoas com distúrbios de
ansiedade, ter mais uma referência de utilização
do EMDR para aplicar em seus pacientes, bem
como redimensionar seus limites e possibilidades
terapêuticas.
The author presents a protocol
care of a child of eleven years
showed symptoms of anxiety disorder,
agorofobia and panic disorder. The methodology
Psychodrama used was associated with EMDR. the
visits occurred within a period
two months and resulted in the cure of symptoms. The objective of this work is to share this experience and ratify the range
and the ability of this methodology psychotherapeutic
breaking old paradigms and
beliefs about psychotherapy. After this
presentation the participant will
recognize the importance of the method in
treatment of people with disorders
anxiety, have more than one reference use
EMDR to apply to their patients as well
how to resize its limits and possibilities
therapeutics.
Keywords: Anxiety Case Study
Accuracy Verified: Yes
219. Yoeli, F. R., & Prattos-Spongalides, T-A. (2004, June). OCD: Anxiety, rituals, co-morbidity or altered state? Treatment outcomes with EMDR. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the annual meeting of th EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Trauma-generated OCD repeats the trauma through its own ritual behavior patterns. This altered state re-traumatizes the core personality through the repetition of rituals similar to the original trauma. The presenters hypothesize that trauma-based OCD is an altered state not co-morbid with diagnosis for dissociative disorders. This OCD persona served the dissociative adult cope with traumatic memories changing and influencing reactions to ongoing trauma, life choices, and other behavior patterns.
This aim of this workshop is to focus on the development of trauma-based, anxiety-motivated dissociative states. Life in the shadow of chronic anxiety stemming from living under constant and consistent life-threatening conditions produces a (sub)-population of persons suffering from PTS/D. The anxiety and fear from elements of unprocessed traumatic events are retained and embedded in the body and are repeatedly triggered in daily life. This PTSD population dissociates into anxiety-based altered states ranging along a continuum from mild tension to phobias, panic attacks, denial, PCD, aggression, indifference and apathy and finally full blown trauma generated OCD.
The presenters provide cross-cultural examples demonstrating how ongoing threat of man-made or natural disasters often leads to a dissociative OCD state. Case examples are explored which demonstrate how processing with EMDR effectively enables resolution and change. EMDR is particularly useful in processing the “anxiety” via current behavior patterns.
Objectives: 1) to examine the co-morbidity aspects of trauma-based OCD and dissociation 2) to present the parallel continuums of types of stress and anxiety (on the intensity and severity axis 3) to compare the differences and similarities in behavioral patterns in different cultures under the stress of constant threat of annihilation (man-made vs. natural threats) 4) to demonstrate the effectiveness of EMDR on trauma induced OCD, through case illustration and discussion.
Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes
Accuracy Verified: Yes
220. Thomson, S. S. (1995). On circumcision, other childhood medical procedures and EMDR. EMDR Network Newsletter, 5(2), 8.
Language: English
Format: Newsletter
Abstract:
I was using eye movements with a 47-year-
old client, Jay (pseudonym), focusing on an unnecessary tonsillectomy when he was about 9 years old. These operations were done on both his older brother and himself-just because this was what was done in those days. He described seeing his
brother being wheeled, semi-conscious, out of the operating room with blood coming out of his mouth. He thought to himself, "Well, he's not dead . . . (is he?)." He was then dragged kicking and screaming to the operating
room. His parents did not visit
him for the 3 days he he had been promised some. As we was in the hospital. He got no ice cream, though were finishing the EMDR processing
of this set of incidents, I asked him if he had been circumcised. (I had been meaning to ask about this since he was
intensively processing a list of traumas in a short period of time before leaving the state for a new job. I chose this moment "out of the clear blue sky.") He said, "Well, it's funny you ask this because for the last ten minutes I have been feeling a sharp pain all around. . . there" (the head of his penis). As he moved his eyes, focusing on the sharp pain, it got increasingly dull until it went away. (Incidentally, processing this pain may have elicited, or made him feel safe enough to realize, another related fact-his attitude toward his body.)
Keywords: Children Circumsion Medical Procedures
Accuracy Verified: Yes
221. Dale, S. (2012, April). One in ten: Treating needle phobias with EMDR. Presentation at the annual meeting of the EMDR Canda, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
One in ten people has a needle phobia. This condition can be disabling for people whose inordinate fear of needles can keep them from accessing medical testing and treatment. In this presentation, needle phobia are defined and the types explained, including vaso-vagal, associative, resistive, and hyperalgesic. The EMDR Protocol for Phobias is outlined, and research on using EMDR with needle phobia is reviewed. Case studies are presented in which clients with different types and degrees of needle phobia are treated. Discussions on challenges working with this client group are presented, and cognitive interweaves specific to needle phobia are introduced.
Learning Objectives:
1. Examine the definition and prevalence of phobias
2. Identify the types and prevalence of needle phobia
3. Outline the psychological and physical impact of needle phobia
4. Discuss the EMDR Protocol for Phobias
5. Explore how EMDR can be used to treat needle phobia
Keywords: Phobia
Accuracy Verified: Yes
222. de Jongh, A., & ten Broeke, E. (1994, June). Opmerkelijke veranderingen na één zitting met eye movement desensitization and reprocessing: Een geval van angst voor misselijkheid en braken [Noteworthy changes after one session with eye movement desensitization and reprocessing: A case of fear of nausea and vomiting]. Directieve Therapie, 14(2), 90-102. doi:10.1007/BF03060064 .
Language: Dutch
Format: Journal
Abstract:
In deze bijdrage worden enkele principes van Eye Movement Desensitization and Reprocessing (EMDR) beschreven. Met name het ‘reprocessing’ gedeelte van deze procedure wordt nader toegelicht, waaronder de selectie van negatieve en positieve cognities voorafgaande aan de therapie. Aan de hand van een gevalsbeschrijving van een cliënt met angst voor misselijkheid en braken worden de vaak optredende spontane cognitieve veranderingen tijdens EMDR gedemonstreerd. Ingegaan wordt op de vraag hoe de geconstateerde veranderingen kunnen worden verklaard.
The current paper presents some principles of EMDR (eye movement desensitization and reprocessing). The reprocessing part, particularly the selection of negative and positive cognitions concerning the traumatic event, is described. A case history of a client with fear of nausea and vomiting demonstrates the spontaneously occurring cognitive changes, and subsequent improvements in complaints, that are often associated with the EMDR procedure. Some plausible explanations for these rapid effects are discussed.
Keywords: Adults Case Report Dutch Females Phobia
Accuracy Verified: Yes
223. Kelley, S. D., & Bozorg, A. (2010, December). Outcomes of trauma-induced psychogenic nonepileptic attacks treated with eye movement desensitization and reprocessing. Poster presented at the 64th Annual Meeting of the American Epilepsy Society, San Antonio, TX.
Language: English
Format: Conference
Abstract:
Rationale: Because of high rates of trauma (44-100%) and abuse (23-77%) among PNEA
patients, it has been suggested that PNEA are a clinical expression of a PTSD subtype. Although
little is known about psychological treatments that are most effective with PNEA, EMDR has
proved to be an effective treatment for trauma and is now showing promise in the treatment of
PNEA patients with trauma and abuse histories. This presentation details outcomes of 74 patients
with PNEA, the majority of whom have such histories, who have been referred for mental health
treatment.
Methods: This study integrates EMDR into the mental health treatment of PNEA patients
referred after video EEG monitoring confirmed the presence of psychogenic attacks and
diagnostic interviews revealed virtually ubiquitous trauma and abuse histories/experiences. Data
were analyzed for patients referred over a 6-year period from a hospital-based clinic serving
Floridians and persons from the southeastern US.
Results: The study protocol was comprised of 2-3 initial sessions for diagnosis and rapport
building followed by weekly EMDR ranging from 3 to 15 sessions. Of 74 patients referred, 31
were from distant locales and were matched with mental health practitioners in their home
locations. 43 patients were interviewed; 20 were seen for consultation only - they refused
treatment, preferring to pursue disability benefits. 21 of 23 remaining had trauma and abuse
histories. 14 of those realized complete remission of PNEA with EMDR; 8 discontinued
treatment because of relocation, transportation difficulties, and the like. Followup reveals no
return to seizure status.
Conclusions: EMDR appears to be an efficacious intervention in the psychological treatment of
PNEA patients with trauma histories. A two year highly innovative single center randomized
controlled tial comparing EMDR with another innovative promising approach, Neurofeedback
Therapy (NFT) is planned for the fall of 2010 for 60 patients.
Keywords: Trauma-Induced Psychogenic Nonepileptic Attacks
Accuracy Verified: Yes
224. Brewin, C. R., Fuchkan, N., Huntley, Z., Robertson, M., Thompson, M., Scragg, P., d'Ardenne, P., & Ehlers, A. (2010, February). Outreach and screening following the 2005 London bombings: Usage and outcomes. Psychological Medicine, 40(12), 2049–2057. doi:10.1017/S0033291710000206.
Language: English
Format: Journal
Abstract:
Background: Little is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings. Method: Following a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring 6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year. Results: Case finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later. Conclusions: Outreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.
Keywords: Cognitive-Behaviour Therapy London Bombings Outreach Posttraumatic Stress Disorder PTSD Trauma-Focused Cognitive Behavioral Therapy Trauma Response Programme TRP
Accuracy Verified: Yes
225. Morfeld, D. (1997, September 30). Overcoming fear and phobia. Boulder, CO: Daily Camera, 10.
Language: English
Format: Newspaper
Abstract:
Help finally came through a newer method of psychotherapy - Rapid Eye Movement Desensitization and Reprogramming, or EMDR. The therapy helped Morris to make a major life turnaround, she says.
"It was not a bandage. For me, it was a genuine miracle."
Keywords: Fear Boulder Phobias
Accuracy Verified: Yes
226. Terwilliger, K. (1995, January 9). Overcoming fright flight. Long Beach, CA: Press-Telegram, AM, Lifestle, F2.
Language: English
Format: Newspaper
Abstract:
It's important to gradually go beyond visualizing the fearful situation to experiencing it, Frost says.
''The big issue here is feeling out of control; whatever you can do to help people experience being in control is going to make a difference.'' Some therapists claim success with Eye Movement Desensitization and Reprocessing - EMDR - an innovative technique that involves eye movement in tandem with visualization.
Friedman participated in a recent Colorado Springs study of EMDR; she's also done some conventional therapy. Neither seemed to help her overcome her phobia - ''but in some ways, I gave up,'' she says. Now, she's considering trying again.
Also appeared in: Terwilliger, C. (1995, January 9). Overcoming fright flight. Long Beach, CA: Press-Telegram, AM, Lifestyle, F2.
Keywords: General Long Beach Overview
Accuracy Verified: Yes
227. Flu, B. R. L. (2012). P-267 - Tap, tap tap the usefulllness of EMDR on kids on the autism spectrum. European Psychiatry, 27(Supplement 1), 1. doi:10.1016/S0924-9338(12)74434-6.
Language: English
Format: Journal
Abstract:
EMDR, Eye movement Reprocessing and Desensitisation is an amalgamated psychotherapy and brain activation intervention. This hyper-focussed therapy has shown its value beyond the treatment of trauma i.e. in a large number of mental health issues and developmental disorders.
In autism this method requires some adaptations as described below.
Aim:
To give an introductory of EMDR in autism children.
Objective:
To establish the usefulness of this treatment.
Methods:
The general method is after establishing a baseline of disturbance to work through the touchstone event or focus of the trauma/feared situation from image, feelings, self-judgment and bodily feelings. The preparation also consists of exploring the ability to work with imagery and understanding of feelings. Imagery is tailored to their special interest and at time bodily sensations and feelings are worked on together when no differentiation of these experiences exist 18 cases of the age of 9– 16 underwent the method. 11 had generalised but extreme anxiety issues, 5 had experienced bullying, 4 had aggression regulation problems, 1 had obsessive compulsive disorder, 1 had a spider phobia, one had a developing eating disorder. The level of
disturbance went down in all cases. One relapsed. Three needed visual augmentation for the visualisation. Three could not bear physical contact and therefore required self-tapping. 12 cases needed only one session for the focussed treatment. 9 displayed continual improvement over the next 4 weeks and 5 were treated further under conventional therapy.
Conclusion:
EMDR is a valuable therapy in autism children but requires specific modification.
Keywords: Autism Spectrum Children
Accuracy Verified: Yes
228. Baiano, M., Bellani, M., Rambardelli, G., Perlini, C., Umit, T., Cerini, R., Balestrieri, M., Tansella, M., & Brambilla, P. (2007, October). P.1.e.007 Decreased cerebellar blood volume in schizophrenia: A perfusion weighted imaging study. European Neuropsychopharmacology, 17(Supplement 4), S284-S285.
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Cerebellar Blood Volume Schizophrenia
Accuracy Verified: Yes
229. de Jongh, A., & Whisman, M. (2001, June). Panic and phobias: Diagnosis, treatment, and incorporation of EMDR. Preconfernece presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
EMDR has been found to be a valuable method to incorporate into the treatment of PTSD. It has also been found to be a structured, non-invasive treatment for a number of other anxiety disorders. This workshop will focus on the clinical application of EMDR with Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, and Obsessive Compulsive Disorder. Participants will learn: 1) to assess clients with phobic conditions; 2) to identify core negative congitions related to fear; 3) to know when and how to apply EMDR with clients suffering from an anxiety disorder; and 4) to use creative adaptions of EMDR for these clients. Presenters will make use of lecture, case studies, and videotaped treatment sessions.
Accuracy Verified: Yes
230. Nichols, K. M. (1997, November 3). Panic attacks shatter security: They grip millions of Americans. Los Angeles: Daily News, Valley LA Life, L3.
Language: English
Format: Newspaper
Abstract:
Luckily, using a special technique called EMDR (eye movement, desensitization, reprocessing) developed by Dr. Francine Shapiro of Monterey, the woman's fears left her after one session and she was able to return to normal life.
Also published in:
(1997, December 16). When panic strikes, look deep inside for an underlying cause. Buffalo, NY: The Buffalo News, C1
(1997, November 4). Key to overcoming anxiety attacks is to confront fears. Columbia, SC: The State, Final, Health Science, D1 [3 pages]
(1997, November 2). Panic. Harrisburg, PA: The Patriot-News, Final, Living, I01
(1997, November 24). Panic attacks. Cedar-Rapids/Iowa City, IA: The Gazette, C, 1
(1997, November 10). Panic attacks crush victims. St. Louis, MO: St. Louis Post-Dispatch, E4 [2 pages]
(1997, November 16). When panic strikes. Chicago, IL: Post-Tribune, All, Lifestyle, D3 [3 pages]
(1997, November 23). Counseling said key to curing panic attacks. Baton Rouge, LA: The Advocate, People, 11-H [2 pages]
(1998, February 24). Turn the table on panic attacks. Piedmont Triad, NC: The News & Record
Keywords: Los Angeles Panic Attack Panic Disorder
Accuracy Verified: Yes
231. Nickeson, C. (2000, September). Panic disorder and EMDR: A primer for getting started with this population. Presentation at the annual meeting of the EMDR International Assocation, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will 1) be presented with the cognitive behavioral explanation of the dynamics of panic and agorphobia; 2) learn how to teach clients the basic skills they need in order to master their emotional reactions; and 3) learn how to use EMDR in each stage of treatment, that is, to address old memories and past incidents, current triggers, and to do future template work.
Keywords: Agoraphobia Panic Disorder
Accuracy Verified: Yes
232. Nickeson, C. (2002, June). Panic disorder and physiology phobia: EMDR treatment. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Panic disorder can be viewed as a phobic fear of the body's physical sensations. It results from conditioning by the traumatic experience of having panic attacks. Conceptualizing panic disorder in this way provides a powerful way to structure treatment with EMDR since EMDR is clearly effective with trauma resolution. This workshop will describe how the preparation phase is especially important and, must be expanded in order for reprocessing to be successful. Participants will also learn how to
select appropriate targets for the desensitization phase, how to identify
suitable negative cognitions and positive cognitions, and how to employ cognitive interweave when needed. A videotape illustrating an important part of a client's work will be shown.
Keywords: Panic Disorder Phobia Physiology
Accuracy Verified: Yes
233. Faretta, E. (2001). Panico memoria traumatica ed intervento integrato con l'EMDRA [Panic, traumatic memory and integrated intervention with EMDR]. Proceedings of the Cognitive Behaviour Therapy Association 11th National Congress, Palermo, Italia: Aiatic.
Language: Italian
Format: Conference
Keywords: Integrated Intervention Pain Traumatic Memory
Accuracy Verified: Yes
234. Olson, T. (2001, February). Personal Acocunts: Four therapists and a client: A personal journey. Psychiatric Services, 52(2), 165-166.
Language: English
Format: Journal
Abstract:
A psychiatric nurse therapist describes his experience of suffering a mental disorder, variously diagnosed as PTSD, obsessive compulsive disorder, and panic disorder, and variously treated by a succession of therapists with strong orientations to particular diagnostic and therapeutic positions.[Pilots]
Keywords: Adults Americans Mental Health Personnel Males Managed Care Nurses Obsessive-Compulsive Disorder OCD Panic Disorder Personal Narrative Posttraumatic Stress Disorder PTSD TFT Thought Field Therapy
Accuracy Verified: Yes
235. Luber, M. & Shapiro, F. (2009). Phobia protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 155-173). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter presents a summary of the Phobia Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). Shapiro distinguishes between two types of phobias: simple phobia (e.g., fear of an object), and process phobia (feature of a situation in which the client must actively participate). Therapists are instructed to use the Standard EMDR Protocol for the following targets over six steps: past memories, present triggers, and a future template. To do the full Phobia Protocol, all six steps should be included. The Phobia Protocol Script is included. [PsycINFO Database]
Accuracy Verified: Yes
236. Holmshaw, M. (2009, October). Phobia Protocol. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
Many phobias and current anxieties have their roots in past events, often unremembered. The EMDR phobia protocol follows Shapiro's three-layered approach. This workshop illustrates the use of the touchstone memory, the future template and the float-forward technique in processing phobias and current anxieties
Keywords: Anxiety Phobia Protocol
Accuracy Verified: Yes
237. Rogers, S., & Lanius, U. F. (2001). Phobia, PTSD, endogenous opioids and EMDR treatment response. Poster presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Philadelphia, PA.
Language: English
Format: Conference
Keywords: Endogenous Opoids Phobia Poster Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
238. Staff. (2000). Phobia: When an irrational fear takes control. Films for the Humanities & Sciences, Princeton, NJ.
Language: English
Format: Video
Abstract:
For a person with a phobia, overcoming the fear--or at least learning how to resist its debilitating effects--can open the door to a fuller, freer life. This riveting two-part series uses MRI scans, body imaging, EEG tracing, and thermal photography to take an unflinching look at the biological and psychological mechanics of terror, as courageous patients seek to master their fears through medication, behavioral therapy, hypnotherapy, desensitization, virtual reality exposure therapy, the controversial technique of flooding, and a new treatment called EMDR.
Keywords: Fear Phobias Psychosocial Factors Treatment
Accuracy Verified: No
239. Bondy, N., & Cable, S. (2001). Phobias. Princeton, N.J.: Films for the Humanities & Sciences.
Language: English
Format: Video
Abstract: (Producer) In this program, the treatment of John's claustrophobia, Judith's fear of flying and David's fear of heights-phobias described by the DSM-IV as Situational Type and Natural Environmental Type-are documented. Groundbreaking applications of virtual reality, by Emory University's Barbara Rothbaum, and eye movement desensitization and reprocessing, by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic, and terror is also examined.
Keywords: Phobias
Accuracy Verified: Yes
240. Elofsson, U. O. E., von Scheele, B., Theorell, T., & Sondergard, H. P. (2008, May). Physiological correlates of eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 22(4), 622-634. doi:10.1016/j.janxdis.2007.05.012.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is an established treatment for post-traumatic stress disorder (PTSD). However, its working mechanism remains unclear. This study explored physiological correlates of eye movements during EMDR in relation to current hypotheses; distraction, conditioning, orienting response activation, and REM-like mechanisms. During EMDR therapy, fingertip temperature, heart rate, skin conductance, expiratory carbon dioxide level, and blood pulse oximeter oxygen saturation, were measured in male subjects with PTSD. The ratio between the low and high frequency components of the heart rate power spectrum (LF/HF) were computed as measures of autonomic balance. Respiratory rate was calculated from the carbon dioxide trace. Stimulation shifted the autonomic balance as indicated by decreases in heart rate, skin conductance and LF/HF-ratio, and an increased finger temperature. The breathing frequency and end-tidal carbon dioxide increased; oxygen saturation decreased during eye movements. In conclusion, eye movements during EMDR activate cholinergic and inhibit sympathetic systems. The reactivity has similarities with the pattern during REM-sleep. [Author Abstract]
Keywords: Autonomic Physiology Empirical Study Heart Rate Variability Males Orienting Response Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Respiration Refugees
Accuracy Verified: Yes
241. Grey, E. (2011). A pilot study of concentrated EMDR: A brief report. Journal of EMDR Practice and Research, 5(1), 14-24. doi:10.1891/1933-3196.5.1.14.
Language: English
Format: Journal
Abstract:
The current research used a quantitative single-case study design to investigate the effectiveness of eye
movement desensitization and reprocessing (EMDR) treatment for a participant diagnosed with comorbid
major depressive disorder (MDD), severe without psychotic features, and panic disorder with agoraphobia.
Treatment frequency was three sessions per week, with twelve 90-minute reprocessing sessions provided
over a period of 1 month; the study also evaluated this application of “concentrated EMDR.” At baseline,
mean scores on the Beck Depression Inventory-II (BDI-II) and Beck Anxiety Inventory (BAI) were 49 and
38, and at 3-month follow-up, the scores had decreased to 8 and 7 respectively. The results of this pilot
study indicate that concentrated EMDR may be effective in treating comorbid MDD and panic disorder
with agoraphobia. The study also evaluated the application of concentrated EMDR, with treatment frequency
increased from one session to three sessions per week. Twelve 90-minute reprocessing sessions
were provided over a period of 1 month. Results show the apparent effectiveness of concentrated EMDR.
Keywords: Depression Concentrated EMDR Evidence-Based Practice Panic
Accuracy Verified: Yes
242. McCann, D. (1992, December). Post-traumatic stress disorder due to devastating burns overcome by a single session of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 23(4), 319-323. doi:10.1016/0005-7916(92)90055-N.
Language: English
Format: Journal
Abstract:
This article reports on the effective use of a single session of eye movement desensitization (EMD) in the treatment of an exceptionally severe case of PTSD. The patient was the survivor of burns that left him with massive scarring, total deafness, bilateral amputations of the upper extremities above the elbow, severe contractures, and severely damaged feet and ankles. He had endured 8 years of intense suffering from symptoms of PTSD. [Author Summary]
Keywords: Accidents Adults British Dog Bites Exposure Therapy Phobia Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
243. Work Group on Panic Disorder. (2008). Practice Guideline for the treatment of patients with panic disorder, 2nd Edition. APA Practice Guidelines.
Language: English
Format: Publication
Abstract:
Eye movement desensitization and reprocessing was originally
developed as a treatment for posttraumatic stress disorder
(206), but it has been studied as a possible treatment
for panic disorder. Eye movement desensitization and reprocessing
involves reprocessing distressing memories
while engaging in guided eye movement. When applied to
panic disorder, EMDR targets distressing memories such
as the memory of the first panic attack and life events that
the patient associates with panic disorder (207).
Keywords: Practice Guidelines
Accuracy Verified: No
244. Rothbaum, B. (2008, November). Predictors of treatment response for EMDR and prolonged exposure. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Recent developments in PTSD treatment
outcome research: Although cognitive behavior therapy is the treatment of choice for
PTSD, there is a need to develop more effective treatments and to
determine factors that influence treatment response. This
symposium presents four studies that address treatment outcome
research. The initial paper provides an overview of treatment
predictors from two trials of cognitive processing therapy. The
second paper reviews the differential responses to treatment of
survivors of terrorist attacks and motor vehicle accidents. The third
paper reviews predictors of outcome following EMDR and
Prolonged Exposure. The fourth paper overviews a series of
studies that have used structural and functional fMRI to identify the
neural factors that predict response to CBT and also the impact of
CBT on neural functioning.
Predictors of treatment response for EMDR and prolonged exposure: Predictors for response to treatment in a controlled study aimed to
evaluate the relative efficacy of Prolonged Exposure (PE) and Eye
Movement Desensitization and Reprocessing (EMDR) compared to
a no-treatment wait-list control (WAIT) in the treatment of PTSD in
adult female rape victims were examined. In this study, 74
participants with PTSD were randomly assigned to one of the three
experimental conditions to achieve 20 completers per group.
Independent Assessors blind to the treatment condition
administered standard measures of PTSD and related symptoms.
Improvement in PTSD, depression, dissociation, and state anxiety
was significantly greater in both PE and EMDR group than the
WAIT group. PE and EMDR did not differ significantly for change
from baseline to either post-treatment or 6-month follow up
measurement for any quantitative scale. EMDR subjects with 2 or
more comorbid diagnoses, however, improved significantly less
than all other active treatment subjects. At post-treatment and 6-
months, 95% and 94% of PE subjects and 75% and 74% EMDR
subjects no longer met DSM-IV PTSD criteria, respectively. At the
6-month follow-up assessment, 78% of those who received PE and
35% of those who received EMDR met criteria for good end state
functioning (p=.017).
Keywords: Panel Prolonged Exposure Symposium Treatment Response Predictors
Accuracy Verified: Yes
245. Obenchain, J., Rogers, S., Silver, S., & Goss, J. (1999, November). Preliminary results of data comparing EMDR to flooding. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
Preliminary Data was collected on a group of Vietnam veterans
from10/20/97 to 9/1/98. All Subjects met criteria for PTSD
according to DSM IV utilizing the CAPS scale. Patients were then
randonly assigned to either the EMDR group or the Flooding
group. One therapist completed one EMDR session on the
patient’s Primary Combat Image; another therapist completed one
session on the PCI using Flooding technique. The head nurse,
blind to the treatment provided, met with each subject prior to
group assignment and measured their Blood pressure and pulse
using DINAMAP Blood Pressure Monitor. He then asked the subjects
to keep a SUDS Scale on their PCI noting frequency and
intensity for the next week. He also asked them to complete an
Impact of Event Scale on their PCI. Subjects then received one
session of EMDR or Flooding and were asked to keep a SUDS
Scale on their PCI for another week. Subjects then returned to the
head nurse, were asked to recall their PCI and blood pressure,
pulse and SUDS and IES were again measured. Because of small
cell sizes (EMDR =8, Flooding =10) treatment effects did not
always reach Statistical significance. Nonetheless several differences
were found between the two groups. ANOVA’s were performed
using the changes in blood pressure and heart rate measured at a
final assessment period during a baseline period and while recalling
their PCI. For systolic blood pressure the EMDR group showed
no change while the Flooding group increased by 9.2. For diastolic
blood pressure the EMDR group declined an average of 3.3 while
the Flooding group increased by 7.6. For heart rate, the EMDR
group remained essentially unchanged while the Flooding group
increased an average of 6.6. This difference was significant at the
(p<.05). The EMDR group reported their PCI memories were less
severe during the week following treatment while the Flooding
group showed little change. ANOVA analysis found these differences
to tend toward statistical significance (p=.10). The EMDR
group showed improvement on the SUDS scale amd some subscales
of the IES.With prelimiary data suggesting that EMDR is
more effective than flooding,further research needs to be pursued.
Accuracy Verified: Yes
246. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora.
L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini.
IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati.
Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.
The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more.
The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men.
IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared.
So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.
Keywords: Cancer Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
247. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives:
Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients;
Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and
Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.
Accuracy Verified: Yes
248. Gonzalez, A., Mosquera, D., & Seijo, N. (2010, April). Processing dissociative phobias with EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract: The standard EMDR protocol (SP) was designed for the treatment of simple PTSD, and when it´s used on this cases, EMDR is a very powerful therapy. But when SP is applied on complex trauma and dissociative disorders 20% of patients may become de-compensated. The importance of the stabilization phase has been remarked by different authors. The existent proposals are to use interventions coming from different approaches sometimes enhanced with bilateral stimulation. Standard procedures used for simple PTSD must be adapted and modified for working with dissociative disorders. To do this is important to understand from recent research work what we know about the effects of EMDR therapy. We will try to dynamically integrate these features with conceptualizations coming from the EMDR Adaptive Information Processing Model (AIP) and the Theory of the Structural Dissociation of the Personality (TSDP) TSDP emphasizes the importance of working with dissociative phobias prior to trauma work. In the stabilization phase the work on the phobia of dissociative parts and of attachment (and the attachment with the therapist) is the most important one. We will show with clinic cases the effect of this intervention on improving internal communication and collaboration and overcoming therapist-patient relationship problems.
Learning Outcomes For those who are not EMDR therapists this workshop will help to understand how EMDR conceptualizes the work in structural dissociation from the Adaptive Information Processing Model (AIP). For people who are not expertise on Theory of Structural Dissociation of the Personality (TSDP) a brief description of dissociative phobias and their importance in the work with dissociative disorders will be put forward. The assistants will watch videos of therapies with different patients, in which EMDR is applied using dissociative phobias as targets. Differences with ego states therapy without introducing bilateral stimulation and with standard EMDR protocol will be observable in the case-examples and will be explained in detail. This work represents a different way of using EMDR to stabilize the patient and prepare her/him for future traumatic memory processing.
Keywords: Phobias
Accuracy Verified: Yes
249. Paunovic, N. (2002, April). Prolonged exposure counterconditioning (PEC) as a treatment for chronic post-traumatic stress disorder and major depression in an adult survivor of repeated child sexual and physical abuse. Clinical Case Studies, 1(2), 148-169. doi:10.1177/1534650102001002004.
Language: English
Format: Journal
Abstract:
Prolonged exposure counterconditioning (PEC) was tested as a treatment for
chronic post-traumatic stress disorder (PTSD) in an adult survivor of repeated child sexual
and physical abuse. PEC utilizes imaginal reliving of very pleasurable life moments in
order to weaken traumatic conditioned emotional responses (CERs). A higher-order conditioned
stimuli (CS) is used as a traumatic CER elicitor. Prolonged imaginal reliving of
pleasurable CSs is used as a counterconditioner to the traumatic CERs. A statistical technique
for analyzing single-case subject designs based on classical test theory was used to
evaluate the client’s progress in treatment. Results showed that PEC effectively decreased
the client’s PTSD symptoms, depression, and anxiety. In addition, the client’s negative
cognitions became considerably more positive. Also, the client lost his comorbid conditions
of chronic major depressive disorder and social phobia. Finally, other clinically
observed symptoms, which are described in the article, improved markedly. All results
were maintained at a 3-month follow-up.
Keywords: Imaginal Reliving PEC Posttraumatic Stress Disorder Prolonged Exposure Counterconditioning PTSD
Accuracy Verified: Yes
250. Kazi, A., Freund, B., & Ironson, G. (2008, April). Prolonged exposure treatment for posttraumatic stress disorder following the 9/11 attack with a person who escaped from the twin towers. Clinical Case Studies, 7(2), 100-117. doi:10.1177/1534650107306290.
Language: English
Format: Journal
Abstract:
The occurrence and impact of terrorist attacks can be dramatic and long lasting. Cognitivebehavioral
interventions are effective in alleviating posttraumatic stress disorder (PTSD) in
survivors of rape, wartime combat, automobile accidents, and natural disasters. Effectiveness
of such interventions on victims of terrorist attacks is in the early stages of research. On
September 11, 2001, two hijacked planes crashed into the twin towers in New York City,
killing approximately 2,750 people and emotionally and physically affecting thousands who
witnessed or escaped the attack. This case study illustrates a course of 12 active prolonged
exposure (PE) sessions for PTSD with a female survivor. After 15 sessions (3 of which were
preparatory), the client improved 75%, as measured by a composite score of measures. Her
reported quality of life had improved dramatically posttreatment and remained stable at 6-month
follow-up. This cognitive-behavioral therapy intervention, with 15 office sessions and homework
assignments for decreasing avoidances, is described and discussed.
Keywords: 9/11 CBT Cognitive Behaviorial Therapy Posttraumatic Stress Disorder Prolonged Exposure Treatment PTSD September 11th Terrorist Attacks
Accuracy Verified: Yes
251. Monticelli, M. L. (2008, Novembre). Psicoterapia cognitivo costruttivista e EMDR integrati: verso un’evoluzione mente-corpo consapevole e collettiva [Cognitive constructivist EMDR integrated into development mind-body awareness and collective]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I limiti mentali autoimposti acquisiti da copioni familiari reiterati in età evolutiva e da modelli operativi interiori acquisiti dalle autorità societarie attraverso mezzi di comunicazione di massa e regole educativo-lavorative, inducono percentuali sempre più rilevanti della popolazione europea alla vulnerabilità psicopatologica. L’esordio delle sintomatologie psichiche e somatiche di varia entità, avviene già in fasi precoci, nella primissima infanzia e spesso già nelle fasi prenatali, e il limite di età tende percentualmente a essere sempre più sensibile fin dal primo mese di vita. In età scolare si manifestano situazioni comportamentali quali il cosiddetto “bullismo” e fenomeni con campionature rilevanti di sindromi ipercinetiche con deficit attentivo e disturbi del-l’apprendimento. In adolescenza il contesto si complica e gli attacchi di panico, le sindromi depressive e i disturbi alimentari psicogeni dilagano, fino all’esordio di disturbi post-traumatici da stress che si incrementano in seguito alle difficili scelte di orientamento universitario o lavorativo. La vulnerabilità dell’età adulta si manifesta con disturbi somatoformi di diversa natura, disturbi psicocardiologici, sindromi ansioso-depressive, attacchi di panico, disturbi di coppia e relazionali, per citare i più frequenti e limitandomi solo ad accennare l’esistenza della molteplicità di disturbi iatrogeni. In tali soggetti, la consapevolezza di essere indotti in stati di shock che incrementano molteplici disturbi somatoformi e psicopatologici è praticamente assente. Essi, come pazienti, si rivolgono agli specialisti in ambito sanitario con la convinzione, spesso indotta da propagande dei mass-media, che tutto sia solo genetico, e vada "curato" con farmaci per lunghi periodi se non per tutta la vita. Anche da parte degli operatori sanitari vi sono ampie aree di inadeguatezza metodologica: ad esempio, la gravidanza viene gestita come fosse una malattia, riducendo la donna partoriente a una paziente alla quale troppo facilmente si “consiglia” il parto cesareo (statisticamente tra i più frequenti in Italia!) come metodo “veloce e sicuro” di parto, togliendo la competenza materna dell’imprinting alla nascita del bambino con le conseguenze psicologiche che ne derivano per la relazione madre-bambino e per la crescita serena di quest’ultimo, e, sempre a titolo esemplificativo, ignorano quasi del tutto gli aspetti di psicocardiologia, e il loro intervento si riduce a esami medici invasivi e a somministrazione di farmaci. Eppure, la psicoterapia cognitiva costruttivista, e specificamente modelli teorici e tecniche strategiche specialistiche note come EMDR (Eye Movement Desensitization and Reprocessing), l’utilizzo di biofeedback, l’innovativo training emotivo-cognitivo-comportamentale da me ideato nelle due versioni per la psicoterapia e per i gruppi in formazione che incrementa il riconoscimento emotivo e l’implementazione di immagini mentali idonee a modificare cognizioni e comportamenti irrazionali, quando eticamente e competentemente applicati, fanno molto per questi pazienti, sia in quanto si incrementa sensibilmente il livello della loro consapevolezza e della loro capacità di farsi protagonisti nel-l'evoluzione positiva della loro “guarigione”, sia in quanto si può intervenire in modo mirato con sperimentati protocolli per la risoluzione dello stato di trauma psichico in tempi ragionevolmente rapidi e con risultati attendibili e verificabili. Passando dalla dimensione individuale a quella collettiva, ossia alla psicopatologia collettiva cagionata dall’esposizione (anche solo mediatica) ad eventi catastrofici o angoscianti (magari associati a senso di impotenza, insicurezza, precarietà) o a diversi tipi di stress e vulnerabilità, possiamo aggiungere che, analogamente, mediante un lavoro su sistemi di neuroni specchio e sull'attivazione di nuove connessioni di reti neurali con un modello operativo non invasivo, si potrebbe migliorare la condizione di intere popolazioni rispetto a disturbi che, oggettivamente, sono in continua diffusione.
Sarebbe opportuno iniziare una sensibilizzazione collettiva partendo dalla formazione per livelli differenziati degli operatori educativi e sanitari, per poi estenderla alla popolazione suddividendola
per fasce di età e per territori di appartenenza; purtroppo la consapevolezza non è tra le aspettative primarie di committenti rivolti solo al profitto economico.
In un contesto storico-culturale dove l’etica, le relazioni umane, la cooperazione sembrano utopiche fiabe, questa è la sfida di essere una perturbatrice emotivamente orientata ad amplificare la consapevolezza attraverso un nuovo modello psicoterapeutico e formativo integrato, al quale sto lavorando da alcuni anni con risultati incoraggianti e che sarà mia premura esporre dettagliatamente durante il Congresso EMDR 2008.
The self-imposed mental limitations acquired from family scripts repeated age and developmental models inner acquired by the company operating through means of mass communication and
educational and working rules, induce percentage increasing as the population of Europe vulnerability to psychopathology. The onset of symptoms of various psychological and somatic
entity, is already in the early stages, in early childhood and often known during prenatal and age limit percentage tends to be more sensitive since the first month of life. Age
school behavioral situations occur where the so-called "bullying" and phenomena samples relevant syndromes of attention-deficit and hyperactive disorder - learning. In adolescence the context is complicated and panic attacks, the syndromes psychogenic depression and eating disorders are rampant, until onset of post-traumatic disorders stress which increases as a result of difficult choices of university or business orientation. The vulnerability of adulthood is manifested by different types of somatoform disorders, disorders psycho, anxious-depressive syndrome, panic attacks, disorders of torque and relational to cite the most frequent is limited only to mention the existence of multiplicity of disorders iatrogenic. In these subjects, conscious of being led into a state of shock that increase multiple somatoform disorders and psychopathology is virtually absent. They, like patients, addressed to specialists in the health field with the belief, often driven by propaganda media, that everything is just genetic, and must be "cured" with drugs for long periods if not for life. Including by health workers there are large areas of inadequacy
methodological: for example, pregnancy is managed as if it were a disease, reducing the woman in labor to a patient which too easily "advise" Caesarean (statistically the most frequent in Italy!) as a method of "fast and safe childbirth, removing the competence of imprinting the birth mother of the child with the psychological consequences that entailed for the mother-child and to the peaceful growth of the latter, and, also example, know little about the aspects of psycho, and their intervention reduces to invasive medical examinations and medication. Yet, cognitive psychotherapy
constructivist theoretical models and specific strategic and technical specialists known as EMDR (eye movement desensitization and reprocessing), the use of biofeedback, the innovative
emotional-cognitive-behavioral training which I designed in two versions for psychotherapy and groups in training that increases the emotional recognition and implementation of
mental images likely to change, knowledge and irrational behavior, when ethically and competently applied, do a lot for these patients, both because it increases
significantly the level of their awareness and their ability to get players in - the positive development of their "healing", both as it can intervene in a targeted manner with
tested protocols for the resolution of the state of psychic trauma in the reasonably rapid and reliable and verifiable results. Moving from individual dimension to that
collective, that is caused by exposure to psychopathology group (even the media) to distressing or catastrophic event (perhaps associated with the sense of powerlessness, insecurity, instability) or
different types of stress and vulnerability, we can add that, similarly, through a work on systems of mirror neurons and activation of new connections of neural networks with a model
operating non-invasive, it could improve the condition of entire populations than disorders that, objectively, are in constant circulation. It would be appropriate to start a collective awareness levels, starting from training differential operators' education and health, then extend it to the population divides
by age and territories belonging unfortunately the awareness is not between the expectations primary principals addressed only in profit or loss. In a historical-cultural context where ethics, human relations, cooperation seem utopian fairy tales, this is the challenge of being an emotionally disturbing oriented to amplify the awareness through a new model of psychotherapy and integrated training, which I working for several years with encouraging results and that will spell out my readiness EMDR 2008 during the Congress.
Keywords: Mind-Body Awareness Poster
Accuracy Verified: Yes
252. Sanchez-Meca, J., Rosa-Alcazar, A. I., Marín-Martínez, F., & Gomez-Conesa, A. (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30(1), 37–50. doi:10.1016/j.cpr.2009.08.011.
Language: English
Format: Journal
Abstract:
Although the efficacy of psychological treatment for panic disorder (PD) with or without agoraphobia has
been the subject of a great deal of research, the specific contribution of techniques such as exposure,
cognitive therapy, relaxation training and breathing retraining has not yet been clearly established. This
paper presents a meta-analysis applying random- and mixed-effects models to a total of 65 comparisons
between a treated and a control group, obtained from 42 studies published between 1980 and 2006. The
results showed that, after controlling for the methodological quality of the studies and the type of control
group, the combination of exposure, relaxation training, and breathing retraining gives the most consistent
evidence for treating PD. Other factors that improve the effectiveness of treatments are the inclusion of
homework during the intervention and a follow-up program after it has finished. Furthermore, the treatment
is more effective when the patients have no comorbid disorders and the shorter the time they have been
suffering from the illness. Publication bias and several methodological factors were discarded as a threat
against the validity of our results. Finally the implications of the results for clinical practice and for future
research are discussed.
Keywords: Panic Disorder Agoraphobia Psychological Treatment Outcome Evaluation Meta-Analysis
Accuracy Verified: Yes
253. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study aims to measure psychophysiological
parameters during activation of internal resources k g .
positive memories) and to compare these to activated traumatic
internal networks.
Antecedent studies show that traumatic stimulation on patients
with posttraumatic stress disorder (PTSD) finalizes in various
psychophysiological correlates. During therapy of these patients
a strong demand for activation of internal resources, i.e. activation
of fortitude and positives thoughts, exists. Especially EMDR
therapy uses resource stimulating elements such as position of
power and absorption in preparation for exposure. In this study
standardized EMDR protocols establish a solid basis to explore
individual internal resources.
Researches on trauma stimuli in EMDR- patients show effects
on parasympathetic tonus (Sack 2006) as well as increased cerebral
blood flow in defined brain regions (Levin 1999. Lamprecht
2000). Especially the heart rate variability (HRV) may describe
the sympatheticovagal balance (Cohen, 2002, Porges 1991). This
study focuses on psychophysiological effects and neurobiological
regulative mechanisms of stabilizing methods and activation of
internal resources in PTSD patients and healthy control group.
Methods: Healthy subjects and patients with diagnosed PTSD
(DIAX) listened to a commonly neutral script, an individual
trauma script and an individual absorption script. Following
each script measurements of heart rate variability (HRV), respiratory
flow, skin conductance responses (SCR) and skin blood
flow (LCF, TU50%) took place.
Results: Preliminary results revealed a significant reduced heart
rate variability in patients compared to the healthy controls in
reaction to the stress script as well as to the positive and the
neutral scripts.
Conclusion: To our knowledge this is the first time to be proven
that altered autonomous functions are found in PTSD not only
in reaction to traumatic reminders, but even to a positive, resource
activation situation. This provides our basement for further
research. Detailed analysis of different effects to each script
on both groups are currently underway.
Keywords: Posttraumatic Stress Disorder PTSD Research Responsivity Symposium Trauma
Accuracy Verified: Yes
254. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36.
Language: French
Format: Magazine
Abstract:
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux...
Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ...
Comment continuer après ?
Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. »
Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»
First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ...
Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ...
How to continue after that?
Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. "
Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "
Accuracy Verified: Yes
255. DeAngelis, T. (2008, January). PTSD treatments grow in evidence, effectiveness. Monitor on Psychology, 39(1), 40-42.
Language: English
Format: Magazine
Abstract:
It's a bittersweet fact: Traumatic events
such as the Sept. 11 attacks, Hurricane
Katrina, and the wars in Iraq and
Afghanistan have enabled researchers
ro learn a lot more about how best to treat
post-uaurnatic stress disorder (PTSD).
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
256. Kleinknecht, R. (1993, September). Rapid treatment of blood and injection phobias with eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 211-217. doi:10.1016/0005-7916(93)90023-P .
Language: English
Format: Journal
Abstract:
A 21-year-old woman with injection and blood phobias was treated successfully using eye movement desensitization. Treatment was conducted over four abbreviated sessions involving less than 1 hour of actual treatment time. Fear changes following treatment were monitored through self-report and physiological response, both within and between sessions, and in relation to the behaviors of seeking and receiving an injection (flu shot) and having blood drawn. Treatment effects were maintained at follow-ups of 1, 14, and 24 weeks.
Keywords: Blood Phobia Injection Phoba
Accuracy Verified: Yes
257. Smyth, N., Maxfield, L., & Rogers, S. (2003, September). Recent research evaluating the role of eye movements in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Findings of component studies are summarized, with a review of studies which reported that EMs reduced memory vividness and emotiveness. The results of three recent studies are presented. 1) A study evaluated the effects of EMs on the components of memory to test working memory explanations of EMDR; 2) a study using participants with dental phobia determined if memories of disturbing dental events,and related dental anxiety, were influenced by EMs; 3) A large-N comparison with combat veterans, compared EMDR and a non-eye-movement analog to evaluate the effect of EMs on treatment outcome, process and changes in trauma narratives.
Keywords: Eye Movements Research
Accuracy Verified: Yes
258. McGlynn, F. D. (1997). Response to Lipke's comment. Journal of Anxiety Disorders, 11(6), 603-606. doi:10.1016/S0887-6185(97)00043-1.
Language: English
Format: Journal
Abstract:
Lipke's criticisms of the experiment reported by Bates and colleagues are without merit. Data from the experiment show either that the procedure was sound or that the clinical measurement reported by eye-movement densitization (EMD) therapists is suspect. Lipke's statement that EMD enjoys increasing scientific support is likewise without merit. Scientific support for EMD seems to exist only when one disregards the methodological lessons taught by behavior-therapy research for the last three decades.
Keywords: Female Letter Phobias Reply Spider Phobia
Accuracy Verified: Yes
259. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR),
Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT),
Traumatic Incident Reduction (TIR), and Visual/Kinesthetic
Dissociation (V/KD) are relatively new approaches in the treatment
of trauma-related disorders. These approaches have come
under intense scientific and professional scrutiny and criticism,
with proponents and critics offering diverse and intriguing arguments
in support of their respective points of view. This discussion
will focus on the current empirical and anecdotal evidence on
the efficacy of these five approaches, as well as various criticisms
that have been proferred in response to the empirical and clinical
literature on treatment efficacy and theory. EMDR will be highlighted,
given the growing empirical database on EMDR outcome
studies and the contention surrounding the treatment and its’ theory.
The evidence for and/or against the other four approaches will
also be presented, upon which we will raise for discussion issues
relating to methodological rigour, scientific reporting of clinical
data, and the interpretation of efficacy studies in general. The discussion
will occur within the context of philosophical discourse on
the ideal of integration of science and practice, and the feasibility
of attaining this ideal within the current scientific Zeitgeist.
INTERVENTION RESEARCH, CLINICAL CASE STUDY
Sandringham
Skills-Based Treatment
of Dissociation: A Case Study 238
Chair: ELHAI, Jon D., Nova Southeastern University
Discussant: GOLD, Stephen
A clinical case study of skills-based treatment of a 48-year-old,
female survivor of child sexual abuse (CSA) reporting severe dissociative
symptomatology is presented. Chief complaints were daily
amnestic episodes, depersonalization, panic attacks, agoraphobia,
and consequent long-term unemployment. In contrast to most
approaches to therapy for dissociative syndromes, it is argued that
treatment does not need to be primarily trauma-focused. Instead
treatment focused on targeting dissociation and anxiety by teaching
skills to be implemented by the client outside of session.
Functional behavioral analysis of particular recent incidents of dissociation
were conducted over several sessions. Imagery-based
relaxation and progressive muscle relaxation were used and monitored
to help the client learn additional methods of reducing distress.
Grounding techniques were implemented to counter the dissociative
tendency to lose experiential awareness of the here and
now. Cognitive interventions were utilized to challenge the erroneous
notions reported about dissociative experiences, such as the
panic she experienced when her dissociation had been revealed to
others. Last, in vivo systematic desensitization was used with a fear
hierarchy, ranging from the least to most fearful stimuli that precipitate
dissociation, where graduated exposure was followed by relaxation.
At termination the client reported elimination of panic
attacks, resumption of driving, and marked reduction in frequency
and duration of amnestic periods, with substantial additional gains
and progress in finding full-time employment reported at 8 month
follow-up. Treatment outcome is assessed based on psychological
test data obtained at intake, discharge, and 8 month follow-up, as
well as client anecdotal report.
Keywords: Neoteric Trauma Treatments Practice Guidelines
Accuracy Verified: Yes
260. 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
261. 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
262. Goldstein, A. (1992, July). The role of eye movement desenitisation and reprocessing in the treatment of panic and agrophobia. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
This presentation will focus upon the addition of EMD/R to an Integrated Models Psychotherapy approach to agoraphobia and panic disorder.
Keywords: Agoraphobia Integrated Models Psychotherapy Approach Panic Disorder
Accuracy Verified: Yes
263. Cohen-Posey, K. (2000, September). The role of ‘second-order’ NCs in anxiety disorders and relationship problems. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) list NCs that are frequently acquired as a result of experience panic attacks and OCD; 2) describe how to use EMDR protocols to ensure that clients have integrated adaptive information about their disorder; 3) list negative cognitions that interfere with the ability to acquire communication, parenting, and anger management skills; 4) list negative cognitions that interfere with the process of individuation and enjoying satisfying relationships, 5) "compute" positive cognitions that are related to negative cognitions generated by various problems and disorders; and 6) identify negative cognitions that could be used to start targeting problem areas from listening to case examples.
Keywords: Anxiety Disorders Negative Cognitions Obsessive Compulsive Disorders OCD Positive Cognitions Relationship Problems
Accuracy Verified: Yes
264. Pena, M. (2006). Sanar el dolor a traves del movimiento ocular [Healing the pain through eye movement]. Buenos Aires: Kier.
Language: Spanish
Format: Book
Abstract:
Ningún Método aplicado por la medicina tradicional ha podido terminar con esta clase de sufrimiento. Hoy, gracias a la novedosa técnica EMDR (Movimientos Oculares de Desensibilización y Reprocesamiento), nos encontramos ante un nuevo paradigma terapéutico: la posibilidad real de terminar con el dolor.
Los recuerdos traumáticos se aíslan en el cerebro como resultado de los neuroquímicos producidos por el cuerto en el momento del trauma, que se almacenan sin asimilar durante años. El trabajo que se realiza a través del movimiento de los ojos desbloquea estos recuerdos reconectando las redes neuronales, antes aisladas del resto del cerebro, logrando así eliminar la sensación de dolor que el recuerdo genera en el paciente.
Las técnicas EMDR y T.I.C. (Técnicas de Integración Cerebral) se han utilizado con enorme éxito en personas que sufrieron graves traumas: asaltos, abusos sexuales, así como en soldados con secuelas de guerra (Guerra de los Balcanes en Sarajevo, Bosnia), en víctimas de ataques con bombas (Oklahoma, EE.UU), en pacientes con ataques de pánico y fobias. Es tratamiento de soldados con estrés de combate, víctimas de inundaciones y huracanes y en los sobrevivientes al ataque a las Torres Gemelas en Nueva York, EE.UU., en 2001.
La Lic. Marta Peña nos acerca en esta obra las bases y aplicaciones de las técnicas con ejemplos de exitosos casos clínicos reales.
No method used by traditional medicine has failed to finish with this kind of suffering. Today, thanks to the new technique EMDR (Eye Movement Desensitization and Reprocessing), we face a new treatment paradigm: a real chance to end the pain.
Isolated traumatic memories in the brain as a result of neurochemicals produced by the cuerto at the time of trauma, which are stored for years without assimilating. The work done through eye movement unlock these memories reconnecting the neural network, previously isolated from the rest of the brain, thus eliminating the sensation of pain that the memories generated by the patient.
EMDR techniques and T.I.C. (Cerebral Integration Techniques) have been used with great success in people who suffered severe trauma: assaults, sexual abuse, as well as soldiers with sequelae of war (War in the Balkans in Sarajevo, Bosnia), victims of bombings ( Oklahoma, USA) in patients with panic attacks and phobias. It's treatment of soldiers with combat stress, flood and hurricane victims and survivors of the attack on the Twin Towers in New York, USA, in 2001.
Ms. Marta Peña us about this document the basis and applications of the techniques with examples of successful real clinical cases.
Accuracy Verified: Yes
265. Faretta, E. (2001). Sconfiggere il panico: Affrontarlo e vincerlo con l'EMDR la nuova tecnica Americana [Overcoming panic: Take it and defeat it with the new technique EMDR American]. No. 153, Milano: Riza.
Language: Italian
Format: Book
Accuracy Verified: Yes
266. HaLevi, E. (2008, February 7). Sderot teacher's song empowers children in face of rockets. Arutz Sheva 7, Israel National News.
Language: English
Format: Video
Abstract:
A Sderot teacher’s song has empowered area schoolchildren to deal with the fear of Kassam rocket attacks, integrating forms of relaxation therapy into a children’s diddy.
Keywords: Butterfly Hug Children Israel Song War
Accuracy Verified: Yes
267. Neubauer, I. (2005, May 7-8). Searching for answers: The cousin of a US national killed by the Khmer Rouge seeks closure in Cambodia. The Cambodian Daily. Retreived from http://www.camnet.com.kh/cambodia.daily/selected_features/cd-07-05-05.htm on September 22, 2011.
Language: English
Format: Newspaper
Abstract:
Discouraged with conventional psychiatry, Bittner sought a practitioner of eye movement desensitization and reprocessing. The process is "the most effective and rapid method for treating post-traumatic stress disorder and has been used extensively to treat survivor's of the Sept 11, 2001, terror attacks in the US," according to BioLateral.com, an EMDR Web Site. [Excerpt]
Keywords: Cambodia Don Bittner Drug Trade Khmer Rouge Lance McNamara Torture
Accuracy Verified: No
268. Saltus, R. (2000, October 29). Seeing is believing. Boston, MA: The Boston Globe, Magazine, 6.
Language: English
Format: Newspaper
Abstract:
About 10 years ago, word of a curious new therapy began trickling into psychologists' offices. Proponents claimed that the therapy could relieve anxiety, phobias, and frightening flashbacks related to past hurts - and in a matter of weeks or months instead of years.
Now, the trickle has become a torrent. The treatment, called eye movement desensitization and reprocessing, or EMDR, is the hottest new therapy in years, and therapists of many schools are rushing to learn to do it. EMDR was first used with patients suffering from post-traumatic stress disorder, but it's now being offered for problems ranging from panic attacks to the effects of depression, addiction, and low self-esteem.
Keywords: Boston General Overview
Accuracy Verified: Yes
269. Sorensen, S. (2007). Seelische selbstheilungskraft ganzheitliche EMDR-selbsttherapie und individuierende selbstanalyse [Mental self-healing: Holistic self-therapy and EMDR individuating self] . Norderstedt: Books on Demand GmbH .
Language: German
Format: Book
Abstract:
Seelische Selbstheilungskraft - Ganzheitliche EMDR-Selbstherapie und individuierende Selbstanalyse. In dem 700 Seiten umfassenden Werk inklusive umfangreichen Nachschlageverzeichnissen beschreibt Sofia Sörensen ihre Selbstheilung von einer ausgeprägten posttraumatischen Belastungsstörung, die ihr Leben 53 Jahre lang nach einem Mordanschlag und schwerem Mobbing in der Kindheit geprägt hat. Die Störungen bestanden in hoher Empfindlichkeit, Hypervigilanz, zuweilen Panikstörungen, Phobien, teils suchtartigen Verhaltensweisen mit Kaufrausch und Zwängen, Alpträumen, Gedankenkreisen, teilweise schweren psychosomatischen Krämpfen, Angina pectoris, Stimmritzenkrämpfen, hoher Infektanfälligkeit und vor allem unter neuen Traumatisierungen und Frust auch in allgemein gestörtem sozialen Verhalten. Kompensation und Dekompensation bestimmten ihr Kräfte aufreibendes Leben. Sofia Sörensen hat sich schließlich selbst geheilt, indem sie sich intensiv sachkundig gemacht hat, ihre seelischen Selbstheilungskräfte nicht mehr durch Ängste und vorgefasste Ansichten blockierte sondern durch eine mehrdimensionale, ganzheitliche Selbsttherapie unter Einbeziehung von EMDR freigelegt hat. Selbsttherapie ist letztendlich auf die immer vorhandene Selbstheilungskraft zurückzuführen. Diese schreibt die Autorin der Schöpfungskraft und damit dem Schöpfer selbst zu. Das Buch ist zugleich Erfahrungsbericht, Biografie und Sachbuch.
Mental self-healing-Holistic EMDR Selbstherapie and individuating self. In the 700 page work, including extensive Nachschlageverzeichnissen Sofia Sorensen describes their self-healing from a severe post-traumatic stress disorder, which has shaped their lives 53 years after an assassination attempt and severe bullying in childhood. The disturbances were in high sensitivity, hypervigilance, and sometimes panic disorders, phobias, sometimes addictive behaviors with a spending spree and constraints, nightmares, thoughts circles, some severe psychosomatic cramps, angina pectoris, glottic spasm, high susceptibility to infection and especially under the new trauma and frustration in general degraded social behavior. Compensation and decompensation certain forces exhausting their life. Sofia Sorensen has finally cured himself, has made intense by competent, their psychological self-healing by no more fears and preconceived views blocked but has uncovered a multidimensional and holistic self-therapy, involving EMDR. Self-therapy is ultimately due to the ever-present self-healing power. This writes the author of the power of creation and thus to the Creator himself. The book is also a field report, biography and nonfiction.
//www.emdr-selbsttherapie.de//
Keywords: Holistic Healing Individuation
Accuracy Verified: Yes
270. Colelli, G. (2002, January/February). Selecting EMDR candidates – A trained clinician’s checklist. EMDRNews.com, 3.
Language: English
Format: Newsletter
Abstract:
In response to the 9/11 tragedy, the
EMDR Humanitarian Assistance
Program (HAP), the same organization
that responded to the Oklahoma City
bombing trauma treatment needs, has
established a similar response operation
in New York City. Referred to as the
Disaster Mental Health Recovery
Network this nationwide alliance
of EMDR trained clinicians offers
volunteer services for short-term
EMDR-centered therapy specifically
tailored for those directly impacted by
the terrorist attacks.
Keywords: Client Checklist
Accuracy Verified: Yes
271. Mueller, K-M. (2004, February). Separation anxiety disorder and vomit phobia: An integrated approach. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK .
Language: English
Format: Conference
Abstract:
This case report will illustrate how an integrated approach based on a combination of family therapy, CBT and EMDR was used for a 13 year old teenager who presented with vomit phobia and a background of separation anxiety disorder.
Keywords: Separation Anxiety Disorder Vomit Phobia
Accuracy Verified: Yes
272. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.
Language: English
Format: Journal
Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma
Accuracy Verified: Yes
273. Bergmann, U. (2008). She's come undone: A neurobiological exploration of dissociative disorders. In C. Forgash and M. Copeley (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 61-89). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Life is often an enduring struggle for people who have been chronically traumatized. Their suffering essentially recounts a horrifying and anguished past that haunts them, incessantly. As clients attempt to hide their sorrow beneath a veneer of normality, therapists often feel beleaguered by their many symptoms and never-ending pain. Van der Kolk and McFarlane (1996) note that "experiencing trauma is an essential part of being human; history is written in blood" (p. 3). Centuries of wars, famines, pogroms, holocausts, slavery, dictatorship, and colonization brought every type of horror and abuse into the homes of our ancestors. Some found ways to adapt, but many succumbed to the horror and despair. Despite the capacity of humans to survive and adapt, traumatic experiences tend to alter their biological, psychological, and social equilibrium to such a vast extent that the memory and interpretation of their traumas wash over and taint all other experiences, contaminating the present and future (van der Kolk & McFarlane, 1996). (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dissociative Disorders Neurobiology Trauma
Accuracy Verified: Yes
274. Klaff, F., & Dutton, P. (2004, September). The short and the long of it: Crisis versus routine treatment of children and adolescents. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
EMDR techniques with children following crisis will be demonstrated drawing from interventions developed directly at international disaster
sites. The nature of immediate intervention with dramatic trauma problems will be addressed in terms of treatment goals, techniques and
outcomes. Safety preparation skills using interactive safe place and a quick phobia protocol to clear prior problems will be taught. This approach will be contrasted with more routine treatment for past trauma and resistant family system problems. Clinical issues will be analyzed with videotaped cases treated both in childhood and later in adolescence.
Repetitive themes and unresolved issues will be highlighted. The evolution of therapist experience with resultant refinement of treatment skills will be discussed.
Keywords: Adolescents Children
Accuracy Verified: Yes
275. de Roos, C., & de Jongh, A. (2006). Slikken of stikken - EMDR bij kinderen en jongeren met een slikfobie [Do or die - EMDR in children and adolescents with a mud phobia]. Kinder- & Jeugdpsychotherapie, 33(3), 83-102.
Language: Dutch
Format: Journal
Abstract:
In de kindertijd zijn ontwikkelingsgerelateerde angsten normaal. Wanneer een
angst echter aanhoudt en uitgelokt wordt door de aanwezigheid van of
anticipatie op een bepaald voorwerp of een specifieke situatie spreekt men van
een specifieke fobie (American Psychiatric Association, 2003). De in de
literatuur gerapporteerde prevalentiepercentages lopen nogal uiteen en variëren
van 1,7 tot 16 procent, maar de meeste studies komen uit op een percentage
tussen de 7 en 9 procent (Silverman & Moreno, 2005).
In childhood development-related fears are normal. When a
But fear persists and is triggered by the presence or
anticipation of a certain object or a particular situation is called
a specific phobia (American Psychiatric Association, 2003). In the
literature reported prevalence rates vary considerably, ranging
from 1.7 to 16 percent, but most studies come up with a percentage
between 7 and 9 percent (Silverman & Moreno, 2005).
Keywords: Adolescents Children Mud Phobia
Accuracy Verified: Yes
276. de Jongh, P. J., Andrea, H., & Muris, P. (1997, June). Spider phobia in children: Disgust and fear before and after treatment. Behaviour Research and Therapy, 35(6), 559-562. doi:10.1016/S0005-7967(97)00002-8.
Language: English
Format: Journal
Abstract:
Fear of spiders, disgust sensitivity, and spiders' disgust-evoking status were assessed in a group of spider phobic girls (n = 22) who applied for treatment, in a group of non-phobic girls (n = 21), and in the parents of both groups of children. The phobic girls were tested both before and after behavioural treatment which consisted of 1.5 hr eye movement desensitization and reprocessing and 1.5 hr exposure in vivo. Findings support the idea that disgust is an important aspect of spider phobia: (a) spider phobic girls exhibited higher levels of disgust sensitivity and considered spiders per se as more disgusting than non-phobic girls; (b) there was a parallel decline of spider fear and spiders' disgust-evoking status as a result of treatment; and (c) spiders' disgust-evoking status was relatively strong in mothers of spider phobic girls. The latter finding may indicate, that the acquisition of spider fear is facilitated by specific parental disgust reactions when confronted with spiders. [ScienceDirect]
Keywords: Disgust Exposure In Vivo Exposure Therapy Fear of Spiders Disgust Sensitivity Parents Phobias Spiders' Disgust Evoking Status
Accuracy Verified: Yes
277. Pagani, M. (2008, Novembre). Sub-strato neurobiologico della sindrome da stress post-traumatico e relativo impatto funzionale e strutturale della terapia con EMDR [Neurobiological substrate of post-traumatic stress syndrome and impact on functional and structural therapy with EMDR]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Recenti studi hanno dimostrato come la sindrome da stress post-traumatico (PTSD) possa causare nel cervello cambiamenti sia strutturali che funzionali. Studi di imaging funzionale tramite tomografia ad emissione di fotone singolo (SPECT) e ad emissione di positrone (PET) hanno evidenziato significative variazioni del flusso cerebrale in pazienti con PTSD durante la rivisitazione del trauma. A questo proposito sono stati riportati aumenti e diminuzioni di flusso nell’ippocampo, nell’amigdala, nella corteccia prefrontale mediale, nel cingolo anteriore e posteriore e nella corteccia temporale. Il modello prevalente collega i sintomi del PTSD ad una mancata inibizione dell’ amigdala, iperattivata dalla sensazione di incombente minaccia, da parte della corteccia prefrontale. E’ stato anche proposto che i cambiamenti strutturali dell’ippocampo e del cingolo anteriore rivelati dalla risonanza magnetica strutturale (RM) siano causati dalla risposta neuronale allo stress. L’obiettivo delle nostre ricerche e’ stato quello di analizzare la risposta funzionale e le variazioni strutturali in due gruppi di soggetti esposti a trauma occupazionale che hanno sviluppato (S=sintomatici, n=20) o no (NS=non sintomatici, n=27) il PTSD. Una parte dei S (n=16) è stata trattata con EMDR. La diagnosi di PTSD prima e dopo la terapia è stata basata sia sui criteri del DSM-IV sia su vari test neuropsicologici mirati. La SPECT (n=47) e la RM (n=33) sono state eseguite da 3 mesi a sei anni dal trauma e la prima è stata ripetuta dopo EMDR. I sintomi sono stati provocati da uno script individualizzato che ha riportato alla memoria il trauma e durante il quale è stato iniettato il tracciante di flusso cerebrale.
Le analisi eseguite hanno mostrato differenze significative tra S e NS nella risposta del flusso cerebrale allo script. Nei 33 soggetti in cui sono state eseguite sia la SPECT che la RM sono state trovate differenze significative sia funzionali che strutturali nella corteccia temporo-parietale sinistra e nell’ippocampo, regioni nelle quali gli score dei test neuropsicologici correlano significativamente con il flusso cerebrale. Nei soggetti con remissione sintomatologica dopo EMDR (R; n=11) sono state trovate rispetto ai soggetti che non hanno risposto alla terapia (NR; n=5) significative differenze di flusso in 4 aree corticali che processano funzioni deteriorate in corso di PTSD. Diminuzioni di flusso dopo la terapia sono state registrate nei R rispetto ai NR nell’ippocampo, nel giro fusiforme (corteccia parieto-occipitale) e nella corteccia visiva primaria. L’ippocampo è sede della memoria episodica ed autobiografica; il giro fusiforme processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattività di queste regioni nel PTSD sono responsabili della rivisitazione patologica figurata e somatica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Viceversa la corteccia frontale dorsolaterale ha mostrato un aumento di flusso nei R. Questa regione oltre ad essere deputata ad inibire nel sistema limbico la risposta patologica a stimoli che ricordano l’evento traumatico è essenziale per i processi di attenzione e del “senso di sé”, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In questi soggetti la RM ha inoltre messo in evidenza il valore predittivo delle dimensioni dell’ippocampo rispetto all’efficacia della terapia con EMDR.
I nostri risultati confermano il coinvolgimento della corteccia temporo-parieto-occipitale nel PTSD e sottolineano il valore delle neuroimmagini sia nello svelare gli effetti neurobiologici dell’EMDR che determinare il valore delle indagini strutturali nel predirne l’efficacia.
Recent studies have shown that the post-traumatic stress syndrome (PTSD) may result in both structural and functional brain changes. Imaging studies using functional Single photon emission tomography (SPECT) and positron emission tomography (PET) shown significant changes in cerebral blood flow in patients with PTSD during revisiting the trauma. In this regard have been reported increases and decreases in flow hippocampus, amygdala, medial prefrontal cortex, the anterior cingulate and posterior and temporal cortex. The dominant model linking the symptoms of PTSD to a no inhibition of 'amygdala hyperactivity disorder by the sense of impending threat by the prefrontal cortex. E 'was also proposed that the structural changes of the hippocampus and
anterior cingulate revealed by structural magnetic resonance imaging (MRI) are caused by the response neuronal stress. The aim of our research and 'was to analyze the response
functional and structural variations in two groups of subjects exposed to occupational trauma that have developed (S = symptomatic, n = 20) or not (NS = non-symptomatic, n = 27) PTSD. Part of S (n = 16) was treated with EMDR. The diagnosis of PTSD before and after the therapy was based on both DSM-IV has on several neuropsychological tests targeting. SPECT (n = 47) and MRI (n = 33) are were performed from 3 months to six years from the trauma and the first was repeated after EMDR. Symptoms were caused by a script individual who reported to the memory of the trauma and during which were injected with a tracer of cerebral blood flow. The analysis performed showed significant differences between S and NS in the response of flow brain to the script. In the 33 subjects in which they were performed both SPECT and MRI were found significant differences in both functional and structural temporo-parietal cortex left hippocampus, regions in which the scores of neuropsychological tests correlate significantly with the flow in the brain. In subjects with symptomatic remission after EMDR (R; n = 11) were found compared with subjects who did not respond to therapy (NR, n = 5) significant differences in flow in 4 cortical areas that process functions deteriorated in the course of PTSD. Decreases in flow after treatment were recorded in R than NR hippocampus, within fusiform (parieto-occipital cortex) and in the primary visual cortex. The hippocampus is the seat of episodic memory and autobiographical, and the processes around the fusiform recognition of faces, bodies and words, the primary visual cortex preserves the memory visual events. The non-inhibition and / or 'hyperactivity of these regions in PTSD are
responsible for pathological figured revisiting the traumatic event and physical and presence of flashbacks and hallucinatory images. Contrast, the dorsolateral frontal cortex has showed an increase of flow in R. This region in addition to being deputies to inhibit the system limbic response to pathological stimuli that recall the traumatic event is essential for processes of attention and the "sense of self, decreased in the course of PTSD and recovered following remission. In these subjects, MRI has also highlighted the predictive value the size of the hippocampus compared the efficacy of EMDR therapy. Our results confirm the involvement of the temporo-parietal-occipital cortex in PTSD and emphasize the value of neuroimaging in revealing both the neurobiological effects of EMDR that determine the value of the structural surveys in predicting effectiveness.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
278. 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
279. Tzan-Fu, S., & Nien-Mu, C. (2006, September). Synergism between mindfulness meditation training, and eye movement desensitization and reprocessing in psychotherapy of social phobia. Chang Gung Medical Journal, 29(4), 1-4.
Language: English
Format: Journal
Abstract:
We report on the successful treatment of a psychiatric outpatient with long-term Social
Phobia (SP), at best only marginally responsive to pharmacotherapy. He was treated by Eye
Movement Desensitization and Reprocessing (EMDR) because we suspected that his phobia
derived from emotional trauma. He also received brief training in Mindfulness Meditation
(MM), which enhanced his initially poor response to EMDR. The patient practiced meditation
intensively during the treatment period and thereafter, and used it to relieve the distress
that he experienced during both real and deliberately-imagined phobic situations. He recognized
this distress pattern as identical to the one he reported to his EMDR therapist while
processing traumatic images. The patient’s condition was much improved at discharge and
he continued to practice meditation during 31/2 years of follow-up to sustain his relief. The
two therapeutic approaches appear to be synergistic and useful in treating SP. We also comment
on the usefulness of providing brief MM training, especially to highly-motivated
patients. (Chang Gung Med J 2006;29(4 Suppl):1-5)
Keywords: Case Report Mindfulness Meditation Social Phobia
Accuracy Verified: Yes
280. Tofani, L. R. (2003, May). Systemic family therapy and EMDR: Theoretical and practical considerations for their intergration. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
Conjoint use of systemic family therapy and EMDR is examined.
A young adult in the "leaving home" phase of the family life cycle, affected by panic attacks and concomitant anxious/depressive disorder has been treated following the systemic approach , with family sessions and individual sessions including the use of EMDR at specific times.
The clinical case is taken as an example for theoretical and practical considerations and for the analysis of the possible integration of the two approaches. This analysis underlines the use of EMDR as a "stimulating factor" in different moments of the family therapy treatment.
EMDR helped to focus and elaborate a strong but undefined feeling of serious personal danger in the young identified patient and, on the other side, it helped to define clusters of cognitive conflicts which prevented the development of more adaptive behaviors.
Elements that suggest a careful and skillful use of EMDR are presented together with the corresponding need for minor modifications, if associated with family therapy.
The aspect of timing individual sessions with EMDR is also considered. The problem of how to interweave elements deriving from EMDR sessions and contents deriving from family sessions is discussed and useful hints about the integration are suggested.
[Author abstract]
Keywords: Symposium Systemic Family Therapy
Accuracy Verified: Yes
281. Colelli, G., & Patterson, B. (2008). Three case reports illustrating the use of the protocol for recent traumatic events following the World Trade Center terrorist attack. Journal of EMDR Practice and Research, 2(2), 114-123. doi:10.1891/1933-3196.2.2.114.
Language: English
Format: Journal
Abstract:
Following the attacks on the New York World Trade Center on September 11, 2001, the EMDR Humanitarian Assistance Program initiated a response establishing the New York City Disaster Mental Health Recovery Network. The network provided coordination and assistance to local psychotherapists who volunteered to provide treatment to individuals directly affected by the tragedy. The psychotherapists utilized both the EMDR standard protocol and the EMDR Recent Events protocol during the initial aftermath and ongoing recovery at the World Trade Center site. The development of the network is reviewed, and detailed descriptions are provided regarding three cases to illustrate the use of the EMDR Recent Events protocol. The research findings reported by Silver, Rogers, Knipe, and Colelli that demonstrated support for EMDR as a postdisaster treatment are summarized. Further research is recommended. [Author Abstract]
Keywords: 9/11 Adults Americans Case Report Man-Made Disasters Recent Events Protocol September 11 Survivors Terrorism Terrorist Attacks
Accuracy Verified: Yes
282. Lando, S. (2001, December 12). To heaven and hell, and back. Jerusalem, Israel: Jerusalem Post, Daily Edition, Features, 10.
Language: English
Format: Newspaper
Abstract:
I looked at him, waiting for the rest. He knew I wouldn't accept that word as a real answer. "B'seder gamur" - very fine," he said a second later. Then he added, "B'seder vegamur (Fine and finished)." I had been working with Malachi after the terrorist bombing attack in which he was badly wounded. Like many people who survive these incidents, he suffered from PTSD (Post Traumatic Stress Disorder), a condition which causes flashbacks from the event, nightmares, panic attacks and prevents the individual from functioning. In his late forties, [Malachi] looked older. He had sat behind the wheel of a bus from 5 a.m. till 9 p.m. and knew, personally and by name, many of the passengers who had traveled with him daily and were now hurt or dead.
Keywords: General Jerusalem Overview
Accuracy Verified: Yes
283. Kutz, I. (2009). To the editor. Journal of EMDR Practice and Research, 3(1), 57-58. doi:10.1891/1933-3196.3.1.57.
Language: English
Format: Journal
Abstract:
Reply by the current author to the comments made by Rosemary Masters (see record 2009-02768-007) on the original article by I. Kutz, V. Resnik and R. Dekel (see record 2008-13102-003). I sincerely thank Ms. Masters for her important comments. Indeed, to the list of confounding variables enumerated by Ms. Masters, one may add others like suggestibility. She may have missed the main point of the article—the immediacy of the response. By equating the epidemiological figures of natural recovery from trauma exposure to the numbers described in our study, Ms. Masters is comparing a process that progresses over several months to a process that occurred within a single session that lasted approximately 45 minutes. More strikingly, these dramatic changes in traumatic memories and intrusion distress are tightly correlated with the EMDR set, which lasted a minute or less and appeared within a minute or two after the set. However, since we did not systematically follow up on many of those patients we described, we should emphasize and restate that 50% of our population had complete immediate relief following a single session of EMDR. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Accidents Acute Stress Syndromes Bombing Attacks Intrusion Distress Letter Terrorist
Accuracy Verified: Yes
284. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
Los trastornos de personalidad son un grupo complejo a la hora de trabajar en
psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR.
El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia
temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas.
Algunos autores destacan los contextos invalidantes en la historia biográfica de las
personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El
concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero.
La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática,
siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se
ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la
posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo
Personality disorders are a complex group when working in
psychotherapy. Relational problems and emotional reactions are often overflowing
be in the forefront. Many of these disorders are built on a history of
early trauma and dysfunctional attachment relationships with primary caregivers
can be treated with EMDR.
The BPD or BPD personality has been associated with a history
early attachment dysfunctional childhood trauma (sexual abuse, physical trauma
attachment and / or neglect), but not all specific therapeutic guidelines
for BPD directly addressed these previous traumatic experiences.
Some authors emphasize the disabling contexts in the biographical history of the
People with this diagnosis, which often goes hand in complex traumatization. The
EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us
think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......)
but, in fact, by definition, trauma is any event that has had a negative effect
durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are
is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will
visualize the results that can be achieved in one session. Through the case
illustrate the theory of Model Adaptive Information Processing (AIP) and
possible application of EMDR in personality disorders with complex trauma.
Keywords: Borderline Personality Disorder Symposium
Accuracy Verified: Yes
285. Zampieri, P. (2008, Agosto). Tratamento de pânico e crises de ansiedade pelo sociodrama familiar e EMDR [Treatment of panic and anxiety attacks by role-play family and EMDR]. Em Terapia Familiar: Psicodrama e EMDR, Uma Nova Articulação Psicoterápica (Maria Olívia Schwalb Seleme, Coordenação). Mesa redonda 47 VIII Congresso Brasileiro de Terapia Familiar III Encontro de Pesquisadores, Gramado-RS, Brasil.
Language: Portuguese
Format: Conference
Keywords: Anxiety Attacks Panic Attacks Role Play
Accuracy Verified: Yes
286. Ortigosa, J. M. (2000). Tratamiento de la hematofobia mediante la desensibilización por movimientos de los ojos y reprocesamiento (DMOR): Estudio de un caso infantil [Treatment blood phobia by eye movement desensitisation and reprocessing (EMDR): Child case study]. Cuadernos de Medicina Psicosomática y Psiquiatria de Enlace, 53, 62-68 .
Language: Spanish
Format: Journal
Keywords: Blood Phobia Case Study Children
Accuracy Verified: Yes
287. Sanfiz, J. (2010). Tratamiento de un caso de origen traumatico de fobia a la sangre con EMDR en una sola sesion [Treatment of a case of traumatic origin of blood phobia in one EMDR session]. Revista de psicoterapia, 20(80). Terapias Psiconeurologicas del Trauma).
Language: Spanish
Format: Journal
Abstract:
Describiremos el caso de una paciente adulta que después de una experiencia traumática en un parto de alto riesgo (parto que se presentó con placenta previa), con parada cardio-respiratoria en quirófano, desarrolló una fobia específica a la sangre con ataques de pánico. Cinco años más tarde de la experiencia traumática y de tener síntomas, fue tratada en nuestro servicio en una sola sesión con EMDR de dos horas. El resultado se pudo contrastar al salir de la sesión, pues al llegar a su trabajo, la paciente tuvo que curar a un operario que se había atravesado la mano con un clavo sin que la paciente sufriera los síntomas de ansiedad que anteriormente tenía.
In this article we will describe the case of adult blood phobia, who after a traumatic experience during very risky birth giving (with previous placenta), with cardiopulmonary arrest in the operating room, developed a specific blood phobia with panic attacks. Five years after the traumatic experience, the patient was treated in our consultancy during one two hours session with EMDR. The result were immediately, because when the patient came home after the session, she had to help a worker to take out a nail he had hammered in his hand, without suffering any of the anxiety symptoms she always had before.
Keywords: Anxiety Blood Phobia, Panic Attacks
Accuracy Verified: Yes
288. González-Brignardello, M. P., & Vázquez, A. M. M (2004). Tratamiento de un caso de trastorno por estrés postraumático con EMDR dentro de un marco cognitivo-conductual [Intervention in a case of post-traumatic stress disorder with EMDR within a cognitive behavioral setting]. Cliníca y Salud, 15(3), 337-354.
Language: Spanish
Format: Journal
Abstract:
En este trabajo se describe el tratamiento de la mujer víctima de 03.11 ataques terroristas que habían desarrollado un trastorno de estrés postraumático y depresión mayor. Técnicas de EMDR, la exposición en vivo, higiene del sueño y la planificación de tareas, se utilizaron entre otras técnicas terapéuticas. Hasta ahora, los objetivos terapéuticos han logrado los siguientes: disminución de volver a experimentar e hiper-activación, la restauración del estado de ánimo, afecta a la expresión de recuperación y una mejor concentración y memoria. Dado que el paciente tuvo que hacer frente a un factor estresante vida pre-existente relacionada con el trabajo, el tratamiento fue suspendido temporalmente y se reanudará a este problema ha sido resuelto. Las diferentes etapas del tratamiento también se describen. (Registro de bases de datos PsycINFO (c) 2008 APA, todos los derechos reservados)
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This paper describes the treatment of female victim of 3/11 terrorist attacks who had developed a PTSD and a major depression. EMDR techniques, in vivo exposure, sleep hygiene and task planning, were used among other therapeutic techniques. So far, the following therapeutic goals have been achieved: decreasing re-experiencing and hyper-activation, mood restoration, affect expression recovering and improved concentration and memory. Since the patient had to tackle a pre-existing job-related life stressor, treatment was temporarily suspended and it will be resumed as this issue has been worked out. The different stages of treatment are also described. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Clinical Case Study Empirical Study Intervention Major Depression Posttraumatic Stress Disorder Psychotherapeutic Techniques PTSD Terrorism Victimization
Accuracy Verified: Yes
289. Buscaglia, S. (2008, Julio 10). Tratamiento realizado con EMDR [Performed with EMDR treatment]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Journal
Abstract:
EMDR es un nuevo método psicoterapéutico para el tratamiento de diferentes problemas que pueden tener su origen tanto en experiencias tempranas como en cualquier tipo de situación traumática que se produzca en el curso de la vida, como abusos, depresión, trastornos de pánico, sobrevivir a catástrofes, etc.
La información traumática queda bloqueada y provoca los síntomas de los distin-tos cuadros psicopatológicos.
EMDR combina un abordaje cognitivo junto con un abordaje neurofisiológico, la estimulación bilateral sensorial. Esta consiste en movimientos oculares, sonidos alternados o palmoteo en las manos, lo cual produce un aceleramiento y desblo-queo de las funciones de procesamiento de la información en el cerebro, lo que lleva al alivio de los síntomas y a tener una nueva mirada sobre la vida, al poder usar las experiencias vividas como aprendizaje para el buen manejo de la realidad.
A continuación se presentarán dos viñetas de tratamientos para ejemplificar cómo se trabaja con el modelo EMDR.
EMDR is a new psychotherapeutic method for the treatment of different problems that can result from both early experiences as in any type of trauma occurring in the course of life, such as abuse, depression, panic disorder, surviving disasters , etc.
Traumatic information is blocked and causes the symptoms of psychopathology differ-ent.
EMDR combines a cognitive approach along with a neurophysiological approach, bilateral sensory stimulation. This consists of eye movements, alternating or clapping sounds in the hands, resulting in an acceleration-lock and unlock the functions of information processing in the brain, leading to relief of symptoms and have a new look life, to use as learning experiences for the proper handling of reality.
Then it will present two vignettes to illustrate how treatment works with the EMDR model.
Accuracy Verified: Yes
290. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.
Language: Italian
Format: Journal
Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi
di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica
Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top
e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri
approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione
(EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel
ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche
trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio
fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è
importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.
Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms
of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic
Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing
and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other
approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing
(EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the
last years, many data from the research give strong advice for starting CBT and pharmacological
treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk
factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s
important to consider comorbidity with other axis I and II disorders and with substance abuse.
Keywords: Acute Stress Disorder ASD Cognitive-Behavioral Therapy Comorbidity Hypnosis Peritraumatic Dissociation Psychological Debriefing Trauma
Accuracy Verified: Yes
291. Punamaki, R.L., & Peltonen, K. (2008). Trauma among children and adolescents: Treatments and interventions. European Trauma Bulletin, 15(2), 3-13.
Language: English
Format: Newsletter
Abstract:
Keywords: Adolescents Children
Accuracy Verified: Yes
292. Molero, M. (2012, June). Trauma prenatal y del nacimiento en relación a un trastorno fóbico. Casos clínicos resueltos con EMDR [Prenatal and birth trauma in relation to a phobic disorder. Clinical cases resolved with EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
being
successful
in
treatment
of
individuals
with
affect
dysregulation
from
early
traumatic
experience
included
prenatal
and
birth
traumatic
experiences.
There
is
a
body
of
scientific
investigation
and
knowledge
on
prenatal
experience
and
trauma,
and
that
indeed
we
do
experience
and
are
influenced
by
our
environment
in
the
womb.
We
can
learn
from
such
experience,
and
therefore,
can
be
traumatized
prior
to
birth.
The
prenatal
self
can
feel
and
record
this
experience.
Some
researchers
point
that
there
is
a
pre-‐traumatic
experience
at
the
embryonic
stage
that
could
let
somatic
memories
in
the
brain.
In
some
individuals,
reactivation
of
this
pre-‐traumatic
experience
provokes
some
clinical
disorders
as
specific
phobia.
We
present
two
clinical
cases
of
phobia
treated
with
EMDR,
one
of
them
is
a
child
with
fireworks
phobia
and
the
other
one
is
an
adult
with
agoraphobia.
EMDR
ha
sido
un
tratamiento
exitoso
en
individuos
con
desregulaciones
desde
una
experiencia
traumática
temprana,
incluyendo
los
traumas
prenatales
y
del
nacimiento.
Existe
un
cuerpo
de
investigación
científica
y
conocimiento
acerca
de
la
experiencia
prenatal
y
el
trauma,
y
de
hecho,
tenemos
experiencias
que
están
influenciadas
por
nuestro
ambiente
en
el
útero.
Podemos
aprender
de
ese
tipo
de
experiencias
y,
por
tanto,
ser
traumatizados
antes
del
nacimiento.
El
yo
prenatal
puede
sentir
y
grabar
esta
experiencia.
Muchos
investigadores
señalan
que
existe
una
experiencia
pre-‐traumática
en
el
estado
embrionario
que
permite
los
recuerdos
somáticos
en
el
cerebro.
En
algunos
individuos,
la
reactivación
de
esta
experiencia
pre-‐traumática
provoca
algunas
patologías
clínicas
y
fobias
específicas.
Presentamos
dos
casos
clínicos
de
fobia
tratada
con
EMDR,
uno
de
ellos
es
un
niño
con
miedo
a
los
petardos
y
el
otro
es
un
adulto
que
sufre
de
agorafobia.
Keywords: Prenatal Trauma
Accuracy Verified: Yes
293. Urtz, A. (2010, June). Trauma treatment via EMDR after heart attack. A psychologist´s report from a rehabilitation hospital for heart and cardiovascular diseases. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Incidence of heart disease: 43 % of all death cases are
caused by heart disease. In total this means 32,294 persons a
year in Austria.
Stationary treatment receiving 314,010 patients, with an average
term of hospitalization of 8 days (Statistics Austria 2008). For Germany the total figures are around 10 times higher. This
is the largest single patient group.
11.25% of the heart disease patients get PTSD, adjustment
disorder or other reactions to severe stress (Titscher. 2008).
Only for Austria a minimum of 35.000 patients could benefit
from a trauma treatment like EMDR. For Germany the
figure rises up to 350,000 patients a year who could benefit
from EMDR. To physicians the problem is well known, but
the only treatment they can offer is medication or further diagnostics
like angiography which doesn't cure the problem.
Despite the high number of traumatized heart patients, there are
only publications about trauma as a risk factor for heart disease.
There are a few publications about heart disease causing trauma,
but there are nearly no publications about treating trauma
caused by heart disease.
Typical symptoms for trauma after heart attack: Feeling of
tightness or pressure on the chest, tightness in the throat, with
difficulties in breathing. Ascending feeling of heat from the
stomach, trembling, weeping, fear and panic. Flashbacks of the
heart attack, with symptoms looking similar to angina pectoris.
Reduced stress tolerance by getting easily angry or depressed.
Useful questions for differential diagnostics between organic
and mental symptoms: What are the symptoms? How long do
they last? Were there any symptoms prior to the heart disease?
Which symptoms were present during the heart attack? Is it
distressing to remember the heart attack? How distressing on a
SUD-scale 0 to 10.
What are the medical findings? Two specifics:
1. Mainly I use the butterfly hug or tapping on the chest for
processing. This form of tapping is easy applicable and the patients
like it.
2. Weaving in Positive Cognitions (PCs) during the processing,
makes the processing less stressful, I offer PCs during the
processing and look if they help to reduce the stress.
Useful PCs: I survived. I am still alive. I am through. It is a long
time ago. i have trust in my body and my heart. If that doesn't
work: Even when my trust in my heart is shattered, I love and accept
myself. I am grateful. I live as long as I may I am confident.
Usually I use them in that succession with some adoptions according
to the process.
What is special about my presentation.
1. Hear about a large group of patients who can benefit from
EMDR.
2. Mostly heart disease are to consider as mono-traumatic. With
some specific knowledge and experience they are not difficult
to treat.
3. Notice the advantage of bipolar tapping on the chest.
4. Understand the advantage of weaving in PCs during the
processing.
5. The big question is: How to install EMDR in the rehabilitation
system?
Keywords: Heart Attack Medical Issues Symposium
Accuracy Verified: Yes
294. Muris, P., & Merckelbach, H. (1999, January-April). Traumatic memories, eye movements, phobia, and panic: A critical note on the proliferation of EMDR. Journal of Anxiety Disorders, 13(1-2), 209-223. doi:10.1016/S0887-6185(98)00048-6.
Language: English
Format: Journal
Abstract:
In the past years, Eye Movement Desensitization and Reprocessing (EMDR) has become increasingly popular as a treatment method for Posttraumatic Stress Disorder (PTSD). The current article critically evaluates three recurring assumptions in EMDR literature: (a) the notion that traumatic memories are fixed and stable and that flashbacks are accurate reproductions of the traumatic incident; (b) the idea that eye movements, or other lateralized rhythmic behaviors have an inhibitory effect on emotional memories; and (c) the assumption that EMDR is not only effective in treating PTSD, but can also be successfully applied to other psychopathological conditions. There is little support for any of these three assumptions. Meanwhile, the expansion of the theoretical underpinnings of EMDR in the absence of a sound empirical basis casts doubts on the massive proliferation of this treatment method. (ScienceDirect)
Keywords: Literature Review Panic Disorder Phobia Posttraumatic Stress Disorder PTSD Research Needs Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
295. Marcus, S. (2007, June). Treating headaches with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Headaches are the most common pain-related complaint and the seventh leading ailment seen in medical practice. Yearly, over 35% of the population is affected by tension-type headaches. Migraine headaches are a common condition with one-year prevalence rates around 15%. Prevalence rates generally peak in the third and fourth decades but for many migraines become a chronic condition requiring a lifetime of treatment.
Migraine sufferers are frequently disabled during their acute attacks. A 2001 study found that 90% of migraineurs reported functional impairment. 53% required bed rest and nearly 30% missed 1 day of work or school within a 3-month period. Migraine in the USA results in 112 million bedridden days per year. The cost of the migraine to the total American work force is estimated at $13 billion per year in missed work days and lost productivity. Direct medical costs (i.e., MD office visits, prescription medication claims, and hospitalizations) for migraine care average $1 billion annually. Clouse & Osterhaus (1994) found that migraineurs generate twice the medical claims and two times the pharmacy claims in HMO’s when compared to patients without migraines.
Considering the sheet number of individuals afflicted with migraine and tension headaches, the societal impact with increased medical costs, lost work days, and reduced productivity represent a major public health concern.
The pharmacologic therapies have long been the most common and widely used method of treating headaches. Unfortunately, pharmacologic treatments are ineffective or inadequate for a sizeable number of patients. One third of patients participating in clinical trials with oral triptans fail to respond. Moreover, fewer than half become pain-free, which is the primary efficacy measure recommended by the International Headache Society. Reasons for considering an EMDR treatment for migraine and tension headaches are patient preferences for non-pharmacologic interventions, pregnancy, planned pregnancy or nursing, deficient stress coping skills, medication rebound, patient overuse of medications, medical contraindications, and poor medication tolerance.
In view of the state of the art of current headache treatment an EMDR approach that can eliminate severe headache pain in less time than an oral medication (20 to 30 min) and within 5 to 10 sessions may reduce frequency, duration and intensity of future headaches could result in a decrease in medication utilization, physician visits and overall medical costs, with an improvement in patient satisfaction. This would be a welcome addition to current headache treatments.
This workshop will employ lecture, demonstration and actual practice of an integrated EMDR approach. The purpose of this teaching strategy is to prepare you for clinical practice. Objectives include understanding headache etiology, headache trigger identification, threshold theory, training in the EMDR protocol used in Dr. Marcus’s migraine research, discussion of protocol utilization in clinical practice, informed consent, transference issues, and discussion of the role of provider when deploying this approach. This workshop is for advanced EMDR practitioners but previous experience in headache treatment is not required.
Keywords: Headaches Health Problems Illness Pain
Accuracy Verified: Yes
296. Goldstein, A. J., de Beurs, E., Chambless, D. L., & Wilson, K. A. (2001, June). Treating panic disorders with EMDR. Clinician's Research Digest, 19(6), 3.
Language: English
Format: Newsletter
Abstract:
Summary comments on: the research which appeared in "EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attention-placebo control conditions," Journal of Consulting and Clinical Psychology, 68, 947-956. In this study, eye movement desensitization and reprocessing (EMDR) was superior on some measures to a wait-list control group but no different on any measures from an attention-placebo control group when used to treat clients diagnosed with panic disorder with agoraphobia.
Keywords: Panic Disorder With Agoraphobia Treatment Outcomes
Accuracy Verified: Yes
297. Films for the Humanities (Firm). (2000). Treating phobias 1. Princeton, NJ: Films for the Humanities & Sciences.
Language: English
Format: Video
Abstract:
In this program, the treatment of John's claustrophobia, Judith's fear of flying, and David's fear of heights--phobias described by the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) as Situational Type and Natural Environment Type--are documented. Applications of virtual reality, by Emory University's Barbara Rothbaum, and eye movement desensitization and reprocessing, by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic, and terror is also examined. This program is part of the series "Phobia: When an Irrational Fear Takes Control." This two-part series uses MRI scans, body imaging, EEG tracing, and thermal photography to take an unflinching look at the biological and psychological mechanics of terror, as courageous patients seek to master their fears through various forms of treatment.
Keywords: Behavior Therapy Phobias
Accuracy Verified: No
298. Blowers, C., Pawelzik, M., Zangwill, W., Fetko, D., Bondy, N., Cable, S., Thomson, J., & Fairhead, D. & Harrowes, M. (2003). Treating phobias desensitization, virtual reality exposure therapy, and EMDR. Princeton, NJ: Films for the Humanities & Sciences.
Language: English
Format: Video
Abstract:
This DVD draws excerpts from two programs, Treating Phobias: Behavioral Therapy, Hypnosis, Flooding, and SSRIs and the program Treating Phobias: Desensitization, Virtual Reality Exposure Therapy, and EMDR. Both are issued as parts of the series Phobia: When an Irrational Fear takes control. Included from these two programs are the work of Dr. Colin Blowers who uses behavioral therapy to treat fear of dogs, Dr. Markus Pawelzik of the Christoph Dornier Centrum who uses flooding to treat the fear of heights and Dr. William Zangwill who uses EMDR (eye movement desensitization reprocessing) to treat the fear of driving. Also shown is a fear of flying course which combines behavioral therapy and flooding to combat this phobia. The work of animal behaviorist Dr. Dennis Fetko, "Dr. Dog" is also highlighted. (WorldCAT)
Keywords: Phobias Virtual Reality Exposure Therapy
Accuracy Verified: Yes
299. Blowers, C., Pawelzik, M., Zangwill, W., Fetko, D., Bondy, N., Cable, S., Thomson, J., Fairhead, D., & Harrowes, M. (2003). Treating phobias, behavioral therapy, hypnosis, flooding, and SSRIs. Princeton, NJ: Films for the Humanities & Sciences: Distributed under license from BBC Worldwide Americas.
Language: English
Format: Video
Abstract:
This DVD draws excerpts from two programs, Treating Phobias: Behavioral Therapy, Hypnoisis, Flooding, and SSRIs and the program Treating Phobias: Desensitization, Virtual Reality Exposure Therapy, and EMDR. Both are issued as parts of the series Phobia: When an Irrational Fear takes control. Included from these two programs are the work of Dr. Colin Blowers who uses behavioral therapy to treat fear of dogs, Dr. Markus Pawelzik of the Christoph Dornier Centrum who uses flooding to treat the fear of heights and Dr. William Zangwill who uses EMDR (eye movement desensitization reprocessing) to treat the fear of driving. Also shown is a fear of flying course which combines behavioral therapy and flooding to combat this phobia. The work of animal behaviorist Dr. Dennis Fetko, "Dr. Dog" is also highlighted. (WorldCAT)
Keywords: Phobias Virtual Reality Exposure Therapy
Accuracy Verified: Yes
300. Films for the Humanities & Sciences (Firm); Films Media Group.; BBC Worldwide Ltd. (2006). Treating phobias. Pt. 1. New York, N.Y. : Films Media Group.
Language: English
Format: Video
Abstract: For 10-year-old Danny, it's dogs. For Trevor, it's falling. For Diane, it's air travel. And for Donna, it's the everyday act of driving a car. In this program, these four patients come to grips with their phobias by undergoing treatments involving behavioral therapy, flooding, and EMDR, eye-movement desensitization reprocessing-with impressive results.
Phobia: Uncontrollable Fear (4:37) -- Fear of Heights (4:47) -- Radical Phobia Treatment (3:27) -- Fear of Flying (2:28) -- Fear of Heights: Facing the Fear (3:08) -- Animals With Phobias (4:05) -- Behavior Treatment for Fear of Dogs (2:41) -- Treatment for Fear of Flying (4:11) -- Flooding Treatment for Fear of Heights (2:42) -- Fear of Driving: EMDR Treatment (5:09) -- Behavioral Treatment for Phobias (2:38) -- Flooding Therapy (3:29) -- Success With Phobias (2:54).
Accuracy Verified: Yes
301. Thomson, J., & Bondy, N. (2000). Treating phobias: Desensitization, virtual reality exposure therapy, and EMDR. Princeton, NJ: Films for the Humanities & Sciences.
Language: English
Format: Video
Abstract:
In this program, the treatment of John’s claustrophobia, Judith’s fear of flying, and David’s fear of heights—phobias described by the DSM-IV as Situational Type and Natural Environment Type—are documented. Groundbreaking applications of virtual reality, by Emory University’s Barbara Rothbaum, and EMDR (eye movement desensitization and reprocessing), by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic and terror is also examined.
Keywords: Phobias Virtual Reality Exposure Therapy
Accuracy Verified: No
302. Muris, P., Merckelbach, H., Holdrinet, I., & Sijsenaar, M. (1998, February). Treating phobic children: Effects of EMDR versus exposure. Journal of Consulting & Clinical Psychology, 66(1), 193-198. doi:10.1037/0022-006X.66.1.193.
Language: English
Format: Journal
Abstract:
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) and exposure in the treatment of a specific phobia. 26 spider phobic children were treated during 2 treatment phases. During the first phase, which lasted 2.5 hr, children were randomly assigned to either (a) an EMDR group (n = 9), (b) an exposure in vivo group (n = 9), or (c) a computerized exposure (control) group (n = 8). During the 2nd phase, all groups received a 1.5 hr session of exposure in vivo. Therapy outcome measures (i.e., self-reported fear and behavioral avoidance) were obtained before treatment, after Treatment Phase 1, and after Treatment Phase 2. Results showed that the 2.5 hr exposure in vivo sesson produced significant improvement on all outcome measures. In contrast, EMDR yielded a significant improvement on only self-reported spider fear. Computerized exposure produced nonsignficant improvement. Furthermore, no evidence was found to suggest that EMDR potentiates the efficacy of a subsequent exposure in vivo treatment. Exposure in vivo remains the treatment of choice for childhood spider phobia. [Author Abstract]
Keywords: Adolescents Children Empirical Study Phobia Treatment Effectiveness
Accuracy Verified: Yes
303. Muris, P., & Merckelbach, H. (1995, September-October). Treating spider phobia with eye-movement desensitization and reprocessing: Two case reports. Journal of Anxiety Disorders, 9(5), 439-449. doi:10.1016/0887-6185(95)00023-H.
Language: English
Format: Journal
Abstract:
Two spider phobics were first treated with Eye-Movement Desensitization and Reprocessing (EMDR) and then received an exposure in vivo session. Results showed positive effects of EMDR, but also suggest that it is especially self-report measures that are sensitive to EMDR. Improvement on a behavioral measure was less pronounced and exposure was necessary to eliminate residual avoidance behavior. This observation confirms the position of those EMDR critics who point out that EMDR effects should be documented with objective and standardized evaluation instruments (Pilots).
Keywords: Arachnida Clinical Case Study Empirical Study Phobias Spider Phobia
Accuracy Verified: Yes
304. Whisman, M. (2005, September). Treating the trauma of panic and understanding panic as an aspect of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Anxiety, although experienced by everyone, is unique and complex in the Panic Disordered client. Therapists who will be treating these clients need to comprehend the overwhelming experience of panic; its life-altering consequences; underlying causes; and the phobic responses that range from irrrational to bizarre. Panic is a major symptom of post-trauma phenomena; and the experience of panic is traumatizing itself. The end results are remarkably similiar: distortions in attributions (cognitions) and coping mechanisms (behavior), and an intolerance of particular emotional states. The goal of this workshop is to expand the clinician's awareness, sensitivity and skill in treating the many faces of panic and to incorporate bilateral stimulation and adaptive information processing (EMDR) as an integral part of that treatment.
Keywords: Anxiety Panic: Trauma
Accuracy Verified: Yes
305. de Jongh, A. (2012). Treatment of a woman with emetophobia: A trauma focused approach. Mental Illness, 4(1), 10-14. doi:10.4081/mi.2012.e3.
Language: English
Format: Journal
Abstract:
A disproportionate fear of vomiting, or emetophobia,
is a chronic and disabling condition
which is characterized by a tendency to avoid a
wide array of situations or activities that might
increase the risk of vomiting. Unlike many
other subtypes of specific phobia, emetophobia
is fairly difficult to treat. In fact, there are only
a few published cases in the literature. This
paper presents a case of a 46-year old woman
with emetophobia in which a trauma-focused
treatment approach was applied; that is, an
approach particularly aimed at processing disturbing
memories of a series of events which
were considered to be causal in the etiology of
her condition. Four therapy sessions of Eye
Movement Desensitization and Reprocessing
(EMDR) produced a lasting decrease in symptomatology.
A 3-year follow up showed no indication
of relapse.
Keywords: Emetophobia Specific Phobia Vomiting Phobia
Accuracy Verified: Yes
306. Snyker, E. (1998, July). Treatment of affect phobias using EMDR. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to 1) describe and use Tomkin's Three System Model of Emotion; 2) differentiate between the regressive/hysterical and obsessive/compulsive character defensive styles and modify treatment plans accordingly; 3) describe and apply the concept of the Two Triangles; 4) distinguish the functions of affect in order to determine if it is being used adaptively or maladaptively; and 5) integrate the knowledge gained with EMDR to help clients move through their defenses and become desensitized to their affect phobia.
Keywords: Afffect Phobia Phobias Tomkin's Three System Model of Emotion Two Triangles
Accuracy Verified: Yes
307. de Jongh, A. (2006, June). Treatment of anxiety and phobias with EMDR: Rapid conceptualization: Effective procedures and proposals for changes of the protocol. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Fears and phobias associated with EMDR situations where a single event for the well-structured, and short-term treatment is not compelling. Exposure in vivo EMDR'ın cognitive behavioral interventions, such as advantages, the fear-inspiring re-creation of the situation, situation (eg, sexuality, illness or death-related moments, situations) or phobic stimuli (eg, aircraft, mouse, snake) real life should be revived. However, inspiring fear and phobia on the basis of the number of lives to be in that situation, the phobic anxiety reactions to certain situations people may continue to give. Therefore EMDR'la fear and / or while working with phobias, anxiety-fear may danışanalr work preparing for the future status should not be terminated. This adaptive coping mechanisms to obtain, provide relief to improve the mental strategies in the future will need to be placed in a behavioral patterns and behavioral experiments can be done. EMDR'ın with fear and phobia clinical applications focusing on this at the end of the study group participants: 1) consult those who fear, avoidance of situations of mold assessment, 2) in terms of EMDR cases quickly formulated, 3) for those who need counseling EMDR protocol creative format can be adapted, and 4 ) EMDR intervention for their general treatment approach (cognitive-behavioral) to integrate aims to provide skills to develop.
Accuracy Verified: Yes
308. Wetherell, J. L. (1998, Winter). Treatment of anxiety in older adults. Psychotherapy, 35(4), 444-458. doi:10.1037/h0087745.
Language: English
Format: Journal
Abstract:
Although late life anxiety is common and appears to have potentially serious consequences, older adults generally underutilize mental health services. This article is a broad review of psychological literature that addresses the prevalence, consequences, and psychological treatment of anxiety in older adults. Psychological treatments, including relaxation, cognitive-behavioral therapy, psychodynamic therapy, and life review, are explored as alternatives to pharmacological approaches to treatment of anxiety. Several anxiety associated conditions are discussed: dementia, depression, phobias, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and PTSD. Case histories illustrate the effectiveness of psychological intervention for treatment of anxiety in the elderly. Included is a comprehensive list of manuals for anxiety treatment procedures. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
309. de Jongh, A., & ten Broeke, E. (1998). Treatment of choking phobia by targeting traumatic memories with EMDR: A case study. Clinical Psychology and Psychotherapy, 5(4), 264-269. doi:10.1002/(SICI)1099-0879(199812).
Language: English
Format: Journal
Abstract:
Choking phobia is a specific phobia characterized by fear and avoidance of swallowing foods and liquids. It often develops following an episode of choking on food. A prospective case study of a 30-year-old woman with a phobia of choking, acquired after a series of traumatic incidents 5 years previously, demonstrates the usefulness of an approach that is aimed at processing the disturbing memories of a traumatic event. Two therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. [Author Abstract]
Keywords: Adults Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness
Accuracy Verified: Yes
310. Coste, L. (2007, June). Treatment of complex drivng phobia on the expressway (demonstrating the value of dreams, daydreams and metaphors through EMDR treatment). Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Here is the summary of the treatment of a complex phobia develop since 1 year by a 35 year old man who past brittleness symptoms, considered as a continuation of the parental separation, first appeared in adolescence. In fact, around this period, the malaises of the patient took various forms without releasing insurmountable fears.
Been born of Cameroonian father and a French mother, Mr. G. is the third child, two sisters preceding him. An abortion followed the birth of Mr. G. A few months after that event the parents divorced.
Mr., G. is living and working in a pharmaceutical and cosmopolitan environment. He met his English girlfriend 8 years ago in Spain, where they lived for 4 years. Mr. G. lives since 4 years in France, his birthplace. He frequently travels abroad. His resides in France 9 months. A year ago, Mr., G. met a woman that had tunnel anguishes too. Now, since his installation, Mr., G. complains about phobia on the expressway.
That began for the first time when he prepared himself to go by car from London to Marseilles. But arriving to Montpellier, a fear panic paralyzes him. He could not drive any more. His three year old girl sat down in the rear seat. And he said: “My girl will die.”
Besides, Mr. G. does not suffer from declared anguishes in other places or in other vehicles.
A treatment by medicines is followed since 5 months successfully.
My interventions have held, before each new session, taking into account the following originally: the content of dreams, referring to the psychoanalytic models; metaphors evolution through the “sure place” during treatment; the free expression of the patient after bilateral alternate stimulations, being able to evolve through awaken dreams, without systematic return to the target when the cognition-arborescence deviates lightly.
These three tools are excellent to prove and judge advances in therapy, because they constitute an ideal unconscious bottom revealed by the therapist is compared with the cognitions quoted by the patient, then discussed in order to obtain in the filed of future cognitions, the most adequate ones.
The first treatment being urgent, it is a matter to target priority the situation that releases the panic. The cognitions will evolve logically from the “one’s self esteem” to “the possibilities of choice.”
At the end of 9 EMDR sessions and three months of treatments, Mr. G. drives freely on the expressways. Consecutively, he did “the mourning” of his father and feels from that time the need to protect this mother.
Keywords: Daydreams Dreams Driving Phobia Metaphors Phobia Poster
Accuracy Verified: Yes
311. Goldstein, A. (1995, Fall). Treatment of panic disorder with agoraphobia: Going beyond the barrier. In Session: Psychotherapy in Practice, 1(3), 83-98.
Language: English
Format: Journal
Abstract:
Proposes that the combination of network theory (NT) and eye movement desensitization and reprocessing (EMDR) offer the opportunity to understand better the barriers to recovery and provides a methodology for breaking through panic disorder with agoraphobia (PDA). The author states that the current approach to augmenting the efficacy of treatment for PDA has been to add more components to basic exposure treatment. However, at best, these additions will yield only small increments in treatment effectiveness because they do not address important stumbling blocks to the progress of treatment. NT, EMDR and the need for such methodologies in the treatment of PDA are discussed. The author presents the case of a 31-yr-old woman with severe PDA attributable to her experiencing of a number of stressors (birth of first child and the dissolving of her parent's marriage, for which her mother blamed her) in close proximity to each other. The combination of NT and EMDR led to the successful treatment of the patient. The author concludes that recasting the theoretical base into an associative network model and utilizing EMDR along with established interventions to alter networks, has opened the door for more effective treatment of PDA. (PsycINFO, APA)
Keywords: Agoraphobia Clinical Case Study Empirical Study Panic Disorder Theories
Accuracy Verified: Yes
312. Whisman, M. (2000, May 6). Treatment of panic disorder with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
This presentation will focus on incorporating EMDR into the treatment of panic and phobia. Emphasis will be given to the preparation phase of EMDR: an educational model will be presented which is a necessary prerequisite to processing. A three-level approach to processing will be presented, targeting different cognitions and affect at each level. Level three includes the behavioral aspect of overcoming phobia avoidance. It is Whisman’s experience that a panic disorder can be its own origin (i.e., panic from on overdose of caffeine perpetuates itself because the client does not have the knowledge that s/he experienced a caffeine/adrenaline reaction, not symptoms of impending mental or physical catastrophe); however, panic and phobia can also be symptoms of underlying trauma, acute stress disorder, or PTSD. These distinctions will be discussed and relevant case material will be offered. Targeting, negative and positive cognitions, cognitive interweaves, and resource installation will be addressed as each level is discussed. A videotaped session will be shown: the client enters this session experiencing anxiety, dissociation, and trauma response. Clinical observation and client self-report are demonstrating that EMDR can be an effective treatment component for panic/phobia.
Keywords: Panic Disorder
Accuracy Verified: Yes
313. de Jongh, A. (2001, May). Treatment of phobias with EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
In contrast with the learning model which proposes a strategy of gradual exposure to the
44 feared stimuli, the primary goal in EMDR is the processing of traumatic memories which are thought to be impaired. One advantage of EMDR above an exposure approach involves client comfort. Prolonged real-life exposure to anxiety provoking stimuli or thought is not always easy to pursue. Consequently, clients are not always ready or motivated enough to
endure such a procedure; a procedure which also holds a potential risk of drop out before
treatment can often not be successfully concluded. Another possible advantage of EMDR
relates to the costs of treatment. For example, it may be more useful to apply EMDR than
exposure in vivo treat flying phobia for which in many cases, as part of their in vivo
treatment, clients have to take costly flights. The most important advantage seems to be the possibility of utilising EMDR for situations
where the critical triggers cannot be reproduced or simulated in real life (e.g., certain sexual,
illness or death situations) or, more generally, for which phobic stimuli are hard to obtain.
This workshop focuses on the clinical application of EMDR with specific phobias.
Participants will learn when and how to apply EMDR with phobias and integrate this into a
general (cognitive-behavioural) treatment approach. This approach is illustrated by several
video taped treatments.
Keywords: Phobias
Accuracy Verified: Yes
314. de Jongh, A., & ten Broeke, E. (2007). Treatment of specific phobias with EMDR: Conceptualization and strategies for the selection of appropriate memories. Journal of EMDR Practice and Research, 1(1), 46-56. doi:10.1891/1933-3196.1.1.46.
Language: English
Format: Conference
Abstract:
Eye movement desensitization and reprocessing (EMDR) has been shown to be a structured, noninvasive, time-limited, and evidence-based treatment for unprocessed memories and related conditions. This paper focuses on EMDR as a treatment for specific fears and phobias. For this purpose, the application of EMDR is conceptualized as the selection and the subsequent processing of a series of strategically important memories of earlier negative learning experiences concerning specific objects or situations. Firstly, the practical application and conceptualization of the treatment of phobias with EMDR is presented and compared with an exposure-based treatment approach. Next, specific attention is given to the assessment and selection of appropriate memories for processing. It is hypothesized that phobias with a nontraumatic background, or those in later stages of treatment after some reduction in anxiety has been achieved, would profit more from the application of a gradual in vivo exposure, whereas trauma-based specific phobias and those with high initial levels of anxiety would respond most favorably to EMDR. [Author Abstract]
Keywords: Cognitive Therapy In Vivo Exposure Phobia Psychotherapeutic Processes Specific Phobia Stressors Survivors
Accuracy Verified: Yes
315. de Jongh, A., ten Broeke, E., & Renssen, M. (1999, January-April). Treatment of specific phobias with eye movement desensitization and reprocessing (EMDR): Protocol, empirical status, and conceptual issues. Journal of Anxiety Disorders, 13(1-2), 69-85. doi:10.1016/S0887-6185(98)00040-1.
Language: English
Format: Journal
Abstract:
This paper considers the current empirical status of Eye Movement Desensitization and Reprocessing (EMDR) as a treatment method for specific phobias, along with some conceptual and practical issues in relation to its use. Both uncontrolled and controlled studies on the application of EMDR with specific phobias demonstrate that EMDR can produce significant improvements within a limited number of sessions. With regard to the treatment of childhood spider phobia, EMDR has been found to be more effective than a placebo control condition, but less effective than exposure in vivo. The empirical support for EMDR with specific phobias is still meagre, therefore, one should remain cautious. However, given that there is insufficient research to validate any method for complex or trauma related phobias, that EMDR is a time-limited procedure, and that it can be used in cases for which an exposure in vivo approach is difficult to administer, the application of EMDR with specific phobias merits further clinical and research attention (ScienceDirect).
Keywords: Literature Review Phobia Review Treatment Effectiveness
Accuracy Verified: Yes
316. Holmshaw, M. (2009, June). Treatment of travel phobia resulting from road traffic accidents. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Motor Vehicle Accident Research Road Traffic Accident Symposium Travel Phobia
Accuracy Verified: Yes
317. King, J. (1997). A trial of eye movement desensitization and reprocessing (EMDR) compared to systematic desensitization in the treatment of specific phobias. Swinburne University of Technology, Melbourne, Australia.
Language: English
Format: Dissertation/Thesis
Accuracy Verified: Yes
318. Acierno, R., Tremont, G., Last, C., & Montgomery, D. (1994). Tripartite assessment of the efficacy of eye-movement desensitization in a multi-phobic patient. Journal of Anxiety Disorders, 8(3), 259-276. doi:0.1016/0887-6185(94)90007-8.
Language: English
Format: Journal
Abstract:
The relative efficacy of Eye-Movement Desensitization (EMD) and Eye-Focus Desensitization (i.e., a treatment procedure designed to control for the effects of eye movement) in treating multiple phobias was assessed along behavioral, cognitive, and physiological response channels in a single-subject, multiple-baseline design across fear areas. Continuous physiological measurements, rather than presession/post- session change scores, were employed to permit accurate, fine-grained analysis of each intervention's effects. Results indicated that EMD failed to produce clinically significant intra- and intersession improvements beyond those produced by the control procedure on all dependent measures. A second multiple-baseline design across fear areas was implemented with the same subject and employed in vivo exposure/reinforced practice in order to demonstrate the patient's potential responsiveness to treatment. This procedure produced dramatic improvement on behavioral and subjective measures, but not on physiological indices. Results from this single-case experiment did not support the effectiveness of EMD. [ScienceDirect]
Accuracy Verified: Yes
319. de Jongh, A., ten Broeke, E., & Meijer, S. (2010). Two method approach: A case conceptualization model in the context of EMDR. Journal of EMDR Practice and Research, 4(1), 12-21. doi:10.1891/1933-3196.4.1.12.
Language: English
Format: Journal
Abstract:
This article outlines a comprehensive model that helps to identify crucial target memories for EMDR treatment.
The “Two Method Approach” can be used for conceptualization and treatment implementation for a
broad spectrum of symptoms and problems, other than those related to PTSD per se. The model consists of
two types of case conceptualizations. The First Method deals with symptoms whereby memories of the etiological
and/or aggravating events can be meaningfully specifi ed on a time line. It is primarily aimed at the
conceptualization and treatment of DSM-IV-TR Axis I disorders. The Second Method is used to identify memories
that underlie patients’ so-called dysfunctional core beliefs. This method is primarily used to treat more
severe forms of pathology, such as severe social phobia, complex PTSD, and/or personality disorders. The two
methods of case conceptualization are explained step by step in detail and are illustrated by case examples.
Keywords: Case Conceptualization Model
Accuracy Verified: Yes
320. Fleury, M. (2008). Un canon sur la tempe [A pistol at your temple]. Imaginaire et Inconscient, 22(2), 83-95.
Language: French
Format: Journal
Abstract:
Illustration of EMDR therapy with five clinical cases of bank employees : victims of robberies. Diversity of immediate stress reactions and long term stress reactions ; and response to desensitization. Curative and preventive contributions of this practice in the aftermath of attacks.
Keywords: Cure Posttraumtic Stress Prevention Robberies Victims
Accuracy Verified: Yes
321. Hall, B. (1996, April 28). UNC treats panic-attack sufferers. Chapel Hill, NC: The Chapel Hill Herald, Final, Front, 1.
Language: English
Format: Newspaper
Abstract:
The rapid eye movement therapy helps participants become less fearful of panic attacks by desensitizing memories and feelings related to panics. During treatment, participants are asked to think about anxiety-provoking images while following the therapist's fingers quickly with their eyes.
Keywords: Chapel Hiil, NC Panic Panic Attacks
Accuracy Verified: Yes
322. Dial, M. (1995, June 25). Unusual therapy offers for bomb survivors. Kokomo, Indiana: Kokomo Tribune, A4.
Language: English
Format: Newspaper
Abstract:
The 8-year-old treatment is
known as eye movement desensitization
and reprocessing, or EMDR.
Advocates say it is rapidly effective
for people with post-traumatic stress disorder, as well as anxiety,
depression and panic attacks. (Excerpt)
Keywords: Bombings General Oklahoma City Overview
Accuracy Verified: Yes
323. van Vliet, I. M. (2010, April). Update van de multidisciplinaire richtlijn angststoornissen [Multidisciplinary guideline update anxiety]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Een herziening van de Multidisciplinaire richtlijn Angststoornissen is nodig in verband met nieuwe wetenschappelijke kennis over effectieve interventies en wijzigingen in de organisatie van de zorg.
Doel: De belangrijkste veranderingen van de herziening van de richtlijnen Paniekstoornis met of zonder agorafobie en Posttraumatische stressstoornis worden besproken alsmede implicaties voor de praktijk.
Methoden: De wetenschappelijke literatuur met betrekking tot de paniekstoornis met of zonder agorafobie en posttraumatische stressstoornis werd vanaf 2001 verzameld, beoordeeld en verwerkt in de herziene versie van de richtlijn.
resultaten Bij de paniekstoornis met of zonder agorafobie is de grootste verandering ten opzichte van de eerste versie van de richtlijn dat de combinatiebehandeling van antidepressiva met exposure in vivo niet meer de meest effectieve behandeling is bij ernstige agorafobie. Bij korter bestaande en lichtere vormen van de aandoening gaat de voorkeur uit naar cognitieve gedragstherapie of daarop gebaseerde interventies. Bij de posttraumatische stressstoornis is de belangrijkste verandering dat cognitieve gedragstherapie en eye movement desensitization and reprocessing (emdr) nog meer dan in de eerste versie van de richtlijn geprioriteerd zijn als behandeling van eerste voorkeur. De nieuwe behandelalgoritmes worden besproken.
Conclusie: De nieuwe richtlijn geeft aanwijzingen voor een stepped-care behandeling van angststoornissen. Meer nadruk is gegeven aan niet-medicamenteuze behandelvormen. medicamenteuze behandelingen worden gereserveerd voor de meer langdurige, ernstige en voor psychotherapie resistente angststoornissen alsmede voor angststoornissen met een comorbide ernstige depressieve stoornis.
A review of the Anxiety Disorders Multidisciplinary guideline is necessary because of new scientific knowledge about effective interventions and changes in the organization of care.
Purpose: The main changes from the revision of the guidelines Panic Disorder with or without agoraphobia, and posttraumatic stress disorder are discussed and implications for practice.
Methods: The scientific literature on panic disorder with or without agoraphobia, and posttraumatic stress disorder since 2001 were collected, assessed and reflected in the revised version of the directive.
Results In the panic disorder with or without agoraphobia is the biggest change from the first version of the directive that the combination treatment of antidepressants with exposure in vivo no longer the most effective treatment for severe agoraphobia. For existing shorter and milder forms of the disease is preferable to cognitive behavioral therapy or interventions based thereon. In the post-traumatic stress disorder is the most important change that cognitive behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR) more than in the first version of the directive are prioritized for treatment of first choice. The new treatment algorithms are discussed.
Conclusion: The new directive gives instructions for a stepped-care treatment of anxiety disorders. More emphasis is given to non-pharmacological treatment modalities. drug treatments are reserved for the more prolonged, severe and resistant to psychotherapy for anxiety disorders and anxiety disorders with a comorbid major depressive disorder.
Keywords: Anxiety Multidisplinary Guideline
Accuracy Verified: Yes
324. Howard, M. D., & Cox, R. P. (2006, December). Use of EMDR in the treatment of water phobia at Navy boot camp: A case study. Traumatology, 12(4), 302-313. doi:10.1177/1534765606297821.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has become one of the most scientifically researched mental health treatments in the world; yet little has been done specifically with active-duty service members. Initially used in the treatment of anxiety and posttraumatic stress disorder, it has since become popular in the treatment of addictions, relationship problems, eating disorders, panic attacks, phobias, and mood disorders. This article expands the current study of EMDR through the use of a case study approach. Specifically, it provides a detailed case study of the treatment of water phobia experienced by a U.S. Navy recruit. The unique stressors and time pressures of the recruit training environment are discussed. A detailed account of the therapist’s adherence to the eight phases of the EMDR protocol is woven in to the case study. Although the efficacy research of EMDR in the treatment of specific phobias is mixed, this article demonstrates how EMDR can be effectively utilized to treat trauma-based phobias in a time-sensitive and pressure-based environment such as that of recruit training in the United States Navy.
Keywords: Case Study Navy Phobias Trauma
Accuracy Verified: Yes
325. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts
in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the
study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and
Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental
health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the
country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of
the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from
peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster.
Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those
who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and
appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are
then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an
informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the
protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement
and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay.
Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks
and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of
intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares
diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety
levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38
and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol
of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels
of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post
traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data
presented is only preliminary and is based on a small number out of a larger sample.
Keywords: Military Posttraumatic Stress Disorder PTSD Terrorism
Accuracy Verified: Yes
326. Scott, R. M. (2000). The use of eye movement desensitization and reprocessing in treating a public speaking anxiety/phobia for individuals of high, moderate, and low absorption ability. Saybrook Graduate School and Research Center, San Francisco, CA. AAT 3105575.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new and seemingly effective but controversial therapeutic treatment used primarily for Post-Traumatic Stress Disorder (PTSD) and related anxiety disorders such as phobias. In this study, EMDR was used to treat a public speaking anxiety or public speaking phobia. It was predicted that EMDR would be an effective treatment but that the efficacy would vary as a function of the absorption ability of the participants. 30 healthy male and female participants between the ages of 18 and 55 were categorized into 3 groups based on their being high (n = 10), moderate (n = 10), or low (n = 10) in absorption ability. Only participants who scored low on the Dissociative Experience Scale (DES) were included in the study. Participants received up to 3 sessions of EMDR and were measured on 9 different outcome variables. Significant decreases in Subjective Units of Distress Scale (SUDS) verbal ratings were found from baseline to the end of session 1 for all three groups (ps < .05); no other significant improvements were found after the first session (ps > .10). Confidence in verbal reports of positive cognitions (Validity of Cognition scale; VoC) increased equally over the course of treatment for all absorption groups. Between-group comparisons revealed no significant differences between the absorption groups at the end of treatment on their verbal reports of disturbance (SUDS) and positive cognitions (VoC) regarding past, ongoing, and future projected speaking events. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(9-B), 2004, pp. 4635.
Keywords: Anxiety Eye Movements Phobias Posttraumatic Stress Disorder PTSD Public Speaking Public Speaking Anxiety
Accuracy Verified: Yes
327. Kutz, I. (2007, June). The use of short-term EMDR for symptomic relief of acute stress syndrome in victims of the 2006 Israeli-Lebanese hostilities. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
During the 2006 hostilities between Israel and the Hezbollah militia, many northern Israeli towns were under the continuous threat of rocket bombardment for several weeks. Thirty people who arrived at the general hospital with Acute Stress Reaction (ASR) and were found later to suffer from Acute Stress Syndrome (ASS) were treated by a group of senior EMDR clinicians with a two-session modified EMDR intervention.
The raw results indicate that about 50% of ASS outpatients treated with a brief modified EMDR protocol responded to a single session EMDR with an initial very significant (SUDs dropping or points or more) or a significant alleviation, of their, mostly intrusive, symptoms. The other half of the ASS population showed partial response or no response. We also report the results of a 7 month follow-up of these patients. The advantages and limitations of using the modified brief EMDR protocol in ASS victims are discussed. The response of prolonged war-stress to EMDR is compared to the reason of victim of a single trauma like terrorist attacks and road accidents.
Keywords: Acute Stress Syndrome Early Intervention War
Accuracy Verified: Yes
328. Kutz, I. (2007, June). The use of single session EMDR protocol in acute stress syndromes (ASS). Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The workshop provides novel concepts regarding the nature of Acute Stress Syndromes following research in Israel. The use of a single session, modified protocol for EMDR in ASS is described, following terror attacks, motor vehicle accidents, and the war with Lebanon. The following themes will be covered in the workshop.
Part one: Novel approaches to Acute Stress Syndromes – Redefining the time axis of SS; the diagnosis of Immediate; Acute Stress Reaction (ASR) and Prediction of Risk Vulnerability: A novel assessment tool; a review of Acute Post Traumatic Stress Syndromes and how they differ from chronic PTSD; the characteristics of intrusive phenomena in ASS; and a phase oriented intervention model for ASS.
Part Two: EMDR in ASS – A brief review regarding the nature of EMDR and PTSD; the modified brief EMDR Protocol; the use of a single session EMDR in ASS – in a GH practice, during terror attacks and following war situations; clinical demonstrations of a single session EMDR in ASS patients (video movies); indications, advantages and precautions using the single session EMDR intervention; and possible psycho-physiological mechanisms.
Keywords: Acute Stress Syndrome Early Intervention
Accuracy Verified: Yes
329. de Jongh, A., & ten Broeke, E. (2000, September). The use of ‘exposure’ in EMDR. EMDRIA Newsletter, 5(4), 4-8.
Language: English
Format: Newsletter
Abstract: An important feature of PTSD is that it is not very likely that the same traumatic event will happen again. For example, if a client has been raped and succesfully been treated with EMDR, generally not many clinicians will feel the urge to prepare the client for a next rape. Conversely, in a number of cases (for instance phobic conditions) the client does have to anticipate future situations in which the former phobic stimuli are present; and where he will have to interact with these. As a result of the application of the EMDR basic protocol, the likelihood or severity of the initial threat may have been reappraised, and the incident that initially felt traumatic may have been reattributed to an innocuous event. However, if a dental phobic has been successfully treated for his phobia, it is likely that he will still have to undergo invasive dental work, such as injections, root canal treatments or extractions. This has implications for treatment. Therefore, with specific phobias, after any successful reprocessing of anxiety related material occurs, it is of paramount importance that the client be properly prepared for future confrontations with the anxiety provoking objects and situations.
Keywords: Exposure
Accuracy Verified: Yes
330. de Jongh, A., Holmshaw, M., Carswell, W., & van Wijk, A. (2011, March-APril). Usefulness of a trauma-focused treatment approach for travel phobia. Clinical Psychology and Psychotherapy, 18(2), 124-37. doi:10.1002/cpp.680.
Language: English
Format: Journal
Abstract:
Despite its prevalence and potential impact on functioning, there are surprisingly little data regarding the treatment responsiveness of travel phobia. The purpose of this non-randomized study was to evaluate the usefulness of a trauma-focused treatment approach for travel phobia, or milder travel anxiety arising as a result of a road traffic accident. Trauma-focused Cognitive Behavioural Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing were used to treat a sample of 184 patients, who were referred to a psychological rehabilitation provider. Patients in both treatment groups were encouraged to encounter their feared objects and situations between sessions. Specific (i.e., travel) phobia was diagnosed in 57% of cases. Patients in both treatment conditions showed equally large, and clinically significant, decreases in symptoms as indexed by three validated measures (Impact of Event Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire), therapist ratings of treatment outcome, and a return to driving or travelling by car or motorbike. These improvements were obtained within an average course of 7.3 sessions of 1 hour each. Patients with travel phobia responded with a greater reduction of anxiety and post-traumatic stress disorder symptoms than those with milder travel anxiety. Passengers reported higher levels of trauma symptoms than drivers, but no difference in effectiveness of treatment was found between these groups. The results suggest that trauma-focused psychological interventions can be a treatment alternative for patients with travel anxiety. Given the seriousness of the clinical problems related to road traffic accidents more rigorous outcome research is warranted and needed. Copyright (c) 2010 John Wiley & Sons, Ltd.Key Practitioner Message: As the literature on the treatment of travel phobia is largely limited to small-n studies, this is the largest naturalistic outcome study of the treatment of patients with fear and avoidance of travel, subsequent to a traumatic event, to date. Travel phobia following road traffic accidents should be regarded as a treatable psychological condition requiring a limited number of sessions. In a significant minority of cases the condition is unlikely to remit spontaneously, potentially disrupting occupational, social and personal adjustment. Besides a purely exposure, in vivo-based approach, a mainly trauma-focused approach, such as imagery exposure or Eye Movement Desensitization and Reprocessing, can be an effective intervention for both travel phobia and milder forms of travel anxiety, and for both drivers and passengers.
Keywords: Phobia Travel Phobia
Accuracy Verified: Yes
331. Lu, D. P. (2010, May/June). Using alternating bilateral stimulation of eye movement desensitization for treatment of fearful patients. General Dentistry, 58(3), e140-e147.
Language: English
Format: Journal
Abstract:
Since the mid-1990s, eye movement desensitization (EMD) has been used in the realm of clinical psychology and psychiatry as a nonpharmacotherapeutic modality for the treatment of phobias, post-traumatic symptoms, and various psychotrauma cases. EMD can also be incorporated into the use of hypnosis, although the two are not the same thing. This study examined various clinical applications of the eye movement component of EMD (known as alternating bilateral stimulation (ABS)) on fearful dental patients who had a history of traumatic dental experiences. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results show that ABS, while effective for enabling patients to undergo non-invasive dental procedures such as clinical examinations and simple prophylaxis, has only limited beneficial effect for extremely fearful patients who must undergo invasive procedures such as extraction, drilling, and injections. Nevertheless, ABS is effective for mild to moderate patient phobia and anxiety. Although EMD is more effective than ABS, ABS is simple and easy for patients and clinicians to perform during treatment and can be performed readily in the dental office.
Keywords: ABS Alternating Bilateral Stimulation Anxiety Dental Patients Denistry Drilling EMD Extraction Injections Phobias
Accuracy Verified: Yes
332. O'Malley, A. (2007, June). Using EMDR in unresolved neonatal trauma in a 13 year old and in a 7 year old whose father killed their mother. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: I am presenting the case of a 13-year-old boy who was referred because of uncontrolled rage evident in his relationship with peers in one incident he had a fellow pupil’s head under water until he was gasping for air.. He had shown little remorse towards the boy and described the incident as funny. The family had experienced a series of traumatic events. They were forced to evacuate their home when criminal gangs attempted to burn them out; his was to use the house for drug-related activity. Gang members had assaulted my patient and his mother in the street after going to the police. After meeting with the parents and brother and older sister, I had identified that on top of this recent trauma L had extreme hostility towards his mother who he described as “that woman.” My initial EMDR sessions were with L and his father. During processing of the trauma, my video will show bizarre movement including rolling his head back, hypotonic posture and behavior similar to an infant. This can be understood in relation to L’s early development. He was born at 33 weeks gestation and spends his first 6 weeks in a special care baby unit (CBU) in an incubator. My presentation will discuss the neurological consequences of early trauma and how a narrative approach using EMDR can help in recovery. This approach is based on the work of Dr. Joan Lovett. She is a California-based pediatrician who has developed a protocol for working with children who have experienced significant trauma following premature birth.
My second case is J, a 7-year-old boy who witnessed his father murder his mother approx 1 year ago. He was then held hostage by his father for 6 hours with the body of his mother lying in a pool of blood in the kitchen while the police negotiated with J’s father for his release. My first involvement with J was an in depth assessment of his emotional attachment and placement needs for the court. During this process, he developed frequent infantile rages and I advised the system of care around J on their management. At one stage, he had recurrent dreams about joining his mother in heaven and he was discovered attempting to strangle himself. I will discuss how I used the safe place protocol to alleviate his distress. I am now using EMDR directly with J. I use a variety of bilateral alternating stimuli. These include drumming, musical symbols, and a xylophone. I am able to get J to draw sequentially with each new drawing generated by J performing the “Butterfly hug.” I was inspired to use this technique after I attended a wonderful workshop facilitated by Michel Silvestre entitled “integrating family therapy and EMDR.” I hope to discuss in this presentation how EMDR can be combined with other therapeutic approached in a case of extreme trauma experienced by a 6-year-old boy who is now effectively orphaned as his father is in prison probably for the rest of his natural life. I will also allude to some of the techniques discussed by Dr. Atle Dyregrov at the 5th annual UK and Ireland conference in London in March last year. He presented in depth therapeutic work with a girl who suffered the trauma of her mother’s suicide. I will discuss some of the challenges presented by traumatic grief and how the EMDR protocol can be adapted for use in children.
Keywords: Children
Accuracy Verified: Yes
333. Staff. (1997, May). Using EMDR to treat psychological trauma. Clinician's Research Digest, 15(5), 3.
Language: English
Format: Newsletter
Abstract:
This article discusses outcome studies on eye movement desensitization and reprocessing (EMDR). It is noted that EMDR was originally designed for rapid treatment of traumatic memories, but practitioners have also applied it to such other problems as phobias, panic disorder, grief, chemical dependence, and dissociative disorders. Since the development of EMDR, numerous outcome reports in the form of case studies, single-subject experiments, and group design experiments have appeared in the literature. Several studies and meta-analyses of EMDR are described. While one meta-analysis concluded that the effects of EMDR are (a) not strong, (b) most apparent with self-report measures but absent with physiological indices of the disorder, and (c) absent altogether in some studies, other authors believe this is an overstatement. Two other meta-analyses note that there have been more controlled studies of EMDR than all other treatments for post-traumatic stress disorder (PTSD), and both acknowledge a range in findings. It has been suggested that there are numerous explanations for negative or limited findings for EMDR, most notably the use of chronic, multiply traumatized veterans (where secondary gain may be a concern), lack of treatment fidelity, and insufficient length of treatment.
Keywords: Emotional Trauma Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
334. Zantvoord, J. B., Diehle, J., & Lindauer, R. J. (2013, March). Using neurobiological measures to predict and assess treatment outcome of psychotherapy in posttraumatic stress disorder: Systematic review. Psychotherapy and Psychosomatics, 82, 142-151. doi:10.1159/000343258.
Language: English
Format: Journal
Abstract:
Background: Trauma-focused cognitive-behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are effective treatments for posttraumatic stress disorder. However, little is known about their neurobiological effects. The usefulness of neurobiological measures to predict the treatment outcome of psychotherapy also has yet to be determined. Methods: Systematic review of randomized controlled trials (RCTs) focused on neurobiological treatment effects of TF-CBT or EMDR and trials with neurobiological measures as predictors of treatment response. Results: We included 23 publications reporting on 16 separate trials. TF-CBT was compared with a waitlist in most trials. TF-CBT was associated with a decrease in heart rate and blood pressure and changes in activity but not in volume of frontal brain structures and the amygdala. Neurobiological changes correlated with changes in symptom severity. EMDR was only tested against other active treatments in included trials. We did not find a difference in neurobiological treatment effects between EMDR and other treatments. Publications on neurobiological predictors of treatment response showed ambiguous results. Conclusion: TF-CBT was associated with a reduction of physiological reactivity. There is some preliminary evidence that TF-CBT influences brain regions involved in fear conditioning, extinction learning and possibly working memory and attention regulation; however, these effects could be nonspecific psychotherapeutic effects. Future trials should use paradigms aimed specifically at these brain regions and physiological reactivity. There are concerns regarding the risk of bias in some of the RCTs, indicating that methodologically more rigorous trials are required. Trials with neurobiological measures as predictors of treatment outcome render insufficient results to be useful in clinical practice.
Copyright © 2013 S. Karger AG, Basel.
Accuracy Verified: Yes
335. Forgash, C. A. (1997, Spring). Utilizing EMDR consultation in a concurrent treatment model. The Clinician, 28(2), 1-2.
Language: English
Format: Newsletter
Abstract:
Concurrent psychotherapy is valuable by providing timely interventions to patients with specialized needs. Clinicians refer patients for psychiatric consultations group work and to therapists who specialize in problem areas such as panic disorder, trauma, child abuse issues and substance abuse. Such traumas as child sexual abuse, family violence and disasters result in a large population suffering from Post Traumatic Stress Disorder and other Dissociative Disorders. Other patients have long-standing depressions, panic and psychosomatic disorders, performance anxiety and phobias stemming from traumas which do not resolve in traditional psychotherapy.
Keywords: Concurrent Treatment Model Consultation
Accuracy Verified: Yes
336. Foster, S. (1998, July). Utilizing EMDR to reduce the fear of public speaking. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand Beck's formulation of evaluation anxieties in general and speech anxiety in particular; 2) learn the research-based cognitive-behavioral (CB) strategies helpful in reducing speech anxiety; 3) and learn a modified EMDR process phobia protocol that enhances the efficacy of the CB approach to treating speech anxiety.
Keywords: Beck Process Phobia Protocol Protocol Public Speaking Speech Anxiety
Accuracy Verified: Yes
337. Laban, C. J., Somers, J. A. G., Gokoel, K., & Minkenberg, E. (2011, April). Van transculturele verwarring, naar kennis en kunde [Of cross-cultural confusion, for knowledge and skills]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Toelichting: Hoe vanzelfsprekend is
het om even na te slaan wat het onderzoek over
discriminatie oplevert (Brondolo 2009), wat de
gegevens over uitsluiting toevoegen, wat de ervaring
van community health bijdraagt aan de psychiatrische
behandeling van een geïmmigreerd persoon
of diens nageslacht (De Jong 2010)? Waar
vindt de medicus practicus theoretische steun als
een patiënt bij hem komt voor een nieuw huis
omdat het oude behekst is, wat hij afleidt uit vreemd gedrag van zijn kind dat de arts herkent
als paniekstoornis? Hoe kan de psychiater wiens
eye movement desensitisation and reprocessing (EMDR)
vastloopt, profiteren van de kennis over cultuurverschillen
bij emoties? (Mesquita 2003). Hoe
helpt het cultureel identiteitsconcept, waarin
identiteit wordt gezien als de resultante van een
altijd doorgaande onderhandeling, de aanpak van
de depressieve oudere die levenslang gezorgd heeft
en nu steun van de kinderen moet ontberen? (Wei-
Chin Hwang 2010). Vertrekkend vanuit de casus
bespreken wij literatuur en keren terug naar de
casus.
Leerdoel: Aan het einde van de sessie
kan de deelnemer sleutelwoorden herkennen die
helpen om de verwarring op te heffen van niet
overeenkomende appraisal en attributie tussen
behandelaar en patiënt. Vervolgens herkent hij
hoe deze sleutelwoorden de weg wijzen naar relevant
onderzoek en vertaalt hij dat terug naar de
behandelpraktijk.
Explanation: How obvious
it just to save some research on
discriminatory (Brondolo 2009), which
Add information about exclusion, what the experience
community mental health contributes to
treatment of a person immigrated
or its progeny (De Jong 2010)? Where
medical practitioner finds theoretical support as
a patient comes to him for a new home
because the old bewitched, he infers the strange behavior of his child that the doctor recognizes
as panic disorder? How can the psychiatrist whose
Eye Movement Desensitisation and Reprocessing (EMDR)
freezes, benefit from the knowledge of cultural differences
with emotions? (Mesquita 2003). How
helps the cultural identity concept, which
identity is seen as the result of a
unceasing negotiation, addressing
the depressed older person who has brought life
and now must do without the support of the children? (Wei-
Chin Hwang 2010). Starting from the case
we discuss literature and return to the
case.
Objective: At the end of the session
The participant can recognize keywords
help to eliminate the confusion of not
matching between appraisal and attribution
practitioner and patient. Then it recognizes
how these keywords are relevant to the way
research and translates it back to that
treatment practices.
Keywords: Cross-Cultural
Accuracy Verified: Yes
338. de Jongh, A., & ten Broeke, E. (2000, September). Why and how to use ‘in vivo exposure’ in EMDR. EMDRIA Newsletter, 5(3), 18.
Language: English
Format: Newsletter
Abstract:
An important feature of PTSD is that
it is not very likely that the same
traumatic event will ever happen
again. Accordingly, if a client has been raped
and succesfully been treated with EMDR,
generally not many clinicians will feel the urge
to prepare this client for a next rape.
Conversely, in a number of cases (particularly
phobic conditions) the client does have to
anticipate future situations in which fear
evoking stimuli are present; and where he will
have to interact with these. For example, if a
person who suffered from a dental phobia has
been successfully treated for his phobia, it is
likely that he will still have to undergo invasive
dental work, such as injections, root canal
treatments, or extractions. This has implications
for treatment. As a result of the successful
application of the EMDR basic protocol, the
likelihood or severity of the initial threat may
have been reappraised, and the incident that
initially felt traumatic may have been
reattributed to an innocuous event. Yet, it is
possible that the client is still not completely
convinced of her ability to cope, and therefore,
avoids certain activities or situations. In that
case, the client should be properly prepared for
future encounters with the anxiety provoking
objects and situations. One way to prepare the
client for such confrontations, is the use of in
vivo exposure.
Keywords: In Vivo Exposure
Accuracy Verified: Yes
339. Bisping, V. S. (2011). Wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei zahnbehandlungsphobie [Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for dental phobia]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie,Forschung, Munster, Deutschland .
Language: German
Format: Dissertation/Thesis
Abstract:
In dieser Studie werden 30 Patienten mit Zahnbehandlungsphobie in einem Warte-Kontrollgruppen-Design mit Eye Movement Desensitization and Reprocessing (EMDR) behandelt. Die manualisierte Intervention umfasst drei ca. 90-minütige Sitzungen. Vor und nach der Behandlung wird die Angst vor der Zahnbehandlung mit Fragebögen und einem Verhaltenstest erfasst. Darüber hinaus werden bildgebende Untersuchungen durchgeführt (siehe folgendes Projekt).
In this study, 30 patients treated with dental anxiety in a wait-control group design with Eye Movement Desensitization and Reprocessing (EMDR). The manualized intervention includes three 90-minute sessions. Before and after the treatment, the fear of dental treatment with a behavior test questionnaires and is detected. In addition, imaging studies are performed (see next project: Erfassung neurobiologischer Korrelate der EMDR-Behandlung bei Patienten mit Zahnbehandlungsangst, by S.
Doering, V. Bisping, N. Nora Liebergesell, B. Höffkes, M. Junghöfer, C. Dobel).
Keywords: Dental Phobia
Accuracy Verified: Yes
340. Linklater, A. (2007, February 10). The woman who was afraid of water. London, England: The Guardian, Weekend, 69.
Language: English
Format: Newspaper
Abstract:
Iris explained that, in cognitive therapy, this was called memory "processing", and the particular method she used had a rather scientific-sounding name - EMDR, or Eye Movement Desensitisation and Reprocessing. But it was actually quite simple. It wasn't about revisiting childhood fears; it didn't even do what was expected in some trauma treatment, which was to relive an event through "imaginal exposure". With EMDR, you had only to think about your particular symptoms, and the events or beliefs that went with them. This was called "dual awareness" - thinking about the past and present at the same time. And there was an easy trick involved. Iris would tap Mai's knees while she let her reactions sink in, or move a finger back and forward across her eyes.
Keywords: General Overview Phobia
Accuracy Verified: Yes
341. Hill, L. (2008, June). ‘Saving Private Ryan’ – with the help of EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A career soldier, who had fought in both Gulf wars and was suffering from PTSD and alcoholism, experienced a
severe panic attack whilst watching the opening scenes of the film “Saving Private Ryan”. After 8 sessions of
EMDR he asked if he would be able to watch the film now – without a panic attack. We decided to watch it
together and used the first five minutes of the film to shape a unique therapy session encompassing grief work,
the completion of the trauma work we had been doing with EMDR and the use of EMDR to enable him to begin
to address the imminent life stage issue of retirement from the military and how he was to make meaning for
himself from his experience. This is a case study which demonstrates the immense potential and flexibility of
EMDR if we are able to respond creatively to our clients. This session is an invitation to think about how we can
use EMDR creatively, remaining true to its protocols at the same time as being able to integrate it into our
previously existing skills and respond flexibly and appropriately to our clients needs and suggestions. It is an
example of creative and collaborative working with the client.
Keywords: Military
Accuracy Verified: Yes


