Francine Shapiro Library - EMDR Bibliography Links
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1. Eschenröder, C. T. (2005). "Eye movement desensitization and reprocessing". In M. Linden & M. Hautzinger, Verhaltenstherapiemanual (5th ed.), (pp 163-167). Springer: Berlin Heidelberg. doi:10.1007/978-3-540-75740-5_31.
Language: German
Format: Book Section
Abstract:
"Eye Movement Desensitization and Reprocessing“ (EMDR) ist die Bezeichnung für eine psychotherapeutische Methode, die von der amerikanischen Psychologin Francine Shapiro entwickelt wurde (Shapiro 1998). Das Grundprinzip von EMDR besteht darin, dass die Person sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Körperempfindungen konzentriert, während gleichzeitig die Aufmerksamkeit auf einen äußeren Reiz gelenkt wird. Ursprünglich glaubte Shapiro, dass die Induktion von schnellen rhythmischen Augenbewegungen entscheidend für die Wirkung des Verfahrens sei; es zeigte sich aber, dass auch akustische oder taktile Stimulierungen eine ähnliche Wirkung haben. Dennoch wurde die Bezeichnung EMDR als "Markenname“ beibehalten.
"Eye Movement Desensitization and Reprocessing (EMDR) is the name of the psychotherapeutic method that was developed by American psychologist Francine Shapiro (Shapiro 1998). The basic principle of EMDR is that the person to a traumatic memory and the related thoughts and body sensations concentrated while the attention is directed to an external stimulus. Shapiro originally thought that the induction of rapid rhythmic eye movements essential for the effect of the procedure was, it turned out, however, that even acoustic or tactile stimuli have a similar effect have. Nevertheless, the term EMDR has been retained as a "brand name".
Accuracy Verified: Yes
2. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02.
Language: English
Format: Journal
Abstract:
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]
Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction
Accuracy Verified: No
3. マギーフィリップス（田中究、穂積由里子、浅田雅子（翻訳） [Maggie Phillips (Tanaka Kiwamu, Hozumi Yuriko, Asada Masako (translators)] (2002). 最新心理療法―EMDR・催眠・イメージ法・TFTの臨床例 [単行本] [Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help resolve health problems]. 東京：春秋社。 392 pp [Tōkyō: Shunjūsha. 392 pp.].
Language: Japanese
Format: Book
Abstract:
マギー・フィリップス著 ; 田中究監訳 ; 浅田仁子,穂積由 最新心理療法: EMDR・催眠・イメージ法・TFTの臨床例 Saishin shinri ryōhō: Īemudīāru saimin imējihō tīefutī no rinshōrei 春秋社
A groundbreaking book that applies the principles of energy psychology and medicine to mind/body healing. Eastern healing focuses on correcting imbalance so that qi (life force energy) can flow freely again. This book proposes that various therapies can similarly address energies in mind/body systems and restore health. These tools can open inner, healing pathways that have been frozen by stress, trauma, and unresolved developmental issues.
Keywords: Body-Focused Therapy Hypnosis Imagery TFT Thought Field Therapy
Accuracy Verified: Yes
4. 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
5. 이선혜; 김석현; & 김대호 [Lee, Sun Hye, Kim, Seok Hyeon, & Kim, Daeho] (2007). 차 항우울제 치료에 반응 않는 외상후 스트레스 장애의 EMDR 병합 치료 증례 [ Add-on EMDR for posttraumatic stress disorder not responding to initial antidepressant therapy：Case report]. 생물치료정신의학 제13권 제2호, 46 [Journal of the Korean Society of Biological Therapy in Psychiatry, 13(2), 346-351].
Language: Korean
Format: Journal
Abstract:
외상후 스트레스 장애 (PTSD)의 치료 전략에 대한 문학의 성장 본문있다. 그리고 metaanalyses 및 임상 지침 등장으로 진행합니다. CBT 또는 EMDR이 인구에 대한 치료의 첫번째 라인에 대한 권장되었습니다 최근 외상 중심. 그러나, 아주 작은 문학은 약물과 PTSD의 심리 치료의 통합 치료를위한 존재합니다. 이 사건 보고서는 처음 약은 치료에 대응하는 데 실패하지만, EMDR이 추가된 후에 나중에 향상했다 PTSD 두 개인을 소개합니다. 또한 제어 연구는이 찾는 일반화하기 위해 필요합니다.
There is a growing body of literature on the treatment strategy of posttraumatic stress disorder(PTSD). And metaanalyses and clinical guidelines continue to emerge. Recently, trauma-focused CBT or EMDR have been recommended for the 1st line of therapy for this population. However, very little literature exists for combined treatment of medication and psychotherapy in PTSD. This case report introduces two individuals with PTSD, who had initially failed to respond to antidepressant therapy, but later improved after EMDR was added. Further controlled studies are needed to generalize this finding.
Keywords: Antidepressants Combined Treatment Drug Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
6. 이선혜 (저자) ; 김석현 (저자) ; 김대호 (저자) [Yiseonhye; Seok; & Dae-Ho] (2007). 차 항우울제 치료에 반응 않는 외상후 스트레스 장애의 EMDR 병합 치료 증례 [EMDR for posttraumatic stress disorder not responding to initial antidepressant therapy：Case report]. 생물치료정신의학 제13권 제2호, 46 [Biological Treatment of Psychiatry, 13(2), 246].
Language: Korean
Format: Journal
Abstract:
외상후 스트레스 장애 (PTSD)의 치료 전략에 대한 문학의 성장 본문있다. 그리고 metaanalyses 및 임상 지침 등장으로 진행합니다. CBT 또는 EMDR이 인구에 대한 치료의 첫번째 라인에 대한 권장되었습니다 최근 외상 중심. 그러나, 아주 작은 문학은 약물과 PTSD의 심리 치료의 통합 치료를위한 존재합니다. 이 사건 보고서는 처음 약은 치료에 대응하는 데 실패하지만, EMDR이 추가된 후에 나중에 향상했다 PTSD 두 개인을 소개합니다. 또한 제어 연구는이 찾는 일반화하기 위해 필요합니다.
There is a growing body of literature on the treatment strategy of posttraumatic stress disorder(PTSD). And metaanalyses and clinical guidelines continue to emerge. Recently, trauma-focused CBT or EMDR have been recommended for the 1st line of therapy for this population. However, very little literature exists for combined treatment of medication and psychotherapy in PTSD. This case report introduces two individuals with PTSD, who had initially failed to respond to antidepressant therapy, but later improved after EMDR was added. Further controlled studies are needed to generalize this finding.
Keywords: Antidepressants Combined Treatment Drug Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: No
7. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
8. Opperman-Schmid, F. (2010, June). 5 years of EMDR in a general practioners practise. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study describes the use of eye movement desensitization
and reprocessing in clients suffering from posttraumatic
stress symptoms after recent traumatic experience.
Between November 2003 and July 2009, 45 clients of a general
medicine practise with stress reactions and inability to work after
a recent traumatic event were treated with EMDR.
The number of active EMDR sessions varied from 1 to 5 sessions.
After this short time of active treatment, everyone of these clients
was free of symptoms and able to take up work again. After
a three months period, those clients were reinvestigated. Up to
this time, none of them had suffered from symptoms of distress
or accumulation of trauma memories or inability to go to work.
The study shows an interesting aspect in EMDR treatment:
general practitioners are the first to be consulted by clients with
recent trauma.
EMDR is shown to be very effective in treatment of stress symptoms
after recent trauma.
Consequently, an early intervention with EMDR reduces stress
symptoms and the period of inability. This is to promote interest
and awareness specially among general practitioners with
psychotherapy training.
Keywords: Acute Stress Symposium
Accuracy Verified: Yes
9. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum
Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.
Keywords: Abortion Postpartum Depression
Accuracy Verified: Yes
10. Lynn, B. (2000, September). Accessing pre-traumatic prenatal experience using EMDR: Uncovering a powerful resource of equanimity, integration, and self-esteem in the pre-traumatized self. EMDRIA Newsletter, 5(3), 6-7.
Language: English
Format: Newsletter
Abstract:
This article is a preliminary report on the
remarkable results some of my clients
and I have been achieving using EMDR
to target prenatal trauma, with a focus on the
discovery of an experience of the self prior to
any trauma occurring and the enormous
healing power that derives from revisiting and
reactivating this extraordinarily positive pretraumatic
experience. It is with some hesitation
that I am reporting my experience with prenatal
trauma processing, as I do not wish to be seen
as on the fringe or even over the edge by my
colleagues. However, I realize that I was able
to overcome my prejudices -through
examination of the facts- about the nature of
prenatal experience, when memory begins, and
how it can be accessed. I have found there is a
body of scientific investigation and knowledge
on prenatal experience and trauma, and that
indeed we do experience and are influenced
by our environment in the womb. We can learn
from such experience, and therefore, can be
traumatized prior to birth. The prenatal self
can feel and record this experience. I refer the
reader to www.birthpsychology.com/resources/
index.html for a list of publications on this
matter. The various kinds of pre- and perinatal
trauma and the deep healing that results when
processed with EMDR will be the object of
other articles by myself and Dr. Heather
Pearson, who is also investigating this same
field. What I intend to focus on here is the
discovery of a pre-traumatic experience at the
embryonic stage, which I have found to be a
remarkably powerful internal resource for
healing, already developed and installed,
simply requiring reactivation. When I saw the
powerful healing results of reactivation of this
pre-traumatic experience in a number of
relatively “stuck” clients, I felt ethically bound
to report this immediately to other clinicians
using EMDR so that others may benefit.
Keywords: Prenatal
Accuracy Verified: Yes
11. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.
Keywords: Model Poster Preverbal Trauma Theory
Accuracy Verified: Yes
12. Bjick, S. (2001, January-April). Accessing the power in the patient with hypnosis and EMDR, Eye movement desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 203-216. doi:10.1080/00029157.2001.10404277.
Language: English
Format: Journal
Abstract:
Both Ernest Rossi's ideodynamic accessing model of hypnosis and EMDR are intended to access information stored in the mind-body system. In this paper the author is suggesting that treatment effectiveness can be enhanced by combining these particular models. The similarities and the uniqueness of each method, both theoretically and in terms of the different protocols, are compared to provide a rationale for combining them. Verbatim examples from clinical cases are presented to demonstrate exactly how these models can be usefully combined in clinical practice. [Author Abstract]
Keywords: Hypnotherapy Review Treatment Effectiveness
Accuracy Verified: Yes
13. Talwar, S. (2007, February). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal
core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M.
(2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy
as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had
success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example
serves to illustrate its use.
Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts
Accuracy Verified: Yes
14. Savneet, T. (2007). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee's bilateral art and Michelle Cassou's method of painting. A one-session example serves to illustrate its use.
Keywords: Art Therapy Art Therapy Trauma Protocol ATTP Creative Arts Therapy Creativity Emotions Memory Neurobiology Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
15. Benenti, N. (2008). Acercamiento clínico a las investigaciones de Antonio Damasio: la Dicotomía Cuerpo- Mente [Clinical approach to the research of Antonio Damasio: The dichotomy of body-mind]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 4, EMDR: Avances en teoria y tecnica [EMDR: Advances in theory and technique] (1st ed) (pp. 185-195). Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Keywords: Antonio Damasio
Accuracy Verified: Yes
16. Hogberg, G., & Hallstrom, T. (2008). Active multimodal psychotherapy in children and adolescents with suicidality: Description, evaluation and clinical profile. Clinical Child Psychology and Psychiatry, 13(3), 435-448. doi:10.1177/1359104507088348.
Language: English
Format: Journal
Abstract:
The aim of this study was to describe and evaluate the clinical pattern of
14 youths with presenting suicidality, to describe an integrative treatment
approach, and to estimate therapy effectiveness. Fourteen patients aged 10
to 18 years from a child and adolescent outpatient clinic in Stockholm were
followed in a case series. The patients were treated with active multimodal
psychotherapy. This consisted of mood charting by mood-maps,
psycho-education, wellbeing practice and trauma resolution. Active
techniques were psychodrama and body-mind focused techniques including eye
movement desensitization and reprocessing. The patients were assessed before
treatment, immediately after treatment and at 22 months post treatment with
the Global Assessment of Functioning Scale. The clinical pattern of the
group was observed. After treatment there was a significant change towards
normality in the Global Assessment of Functioning scale both immediately
post-treatment and at 22 months. A clinical pattern, post trauma suicidal
reaction, was observed with a combination of suicidality, insomnia, bodily
symptoms and disturbed mood regulation. We conclude that in the post trauma
reaction suicidality might be a presenting symptom in young people. Despite
the shortcomings of a case series the results of this study suggest that a
mood-map-based multimodal treatment approach with active techniques might be
of value in the treatment of children and youth with suicidality.
Keywords: Adolescents Children Suicide
Accuracy Verified: Yes
17. Meignant, I. (2010, July). Adaptive information processing model (AIP). Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
This Abstract will explore EMDR as an AIP model of psychotherapy. The following aspects will be discussed. Foundation of
pathologies: unprocessed physiologically stored memories of life experiences. Definition of Trauma: Any life experience that
has a negative on going impact on a person’s life. Therapy goal: Accessing and reprocessing physiologically stored memories
of life experiences, triggers and encoding future templates. Memory as composed of: sensory information (smell, image,
sound, taste and touch), cognitions, emotions and body sensations.
EMDR as a 3 stage therapy model: Past, Present, Future Three themes explored in EMDR therapy: 1) Responsibility (which
includes Culpability and Self-esteem) 2) Safety, and 3) Choice
The Eight phases of EMDR:
Departure and Arrival stations: SUDs , VOC, and BODY scan
Keywords: Adaptive Information Processing Model AIP Poster
Accuracy Verified: Yes
18. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.
Language: English
Format: Journal
Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.
Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies
Accuracy Verified: Yes
19. Waldon, A. (2008, February). Adios pensamientos y sentimientos feos, Manual de EMDR para ninos [Goodbye yucky thoughts and feelings, An EMDR workbook for children] . Lulu.com.
Language: Spanish
Format: Book
Abstract:
Translated from English by Maria Elana Aduriz, Utilizando este cuaderno, el psicoterapeuta de niño EMDR indica el cliente de niño por el protocolo de EMDR. Las ilustraciones visualmente atrayentes basadas en los dibujos de niños son utilizadas para favorecer el niño a dibujar imaginal y recursos existentes para la fuerza, para la maestría, y para el consuelo. Utilizando estos dibujos, el terapeuta prepara al niño para procesar un trauma. Entonces, después de que el niño dibuje un lugar seguro, el terapeuta utiliza el cuaderno para ayudar al niño identifica los pensamientos, las emociones, y las sensaciones del cuerpo relacionadas al trauma. El niño está entonces listo para la Fase 4, la insensibilización y volver a tratar del trauma. El cuaderno continúa ayudando al terapeuta indica el cliente de niño por las fases restantes del protocolo, terminando con un Certificado del Logro para el niño para mantener. Las instrucciones para el terapeuta y hojas de trabajo para las notas del terapeuta son incluidas.
Using this book, the child psychotherapist EMDR client indicates the child EMDR protocol. The visually appealing illustrations based on drawings by children are used to encourage the child to draw imaginal and resources for the strength, expertise, and for comfort. Using these drawings, the therapist prepares the child to process trauma. Then, after the child draw a safe place, the therapist uses the notebook to help the child identify the thoughts, emotions, and sensations of the body related to trauma. The child is then ready for Phase 4, the stunning and come back to the trauma. The book continues to help the therapist tells the client as a child for the remaining phases of the protocol, ending with a Certificate of Achievement for the child to maintain. The instructions for the therapist and worksheets for the therapist's notes are included.
Keywords: Children
Accuracy Verified: Yes
20. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.
Language: English
Format: Journal
Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.
Keywords: Adult Mechanism of Action Review Posttraumatic Stress Disorder PTSD Theory
Accuracy Verified: Yes
21. Laliotis, D. (2000, September). Advance applications of cognitive interweave and resource development in EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) enhance their ability to facilitate the client's processing with EMDR by broadening their repertoire of cognitive interweaves; 2) identify a variety of clinical situations where interweaves and resource development can be applied during the course of an EMDR session; 3) develop a greater understanding of the different kinds of cognitive interweaves that can be used in those clinical situations; 4) apply cognitive interweave and resource development to faclitate closure of an EMDR session and towards the creation of future templates; and 5) to develp a greater sense of how and when to intervene during a client's processing.
Keywords: Cognitive Interweave Resource Development
Accuracy Verified: Yes
22. Laliotis, D. (2001, June). Advanced applications of cognitive interweave and resource installation of EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop offers a conceptual framework for systematically applying cognitive interweave. Special emphasis is placed on learning to identify clinical situations where interweaves and resource installation can be applied before, during, and after a session.
Keywords: Cognitive Interweave Resource Installation
Accuracy Verified: Yes
23. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
24. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
25. Phillips, M. (2002, June). All for one and one for all: Integrating EMDR, ego-state therapy and energy psychology. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
One of the most challenging barriers to healing from past trauma is the inner conflict triggered by dissociative fragmentation. This workshop
presents several ways of synthesizing ego-state therapy, EMDR and energy psychology methods to resolve competing inner needs and reactions and
promote more integrated functioning within a comprehensive four stage model. Specific protocols incorporating ego-state work, EMDR and
meridian (energy) techniques will be demonstrated and practiced. Special emphasls will be given to the resolution of mind/body symptoms that
interface with trauma.
Keywords: Ego State Therapy Energy Psychology Meridian Therapy Mind/Body
Accuracy Verified: Yes
26. Boodman, S. G. (2004, June 29). All in the head: Three approaches to mental health treatment that stretch the boundaries – and, sometimes, credulity. Washington, DC: The Washington Post, Health, F1.
Language: English
Format: Newspaper
Abstract:
Imagine being able to quickly banish phobias by rhythmically tapping on various body parts. How about a painless treatment that eliminates depression by exerting gentle pressure on a patient's shoulders or torso? What if it were possible to overcome attention- deficit hyperactivity disorder (ADHD) by having a child focus on a computer image that retrains his brain waves?
Keywords: General Overview Wasington, DC
Accuracy Verified: Yes
27. 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
28. Hartung, J. (2008, April). Alternative psychotherapies and the bodymind phenomena. The Colorado Psychologist Extended Articles.
Language: English
Format: Magazine
Keywords: Alternative Therpaies Body Mind
Accuracy Verified: Yes
29. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Description of the study: Traumatic experiences may
lead to body sensations. Some illnesses such as Migraine, ulcer
and fibromyalgia which causes body disturbance have psychological
roots. Steven Marcus also shows the relation between
traumatic event and migraine in his studies. This study is inspired
by the relationship between body disturbance related illnesses
and traumatic experiences. In this study, physical and
emotional disturbances experienced by women during the
MDR menstrual cycle is studied by the use of EMDR.
Participants in this study will receive a (max) 12 session EMDR
treatment. All participants are going to fill a battery of tests
consisting of Beck Depression Scale, STAI, Life Events Check
List, Subjective Pain Level before and after the study and keep
a diary of disturbance during the study.
EMDR and the study: It is hypothesized that females who have
more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported
disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences.
Learning objectives: Showing the way EMDR can be used in
PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity.
Enhancing the knowledge on the effect of previous negative
life events on somatic sensations in the long term.
Our study suggests that: Despite the fact that premenstrual
Disturbances and Dismenore are quite common among the
women, it is rarely studied by psychotherapists. In this study
we reviewed the relevant literature and tried to show that these
problems can be studied by using EMDR.
Keywords: Female Issues Pre Menstrual Post Menstrual Symposium
Accuracy Verified: Yes
30. Darker-Smith, S. (2008, June). Anorexia nervosa: CBT versus EMDR (A preliminary study). Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
In treating clients with Anorexia Nervosa, what does appear to be consistent is the general view (e.g. Waller;
Treasure; Brewer) that recovery will take on average between 1 to 2 years with many clients suffering from this
disorder never making a full or complete recovery. 16 clients with a previous diagnosis of anorexia nervosa and
under medical supervision with a BMI of between 16.5 � 18 and still meeting criteria of Anorexia Nervosa (DSM
IV) were offered either EMDR (N.10) or CBT (N. 6). No therapeutic emphasis was placed directly on food in either
the CBT or the EMDR group (e.g. Fairburn). Those receiving EMDR recovered substantially quicker once the target
memory precipitating the Anorexic Onset was identified. Interestingly, food intake and weight increased
without needing to be targeted as a separate matter, once the �feeder-memory� had been adapted in 8 out of the
10 EMDR clients. Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic
patterns of behaviour and their weight or food intake did not appear to improve significantly. Although this is
only a preliminary study, the EMDR group reached �recovery� at around the 3 � 4 month mark, compared to the
CBT group, who still reported phobic reactions to both body-image and food at the 4 month mark. At the initial 1-
month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet /
weight compared to the EMDR group, who had reached normal BMI ranges (N. 9) and all reported little to no
pre-occupation with diet / weight. It would appear, on the basis of this preliminary study that the precipitators to
the development of Anorexia respond well to EMDR treatment targeting the precipitant memory. Furthermore, 6
of the EMDR group reported using the safe-space imagery to reduce their anxieties surrounding food and this
may have been a contributory factor in their recovery.
Keywords: Anorexia Nervosa CBT Cognitive Behavioral Therapy
Accuracy Verified: Yes
31. Miller, E. (1992, December). Anorexia, body image, and self-acceptance. EMDR Network Newsletter, 2(2), 2.
Language: English
Format: Newsletter
Abstract:
From the ages of 6 to 13, Melody, who
was a gymnast, practiced 6 to 8 hours
per day and was thin, lean, and wiry.
She cut back on her athletics to focus
on schoolwork, but by her senior
year in high school had begun a
dietary regimen to try to regain her
13 year-old body. This was a goal
that seemed healthy in her mind,
had been promoted as healthy by her
exercise-addicted family, and was the
image she saw paid homage to in the
media.
Keywords: Acceptance Anorexia Body Image
Accuracy Verified: Yes
32. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .
Language: English
Format: Journal
Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks
Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway
Accuracy Verified: Yes
33. 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
34. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Level I. Targeting of Physical Symptoms or Triggers.
Installing of Positive States
Use this level when:
client readiness and safety factors are met.
the experience of the symptom(s) is distressing to the client.
a limited number of therapy sessions is available.
the client does not necessarily have an awareness of the causes or
functions of the symptoms.
the client is not aware of a trauma related to the symptom.
w the assessment does not reveal trauma related to the symptom.
w trauma or other complicating issues are identified but the client's
stability or circumstances does not tolerate Level I1 or 111, and client
and therapist can devise ways to contain upsetting issues which may
come up.
the client wants to try for symptom relief without deeper processing. [Excerpt]
Keywords: Injury Physical Illness
Accuracy Verified: Yes
35. Britt, V. J., Diepold, J., & Bender, S. (2008, September). Applying energy psychology methods in the preparation phase of the EMDR eight step protocol. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This workshop will explore and provide an additional means of stabilization and resource for the EMDR preparation phase, as well as expand therapeutic strategies to resolve treatment blocks and stuck processing. Using concepts such as correct polarity and methods like muscle-testing, which come from the emerging field of energy psychology, compromised psycho-energetic activity at the mind-body interface will be demonstrated. These methods can be incorporated into the EMDR preparation phase without compromising the 8 phase protocol.
Keywords: Energy Psychology Preparation Phase
Accuracy Verified: Yes
36. Britt, V., Diepold, J., & Bender, S. (2005, June). Applying energy psychology to treatment blocks in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Although EMDR protocol offers a wide range of strategies to re-start blocked
processing, sometimes these methods do not resolve the impasse and
another perspective may be necessary. This workshop will expand the
concept of blocks-(i.e. blocking beliefs. looping and stuck processing) in
terms of the emerging field of energy psychology. We will demonstrate
what occurs when psycho-energetic activity in the mind-body interface is
compromised and how that can inhibit processing. It will introduce the
concepts and treatment of energetic blocks, muscle testing and polarity
compromise and explore how treatment corrections can be used to neutralize blocks without disrupting the EMDR protocol. Format: Lecture,
demonstration and experiential exercise.
Keywords: Energy Psychology
Accuracy Verified: Yes
37. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Les techniques d’hypnose éricksonienne sont des outils très utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accès à la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix dernières années.
Dans cet atelier l’accent sera plus particulièrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire à une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <
Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces.
However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality.
The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD.
Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years.
In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination.
Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?
Accuracy Verified: Yes
38. Royle, L., & Kerr, C. (2010, March). Are EMDR therapists at greater risk of developing secondary traumatic stress disorders?. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Therapists who come
into contact with traumatised individuals are at risk of absorbing their distress resulting in
their own psychological injury. There is a variety of factors that increase the likelihood of
this happening and it can be argued that the EMDR therapist is exposed to many more of
these factors than the generic therapist or counsellor. The presenters hope to raise
awareness of these risks as the first step in addressing them and reducing the stigma in
admitting to secondary trauma.
As well as being provided with a theoretical overview of secondary trauma, participants in
this workshop will be encouraged to consider their own level of risk and practical steps
they can take to reduce this. The workshop will provide an overview of psychological
injury constructs including Compassion Fatigue, Vicarious Trauma and Burnout along with
a description of signs and symptoms of secondary trauma. Current recommendations for
treatment options are outlined and an example is given of how EMDR can be used to
successfully treat secondary trauma in the therapist.
Keywords: Burnout Compassion Fatigue Vicarious Trauma Secondary Traumtic Stress
Accuracy Verified: Yes
39. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).
Keywords: Abreactions Intense Affect
Accuracy Verified: Yes
40. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An
inherent value of EMDR is to facilitate natural
processing and the client's natural patterns. Assuming client readiness and
preparation to deal with emotional material, an
interweave (which elicits other neural networks),
or resource installation (which initiates a state
change) or prolonged talking (which initiates an
interpersonal process) - though often useful - can
interfere with the client's own internal processing and take the client away from their natural and
unique resolution and integration. The therapist
can enable the client to process intense material
utilizing a) strong attunement skills to hold the
client in one's therapeutic presence, b) recognition
of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally
intervene and when to "stay out of the way". Hence,
more important than the mechanics of bilateral
stimulation is the way EMDR is delivered. EMDR
is a "dance" between client and therapist with the
therapist interacting through bi-lateral stimulation
even more than through verbal communication.
This workshop will focus on dealing with intense
affect with EMDR (the dance) and include
discussjon of 1) How to assess client readiness for
dealing with intense material, both before and during
EMDR processing. 2) Therapist clinical presence
and attunement skills. 3) Detecting behavioral
manifestations of processing and calibrating bilateral
stimulation to the client in order to maximize
processing, and control intensity of processing. 4)
Therapeutic choice points concerning verbal
interventions and "staying out of the way". Demonstration and video tapes will be used to
illustrate teaching points. (Participants should be
aware that the videos have intense emotional content).
Keywords: Abreactions
Accuracy Verified: Yes
41. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
42. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.
Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders
Accuracy Verified: Yes
43. Silver, S. (1992. Atonement metaphor. Steven M. Silver, Ph.D.
Language: English
Format: Other
Abstract:
Dr. Silver has been using the atonement metaphor since he began working with veterans in 1972. His incorporation of EMDR cognitive interweave with this metaphor was probably around 1990-91. The first version of this handout was prepared for Level II EMDR Institute trainings when Dr. Silver did presentations on working with veterans in 1992. The use of atonement is further addressed in: Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors. W.W. Norton: New York.
Accuracy Verified: Yes
44. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998).
The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice
Learning Objectives:
Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps.
Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp.
Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.
Keywords: Attachment Repair Early Trauma Temporal Integration
Accuracy Verified: Yes
45. Dworkin, M. (2009, August). Attachment, attunement, and resonance in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Attachment, attunement, and resonance in the eight phases of EMDR enhance therapeutic outcomes. Patients with disorganized attachment processes may have complications that may make EMDR treatment more difficult. This workshop is designed to teach attunement, resonance, and therapeutic relatedness strategies in the work with patients with complicated attachment histories. Problems and solutions for misattunements during the eight phases will be the main focus of this workshop. Interpersonal neurobiological concepts will be taught to enhance the participant’s effectiveness. The Clinician Self Awareness Questionnaire will be demonstrated as a tool to deal with correct therapist misattunement.
Keywords: Attachment
Accuracy Verified: Yes
46. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: German
Format: Conference
Abstract:
This paper describes how trauma therapy including body awareness
can reduce the impact of the traumatic memory and can efficiently
prevent retraumatization. The goal is to achieve the ability to self-regulate
activation of the autonomic nervous system and hence, to attain access to
states in which patients can maximize their resources. This procedure is
based on neurobiological findings and exemplified with case studies. The
approach complements other trauma therapeutic interventions, regardless of
the theoretical orientation, and can be combined with techniques like, for instance,
EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
47. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .
Language: German
Format: Magazine
Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.
Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
48. O’Malley, A. (2012, October). BART: A new protocol to enhance EMDR therapy. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Bilateral Affective Reprocessing of thoughts or BART is a dynamic new model of trauma therapy designed to complement traditional EMDR therapy. Often with early touchstone memories the client has no verbal recall. It is impossible to access negative cognitions. In BART gut feelings are activated and connected to feelings and sensations elsewhere in the body. Ultimately heartfelt sensations link to the cerebral hemispheres and eventually the prefrontal cortex. Examples will illustrate combining BART psychotherapy combined with traditional EMDR.
Keywords: BART Bilateral Affective Reprocessing of Thoughts
Accuracy Verified: Yes
49. Fisher, J. A., Fay, D., & van der Kolk, B. A. (2001, December). Becoming safely embodied: Body-mind approaches to working with complex post-traumatic stress. Presentation at the International Society for the Study of Dissociation, Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Keywords: Complex PTSD Mind/Body
Accuracy Verified: No
50. Parnell, L. A. (1996, June). Beyond the cognitive interweave: Inner child work and EMDR with adults who suffered as children. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Adults Children Cognitive Interweave Inner Child
Accuracy Verified: Yes
51. Thompson, J., Cohn, L., & Parnell, L. (1996, June). Beyond the cognitive interweave: The use of metaphors, dreams, art, and imagery in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Art Therapy Cognitive Interweave Dreams Imagery Metaphors
Accuracy Verified: Yes
52. Rothschild, B. (2003, May). Beyond the model: Creating techniques from theory. Psychotherapy in Australia, 9(3), 36-40.
Language: English
Format: Journal
Abstract:
The following two cases are excerpted from Babette Rothschild’s newly published book 'The Body Remembers Casebook: Unifying Methods and Models in the Treatment of Trauma and PTSD' (W.W. Norton 2003). The first case advocates creative adaptation of learned methods, in this case EMDR. The second demonstrates the importance of regulating hyperarousal and halting flashbacks to facilitate increased client self-control and clear thinking. Both cases illuminate Rothschild’s principle of applying creative common sense to theory. The result is safer trauma therapy and interventions specially tailored to suit the specific needs of individual client situations.
Keywords: Theory
Accuracy Verified: Yes
53. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)
Keywords: Rebuilding Self
Accuracy Verified: Yes
54. Withers, D. (1999, June). Bilateral movement therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn to implement Bilateral Movement Therapy, an innovation of EMDR, into a Group Therapy Model, establishing group safety, cohesion and culture; 2) learn to incorporate Dance Movement Therapy techniques and theory into the standard EMDR protocol using the whole body rather than just eye movements; and 3) explore the use of Bilateral Movement Therapy with a variety of treatment issues and populations and how to assess its appropriateness for each.
Keywords: Bilateral Movement Therapy Dance Movement Therapy Group Therapy Model
Accuracy Verified: Yes
55. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.
Language: English
Format: Journal
Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]
Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
56. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.
Language: English
Format: Journal
Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]
Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence
Accuracy Verified: Yes
57. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
58. Epstein, L. (2009, April 18). The body and attachment: Sensorimotor interventions to enhance EMDR effectiveness in the treatment of developmental disorders. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will teach participants some ways to perceive, articulate and process developmental injuries manifest in the body. Participants will learn to "read" the body for negative beliefs, to evoke the negative cognition by a combination of directed mindfulness and bilateral stimulation and to enhance the processing and installation of resources by interweaving somatic elements with EMDR.
Keywords: Developmental Disorders Developmental Injuries Sensimotor Interventions
Accuracy Verified: Yes
59. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.
Language: English
Format: Conference
Abstract:
To stabilize overwhelming symptoms, integrate
memories, and overcome the terror of intimacy,
traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized
by internal critics and
terrified by the threats of
hypervigilant internal
protectors.
Because the body is the
container for all past and
present experience and for
all parts of the self,
somatically oriented
approaches can address
the intense and often
baffling reactions of these
patients in a way that is
both simple and effective.
This workshop will
demonstrate bodyoriented
interventions for
working with traumatized
and dissociative patients
drawn from Sensorimotor
Psychotherapy and easily
integrated into EMDR,
IFS, and traditional
talking therapies.
Through the use of
lecture, videotape, and
demonstration, participants will have the
opportunity to observe
somatically informed
solutions to a number of
common clinical
challenges encountered in
trauma treatment.
Capitalizing on recent
advances in the research
on attachment and trauma,
the workshop will also
provide a context for
understanding how to use
the therapeutic
relationship to provide a
safe “container” for both
patient and therapist in the
challenging work of
trauma treatment.
Keywords: Dissociation Somatic Interventions Trauma
Accuracy Verified: Yes
60. Levine, P. A. (2003, September). The body bears the burden. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop wall be an extension and practical application of the principles presented in the plenary session to the practice of EMDR
utilizing somatic awareness to facilitate processing and avoid overwhelm and the potential for 'false memory' and re-traumatization. It will include video presentations, live demonstrations and dyadic practice.
Keywords: SE Somatic Experiencing
Accuracy Verified: Yes
61. Levine, P. A. (2003, September). The body bears the burden: Somatic expressions of traumatic stress. Plenary presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Developed over the past thirty years, "Somatic Experiecing" (SE) has gained increasing recognition as a powerful body-based therapy that can awaken one's innate self-regulative response to overwhelm. Based on a naturalistic understanding of how animals in the wild "shake off" repeated exposure to life threatening events, SE has produced surprising results with a variety of difficult symptoms This model will be presented towards enhancing EMDR practice.
Keywords: SE Plenary Somatic Experiencing
Accuracy Verified: Yes
62. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy, 25(2), 203-207. doi:/10.1017/S1352465800018403.
Language: English
Format: Journal
Abstract:
Body dynamic disorder is an illness of generally chronic course which can lead to significant impairment of social functioning, unnecessary plastic surgery and even suicide. It is little understood and treatment regimens have been of uncertain efficacy. Eye movement desensitization and reprocessing (EMDR) is a newly developed psychotherapeutic procedure used in the treatment of PTSD, grief reactions and generalized anxiety. In this paper we describe its use in seven consecutive cases of body dysmorphic disorder. Improvements were obtained in six of the seven patients, five of whom had a complete resolution of their symptoms (Pilots).
Keywords: Adults Case Report Clinical Case Study Empirical Study Females Males Somatoform Disorders Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
63. Stewart, K., & Bramson, T. (2001, June). Body journaling as an adjunct to EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract: I
n this workshop, participants will learn the model of Body Journaling, how it guides the process of mind and body connection, and methods of using Body Journaling with EMDR. This workshop will include an experiential component.
Keywords: Body Journaling
Accuracy Verified: Yes
64. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.
Language: English
Format: Journal
Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]
Keywords: Neurobiology Posttraumatic Stress Disorder Practice PTSD Theory
Accuracy Verified: Yes
65. Darker-Smith, S. (2007, June). Body memory - A single case study of recovered memories through treatment of EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This case is presented with the client’s full knowledge and consent. Personal details have been changed to protect the client’s identity.
This case involved an adult male client with an over-riding sense of low self esteem and self-sabotaging behaviours, including binge eating disorder, gambling and drinking.
The client had no clear target memories relating to any of his behaviours or beliefs about himself – but reported a deep-seated sense of self-disgust – with no clear idea of where this feeling originated from or the thought behind it.
With nothing else to work with, we focused on the target body sensation of self-disgust, orientating in the heart area. Upon this point, the client reported having a circumcision operation as a child of around 7 or 8 years of age. Although this did not initially appear relevant, the client was asked to stay with the body sensation in the groin area, upon which the client reported “seeing” the surgeon’s face with a look of disgust on it. The surgeon removed the client’s foreskin and threw it in a plastic basin, looking at the client with a look of utter disgust, which the client interpreted and internalised as “You disgust me.”
Following on this unusual revelation, with the client’s involvement, collaborative evidence was sought on the memory. The surgical procedure was confirmed to be true by the client’s mother, although it was also confirmed by medical staff and the client’s mother that the client has remained under anaesthetic throughout the entire procedure. This may explain the lack of initial memory and why the memory was only accessible through body sensation.
Upon further inquiry, the client stated: “I didn’t see the surgeon with my eyes – I saw his disgust in my heart.”
The client’s mother further confirmed that the surgeon had indeed been disgusted and possibly expressed his disgust – however, not at the client, but rather at the previous inferior surgical attempt at a circumcision which had been botched during the client’s infancy, hence the client’s need for the second operation. The client somehow had “felt” the surgeon’s disgust – but being of such a young age, interpreted it as being disgust at his boy, rather than the previous operation.
What is interesting to note is that the client made a full recovery with a normal attribution of self-esteem and a complete absence of self-sabotaging behaviours with two treatment sessions, following his initial body memory. At 6-month follow up there continues to be no return of any previous self-sabotaging behaviours (e.g., drinking, gambling, binge eating) and the client expresses a healthy self-esteem.
Keywords: Body Memory Case Study Recovered Memory Poster
Accuracy Verified: Yes
66. Jacobs, K., & Macnaughton, I. (1996, June). Body oriented techniques to help “unstuck” EMDR processing. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Body Oriented Techniques
Accuracy Verified: Yes
67. Staff. (2005, January 27). Body over mind - A new book by an area author looks at how our memories cause physical pain--and what can be done about it. New Haven, CT: The New Haven Advocate, Lifestyle, [2 pages].
Language: English
Format: Newspaper
Abstract:
The quest to solve this riddle of her early life is one that Scarf explores through some cutting-edge mind/body therapies that have been successful in pinpointing and alleviating painful memories. Two of these are the EMDR (eye movement desensitization and reprocessing) therapy, and the PBSP (Pesso Boyden System Psychomotor) approach. EMDR was the accidental finding that emotional distress could be alleviated by rapid back and forth eye movements, a kind of rhythmical "eye-tracking" that tapped into some neuro-physiological place within the body that actually relieved pschological pain. PBSP was the group dynamic that involved support through role playing and acting out a trauma.
Keywords: General New Haven Overview
Accuracy Verified: Yes
68. Grand, D. (1996, June). Body processing: Innovative applications of EMDR to the somatic experience. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
In Dr. Francine Shapiro's development of the EMDR treatment method she has highlighted
the importance of the role played by the body (soma) in the processing experience.
According to her empirical findings, physical sensations can be activated by attending to
a traumatic memory, may be a component of the sensory experience of the target trauma
itself (i.e. an accident or an attack) and are additionally elicited by the resonance of the
negative cognition. Accordingly, body sensations are invaluable focal points for EMDR
processing. The clear body scan is a fundamental criterion used to determine the
completion of a treatment protocol. Significant somatic involvement in EMDR is also
demonstrated by the use of hand tapping as an alternative to eye movements as a method
of bi-hemispheric activation.
Keywords: Body Processing Somatic Experience
Accuracy Verified: Yes
69. Rothschild, B. (2003). The body remembers casebook: Unifying methods and models in the treatment of trauma and PTSD (1st ed). New York: W.W. Norton.
Language: English
Format: Book
Abstract:
This is the first book of its kind to advocate utilizing and combining an assortment of trauma treatment models. Based on ideas put forward in the bestselling The Body Remembers, Babette Rothschild emphasizes the importance of tailoring every trauma therapy to the particular needs of each individual client. A breath of fresh air in the competitive "mine is best" atmosphere currently so divisive in the field of trauma therapy, each varied and complex case (presented in a variety of writing styles: case reports, session-by-session narratives, single session transcripts) is approached with a combination of methods ranging from traditional psychodynamic approaches and applications of attachment theory to innovative trauma methods including EMDR and Levine's SIBAM model. Read on its own on or in conjunction with The Body Remembers, clinicians from all disciplines will discover new strategies and gain insight into how to combine various treatment models for increased success with traumatized clients.
Keywords: Body Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
70. Herbert, C. (2009, June). Body staging as a method for safely assessing and working with dissociated material in severe complex trauma and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Body Staging Complex Trauma DID Dissociative Identity Disorder
Accuracy Verified: Yes
71. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.
Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation
Accuracy Verified: Yes
72. Reitz, S. (2008, September). Body-memories: A potential healing obstacle in trauma therapeutical and EMDR - Processes and a re-traumatization risk regarding body-based psychotherapies and other body work therapies. In H. Kanitschar (Chair), Trauma and Hypnosis. Symposium presented at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.
Language: English
Format: Conference
Keywords: Body-Based Therapies Re-Traumatization Risk Symposium Trauma
Accuracy Verified: Yes
73. Phillips, M. (2007, September). Bottom-up processing: Working with the body through energy psychology. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.
Language: English
Format: Conference
Keywords: Bottom-Up Processing Protocol
Accuracy Verified: Yes
74. Shreeve, J. (1995, May 1). The brain that misplaced its body. Discover.
Language: English
Format: Magazine
Accuracy Verified: Yes
75. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.
Keywords: Body Resource CIPOS Position of Power Power Animal
Accuracy Verified: Yes
76. Laliotis, D. (2009, August). Building on the basics: An EMDR refresher course. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This course is for EMDR therapists who would like to deepen their understanding of EMDR principles, protocols and procedures. Whether you feel the need for a review because you haven’t been using EMDR recently or you would like to enhance your active EMDR practice, this course is for you. From the three-pronged approach to applications of resource installation and cognitive interweave, you will come away from this course more confident in your ability to integrate EMDR into your clinical practice. You will see videotapes of real cases and will have an opportunity to discuss, in depth, case conceptualization and treatment planning issues and how to incorporate the informational plateaus of responsibility, safety and choices throughout the course of treatment. We will also address the unique demands of being an EMDR therapist and how to successfully navigate the inherent challenges of a powerful and effective psychotherapy approach.
Accuracy Verified: Yes
77. Parnell, L. (1995). The case of a sexually abused woman re-entering her body after a cognitive interweave. EMDR Network Newsletter, 5(1), 9.
Language: English
Format: Newsletter
Abstract:
I was working with a woman who
had been repeatedly molested by her
teenage brother when she was very
young. As we reached the end of the
session, she was aware that as a child,
she left her body so he could not hurt
her. Although she believed that it
was not safe to be in her body, she did
feel safe and secure outside of her
body looking down on things. I suggested to
her that, "It wasn't safe to be in your body then, but it is now." She
agreed, and we did another set of eye
movements. At the end of that setshe
exclaimed, "I can feel myself in my
body for the first time! I never knew
I wasn't in my body before." She kept
saying how strange it felt to be in her
body. She was so surprised! It was
like she had been living hovering outside
of her body since she was a child
without being aware of it, and suddenly
had popped back into it.
Keywords: Cognitive Interweave Sexual Abuse
Accuracy Verified: Yes
78. Seubert, A. (2009, April 18). The case of mistaken identity: EMDR and ego state therapy in the treatment of eating disorders. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .
Language: English
Format: Conference
Abstract:
This workshop uses the EMDR eight-phase model to provide an overview for treatment of people with eating disorders. The preparation phase highlights a 4-step method of teaching emotional competence, and the use of ego state therapy to free the Self from an identity with the disordered part(s). Preparation and processing both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events.
Keywords: Eating Disorders Ego State Therapy
Accuracy Verified: Yes
79. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Attachment
and Ego States in the treatment of eating disorders is a
120 minute program, which introduces participants to
1. the kind of history taking, medical attention and goal establishment
unique to clients with eating disorders,
2, the extensive preparation, which includes emotional expertise
and somatic awareness,
3. the inevitable presence of dissociation and the use of ego state
therapy to access the source of the eating disordered addiction,
4, the need for attachment repair and
5, slight modifications to trauma processing given emotional
fragility and the tendency to return to the disorder. even after
extensive preparation. The modifications entail
A. a return to attachment/reparenting work, even during phases
3-6, a5 a way to 'pendulate' between the traumata and resources,
B. the use of dissociation strategies, e.g., having the eating disordered
part look through the eyes with the client, and
C. titrating the target memories.
THE CASE OF MISTAKEN IDENTITY employs an EMDR phase
model, which includes an evaluation phase, focusing on medical
safety, case formulation and mutual goal creation. In the preparation
phase, participants will learn a4-step method of teaching
emotional competence, and the use of ego state therapy to free
the self from identity with the disordered part&), and strategies
for attachment repair. Preparation and Processing phases both
require body awareness and acceptance, as well as the ability to
titrate released disturbance and re-stabilize (Re-evaluation) after
EMDR application to touchstone events. Video clips, case studies
and case reviews will reinforce learning.
Learning objectives:
1 Participants will describe the trauma-based purpose for dissociation
in eating disorders,
2 will describe the practice of awareness and four steps to
emotional competence.
3. will name two ego-state strategies methods in identifying
and collaborating with ego states,
4. two attachment repair methods, and
5. describe two minor adaptations to the processing phase.
WHAT IS NEW: Eating disorder treatment often recognizes, but
rarely offers treatment solutions, to the traumatic origins of an
eating disorder. This fact, coupled with a lack of awareness of
the role of attachment injury and dissociation, renders many
of the contemporary approaches to eating disorder treatment
incomplete and often ineffective.
Keywords: Attachment, Eating Disorders Ego States
Accuracy Verified: Yes
80. Seubert, A. (2010, April/May). The case of mistaken identity: EMDR, ego states and attachment in the treatment of eating disorders. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
In this workshop the presenter explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach described employs an EMDR phase model, with expanded evaluation and preparation phases. The extended preparation discussed includes a 4-step method of teaching emotional competence, an introduction to body awareness, and the use of ego state therapy with the disordered part(s). Processing typically requires attachment repair, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.
Keywords: Attachment Eating Disorders Ego States
Accuracy Verified: Yes
81. Seubert, A. (2009, August). The case of mistaken identity: EMDR, ego-states and eating disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, as well as the use of Ego-State Therapy with the disordered part(s). Processing requires body awareness, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.
Keywords: Eating Disorders Ego States
Accuracy Verified: Yes
82. Bodian, S. (1995). A case of past-life interweave. EMDR Network Newsletter, 5(2), 3-4.
Language: English
Format: Newsletter
Abstract:
Although I spent 10 years as a Buddhist monk and meditation teacher before becoming a therapist, I have always considered myself an agnostic on the issue of reincarnation. So it was much to my surprise, and without any prompting on my Part, that one of my clients recently had a past-life experience during an EMDR session and
then spontaneously wove the experience into the reprocessing of a childhood memory.
Keywords: Past Life Interweave
Accuracy Verified: Yes
83. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.
Language: English
Format: Journal
Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]
Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession
Accuracy Verified: Yes
84. van Eijk, M (2009). Casus 21 – Het geheugen van het lichaam: Stigmata en lichaamsreacties bij vrouw met ernstig ziekenhuistrauma [Case 21 - The memory of the body: Stigmata and body responses in a woman with a severe trauma from her hospitalization]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 289-299). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_30 .
Language: Dutch
Format: Book Section
Abstract:
Karin is een 42-jarige, hoogopgeleide vrouw, werkzaam als zelfstandig gevestigd adviseur en samenwonend. Ze omschrijft zichzelf als een persoon die de neiging heeft veel te denken en overzicht te zoeken; als iemand die geleerd heeft omcontrole te vinden en te houden.
Karin is a 42-year-old, highly educated woman, working as an independent consultant based and living together. She describes herself as a person who tends to think a lot of searching and review, as someone who has learned to find and keep omcontrole.
Keywords: Body Response Hospitalization Stigmata Trauma Women
Accuracy Verified: Yes
85. van Trier, J. (2009). Casus 3 – Speelbal van…mijn emoties: Een eetstoornis na een verkrachting op lbiza: een onverwachte wending [Case 3 - Plaything of my emotions ...: An eating disorder after a rape at lbiza: An unexpected turn in the treatment]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktij (1st Ed.), (pp. 75-84.) Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_7.
Language: Dutch
Format: Book Section
Abstract:
Caroline is 23 jaar als ze zich op onze afdeling Eetstoornissen aanmeldt. Ze heeft dan sinds een jaar last van vreetbuien en braken en is 10 kilo aangekomen. Ze wil geholpen worden voor haar eetstoornis. Bij de intake vertelt ze dat de eetstoornis begonnen is nadat ze met een vriendin op vakantie was geweest naar Ibiza. Ze is daar verkracht. Sindsdien heeft ze in toenemende mate concentratieproblemen, herbelevingen en nachtmerries. Na een nachtmerrie wordt ze wakker en moet ze braken. Ze ontwikkelt eetbuien en meldt zich aan bij een psychotherapeut. De eetstoornis wordt echter gecompliceerd door suikerziekte. Door het onregelmatige eetpatroon raakt de suikerziekte ontregeld en is een klinische behandeling in ons ziekenhuis nodig. Op het moment van aanmelding heeft ze vrijwel dagelijks eetbuien, die ze naderhand weer probeert te compenseren met zelf opgewekt braken. Ze heeft – in tegenstelling tot veel andere eetstoorniscliënten – niet een reeds lang bestaande negatieve lichaamsbeleving. Wel is ze negatief over haar lichaam sinds de verkrachting en de 10 kg die zij sindsdien is aangekomen. Omdat ze niet meer in staat is haar werkzaamheden als verkoopster in een kledingzaak uit te voeren en suikerziekte heeft, wordt Caroline toegelaten tot het intensieve eetstoornisprogramma (dat wil zeggen vijf dagen per week, gedurende ongeveer vier maanden).
Caroline is 23 years when they log on Eating Disorders in our department. She has been one year suffer from binge eating and vomiting and 10 kilos. She wants help for her eating disorder. At the intake tells them that the eating disorder began after a friend had been on holiday to Ibiza. She was raped there. Since then she has increasingly difficulty concentrating, flashbacks and nightmares. After a nightmare and she wakes up she has vomiting. It develops bingeing and logging on to a psychotherapist. However, the eating disorder is complicated by diabetes. By the irregular eating habits hits the diabetes is a disorganized and clinical treatment in our hospital required. At the time of registration she has almost daily binge, which they subsequently re trying to compensate with self-induced vomiting. She - unlike many other eating disorder clients - not a long-standing negative body image. However, they are negative about her body since the rape and 10 kg it has since arrived. Because they are no longer able to fulfill its work as a saleswoman in a clothing store to perform and diabetes, Caroline is admitted to the intensive eating disorder program (ie, five days a week for about four months).
Keywords: Eating Disorders Rape
Accuracy Verified: Yes
86. Greenwald, R. (2001, December). Celia’s capsule and Robin’s two hands. EMDRIA Newsletter, 6(Special Edition), 18-20.
Language: English
Format: Newsletter
Abstract:
This past year, I've learned of two EMDR-related interventions which I've wanted to try and work into my repertoire. I have been aware of Robin Shapiro's "Two Hand Interweave" technique (Shapiro, 2000, in this issue) for some times, and have had good luck with in on several occasions. Basically this entails holding one side of a conflict in each hand and concentrating on that while doing eye movements. This seems to engage the body and mind in a unique manner, which is within the reach of clinicians who may not feel comfortable with more dramatic movement therapy formats. More recently I learned of Celia Naccarato's "Capsule" intervention (Naccarato, 2000, in this issue), a cross between an interweave and guided visualization. The indication for this intervention is physical pain, which arises during EMDR and then does not resolve. It entails putting herself in a capsule, swallowing the capsule, and then inside the capsule going to the site of the pain. Once there, she is asked to describe what she sees, and then what she wants to do about it. Then she does it. The intervention ends when the client has come back out and returned to normal size.
Keywords: Capsule Two-Hand Interweave
Accuracy Verified: Yes
87. Flint, G. (1994). A chaos model of the brain applied to EMDR. Psychoscience, 1(2), 119-130.
Language: English
Format: Journal
Abstract:
Eye movement Desensitization and Reprocessing (EMDR) is a treatment phenomena that has yet to be adequately explained. This is a procedure that usually obtains rapid cognitive and/or perceptual changes of remembered trauma. A chaos model of the process of the olfactory system was extrapolated to a theory for the whole brain process. The interesting results provided an explanation of EMDR and other treatment phenomena. The key elements of the theory are that experience changes behavior, small stimuli evoke massive responses and change takes place in active body experience. Case studies are presented that demonstrate the application of the theory.
Keywords: Chaos Model
Accuracy Verified: Yes
88. Helen. (2011, February). Child abuse and voice hearing: Finding healing through EMDR. Psychosis, 3(1), 90-95 doi:10.1080/17522439.2010.542827.
Language: English
Format: Journal
Abstract:
Public education campaigns are needed to proclaim the right of children to be safe in their own homes and to encourage both abusers and victims to seek help. Broad-based discussion of this problem, its causes, its consequences and its remedies, would help lift the veil of secrecy and shame that surrounds the topic of sexual abuse within the family, preventing many individuals from seeking assistance. We therefore urge that all means, including the media, be used to raise public awareness about the need to end the sexual abuse of children, particularly within the family. (Rights of The Child: Sexual abuse of children within the family. Statement submitted by the Baha’i International Community to the Economic and Social Council of the United Nations, February 1998). (PsycINFO Database Record (c) 2011 APA, all rights reserved)
Keywords: Child Abuse Voice Hearing
Accuracy Verified: Yes
89. 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
90. The Australian Psychological Society (2010, August). Clarification of evidence base for eye movement desensitisation and reprocessing (EMDR). InPsych Bulletin .
Language: English
Format: Magazine
Abstract:
In the June edition of InPsych, an article summarising a recent APS review of evidence-based psychological interventions for mental health disorders did not sufficiently highlight the high level of evidence for the effectiveness of Eye Movement Desensitisation and Reprocessing (EMDR) in the treatment of posttraumatic stress disorder (PTSD). In particular, a summary table of psychological interventions with the highest level of research evidence (according to National Health and Medical Research Council criteria) should have prominently presented EMDR for the treatment of PTSD in the body of the table. As EMDR had not been systematically included in the review of psychological interventions, a footnote to the table stated the high level of efficacy of EMDR for PTSD. This oversight has been corrected in the online version of the InPsych article (www.psychology.org.au/publications/inpsych/2010/june/murphy/#s3) and a summary of the research evidence for EMDR from 19 randomised controlled trials will be included in a revision of the full evidence-based psychological interventions review document.
Keywords: Evidence Base
Accuracy Verified: No
91. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract]
Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]
Keywords: Adults Neglect Sexual Abuse Survivors
Accuracy Verified: Yes
92. Dworkin, M. (2005, September). Clinican strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address clinician issues with clients who
are challenging to work with both before and during an EMDR session. Participants will develop greater awareness of these moments and learn strategies to overcome
potential moments of misattunements. These strategies will include parts of the
Procedural Steps Outline in preparation for anticipated problems; applied RDI
strategies for compartmentalizing activated clinician state dependent moments in session; and using a variation of a cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent collaborative communication. "The Clinician Self Awareness Questionnaire"
will be introduced as a method of enhancing these awarenesses. Participants are
invited to bring their most challenging cases to work on.
Keywords: Challenging Client Clinician Self Awareness Questionnaire Countertransference Trauma Treatment
Accuracy Verified: Yes
93. Dworkin, M. (2009). The clinician awareness questionnaire in EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 401-408). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Whenever an EMDR treatment session becomes problematic, consider this self-administered instrument when reflecting on this session. EMDR consultants can also use this measure in their consulting groups to assist consultees in understanding when work with clients have an impact on the clinician. The purpose of using the Clinician Awareness Questionnaire includes the following: (1) To assist in raising awareness of what may be triggering the clinician; (2) To assess what may be coming from the clinician and what may be coming from the client; and (3) To develop EMDR Relational Strategies. Different problems can arise in different phases of the protocol. Sometimes, problems for the clinician may occur in Phase 1 when a client shares information that evokes negative arousal; or Phase 2 when the client has trouble understanding the elements of preparation or wants to get going processing trauma prematurely and the clinician has a negative response; or Phase 3 when there is a problem structuring the Assessment piece. Sometimes, client information may not evoke negative arousal in the clinician until Phase 4 when the client is actively processing. Often times, the clinician's triggers are from old memories. These memories may be explicit; at other times, implicit (somatosensory). As clinicians begin to notice these moments in themselves, they may aid themselves and their clients in continuing productive processing by using the Clinician Awareness Questionnaire. The Clinican Awareness Questionnaire Script is provided. [PsycINFO Database]
Keywords: Clinician Awareness Questionnaire Protocol
Accuracy Verified: Yes
94. Dworkin, M. (2009). The clinician self-awareness questionnaire in EMDR. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 617-624). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Questionnaire Protocol Self-Awareness
Accuracy Verified: Yes
95. Capps, F. (2006, January). Combining eye movement desensitization and reprocessing with Gestalt techniques in couples counseling. Family Journal, 14(1), 49-58. doi:10.1177/1066480705282055 .
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is gaining acceptance as efficacious treatment for PTSD for individuals but not for couples. This article reports three case studies of couples in which EMDR is combined with Gestalt therapy in a single session to resolve relational trauma effects, increase empathy and awareness in the supportive partner, and deepen intimacy within the couple. Case studies are described, and implications for research and clinical applications are discussed. [Author Abstract]
Keywords: Adults Americans Couples Therapy Family Therapy Gestalt Therapy Nonclinical Case Study Qualitative Study Perpetrators Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Spouse Abuse Survivors Trauma
Accuracy Verified: Yes
96. Hogan, W. A. (2001, August). The comparative effects of eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) in the treatment of depression. Indiana State University, Terre Haute, IN. AAT 3004753.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a unique, short-term therapy shown to be effective in the treatment of Posttraumatic Stress Disorder (PTSD). Application of EMDR to the treatment of depression was considered based upon the relationship between negative life experience and symptom onset, a pattern common to both PTSD and depression. Evaluation of the efficacy of EMDR in the treatment of depression was accomplished via a comparison with cognitive behavioral therapy (CBT). Because EMDR has been shown to be effective in the treatment of PTSD, the impact of EMDR and CBT upon symptoms comorbid to depression was investigated. EMDR was also compared to CBT assessing the participants' satisfaction. The participants, 15 per treatment group, received either one session of EMDR or cognitive behavioral therapy within the first four sessions. Pre and posttreatment assessment utilized two standardized instruments evaluating self-report of depressive and global symptoms. Participant satisfaction was assessed using a rating scale at posttreatment. Both treatment groups reported significant reductions in depressive symptoms and global symptoms. There were no statistical differences between groups on the symptom measures at posttreatment. Four participants in the EMDR group reported near complete remission of depressive symptoms and large reductions in global symptoms. No participants in the CBT group exhibited this pattern of symptom reduction. Regarding participant satisfaction, participants perceived EMDR to be less negative than CBT primarily due to the increased awareness of negative thoughts common to cognitive behavioral therapy but not experienced in EMDR treatment. The similarity in symptom reduction reported for both groups suggested the undue influence of non-specific treatment effects. The marked remission of symptoms reported by the four participants in the EMDR group parallels the symptom reductions noted in EMDR studies of PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(2-B), Aug 2001, pp. 1082.
Keywords: Comorbidity CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Empirical Study Major Depression Treatment
Accuracy Verified: Yes
97. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
It will be shown how to get into touch and how to work with traumatic and
somatic ego-states by simultaneously activating resourceful ego-states in mind and
body. The work will be resource integrating from top to bottom. In the body it will be
from bottom to top.
Two different experiential protocols will be given and respective videos will be shown:
the resource integrating protocol and the bottom-up protocol
The neurological background of balancing work with traumatic memories and
resources will be discussed. It lies in promoting effective and permanent links
between the neuronal trauma network and one or more corresponding resource
networks. The integration of resources can greatly accelerate processing. It is
imperative, however, that the use of these resources is not random, rather orients
itself to the specific needs of the client at that specific point in time with attention
given to how much resource or trauma is activated.
Participants will be informed about the impact of complex trauma in mind and body.
They will learn how to apply EMDR combined with Claire Frederick's and Maggie
Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic
Experiencing. By those means complex traumatized clients are enabled to broaden
their windows of tolerance.
Participants will be able to supply their clients with a powerful tool for self healing.
Se mostrará cómo ponerse en contacto y trabajar con los estados del yo
traumático y somático mediante la activación simultánea de estados del yo
recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde
arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba.
Se darán dos protocolos experienciales distintos y se presentarán vídeos
pertinentes de los protocolos respectivos: el protocolo de la integración de
recursos y el protocolo desde abajo hacia arriba.
Se hablará de los antecedentes neurológicos del trabajo de equilibrio con
recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y
permanentes entre la red neuronal del trauma y una o más de las redes de
recursos correspondientes. La integración de recursos puede acelerar en gran
medida el procesamiento. Sin embargo, es imperativo que el empleo de estos
recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del
cliente en ese momento concreto con atención prestada a la cantidad de recursos o
el trauma activado.
Se les informará a los participantes sobre el impacto que tiene el trauma complejo
en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la
“imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al
“Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos
medios los clientes con trauma complejo son capaces de ampliar sus ventanas de
tolerancia.
Los participantes podrán ofrecer a sus clientes con una herramienta potente para
la auto-curación.
Accuracy Verified: Yes
98. 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
99. Lister, D. (2003, March). Correcting the cognitive map with EMDR: A possible neurobiological mechanism. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
The experience of life is commonly likened to a journey through a landscape. This cannot
be an accident; it must be based on neurobiological activity in the brain. If one is
fortunate the journey is made through a pleasant landscape, with occasional mild
adventures to vary the monotony. Travelling is an ancient evolutionary feature of all
animals, and all animal brains have developed fairly uniform methods of recording the
body's motion through the environment, in different degrees of complexity (O'Keefe &
Nadel, 1978; Stickgold, 2002). Occasionally, a traumatic disaster upsets an otherwise
placid journey.
Keywords: Neurological
Accuracy Verified: Yes
100. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3-14.
Language: English
Format: Magazine
Abstract:
EMDR: Is Psychiatry Missing the Boat? (point)
EMDR in Treating PTSD (counterpoint)
This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
101. Seubert, A. (2007, June). The courage to feel: The power of emotional competency within the EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Much of affect education is focused on managing and tolerating emotions. What is missing on the in this is an emphasis on the positive reasons for having feelings and how they work (objective #1). We need to be able to sell our clients on the importance of emotional expertise and honesty if they are to heal. They need to develop the courage to feel, but won’t do this if feelings don’t make sense.
Because the emotional journey cuts through what is foreign territory for many of our clients, there is also a need for a map, a hands-on practical guide that clients can refer to when learning how to do this “feeling things.” For this I have developed the Four Steps to emotional competence, very teachable and very learnable (Objective #2).
Specific skills are needed to implement the Four Steps. These include the practice of awareness (the sine qua non of any therapy), breath work, visualizations, resource development and anchoring, grounding techniques, trance busters and the L.I.D.S. strategy for managing strong feelings(Objective #3). Many of these will be practiced during the workshop.
Finally, it is important for the therapist to have a trauma treatment phase model in mind in order to know where this affect education fits in and when it may need to be revisited (Objective #4). The use of EMDR to reinforce learning will be demonstrated and/or practiced during the learning of the seven skills (Objective #5).
Accuracy Verified: Yes
102. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
103. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy
techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach
to assist children in identifying EMDR targets as
well as to provide an opportunity for containment.
Safe place, as well as other types of resource
development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By
using stones and metaphors, children can also
maintain emotional distance from their own
struggles. One of the main goals of this workshop
is to help clinicians learn to communicate more
effectively with children by using metaphors, stones and play. How to talk to children about EMDR and
how to prepare children for the outcome of EMDR
will be addressed. By making the process more
predictable, the likelihood of children stopping the
process when they experience the difficult feelings
associated with the trauma might be minimized.
Participants will also learn to use creative, fun and
playful ways to assist children in understanding and using the measure scales of the EMDR protocol
(SUDS and VOC).
Keywords: Children Metaphors Play Therapy Storytelling Targets
Accuracy Verified: Yes
104. Spierings, J. J. (2008, June). Creative cognitive interweaves with EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients, we can hardly expect EMDR-processing to go
smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients
process their traumatic material. A more active approach is called for to bring traumaresolution.
In EMDR this type of intervening is called ‘(cognitive) interweaving’. The
therapist may need to intervene on the process level with process interweaves, in
order to keep the client within his window of (affect) tolerance. Or the therapist has to
intervene on the content level with content interweaves; when the client gets stuck in
a specific problem he is unable to solve with the information he has available. In this
workshop the participant learns to use process interweaves to modulate the arousal
level of the client. In addition to this a toolkit of useful content interweaves is
presented, cognitive and non-cognitive, e.g. sensory, physical, and religious
interweaves. Metaphors for all kinds of blocks, bits and pieces of psycho-education for
specific stuck points, unorthodox, creative or hilarious interweaves to get round
resistance, and interweaves to bring reconciliation and forgiveness.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
105. Holden, S. (2011, October). A creative look at cognitive interweaves. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
Process Oriented Psychology’s founder, Arnold Mindell developed a therapeutic style assuming that everything that happens is meaningful and that the seed of the solution to a disturbance or problem lies within the problem itself.
I will illustrate ways in which subtle signals from unintended, yet meaningful behaviours in EMDR can be woven back into a client’s awareness, and with the help of a little amplification, can provide a Creative Interweave, that helps to move the client on when processing is blocked.
(Author abstract)
Keywords: Cognitive Interweave
Accuracy Verified: Yes
106. Gomez, A. M. (2007, September). Creative ways of administering the EMDR protocol with children. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will provide a comprehensive body of knowledge and advanced techniques so EMDR clinicians can effectively implement the EMDR protocol with children. Participants will learn strategies to make children acquainted with the different components of the EMDR protocol, as well as the use of sand tray techniques to assist children during the EMDR assessment and desensitization phases. Special attention will be placed on how and when to use the cognitive interweave with children. Different types of cognitive interweaves that are more suitable for children will be presented. Additionally, this workshop will address how to work on the future template with children using play therapy and creative strategies.
Keywords: Children
Accuracy Verified: Yes
107. Lv, Q. (2010, July). Crisis intervention and trauma therapy in China. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
We reviewed the development of crisis intervention and trauma therapy in China since 1980s.
During the past three decades, there is a gradual increase of concern and awareness among different level of Chinese
government and the society for the need of human-focused disaster intervention.
The Chinese crisis intervention and trauma therapy team’s experiences and studies have supported the fact that prompt and
adequate intervention will significantly reduce the negative effect of disaster or trauma.
It’s essential to develop the crisis intervention and trauma therapy teams systematically at different sites of the country to
provide emergency intervention service at local areas.
Formal and special training are needed to provide to all health and rescue-related workers involved in the disaster. This is
based on the fact that immediate care and intervention require a large number of trained staff after disaster.
Finally, it ‘s essential to study and improve the culturally suitable crisis intervention programs and trauma therapy.
Keywords: China Crisis Intervention
Accuracy Verified: Yes
108. Arazi, D. (2008). Cuerpo, trauma y EMDR [Body, trauma, and EMDR]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp.65-76). Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract:
No abstract available.
Accuracy Verified: Yes
109. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders.
The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and
screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR
therapist should be prepared to manage.
Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment
guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves.
A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with
histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the
reduction of distress for events or experiences already known.
Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions.
The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between
50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred
including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in
treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to
the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and
that as research in this population continues, strategies for overcoming problem areas can be developed.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
110. Zangwill, W. M. (1997, July). The dance of the cognitive interweave. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract: S
hapiro has often stated that the basic EMDR protocols will work
with many clients roughly 30% to 50% of the time. The rest of the
time, clinicians have to "jump start" the process. One of the most
effective tools to do this is the cognitive interweave. Yet, it is also
one of the least understood and used. While the Level Two trainings
have recently increased their emphasis on the use of the interweave,
many clinicians still feel uncomfortable with both the concept and
implementation of the cognitive interweave.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
111. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.
Language: German
Format: Conference
Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und
emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese
richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3,
und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen.
Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen
Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender,
emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese
Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung
für die erfolgreiche und effiziente Anwendung von EMDR dar.
Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr
häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen,
dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a.
durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann.
In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen
EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner
Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August
2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht.
Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals
klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und
den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das
Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt.
Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die
TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐
Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen.
Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit
EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden.
Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop
soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven
eröffnen helfen.
Experience shows that successful work often with EMDR significantly taken from and
emotionally meaningful choice of cognition depends. But experience shows also that these
Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3,
and not only for beginners but also for experienced EMDR therapists.
This especially when the focus of the work of non-traumatic on clearly defined classical
Individual events, but on complex, early-life subjects. Working out of profound,
emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This
Situation often creates uncertainty among clients and therapists and offers a challenge
represents for the successful and efficient use of EMDR
Meanwhile, it has been worked into the binding and trauma research that very early interference
often have a dissociative structure among those affected the result. We must therefore assume
that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3
may be manifested by problems with the development of cognition.
In recent years I have developed the dialogue EMDR protocol, how to deal with such complex
EMDR situations in phase 3 easier. In October 2009, a short version of my
Work on this specific EMDR protocol in German newsletter published EMDR and in August
2011 an English translation of the EMDR Journal for Research & Practice is published.
The workshop on the one hand the importance of cognition in the successful EMDR should work again
and clarify the related theoretical principles from neurobiology, attachment theory and
summarize the theories of Structural Dissociation and ego state theory. Then, the
Dialog protocol described in detail and illustrated using case studies in practical applications.
A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The
By means of concrete examples to own participants, phase 3 of the dialogue with application-
Exercise protocol in order for the practice to bring a hands-on experience based on personal experience.
This involves having to capturing phase 3 to the VOC, not a complete self-awareness
EMDR. It is the emotional relevance of coherent and profound cognition can be experienced.
If it is the time frame allowed to own cases are presented for discussion. The workshop
should enable a collegial discussion of issues in application of EMDR and new perspectives
help open up.
Keywords: Cognitions Dialogue Protocol
Accuracy Verified: Yes
112. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
113. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
114. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
115. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
116. Kiessling, R. (2009, August). Demystifying the cognitive interweave. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Frequently, clinicians perceive that the cognitive interweave stems from either a well-constructed table of ‘cause and effect’ criteria or is magically ‘conjured’ up by a wizardry clinician. This practical, down-to-earth, basic workshops will ‘demystify’ the cognitive interweave for all clinicians who have completed the Basic Training. Participants will understand the cognitive interweave and how it seamlessly integrates into the AIP model, how preparing for the cognitive interweave begins at intake and continues to develop throughout the client’s reprocessing, and how to utilize their own clinical ‘wizardry’ skills ‘on-the-fly’ when needed to assist clients in successfully reprocessing their traumatic experiences.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
117. Shapiro, F., & Mousnier-Lompré, F. (2005). Des yeux pour guérir: EMDR: La thérapie pour surmonter l’angoisse, le stress et les traumatisms [Eye to heal: EMDR: Therapy for overcoming anxiety, stress and trauma]. Paris: Seuil.
Language: French
Format: Book
Abstract:
Tout le monde connaît désormais la thérapie introduite en France par David Servan-Schreiber dans son livre Guérir. Cette nouvelle thérapie appelée EMDR (Eye Movement Desensitization & Reprocessing) consiste pour l'essentiel à refaire vivre au patient victime d'un événement traumatique la scène terrible qui est à l'origine
de sa souffrance, en lui faisant faire des mouvements oculaires provoquant une diminution progressive du stress. Les résultats sont incontestables, mais la raison des progrès enregistrés reste énigmatique. Peut-être s'agit-il d'une reconstruction ce la mémoire profonde du même ordre que celle qui se produit dans le sommeil
paradoxal (où le dormeur connaît des mouvements
oculaires analogues). Cette thérapie a été fondée par Francine Shapiro, du célèbre institut de Palo Alto. Ce livre fondateur raconte l'origine de sa découverte, donne des interprétations scientifiques possibles et surtout décrit de nombreux cas exemplaires où cette thérapie s'est révélée efficace.
Il est de ce fait très poignant. On y rencontre une femme ayant perdu son fils de huit ans dans un accident de train et accablée par l'image terrifiante du corps disloqué de l'enfant, des anciens combattants du Vietnam hantés par les images terribles de la guerre, des victimes de viol... Et surtout on y voit comment ces personnes,
emprisonnées dans leur souffrance, ont pu s'en affranchir et retrouver un équilibre psychologique.
Everyone now knows the therapy introduced in France by David Servan-Schreiber in his book Healing. This new therapy called EMDR (Eye Movement Desensitizer & Reprocessing) is essentially to re live the patient suffered a traumatic event the terrible scene which is at the origin
In his pain, making him make eye movements causing a gradual decrease of stress. The results are undeniable, but the reason of progress remains enigmatic. Perhaps it is a reconstruction of the deep memory similar to that which occurs in sleep
REM (where the sleeper knows movements
eye like). The therapy was founded by Francine Shapiro, the renowned institute Palo Alto. This seminal book describes the origin of his discovery, provides interpretations possible scientific and especially describes many exemplary cases where this therapy has proven effective.
It is therefore very poignant. We meet a woman who lost her eight year old son in a train accident and overwhelmed by the terrifying image of the broken body of the child, the Vietnam veterans haunted by the terrible images of war, victims of rape ... And especially we see how these people
trapped in their suffering, have overcome them and regain a psychological equilibrium.
Keywords: Anxiety, General Overview Stress Trauma
Accuracy Verified: Yes
118. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.
The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
119. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
120. Lidov, C. (2009). Desensitizing desire : Nonverbal memory and body sensations in the EMDR treatment of eating disorders. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 183-192). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Body Sensations Eating Disorders Nonverbal Memories
Accuracy Verified: Yes
121. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.
Language: Serbian
Format: Conference
Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama.
Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.
Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people.
When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.
Keywords: Doţ ivjeli Preţ ivjela
Accuracy Verified: Yes
122. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998)
EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw.
Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen.
EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999)
Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994).
EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000)
EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).
That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).
Keywords: Chronic Pain Chronic Pain Protocol Protocol
Accuracy Verified: Yes
123. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.
Language: English
Format: Conference
Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma-
Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja
schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie.
Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C.
Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld.
Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den
Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig
nicht ausreicht.
In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, &
Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare
Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig
konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren.
Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk.
Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr
achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur
bestätigen.
It is with great pleasure that I can highlight to the world's leading specialist in trauma-
Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes
for many years as one of the best and most experienced specialists of the ego-state therapy.
Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C.
Frederick) is considered one of the most authoritative works in this field.
As one of the first experts worldwide, it also repeatedly pointed out that especially for the
Multiple range post-traumatic and dissociative disorders, access to a method frequently
is not sufficient.
In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, &
Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful
Ability to express different concepts in a very effective and flexible and in complete
to integrate consistent overall model of intervention for these difficult tasks.
Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece.
Anyone who has worked with her before, or could they experience in their work, may their very large
respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only
. Confirm
Keywords: Ego State Therapy Energy Psychology
Accuracy Verified: Yes
124. Rost, C. & Novy, M. (2008). Die rolle des korpers in der traumaterapie - Der korper als ressource in EMDR [The role of the body in the traumaterapie - The body as a resource in EMDR]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp. 39-51) Paderborn: Junfermann.
Language: German
Format: Book Section
Keywords: Body
Accuracy Verified: Yes
125. Baardseth, T. P. (2012, May). Direct comparisons of cognitive-behavioral treatments and bona fide non-cognitive-behavioral treatments for adult anxiety disorders: A meta-analysis. University of Wisconsin, Madison, WI.
Language: English
Format: Dissertation/Thesis
Abstract:
Despite growing evidence that all treatments intended to be therapeutic (i.e., bona fide
treatments) are equally efficacious, the question of relative efficacy persists. In fact, cognitivebehavioral
treatments (CBT) have gained a more favorable status over non-CBT treatments for
adult anxiety disorders. However, the assertion that CBT treatments are superior is premature
due to conceptual and methodological issues affecting the extant CBT research. This metaanalysis
addressed these limitations by consensually identifying CBT treatments and determining
the true relative efficacy of bona fide CBT and bona fide non-CBT treatments for adult anxiety
disorders. The study employed strict inclusion criteria to identify randomized clinical trials that
contained at least one direct comparison of a bona fide CBT treatment and a bona fide non-CBT
treatment. Additionally, 91 CBT experts from the Association of Behavioral and Cognitive
Therapists (ABCT) were surveyed to identify the bona fide treatments as CBT or non-CBT.
Thirteen clinical trials met inclusion criteria. CBT treatments and non-CBT treatments were
found to be equally efficacious across targeted and non-targeted outcome measures. Additional
analyses revealed that researcher allegiance did not account for the significant heterogeneity. The
results are consistent with the increasing evidence for uniform efficacy among treatments
intended to be therapeutic, and stand in contrast to assertions for the superiority of CBT
treatments for adult anxiety. This meta-analysis contributes to the growing body of research
revealing that a particular therapeutic approach is not more effective than another treatment
when intended to be therapeutic.
Keywords: Adults Anxiety Disorders Meta-Analysis
Accuracy Verified: Yes
126. Lanius, U. F. (2001, June). Dissociation processes and EMDR: Staying connected. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular; 2) apply effective treatment planning, target selection, and the use of both body-oriented (bottom-up processing); 3) learn to utilize interventions intended to minimize dissociative symptoms; and 4) learn techniques that aid clients in becoming reconnected, once dissociative processes have occurred.
Keywords: Dissociation
Accuracy Verified: Yes
127. Scaer, R. (2006, September). Dissociation theory and the healing of trauma. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The early studies of trauma in late 19th century Paris
centered on the clinical phenomenon of conversion
hysteria, a dissociative disorder. Janet and Freud
wrote extensively on this topic, and actually
described many of the posttraumatic syndromes that
we are revisiting today. I will make the case that the
late syndromes of Posttraumatic Stress Disorder,
especially dissociation, are clearly the defining
symptomatic and physiological manifestations of
trauma. These syndromes all have prominent
somatic features, all of which represent posttraumatic
sornatosensory implicit memory. This unconscious,
body-based feature of the posttraumatic syndrome
presents a compelling case for the universal
application of somatically-based therapies such as
EMDR in the healing of trauma.
Keywords: Dissociation Plenary
Accuracy Verified: Yes
128. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.
Keywords: Derealization Depersonalization Dissociation
Accuracy Verified: Yes
129. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.
Language: English
Format: Newsletter
Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.
Keywords: Dissociation
Accuracy Verified: Yes
130. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.
Keywords: DID Dissociative Identity Disorder Distal-Proximal Process Interweave Sexual Trauma
Accuracy Verified: Yes
131. Spoormaker, V. I., & Montgomery, P. (2008, June). Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?. Sleep Medicine Reviews, 12(3), 169-184. doi:10.1016/j.smrv.2007.08.008 .
Language: English
Format: Journal
Abstract:
Sleep disturbances are often viewed as a secondary symptom of post-traumatic stress disorder (PTSD), thought to resolve once PTSD has been treated. Specific screening, diagnosis and treatment of sleep disturbances is therefore not commonly conducted in trauma centres. However, recent evidence shows that this view and consequent practices are as much unhelpful as incorrect. Several sleep disorders—nightmares, insomnia, sleep apnoea and periodic limb movements—are highly prevalent in PTSD, and several studies found disturbed sleep to be a risk factor for the subsequent development of PTSD. Moreover, sleep disturbances are a frequent residual complaint after successful PTSD treatment: a finding that applies both to psychological and pharmacological treatment. In contrast, treatment focusing on sleep does alleviate both sleep disturbances and PTSD symptom severity. A growing body of evidence shows that disturbed sleep is more than a secondary symptom of PTSD—it seems to be a core feature. Sleep-focused treatment can be incorporated into any standard PTSD treatment, and PTSD research needs to start including validated sleep measurements in longitudinal epidemiologic and treatment outcome studies. Further clinical and research implications are discussed, and possible mechanisms for the role of disturbed (REM) sleep in PTSD are described.
Keywords: Etiology Insomnia Nightmares Posttruamatic Stress Disorder PTSD REM Sleep Risk Factor Sleep Sleep Apnea Sleep Disorders Treatment
Accuracy Verified: Yes
132. Rossi, E. L. (1999, June). Does EMDR facilitate new growth in the brain? Immediate-early genes in optimizing human potentials. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the possible role of immediate-early genes and the growth of the brain during psychological arousal, creative work and innovative approaches to psychotherapy, such as EMDR; and 2) be able to outline the mind-body dynamics of our natural 90 ultradian cycle of peak performance and healing in creative work, as well as psychotherapy.
Keywords: 90 Ultradian Cycle of Peak Performance Brain Growth Immediate-Early Genes
Accuracy Verified: Yes
133. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.
Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse
Accuracy Verified: Yes
134. Samec, J. R. (2005, December). Dorothy's dilemma: A patient with an insecure base for treatment. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.[Author abstract]
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
135. Samec, J. R. (2005, Februari). Dorothys dilemma, När en patient inte har en trygg bas för behandling [Dorothy’s Dilemma: A patient with an insecure base for treatment]. EMDR Tidningen.
Language: Swedish
Format: Newsletter
Abstract:
James R. Samec, leg. psykoterapeut med privat verksamhet i Stockholm och Norrtälje. Han är
också verksam vid barn- och ungdomspsykiatriska mottagningen i Norrtälje. Artikeln är en
omarbetad version av den som publicerades i EMDR-tidningen i februari 2005. Författaren tackar
också leg. psykoterapeut Lotta Landerholm för hennes ovärderliga och insiktsfulla observationer.
Hur gör man när en patient vägrar att berätta om vad hon har varit utsatt för, vem som utsatt henne
för det och hotar henne i hennes aktuella liv? Denna artikel illustrerar hur psykodynamisk
psykoterapi med Eye Movement Densensitization and Reprocessing (EMDR) ger möjlighet att
bearbeta ett trauma utan att psykoterapeuten vet vem och vad patienten har varit utsatt för och hur
en omvänd applicering av EMDR kan hjälpa en patient som fortfarande är utsatt för den förövaren
som orsakade traumatiseringen.
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
136. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.
Language: English
Format: Book
Abstract:
A new therapy using a saccadic eye-movement desensitisation
.EMD procedure has recently been introduced to treat posttraumatic
stress disorder, a disorder that has been difficult to treat
in the past. This paper reports the treatment of a woman with posttraumatic
stress disorderusing the EMD procedure. She was
treated with only two sessions of EMDR lasting approximately
one hour and a half. The 90 day follow-up showed that the treatment
gains were maintained and after a year the positive
therapeutic effects were stable.
These results show the efficacy and efficiency of EMDR method
in the treatment of chronic traumatic memories.
EMDR perspectives
reports recent research on the adaptative and maladaptative
consequences of the experience of trauma. It is suggested that
EMDR generates directions for future research and is helping in
the treatment of patients with impaired ego-strength. The
procedure fits well in a psychodynamic oriented setting : EMDR
through the flow of associations, is developing an awareness,that
might help the client to establish a contact with the internal representation.
Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition
Accuracy Verified: Yes
137. Temple, M. (2011, October). Eating disorders and EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
This workshop will focus on EMDR in eating disorders, particularly Anorexia Nervosa, commencing with a review of the evidence base particularly in relation to EMDR and perspective on aetiology / causations. The discussion will focus on physical risks and need for combined multi-disciplinary working for safe management with a specific focus on published EMDR work and the importance of the preparatory / resource phase. Target areas for using EMDR including identified trauma, attachment / abandonment issues, fear of need / emotion, specific experiences of the anorexia itself and symptom areas such as body image distortion will all be considered leading to a possible overall ‘EMDR and Eating Disorders’ model. (Author abstract)
Keywords: Eating Disorders
Accuracy Verified: Yes
138. Meneses, J. A. (2007). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes academicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de esmeraldas, durante el ano 2.006 [Effectiveness of EMDR in reducing extreme anxiety to academic examinations in the students of the sixth technical institute courses "Eloy Alfaro" emerald city, during the year 2006]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El EMDR, es un método psicoterapéutico, efectivo para reducir la ansiedad extrema a los exámenes académicos, a niveles normales, en un 88.8%, de los casos, en 9.25 sesiones de tratamiento, como promedio, con un nivel de confianza del 95 y 99%, en las alumnas de los sextos cursos, del Instituto Tecnológico “Eloy Alfaro, de la ciudad de Esmeraldas, durante el año 2.006. OBJETIVOS DE APRENDIZAJE:
1. Demostrar que EMDR, es efectivo también para reducir la ansiedad extrema a los exámenes académicos.
2. Informar que EMDR, reduce además a niveles normales los sistemas de respuestas de ansiedad cognitiva, fisiológica, y motora y la ansiedad a la evaluación.
3. Concienciar que EMDR, provoca también cambios cognitivos, emocionales y conductuales, como por ejemplo, el aumento de la autoestima y de la autoeficacia.
4. Comunicar que, luego del estudio de seguimiento, se estableció que EMDR, es efectivo en la reducción de la ansiedad extrema a los exámenes, en forma estable, es decir sin que se produzcan recaídas o sustitución de síntomas
In this study, which is kind of explanation, then use the hypothetical-deductive method with a quasi-experimental design with experimental and control group, formed at random, with pre and post treatment, with statistical processing of data, with the Student t test, and ANOVA before and after treatment, and once tested the hypothesis, it was established that:
EMDR is a psychotherapeutic method, effective in reducing extreme anxiety to academic tests to normal levels in 88.8% of the cases, treatment sessions 9.25, on average, with a confidence level of 95 and 99 % of pupils in the sixth course, the "Eloy Alfaro" Technological Institute in Esmeraldas City Ecuador during the year 2006.
LEARNING OBJECTIVES:
1. Show that EMDR is also effective to reduce extreme anxiety to academic exams.
2. Report that EMDR also reduces systems to normal levels of anxiety responses cognitive, physiological, and motor and anxiety evaluation.
3. Awareness that EMDR also causes cognitive, emotional and behavioral, for example, increased self-esteem and self-efficacy.
4. Report that, after the follow-up study established that EMDR is effective in reducing extreme anxiety tests in stable form, ie without the occurrence of relapse or symptom substitution.
Keywords: Anxiety Eloy Alfaro Students
Accuracy Verified: Yes
139. Meneses, J. A. (2007, Novembro). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes académicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de Esmeraldas, Ecuador, durante el año 2.006 [Effectiveness of EMDR in reducing extreme anxiety, academic tests, students in the sixth high school courses technological "Eloy Alfaro" City Esmeraldas, Ecuador, during the year 2006]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizaje:
• Demostrar que EMDR es efectivo también para
reducir la ansiedad extrema a los exámenes
académicos.
• Informar que EMDR reduce además a niveles
normales los sistemas de respuestas de
ansiedad cognitiva, fisiológica, y motora y la
ansiedad a la evaluación.
• Concienciar que EMDR provoca también
cambios cognitivos, emocionales y conductuales,
como por ejemplo: el aumento de la
autoestima y de la autoeficacia.
• Comunicar que luego del estudio de seguimiento,
se estableció que EMDR, es efectivo
en la reducción de la ansiedad extrema a los
exámenes, en forma estable, es decir, sin que
se produzcan recaídas o sustitución de
síntomas.
Learning Objectives:
• Demonstrate that EMDR is effective also for
reduce extreme anxiety tests
academics.
• Inform that EMDR also reduces levels
normal response systems
cognitive anxiety, physiological, and motor and
evaluation anxiety.
• Raise awareness that EMDR also results
cognitive, emotional and behavioral
such as: increased
self-esteem and self-efficacy.
• Communicate that after the follow-up study
established that EMDR is effective
in reducing the extreme anxiety
examinations, in a stable, ie without
relapses occur or replacement of
symptoms.
Keywords: Ecuador Test Anxiety
Accuracy Verified: Yes
140. Yarosh, D. (2003, September). Effective EMDR for high-functioning clients with intimacy problems (Expanded with new cases). Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will learn to integrate EMDR into the longer-term treatment that is necessary where issues of attachment and relationship are paramount. Trauma treament of these clients involves an understanding of their unique personality characteristics, a comprehensive treatment plan that engages their cooperation, a Motivational Interview to set goals, and a Trauma History to prioritze EMDR targets. Specific techniques that will be demonstrated are the interweaving of Resource Development and Installation into the ongoing treatment, and body-focused interweaves to promote client safety when working with strong abreaction. Special interweaves helping clients integrate the successful parts of their lives into the parts where they are developmentally immature will be illustrated.
Keywords: Attachment Intimacy
Accuracy Verified: Yes
141. Fleming, J. (2012). The effectiveness of eye movement desensitization and reprocessing in the treatment of traumatized children and youth. Journal of EMDR Practice and Research, 6(1), 16-26. doi:10.1891/1933-3196.6.1.16.
Language: English
Format: Journal
Abstract:
This article provides a summary of all the studies that have investigated eye movement desensitization and reprocessing (EMDR) treatment of traumatized children and adolescents. The effectiveness of the treatment is revealed in more than 15 studies. This article considers the differences between Type I and Type II traumas and specifically examines the effects of EMDR on traumatic stress experienced by children and youth following Type I and Type II traumas. There is a considerable body of research evaluating EMDR treatment of Type I traumas, showing strong evidence for its efficacy, but there are few studies that have specifically investigated EMDR treatment of Type II traumas. The effect of EMDR on various symptoms and problem areas is also examined. Recommendations are made for the clinical application of EMDR and for further research.
Keywords: Children Posttraumatic Stress Disorder PTSD Review Trauma Treatment
Accuracy Verified: Yes
142. Jameson, M. (1998, July). Effects of EMDR in a make correctional facility. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) know the unique benefits gained by offenders utilizing EMDR in prison; 2) be able to use specific marketing and "cognitive intereave" tools with this population; and 3) be ablet to converse intelligently regarding the effects of EMDR on crime and recidivism.
Keywords: Cognitive Interweave Correctional Facility Crime Inmates Offenders Prison Recidivism
Accuracy Verified: Yes
143. Paulsen, S. L. (1994, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
Conceptual Framework. In Ego State Disorders, moderate levels of dissociation
are present for the purpose of isolating overwhelming affect or untenable conflict from
conscious awareness. There are parts of the self'which are experienced by the host, -upon
discovery, and who experience themselves, as separate. These parts,however, do no have
the ability to take complete executive control of the body, or are not as complex and
elaborated as in Multiple Personality Disorder, which is called Dissociative Identity
Disorder in DSM-N. The closest diagnosis for describing Ego State Disorders in DSA4lV
is DDNOS, or Dissociative Disorder Not Otherwise Specified, a miscellaneous category.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
144. Artigas, L., & Jarero, I. (2007, March). El abrazo de la mariposa [The butterfly hug]. Asociación Mexicana para Ayuda Mental en Crisis, Mexico.
Language: Spanish
Format: Other
Abstract:
El Abrazo de la Mariposa es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula correspondiente y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón. Para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.
The Embrace of a Butterfly Dual Stimulation Care (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone for the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum. To do this, hand and fingers must be as upright as possible (fingers directed toward the neck and NO to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.
Keywords: Butterfly Hug
Accuracy Verified: Yes
145. Artigas, L. & Jarero, I. (2009, Septiembre). El abrazo de la mariposa [The butterfly hug]. Asociación Mexicana para Ayuda Mental en Crisis, EMDR México.
Language: Spanish
Format: Other
Abstract:
El Abrazo de la Mariposa, es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón, para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.
Embrace the Butterfly, is a dual attention stimulation (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone and the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum to Thus, hand and fingers must be as upright as possible (fingers directed toward the neck and NO to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.
Keywords: Butterfly Hug
Accuracy Verified: Yes
146. Artigas, L., & Jarero, I. (2011). El abroza de la mariposa [The butterly hug). Revista Iberoamericana de Psicotraumatología y Disociación, 1(1).
Language: Spanish
Format: Other
Abstract:
El Abrazo de la Mariposa fue originado y desarrollado por Lucina (Lucy) Artigas, M.A., M.T. (Fundadora de la Asociación Mexicana para Ayuda Mental en Crisis). Durante el trabajo realizado en Acapulco, Guerrero (México); con los sobrevivientes del huracán Paulina en 1997. (Artigas et al. 2000; Boel, 1999).
Por la creación y el desarrollo del Abrazo de la Mariposa, Lucina Artigas fue honrada con el Premio a la Innovación Creativa de la EMDR International Association (EMDRIA), en el año 2000.
El Abrazo de la Mariposa es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula correspondiente y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón. Para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.
The Butterfly Hug was originated and developed by Lucina (Lucy) Artigas, MA, MT (Founder of the Mexican Association for Crisis Assistance Mental). During the work done in Acapulco, Guerrero (Mexico), with the survivors of Hurricane Pauline in 1997. (Artigas et al. 2000; Boel, 1999). For the creation and development of the Butterfly Hug, Lucina Artigas was honored with the Award for Creative Innovation of the EMDR International Association (EMDRIA), in 2000. The Butterfly Hug a Dual Attention Stimulation (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone for the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum. To do this, hand and fingers should be as upright as possible (fingers directed toward the neck and NOT to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.
Keywords: Bilateral Stimulation Butterly Hug
Accuracy Verified: Yes
147. Maquieira , S. (2005, Junio). El cuerpo en el procesamiento con EMDR [The body in processing with EMDR]. Presentación en el V Congreso Internacional de Trauma Psíquico y Estrés Traumático, Buenos Aires, Argentina.
Language: Spanish
Format: Conference
Keywords: Body
Accuracy Verified: Yes
148. Dworkin, M. (2006, June). El cuestionario EMDR v.6 de autoconocimiento para clínicos [EMDR v.6 questionnaire for self-awareness for clinicians]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: Spanish
Format: Conference
Abstract:
Para comprobar un conocimiento creciente de cómo los estados antiguos y
dependientes de memoria pueden ser activados; para poder valorar que es lo que
proviene del clínico y qué proviene del cliente; para desarrollar estrategias relacionales
de EMDR. Muchos problemas pueden ocurrir en la fase 1 cuando el cliente aporta
información que suscita un arousal negativo; o en la fase 2, cuando el cliente tiene
dificultades en entender los elementos de preparación o desea avanzar procesando el
trauma de forma prematura; o en la fase 3, cuando existe un problema que subyace a la
pieza de valoración. Muchas veces la información del cliente puede que no despierte un
arousal negativo hasta llegada la fase 4, cuando el cliente está procesando activamente.
Muchas veces, nuestros desencadenantes provienen de nuestros recuerdos antiguos.
Estos recuerdos pueden ser explicitados; y otras veces siguen implícitos (memoria
somatosensorial). Observando estos momentos en uno mismo puede ayudarle en la
continuidad de un proceso productivo.
To verify an increased awareness of how ancient states and
dependent memory can be activated, in order to evaluate what they
from the clinician and what comes from the client to develop relational strategies
EMDR. Many problems can occur in phase 1 when the client brings
information that raises a negative arousal, or in phase 2, when the client has
difficulties understanding the items you want to advance preparation or processing the
trauma prematurely, or in phase 3, when there is a problem underlying the
piece of assessment. Many times the customer information may not appeal to a
negative arousal to arrival phase 4, when the client is actively processing.
Many times, our triggers memories from our past.
These memories can be made explicit, and sometimes they are implicit (memory
somatosensory). Looking at these moments can help yourself in
continuity of the production process.
Keywords: Clinicians Questionnaire Self-Awareness
Accuracy Verified: Yes
149. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.
Language: Spanish
Format: Journal
Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.
This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.
Keywords: Neurophysiology
Accuracy Verified: Yes
150. Seijo, N. (2012). El yo rechazado EMDR y trastornos alimentarios [EMDR and eating disorders]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(2), [6 pages].
Language: Spanish
Format: Journal
Abstract:
Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay un significado que en las personas con Trastornos Alimentarios (TA) cobra un valor que acaba convirtiéndose en el centro de sus vidas, alrededor de lo que giran.
El objetivo de este artículo es el explicar como se puede trabajar la distorsión de la imagen corporal desde la perspectiva del EMDR para poder llegar al trabajo de una de las partes más nucleares en los TA, como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.
All you have told us that we are and how we have been told that we are linking our image, after this there is a meaning in people with Eating Disorders (TA) takes a value that ends up becoming the center of their lives, about which they rotate.
The aim of this paper is to explain how you can work the distortion of body image from the perspective of EMDR to get to work one of the nuclear parts in the TA, as awareness of the real body and reach to acceptance.
Keywords: Eating Disorders
Accuracy Verified: Yes
151. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
"The
Body
Keeps
the
Score"
(B.
v.d.
Kolk,
1996)
Clients
who
suffer
from
traumatic
stress
are
often
afraid
about
disturbing
and
painful
somatic
symptoms.
Structural
dissociation
alienates
from
body
reactions.
Nevertheless
it
is
the
body
that
"holds"
the
discomfort
and
painful
memory
of
neglect
and
violence.
Trauma
Survivors
tend
to
perceive
their
body
as
hostile.
They
suffer
from
Alexithymia
deficiency
of
interpreting
the
meaning
of
body
reactions
and
muscle
activation.
Trauma
Survivors
are
easily
irritated
and
tend
to
react
with
rage
on
very
slight
provocations
and
freeze
when
they
are
frustrated.
Even
minor
problems
cause
fear
and
helplessness.
The
Polyvagal
Theory
(S.
Porges
2010)
proves
the
neurological
aspect
of
behavioral
patterns.
Neurozeption
describes
how
we
perceive
others
in
a
neurological
way.
Certain
behavioral
patterns
are
established
through
life
experiences.
This
research
underlines
Francine
Shapiros
AIP
model
and
confirms
the
importance
of
a
body
orientated
approach.
We
know
that
experiencing
the
effect
of
eye
movement
-‐
and
other
bilateral
stimulation,
is
a
gentle
and
powerful
way
to
bring
the
voice
of
the
body
into
the
therapeutic
space.
EMDR
helps
to
integrate
cognitive,
emotional
and
body
sensations.
Using
movement
and
body
orientated
skills
in
difficult
processes
f.e.
with
severely
and/or
early
traumatised
clients,
even
enhances
the
effect
of
EMDR.
Content
of
the
Workshop:
Short
theoretical
implications:
Polyvagal
Theory
and
AIP
Model.
Stabilisation
and
Movement
-‐
creating
a
„Moving
Container“:
How
to
create
a
safe
place
of
relationship
and
attachment
between
the
client
and
the
therapist
by
using
movement
and
bodywork?
The
body
is
the
most
powerful
resource:
How
to
use
movement
to
access
this
power.
How
to
recognize
and
dissolve
dissociation
by
body
and
movement
awareness.
EMDR
Process
and
Movement
:
How
to
widen
the
„window
of
tolerance“
by
using
movement
and
deeper
levels
of
body
consciousness.
Adding
a
fourth
level
of
attention
to
the
EMDR
process:
cognition
-‐
emotion
-‐
body
scan
-‐
movement.
Movement
and
reflex
feedback
as
interweave
technique
in
difficult
processes.
Methods
used
in
the
Workshop:
Lecture
and
Video
Presentation.
Practical
demonstration
of
some
movement
orientated
techniques.
Discussion.
“El
cuerpo
lleva
la
cuenta”
(B.
v.d.
Kolk,
1996),
los
clientes
que
sufren
de
estrés
traumático
tienen
a
menudo
miedo
sobre
sus
síntomas
somáticos
preocupantes
y
dolorosos.
La
disociación
estructural
aliena
las
reacciones
del
cuerpo,
sin
embargo
es
el
cuerpo
el
que
“mantiene”
el
disconfort
y
el
recuerdo
doloroso
de
negligencia
y
violencia.
Los
supervivientes
a
un
trauma
suelen
tender
a
percibir
su
propio
cuerpo
como
hostil.
Sufren
de
Alexitimia,
deficiencias
para
interpretar
las
señales
corporales
y
la
activación
muscular.
Son
fácilmente
irritables
y
tienden
a
reaccionar
con
ira,
con
leves
provocaciones
y
se
“congelan”
cuando
están
frustrados.
Incluso
problemas
de
fuerza
menor
causan
miedo
y
desesperanza.
La
teoría
polivagal
(S.
Porges
2010)
prueba
el
aspecto
neurológico
de
los
patrones
de
comportamiento.
La
neurocepción
describe
cómo
percibimos
a
los
otros
desde
un
punto
de
vista
neurológico.
Ciertos
patrones
de
comportamiento
están
establecidos
a
través
de
las
experiencias
vitales.
Esta
investigación
se
basa
en
el
modelo
SPIA
de
Francine
Shapiro
y
confirma
la
importancia
del
enfoque
orientado
al
cuerpo.
Sabemos
que
al
experimentar
el
efecto
de
la
estimulación
ocular,
y
otras
estimulaciones
bilaterales,
es
un
camino
poderoso
y
suave
para
traer
la
voz
del
cuerpo
dentro
del
espacio
terapéutico.
EMDR
facilita
la
integración
cognitiva
emocional
y
corporal.
Usar
el
movimiento
y
las
habilidades
orientadas
al
cuerpo
en
los
procesos
difíciles
con
clientes
traumatizados,
severamente
o
tempranamente,
incluso
amplifica
el
efecto
terapéutico
del
EMDR
Contenido
del
taller:
Implicaciones
teóricas:
Teoría
Polivagal
y
modelo
SPIA
Estabilización
y
movimiento
–
Crear
un
“recipiente
de
movimiento”
Cómo
crear
un
lugar
seguro
en
relación
al
apego
entre
el
cliente
y
el
terapeuta
usando
movimiento
y
trabajo
corporal.
El
cuerpo
es
el
recurso
más
poderoso:
Cómo
usar
el
movimiento
para
acceder
a
este
poder.
Cómo
reconocer
y
disolver
la
disociación
en
el
cuerpo
y
la
atención
al
movimiento.
Procesamiento
EMDR
y
movimiento:
Cómo
ampliar
la
"ventana
de
tolerancia"
mediante
el
uso
de
movimientos
y
niveles
más
profundos
de
la
conciencia
del
cuerpo.
Añadir
un
4
nivel
de
atención
al
procesamiento
de
EMDR:
Cognición-‐Emoción-‐
Escáner
corporal-‐movimiento.
Keywords: Body Oriented Therapeutic Interweaves
Accuracy Verified: Yes
152. Schubbe, O. (2006). EMDR. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Eine Ärztin gewinnt einen verlorenen Teil ihrer Biografie zurück; ein Mann kann nach einer Geiselnahme wieder Sicherheit erleben; eine Bäckersfrau drückt den stummen Schrecken über den KZ-Tod ihrer Großeltern zum ersten Mal mit Pinsel und Farbe aus. Solche Momente geben mir das Gefühl, von meinen Klienten ganz viel zurückzubekommen. Sie rücken die Perspektive zurecht und geben den Blick auf das Wesentliche frei. Seit ich EMDR einsetze, sind sie viel häufiger.
Unter Fachleuten steht EMDR für "Eye-Movement Desensitization and Reprocessing", unter Klienten auch für "einmal musst du ran", in jedem Fall aber für eine psychotherapeutische Zusatzmethode zur geschützten Verarbeitung traumatischer Erfahrungen.
EMDR besteht aus den acht Phasen nach Francine Shapiro. Die beiden ersten und letzten entsprechen dem in der Traumatherapie üblichen Vorgehen, während die Schritte drei bis sechs eine typische EMDR-Sitzung ausmachen. Am Anfang stehen wie üblich Anamnese und Behandlungsplanung (erste Phase). Nach den Leitlinien zur Behandlung posttraumatischer Störungen (Flatten u.a. 2001) gehört an den Anfang außerdem eine Phase der inneren und äußeren Stabilisierung (zweite Phase). Erst danach folgen die EMDR-Sitzungen im engeren Sinne, bestehend aus der Anfangseinschätzung der Symptomatik (dritte Phase), der zentralen (vierten) Phase der Neuverarbeitung, der Verankerung des erreichten Zustandes (fünfte Phase) und der Prüfung der Restbelastung auf Körperebene - kurz: Körpertest (sechste Phase). Wie in jeder traumatherapeutischen Arbeit wird bei EMDR besonderer Wert auf einen guten Abschluss der Sitzung gelegt (siebte Phase). Und ob die mit EMDR erreichte Veränderung stabil geblieben ist, wird zu Beginn der Folgesitzung überprüft (achte Phase).
Es wird nun die Arbeit mit drei Klienten beschrieben, einer Augenärztin, einem Top-Manager und einer Bäckereiangestellten. Die unterschiedlichen Fälle illustrieren in verschiedenen Facetten, wie ich die Phasen von EMDR in therapeutisches Handeln umsetze. Namen und Details habe ich zum Schutz der Klienten geändert.
A doctor will recover a lost part of her biography, a man can experience after a hostage-taking back security, a baker's wife pressed the silent alarm at the concentration camp deaths of their grandparents for the first time with a brush and color. Such moments make me feel to get back from my clients very much. You adjust the perspective and give a view of the essentials. Since I use EMDR, they are much more common.
Among experts EMDR stands for Eye Movement Desensitization and Reprocessing, "among clients for" once you have ran, and in any case for a psychotherapeutic method for secure additional processing of traumatic experiences.
EMDR consists of eight phases by Francine Shapiro. The two first and last correspond to the normal practice in trauma therapy, while accounting for three to six steps a typical EMDR session. In the beginning, as usual, are medical history and treatment plan (first phase). According to the guidelines for the treatment of post traumatic disorders (Flatten et al 2001) belongs also to the beginning of a phase of internal and external stability (second phase). Only after the EMDR sessions follow in the strict sense, consisting of the initial assessment of symptoms (third phase), the central (fourth) phase of the reprocessing, anchoring the achieved state (fifth phase) and the testing of residual stress on the body level - in short: Body Test (sixth phase). As in any trauma therapy work is placed in EMDR special importance to a successful conclusion of the meeting (seventh phase). And whether the change reached EMDR has remained stable, is checked at the beginning of the next meeting (sixth phase).
It is now working with three clients described, an eye doctor, a top manager and a bakery employee. The different cases illustrate different facets of how I transpose the phases of EMDR in therapeutic action. I have changed names and details to protect the client.
Accuracy Verified: Yes
153. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Cue Exposure
Accuracy Verified: Yes
154. Bonstein, U. (2008, March). EMDR היבטים היפנוטיים בשיטת [Hypnotic Aspects of EMDR method/Professor Oren Kaplan]. Israel Society of Hypnosis, Ramat Gan, Israel.
Language: Hebrew
Format: Other
Abstract:
תרגום לאנגלית של עברית: המאמר בוחן את ההיבטים שיטת Hhifnotim - EMDR. אין ספק כי ה-EMDR אינו היפנוזה סמכות פורמלית. אם EMDR היא סוג של היפנוזה, ואז זה היפנוזה Arixoniani טבע, מתירנית פתוח. זה פותח את האפשרות עבור מטופלים אשר מתקשים תהליך היפנוזה פורמלית בעיניים עצומות (לרוב בשל קושי או פחד מאובדן שליטה) כדי היפנוזה "EMDR" בעיניים פקוחות מתוך אשליה כי זה לא ממש טראנס היפנוטי. גם אם ה-EMDR אינו היפנוזה יש בהחלט אלמנטים רבים ההופכים מערכת משפחתה תופעות המצב הייחודי מודעות מערכת שמשתמשת בעקרונות של תקשורת היפנוטית - סוגסטיבי. המאמר עוסק גם את המגבלות והסכנות של זה שייך
The article examines aspects Hhifnotim method - EMDR. There is no doubt that EMDR is not hypnosis formal authority. If EMDR is a form of hypnosis, then it is hypnosis Arixoniani nature, open permissive. This opens the possibility for patients who find it difficult to process a formal hypnosis with eyes closed (usually due to difficulty or fear of losing control) to "EMDR hypnosis" with open eyes from the illusion that this is not really a hypnotic trance. Even if EMDR is not hypnosis has certainly many elements that make her family system phenomena unique situation awareness system that uses the principles of hypnotic communication - suggestive. The article also discusses the limitations and dangers of this belonging.
Keywords: Hypnosis
Accuracy Verified: Yes
155. Heitzler, M. (2008, November). EMDR עם פסיכותרפיה הגוף [EMDR with body psychotherapy]. לגוף עיניים - Models for EMDR treatement with Enhanced Focus on the Body, Tel Aviv, Israel.
Language: Hebrew
Format: Conference
Abstract: Heitzler introduces the principles and techniques Moorish combination of EMDR psychotherapy through the body. Lecture rich clinical examples illustrating the combination of the tools of both methods.
Keywords: Body Psychotherapy Moorish Combination
Accuracy Verified: Yes
156. Parnell, L. (2001). EMDR - Der weg aus dem trauma: Über die heilung von traumata und emotionalen verletzungen [Transforming trauma: EMDR]. Paderborn: Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Menschen geholfen, die von schrecklichen Mißbrauchserlebnissen oder von Traumata verfolgt wurden. Die neue Methode vermag auch Patienten zu helfen, bei denen andere Therapieformen versagt haben, darunter Menschen, die an chronischen Problemen wie Eßstörungen, Angstzuständen, einem schwachen Selbstwertgefühl, Depressionen und Störungen ihrer Leistungsfähigkeit leiden. EMDR bringt Millionen von Menschen neue Hoffnung, denen gesagt wurde, ihre Genesung werde sich wohl über ihr ganzes weiteres Leben hinziehen.
Die EMDR-Therapie bettet die Technik der Augenbewegung in einen umfassenden Ansatz ein, durch den Informationen verarbeitet werden, die sich in unverarbeiteter Form in Körper und Geist des Patienten verkapselt haben. Dadurch werden die Betroffenen von belastenden Bildern und Körperempfindungen, bedrückenden Emotionen und Einschränkenden Überzeugungen befreit. Bei Anwendung dieser Methode tritt die Heilung nicht nur wesentlich schneller ein als in der traditionellen Therapie, sondern die Klienten erleben auch ein Gefühl der Freude, Offenheit und tiefen Verbundenheit mit anderen. Laurel Parnell veranschaulicht uns auf fesselnde Weise die Wirkung von EMDR. In ihren mutmachenden Heilungsberichten versetzt sie die Leser in die Psyche ihrer Klienten, wo die Traumata, die jene in der Vergangenheit erlebt haben, erstarrt sind. Die Autorin veranschaulicht auf sorgsame, persönliche und verständliche Weise, wie EMDR es Menschen ermöglicht, über das bloße Überleben eines traumatischen Erlebnisse hinaus zu einer Erfahrung des Wohlbefindens und der Ganzheit zu gelangen.
Ein allgemeinverständlich geschriebenes Buch, das allen, die sich erstmals mit dieser neuen revolutionären Therapieform beschäftigen wollen, einen umfassenden Einblick über die Methodik, den Ablauf, die vielfältigen Einsatzmöglichkeiten und die ungezählten erfolgreich durchgeführten Therapien vermittelt: Informativ. Fesselnd geschrieben. Hoffnung auf Heilung vermittelnd. Ein idealer Einstieg in EMDR.
EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of people who were haunted by terrible abuse experiences or trauma. The new method can also help patients who have not responded to other therapies, including people who suffer from chronic problems such as eating disorders, anxiety, a low self-esteem, depression and disturbances of their capabilities. EMDR brings new hope to millions of people who have been told, their recovery will probably drag on through its entire life. The EMDR therapy embeds the technique of eye movement in a comprehensive approach that will be processed by the information, which have encapsulated in the natural state of body and mind of the patient. Thus the person concerned of incriminating images and body sensations, emotions and limiting beliefs are oppressive, free. In applying this method, the healing occurs not only much faster than in a traditional therapy, but the clients also experience a feeling of joy, openness and deep connection with others. Laurel Parnell are illustrated with fascinating way, the effect of EMDR. In its encouragement healing reports, they leave readers into the psyche of their clients, where the traumas, the former have experienced in the past freezes are. The author demonstrates in careful, personal and understandable way, such as EMDR allows people to reach beyond the mere survival of a traumatic experience also an experience of wellness and wholeness. A book, written in generally understandable to all, who would first deal with this revolutionary new form of therapy, provides a comprehensive insight into the methodology, process, the various applications and successfully executed countless therapies: Informative. written captivating. Hope for healing mediator. An ideal introduction to EMDR.
Keywords: Trauma
Accuracy Verified: Yes
157. Shapiro, F. (1999). EMDR - Grundlagen und praxis: Handbuch zur behandlung traumatisierter menschen [Eye movement desensitization and reprocessing (EMDR): Basic principles, protocols, and procedures]. Paderborn: Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
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 und ist eine unverzichtbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren.
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 and is an essential reading for all clinicians and researchers interested in working with trauma victims
Keywords: Trauma
Accuracy Verified: Yes
158. 黃翔 [Huang Xiang]. (2002). EMDR -─眼動心身重建法簡介 [EMDR - Eye tempted body reconstruction technique introduction]. 加州心理研究所臨床心理學 [California Psychological Institute of Clinical Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR─眼誘惑身體重建法“的英文全名是眼動脫敏和再加工。採訪，這是一個多次在很短的一段時間後，藥物可在任何情況下，有效地降低程度心理創傷，重建希望和在治療的信心。可減少心理創傷症狀包括“長期累積的創傷痛苦的回憶”，“因創傷引起高度的焦慮和消極情緒”，以及“身體不適造成的創傷反應”等等。一個結果接受EMDR治療可以建立一個積極的影響，包括“健康積極的思想”和“健康行為的一代”等。
"EMDR ─ eye tempted Body Renewal Law" in English is Eye Movement Desensitization and Reprocessing. This is an interview several times in a short period after the drug can be in no circumstances, effectively reducing the degree of psychological trauma, and rebuild hope and confidence in treatment. Can be to reduce the psychological trauma symptoms include "long-term cumulative trauma of painful memories," "due to trauma caused by a high degree of anxiety and negative emotions", and "the physical discomfort caused by trauma response" and so on. A result of receiving EMDR treatment can establish a positive effect, including "a healthy and positive thoughts" and "health behavior generation" and so on.
Keywords: Body Renewal Law
Accuracy Verified: Yes
159. 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
160. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
EMDR directly addresses the physiologically stored
memory networks that underlie both psychological problems
and mental health. This orientation to both case conceptualization
and treatment will be explored to address
diverse clinical applications, including attachment issues,
body image, chronic pain, substance abuse, sexual dysfunction,
personality disorders, and other presenting complaints.
The Integration of EMDR with family therapy
practices will also be discussed.
Keywords: Adaptive Information Processing
Accuracy Verified: Yes
161. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.
Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium
Accuracy Verified: Yes
162. Herbert, C. (2001, May). EMDR and CBT interweave. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Cognitive interweaves are strategic interventions, whose utilisation relies upon therapist
recognition of their necessity at given times during the EMDR procedure, and their effective
use requires skilled therapeutic judgement and the introduction of the appropriate clinicianled
cognitive material in order to counteract the blocked processing. The use of cognitive
interweaves therefore diverges from the established EMDR protocol by introducing therapist generated
material rather than just following the clients spontaneously processed material. It will be argued in this presentation that, due to the divergence from the established EMDR
protocol, the effective implementation of cognitive interweaves, requires the knowledge of
additional therapeutic strategies, predominantly those used in Cognitive Behaviour
Therapeutic (CBT) approaches, which may not be readily accessible to EMDR practitioners
not trained in this approach. This presentation aims to bridge the gap between the
traditionally 'too-heavily protected' territories of CBT and EMDR, by introducing some CBT
strategies, such as 'Socratic Questioning (Padesky, 1993)' or the Cognitive 'Separation of the
Past from the Present (Herbert & Wetrnore, 1999'), which might be usefully drawn on, in
order to generate effective cognitive interweaves during the use of EMDR. Clinical examples from the presenter's work, as an UKCP Accredited Cognitive Behavioural Therapist and a
Level 2 trained EMDR Practitioner, with clients suffering from complex PTSD, will be
explored.
Keywords: CBT CBT Interweave Cognitive Behavioral Therapy Cognitive Interweave
Accuracy Verified: Yes
163. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
164. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This presentation addresses how creativity has
been interwoven into the discovery and
development of EMDR, as well as how EMDR is
an effective tool in unblocking and enhancing
creativity. Dr. Shapiro's discovery of EMDR and
her development of the EMDR Protocol, are
examined as underpinnings of EMDR and
Creativity. EMDR processing will also be
examined as an essentially creative process at the
core of healing trauma-based blocks. The
therapeutic relationship in EMDR is discussed as
a co-creative process. This presentation addresses
creative enhancements EMDR's healing tools
including: "open listening" - avoiding
assumptions while attending to all in-the-moment
verbal and non-verbal client communications, creative use of eye movements with flowing hand
movements and shifting rates of speed, integrating
music and nature sounds into left/right auditory
stimulation and enhancing of body sensations with
color and imagery. This presentation also
addresses using EMDR in addressing issues of
creativity. Creative blocks are regularly reported
by both artists and non-artists and often cripple
and traumatize the artist, and interfere with the
creativity of diallng living of non-artists. Using
EMDR protocol to target creative blocks is
discussed, as well as the contribution of trauma
to these blocks. The EMDR future template is
discussed as a tool for enhancing creativity with
artists free of significant blocks. This includes
actors, singers, dancers, writers and graphic
artists. Mini-practica and demonstrations are used
to operationalize the concepts presented in lecture and handout format.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
165. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR.
EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation
addresses creative enhancements of EMDR's healing tools: ''open
listening." eye movements, integrating music and nature sounds into
auditory stimulation and using body sensations with color and imagery.
Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed.
Mini-practica and demonstrations also used.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
166. Grand, D. (2008, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR which is an effective tool in unblocking creativity. EMDR processing is a creative process at the core of healing blocks. Creative enhancements EMDR’s healing tools include: “open listening” – avoiding assumptions, creative use of eye movements and eye positions, integrating bilateral healing sounds and enhancing body sensations with color. Creative blocks cripple the artist and interfere with the creativity of non-artists. The EMDR protocol (assessment, desensitization, installation and body scan) targets creative blocks with underlying trauma. The future template enhances creativity with artists (actors, singers and writers).
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
167. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.
Keywords: Creativity
Accuracy Verified: Yes
168. Grand, D. (2000, September). EMDR and ego state therapy: Experiential learning through video and audience participation. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn technical complexities, knowledge base and experiential learning in synthesizing EMDR and Ego State Therapy; 2) learn to assess why, how, and when there is value in introducing ego state work in a client's EMDR process; 3) learn preparatory activation of ego state for resource installation purposes with pre-EMDR clients; and 4) learn calling out ego states as an interweave during desensitization phase, when clients are stuck or looping, and skillful use of egaging ego states helps both in identifiying and untangling treatment-impeding conflicts.
Keywords: Ego State Therapy
Accuracy Verified: Yes
169. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
170. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
171. 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
172. Cane, P. (1991, August). EMDR and Project CAPACITAR in Central America. EMDR Network Newsletter, 1(1), 2.
Language: English
Format: Newsletter
Abstract:
CAPACITAR is a project of healing and
enablement connecting North American
and Third World Women. In the past two years we have traveled to very poor
regions in Nicaragua and Guatemala to
work with women suffering from the
effects of war, violence, and grinding
poverty. We have offered group workshops
in stress management, body movement,
simple acupressure and massage
to help alleviate the physical symptoms of
stress and trauma--headaches, insomnia,
stomach disorders, neck and shoulder
pain.
Keywords: Project CAPACITSAR
Accuracy Verified: Yes
173. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..
Language: English
Format: Book Section
Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]
Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
Accuracy Verified: Yes
174. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.
Keywords: Body-Cognitive Interweave Left-Right Brain Hemispheres of the Brain Poster
Accuracy Verified: Yes
175. Nadel, B. (2009, April 18). EMDR and somatic experiencing: A body-expansive integration. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will explore EMDR and Somatic Experiencing as different paradigms for trauma resolution. It will then demonstrate that the two modalities overlap in several ways thar can facilitate a powerful integration that enhances the effectiveness of EMDR. Participants will gain somatic tools for application to their own EMDR work. They will learn how these somatic skills can deepen the Safe Place; Sensation and the Body Scan in the 8-phase Protocol.
Keywords: Somatic Experiencing
Accuracy Verified: Yes
176. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.
Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization
Accuracy Verified: Yes
177. Grey, E. (2009, April). EMDR and the brain: Importance of body sensation. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .
Language: English
Format: Conference
Abstract:
This Workshop will provide an explanation of the neuro-physiological underpinnings of the AIP model, and how memory networks are stored in the body. Educating practitioners about the neurological journey of information and the links to body sensations increases their ability to describe EDMR and how it works. A complex case of childhood ritual abuse will be presented for illustration. Participants will practice applying this understanding to cases.
Keywords: Body Sensation
Accuracy Verified: Yes
178. McGuinness, D. P., & Charest, L. (2003, September). EMDR and the integrated diagnostic treatment of somatic complaints. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop is designed to prepare clinicians to utilize EMDR in an integrated diagnostic approach with medical professionals for clients with somatic complaints. Participants will learn to explain the principles of emotional pain manifesting itself in physical symptoms and
the use of EMDR to facilitate a breakthrough in the patient's overall treatment. Participants will practice a working protocol for treating somatic complaints with EMDR. Participants will also learn cognitive interweave strategies to facilitate the movement of somatic complaints. Participants will have the opponunity to practice these skills in small groups.
Keywords: Cognitive Interweave Somatic Complaints
Accuracy Verified: Yes
179. Carvalho, E. R. (2009, August). EMDR and the pillars of life: Celebrating what works. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This presentation will highlight the Pillars of Life, a resourcing technique adapted from the work of Dr. Carlos Raimundo, an Argentine-Australian psychodramatist. Utilized in the preparation phase, it targets resources through the use of the positive cognitions and the VoC scale. The Pillars of Life can be used at the onset as a diagnostic tool, assessing the patient’s inner resources, as well as to augment the necessary resources required during therapeutic work. Oftentimes, it can be utilized as an interweave in cases of complex PTSD when resource pendulation is required during phase 4.
Keywords: Pillars of Life
Accuracy Verified: Yes
180. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.
Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD
Accuracy Verified: Yes
181. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.
Language: English
Format: Journal
Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients
suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization
and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been
proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more
complex cases has been less widely studied. This article examines the body of literature on the treatment
of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research.
Despite a still limited number of randomized controlled studies of any treatment for complex PTSD,
trauma treatment experts have come to a general consensus that work with survivors of childhood abuse
and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented
EMDR model for working with these patients is presented, highlighting the role of resource development
and installation (RDI) and other strategies that address the needs of patients with compromised
affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the
various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are
reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD
are offered along with suggestions for future investigations.
Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review
Accuracy Verified: Yes
182. Bloomgarden, A., & Calogero-Wah, R. (2002, June). EMDR and the treatment of the body image in an inpatient eating disorder population. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Keywords: Body Image Eating Disorders Poster
Accuracy Verified: Yes
183. Hase, M. (2011, June). EMDR and trauma: Somatic disease and medical treatment. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Severe somatic disorders and the subsequent medical treatment often signify serious threat and feelings of being helplessly exposed to them. This gets obvious as one regards the phenomenon of intraoperative awareness. About 8000 - 16000 of these incidents per year are to be expected for the Federal German Republic according to recent investigations. But even less dramatic incidents within the natural course of the disease or incidents evoked by the therapeutic approach may leave their marks. However, posttraumatic stress disorder is not always easy to be diagnosed and treated. A remarkable amount of patients in psychosomatic rehabilitation is afflicted with mental consequences of somatic disorders such as cerebral infarction, coronary heart disease or, respectively, the necessary somatic treatment of these disorders. The prevalence of PTSD and the effects on the course of the disease as well as on everyday functioning are not to be underestimated here. This workshop is supposed to demonstrate the specifics of the EMDR-treatment for this population of interest. Treatment of patients with underlying cardiological and neurological diseases is further illustrated by video documentation. Considerations about the selection of target memory lead to a treatment algorithm. The contact with body memory is going to be explored by the use of case studies.
Accuracy Verified: Yes
184. Nickerson, M. (2007, September). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX.
Language: English
Format: Conference
Abstract:
Much can be gained as the EMDR clinician develops sharper awareness of the dynamics of angry and violent “acting out” behavior. An AIP informed approach can aid in case formulation with these issues and lead to accelerated client gain. The cyclical nature of violence will be depicted, as well as other common characteristics in a spectrum of hostile behaviors, including perpetrator state and trait issues. The presentation will demonstrate ways in which EMDR processing can work in conjunction with widely used cognitive-behavioral interventions and, with careful target selection, offer opportunities for desensitization of the trauma that often drives them. Discussion will highlight advantages of an EMDR approach in minimizing problematic transferential issues with “resistant” clients. Theory and practice will be illuminated by a case presentation and clinical anecdotes. Graphic, user-friendly therapeutic tools will be offered. Implications for the use of this model in treating other cyclical “acting out” behaviors will be explored.
Accuracy Verified: Yes
185. Balbo, M. (2003, May). EMDR and treatment of binge eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
The study shows use of EMDR therapeutic method in treatment of eating disorders with binge eating episodes with and without purging with clients treated with cognitive-behavioral psychotherapy.
Dissatisfaction with the client’s own body and inadequacy stemming from the influence of cultural elements seem to be the highest maintenance factors of eating disorders associated with binge eating episodes.
The study analyzes n.10 cases of clients with various dysfunctional ideas caused by distorted constructions with respect to their self-esteem, self-acceptance and personal value, as shown both in their EDI 2 (Eating Disorder Inventory – 2 by David M. Garner) scores and the analysis of their life histories.
The SQ (Symptom Questionnaire by R. Keller) was also administered since it is particularly indicated for administration at short intervals.
The EDI 2 and SQ tests have been administered after n.6 EMDR sessions.
Results: Use of EMDR on the negative cognitions formulated, learnt and maintained by clients in their experience, as well as on alternatives to binge eating, has produced a considerable reduction of their dysfunctional ideas, and binge eating behaviors showing additionally an increase of the drive to change, leading to an increased compliance and autonomy in therapy progress.
The results obtained shall be presented and discussed.
Keywords: Binge Eating Eating Disorders Symposium
Accuracy Verified: Yes
186. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
Keywords: Stuttering
Accuracy Verified: Yes
187. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical
pain and living with chronic pain. Participants in this workshop will learn:
(a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain;
(b) a guided pain healing meditation;
(c) an EMDR protocol for installing pain relief imagery and self-care techniques;
(d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories;
(e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating,
drinking) and dependence on pain medication in this population.
The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The
dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic
pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer
will be presented.
Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also
incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the
"C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed.
The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can
do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing
will be discussed.
The presentation will then cover (with clinical case examples):
(1) Red flags and cautions to consider before proceeding with EMDR-
(2) What to do and what not to do if the patient is dissociative;
(3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with
"secondary gains" minus primary losses;
(4) Teaching the distinction between pain sensations and suffering;
(5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief
imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy
self-care behaviors;
(6) How to directly address with the patient the application of "cognitive psychology" and imagery
for pain reduction;
(7) EMDR reprocessing of memories around the pain's origins;
(8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences,
internalized self-identifications, self-punitive tendencies and self-defeating behaviors;
(9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient;
(10) EMDR reprocessing of negative cognitions associated with depression and anxiety.
(11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers;
(12) Material that often comes up in using EMDR with pain patients;
(13) Strategically restructuring patient "resistance" with coanitive interweave;
(14) Managing narcotic and pain medication seeking behavior and substance abuse;
(15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in
this population;
(16) Treating pain patients who also have PTSD.
Videotaped case excerpts will be shown that illustrate important points covered.
If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
188. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
Keywords: Addiction Memory Substance Abuse
Accuracy Verified: Yes
189. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
190. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to use the ego state
bridge technique in order to have more compete
knowledge of what issues and experiences may
manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
191. Horacek, C. (2005, Winter). EMDR as a therapeutic tool. The Conejo Connection, 4(1), 2-4.
Language: English
Format: Newsletter
Abstract:
The main feature of EMDR is that by bilaterally
stimulating the brain trauma, phobias and other disturbing
experiences are “reprocessed” to move from one part of
the brain to the higher-thinking cortical structures of the
brain, and seem to lose their power to be disturbing. This
is the “eye movement” part. In EMDR, the therapist
moves their fingers back and forth in front of the client’s
face and the client watches by moving their eyes (not
turning their head) left right, left right. However, it has
since been discovered that any type of bilateral stimulation
works—auditory, tactile, even walking up and down,
as the body moves first the left leg and then the right.
Accuracy Verified: Yes
192. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases.
The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of
protocols, targets and cognitions. Time will be allowed to discuss problem cases.
The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated
information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning
indicators fiom cognitions and the history taking of potential blocked responses.
A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and
cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma
with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of
the early environment to provide healthy models of self-other interaction.
Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources
present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies.
Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting
disturbing memories.
Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the
Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the
biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect
theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and
emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization
and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts
is a central problem in PTSD and other pervasive traumageric disorders.
Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry
Wildwind's speciality and conference presentations on working with chronic depression and personal communications with
Marguerite McCorkle.
Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental
issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to
a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.
Keywords: Case Formulations
Accuracy Verified: Yes
193. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
Keywords: Chronic Pain Protocol
Accuracy Verified: Yes
194. Dworkin, M. (2006, September). The EMDR clinician and the challenging client: How to improve relational responsiveness. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address
clinician issues with clients who are challenging to work with, both before and during an EMDR
session. Participants will develop greater awareness of these mornents and learn strategies to overcome
potentla1 moments of misattunements. These
strategies will include parts of the Procedural Steps
Outline in preparation for anticipated problems;
applied R/D/I strategies for compartmentalizing
activated clinician state dependent moments in
session; and using a variation of cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent
collaborative communication. "The Clinician Self
Awareness Questionnaire" will be introduced as a
method of enhancing these awarenesses.
Participants are invited to bring their most
challenging cases to work on.
Keywords: Challenging Client
Accuracy Verified: Yes
195. Pajusco, E. (2004, Ottobre). EMDR e CBT come terapia della rettocolite cronica ovvero di sintomi prettamente corporei. Un single-case report [EMDR and CBT as a treatment of chronic ulcerative or purely bodily symptoms. A single-case report] . Presentazione al XII Congresso Nazionale SITCC (Congresso Nazionale Società Italiana di Terapia Comportamentale e Cognitiva), Verona, Italia.
Language: Italian
Format: Conference
Keywords: Body Symptoms Ulcerations
Accuracy Verified: Yes
196. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistêmica: A gestação de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: narrar a trajetória de uma cliente em relação a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangência no equilíbrio da ecologia de um sujeito tratado em duas sessões de EMDR. Pode-se afirmar que os sintomas são, em sua essência, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questão apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmã caçula. Fazia parte deste contexto, o acometimento da cliente em questão pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessões de reprocessamento, a cliente não só havia conseguido resolver a questão fraterna que lhe afligiu por 16 anos como, por meio de avaliação médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestação com a qual vinha sonhando. Após a compilação dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.
Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.
Keywords: Crohn's Disease Endometriosis Standard Protocol Systemic Cure
Accuracy Verified: Yes
197. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia.
Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee.
Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.:
• Diagnosi descrittiva.
• DSM IV: chiarezza classificatoria.
• Multifattorialità dei disturbi dell'alimentazione.
• Integrazione dell’EMDR nel trattamento: quando e con quale paziente.
• Ricerca dei target significativi nella storia di vita del paziente.
• Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave
• La motivazione al cambiamento nei pazienti difficili.
• La relazione terapeutica.
• Intervento psicoeducazionale.
• Lavoro sui target del passato.
• Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali.
• Lavoro sui target del presente (gestione delle “emergenze”)
• Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento.
• Discussione di casi.
Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.
Keywords: Eating Disorders
Accuracy Verified: Yes
198. Fransosa, N. (2003, Maggio). EMDR e programmazione neuro linguistica due modelli sinergici [EMDR anbd neurolinguistic Programming (NLP) - Two synergic models]. Poster presentato alla riunione annuale della Associazione EMDR Europa, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Programmazione Neuro-Linguistica (PNL) gli studi dei motivi o "programmazione" creati dall'interazione tra cervello (neuro), linguaggio (linguistica) e il corpo. (1)
Analogamente a EMDR, PNL si riferisce ad altri modelli della psicologia e della psicoterapia come la Gestalt, cognitivismo, comportamentismo ecc.
Neuro-Linguistic Programming (NLP) studies the patterns or ”programming” created by the interaction between the brain (neuro), language (linguistic) and the body. (1)
Similarly to EMDR, NLP refers to other models of psychology and psychotherapy such as Gestalt, Cognitivism, Behaviourism etc.
Keywords: Neurolinguistic Programming NPL Poster
Accuracy Verified: Yes
199. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi
utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.
Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was
used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.
Keywords: Family Therapy Fibromyalgia
Accuracy Verified: Yes
200. 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
201. 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
202. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen.
Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting
Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren
-hoe EMDR geplaatst kan worden in de context van C.G.T.,
-waarom het aantrekkelijk is voor adolescenten (“een coole combi”),
-welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld),
-hoe deze targets bewerkt kunnen worden,
-en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.
Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders.
This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary
Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain
-How EMDR Can Be Placed in the context of CBT,
-Why is it Attractive for adolescents ("a cool combination)
Targets, Which Are Eligible (e.g. trauma, body image and self-image)
How-thesis targets Can be edited
And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.
Keywords: Eating Disorders
Accuracy Verified: Yes
203. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .
Language: Spanish
Format: Journal
Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.
The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.
Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma
Accuracy Verified: Yes
204. Korn, D. L., Zangwill, W., Lipke, H., & Smyth, M. J. (2001, January). EMDR fidelity rating scale. Author .
Language: English
Format: Other
Abstract:
EMDR Fidelity Rating Scale: Rating of introductory phases of treatment (history and treatment planning, preparation, safe place exercise; rating of resource development and installation protocl (part of the preparation phase; and rating of the trauma-processing phases of treatment (reevaluation, assessment, desensitisation, installation, body scan, closure.
Keywords: Fidelity Rating Scale
Accuracy Verified: Yes
205. Blore, D. (2009). EMDR for mining and related trauma: The underground trauma protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 215-232). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and presented them here as the Underground Trauma Protocol (UTP). The UTP is intended to provide a rapid and effective method of conducting EMDR with traumatized miners and other similar, very specific, client groups. The principal use of the UTP is for traumatized miners of coal, gold, nickel, gems, and so forth. It has also been used with the following populations: traumatized tunnelers (e.g., excavators of tunnels in both war and peace); those traumatized in rail accidents in tunnels (e.g., fire in Channel Tunnel, Kings Cross tube fire); those traumatized in underground leisure pursuits (e.g., exploration of caves, pot holing); those traumatized by being trapped (e.g., in collapsed buildings as in Turkish earthquakes); and those traumatized during 9/11 in New York and the 7/7 bombings in London. The author recommends that the treatment of this client group only be undertaken by fully trained EMDR clinicians who have experience with modifying protocols and existing clinical experience of using cognitive interweave. The Underground Trauma Protocol Script is provided. [PsycINFO Datab]
Keywords: Disasters Mining Trauma Underground Trauma Underground Trauma Protocol
Accuracy Verified: Yes
206. Dworkin, M. (2003, September). EMDR from the heart: A relational view of healing traumatic memories. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician to client. This workshop
1s designed to raise the awareness of the clinician's witting and unwitting
participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatosensory countertransferential
reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of
clinician and client into account and opens opportuntities for new and
more powerful links to positive neural networks enhancing the work.
This workshop will teach rapid methods of identifying and sequencing
and intervening in these intersubjective processes.
Keywords: Relational Interweave Relational Strategies
Accuracy Verified: Yes
207. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
208. 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
209. Tripolt, R. (2010, Oktober). EMDR in bewegung [EMDR in motion]. EMDRIA Deutschland e.V. Rundbrief, 21, 16-23.
Language: German
Format: Newsletter
Abstract:
Im Folgenden geht es um die Möglichkeit der Erweiterung des EMDR Protokolls um die
Dimension der Bewegung: Die Ebene der Kognitionen (PK/NK, VoC), der Emotion (SUD) und
der Körperwahrnehmung (Körpertest) wird um die Reflexionsebene der Bewegung und der
Bewegungswahrnehmung ergänzt. Dieses kann die Wirkweise von EMDR verstärken und bei
dissoziativen TraumapatientInnen die unmittelbare Anwendung von EMDR oft erst
ermöglichen. Dazu wird der Einsatz von Elementen aus 5 Rhythmen Bewegungstherapie, Tanz
und körperorientierten therapeutischen Techniken vorgestellt und anhand eines Fallbeispieles
illustriert.
I now turn to the possibility of extending the EMDR protocol to the Dimension of the movemen: the level of cognition (PC/NC,VoC ), emotion (SUD )and of body awareness (body test) is the reflection plane of movement and Motion perception complements. This may enhance the mode of action of EMDR and dissociative trauma patients, the direct application of EMDR often only allow. For this purpose, the use of elements from 5 Rhythms movement therapy, dance and body-oriented therapeutic techniques and presented a case study
illustrated.
Accuracy Verified: Yes
210. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
211. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
212. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 213. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24. Language: German Format: Journal Abstract: Keywords: Personality Disorders Accuracy Verified: Yes 214. Drexler, K. (2004). EMDR in der therapie psychomatisch erkrankter [EMDR in the treatment of psychosomatic patients]. Intitut de Traumatherapie. Language: German Format: Other Abstract: Keywords: Protocol Psychosomaticism Accuracy Verified: Yes 215. Tripolt, R. (2010, June). EMDR in motion: Enhancing the effect of EMDR by using elements of movement therapy, dance and body
orientated
therapeutic
interweave techniques. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Body Dance Therapy Experimental Use Movement Therapy Symposium Accuracy Verified: Yes 216. Parnell, L. A. (2003, September). EMDR in the treatment of adults abused as children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Adults Children Bridging Technique Incomplete Sessions Interweave Strategies Resource Development Sexual Abuse Accuracy Verified: Yes 217. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference Accuracy Verified: Yes 218. Parnell, L. A. (2002, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Adults Blocked Processing Bridging Children Incomplete Sessions Resource Installation Sexual Abuse Accuracy Verified: Yes 219. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Body Dysmorphic Disorder Accuracy Verified: Yes 220. McGoldrick, T., Brown, K., & Begum, M. (2011, March). EMDR in the treatment of body dysmorphic disorder & olfactory reference syndrome: A case series. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol. Language: English Format: Conference Abstract: Keywords: BDD Body Dysmorphic Disorder Olfactory Reference Syndrome ORS Symposium Accuracy Verified: Yes 221. Vogt, R. (2002, Mai). EMDR in verbindung mit ausdrucksformen der körpertherapie [EMDR in conjunction with expressions of body therapy]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland. Language: German Format: Conference Abstract: Keywords: Body Therapy Accuracy Verified: Yes 222. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Emotional Identification Poster Accuracy Verified: Yes 223. Paulsen, S. L. (2004, September). EMDR master series - II: Ego state therapy and EMDR: Activating, modifying and containing dissociated neural networks. Invited master series lecture at the annual meeting the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Master Series Accuracy Verified: Yes 224. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 225. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Accelerated Information Processing Model AIP DID Dissociation Accuracy Verified: Yes 226. Saêta, L. B. (2012, Novembro). EMDR no tratamento da dor e das sensações fantasmas [EMDR in the treatment of pain and phantom sensations]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Amputation Phantom Pain Phantom Sensation Accuracy Verified: Yes 227. Jackson, J. (2002, April 8). EMDR offers new treatment for trauma. Nursing Spectrum -- New England Edition, 6(2), 17. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 228. Purandare, M., Bhagwagar, H., & Tank, P. (2010, July). EMDR on children affected by the earthquake. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Children Earthquake Accuracy Verified: Yes 229. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland
. Language: English Format: Conference Abstract: Keywords: Pain Control Accuracy Verified: Yes 230. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Performance Enhancement Protocol Accuracy Verified: Yes 231. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co. Language: English Format: Book Abstract: Keywords: Depression, Eating Disorders, Performance Accuracy Verified: Yes 232. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co. Language: English Format: Book Abstract: Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 233. Yordy, J. (2012, April). EMDR techniques to help children and teens tame the worry monster. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Keywords: Adolescents Anxiety Children Accuracy Verified: Yes 234. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self Accuracy Verified: Yes 235. Withers, D. (2001). EMDR therapy in the group setting. The Children’s Group Association Newsletter. Language: English Format: Newsletter Abstract: Keywords: ADHD Attention Deficit Hyperactivity Disorder Children Accuracy Verified: Yes 236. Oren, U., & Solomon, R. (2012). EMDR therapy: An overview of its development and mechanisms of action. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 197-203. doi:10.1016/j.erap.2012.08.005. Language: English Format: Journal Abstract: Keywords: Development Mechanisms of Action Accuracy Verified: Yes 237. Hase, M. (2006, November). EMDR toegepast op de addicition geheugen in alcohol verslaafde patiënten opnieuw te verwerken in - Resultaten en follow-up gegevens van een klinische studie [EMDR applied to reprocess the addicition memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands. Language: English Format: Conference Abstract: Keywords: Addiction Memory Inpatients Accuracy Verified: Yes 238. McGoldrick, T. (2001, May). EMDR treatment of body dysmorphobia". Presentation at the EMDR Europe Association annual meeting, London, UK . Language: English Format: Conference Abstract: Keywords: Body Dysmorphic Disorder Accuracy Verified: Yes 239. Abel, N. J., & O'Brien, J. M. (2010). EMDR treatment of comorbid PTSD and alcohol dependence: A case example. Journal of EMDR Practice and Research, 4(2), 50-59. doi:10.1891/1933-3196.4.2.50. Language: English Format: Journal Abstract: Keywords: Alcohol Dependence Comorbid PTSD Accuracy Verified: Yes 240. Shapiro, E. (2009). EMDR treatment of recent trauma. Journal of EMDR Practice and Research, 3(3), 141-151. doi:10.1891/1933-3196.3.3.141 . Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD: Early EMDR Intervention Early Psychological Intervention EEI Prevention of Posttraumatic Stress Disorder Prevention of PTSD Recent Trauma Accuracy Verified: Yes 241. Holmshaw, M. (2001, May). EMDR treatment of sexual dysfunction. Presentation at the EMDR Europe Association annual meeting, London, UK . Language: English Format: Conference Abstract: Keywords: Sexual Dysfunction Accuracy Verified: Yes 242. Farrell, D. (2013, June). EMDR treatment plan and survivors of child sexual abuse by clergy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Children Clergy Abuse Sexual Abuse Accuracy Verified: Yes 243. Shapiro, F. (2002). EMDR treatment: Overview and integration. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 27-55). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Cognitive Therapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 244. Shapiro, R. (2000, September). An EMDR two-hand interweave. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. . Language: English Format: Conference Abstract: Keywords: Two-Hand Interweave Accuracy Verified: Yes 245. Tripolt, R. (2008, September). EMDR und körperarbeit [EMDR and body work]. Presentation at Pre-Kongress über EMDR am European Kongress der Hypnose, Wien, Österreich
. Language: German Format: Conference Keywords: Body Work Accuracy Verified: Yes 246. Rouanzoin, C. (2011, August). EMDR update and refresher course. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Refresher Update Accuracy Verified: Yes 247. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India . Language: English Format: Conference Abstract: Keywords: Gearbox Accuracy Verified: Yes 248. Darker-Smith, S. (2007, June). EMDR vs CBT in the treatment of anorexia nervosa: A preliminary study. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Anorexia Nervosa CBT Cognitive Behavioral Therapy Accuracy Verified: Yes 249. Amman, B. (2013, June). EMDR with bipolar disorder. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Bipolar Disorder Accuracy Verified: Yes 250. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques Accuracy Verified: Yes 251. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 252. Servan-Schreiber, D. (2007, June). EMDR with life-threatening medical illness. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Keynote Medical Illness Accuracy Verified: Yes 253. Keenan, L., Keenan, P., & Wright, C. (2007, June). EMDR with perinatal post traumatic stress disorder. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Health Problems Perinatal Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 254. Friberg, M. (2004, June). EMDR with two adolescents suffering from dissociative symptoms after sexual abuse: both with considerable weight-loss during treatment. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Children Dissociation Sexual Abuse Symposium Accuracy Verified: Yes 255. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Trauma Accuracy Verified: Yes 256. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades. Language: Spanish Format: Book Abstract: Keywords: Dissociation Accuracy Verified: Yes 257. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain. Language: Spanish Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 258. Moura, J. G. D. (2012, Novembro). EMDR – Construção de diagnóstico comum ou acertando o alvo [EMDR - Construction of common diagnosis or hitting the target]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Body Language Building Common Diagnosis Phases 1 Phase 2 Stabilization Accuracy Verified: Yes 259. Hase, M. H. (2005, June). EMDR – Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Addiction Accuracy Verified: Yes 260. 陈庆玲 [Chen Qingling] (2012). EMDR用于艾滋病患者心理康复研究——以某一艾滋病患者创伤心理治疗的成功个案为例 [The EMDR for AIDS patients psychological Rehabilitation Research - successful cases of an AIDS patient trauma psychotherapy]. 西华大学学报：哲学社会科学版,6. Language: Chinese Format: Dissertation/Thesis Abstract: Keywords: AIDS Depression HIV Trauma Accuracy Verified: No 261. 市井雅哉 [Ichii Masaya]. (2002). EMDR（眼球運動脱感作と再処理）：認知織り交ぜる手法で [EMDR (eye movement desensitization and reprocessing): Putting cognitive interweave as technique]. 精神治療の日本誌、17（4）、491〜498 [Japanese Journal of Psychiatric Treatment, 17(4), 491-498]. Language: Japanese Format: Journal Keywords: Cognitive Interweave Accuracy Verified: Yes 262. Mevissen, L., & Lievegoed, L. (2012, June). EMDR, a healing pathway also for people with Autism? [Mevissen]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Autism Accuracy Verified: Yes 263. O'Brien, J. M., & Abel, N. J. (2011). EMDR, addictions, and the stages of change: A road map for intervention. Journal of EMDR Practice and Research, 5(3), 121-130. doi:10.1891/1933-3196.5.3.121. Language: English Format: Journal Abstract: Keywords: Addiction Stages of Change Trauma Accuracy Verified: Yes 264. Grand, D. (2003, May). EMDR, creavitity and the brain. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Brain Creativity Empowerment Symposium Accuracy Verified: Yes 265. 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: Keywords: Ego States Policement, Queens Test Anxiety Accuracy Verified: Yes 266. Horne, B. (2012, April). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Containment involves a great deal more than pretty little exercises that help the client drive home safely. This workshop will focus on the importance of containment in EMDR and its role in helping clients with the affect regulation that is necessary for trauma reprocessing. Containment work in Phase 2 can help the client develop this necessary dual attention skill (proof of requisite affect regulation). We will also look at containment in EMDR’s Phase 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to both prepare clients for 11-step protocols and properly close incomplete. Experiential exercises will enable participants to practice at least one new method for use with clients. Keywords: Closure Containment Accuracy Verified: Yes 267. Shapiro, F. (2008). EMDR: Desensibilización y reprocesamiento por medio de movimiento ocular [EMDR: Eye movement desensitization and reprocessing]. Santa Cruz Atoyac: Pax Mex Editorial. Language: Spanish Format: Book Abstract: Accuracy Verified: Yes 268. Cazabat, E. H. (2004, Febrero). EMDR: Principios básicos y estado actual de este novedoso método terapéutico [EMDR: Basic principles and current state of this novel psychotherapeutic approach]. Comunicación presentada en: 5º Congreso Virtual de Psiquiatría
. Language: Spanish Format: Conference Abstract: Keywords: Practice Psychological Trauma Theory Accuracy Verified: Yes 269. Shapiro, F. (1996, Summer). EMDR: Adaptive information processing. Independent Practitioner, 16(3), 142-146. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 270. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 . Language: English Format: Journal Abstract: Keywords: Lohr Point/Counterpoint Accuracy Verified: Yes 271. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Keywords: Art Therapy Emergency Intervention Somatic Experiencing Accuracy Verified: Yes 272. Lanius, R. A. (2010, June). Emotion regulation and the self in complex PTSD. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 273. Ogden, P. (2004, September). Empowering the body: Somatic awareness and physical action in the treatment of trauma and dissociation. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Dissociation Somatism Trauma Accuracy Verified: Yes 274. deGraffenreid, D., & Page, R. (2009, April 18). The enhanced safe place: A practitioners guide to using multi sensory imaging to strengthen the safe place. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA. Language: English Format: Conference Abstract: Keywords: Enhanced Safe Place Accuracy Verified: Yes 275. Keller, M. (2010, July). Enhancing EMDR with mindfulness skills. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Mindfulness Skills Accuracy Verified: Yes 276. Smithson, M. (2003, September). Enhancing somatic interventions in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Somatic Complaints Accuracy Verified: Yes 277. Henry-Schneider, P. (2007, September). Enhancing the flow toward mental health: Integrating EMDR and ai chi. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Ai Chi Meditation Accuracy Verified: Yes 278. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75. Language: French Format: Journal Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 279. Ginger, S. (2007, Septembre ). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. Document présenté au 9e Congrès de l’Europan Association for Gestalt Therapy (EAGT), Athens, Grèce. Language: French Format: Conference Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 280. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document présenté au Congrès de l' European Association for Psychotherapy Europan (EA), Florence, Italie. Language: French Format: Conference Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 281. Grand, D. (2007, Novembro). A Essência do EMDR [The essence of EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: EMDR á uma abordagem poderosa que já trouxe
cura emocional a milhões de pessoas que
sofrem com traumas ao redor do mundo. Os
protocolos e procedimentos estão claramente
desenvolvidos e delineados, mas a essência do
EMDR permanece ainda por ser explorarada. Nesta
apresentação olhamos de forma profunda os
fatores que estão por detrás do EMDR, incluindo as capacidades inerentes do cliente, o ambiente
de contenção que o terapeuta provê, as qualidades
da relação terapêutica, a sabedoria da integração
mente-corpo e o uso da esperança, possibilidades,
espiritualidade e filosofia que emergem no
processo. Accuracy Verified: Yes 282. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Advanced Management Dissociation Ego States Accuracy Verified: Yes 283. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Art Therapy Treatment Accuracy Verified: Yes 284. Falzon, L., Davidson, K. W., & Bruns, D. (2010). Evidence searching for evidence-based psychology practice. Professional Psychology: Research and Practice, 41(6), 550-557. doi:10.1037/a0021352. Language: English Format: Journal Abstract: Keywords: Evidence-Based Methodology Accuracy Verified: Yes 285. Schlosser, F. J. (1993, Fall/Winter). Exposure/EMDR: Diagnostic use of feedback. EMDR Network Newsletter, 3(2), 7-10. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 286. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness Accuracy Verified: Yes 287. Posterski, J. (2005, July 1). Eye movement desensitization and reprocessing. EAP News, 9(3), 1-2. Language: English Format: Newsletter Abstract: Keywords: EAP Employee Assistance Program Accuracy Verified: Yes 288. Staff. (2004, July). Eye movement desensitization and reprocessing. Office of Substance Abuse Services, Current Tx Trends, 2(7), 1-2. Language: English Format: Magazine Abstract: Keywords: Pathological Conditions Posttraumatic Stress Disorder PTSD Substance Abuse Disorders Accuracy Verified: Yes 289. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011. Language: English Format: Other Abstract: Keywords: Intervention Summary Accuracy Verified: Yes 290. Leskowitz, E. (2002). Eye movement desensitization and reprocessing (EMDR) and subtle energy: A proposed mechanism of action. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook. (1st ed.) (pp. 311-321) New York: W. W. Norton. Language: English Format: Book Section Abstract: Keywords: Energy Psychotherapy Posttraumatic Stress Disorder PTSD Stressors Subtle Energy Survivors Accuracy Verified: Yes 291. Dziegielewski, S., & Wolfe, P. (2000, September). Eye movement desensitization and reprocessing (EMDR) as a time-limited treatment intervention for body image disturbance and self-esteem: A single subject case study design. Journal of Psychotherapy in Independent Practice, 1(3), 1-16. doi:10.1300/J288v01n03_01 . Language: English Format: Journal Abstract: Keywords: Anorexia Body Image Disturbances Bulimia Clinical Case Study Eating Disorders Empirical Study Females Self-Esteem Single Subject Design Accuracy Verified: Yes 292. Kim, D. (2005, March). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Journal of the Korean Neuropsychiatric Association, 44(2), 147-151. Language: Korean Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 293. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012. Language: English Format: Other Abstract: Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 294. Shapiro, F., & Maxfield, L. (2001). Eye movement desensitization and reprocessing (EMDR): Clinical implications of an integrated psychotherapy treatment. Directions in Clinical and Counseling Psychology, 11(6), 59-71. Language: English Format: Journal Abstract: Keywords: Integrative Psychotherapy Approach Accuracy Verified: Yes 295. Scholten, A. (2006, December). Eye movement desensitization and reprocessing (EMDR): A controversial treatment for trauma survivors. Carl R. Darnall Army Medical Center, Mental Health, 1-3. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 296. Kneff, J. C., & Krebs, K. (2004, November- December). Eye movement desensitization and reprocessing (EMDR): Another helpful mind-body technique to treat GI problems. Gastroenterology Nursing, 27(6), 286-287. Language: English Format: Journal Abstract: Keywords: GI Problems Accuracy Verified: Yes 297. 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: Keywords: Adults Americans Anxiety Disorders Empirical Study Panic Disorder Phobia Treatment Effectiveness Accuracy Verified: Yes 298. Hase, M. H. (2006). Eye movement desensitization and reprocessing zur beeinflussung des cravings alkoholabhängiger [Eye movement desensitization and reprocessing to influence of cravings of alcohol]. Aus der Abteilung PsychosomatischeMedizin und Psychotherapie der Medizinischen Hochschule Hannover. Language: German Format: Dissertation/Thesis Abstract: Keywords: Alcoholism Posttraumatic Stress Disorder PTSD Therapy Accuracy Verified: Yes 299. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391. Language: English Format: Journal Abstract: Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 300. Menon, S. B., & Jayan, C. (2010, July/December). Eye movement desensitization and reprocessing: A conceptual framework. Indian Journal of Psychological Medicine, 32(2), 136-140. doi:10.4103/0253-7176.78512. Language: English Format: Journal Abstract: Accuracy Verified: Yes 301. Goldstein, A., & Feske, U. (1993, Fall). Eye movement desensitization and reprocessing: An emerging treatment for anxiety disorders. ADAA Reporter, 1(4), 1, 12. Language: English Format: Newsletter Abstract: Keywords: Anxiety Disorders Accuracy Verified: Yes 302. Hassard, A. (1993). Eye movement desensitization of body image. Behavioural and Cognitive Psychotherapy, 21(2), 157-160. doi:10.1017/S0141347300018127. Language: English Format: Journal Abstract: Keywords: Adults Case Report Disfigurement Females Physical Pain Self Concept Surgical Procedures Survivors Accuracy Verified: Yes 303. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299. Language: English Format: Dissertation/Thesis Abstract: Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 304. Miller, R. (2005). The feeling-state theory of compulsions and cravings and decreasing compulsions and cravings using an eye movement protocol. Pacifica Graduate Institute, Carpinteria, CA. AAT 3166384. Language: English Format: Dissertation/Thesis Abstract: Keywords: Compulsions Craving Empirical Study Eye Movements Pathological Gambling Accuracy Verified: Yes 305. Mankuta, D., Aziz-Suleyman, A., Yochail, L., & Allon, M. (2012, November). Field evaluation and treatment of short-term psycho-medical trauma after sexual assault in the Democratic Republic of Congo. Israel Medical Assocation Journal, 14, 653-657. Language: English Format: Journal Abstract: Keywords: Congo IES Impact of Event Scale Sexual Assault Trauma Violence Accuracy Verified: No 306. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton. Language: English Format: Book Abstract: Keywords: Body Psychotherapy Cognitive Therapy Ego State Therapy Hypnotherapy Stressors Survivors TFT: Thought Field Therapy Accuracy Verified: Yes 307. Glang, C. (1995). Finding the “PATH” in pathology: An approach to cognitive interweave. EMDR Network Newsletter, 5(2), 5-6. Language: English Format: Newsletter Abstract: Keywords: Cognitive Interweave Accuracy Verified: Yes 308. Heller, F. (2000, September). Fire in the crucible. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Isomorphic Multisystemic Cognitive Interweave Sexuality Issues Accuracy Verified: Yes 309. Cahill, S., Foa, E., Rothbaum, B., & Resnick, P. (2004, November). First do no harm: Worsening or improvement after
prolonged exposure. In A. Maercker & G. Berthold (Chairs), Beyond RCT research: Evaluating cmmon and new treatment components. Symposium conducted at the 20th International Society of Traumatic Stress Studies Conference, New Orleans, LA . Language: English Format: Conference Abstract: Keywords: Prolonged Exposure Symposium Accuracy Verified: Yes 310. Holden, S. (2012, October). Floating further back. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK. Language: English Format: Conference Abstract: Keywords: Body-Based Floatback Accuracy Verified: Yes 311. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana. Language: Spanish Format: Conference Abstract: Keywords: Floatback Technique Float Foward Technique Accuracy Verified: Yes 312. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Essential Listening Flow EMDR Accuracy Verified: Yes 313. Andresen, K. (2003, September). Focus on the body during EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Body Sensations Accuracy Verified: Yes 314. McGuire-Bouwman, K. (1998). Focusing and the "power" therapies. Presentation at the 10th International Focusing Conference, Spring Valley, New York
. Language: English Format: Conference Abstract: Keywords: EFT Focusing Therapy Accuracy Verified: Yes 315. Orr, F. (2002, June). Focusing with EMDR. Presentation at the annual meeting of the EMDR International Assocation, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Felt Body Sense Focusing Method Accuracy Verified: Yes 316. Shapiro, E. (2009). Four elements exercise for stress management. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 73-79). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Four Elements Exercise Protocol Stress Management Accuracy Verified: Yes 317. Scholz, R. (2010, June). From mass trauma to chosen trauma - some
discriminations and their therapeutic relevance. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Mass Trauma Symposium Accuracy Verified: Yes 318. van der Kolk, B. A. (2009, December). Frontiers of trauma treatment. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA. Language: English Format: Journal Abstract: Keywords: Trauma Treatment Accuracy Verified: Yes 319. van der Kolk, B. A. (2005, December). Frontiers of trauma treatment. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA. Language: English Format: Conference Abstract: Keywords: Trauma Treatment Accuracy Verified: Yes 320. Spindler, C. (2007, June). Gentle EMDR: A precursor to standard EMDR protocol. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Accuracy Verified: Yes 321. Cairella, C. (2012, June). Getting to the heart of the matter: Using EMDR effectively with couples [Llegando
al
corazón
del
problema:
El
empleo
efectivo
de
EMDR
con
parejas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Couples Accuracy Verified: Yes 322. Marries, D. (2011, March 3). Giffords' aide on the road to recovery for both mind and body. KOLD News 13, Tucson, AZ [2 p]. Language: English Format: Newspaper Abstract: Keywords: Barber General Gifford Overview Gifford Accuracy Verified: Yes 323. Paulsen, S. L. (2006, April). Giving the body a voice with EMDR, ego state therapy and somatic psychotherapy. Presentation at 11th Annual Northwest Regional Conference on Trauma Disorders Conference, Lake Chelan, WA. Language: English Format: Conference Abstract: Participants will be able to 1) Identify three skills to observe bodily held trauma material, 2) Analyze a model of transforming trauma through
resources, and 3) Identify a hypnoprojective method for bringing somatically held material into conscious mind. Keywords: Ego State Therapy Somatic Psychotherapy Accuracy Verified: Yes 324. Paulsen, S. L., & Stanley, S. A. (2005, November). Giving the body a voice: How EMDR, ego state therapy, somatic experiencing and indigenous healing methods can cure somatic dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation, Toronto, Ontario Canada. Language: English Format: Conference Keywords: Ego State Therapy Indigenous Healing Somatic Dissociation Somatic Psychotherapy Accuracy Verified: Yes 325. Waldon, A. P. (2004). Goodbye yucky thoughts and feelings: An EMDR workbook for children. LuLu.com and EMDRResources.com. Language: English Format: Book Abstract: Accuracy Verified: Yes 326. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium Accuracy Verified: Yes 327. Richards, J. B. (2010, June). Group EMDR after individual trauma treatment as assistance back into everyday life. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Group Therapy Accuracy Verified: Yes 328. Tutarel-Kislak, S. (2004, December). Görme engelli bireyde göz hareketleriyle duyarsizlastirmave yeniden isleme tedavi yönteminin dize Hhafifçe vurma alternatifininuygulanmasi: Bir olgu sunumu [A knee tapping variant of eye movement desensitization and reprocessing with a blind person: A case report]. Türk Psikoloji Yazilari, 7(14), 77-90. Language: Turkish Format: Journal Abstract: Keywords: Blind Clinical Case Study Knee Knee Tapping Accuracy Verified: Yes 329. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Structural Dissociation Theory Accuracy Verified: Yes 330. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Structural Dissociation Theory Accuracy Verified: Yes 331. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co. Language: English Format: Book Abstract: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 332. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Affect Theory Accuracy Verified: Yes 333. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley. Language: English Format: Book Section Abstract: Keywords: Adolescents Children Accuracy Verified: Yes 334. Herbert, C. (2003, May). Healing the “inner child” – EMDR imagery rescripting techniques with complex trauma clients. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Attachment Theory Complex PTSD Imagery Inner Child Rescripting Symposium Accuracy Verified: Yes 335. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Attachment Behavior Psychotherapy Stressors Survivors Accuracy Verified: Yes 336. Steele, S. L. (2003). Healing trauma: Creating a theoretical structure for nonverbal and expressive therapies in the treatment of trauma. Chicago School of Professional Psychology, Chicago, IL. AAT 3093612. Language: English Format: Dissertation/Thesis Abstract: Keywords: Alexithymia Body Psychotherapy Cognitive Processes Dance Therapy Dissociative Disorders Expressive Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Somatic Symptoms Accuracy Verified: Yes 337. Seubert, A. (2007, June). The heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: For the past three decades clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of clients with mental disability (MH/MR)(Objective #1). At first, behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population. Particularly through the use of process therapies, it has become clear that traditional insight and cognitive therapy must be adopted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population. Keywords: Mental Disability Accuracy Verified: Yes 338. Seubert, A. (2006, September). The heart with a door: An EMDR with clients with mental disabilities. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Mental Retardation Accuracy Verified: Yes 339. Seubert, A. (2008, June). A heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, London, England . Language: English Format: Conference Abstract: Keywords: Mental Disabilities Accuracy Verified: Yes 340. Yordy, J. (2010, April/May). Helping children shrink the worry monster utilizing EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario. Language: English Format: Conference Abstract: Keywords: Children Worry Monster Accuracy Verified: Yes 341. Ichii, M., Amano, T., & Yoshikawa, H. (2012, June). Hemodynamic responses during EMDR treatment of traumatic memory [Respuestas
hemodinámicas
durante
el
tratamiento
de
memorias
traumáticas
con
EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Hemodynamic Responses Accuracy Verified: Yes 342. van der Zee, H., & Zaal, A. (2011, April). Het emotionele brein; EMDR & neuropsychologie [The emotional brain, EMDR & neuropsychology]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Neurobiology Neuropsychology Accuracy Verified: Yes 343. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA . Language: English Format: Conference Abstract: Keywords: Poster Sub-Clinical Stress Accuracy Verified: Yes 344. Rothschild, B. (2002, June). How the body remembers trauma. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Body Brain Memory Trauma Accuracy Verified: Yes 345. Shapiro, F. (2012, June 13). How to take back your power after a divorce. Huffinton Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/how-to-take-back-your-pow_b_1582534.html on 6/13/2012. Language: English Format: Other Abstract: Accuracy Verified: Yes 346. van der Berg, D.,
van der Vleugel, P.,
& de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Psychosis Accuracy Verified: Yes 347. van Loey, C. & Assante, S. (2011). Hypnose, EMDR, EFT -les nouveaux chemins de la guérison : soigner le corps et le psychisme par les thérapies du mouvement et de la representation [Hypnosis, EMDR, EFT-new ways of healing: healing the body and psyche in therapy movement and representation]. Escalquens : Dangles édition, ; ISBN: 9782703309000 (br) 2703309007 (br) . Language: French Format: Book Abstract: Accuracy Verified: Yes 348. Knipe, J. (1997). Identifying blocking beliefs worksheet. EMDRIA Newsletter, 2(6), 11. Language: English Format: Newsletter Abstract: Keywords: Blocking Beliefs Accuracy Verified: Yes 349. Knipe, J. (1997, December). Identifying hidden blocking beliefs. EMDRIA Newsletter, 2(6), 10-11. Language: English Format: Newsletter Abstract: Keywords: Blocking Beliefs Accuracy Verified: Yes 350. Luber, M., & Shapiro, F. (2009). Illness and somatic disorders protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 189-211). New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Illness Protocol Somatic Disorders Accuracy Verified: Yes 351. Plassmann, R. (2009). Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten [In our own rhythm, the connection allergy disorders EMDR treatment of eating disorders, pain, anxiety disorders, tinnitus and addictions]. Giessen, Deutschland:: Psychosozial-Verlag. Language: German Format: Book Abstract: Keywords: Addictions Anxiety Disorders Eating Disorders Pain Tinnitus Accuracy Verified: Yes 352. Forester, D. (2009). Image is everything: The EMDR protocol in the treatment of body dysmorphia and poor body image. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 165-174). New York, NY: W. W. Norton & Co.. Language: English Format: Book Section Keywords: body dysmorphia Body Image Accuracy Verified: Yes 353. Steele, A. (2003, September). Imaginal nurturing. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Imaginal Nurturing Accuracy Verified: Yes 354. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing: EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Child Bearing Sexual Abuse Accuracy Verified: Yes 355. O'Malley, A. (2008, June). The impact of neglect and trauma on the developing infant brain and the implications
for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Infantile Brain Development Accuracy Verified: Yes 356. Handberg, H. H. (2007, June). Implications of "unity of duality" Tibetan psychology and philosophy in regard to psychotherapy and personal development and its correlations to EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Poster Tibet Unity of Duality Accuracy Verified: Yes 357. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Ai Chi Mind/Body Connection Accuracy Verified: Yes 358. Bergmann, U. (2000, September/October). In your mind's eye: Speculations on the neurobiology of eye movement desensitisation and reprocessing (EMDR). New Therapist, 9, 24-27. Language: English Format: Magazine Abstract: Keywords: Neurobiology Accuracy Verified: Yes 359. Christman, S. D., Propper, R. E., & Brown, T. J. (2006, May). Increased interhemispheric interaction is associated with earlier offset of childhood amnesia. Neuropsychology, 20(3), 336-345. doi:10.1037/0894-4105.20.3.336 . Language: English Format: Journal Abstract: Accuracy Verified: Yes 360. Reddemann, L. (2009). The inner safe place. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp.71-72). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Inner Safe Place Protocol Accuracy Verified: Yes 361. Rossi, E. L. (1999, June). Innovative approaches to optimizing healing and human potentials: The expanding role of EMDR in psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Mind-Body Therapy Accuracy Verified: Yes 362. Martinez, R. (1992, May). Innovative uses. EMDR Network Newsletter, 2(1), 14-15. Language: English Format: Newsletter Abstract: Keywords: Cognitions Innovative Uses Accuracy Verified: Yes 363. Andresen, K. (1993, Fall/Winter). Innovative uses: EMDR body centered processing. EMDR Network Newsletter, 3(2), 19. Language: English Format: Newsletter Abstract: Keywords: Body Innovative Uses Accuracy Verified: Yes 364. Potexki, A. K. (2012, Novembro). Integração da dimensão espiritual na cura do trauma [Integration of the spiritual dimension in healing trauma]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Integration of the Spiritual Dimension Accuracy Verified: Yes 365. Munnukka-Dahlqvist, M. (2004, June). Integrating EMDR in psychotherapy treating complex trauma in a client with previous long-term psychotherapies. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Complex Trauma Symposium Accuracy Verified: Yes 366. Cooke, L. J., & Grand, C. (2007, September). Integrating EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Eating Disorders Accuracy Verified: Yes 367. Whisman, M., & Keller, M. (1999, June). Integrating EMDR in the treatment of obsessive compulsive disorder. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Obsessive Compulsive Disorder OCD Resource Installation Accuracy Verified: Yes 368. Grand, D. (1995, June). Integrating EMDR into the psychodynamic treatment process. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Psychodynamic Accuracy Verified: Yes 369. Scholom, J. (2004, September). Integrating EMDR with eating disorders. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Eating Disorders Accuracy Verified: Yes 370. Darker-Smith, S. (2008, June). Integrating emotion for attached-disordered and dissociated children. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Dissociation Children Accuracy Verified: Yes 371. Armstrong, M. K. (2009). Integrating focusing into EMDR. Author. Language: English Format: Other Abstract: Keywords: Focusing Accuracy Verified: Yes 372. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Schema-Focused Therapy Accuracy Verified: Yes 373. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Schema-Focused Therapy Accuracy Verified: Yes 374. Gray, A. E. & Hildegun, S. S.
(2009, June). Integrating the body mind: EMDR and somatic psychotherapy with trauma survivors. In EMDR and psychosomatic psychotherapy. Presentation at the 11th Annual European Conference on Traumatic Stress, Olso, Norway. Language: English Format: Conference Keywords: Mind/Body Somaticism Trauma Accuracy Verified: Yes 375. Kiessling, R. (2000, September). Integrating the EMDR approach into your clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Accuracy Verified: Yes 376. Yordy, J. (2008, Mai). Intégration des techniques de gymnastique cérébrale et de psychologie énergétique afin d’améliorer le traitement EMDR avec les enfants et les adultes [Integrating brain gym & energy techniques to Enhance EMDR processing (for children and adults)]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada. Language: French Format: Conference Abstract: Keywords: Brain Gym Energy Techniques Accuracy Verified: Yes 377. Nutting, R. W. (2003, May). The integration of EMDR and body dialogue. Presentation at the annual meeting of the EMDR Europe Assocation, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Body Dialogue Accuracy Verified: Yes 378. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Sexual Abuse Survivors Accuracy Verified: Yes 379. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171. Language: English Format: Journal Abstract: Keywords: Empathy Intersubjective Cognitive Interweave Cognitive Processes Countertransference Integrative Model Integrative Psychotherapy Interpersonal Interaction Models Posttraumatic Stress Disorder Psychotherapy PTSD Transference Psychotherapeutic Transference Subjectivity Accuracy Verified: Yes 380. Kaye, B. (2006). Interactive cognitive motor interweaves during EMDR. Cary, NC: Allied Psychological Services. Language: English Format: Other Abstract: Keywords: Cognitive Interweave Accuracy Verified: Yes 381. Propper, R. E., & Christman, S. D. (2008). Interhemispheric interaction and saccadic
horizontal eye movements - Implications for episodic memory, EMDR, and PTSD. Journal of EMDR Practice and Research, 2(4), 269-281. doi:10.1891/1933-3196.2.4.269. Language: English Format: Journal Abstract: Keywords: Eye Movements Episodic Memory Handedness Interhemispheric Interaction Accuracy Verified: Yes 382. Scagliotti, J. (2011). Interoceptive exposure therapy for combat veterans: A group treatment approach. University of Hartford, Hartford, CT. Language: English Format: Dissertation/Thesis Abstract: Keywords: Combat Veterans Interoceptive Exposure Therapy Accuracy Verified: Yes 383. Pereira, I. (2012, Novembro). Intervenção psicoterapêutica no tratamento de paciente com a síndrome de fibromialgia [Psychotherapeutic intervention in the treatment of patients with fibromyalgia syndrome]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Comorbidity Fibromyalgia Accuracy Verified: Yes 384. Russell, A., & O'Connor, M. (2002). Interventions for recovery: The use of EMDR with children in a community-based project. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional Paper No. 19 (pp. 43-45) London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Keywords: Children Community-Based Project Occasional Paper Accuracy Verified: Yes 385. Thomson, S. S. (1993). An interview with Francine Shapiro, Ph.D., Part II. Treating Abuse Today, 3(3), 17-22. Language: English Format: Magazine Abstract: Keywords: Francine Shapiro Interview Accuracy Verified: Yes 386. Stowasser, J. (2011, August). An introduction to the treatment of domestic violence victims. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Domestic Violence Victims Accuracy Verified: Yes 387. Ackerman, M. (2012, July 3). Is EMDR the cure?. The Fix, Addiction and Recovery Straight Up. Retrieved from http://www.thefix.com/content/emdr-cure-for-addiction-10083?page=1 on Juky 14, 2012. Language: English Format: Other Abstract: Keywords: Addiction Accuracy Verified: Yes 388. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Personality Disorders Symposium Trauma Accuracy Verified: Yes 389. Knipe, J. (1998). It was a golden time...: Treating narcissistic vulnerability. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 232-255), New York: Norton. Language: English Format: Book Section Abstract: Keywords: Adults Americans Case Report Defense Mechanisms Life Experiences Males Posttraumatic Stress Disorder PTSD Self Concept Survivors Treatment Effectiveness Accuracy Verified: Yes 390. Wildwind, L. (1998, July). It’s never too late to have a happy childhood: Using EMDR to create and install essential experiences. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Experiential Interweave Imaged Interventions Resistance Accuracy Verified: Yes 391. Fine, C.& Berkowitz, A. (2008, April). The joint use of EMDR and hypnosis in the treatment of DID, DDNOS and complex
PTSD. Presentation at the 1st bi-annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands. Language: English Format: Conference Abstract: Keywords: Complex PTSD DDNOS DID Dissociative Identity Disorder Dissociative Disorder Not Otherwise Specified Hypnosis Accuracy Verified: Yes 392. Keenan, P., & Wright, C. (2008, June). A joint working approach to the identification and treatment (EMDR) of peri-natal post
traumatic stress disorder (PN-PTSD). Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Perinatal Perinatal Posttraumatic Stress Disorder PN-PTSD Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 393. Horne, B. (2012, April). Joyful practice: EMDR and the therapist. Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Accuracy Verified: Yes 394. 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: Keywords: Chronic Pain Pain Disorders Pain Psychotherapy Accuracy Verified: Yes 395. Tripolt, R. (2008, September). Körpererfahrung und EMDR-prozess [Body experience and the EMDR process]. Vortrag im Rahmen der Pre-Kongress zum Thema EMDR bei der Vorkkongress EMDR beim Europaischen Hypnoeskongress, Wien. Language: German Format: Conference Abstract: Keywords: Body Experience Accuracy Verified: Yes 396. 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: Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy Accuracy Verified: Yes 397. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Body-Mind Interaction PNEI Accuracy Verified: Yes 398. Gambuzza, C. (2008, Novembre). L'EMDR in un trauma complesso di PN-PTSD e abuso [EMDR in a complex PN-PTSD trauma and abuse]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Complex PTSD Poster Accuracy Verified: Yes 399. Bardelli, D., & Faccio, S. (2008, Ottobre). La consapevolezza: un percorso facilitato dall’utilizzo dell’EMDR [Awareness: a Path facilitated by the use of EMDR]. Poster presentato al Convegno regionale SICP (Societa Italiana di Cure Palliative) SIPO (Societa Italiano Psico - Oncologia)Ivrea, Italia
. Language: Italian Format: Conference Keywords: Awareness Accuracy Verified: Yes 400. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders 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: Keywords: Eating Disorders Symposium Accuracy Verified: Yes 401. Miti, G., & Onofri, A.
(2011, Guigno). La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR [Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach]. Cognitivismo Clinico, 8(1), 73-91 . Language: Italian Format: Journal Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 402. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia. Language: Italian Format: Conference Abstract: Keywords: Interpersonal Trauma Accuracy Verified: Yes 403. Luber, M. (2013). Letters to the editor. Journal of EMDR Practice and Research, 7(1), 50-51. doi:10.1891/1933-3196.7.1.50. Language: English Format: Journal Abstract: Keywords: Fidelity Future Template Accuracy Verified: Yes 404. Stairs, F. (2001, May 14). Letters: Save the baby. Detroit, MI: The Detroit News, No Dot, Letters, 08A. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 405. Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors (1st ed.). New York: Norton. Language: English Format: Book Abstract: Keywords: Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Survivors Terrorism Veterans War Accuracy Verified: Yes 406. Nickerson, M. (2009, April). Listening to the body: Enhancing body awareness in EMDR reprocessing. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA
. Language: English Format: Conference Abstract: Keywords: Body Awareness Accuracy Verified: Yes 407. Blinka, D. (2007, March 3). Look again at trauma. New Scientist, 193(2593), 20. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 408. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Dual Attention Accuracy Verified: Yes 409. Giannantonio, M. (2008, Novembre). L’integrazione possible: accedere alle emozioni con strategie imaginative e corporee [Integration impossible: Access to emotions with imaginative and corporeal strategies]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Imaginative Strategies Somatic Interventions Accuracy Verified: Yes 410. Boudreau, C. (2008, Mai). L’utilisation de l’EMDR en oncologie [The use of EMDR in oncology]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada. Language: French Format: Conference Abstract: Keywords: Cancer Chronic Illness Oncology Accuracy Verified: Yes 411. Yordy, J. (2013, May). Making the brain/body connection: Using brain gym techniques to enhance child EMDR processing. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Accuracy Verified: Yes 412. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England. Language: English Format: Conference Abstract: Keywords: Persistent Pain Accuracy Verified: Yes 413. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"]
. EMDR Deutschland e.V. Rundbrief, 19, 20-34. Language: German Format: Newsletter Abstract: Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders Accuracy Verified: Yes 414. Lodge, K. (2012, March 16). Michael Ferrara, PTSD support for those who save our lives. Sky-Hi News. Retrieved from http://www.skyhidailynews.com/article/20120316/NEWS/120319963/1079&ParentProfile=1067 on 3/16/2012. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Skiing Accuracy Verified: Yes 415. Theall, M. (2005, December 2). The mind-body connection. Knight Ridder/Tribune News Service. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 416. Rossi, E., Shapiro, F., & Siegel, D. (2009, December). Mind-body issues. Panel discussion at the 6th Evolution of Psychotherapy Conference, Anaheim, CA. Language: English Format: Conference Accuracy Verified: Yes 417. Siegel, I. (2012, October). Mindful awareness and the role of resonance within EMDR protocol. Presentation at the annual meeting of the EMDR International Association, Arlington, VA
. Language: English Format: Conference Abstract: Keywords: Mindful Awareness Protocol Resonance Accuracy Verified: Yes 418. Siegel, D. J. (2007, September). The mindful brain: Reflection and attunement in the cultivation of well-being. Plenary presented at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Brain Mindfulness Plenary Accuracy Verified: Yes 419. Greene, J. (2010, April/Mayl). Mindfulness and EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario. Language: English Format: Conference Abstract: Keywords: Mindfulness Accuracy Verified: Yes 420. Greene, J. (2010, September/October). Mindfulness and EMDR: Strengthening key skills in preparation phase. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Mindfulness: Preparation Phase Accuracy Verified: Yes 421. Darker-Smith, S. (2007, June). Mindfulness as a stabilisation tools for trauma processing. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Mindfulness Poster Stabilization Accuracy Verified: Yes 422. Darker-Smith, S. (2007, June). Mindfulness meditation to enable attenuation on imagined exposure in PTSD - A single case study. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 423. Radke, M. (2004, September). Mindfulness meets EMDR. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Mindfulness Accuracy Verified: Yes 424. Fisher, J. A. (2008, June). Minding the body: Somatic interventions for enhancing EMDR effectiveness. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Somatic Psychotherapy Accuracy Verified: Yes 425. Fisher, J. A. (2009, April 18). Minding the body: Somatic interventions for enhancing EMDR effectiveness. Plenary presented at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA. Language: English Format: Conference Abstract: Keywords: Plenary Somatic Interventions Accuracy Verified: Yes 426. Fisher, J. A. (2003, November). Minding the body: Integrating EMDR and sensorimotor psychotherapy in the treatment of trauma and dissociation. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL. Language: English Format: Conference Keywords: Dissociation Accuracy Verified: Yes 427. Fisher, J. A. (2005, September). Minding the body: Working with the somatic legacy of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Somatic Psychotherapy Accuracy Verified: Yes 428. Fisher, J. A. (2003, September). Minding the body: Integrating EMDR and somatic psychotherapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Sensorimotor Psychotherapy Somatic Psychotherapy Accuracy Verified: Yes 429. Cartoni, A., Gaudin, M., Astori, M. G., Mannatrizio, A., & Brunati, E.
(2012, June). Mistakes to not repeat: When the child´s body talks of the mother´s traumatic past (case) [Errores
a
no
repetir:
Cuando
el
cuerpo
del
niño
habla
del
pasado
traumático
de
la
madre
(caso)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Body Accuracy Verified: Yes 430. Korn, D., & Laliotis, D. (2012, October). Moment-to-moment decision-making: Broadening the possibilities. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Trauma Decision-Making Accuracy Verified: Yes 431. Marich, J. (2010, April/May). Musical interweaves in EMDR treatment. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario. Language: English Format: Conference Abstract: Keywords: Musical Interweave Accuracy Verified: Yes 432. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Narcissistic Personality Disorder Accuracy Verified: Yes 433. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14. Language: English Format: Journal Abstract: Keywords: Eriksonian Hypnosis Narrative Constructionist Accuracy Verified: Yes 434. Servan-Schreiber, D. (2006, September). Nature’s way of self-healing – From neuroscience to clinical practice. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Plenary Accuracy Verified: Yes 435. Servan-Schreiber, D. (2005, June). Nature’s way of self-healing: From neuroscience to clinical practice. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Homeostasis Neuroscience Plenary Practice Accuracy Verified: Yes 436. Herbert, C. (2005, June). Neither good nor bad, just perfect as you are! Facilitating emergence of the self. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Emergence of Self Accuracy Verified: Yes 437. Lanius, U. (2008, September). The neurobiology of dissociation: Current findings and treatment approaches. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Dissociation Neurobiology Accuracy Verified: Yes 438. Paterson, M. (2011, March). The neurobiology of EMDR. Presentation at the annual meeting of the EMDR Association of UK & Ireland, Bristol. Language: English Format: Conference Abstract: Keywords: Neurobiology Accuracy Verified: Yes 439. Bergmann, U. (2006, September). The neurobiology of EMDR: Thalamic, cerebellar and pontine/REM processes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Cerebellum Neurobiology Thalamus Accuracy Verified: Yes 440. Fernandez, I., & Solomon, R. M. (2001, October). Neurophysiological components of EMDR treatment. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (pp 137-140) Palermo, Italy. Language: English Format: Conference Abstract: Keywords: Information Processing System Neurophysiology Accuracy Verified: Yes 441. Blore, D. C. (2012, October). New directions for EMDR: The EMDR UK & Ireland, Internet-based: Positive psychology & EMDR special interest group (SIG). Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK
. Language: English Format: Conference Abstract: Keywords: Internet Positive Psychology & EMDR Special Interest Group SIG Accuracy Verified: Yes 442. 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: Keywords: Website EMDRNews.com Accuracy Verified: Yes 443. 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: Keywords: Ankylosing Spondylitis Arterial Hypertension Ménière's Syndrome Accuracy Verified: Yes 444. Grenough, M. (2012, October). OASIS in the overwhelm: Affect management/stabilization with diverse cultures. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Affect Management Stabilization Accuracy Verified: Yes 445. 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: Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes Accuracy Verified: Yes 446. Thomson, S. S. (1995). On circumcision, other childhood medical procedures and EMDR. EMDR Network Newsletter, 5(2), 8. Language: English Format: Newsletter Abstract: Keywords: Children Circumsion Medical Procedures Accuracy Verified: Yes 447. Keenan, P. S. (2004, September). Outcome of CBT with adults; The treatment of non-psychotic morbid jealousy using EMDR and cognitive
interweave. Poster presented at the 34th annual Conference of the European Association for Behavioural and
Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England. Language: English Format: Conference Abstract: Keywords: CBT Cognitive Behaviorial Therapy Cognitive Interweave Morbid Jealousy Accuracy Verified: Yes 448. Kravic, N., & Hasanovic, M. (2011, January). P02-377 - Moral conflict and first sexual experience - Case presentation. European Psychiatry, 26(Supplement 1), 973-973. doi:10.1016/S0924-9338(11)72678-5. Language: English Format: Journal Abstract: Keywords: Sexual Experience Accuracy Verified: Yes 449. Agius, M., Middleton, E., & Zaman, R. (2011, January). P02-466 - Audit and re-audit of patients with PTSD in a community team in Bedfordshire, UK. European Psychiatry, 26(1), 1062. doi:10.1016/S0924-9338(11)72767-5. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 450. Kahn, D. (2008, November). PAA: Positive affect activation, addition to/modification of phase 6 of the standard EMDR protocol. Israel EMDR. Retrieved from http://www.emdr.org.il/dls/eyes2body.swf on 8/12/2010. Language: English Format: Other Abstract: Keywords: PAA Positive Affect Activation Shock Wave Flash Accuracy Verified: Yes 451. Kahn, D. (2008, November). PAAP. לגוף עיניים - Models for EMDR treatment with Enhanced Focus on the Body, Tel Aviv, Israel. Language: Hebrew Format: Conference Abstract: Kahn will present a proposal for the anchoring of positive effect in the body as an addition or modification of the standard protocol. Keywords: PAAP Accuracy Verified: Yes 452. Lilieblad, B. (2004, June). Pain, stress and quality of life. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Coping Holistic Treatment Pain Pain Drawing Quality of Life Psychosomatic Pain Stress Symposium Accuracy Verified: Yes 453. 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: Keywords: Panic Disorder Phobia Physiology Accuracy Verified: Yes 454. Martin, A. J. (2003). Peaceful heart: A woman's journey of healing. Berkeley, CA: Creative Arts Book Company. Language: English Format: Book Abstract: Keywords: Adults Americans Effects Females Personal Narrative Rape Survivors Accuracy Verified: Yes 455. Radke, M. (2002, June). A perfect complement: EMDR and internal family systems. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: IFS Internal Family Systems Accuracy Verified: Yes 456. Plummer, C. D. (2007). Performance enhancement for brass musicians using eye movement desensitization and reprocessing. University of Cincinnati, Cincinnati, OH. AAT 3262543. Language: English Format: Dissertation/Thesis Abstract: Keywords: Auditory Stimulation Brass Musicians Empirical Study Hemispheres Musicians Posttraumatic Stress Disorder PTSD Quantitative Study Syndromes Accuracy Verified: Yes 457. Tinker, R. H., & Wilson, S. A. (2005). The phantom limb pain protocol. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 147-159). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Amputation Survivors Physical Pain Psychotherapeutic Processes Accuracy Verified: Yes 458. Gerge, A. (2008, April). Phase I Preparations of severely traumatized women for exposure by extended
EMDR-protocols in phase II treatment. Presentation at the 1st Bi-Annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 459. Staff. (2000). Phobia: When an irrational fear takes control. Films for the Humanities & Sciences, Princeton, NJ. Language: English Format: Video Abstract: Keywords: Fear Phobias Psychosocial Factors Treatment Accuracy Verified: No 460. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing
in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels Accuracy Verified: Yes 461. Hurley, E. C., & Colelli, G. (2006, September). Post-Katrina disaster response: EMDR Humanitarian Assistance Program (HAP) volunteers discuss post-Katrina recovery work and its comparison with the 9/11 New York City response. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 462. Melbeck, H. H. (2004, Juni). Posttraumatische belastungsstörung, stressphysiologie station und psychotherapie und itinerant behandlungsansätze [Posttraumatic stress disorder, stress physiology and psychotherapy: Trauma-therapy with in-and out-patients]. Analytische Psychologie, 35 (136) 144-181. Language: German Format: Journal Abstract: Keywords: Emotional Trauma Multimodal Treatment Approach Neurophysiology, Physiology, Posttraumatic Stress Disorder, Psychological Stress PSTD Accuracy Verified: Yes 463. Cohen-Posey, K. (2009, August). The power of EMDR: Evoking the self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Negative Cognitions Accuracy Verified: Yes 464. Spierings, J. (2010, June). Power-interweaves: (Non-)cognitive interweaves
for persistent guilt and other
tenacious problems. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Persistent Guilt Power Interweave Accuracy Verified: Yes 465. Klaff, F. (2005, September). Practical EMDR with children and adolescents: An integrative family systems approach. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Adolescents Children Integrative Family Systems Approach Accuracy Verified: Yes 466. Grand, D. (1997, July). Practice innovations in auditory stimulation, body processing, dynamic interweave, and EMDR based diagnosis. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA. Language: English Format: Conference Keywords: Auditory Stimulation Body Processing Dynamic Interweave Accuracy Verified: Yes 467. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x. Language: English Format: Journal Abstract: Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees Accuracy Verified: Yes 468. Pearson, H. J. (2009). Present and accounted for: Sensory stimulation and parietal neuroplasticity. Journal of EMDR Practice and Research, 3(1), 39-49. doi:10.1891/1933-3196.3.1.39. Language: English Format: Journal Abstract: Keywords: Neglect Parietal Lobe Plasticity Accuracy Verified: Yes 469. Turcotte, D. T. (1995, June 11). Process thaws images of trauma. Worcester, MA: Worcester Telegram & Gazette, All, Local News, B1. Language: English Format: Newspaper Abstract: Keywords: General Overview Roger Solomon Worcester Accuracy Verified: Yes 470. 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: Accuracy Verified: Yes 471. Heitzler, M. (2008, June). The processing body: Integrating EMDR & body psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Body Psychotherapy Accuracy Verified: Yes 472. Oren, U. (2008, December). Promising results with the EMDR method - Alleviating traumatized bodies and minds . Rehabilitation and Research Centre for Torture Victims: An International Evidence-Based Conference, Copenhagen, Denmark
. Language: English Format: Conference Abstract: Keywords: Mind-Body Accuracy Verified: Yes 473. Bruck, N. R. V. (2007, March). A psicologia das emergências: Um estudo sobre angústia pública e o dramático cotidiano do trauma [The psychology of emergencies: A survey of public angst and dramatic daily life of trauma]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia
Doutorado Em Psicologia, Porto Alegre. Language: Portuguese Format: Dissertation/Thesis Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.
EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Bei psychosomatischen Erkrankungen ist der Körper sowohl Leidtragender, als auch Leidverursacher. Dies beeinflusst die Beziehung Betroffener zu ihrem Körper in der Regel nachhaltig negativ, wodurch wiederum mögliche Ressourcen gehemmt werden.
EMDR kann maßgeblich zu einem besseren Stressmanagement beitragen (F. Shapiro).
In psychosomatic disorders, the body is both victim and also suffering polluter. This affects the relationship concerned with their body usually lasting negative, which in turn potential resources are inhibited.
EMDR can significantly contribute to a better stress management (F. Shapiro).
'The Body Keeps the Score' (Bessel van der. Kolk 1996).
Clients who suffer from traumatic stress are often afraid of disturbing
and painful symptoms. Structural Dissociation alienates
from the body reactions. Clients tend to perceive the body as
hostile.
As we know from eye movement and other bilateral stimulations,
using movement is a gentle and powerful way, to bring
the voice of the body into the therapeutic space. To expand the
movement and body orientated skills either in difficult processes
for example in the therapeutic work with complex traumatised
clients enhances the effect of EMDR.
Content of the Workshop:
How to install the body as resource where the EMDR process
can 'take place'.
How to dissolve dissociation by associating body and movement
awareness.
How to accelerate the desensitization process by leading into
deeper levels of body consciousness.
How to help the client to stay within the "window of tolerance"
of vegetative arousal by using elements of movement
and dance therapy.
EMDR therapists need specific and advanced understanding of the EMDR method as well as additional skills to complete treatment successfully. In this workshop the overall course of treatment with EMDR is briefly outlined but specific areas are focused on in more detail. These areas include: 1) the development and installation of resources; 2) strategic target development including the bridging technqiue; 3) modification of the standard EMDR procedural steps, 4) techniques for unblocking blocked processing including advanced interweave strategies; and 5) technqiues for closing incomplete sessions.
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive
internal resource images, such as the inner advisor child-self – adult-self assessment and
development, nurturer and protector figures,
spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories;
TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.
EMDR therapists need specific and advanced understanding of the EMDR method, as well as additional skills, to complete treatment successfully. In this workshop the overall course of treatment with EMDR is briefly outlined, but specific areas are focused on in more detail. These areas include 1) the development and installation of resources; 2) strategic
target development, including the bridging technique; 3) modifications of
thc standard EMDR procedural steps; 4) techniques for unblocking blocked processing including advanced interweave strategies; and 5) techniques
for closing incomplete sessions.
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Body Dysmorphic Disorder (BDD) and a related condition Olfactory Reference Syndrome
(ORS) have been debated for over a century regarding their nosology and treatment. Recent reviews
suggest a variable response to various pharmacotherapy and psychotherapy. The effects of EMDR on
such cases have not yet been sufficiently explored. Here we present 18 cases of both these conditions
with a high success rate using EMDR. We explore the relationship between them and offer a
hypothesis to explain the aetiology based on the Adaptive Information Processing Model (AIP).
Chairs: Meusers, M. & Freiha, T.
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.
Chronic childhood trauma may lead to chronic dissociation which in turn produces a highly conflicted self-structure. Since conflicted self systems may not process smoothly in EMDR, it behooves practitioners to assess for degree of dissociation and other “red flag” indicators prior to EMDR. To work with clients with conflicted selves, the practitioner needs a means to access disowned parts of self. Although Ego State Therapy (EST) is based upon psychoanalytic theory, it is not slow as psychoanalytic treatment is. EST is a way to rapidly access internal structures, mediate conflicts, navigate around defenses and mobilize resources. Therefore EST is ideal as either: 1) a cognitive interweave in EMDR looping; or 2) as part of a preparation for clients in the high end of the dissociative continuum (the ACT-AS-IF approach). This workshop will illustrate case formulation and EMDR preparation and processing using the concepts above.
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
Dissociation is a normal human process. We all
dissociate. Some individuals are so severely and
chronically traumatized that, in order to survive,
they split their awareness into at least two levels
or streams of consciousness - one level being the
participant in the abuse drama and the other level
being an observer watching as if the abuse was
happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to
the reprocessing of their traumatic memories. This
presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and
complications of clinical treatment with
dissociative process; the nature of dissociative
process; screening for dissociation and the 'Red
Flags' of treatment concerns; the differential
diagnoses of dissociation - from dissociation
found in diagnostic categories other than
Dissociative Disorders (e.g., Mood Disorders,
Anxiety Disorders, PTSD) to DDNOS (ego states
work) and DID; the use of EMDR in the treatment
of dissociation in relation to trauma; therapist
attributes that help contribute to the successful
treatment of dissociative patients. Participants will
be encouraged to share their own insights and
difficulties in working with this very traumatized
population of individuals.
Sujeitos vítimas de amputação podem apresentar, imeditamente após a mesma, algum tipo de desconforto no membro ausente, descrito como formigamento, dormência, posição do membro, temperatura, latejamento, choque e apertamento que podem manifestar-se com a presença ou não de dor, tendo sua qualidade de vida reduzida. Observa-se que atualmente, as abordagens terapêuticas usadas no manejo da dor e das sensações fantasmas podem ser organizadas em três modalidades: medicamentosa, de apoio e cirúrgica, feitas em conjunto ou separadamente. Os tratamentos de apoio mais conhecidos incluem estimulação elétrica nervosa transcutânea, terapia vibratória, acupuntura, hipnose e biofeedback. A proposta desse estudo foi verificar a eficiência do EMDR na redução e/ou eliminação das sensações e da dor fantasmas aplicado a seis sujeitos com amputação de membro inferior, num período de um a três meses de duração (de 4 a 12 sessões de 60 a 90 minutos de duração), utilizando o protocolo EMDR padrão e o protocolo EMDR para a dor, e também exercícios corporais de respiração consciente, aliados, em casos de resistência dos sujeitos ao EMDR, à ativação da visão macular dos dois olhos e a exercícios rítmicos de espernear. Tais procedimentos proporcionaram uma melhor comunicação entre os hemisférios cerebrais, numa reorganização cortical que facilitou o aumento da consciência e aceitação da perda do membro amputado, sendo possível presenciar efeitos terapêuticos positivos e rápidos. Constatou-se que as sensações e as dores fantasmas diminuíram significativamente em três participantes e desapareceram por completo nos outros três, comprovando a eficácia e eficiência do EMDR no processo de inclusão e readaptação social em sujeitos vítimas de amputação.
Subjected victims of amputation may have, immediately after it, some kind of discomfort absent member, described as tingling, numbness, limb position, temperature, throbbing, clenching and shock that may occur with the presence or absence of pain, having a reduced quality of life. It is observed that currently, the therapeutic approaches used in the management of pain and phantom sensations can be organized into three types: medication, and surgical support, made jointly or separately. The most popular treatments include support transcutaneous electrical nerve stimulation, vibratory therapy, acupuncture, hypnosis and biofeedback. The purpose of this study was to examine the efficacy of EMDR in the reduction and / or elimination of phantom sensations and pain applied to six subjects with lower limb amputation in a period of one to three months duration (4 to 12 sessions of 60 to 90 minutes), using the standard EMDR protocol and the protocol EMDR for pain, and also body conscious breathing exercises, combined, in cases of resistance to the subject of EMDR, the activation of macular vision in both eyes and rhythmic exercises kicking . These procedures allow for a better communication between the cerebral hemispheres, cortical reorganization in which facilitated the increased awareness and acceptance of the loss of the amputated limb, and you can witness the positive therapeutic effects and fast. It was found that the sensations and phantom pain significantly decreased in three participants and disappeared completely in the other three, proving the efficiency and effectiveness of EMDR in the process of inclusion and social rehabilitation of victims subject to amputation.
His therapist felt that Jack could be helped by a relatively new therapy, Eye Movement Desensitization and Reprocessing (EMDR). EMDR was originated in 1987 and has become a recognized means of helping those dealing with the effects of traumatic events. EMDR-centered therapy allows the mind to heal from psychological trauma in much the same way that the body heals from physical trauma. If an infection or foreign body interferes with physical healing, medical treatment can allow the normal healing process to continue. EMDR works to unblock emotional trauma so that the mind's natural healing process can continue. (Excerpt)
Efficacy of EMDR on Children Affected by Earthquake: The aim of the study was to investigate the efficacy of EMDR as an
intervention technique for trauma victims. A sample of 50 students, studying in 10th grade, age ranging from 14 to 16 years
were selected. The Impact of Event Scale (IES) was administered to measure the intensity of trauma experienced. A pre-post
test research design was used in the study. The results were in the predicted direction. EMDR was found to be effective in
reducing avoidance, intrusion and hyper arousal as well as overall impact of trauma.
“Group EMDR With Earthquake Survivors”
The current study is an attempt to understand the impact of a specific traumatic events and its expression in children i.e. the
earthquake that occurred in Gujarat, Western India in January 2001.
This study was a part of the therapy work conducted with the survivors of the earthquake by the group of 40 practitioners
from Mumbai and was over 4 months.
The paper will present the following aspects:
1. The symptoms seen among the children depicting PTSD as per DSM IV criteria. Signs of Hyper-arousal, Avoidance and
Intrusion were clearly seen especially in children
2. The process used. This was a modified version of the standard 8 phase protocol appropriate for use with group work.
Butterfly hugs were used as BLS. Stages of EMDR for this group:
3. Observations and a few unique experiences
These include blocking of trauma image, difficulty in safe place visualizing, difficulty in distancing and using creative
techniques for soothing and relaxation.
4. Impact of the EMDR intervention with this group
More than 16000 children from about 30 schools were seen. based on observations and reports by teachers during the
follow up showed reduction in anxiety, reports of life resembling pre-earthquake, improved attention and concentration,
better sleeping patterns and lowering of somatic complaints.
Impact and expression of trauma in children exposed to the earthquake: The current study is an attempt to understand
the impact of a specific traumatic event and its expression in children i.e. the earthquake that occurred in Gujarat, western
India in January 2001. The Butterfly hug technique for bilateral stimulation was used following 8 steps of EMDR. Drawings
of children were used as their expressions during different phases of EMDR. Drawings during “ Assessment phase” depicted
feelings of insecurity, a sense of vacuum and emptiness, low energy levels, a desire for contact and help, feelings of guilt, poor
body image, hypersensitivity was noticed almost universally and even during therapy. Drawings, following the processing
and installation phases indicated the facial expression changed to a smile. Tears which were present in almost all drawings
were not noted Positive cognitions were reflected in terms of the growth and freshness e.g. the newly growing grass. In spite
of the various symptoms of post traumatic stress disorder, no gross disintegration of personality had been noted.
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories; and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]
The number of children and teens struggling with symptoms of stress and anxiety disorders is increasing at an alarming rate. This workshop will discuss some causes for the increase in stress and anxiety disorders among children and teens. An introduction to the Triune Brain Theory and brief explanation of the implications of the changes on the anxious child or teenage brain will be highlighted. Next, effective exercises to calm the body and rewire the brain will be introduced. Creating new neural pathways, through the use of Positive Resource Building utilizing EMDR, will also be taught. Looking specifically at anxiety and how to target it when using EMDR, will also be explored. The workshop will conclude by introducing how to shrink the “Worry Monster” using an EMDR protocol.
Learning objectives:
1.Describe the Triune Brain Theory and how trauma rewires the brain to create heightened levels of anxiety and stress.
2.Demonstrate 5 exercises which help calm the stress response within the body.
3.List 5 “Positive Resources ”which when combined with EMDR anchor calm feelings in the brain/body and rewire the brain.
4.Discuss how to chose appropriate targets for EMDR processing with anxious kids.
5.Describe how to create a “Worry Monster” for processing anxiety with EMDR.
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR
processing, and to work to create a secure, responsive, and positive relational environment that supports change
and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from
other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation)
will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making
within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress
with greater precision, using both verbal and non-verbal markers to determine where the client is on a given
conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different
types of interweaves will be delineated with a clear description of the purpose or function associated with each.
Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both
didactic and video material.
Learning Objectives:
• Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment
decision-making during an EMDR session.
• Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice)
reflected in a client’s presenting issues, choice of targets, and stuck points.
• Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal
of maintaining and even accelerating processing within a window of tolerance.
• Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal
experiences (i.e. affect, sensation, urges, fantasies).
• Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies,
completing incomplete or truncated actions, and addressing various domains of developmental repair.
Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource
durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive
favorisant ainsi le changement et l’intégration.
Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de
la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision
‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment
suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour
déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou
approfondir le traitement du client. Objectifs d’apprentissage:
• Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas
comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR.
• Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité,
contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les
blocages.
• Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance
émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de
tolérance.
• Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides
et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes).
• Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de
compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les
dommages survenus au cours du développement.
I had been doing EMDR with children for a number of years for trauma and resultant anxiety, depression, sleep disorders, nightmares, hair pulling and a variety of symptoms, with excellent results. EMDR, or Eye Movement Desensitization and Reprocessing, is a powerful tool that seems to have a direct on the way the brain functions, reducing the disturbance of traumatic events and allowing the client to see them in a new and less distressing way. Researchers worldwide publishing in prestigious journals have shown its efficacy. Having a background in dance and movement therapy, I had previously developed an innovation, EMDR Bilateral Movement Therapy groups, for women with body image issues who are in 3rd stage trauma recovery. (Presented at the 1999 EMDRIA Conference). It was during a conversation with an EMDR trained child psychiatrist about these groups that I realized what a natural application they would have with ADHD children.
Introduction:
This article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice.
Elements of the literature:
An overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy.
Discussion:
EMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges.
Conclusion:
EMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.
Alcohol afhankelijkheid en haar gevolg op betekenen vaak intens lijden voor het individu en enorme kosten voor de samenleving. Gevestigde behandelmethoden, zo goed als ze zijn, gebrek aan effectiviteit. Uit recent onderzoek op het gebied van de neurowetenschappen is gebleken dat de meeste ervaring wordt automatisch verwerkt op subcorticaal niveau, dat wil zeggen door 'onbewust' interpretaties die buiten bewustzijn gemaakt. Inzicht en begrip hebben slechts een beperkte invloed op de werking van deze subcorticale processen. Deze bevindingen zijn ook van toepassing op verslaafde mensen een bijdragen aan een nieuwe aanpak te creëren. Het concept van een addicition geheugen is behulpzaam (Wolffgramm 2000; Wolffgramm 2002). Het kan worden opgevat als een vorm van onaangepast geheugen en EMDR is het hulpmiddel voor de resolutie (Shapiro 2001). De presentatie richt zich op theorie en praktijk van een EMDR aanpak van de verslaving opwerken geheugen (Hase 2006). Gegevens van een klinische studie zullen worden gepresenteerd en besproken.
Alcohol dependency and its sequela often mean intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Recent research in the field of neuroscience has shown that most experience is automatically processed on subcortical levels, i.e. by “unconscious” interpretations that are made outside of conscious awareness. Insight and understanding have only a limited influence on the operation of these subcortical processes. These findings are also applicable on addicted people an help to create a new approach. The concept of an addicition memory is helpful (Wolffgramm 2000; Wolffgramm 2002). It can be understood as a form of maladaptive memory and EMDR is the tool for resolution (Shapiro 2001). The presentation focusses on theory and practice of an EMDR approach to reprocess the addiction memory (Hase 2006). Data of a clinical study will be presented and discussed.
Body Dysmorphic Disorder presents a preoccupation with imagined ugliness, typically
involving facial flaws, such as spots or wrinkles, or the shape of the face, nose, mouth or jaw.
More rarely the complain involves the appearance of the feet, hands, breasts or genitalia. It is
frequently chronic and may lead to marked disruption of the patients social, marital and
occupational life (Phillips, 1991).
The disorder is fairly unremitting with few symptom-free periods, although the body part
focused upon may change over time. It is generally regarded as a condition that is difficult to
treat (Phillips, 1991). A variety of cognitive and behavioural techniques have been described
to have some effect but all tend to be lengthy. To the author's knowledge here are no reports
on the use of Eye Movement Desensitisation and Reprocessing (EMDR) in its treatment.
Here we describe our use of EMDR in fourteen consecutive patients with body dysmorphic
disorder. Outcome data is presented.
The treatment time is much less than the combination of treatment and homework used in
imaginal exposure (Vaughan et al, 1994). Such homework was not given to our patients.
Furthermore, as EMD leads to involuntary changing images throughout a session, the
exposure element is further reduced. In contrast to exposure, EMDR does not involve
exacerbating or increasing the patients level of anxiety and, whilst patients experience a rapid
positive shift in cognitions during EMDR, this has not been found in treatments with
exposure only (Kilpatrick, Veronen & Resnick, 1982).
Eye movement desensitization and reprocessing (EMDR) is a therapy that has been demonstrated to be effective in the treatment of posttraumatic stress disorder (PTSD). A relatively small but growing body of literature indicates that EMDR may be an effective adjunctive treatment for substance abuse. This article reviews the various protocols that have been developed for that purpose, including protocols by Vogelmann-Sine et al., Omaha, Popky, and Hase. A case study that incorporates the use of some of these interventions is presented to illustrate successful EMDR treatment of a woman who had long-standing comorbid alcohol abuse and PTSD. Two-year follow-up after EMDR showed that the woman was successfully maintaining sobriety and that the PTSD continued in full remission. After a discussion of the important aspects of this case, the authors explore future directions for research.
Although eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in treating chronic posttraumatic stress disorder and old trauma memories, EMDR treatment of recent traumatic events has not received adequate attention from EMDR researchers or clinicians. This article presents current thinking and findings about early psychological intervention following recent traumatic events and examines the status of early EMDR intervention (EEI) concepts and research. It is contended that this area has not developed sufficient awareness and definition among EMDR clinicians. Francine Shapiro's theoretical adaptive information-processing model predicts that dysfunctionally stored trauma memories underlie many current psychological disorders. Consequently, the assumption that memories of a recent traumatic event and its sequelae are not fully consolidated offers a unique role for EEI not only in reducing acute distress but also in preventing the sensitization and accumulation of trauma memories. A call is made for a more comprehensive approach to the field of EEI to promote interest and awareness among EMDR practitioners and to generate research.
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.
The issue of sexual abuse by clergy is not a new phenomenon of concern. Sipe (1995, pg 10) states that in spite of all the good done by clergy for both children and adults there is an ancient awareness of the danger of and potential for their corruption. This workshop will consider some of the essential aspects of survivor’s experiences of sexual abuse perpetrated by clergy or religious from a psycho-traumatology perspective. It will explore the implications for using EMDR with this client group. The primary focus of the workshop will be upon the EMDR phases of: History taking (Case Conceptualisation), Preparation Phase, Implications for desensitisation and reprocessing and the wider implications for EMDR clinical practice.
Learning Objectives:
Consider the diagnostic and case conceptual frameworks relating to this specific client group informed by the Adaptive Information Processing model;
Outline key aspects relating to phase 2 preparation and resource building; and
Explore some of the implications for desensitization and reprocessing in relation to working with survivors of sexual abuse perpetrated by clergy.
EMDR is not viewed as a panacea but rather as a comprehensive approach to be applied to experiential contributors of disorder and self-enhancement. The information-processing model that governs EMDR practice invites clinicians to view the overall client picture to identify the past events that contribute to the dysfunction, the present events that trigger disturbance, and the skills and internal resources that need to be incorporated for healthy and adaptive living in the future. The approach to the clinical picture is termed the adaptive information-processing model. It was previously termed the accelerated information-processing model because the rapid learning and transmutation of characteristics can take place without the time limitations accepted and imposed on the previous traditional therapies. [Text, p. 27]TOPICS TREATED: Eight phases of treatment (client history and planning; preparation; assessment; desensitization; installation; body scan; closure; re-evaluation); Adaptive information processing (mimicking spontaneous processing; case study); Future explorations
Participants will: 1) be able to employ two new methods of using a two-handed interweave with EMDR: (a) with eye movmeents or other therapist-applied bilateral stimulation, and (b) with client-directed bilateral stimulation; 2) be able to apply this two-handed interweave in a variety of treatment circumstances: (a) with clients who are experiencing ambivalence about a decision, (b) to contrast and sometimes integrate two ego states; (c) to differentiate between a projection on another, and the actual other person, (d) to differentiate between a negative cognition or introject and a true self, (e) to differentiate between a destructive cultural or familial belief or introject and a beneficial alternative, and (f) to tailor the two-hand technique to other circumstances; and 3) through practice, will be able to apply the two-handed interweave to another participant and have the experience of using it on themselves.
This workshop is for any clinician who has received the Basic Training in EMDR through an EMDRIA-Approved Training. The workshop will review and update information on: AIP case conceptualization; the 8 phases of EMDR treatment; developing the Target Sequencing Plan; the three prongs of EMDR treatment; and the use of cognitive interweave for stuck processing.
The participants will also have an opportunity to improve their skills in the use of Floatbacks and Affect Scans. A practicum experience will help further consolidate these concepts.
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization;
speed 1 deals with desensitizing future fears;
speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients
Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation.
If they slow down, it is because they have good enough reasons, whether conscious or not.
What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”
In working with clients with anorexia nervosa for the past 18 months, it has become apparent that while many clinicians continue to utilise a variety of treatment means, CBT or systemic family therapy are often treatments most frequently offered to the sufferer. However, what does appear to be consistent is the general view (e.g., Waller; Treasure; Brewer) that ‘recovery’ will take an average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery.
With this in mind, sixteen clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of 16.5 – 18 and still meeting the mental criteria of anorexia nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N.6). Starting with the premise that most sufferers of anorexia nervosa argued that simply ‘eating’ is not the answer – but rather the mechanism by which control is maintained – it was agreed that regular weigh-ins and the use of food journals would form part of the study – however, no therapeutic emphasis would be placed directly on food in either the CBT or the EMDR group.
Those receiving EMDR recovered substantially quicker and with less food-related exposure, once the target memory precipitating the anorexic onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the ‘feeder’ memory had been adapted in 8 out of the 10 EMDR clients. In the remaining two clients, behavioural experiments targeting the “practice of behaving (and eating) normally’ one day a week in order to reduce the fear of ‘normality’ was used with good effect.
Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly.
Although the trial lasted for 6 months duration, on average, the EMDR group reached ‘recovery’ at around 3-4 month mark, compared to the CBT group of which five noticed ‘improvement,’ however, did not appear to have increased weight and still reported phobic reactions to both body-mage and food at the 4 month mark. One in the CBT group did make a significant improvement based on cognitive restructuring alone and this client did increase weight and intake significantly at the same ratio as the EMDR group.
At the initial 1-month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet/weight compared to the EMDR group who had reached normal BMI ranges (N.9) and all reported little to no pre-occupation with diet/eight.
Although this study is still pending follow-ups of all clients, there would appear, on the basis of this preliminary study that anorexia nervosa appears to respond better to EMDR in shorter treatment duration than CBT.
Furthermore, six of the EMDR group reposed using safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor.
Research of the last decade suggests a decisive role of traumatic events on the onset and on the course of severe mental disease, especially affective disorders. The robustness of this data has been largely ignored by the psychiatric community, also due to a striking lack of trials designated to traumatized patients with severe mental disease. With this workshop we aim to create awareness on that issue by reviewing existing evidence of the impact of trauma on the patients’ life with severe mental disease. We also will show first controlled data of EMDR in instable, traumatized bipolar patients, with a focus on its effect on trauma and mood stabilization. Furthermore, we will present for the first time a Spanish Bipolar EMDR protocol as direct result of the above-mentioned study; to highlight practical details of this protocol, we also will discuss two cases of the study in an interactive way with the audience.
Learning objectives:
Trauma in severe mental disorder is so far not adequately recognized and treated by therapists;
Understanding the role of trauma in severe mental disorder, with a focus on bipolar disorder;
Results of a first controlled pilot study of instable bipolar patients suggest that EMDR reduces effectively trauma symptoms and trauma load; and
Results also suggest that EMDR stabilizes better the mood of subsyndromal, instable bipolar patients than a control group.
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming
the client’s capacity and resources. Practitioners must
screen for dissociation and use special procedures to safely
use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot
EMDR with dissociative clients within the phased
treatment model, for clients ranging from DDNOS to DID.
Assessment and stabilization are key to preparing clients
for trauma work. The workshop offers methods to increase
affect tolerance, establish a two-step containment habit, and
orient personalities to person place and time. Other topics
include: increasing tolerance of body sensation and affect,
and enhancing compassion for self and others, directly
working with introjects or other “monstrous” shame-laden
parts, essential to reducing internal conflict and resistance
to therapy. The workshop instructs in specific ego state
strategies and imagery to provide sufficient resources,
maintain an observing ego. Rooted in the hypnotic tradition,
stabilization methods to pace and fractionate the work
within EMDR while interspersing trauma work with sessions
that consolidate gains. The workshop also describes the
conference room method and means to trouble-shoot
stuck processing. Finally, the workshop describes the final
phases of therapy, skills building, integration and fusion.
Participants will be able to :
♦♦ explain why and when to assess every client for degree
of dissociation and choose an appropriate protocol.
♦♦ list six tactics for stabilizing clients, prior to doing
EMDR for dissociative clients, to increase rapport,
contain affect, orient to present circumstances,
reduce inner conflict, and build coping resources.
♦♦ structure EMDR sessions using imagery
and ego state interventions for pacing,
fractionating and trouble-shooting the work.
The relation between mind and body is more clearly understood
than ever before. Stress reactions influence biological mechanisms
such as immunity and inflammation
that profoundly influence the course of medical conditions.
PTSD is a predictor of ill-health. Powerlessness is
associated with cancer progression. This presentation will
review the mind-body connection in relation to severe illness,
and the role of EMDR in helping patients facing lifethreatening
diseases.
For most people, childbirth is a time for celebration and joy. However, for some women it can prove a harrowing and traumtising experience. This may result in mothers developing Peri-Natal Post Traumatic Stress Disorder (PN-PSTD), (Slade, 2006)). The reported prevalence of PTSD following childbirth ranges from 1.5% to 6% (Beck, 2004). However, there is a general lack of awareness of this issue, encompassing all health care professions (General Practitioners, Health Visitors, Obstetricians, and non-specialist Psychiatrists) (Robinson, 2003)). This can lead to misdiagnosis and inappropriate treatments being offers (Czamocks & Slade, 2000). This paper will critically examine some of the common themes associated with PN-PTSD. It will explore how Eye Movement Desensitization and Reprocessing (EMDR) can and should be used as an effective treatment intervention (Madrid, Skolek, and Shapiro 2007). Evidence based practice and practice based evidence (case studies) will show how EMDR can be adapted for this client group. The presentation will also reflect on future training needs and research implications.
Clinical case-presentation of EMDR-treatment of a boy and a girl, sixteen and eighteen years of age respectively, both with a history of different dissociative symptoms. Both were sexually abuse and both had a considerable weight-loss during EMDR-treatment. Symptoms prior to my contact with the body was pseudo-epileptic fits with shaking, cramps, eyes turning “inside out” and sometimes turning quite blue. After he could be spoken to, he could drink and seemed oriented in time and space, but later had total amnesia of the dissociative episode that could last for several hours. He also had pain in one leg and got the diagnosis “Sympatic Dystrophia” and “Complex Regional Pain Syndrome.” Memory of the sexual abuse was completely hidden behind a screen memory of being abuse physically by a schoolmate until very late in EMDR-treatment. The girl had family relations problems, eating disturbance, suicidal behavior and intense sways in temper and server conflicts with her mother. The sexual abuse by a relative was known and the dissociation was not diagnosed before screening with DES>
Both had different kinds of somatic and/or psychological long treatment, with little success, before entering EMDR-treatment. Both had an EMDR-treatment period of almost one-year and both were given the Putnam DES-scale before, during, and eight months after treatment.
In both cases, there was decline from very high Putnam DES scores to normal. At the eight month follow-up, the boy’s results persisted and weight was regained. The girl us just about to end treatment so there are no follow-up results. However, her weight is back to normal.
Is weight loss during EMDR-treatment noticed by other EMDR-therapists?
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive
training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills.
It is uncertain what percentage follow through in this regard.
Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys).
Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR
has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With
correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and
awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and
treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the
mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of
what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive
way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals.
Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those
professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they
work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree
that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the
challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a
successful course of therapy and a disaster.
Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many
therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1
responses which arise and how they are communicated to the patient.
In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with
victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and
what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate
certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will
engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e.,
countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or
less effective usage of EMDR.
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas.
Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.
During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.
El EMDR se ha desarrollado como una psicoterapia integrada que se ha
utilizado a nivel mundial en la última década como tratamiento empíricamente
validado para el trauma. A lo largo de este tiempo, se ha hecho evidente
que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y
abordar los devastadores efectos de la transmisión generacional.
Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento
para acceder a los sucesos vitales perturbadores, los disparadores actuales
y las experiencias futuras proyectadas, y procesarlas con una resolución
adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia
(imaginación, creencias, afecto y sensaciones corporales), mientras de
forma simultánea se da estimulación dual de la atención, por movimientos
oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias
perturbadoras indica un cambio simultáneo en la cognición, el afecto
y las sensaciones físicas, dando como resultado una integración adaptativa
de la experiencia.
Este acercamiento integra elementos de distintas escuelas de psicoterapia,
haciendo del EMDR aplicable a una enorme variedad de patologías
y accesible a terapeutas de distintas orientaciones dentro de una serie de
protocolos estandarizados (Van der Kolk, B., 1997).
En esta presentación exponemos las líneas generales de este modelo
psicoterapéutico a partir de la descripción del protocolo básico en EMDR
que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente;
2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes
de la diana de tratamiento 4) desensibilizar el material traumático
objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición
positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual
sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del
evento reprocesado.
EMDR has been developed as an integrated psychotherapy has
used worldwide in the last decade as a treatment empirically
validated for trauma. Throughout this time, it has become evident
it is possible to alleviate suffering, help stop the cycle of violence and
address the devastating effects of the generational transmission.
This approach uses a psychotherapeutic treatment protocol
accessing disruptive life events, current triggers
and projected future experiences, and process them with a resolution
Adaptive (Shapiro, 2002). Access to all aspects of the experience
(Imagination, beliefs, affection and bodily sensations), while in
simultaneously gives dual attention stimulation for movement
bilateral eye tones or tactile stimulation. The processing of memories
disturbing indicates a simultaneous change in cognition, affection
and physical sensations, resulting adaptive integration
experience.
This approach integrates elements from different schools of psychotherapy,
doing the EMDR applicable to a wide variety of pathologies
therapists and accessible to different orientations within a range of
standardized protocols (Van der Kolk, B., 1997).
In this paper we present the outlines of this model
psychotherapeutic from the description of the basic EMDR protocol
which is divided into eight phases: 1) collection on the history of the client;
2) preparing the client for the work to be performed, 3) evaluate all components
treatment of the target 4) desensitize traumatic material
object of the target by bilateral stimulation; 5) install cognition
positively identified; 6) reviewing the body to locate any residual material
unresolved; 7) logoff and 8) reassessment of the impact of
reprocessed event.
A estabilização é o momento do processo onde recebemos o paciente construímos rapport, entendimento comum do que esta se passando, damos informações psicopedagógicas sobre o trauma e o que é EMDR e o preparamos para as próximas fases. Esta apresentação pretende focar esta primeira etapa, que seria a construção do que convencionamos chamar de setting terapêutico dentro da perspectiva do EMDR. Este é um momento fundamental para o sucesso do tratamento. Quando nos posicionamos de forma correta frente a ele construindo um entendimento comum, que também podemos chamar de diagnostico comum, emparelhamos, damos sentido e fluidez ao processo. Reproduzimos e ativamos dentro do jogo psicoterapêutico capacidade inata de nós seres humanos de mimetização e sincronização com o outro na intenção de realizar algo, aprender e melhorar nossas chances de sobreviver. Lançamos mão constantemente como terapeutas desta aptidão para resolução das equações trazidas por nossos pacientes e não raramente nos beneficiamos aprendendo mais sobre nós e o mundo. Este processo pressupõe um exercício de entrar na plástica do outro, estranhá-la e refletir
para e com ele sobre o que o aflige e suas potencialidades. Como se dá este processo? Como podemos transformar impressões em narrativa? Como construímos um diagnostico comum?
The stabilization process is the time where we get the patient build rapport, common understanding of what is going on, we psychopedagogical information about trauma and what is EMDR and prepare for the next phases. This presentation aims to address this first phase, the construction of what would conventionally call the therapeutic setting within the perspective of EMDR. This is a critical time for successful treatment. When positioned correctly in front of him building a common understanding, which we can also call common diagnosis, emparelhamos, give direction and fluidity to the process. Reproduced within the game and activate innate ability psychotherapeutic us humans to mimic and synchronize with each other in an attempt to accomplish something, learn and improve our chances of survival. We used this constantly as therapists ability to solve the equations brought by our patients and not infrequently we benefit by learning more about ourselves and the world. This process involves an exercise of plastic entering the other, her strange and reflect
and to him about what ails you and your capabilities. How is this process? How can we turn impressions into narrative? How to build a common diagnosis?
Substance abuse is always a challenge for the therapist. Substance abuse
and its sequelae often mean intense suffering for the individual and huge
costs for society. Established treatment modalities, as good as they are, lack
effectiveness. Recent research in the field of neuroscience has shown that
most experience is automatically processed on sub cortical levels, i.e. by
"unconscious" interpretations that are made outside of conscious awareness.
Insight and understanding have only a limited influence on the operation of
these sub cortical processes. These findings are also applicable on addicted
people and help to create a new approach. The concept of an addiction
memory is helpful (Wolffgramm 2000: Wolffgramm 2002). It can be
understood as a form of maladaptive memory and EMDR is the tool for
resolution (Shapiro 2001). In this workshop an overview over theory and the practical aspects of EMDR treatment for substance abusers will be given.
Theory in combination with video demonstration will facilitate the transfer of
knowledge into everyday therapy.
感染艾滋病病毒对于生命和躯体安全都是一个严重的创伤性事件,患者往往会承受巨大的精神压力,并有不同程度的情感障碍问题。本文采用EMDR方法对一例具有抑郁情绪和人际交往障碍的艾滋病患者进行治疗,治疗结果显示对HIV/AIDS患者采用EMDR方法能获得良好的效果,因此有必要进行更深入的研究和应用。
HIV infection for the safety of life and body are a serious traumatic event, patients tend to be under tremendous mental stress, and have varying degrees of affective disorder. In this paper, the EMDR method for treatment of one case of AIDS patients with depression and interpersonal barriers, treatment outcomes of HIV / AIDS patients can get good results with EMDR method, it is necessary to carry out more in-depth research and application.
Autism
is
characterized
by
impairment
in
information
processing,
with
direct
consequences
for
the
AIP
in
EMDR
as
a
result.
This
core
impairment
in
autism
strongly
influences
attachment
development,
relation
to
and
communication
with
others,
sense
of
self,
relation
to
the
own
body
and
thus
to
bodily
senses,
functioning
of
the
sensory
system
(hypo
or
hyper),
view
on
the
world,
development
of
cognitive
schemata
and
development
of
the
stress
system.
People
with
autism
are
easily
traumatized,
even
by
'small-‐small-‐t
events'.
Often
a
single
trauma
leads
to
complex
traumatization.
Because
PTSD
symptoms
mimic
symptoms
of
autism,
'diagnostic
overshadowing'
is
a
frequently
seen
phenomenon.
This
is
even
more
the
case
in
clients
with
some
form
of
intellectual
disability.
In
this
workshop
several
cases
of
people
with
autism
treated
with
EMDR
will
be
presented
and
discussed,
with
the
use
of
abundant
video
material:
cases
in
which
treatment
is
influenced
by
the
autism,
as
well
as
cases
in
which
the
diagnosis
'autism'
no
longer
fits
after
treatment
of
PTSD
symptoms,
or
the
other
way
round
when
a
client
referred
for
PTSD
shows
up
in
the
course
of
treatment
as
having
an
autism
spectrum
disorder.
Autism
has
consequences
for
all
phases
of
the
8
phase
3
pronged
therapy
model
of
EMDR.
This
workshop
emphasizes
on
the
creative
implementation
of
the
core
principles
of
EMDR
in
the
treatment
of
people
with
various
autism
spectrum
disorders.
El
autismo
se
caracteriza
por
un
impedimento
del
procesamiento
de
la
información
y,
por
tanto,
con
consecuencias
directas
para
el
SPIA
en
EMDR.
Este
impedimento
fundamental
en
el
autismo
incide
fuertemente
en
el
desarrollo
del
apego,
las
relaciones
y
la
comunicación
con
terceros,
sentido
del
yo,
la
relación
para
con
el
propio
cuerpo
y,
por
ende,
con
los
sentidos
corporales,
el
funcionamiento
del
sistema
sensorial
(hipo
o
hiper),
con
su
visión
del
mundo,
el
desarrollo
de
esquemas
cognitivos
y
con
el
desarrollo
del
sistema
del
estrés.
Las
personas
con
autismo
sufren
traumatización
con
facilidad,
incluido
como
consecuencia
de
'sucesos
con
t
minúscula'.
A
menudo,
un
único
trauma
conduce
a
una
traumatización
compleja.
Dado
que
los
síntomas
de
TEPT
imitan
los
síntomas
del
autismo,
'el
eclipse
diagnóstico'
es
un
fenómeno
frecuente,
aún
más
entre
clientes
que
sufren
algún
tipo
de
discapacidad
intelectual.
En
este
taller,
se
presentará
y
se
hablara
de
varios
casos
de
personas
con
autismo
que
han
sido
tratados
con
EMDR,
sirviéndose
de
mucho
material
en
vídeo:
aquellos
casos
en
los
que
el
tratamiento
se
ve
afectado
por
el
autismo,
así
como
aquellos
en
los
que
el
diagnóstico
de
'autismo'
deja
de
ser
apropiado
tras
el
tratamiento
de
los
síntomas
de
TEPT
o
viceversa
cuando
en
el
transcurso
del
tratamiento,
resulta
que
un
cliente
derivado
por
TEPT
presenta
un
trastorno
del
espectro
autista.
El
autismo
tiene
consecuencias
en
todas
las
fases
del
modelo
terapéutico
de
EMDR
que
consta
de
8
fases
que
trabajan
en
tres
contextos.
Este
taller
resalta
la
implantación
creativa
de
los
principios
fundamentales
del
EMDR
en
el
tratamiento
de
personas
que
sufren
trastornos
del
espectro
autista.
A growing body of literature indicates that eye movement desensitization and reprocessing (EMDR) can be useful in the treatment of addictions. When combined with traditional addictions treatment approaches, EMDR can enhance client stability, prevent relapse, and promote recovery. Clinical decision making about when and how to use EMDR techniques with clients who present with addictions is complicated. The purpose of this article is to explore the use of EMDR interventions with clients presenting various levels of awareness of their addiction as well as varied levels of motivation to change. The authors explore the Stages of Change and suggest appropriate pre-EMDR EMDR interventions at each stage.
This paper addresses how creativity has been interwoven into the discovery and development of EMDR, how EMDR is an effective tool in unblocking and enhancing creativity and how our understanding of the brain enhances our knowledge in this area. Dr. Shapiro’s inspiration leading to her discovery and development EMDR are the underpinnings of EMDR and its interweave with creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR can be conceptualized as a co-creative process.
This paper also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of daily living of non-artists. The EMDR protocol can be used to target creative blocks as trauma is an integral part of these blocks. The EMDR future template is a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists.
[Author 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.
Learning Objectives:
1. Participants will identify the importance of containment in EMDR and its implications with respect to dual attention and trauma reprocessing
2. Participants will identify some key strategies for completing Phase 2 (Preparation) with respect to building the affect regulation skill necessary for maintaining dual awareness during trauma reprocessing (Phases 3-7)
3. Participants will be able to define and describe the essentials of Phase 7 (Closure) of the EMDR protocol, in particular, the need to ensure containment of remaining negative affect in the case of incomplete protocols.
4. Participants will develop knowledge of several effective closure methods
5. Participants will acquire mastery of at least one new closure method through practicum experience
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, mode EMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
EMDR (Desensibilización y Reprocesamiento por Movimientos Oculares) es un abordaje terapéutico novedoso y efectivo. Desarrollado por Francine Shapiro a partir de 1987, ha concitado la atención de clínicos e investigadores, contando al día de la fecha con la mayor cantidad de estudios controlados en el campo del trauma psicológico, brindándole un sólido apoyo empírico.
Integrando elementos de orientaciones tales como la psicodinámica, la cognitiva, la conductual, y la corporal, EMDR trasciende a todas ellas, constituyendo un abordaje en sí mismo.
Compuesto por ocho fases claramente establecidas, EMDR brinda alivio rápido y duradero a diversos problemas.
EMDR (Eye Movement Desensitization and Reprocessing) is a novel effective psychotherapeutic approach. Developed by Francine Shapiro since 1987, it has interested clinicians and researchers alike. Up to date, it has undergone more controlled studies in the field of psychological trauma than any other psychotherapy, which has granted it strong empirical support.
Taking elements from psychodynamic, cognitive, behavioral and body-oriented approaches, EMDR surpasses them all to become an approach on its own right. EMDR, structured in eight well defined phases, provides quick and lasting relief for various psychological conflicts.
The Eye Movement Desensitization and Reprocessing (EMDR) method defines the succesful treatment of pathology as a clinician-assisted "self-healing" process. Specifically, the individual reprocesses the dysfunctional information stored in the nervous system as a result of previous disturbing events. Congruent with the principles of mind/body psychology, there is an assumed interaction of psychological and physiological processes. The nature of the clinical disorder is defined on the basis of the type of experiences that have been dysfunctionally stored and which need to be effectively processes.
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
The lecture will focus on the core problems in PTSD related to early life trauma, including emotion dysregulation and fragmentation of the self. The neural correlates of emotional awareness, social emotion processing and self-monitoring will be described. Implications for stage oriented trauma treatment and early intervention will be discussed.
The repetitive traumatic patterns our clients come to us to change are not only psychological but somatic, clearly reflected in posture, energy level, movement, regulation of arousal and other physical attributes. Changing these patterns cannot be accomplished by insight alone. The procedural memory that keeps such behaviors and dissociative patterns in in place must be addressed. A body-oriented approach is indicated that facilitates new actions and addresses dissociative symptoms, including somaticcomponents of traumatic memories (e.g., pain, analgesia, and motor inhibitions) and avoidance-related symptoms such as bodily anesthesia. Sensorimotor Psychotherapy emphasizes practicing new actions and building other somatic resouces to mitigate symptoms and develop a somatic sense of self. In this workshop, somatic interventions that can be integrated into existing clinical skills will be taught and illustrated through excerpts of videotaped therapy sessions and brief experiential exercises.
Enhanced Safe Place (ESP) builds comfort and trust early in treatment. EP is especially effective in community MH settings. ESP contains preparatory information, multi sensory imaging, progressive relaxation and simple hypnotherapy techniques. Participants will practice the three stages (preparation, beginning, debriefing) and 10 specific techniques to help create highly effective body-oriented ESP experiences.
“Enhancing EMDR with Mindfulness Skills”
1. Introduction and overview of the evolution of mindfulness practice.
2. Current uses of mindfulness in clinical practice.
3. Summary of research.
4. Similarities between mindfulness and EMDR:
a. Just noticing,
b. “Go with that”,
c. Becoming less reactive to mental content,
d. Living in the present.
5. Enhancing EMDR:
a. Increasing awareness of images, thoughts, emotions, and body sensations,
b. Increasing trust to allow the mind to spontaneously process memory networks,
c. Improving reprocessing between sessions,
d. Reducing reactivity to current and future distress,
e. Improve attunement of the therapist.
6. Brief mindfulness practice and conclusion.
The somatic intervention is key to effective EMDR processing. It makes every possible use of EMDR more effective, whether it be trauma
work, performance enhancement or resource development. How then, do we maximize the potentia1 for healing with EMDR through our somatic interventions? In this workshop, specific methods for enhancing somatic intervention will be presented. We will experience some of these methods and review cases where others have been used effectively. We will look at blending movement and creative modalities to flush out the wisdom in the body and enhance EMDR therapy.
Ai Chi is a moving meditation in warm water that can be understood within the context of the Adaptive Information Processing Model. It can be utilized as part of the overall EMDR-oriented treatment plan, both to prepare for desensitization and as a way to close down incomplete sessions. It can also be part of performance enhancement EMDR. As a multimodal experience, Ai Chi helps to develop the body as a resource and parallels the interpersonal neurobiology definition of mental health. Unique qualities that Ai Chi offers will be explored. Participants will be given the opportunity to experience the process firsthand. Please Note: In order to fully participate, please bring a swimsuit or other suitable attire for use in a swimming pool.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité. [Author]
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. [Author]
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? » — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même. Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite). Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches. Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde ; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanist.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "- Where I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections and changes in neurotransmitters), partly explaining its effectiveness.
When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt.
Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanist.
EMDR will be a powerful approach that has brought
emotional healing to millions of people who
suffer from trauma around the world. the
protocols and procedures are clearly
developed and designed, but the essence of
EMDR remains yet to be explorarada. in this
Presentation to look so deep
factors that underlie EMDR, including the inherent capabilities of the client, the environment contention that the therapist provides the qualities the therapeutic relationship, the wisdom of integration
mind-body and the use of hope, possibilities,
spirituality and philosophy that emerged in
process.
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os
cuidados que a aplicação do EMDR demanda.
The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all
care that the application of EMDR demand.
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved.
Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma
There is an increased awareness of evidence-based methodology among psychologists, but little exists in the literature about how to access the research. Moreover, the prohibitive cost of this information and limited time are barriers to the identification of evidence to answer clinical questions. This article presents an example of a question worked though in an evidence-based way. Methods are highlighted, including distinguishing background and foreground questions, breaking down questions into searchable statements, and adapting statements to suit both the question being asked and the resource being searched. A number of free, evidence-based resources are listed. Knowing how and where to access this information will enable practitioners to more easily use an evidence-based approach to their practice.
Note: In its “An Applied Example” section (pp. 553-554), this article explores how to use widely accessible databases to answer the question: “In people with PTSD, is eye movement desensitization and reprocessing (EMDR) more effective than cognitive–behavioral therapy (CBT) to improve symptoms and prevent recurrence?”
One of the tasks of psychotherapists
is to attempt to reduce anxiety in their
patients. They determine the level of
this anxiety through patient reports,
observations of body language, intuition,
or results of projective and objective
tests. They then gauge therapeutic
effectiveness by the amount of
anxiety reduction as indicated by these
relatively subjective measures. Even
behaviorists, who make much use of
numbers in their evaluations, are not
measuring anxiety but its effect on
the client's behavior. It is my contention
that subjective measures of
anxiety are not appropriate scientific
tools and, if we are to progress in the
development of more effective techniques
for removing or reducing anxiety,
we must devise more objective
and accurate techniques for measuring
this state which we describe ourselves
as "treating."
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]
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.
Over the last decade, Eye Movement Desensitization and Reprogramming (EMDR) has emerged as a well documented treatment for Post-Traumatic Stress Disorder (PTSD). A growing body of research is exploring its application to the treatment of other pathological conditions, including substance use disorders. EMDR was developed in the late 1980s by Francine Shapiro, at the time a graduate student in English literature confronting a diagnosis of cancer. Ms. Shapiro noted that, when dealing with her own distressing memories, simultaneously focusing on eye movements appeared to decrease the associated negative emotions. She assumed that eye movements had a desensitizing effect, and upon further investigation found that others also had the same response to the technique.
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered.
The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma.
EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.
Let me now suggest that the mechanism of action of EMDR is best understood by going back not 3 decades in time, but 3 millennia, to the Eastern philosophies that were based on the notion of life energy. It is in the study of yoga and acupuncture, and of prana and qi, that a full understanding of the mechanism of EMDR is to be found.I will first give a brief overview of the notion of subtle energy, and then summarize modern discoveries in biomagnetism and distant intentionality that will set the age for a discussion about the subtle energetics of paying attention. I then hope to demonstrate that visual attentional activation via EMDR is, in effect, a biomagnetic or subtle energy interaction that is particularly effective in facilitating the release of trauma that is stored in the subtle energy systems of the human body. [Text, pp. 311-312]
This single subject case study implemented in the private practice setting examined body-image disturbance and self-esteem. Eye movement desensitization and reprocessing (EMDR) is the treatment modality. The Self-Esteem Rating Scale and the Body Image Avoidance Questionnaire are pre and post tested. A self-developed Daily Body Satisfaction Log is used throughout the 43-day observation period. Scores on subjects' self-esteem and body image avoidance showed clinical improvement over the treatment period. Based on this clinical examination, eye movement desensitization and reprocessing appears to be a promising time-limited treatment intervention that merits further research for application to eating disorder symptoms such as body image disturbance and low self-esteem. Suggestions for future research are provided.
This article reviews existing Eye Movement Desensitization and Reprocessing (EMDR) literature concerning its effectiveness, theory, mechanism, and procedural aspects in the treatment of post-traumatic stress disorder (PTSD). Evidence from randomized clinical trials and meta-analyses indicates that EMDR is as effective as well established treatments such as exposure and cognitive behavior therapy. And moreover, EMDR may be more efficient in terms of unnecessary homework assignment and fewer treatment sessions. The current status of EMDR occupies one of legitimate and standard psychotherapeutic approaches in adult PTSD treatment. Mechanism for treatment efficacy is poorly understood at present and putative at most, however, there is a growing body of literature on neurobiological change after successful EMDR treatment.
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]
Directions in Clinical and Counseling Psychology: A collection of 12 lessons, this volume covers a wide range of concerns in mental health counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Perspectives on the Essentials of Clinical Supervision" (Stephen A. Anderson); (2) "Adlerian Group Psychotherapy: A Brief Therapy Approach" (Manford A. Sonstegard, James Robert Bitter, Pari Peggy Pelonis-Peneros, and William G. Nicholl); (3) "Substance Abuse Treatment for Pregnant and Parenting Women" (Rivka Greenberg, Judith Fry McComish, and Jennifer Kent-Bryant); (4) "Family Therapy for with Lesbians and Gay Men" (Maeve Malley and Fiona Tasker); (5) "Psychological and Cognitive Correlates of Coping by Patients with Multiple Sclerosis" (William W. Beatty and Brian T. Maynard); (6) "Eye Movement Desensitization and Reprocessing (EMDR): Clinical Implications of an Integrated Psychotherapy Treatment" (Francine Shapiro and Louise Maxfield); (7) "Counseling Strategies with Women Survivors of Child Sexual Abuse" (Kathleen M. Palm and Victoria M. Follete); (8) "Identifying and Treating Body Dysmorphic Disorder" (Dean McKay); (9) "Masochistic Phenomena Reconceptualized as a Response to Trauma: Recovery and Treatment" (Elizabeth Howell); (10) "Counseling Poor, Abused, and Neglected Children in Fair Society" (Brenda Geiger); (11) "Chronic Fatigue Syndrome: Assessing Symptoms and Activity Levels for Treatment" (Constance W. Van der Eb and Leonard A. Jason); (12) "The Limitations of the DSM-IV as a Diagnostic Tool" (G. J. Tucker); and (Special Report) Jealousy, Communication, and Attachment Style (Laura K. Guerrero). Each lesson contains references. (ERIC ED464 291)
Proponents of eye movement desensitization and reprocessing (EMDR) claim it is a breakthrough treatment for those plagued with traumatic memories and other psychological problems. But does it actually work?
Eye movement desensitization and reprocessing (EMDR) is a relatively new therapeutic technique that increasing numbers of mental health professionals are using in the treatment of post-traumatic stress disorder (PTSD), phobias, and a wide variety of psychological disorders. According to the American Psychiatric Association, this fairly complicated treatment includes elements of behavioral, cognitive, psychodynamic, body-based, and systems therapies.
No abstract available.
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).
Klinische Erfahrung und Ergebnisse der experimentellen Suchtforschung weisen auf die
Existenz eines Suchtgedächtnisses hin (Heyne, May et al. 2000; Böning 2001; Spanagel
2001). Nach wie vor ist dies Konzept jedoch umstritten (Böning 2000; Tretter 2000; Wolffgramm
and Heyne 2000). Dabei könnte eine mögliche therapeutische Beeinflussung eines
Suchtgedächtnisses von erheblicher Bedeutung sein. Die etablierten Therapieangebote der
Suchtmedizin versuchen eine angenommene und je nach theoretischem Hintergrund unterschiedliche
Grundstörung zu behandeln, zielen auf ein verbessertes Coping, beeinflussen
aber kaum die zugrunde liegenden Mechanismen der Abhängigkeit sui generis. Eine
tiefgreifende Veränderung der Abhängigkeit ist somit nicht zu erwarten. Vielmehr liegt die
Abhängigkeit beständig „auf der Lauer“ (Böning 2001b). Eine Aktivierung des Suchtgedächtnisses
wird mit dem Phänomen des Suchtdrucks, des Cravings in Verbindung gebracht
und ist hier im Kern der Abhängigkeit, dem Verlust an Kontrolle über das eigene
Verhalten, zu sehen. Die therapeutische Beeinflussung des Cravings wird aufgrund der
großen Bedeutung für eine Abstinenz zum Beispiel bei Alkoholabhängigen intensiv erforscht.
Bisher wurden vordringlich medikamentöse Strategien untersucht. Obwohl hier einige
Fortschritte erreicht wurden (Böning 1999; Croissant 2004; Croissant, Scherle et al.
2004 (b)), können die vorliegenden Ergebnisse noch nicht zufrieden stellen (Wiesbeck,
Weijers et al. 1999; Wiesbeck,Weijers et al. 2000; Böning 2001; Schmidt, Kuhn et al. 2002;
Körkel and Schindler 2003). Zudem ist in Anbetracht des Leib-Seele-Dualismus ein psychotherapeutischer
Ansatz zur Ergänzung der medikamentösen Anti-Craving-Behandlung
wünschenswert. Dabei ist in Anbetracht des intensiven Leidens abhängiger Menschen und
der sozioökonomischen Belastung durch Abhängigkeitserkrankungen eine Effektivierung
der Therapie von großerWichtigkeit.
Clinical experience and results of the experimental addiction research point to the existence of a Suchtgedächtnisses (Heyne, May et al. 2000; Böning 2001; Spanagel 2001). As before, this concept remains controversial (Boening 2000; Tretter, 2000; Wolff grams and Heyne 2000). This could be a possible therapeutic influence Suchtgedächtnisses one of considerable importance. The established treatment of Addiction Medicine offers an accepted and try to treat depending on the theoretical background of different basic fault, are aimed at improved coping influence, but hardly the underlying mechanisms of dependence sui generis. A profound change in the dependence is unlikely to happen. Rather, the dependence is constantly on the lookout "(Böning 2001b). Activation of the Suchtgedächtnisses is the phenomenon of craving, the Cravings brought together and is at the core of addiction, the loss seen in control over one's behavior. The therapeutic influence of craving is studied intensively because of the great importance for abstinence, for example, in alcoholics. So far, urgent medical strategies have been investigated. Although some progress has been achieved here (Boening 1999; Croissant 2004; Croissant, Scherle et al. 2004 (b)), these results may not satisfy (Wiesbeck, Weijers et al. 1999; Wiesbeck, Weijers et al. 2000; Böning 2001; Schmidt, Kuhn et al. 2002; Koerkel and Schindler 2003). Moreover, in view of the mind-body dualism, a psychotherapeutic approach to supplement the anti-craving drug treatment desirable. This is in view of the intense suffering of dependent people and the socio-economic burden of disease, more effective, depending on the treatment of großerWichtigkeit.
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Eye movement desensitization and reprocessing (EMDR) is a method which was initially used for the treatment of post-traumatic stress disorder. But it is now being used in different therapeutic situations. EMDR is an eight-phase treatment method. History taking, client preparation, assessment, desensitization, installation, body scan, closure and reevaluation of treatment effect are the eight phases of this treatment which are briefly described. A case report is also depicted which indicates the efficacy of EMDR. The areas where EMDR is used and the possible ways through which it is working are also described.
The eye movement desensitization and reprocessing (EMDR) procedure developed by Shapiro (1889a,b; 1991) is an imaginal exposure and cognitive reprocessing technique for treating negative affect associated with traumatic memories. EMDR requires that the client engage in recall via imagination of the disturbing event and focus on associated affect, cognitions, and body sensations while performing rapid saccadic eye movements by following the repetitive motion of the therapist's hand. After the eye movement set, which usually lasts for about 20 seconds, the client briefly reports on any changes in the image, or co-occurring experiences. The client then engages in the next set of eye movement during which he or she is to focus on any newly, spontaneously generated material. This cycle of imaginal exposure in conjunction with eye movement followed by the client's feedback is continued until the client no longer generates relevant associations, feels comfortable, and reports no discomfort in response to the original memory. At this point a positive cognition is paired with the original scene by having the client imagine the original scene, rehearse the positive statement covertly, and simultaneously engage in eye movement.
This single case history reports the use of eye movement desensitization, a new cognitive therapy procedure originally developed for PTSD and similar problems, to treat anxieties and body image problems resulting from operation scars and a degree of physical disability. The procedure was effective within one session and subsequent improvements in behaviour and cognitions reported. [Author Abstract]
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690
Compulsions and cravings such as gambling and sex compulsions have been the subject of behavioral and psychodynamic treatment. This study formulates a new theory of compulsions and cravings, called the Feeling-State Theory of Compulsions, and utilizes a technique called the Eye Movement Compulsion Protocol (EMCP) for decreasing both the feelings and behavior. The Feeling-State Theory postulates that positive feelings and behavior are fixated in the body during an intense experience, creating the feeling-state. The result is that, when the person desires that feeling again, the feeling-state including the behavior is recapitulated. Just as the use of eye movements in Eye Movement Desensitization and Reprocessing (EMDR) has been shown to reduce Post Traumatic Stress Disorder (PTSD), the EMCP technique utilizes eye movements to decrease the feeling-state associated with compulsions. The present study utilizes a multiple baseline single case research design with 4 subjects. Skin conductance levels (SCL) and a self-report scale (SUES) are the dependent variables. Two of the subjects provide support for both the theory and the EMCP technique. Both the change in SCL and the SUES values for 1 compulsion are clearly decreased post-intervention while the other compulsions values remain relatively stable. One of the other 2 subjects provided less clear support for the theory and technique but reveals some unexpected interactions between compulsions. The other subject's baseline values did not remain stable enough for a clear result but did not contradict the results of the other subjects. The conclusion is reached that the overall results of the study support the Feeling-State Theory of Compulsions and the usefulness of the EMCP technique to decrease compulsions and cravings. Although the findings in this study can not be conclusive because of the small number of subjects, the results do open up new approaches for research.
Dissertation Abstracts International: Section B: The Sciences and Engineering. 66(2-B), 2005, pp. 1178.
Background: During the horrific war in the Democratic
Republic of Congo during the years 1996–2007 the number
of casualties is estimated to be 5.4 million. In addition, 1.8
million women, children and men were raped, many as a
social weapon of war. Many of these women still suffer
from post-traumatic stress disorder (PTSD) and mutilated
genitals.
Objectives: To assess a short-term interventional team for
the evaluation and treatment of sexual trauma victims.
Methods: The intervention program comprised four components:
training the local staff, medical evaluation
and treatment of patients, psychological evaluation and
treatment of trauma victims, and evacuation and transport of
patients with mutilated genitals. A diagnostic tool for posttraumatic
stress disorder (PTSD) – the Impact Event Scale
(IES) – was used. The psychological treatment was based
on EMDR (eye movement desensitization and reprocessing)
principles. Using questionnaires, the information was
obtained from patients, medical staff and medical records.
Results: Three primary care clinics were chosen for intervention.
Of the 441 women who attended the clinics over
a period of 20 days, 52 women were diagnosed with severe
PTSD. Psychological intervention was offered to only 23
women because of transport limitations. The most common
medical problems were pelvic inflammatory disease
and secondary infertility. Nine patients suffered genital
mutilation and were transferred for surgical correction. The
32 local nurses and 2 physicians who participated in the
theoretical and practical training course showed improved
knowledge as evaluated by a written test.
Conclusions: With the short-term interventional team model
for sexual assault victims the combined cost of medical and
psychological services is low. The emphasis is on training
local staff to enhance awareness and providing them with
tools to diagnose and treat sexual assault and mutilation.
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]
One approach to using cognitive interweave
is to view the client's symptom as an ineffective attempt to meet a healthy need. If we can correctly identify the underlying need, we can
seek a more efficient route toward its
fulfillment . I think of this as finding
the "path" in pathology. The following
two cases illustrate how this strategy
can guide the therapist's thinking
in utilizing cognitive interweave.
Participants will be able to: 1) identify when EMDR is appropriate in the treatment of sexuality issues; 2) answer "when medications are being used, is it appropriate to integrate EMDR?"; 3) define isomorphic multisystmeic cognitive interweave; and 4) state two examples of isomorphic multisystemic cognitive interweave.
During the past years, PTSD treatment competencies raised tremendously
due to the development and evaluation in randomized controlled trials.
Exposure and cognitive restructuring techniques are basics of a variety of
effective psychotherapies. Our symposium discusses challenges, possible
shortcomings, implications, and new applications of efficacious techniques
(e.g., using the internet).
First do no harm: Worsening or improvement after
prolonged exposure: Despite a substantial body of research accumulated over the 15 years indicating
that exposure therapy programs are highly effective in reducing
PTSD symptom severity and associated anxiety and depression across a
wide range of trauma populations, few therapists utilize this treatment. One
reason offered by therapists for not providing this treatment is their concern
that exposure therapy may result in symptom worsening among individuals
with PTSD (Becker et al., 2003). The purpose of this study was to
investigate the frequency of symptoms worsening and symptom improvement
following Prolonged Exposure (PE), one particular exposure therapy
protocol developed for use in the treatment of PTSD, across five separate
treatment studies (Foa et al., 1991, 1999, in preparation; Resick et al., 2002;
Rothbaum et al., in preparation) and to compare it with other forms of cognitive
behavior therapy (stress inoculation training, cognitive processing
therapy, EMDR) and waitlist controls. Preliminary results based on two of
the five studies (Foa et al., 1999; in preparation) found worsening of PTSD
symptom in less than 1% of participants completing active treatment (N =
162) and 8% of participants completing waitlist (N = 39). PTSD symptom
improvement was found in 90% of participants completing cognitive behavior
therapy (N = 149) compared to 36% participants completing waitlist.
This workshop provides an explanation of the ability of the body-based floatback to take us ‘further back’, by teaching the anchoring of a positive memory and the use of this anchor to dilute difficult emotions if they become overwhelming during an EMDR floatback. I shall argue that developing a powerful method of floating back is very helpfully achieved by combining, as appropriate, body-memories with a ‘framed’ (framed to give some distance) visual backward tracking through the life story, to the earliest memory –and combined this with client stopping and starting.
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Although the structured protocols and procedures of EMDR practice have provided therapists
with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to
many EMDR therapists. However, EMDR can be modified to a more natural face-to-face
flowing treatment process.
This presentation will comprehensively examine flow EMDR and its dual naturalising
components of "essential listening" and extended bi-lateral stimulation. "Essential listening"
entails the therapists accepting that all potential answers reside in the clients system.
This information and the ensuing healing process is supported by the therapist suspending all meta
communications emanating from the client. Following this procedure, combined with the
targeted information of the protocol activated by bi-lateral stimulation, allows the client to
process information until they arrive at their "essential truths".
Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by
auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will
also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation
will be reviewed as to its current modes and tactile stimulation will also be explored in terms
of tapping, pressing and mechanical activation.
Flow EMDR also actively integrates ego state work, part protocols, multiple protocols,
parallel protocols, self questioning interweaves, targeting of present mood states, resource
activation's of locating and installing positive body sensations and body processing enhanced
by colour and image associations.
This presentation will include lecture, clinical demonstratipn, audience participation and
extensive hand-out material.
Clinicians can enhance EMDR results by focusing more on body sensations. This enhances results by helping clients to engage more with the target and with their feelings about the target. Through focusing on the body, clinicians will learn how to help clients access more information about the target, direct clients so they can feel sensations more strongly or clearly, reduce stress that clients may feel about sensation states (sensate triggers), and enable clients to better release chronic muscle pain. Participants will be able to assess clients for when to use body focus and when to avoid it.
While research is needed to prove what look to be dramatic effects, the attention of medical and psychological science is being captured by approaches which work with the "body,"such as Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy, and Emotional Freedom Techniques™. Focusing has always been a "body-based" therapy and has always, in the experience of we who practice focusing-oriented therapy, produced results much more dramatic than "just talking" therapy. What is the relationship between focusing, EMDR, TFT, and EFT? How are they similar/different? How can knowledge of focusing therapy integrate with and enhance the application of these new "power" therapies? Without claiming to be an expert in the new techniques, Dr. McGuire will demonstrate Focusing Therapy, EMDR, and EFT with audience volunteers and lead a discussion on inter-relationships. Other focusing-oriented therapists who are specialized in one of the power therapies would be welcome to participate. If others have submitted similar proposals, we could combine into a three-hour panel with demonstrations. 1.5 hrs. Kathy McGuire-Bouwman, PhD.
Dr. Orr will experientially introduce participants to the step-by-step Focusing method of accessing a physically felt body sense of a problem and moving it foward. Participants will be able to identify the six step Focusing method of finding the door to where they live inside their body. Dr. Orr will present his method and experience of combining Focusing and EMDR.
The rationale behind the creation of "The Four Elements Exercise for Stress Management" is to address the cumulative effect of external and internal triggers that occur over the course of the day. Since we know that people cope better with stress when they stay within their arousal "window of tolerance," ways to lower stress—especially when under stress—are essential. The heart of the exercise consists of four, brief, self-calming and self-control activities. The sequence of the four elements—Earth-Air-Water-Fire—is designed to follow the body up from the feet to the stomach and chest, to the throat and mouth, and up through the head. It begins with the ground to signify safety in the present reality and moves up to the imagination of recalled safety. By checking in with stress levels at random times throughout the day and also when stressful events are occurring, the exercise can aid in preventing the accumulation of stress and enables clients to stay within their window of tolerance. The modest goal is to reduce the stress level by 1 or 2 units each time the exercise is performed. The original conceptualization of the Four Elements Exercise was that the first three elements could be a preparation for the Safe Place (or other resource exercise such as the Resource Connection), especially when there is an ongoing emergency situation or when it is difficult to find a Safe Place. Often, the fourth element is introduced at the following meeting, as the first three elements are enough to remember and practice in the beginning for clients. Working on the Safe Place separately during the following session gives it more space and impact. It is advisable to follow up on how the client practiced the four elements at the beginning of the next session and to ask them to show you how they do it. If necessary, demonstrate it again at the beginning of the first few sessions. This is a way of checking for compliance and readiness for EMDR as well as present level of stress and sense of safety with you in the room. [PsycINFO Database]
The paper is about what usually is referred to as collective
trauma and specifies this term. 'Collective trauma' here
is used as a generic term that covers mass trauma, so called
'simple' large group trauma and chosen trauma. These different
types are defined and the process and conditions are explored
that is needed to transform mass suffering into large group
trauma and then into chosen trauma. Emphasis is laid on the
process' time dimension, which is connected to different types
of memory (body memories, communicative memory, cultural
memory) modes of transition and functions for the psychic life
of a group and its members.
The basic assumption is that trauma always is relational and
thus contains a group dimension that is often ignored and to a
certain degree in some cases for practical reasons is ignorable in
treatment. But in the area of collective trauma this dimension
has to be put into the foreground to gain a sound understanding
from the processes involved.
The paper tries
- to provide EMDR-therapist with a theoretical background to
discriminate between different types of collective trauma,
- to foster an understanding of different types of memories
connected to these different trauma types,
- to convey the knowledge that different types of collective
trauma due to the different dynamics involved ask for different
types of actions,
- to give a tool to understand when and to what extend EMDR treatment
is the method of choice and what else or different is
needed in heaping people to overcome collective trauma.
The innovation is a classification of collective trauma connecting
it too different types of memories that cause different processes.
That allows getting out of the sometimes gloomy use of the term
"collective trauma". The high emotional as well as moral loading
always connected to traumatic experiences tend to obscure a
clear view on the processes at work. But a sound understanding
is needed to take appropriate measures in the different areas.
The study of psychological trauma has been accompanied by an explosion of knowledge about how experience shapes the
central nervous system and the formation of the self. We have learned that most experience is automatically processed on
a subcortical level, i.e. by “unconscious” interpretations that take place outside of awareness. Insight and understanding
have only a limited influence on the operation of theses subcortical processes. When addressing the problems of traumatized
people who, in a myriad of ways, continue to react to current experience as a replay of the past, there is a need for therapeutic
methods that do not depend exclusively on understanding and cognition. This workshop surveys current research on how
people’s brains, minds and bodies respond to traumatic experiences, and will specifically address the use of affect modulation
techniques, EMDR, yoga, theater, and neurofeedback in overcoming various aspects of the destabilization and disintegration
caused by trauma.
Educational Objectives
1) To describe three new approaches in the treatment of trauma.
2) To describe the differences between how ordinary memories are stored contrasted with the memory
processing of traumatic experiences.
Starting with a review of recent studies on the neurobiology of trauma, Dr. van der Kolk will examine the utility of approaches from the
fields of hypnosis, body oriented therapies and EMDR, both with research data and videotapes clinical interventions. The integration
of these approaches during different stages of treatment will be discussed.
In the last few years several EMDR clinicians have introduced new approaches which have expanded on EMDR. Two examples are Ricky Greenwald's techniques for 'running a movie' and David Grand's performance enhancement techniques using visualization. GENTLE EMDR is a similar expansion of standard protocol. GENTLE EMDR follows basic EMDR protocol with additional emphasis on the emotions and body sensations connected to the target. Visualilzation is then tuilized to release these emotions and sensations one at a time until the target shows a SUDS of 0. At this point, positive cognitions are installed. The advantage of visualization is that it buffers the emotions with associated with the target, thus reducing abreactions, dissociations and resistance to further EMDR treatment. One advantage of Gentle EMDR is that a client does not need to face the target directly because emotions and body sensations are broken down into management segments. Thus, Gentle EMDR works well with clients who are too fragile to tolerate the standard protocol. One example of the use of visualization would be if the target is "being physically attacked." Clients are first asked what they feel when they think of the attack and where they feel it in their body. Next, clients are asked to visualize a river passing them, while they sit in a protective (safe) place. Finally, clients are asked how the water would appear if it was the identified emotion (such as a particular color) and to let the water flow past until the appearance of the emotional reaction dissipates. Once this is done, clients are asked to name the next emotion that eminates when thinking about the physical attack, allowing the water to 'clear' that emotion as well. When the emotions are approached in this way, the target typically becomes neutralized. The entire process is done using bilateral stimulation. Gentile EMDR is easily taught and has been well received by clinicians at Univerities and Clinical Practices in the United States.
This presentation outlines how EMDR and Couple's Therapy can be
integrated in the field of psychotherapy. The audience will learn how to conduct a
couple's therapy session based on the 8 Phases of the EMDR protocol. During this
presentation, video recordings will be provided to demonstrate how EMDR can be
used in the couple's therapy setting when emotionally disruptive events, such as
infidelity, attachment injuries or childhood trauma have negatively affected the
relationship.
Couples therapy examines the negative cycle that occurs within the relationship,
helps to deepen the couple's awareness of both their internal experience and the
experience of their partner, and to cultivate intimacy within the relationship.
However, if the couple is unable to tolerate their own anxiety or the distress of
their partner, their mid-brain can become emotionally charged, thus leading to
further discord within the relationship.
Based on the AIP model, if either one or both members of the relationship are
being triggered by unresolved past traumatic events both parties can become
activated. Since the initial perceptions, emotions and distorted thoughts are stored
as they were experienced at the time of the event, the couple can get caught in an
unending negative cycle that further exacerbates the anxiety and distress in the
relationship. By integrating EMDR in Couple's Therapy we hypothesize that EMDR
helps to both increase one’s ability to tolerate anxiety and decrease the intensity of
past traumatic events and present day triggers, thus decreasing the level of
distress in the relationship.
Esta
presentación
esboza
cómo
se
puede
integrar
EMDR
y
la
terapia
de
pareja
en
el
campo
de
la
psicoterapia.
Los
participantes
aprenderán
a
llevar
a
cabo
una
sesión
terapéutica
de
pareja
sobre
la
base
de
las
8
fases
del
protocolo
de
EMDR.
Durante
esta
presentación,
se
ofrecerán
vídeos
para
demostrar
cómo
se
puede
utilizar
EMDR
en
el
contexto
de
una
terapia
de
pareja
cuando
han
afectado
la
relación
de
forma
negativa
eventos
emocionalmente
perturbadores,
como
la
infidelidad,
daños
al
apego
o
trauma
infantil.
La
terapia
de
pareja
examina
el
ciclo
negativo
que
se
da
dentro
de
la
relación,
ayuda
a
profundizar
la
conciencia
de
la
pareja
tanto
de
su
experiencia
interna
y
la
experiencia
del
otro
miembro
de
la
pareja
y
a
cultivar
la
intimidad
dentro
de
la
relación.
Sin
embargo,
si
la
pareja
no
es
capaz
de
tolerar
su
propia
ansiedad
o
el
estrés
de
su
pareja,
se
les
puede
quedar
cargado
el
cerebro
medio
y
así,
provocar
más
discordia
dentro
de
la
relación.
De
acuerdo
con
el
modelo
AIP,
si
eventos
traumáticos
sin
resolver
“disparan”
a
un
miembro
de
la
relación
o
a
ambos,
pueden
activarse
ambas
personas.
Desde
las
primeras
percepciones,
se
guardan
las
emociones
y
pensamientos
distorsionados
igual
que
se
vivieron
en
el
momento
del
suceso,
la
pareja
puede
acabar
atrapada
en
un
ciclo
negativo
sin
fin
que
agudiza
aún
más
la
ansiedad
y
el
estrés
en
la
relación.
Al
integrar
EMDR
en
la
terapia
de
pareja,
nuestra
hipótesis
es
que
EMDR
contribuye
tanto
a
aumentar
la
capacidad
de
la
persona
a
tolerar
la
ansiedad,
como
a
disminuir
la
intensidad
de
los
sucesos
traumáticos
pasados
y
los
desencadenantes
actuales
y
así,
reducir
el
nivel
de
estrés
dentro
de
la
relación.
Barber is meeting with a counselor and using a form of psychotherapy called EMDR, or eye movement desensitization and reprocessing, "it hasn't stopped the dreams the dreams or stopped the remembering but it has given me a way to deal with emotion that comes up."
Using this workbook, the child EMDR psychotherapist guides the child client through the EMDR protocol. Visually appealing illustrations based on children's drawings are used to encourage the child to draw imaginal and existing resources for strength, mastery, and comfort. Using these drawings, the therapist prepares the child for processing a trauma. Then, after the child draws a safe place, the therapist uses the workbook to help the child identify the thoughts, emotions, and body sensations related to the trauma. The child is then ready for Phase 4, desensitization and reprocessing of the trauma. The workbook continues by helping the therapist guide the child client through the remaining phases of the protocol, finishing with a Certificate of Accomplishment for the child to keep. Instructions for the therapist and worksheets for the therapist's notes are included. [EMDRResources abstract]
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy.
Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used.
NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere.
To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment.
The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.
The learning objectives are as follows;
By the end of the workshop, participants will demonstrate:
An awareness of the potential value of group EMDR for traumatised
clients.
An understanding of the place of group EMDR as a final stage
in treatment, after individual EMDR trauma therapy.
Familiarity with a range of EMDR techniques which are useful
in this mode of treatment.
This experiential workshop will commence with a short Power-
Point presentation, including some client material.
There will then follow a brief discussion, followed by an opportunity
to try out a group experience of using EMDR techniques
The use of group EMDR as a stage of EMDR trauma treatment
arose from the expressed need of clients for a sense of shared
experience, and peer support as they returned to everyday life
as a changed person. Many have physical impairments as a re^
suit of their traumatic experiences, and feel a sense of empathic
understanding when sharing their difficulties.
A further benefit has been the improved reflective functioning displayed
by the group members, which may be related to greater
Vagus nerve relaxation, and resulting increased neocortical activity.
The workshop leader is an accredited EMDR practitioner, who
has been treating traumatised people individually and in groups
for more than thirty years, and has been using EMDR in groups
increasingly in recent times.
Bu çalışmada, Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme yaşlı, kör erkek üniversite öğrencisi bir 26 yıl kullanıldı. Onun görsel handikap nedeniyle, diz vurma işlemi EMDR alternatif olarak kullanılmaktadır. kardeşinin ölümünden sonra intihar girişiminde sonra müşteri bir kriz merkezinde tedavi oldu. Onun psikolojik sıkıntı (ve, görmek ve dokunmak onu morga zorla kardeşinin ölümünden sonra, örneğin, soğukluk ve koku ölüm vücudun hakkındaki duyumları) özel anıları ile ilgili, günlük yaşamda onu rahatsız etti. kardeşinin ölüm, intihar öyküsü, suçluluk, çaresizlik hakkında O'nun anıları ve düşüncelerini o diğerleri seans boyunca değerlendirildi hayal kırıklığına söyledi. Bilişsel-örgü tekniği de oturumları sırasında kullanılmıştır. Kısa Semptom Envanteri (KSE) ön ve son test ölçümleri olarak uygulanmıştır. üç ay kadar, bu BSI puanları genellikle indirdi olduğu bulunmuştur takip iki seans ve bir aylık ve sonra. Ayrıca, o onun kişisel gelişim bir ilerleme olduğunu bildirdi. Olgu bildirilmektedir bir kör kişi ile EMDR tekniğinin formu dokunarak diz ilk başarılı uygulama olduğunu anlamda ilginçti. Bu çalışmanın sonuçları travmatik görüntüleri canlılığını işitme nedeniyle ve kokulu o EMDR çalışmalarda olarak azalmış olacaktır dokunmadan gösterdi. Bu makalede ayrıca EMDR yöntemi ve etkinlik hakkında olumsuz sonuçlarını içermektedir. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)
In this study, the Eye Movement Desensitization and Reprocessing was used with a 26 years old, blind male university student. Because of his visual handicap, knee tapping procedure has been used as an alternative to the EMDR. After his brother's death he attempted to suicide and then the client had a therapy in a crisis center. His psychological distress related to specific memories (e.g., after his brother's death, being forced to the morgue to see and touch him, and his sensations about coldness and scent of the death body) was bothering him in his daily life. His memories about his brother's death, suicidal history, guiltiness, helplessness, and his thoughts that he disappointed the others were evaluated throughout the sessions. Cognitive-weave technique was also utilized during the sessions. The Brief Symptom Inventory (BSI) was applied as a pre and post test measures. After the two sessions and one-month and three-month follow-up, it was found that the BSI scores were generally lowered. In addition, he reported that he had a progress in his personal growth. The case reported here was interesting in the sense that it was the first successful application of knee tapping form of the EMDR technique with a blind person. The results of this study showed that the vividness of traumatic images due to hearing, smelling and touching would be reduced as in the EMDR studies. This article also includes the negative results about EMDR method and its efficacy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex
trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the
emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol.
Learning Objectives:
• Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality
• Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while
• Keeping them stable• Describe a way to identify Emotional Parts of the Personality
• Describe 3 clinical markers for client readiness for trauma reprocessing in complex trauma cases
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex
trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the
emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol. (All Levels –
50% EMDR)
Learning Objectives:
• Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality
• Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while
• Keeping them stable
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy
"This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center
"Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma
The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
EMDR-based imagery re-scripting techniques with a modified concept of Cognitive Schema Modes (Young, 1999). Based on clinical case examples, the use of imagery techniques, which draw on all sensory modalities (involving cognitive, emotional and somatic systems) during the auditory application of EMDR will be described, to help complex trauma clients firstly approach and recognize and subsequently attach to and nurture the image of their own “inner child”. Rather than establishing a sense of unrealistic dependency on the therapist by integrating him or her as the sole nurturer, clients are encouraged to develop an image of their own ‘healthy adult’, who can learn to take on the role of internal re-nurturing, protection and healing of the ‘inner child’. Techniques for overcoming blockages between a client’s ‘healthy adult’ and their ‘inner child’ representations are described. It is proposed that differentiating between ‘child’ and ‘adult’ modes and tuning into these through deep-level EMDR processing, allows clients to re-connect to feelings associated with their earlier experiences of helplessness and dependency during childhood, which can now be re-experienced within a safe and nurturing context. It is suggested that this will allow higher order brain systems, such as the hippocampus, to remain active and therefore enable cognitive and structural re-organization of the stored material in the brain and body cells. Once a positive attachment bond between a client’s internalised ‘inner child’ and ‘healthy adult’ modes has been achieved this can then be utilized further during direct trauma processing work. It is argued that healing of the ‘inner child’ enables healing of the adult client so that a more positive and secure sense of self can be achieved.
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
Expressive and nonverbal therapies are increasingly being used in the treatment of trauma. This paper provides a theoretical structure that explains the mechanisms of therapeutic action so that empirical investigations can be conducted to determine the effectiveness of these modalities. Trauma, PTSD, memory, dissociation, alexithymia, and somatization are discussed. Donnel B. Stern's conceptualization of unformulated experience and David Kreuger's discussion of the body self and psychological self are explored and integrated with the neuropsychological research of Bessel A. van der Kolk and others. Finally, these concepts and research findings are integrated with expressive and nonverbal treatment approaches, including Eye Movement Desensitization and Reprocessing, Somatic Experiencing, Sensorimotor Psychotherapy, and Dance/Movement and Voice Movement therapies. [Author Abstract]
EMDR, given it primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model (Objective #2). Attention will also be given to ways in which the basic EMDR protocol need to be adapted to meet the needs of these clients (Objective #3).
A report on the progress of a series of single case studies with client with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clip of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR (Objective #4).
The workshop will leave time for participants to apply the learning to cases of their own (Objective #5).
For the past three decades clinical experience, as
well as research, has supported the validity of
counseling and psychotherapy in the treatment of
dually diagnosed (MH/MR) clients. At first
behavioral therapies and later various forms of
process-oriented therapy (Gestalt, creative arts,
body-centered, play) have been effectively
employed with this population. Particularly
through the use of process therapies it has become
clear that traditional insight,and cognitive therapy
must be adapted in favor of experience, action,
body-centeredness and "right-brain" functioning
to be impactful with this population. EMDR,
given its primarily non-verbal mode of
functioning, holds great promise as an effective
and efficient therapy for trauma treatment with
dually diagnosed clients, a population inherently
vulnerable to traumatic impact. This presentation
will emphasize the "phase model" aspects of
trauma treatment and will demonstrate where
EMDR is effective within this model. Attention
will also be given to ways in which the basic
EMDR protocol would need to be adapted to meet
the needs of these clients. A report on the progress
of a series of single case studies with clients with
mental disabilities in Pennsylvania, as well as
anecdotal reports, will be utilized to demonstrate
EMDR effectiveness with this population. Video
clips of sessions involving clients with varying
levels of functioning will give the audience a
concrete experience of the adaptive use of EMDR.
The workshop will leave time for participants to
apply the learning to cases of their own.
For the past three decades clinical experience as well as research has supported the validity of counselling and
psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioural therapies and later
various forms of process-oriented therapy (Gestalt, creative arts, body-centred, play) have been effectively
employed with this population. Particularly through the use of process therapies it has become clear that
traditional insight and cognitive therapy must be adapted in favour of experience, action, body-centeredness and
“right-brain” functioning to be impactful with this population. EMDR, given its primarily non-verbal mode of
functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed
clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase
model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model. Attention
will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of
these clients. A report on the progress of a series of single case studies with clients with mental disabilities in
Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this
population. Video clips of sessions involving clients with varying levels of functioning will give the audience a
concrete experience of the adaptive use of EMDR. The workshop will leave time for participants to apply the
learning to cases of their own.
An increasing number of children are suffering from anxieties, stress and even obsessive and compulsive behaviors. Different EMDR approaches are helpful for children in facilitating the release of anxieties and altering primitive brain patterns. This workshop will briefly describe some of the causes of children’s anxieties, the brain/body connection to anxiety and some simple calming techniques for releasing stress. In addition, an in-depth introduction to three EMDR child-friendly techniques for working with anxiety and trauma will be described. Case examples for each technique will be utilized to enhance the understanding of the three therapy techniques.
In order to investigate brain activity during EMDR, 52-channel
NIRS（near –infrared spectroscopy) and heart rate were measured in treating a
traumatic memory of non-clinical twenty five year old woman. A target memory
was sexually molestation by a stranger when she was ten years old, and forced to
touch penis of perpetrator. And IES-R score was as low as 11. A well-experienced
EMDR therapist (=M.I.) applied estandarized EMDR protocol. Negative cognition
was “I am shameful person”, and positive cognition was ”I deserve to live.” The
body location is both arms and hands. By thirty-seven sets of EM, 7.5 level of SUDs
decreased to 0, and VOC went up from 3.5 to 7. The [oxy-Hb] change in right
orbitofrontal cortex increased as the negative emotion went up, and decreased
rapidly after processing. The [oxy-Hb] change in left orbitofrontal cortex
decreased just after cognitive interweave of responsibility was done. The [oxy-Hb]
variation in right temporal lobe increased rapidly, and the [oxy-Hb] change in left
temporal lobe decreased when direction of EM was changed from horizontal to
diagonal movement when negative imagery disappeared. Heart rate data show
gradual decreasing tendency throughout the session. Within each set, heart rate
also decreased by EM. By monitoring NIRS, various techniques or pivotal
processes in EMDR may be supposed to influence brain. In order to confirm the
relationship, we should collect data from more subjects.
Para
poder
investigar
la
actividad
cerebral
durante
EMDR,
se
midieron
la
NIRS
(espectroscopia
cercana
al
infrarrojo)
de
52
canales
y
el
ritmo
cardíaco
para
tratar
los
recuerdos
traumático
de
una
mujer
no
clínica
de
veinticinco
años.
Un
recuerdo
diana
fue
un
abuso
sexual
de
un
extraño
cuando
tenía
10
años
y
el
agresor
la
obligó
a
tocarle
el
pene.
La
puntuación
del
IES-‐R
fue
de
11.
Un
terapeuta
EMDR
con
experiencia
(=M.I.)
aplicó
el
protocolo
estándar
de
EMDR.
La
cognición
negativa
fue
“Soy
una
persona
vergonzosa”,
y
la
cognición
positiva
fue
”Merezco
vivir.”
La
localización
corporal
fue
en
ambos
brazos
y
manos.
Después
de
37
sets
de
movimientos
oculares,
el
SUD
de
7,5
bajó
a
0,
y
el
VOC
subió
de
un
3,5
a
un
7.
El
cambio
[oxy-‐Hb]
en
el
córtex
órbitofrontal
derecho
aumentó
a
medida
que
aumentaba
la
emoción
negativa,
y
disminuyó
rápidamente
después
del
procesamiento.
El
cambio
[oxy-‐Hb]
en
el
córtex
órbitofrontal
izquierdo
disminuyó
justo
después
de
hacerse
un
entrelazado
cognitivo
de
responsabilidad.
La
variación
[oxy-‐Hb]
en
el
lóbulo
temporal
derecho
aumentó
rápidamente,
y
el
cambio
[oxy-‐Hb]
en
el
lóbulo
temporal
izquierdo
disminuyó
al
cambiar
la
dirección
de
los
movimientos
oculares
de
horizontal
a
diagonal
cuando
desapareció
la
imagen
negativa.
Los
datos
del
ritmo
cardíaco
muestran
una
tendencia
decreciente
gradual
a
lo
largo
de
la
sesión.
En
cada
una
de
las
tandas,
el
ritmo
cardíaco
también
disminuyó
por
los
movimientos
oculares.
A
través
de
monitorear
el
NIRS,
se
supone
que
diversas
técnicas
o
procesos
centrales
en
EMDR
influyen
en
el
cerebro.
Para
poder
confirmar
esta
relación,
deberíamos
recolectar
datos
de
más
sujetos.
Het menselijk brein is bijzonder veerkrachtig. Als gevolg op een traumatische ervaring ontstaat er in het lichaam een keten aan reacties. De meeste van deze reacties zijn adaptief en gericht op een natuurlijke verwerking. Bij 10 tot 20 % van de mensen die een traumatische ervaring meemaken verloopt de verwerking pathologisch en ontstaat een post traumatische stress stoornis. Lichamelijke veranderingen als gevolg van langdurige stress of een genetische gevoeligheid kunnen hierbij een rol spelen. Bij de verwerking van emotionele gebeurtenissen en psychotrauma zijn verschillende hersenstructuren betrokken. In deze presentatie zal een toelichting worden gegeven op biologische factoren bij het ontstaan van psychotrauma en de rol van ‘ het emotionele brein’ bij traumaverwerking. Ook zal worden ingegaan op de wijze waarop bilaterale stimulatie deze processen mogelijk beïnvloed en hoe dit zich verhoudt tot vigerende verklaringsmodellen over de werkzaamheid van EMDR. Tot slot wordt een casus gepresenteerd waarbij EMDR is toegepast in een neuropsychologische behandeling en is er ruimte voor discussie over de toepassing van EMDR bij neuropsychologische problematiek.
The human brain is very resilient. Due to a traumatic experience develops in the body of a chain reaction. Most of these responses are adaptive and focused on a natural process. At 10 to 20% of people who experience a traumatic experience does the pathological process and creates a post-traumatic stress disorder. Physical changes resulting from prolonged stress or a genetic susceptibility may play a role. In the processing of emotional events and psychotrauma several brain structures involved. This presentation will be given an explanation on biological factors in the development of psychotrauma and the role of the emotional brain in trauma. It will also examine how these processes affect bilateral stimulation and how this relates to current models of explanation about the efficacy of EMDR. Finally, a case presented which EMDR was used in a neuropsychological treatment and there is room for discussion about the use of EMDR with neuropsychological problems.
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.
Memory is comprised of the encoding, storage, and retrieval of information gathered from the communication network of the body's
nervous system. Traumatic memory can go awry when communication between brain and nervous system become short circuited. In this workshop, theoretical lecture and simple exercises will inform participants on how the brain and body communicate to form normal and traumatic memories. Participants will have the opportunity to: learn the difference between explicit and implicit memory; became familiar with physiology of memory; participate in direct, non-touch, experience of somatic memory; become able to apply theory to practice for use wlth EMDR.
Self-help techniques can often do the trick and may make it possible to deal with negative emotions, images and thoughts that arise. For instance, here's one from my book, Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy: Whenever you find yourself bothered by negative self-talk (you know, that voice that tells you how defective you are), notice how your body feels. Then think of a cartoon character with a funny voice like Elmer Fudd, Popeye or Daffy Duck and make your critical inner voice sound like that character. For most people, the disturbing feelings will go away. {Excerpt]
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives:
Know that trauma influences psychotic symptoms,
Understand how EMDR can influence paranoia and hallucinations, and
Be able to conceptualize EMDR for these symptoms
Le traumatisme est un phénomène d’arrêt sur image qui nous empêche d’habiter notre propre existence. Le sujet ne peut se réaliser pleinement car il est sans arrêt confronté à une résurgence de son passé qui l’empêche de vivre l’instant présent.
Dès lors, les thérapies verbales, comme la psychanalyse restent impuissantes et ne permettent pas de produire l’impulsion nécessaire à la restitution d’un vécu authentique et plein de promesses à venir. Le sujet reste alors prisonnier de son passé, et par conséquent ne peut pas dépasser l’impact dévastateur produit par le traumatisme et cela quelque en soit l’intensité.
Avec pertinence, Corinne Van Loey défend l’idée que seules les thérapies de la représentation et du mouvement nous permettent de gommer ces instants où la sidération a fait place à l’action. Elle nous propose donc de renouer le fil du temps, de réactualiser les gestes laissés en suspens en permettant leurs achèvements nécessaires. Bref, de retrouver-enfin- cette complémentarité entre corps et esprit que le traumatisme avait fait éclater.
S’appuyant sur de nombreuses années de pratique, ainsi que sur les travaux les plus récents en sciences cognitives l’auteur aborde de manière détaillée et progressive tous les éléments constitutifs du traumatisme et du processus de guérison.
La lecture de cet ouvrage accessible à tous, apportera les éclairages nécessaires à la compréhension de ces nouveaux chemins de guérison que sont l’HYPNOSE, l’EMDR et l’EFT.
Trauma is a picture off phenomenon that prevents us from living our own lives. The subject can not be fully realized because it is constantly facing a resurgence of his past that prevents him from living in the moment.
Therefore, verbal therapies, such as psychoanalysis remain powerless and do not produce the necessary impetus for the restoration of an authentic and full of promise coming through. The subject is then a prisoner of his past, and therefore can not exceed the devastating impact caused by trauma and that in some of the intensity.
With relevance, Corinne Van Loey argues that only therapies representation and movement allow us to erase those moments when the stunning gave way to action. It therefore proposes to renew over time, update actions in abeyance for their completions necessary. In short, to find-last-complementarity between mind and body that the trauma had burst.
Based on many years of practice, as well as the most recent work in cognitive science the author discusses in detail all the progressive elements of trauma and healing process.
Reading this book accessible to all, provide the necessary clarifications to the understanding of these new ways of healing are Hypnosis, EMDR and EFT
Sometime, EMDR processing can be blocked by a belief or “point of view” that the client has about the problem that is the focus of treatment. The situation can be difficult if the blocking belief is hidden to both client and therapist. Often the belief is just outside the client’s awareness, or is not linked up in the client’s mind with the problem to be solved.
Sometime, EMDR processing can be blocked by a belief or “point of view” that the client has about the problem that is the focus of treatment. The situation can be difficult if the blocking belief is hidden to both client and therapist. Often the belief is just outside the client’s awareness, or is not linked up in the client’s mind with the problem to be solved.
When the perpetrator is the client's own body, the Illness and Somatic Disorders Protocol can be used. It is important to note that this protocol addresses both psychological and physical factors related to somatic complaints. This is not a substitute for appropriate medical care but an adjunct to it. For many, addressing the psychological dimensions will cause partial or complete remission of the physical symptoms. When primarily organic processes are involved, the psychological issues may be exacerbating the physical conditions. While physical symptoms may not remit, the clinical emphasis is on improving the person's quality of life (Shapiro, 2001). This chapter presents a summary of the Illness and Somatic Disorders Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). The Illness and Somatic Disorders Protocol Script is provided. [PsycINFO Database]
Weil Emotionen direkt mit dem Körper in Verbindung stehen, treten bei starken
emotionalen Belastungen regelmäßig körperliche Störungen auf, beispielsweise
Magersucht, Bulimie, Allergien, Schmerzen, Tinnitus, Süchte und Kopfschmerzen.
Mit erstaunlichem Erfolg haben nun einzelne innovative Therapeutinnen und
Therapeuten begonnen, solche emotional bedingten Störungen mit EMDR zu
behandeln, und berichten in diesem Buch darüber. Bei der EMDR-Therapie regt
der Therapeut den Patienten nach strukturierter Vorbereitung zu bestimmten
Augenbewegungen an, wodurch belastende Gedanken besser verarbeitet werden
können.
Weitere Kapitel schildern die Behandlung von Angststörungen mit EMDR, das
seelische Auftanken (Ressourcenorganisation) und die Wirkmechanismen des
EMDR. In ihrem Kapitel über Bindungstherapie mit EMDR zeigt Marion Seidel, wie
sie mit Müttern und Kindern gemeinsam arbeitet und sich dabei die emotionalen
Blockierungen lösen können.
Das Buch gibt Behandelnden und Patienten einen sehr ermutigenden Einblick in
die neu entwickelten Behandlungsmöglichkeiten dieser Erkrankungen.
Because emotions directly with the body are connected to contact with strong
emotional stress regularly to physical disorders, such as
Anorexia, bulimia, allergies, pain, tinnitus, headaches and addictions.
With amazing success now have some innovative therapists and
Therapists begun such emotionally related disorders with EMDR to
treat, and report in this book about it. Excited at the EMDR therapy
the therapist to the patient according to certain structured preparation
Eye movements, thereby upsetting thoughts workable
can.
Other chapters describe the treatment of anxiety disorders with EMDR, the
emotional refueling (Resource Organization) and the mechanisms of action of
EMDR. In her chapter on bond with EMDR therapy Marion Seidel shows how
it together with mothers and children working and it's emotional
Can dissolve blockages.
The book gives a very encouraging patients administering treatment and insight into
The newly developed treatment of these diseases.
Imaginal Nurturing blends guided imagery with EMDR components to provide a means of weaving nurturing experiences into and through the therapeutic process. These experiences build upon each other to facilitate a new relationship with self, and the development of a secure base within. In this workshop, participants will learn the principles of IN, how to use it in relation to trauma work, how to develop an attachment-related body resource, and how to ground the imagery in the client's life. There will be a review of ways to deal with probems that arise. Handouts include sample scripts.
Childhood abuse memories can be activated at significant developmental periods
or at stressful life events. Childbearing is especially vulnerable due perhaps to
uncontrollable factors such as rapid changes in the woman's body, uncertainty
and pain of labor, numerous invasive procedures, coping with medical
professionals who are strangers with authority and power, and responsibility
for a tiny, dependent infant. Participants will identify symptoms that may be
exhibited during childbearing, recognize specific triggers that activate abuse
memories and interfere with birth or parenting, and learn how to incorporate
EMDR with specific interventions to help survivors reduce fears, minimize
htrggers, promote healing and bonding.
This presentation starts with sensory development in pregnancy. By 22 weeks there is already a high level of
brain organisation with touch, taste, hearing and smell already well developed. Balance, vision and motor
development follow and the links to learning and states of consciousness are explained. The concept of birth as
our first traumatic experience is introduced and the implications for future EMDR therapy are discussed. Infant
brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct
relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma
for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral
stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is
explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. The concept of a structural developmental model of
emotional awareness is explained with how this relates to trauma and a sense of self. The anatomical correlates
of emotional processing are suggested at both cortical and limbic system levels. Ways in which EMDR can be
modified in light of this knowledge are proposed. An additional model of applying EMDR is outlined. This involves
multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be
shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles
generating rapid eye movement.
In the Tibetan psychology and philosophy, the understanding that what we identify as the object does not exist as such independently of the experiencing subject is – at all levels of mind – essential. The subject perceives the object at a conceptual, feeling and sense level. In other words, as individuals we create the object at these three levels, and it becomes an integral part of our reality experience.
Tibetan Psychology has as it basis an understanding of the nature and functioning of the mind in its many different states of experiences. However, it does not see the mind-experience as an isolated phenomenon. It sees the body and mind as mutually interdependent and interdetermining on all levels – from both an ordinary level of body and mind to the basic energy level. The former is characteristic by an experience of great separation, and the latter by the experience of the inseparability of the body/mind.
In accordance with Tibetan metaphysics matter emerges from four basic “energy origins,” such that energy is seen as both the basis of matter, and is continuously pervading matter. From the energy resource all forms of existence arise and return again in a continuous movement of birth, existence and death, taking places every instant of time. It is because of the relationship of subject and object that we can change our object-experience, as well as our experience of the world and of the situations which arise in it.
Tibetan psychology maintains in this respect that the notion of self or self-identity is the core around which psychological patterns and the reality of the individual develop. The transformation process of an adequate self-identity into a healthier an less artificial identity takes the adept or client through the following process of change: (1) from a solid form level of the problematic subject/object experience, (2) to an energy level, taking us beyond the artificial identity and connect experience of reality, and (23) back into a new creation o the form level, into a new an more genuine experience of oneself and reality. Thus, when applying the insight of this basic interrelatedness of body and mind, subject and object and energy and matter – Unity in Duality – the experience of self-identity and that of the object undergoes a change, and the former problematic subject/object is transcended. The Tibetan self-development methods and the Tibetan psychotherapeutic methods, which Tarab Tulku has developed, deal essentially with healing and strengthening of the self-feeling and refining the self-reference/self-identity. It gives the theoretical analysis for changing the experience of self and the surroundings – of changing the approximation of reality – and it offers adequate psychotherapeutic as wall as self-development methods for its attainment. All in the Tibetan psychology and psychotherapy gives a new and valuable perspective, foundation and method supplementing and enriching Western Psychology in general and EMDR in particular.
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource,
because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing
environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and
construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients
to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the
EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a
little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel,
levels of integration that constitute mental health will be explored. It will become clear that the characteristics
that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai
Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The
experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will
learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most
populations, it is particularly helpful for people with chronic pain issues as well as an older population.
Learning Objectives:
• Come to a basic understanding of mental health from an interpersonal neurobiological point of view
• Learn about the practice of Ai Chi
• Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel
MD
• Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety
of mental health issues
• Experience Ai Chi and/or watch video demonstrating Ai Chi.
Francine Shapiro, the originator of Eye Movement Desensitisation and Reprocessing (EMDR), stumbled quite by accident upon the potentially positive effects of eye movements in desensitising negative emotions and cognitions. Ironically, she wasn't the first to do so. These findings had been made almost two decades earlier by Antrobus and his colleagues (Antrobus, 1973; Antrobus, Antrobus, & Singer, 1964). What unified the findings of Shapiro and Antrobus, apart from their agreement on the utility of eye movements, was that there was no theoretical system which could convincingly explain the findings to the skeptical research community to which Shapiro began disclosing her findings. What distinguished their approaches was that Shapiro set out to vigorously sell her belief in their utility in the relative absence of explanations as to why that might be the case. Uri Bergmann, an EMDR Institute Facilitator in New York, has recently put together a speculative neurobiological hypothesis for the effects of EMDR. In this article, he draws on a growing body of research into the area, particularly the ideas of Harvard University sleep researcher Robert Stickgold, who first identified the physiological pathways that link EMDR to REM functioning. Bergmann' offers his thoughts on the matter in a form accessible to the neurologically naïve as a first step to understanding the neurobiology of EMDR.
Experiment 1 found that mixed-handedness, which is associated with increased interaction between the left and right cerebral hemispheres relative to strong right-handedness, was associated with an earlier offset of childhood amnesia. In Experiment 2, bilateral saccadic eye movements, which have been shown to enhance interhemispheric interaction, were also associated with an earlier offset of childhood amnesia. These results build upon a growing body of research indicating an interhemispheric basis for the retrieval of episodic memories. Moreover, the results of Experiment 2 suggest that interhemispheric interaction has its effect on the retrieval, not encoding, of episodic memories. (PsycINFO]
The imagery of an "Inner Safe Place" is part of a body of work on stabilization techniques for trauma therapy called "Psychodynamic Imaginative Trauma Therapy (PITT)". It is used within PITT to prepare clients for EMDR. However, it works very well as a resource for EMDR. It is important to know that clients who live in unsafe circumstances are often not able to develop the images and so seeing what happens while working on installing the inner safe place can tell us something about clients' external safety. If clients are able to create an inner safe place, the therapist can proceed with the exercise. If clients are unable to create and install a safe place, other stabilization work is used. This chapter provides the Inner Safe Place Script. [PsycINFO Database]
Participants will: 1) be able to describe three innovative approaches to mind-body therapy; and 2) be able to practice the facilitation of the four stage creative process in psychotherapy.
Jessie Rappaport, R.C.S.W. of Eugene
Oregon, sent in this observation:
He states, "for clients with persistent
negative cognitions such as,
'I don't deserve to be loved', where
EMDR saccades, cognitive interweave,
and all other variations fail to
effectively shift the cognition, he tells
the client, 'I would like you to notice,
if you would, how you fee1 when I
take over the voicing of that belief
and say it to you ...." [An example of
this would be 'you don't deserve to be
loved'.] He does this with eye movements
induced and often at this point
reports that the client will dramatically
shift the polarity when the belief has
been externalized by his voice.
The response is often from the positive
polarity, such as, 'I have every
right to 'be loved' or 'the heck with
you, I'm tired of hearing that', etc.
He states that with particularly fragile
clients, this intervention must be
carefully framed, such as, 'I am taking
over the negative voice that is in
you.'"
Soon after I took the Level I training,
I read an EMDR Newsletter article by
Ron Martinez (August, 1991), in which
Ron described having clients touch
and press the area of their body where
they were feeling emotion. (He said
that he got this idea from his familiarity
with therapeutic body-work.) Ron
reported that 70% of the clients obtained
a picture or memory, which they then processed.
Objetivo: Apresentar situações que sugerem que um trauma afeta a dimensão espiritual e, uma vez reintegrada, colabora com a cura do trauma. David Grand, diz que o EMDR integra corpo, mente, pensamento, emoção e espírito. Então, as interconexões entre essas partes voltam a acontecer. Sabe-se que alguns traumas estão ligados a pensamentos referentes a Deus, como: “Deus me abandonou”; “Deus me castigou”. A sensação de “abandono por Deus”, causa um profundo sofrimento à pessoa, Bessel Van Der Kolk, evidencia aquilo que ele denomina God-Forsaken (sensação de abandono por parte de Deus, solidão; não se acredita mais em nada, há falta de significado para a vida). Um paciente, violentado na infância, durante a sessão disse: “Eu tenho mágoa de Deus ... Deus esta olhando e não está fazendo nada!... Abandono de Deus... isso me corroía... Eu estendia o bracinho, mas não havia ninguém...Deus não estava lá!” Certa paciente veio com um histórico de agressão física por parte do marido. No decorrer da sessão, foi se lembrando dos piores episódios. A pior surra foi quando estava grávida. Ao longo das sessões foi possível perceber que as frases a respeito de Deus afetaram diretamente sentimentos, emoções, relacionamentos, enfim, a vida como um todo. No momento em que o paciente reprocessa essas frases a cura acontece.
Objective: To present situations that suggest that trauma affects the spiritual dimension and once reinstated, collaborates with the healing of trauma. David Grand, says the EMDR integrates body, mind, thought, emotion and spirit. So, the interconnections between these parties happen again. It is known that some traumas are linked to thoughts concerning God as "God forsaken me", "God punished me." The feeling of "abandonment by God," cause deep suffering to the person, Bessel van der Kolk, highlights what he calls God-Forsaken (feeling of abandonment by God, loneliness, no longer believe in anything, there is a lack of meaning to life). A patient abused in childhood, during the session said: "I have hurt God ... God is watching and not doing anything! ... Abandonment of God ... it gnawed me ... I stretched a little arm, but there was nobody ... God was not there! "One patient came with a history of physical abuse by her husband. During the session, was remembering the worst episodes. The worst spanking was when I was pregnant. Throughout the sessions was possible to see that the phrases about God directly affected feelings, emotions, relationships, finally, life as a whole. At the time the patient reprocesses these phrases healing occurs.
The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context?
Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion.
It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. E
This is a day-long program designed for the EMDR professional interested in enhancing their ability to conceptualize and provide effective EMDR treatment in working with the complexity of eating disorder symptoms. Paralleling phase-oriented treatment for trauma, this workshop will focus on stabilization skills utilizing state-to-state techniques with or without bilateral stimulation; working through underlying traumatic experiences utilizing the standard protocol; and future template work for integration of the psycho-biological changes. Current treatment approaches on attachment issues and emotion regulation, trauma’s impact on the brain and body, and affect management will be integrated throughout the program. Participants are invited to bring their most challenging cases to work on in practice sessions or during the case consultation segment of the program.
Participants will: 1) learn the model of understanding and educating the client about OCD; 2) gain an understanding of biological, cognitive, behavioral, and affective theoretical orientations as they apply to OCD; 3) learn the eight stages of treatment, modification of the standards model, cognitive interweave, and resource installation; 4) learn of the foundation of success of EMDR and OCD treatment, information processing, avoidance of emotions, and the development of self; 5) be able to define a successful treatment, therapeutic stance, similarities in processing to trauma processing; and 6) learn about fear, superstition, ridigity, and control within the family context.
The discovery of EMDR (Eye Movement Desensitization and Reprocessing) has led to a structured treatment model conceptualized
in cognitive constructs (the three pronged approach). Based on the diagnostic and treatment situation, this may or may not, be easily
integrated into a psychodynamic (insight oriented) treatment approach. However, I have empirically found a dramatic, acceleration
and deepening of the psychodynamic treatment process with patients when flexibly utilizing EMDR in session. This presentation
will explore the different applications of EMDR incorporating Freudian, ego psychological, separation/individuation and self
psychological theories with practice wisdom derived from extensive case material. Attention will be given to the associative
process, screen memories, dream work, resistance, transference, countertransference and character analysis. The structural (id, ego
and superego) and topographical (unconscious, preconscious and conscious) models of the mind as well as the listening process will
be examined as they inform the use of EMDR. Particular focus will be devoted to how the cognitive interweave can be expanded
conceptually to incorporate the techniques of interpretation and mirroring. The anxieties, resistances and allegiance issues evoked in
the psychodynamically trained therapist, as they attempt to integrate EMDR into their practices will also be addressed.
This workshop will draw on clinical experience and expertise with Eating Disordered clients and EMDR to delineate creative ways to utilize EMDR
with this population. A stage oriented approach will be presented, addressing attachment styles, affect skills and ego strengths development, symptom management, trauma resolution, personal enhancement and body image clarification. EMDR is being used to treat clients with a variety of
trauma related conditions. Eating disordered clients very often have traumatic histories. We will utilize principles associated with attachment
theory, affect regulation and trauma treatment as the foundation to a staged treatment approach with eating disorders. We will incorporate the
standard EMDR protocol as well as some deviations into the overall treatment.
The accessibility of emotions in children with attachment disorders is known to be complex at best. This
presentation looks at a new method of enabling children disassociating from emotions with severe attachment
disorder and complex, traumatic histories to access emotions using the installation phase of EMDR. For teaching
purposes, this presentation will use real-life cases of 4 attachment disordered children where none of the
children were able to access emotions and were attachment disordered. The children were aged between 12 to
13 years of age and all had a diagnosis of attachment disorder, co-morbid with post traumatic stress disorder.
Most of the children did not experience emotions directly. Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focus on a particular emotion and focus on
where in their body they experienced any feelings, which may be associated to that emotion. The children began
to describe complex emotions, which they had never previously expressed, prior to this. An example of one
child�s experience follows: �I feel sad in my heart. It feels cold � as if someone has smashed it into a thousand
bits��. Following on this, all the children were also encouraged to sit with their new emotions and not to be
afraid of them. One child stated: �It feels good to be sad. When I cry � that stops my heart hurting so much and
the tears make the glue to fix my broken heart.� So far, we have not experienced an unsuccessful outcome;
however, this method is still in the early stages of being developed.
Focusing views the felt sense as the point at which we can access the
unconscious. Both Focusing and EMDR recognize the body's physical
response as the entry point into memory. Shapiro includes the body scan
in EMDR's protocol. She reminds us that the physical sensations
experienced at the time of the event are stored in the nervous system and
may constitute the dominant thread of the associative sequence (p. 79).
She instructs clinicians to ask clients to concentrate on the attendant
physical sensations while the eye movement sets are systematically altered
(p. 178). Those familiar with Focusing will find it very natural to follow
Shapiro's instructions to have clients "close their eyes and fix their entire
attention on the location of the sensation. Whatever image or thought
appears should then be targeted" (p.180). [Excerpt]
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the
theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an
extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated
throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous
to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various
strategies, especially EMDR.
This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema-
Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change
technique.
The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying
vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life
History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part
of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that
represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then
obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as
soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very
effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears
to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc.
As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case
Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent
questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and
recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR
exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of
cognitive interweave to use, etc.
Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR
broadens the scope of EMDR.
1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed.
Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the
theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an
extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated
throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous
to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various
strategies, especially EMDR.
This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema-
Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change
technique.
The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying
vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life
History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part
of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that
represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then
obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as
soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very
effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears
to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc.
As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case
Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent
questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and
recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR
exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of
cognitive interweave to use, etc.
Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR
broadens the scope of EMDR.
1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed.
Professional Resource Press, Sarasota, FL, (813) 366-7913
2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.
Participants will: 1) be able to understand and utilize the EMDR approach in treatment conceptualization, planning, and reprocessing; 2) learn to identify and integrate their years of clinical training and experience seamlessly into their EMDR treatment sessions; and 3) through a live interactive demonstration, practice advanced cognitive interweave strategies based on their clinican training and experience.
Cet atelier regroupe à la fois des éléments de la théorie triunique du cerveau, la kinésiologie éducative et les développements récents sur le fonctionnement du cerveau. Le matériel présenté aidera le thérapeute EMDR à comprendre pourquoi le retraitement des traumas cesse ou bloque pendant les stimulations bilatérales avec
certains clients lorsqu’il cible du matériel traumatique. L’atelier aborde aussi l’évolution et le développement du cerveau et comment des informations sensorielles envahissantes peuvent déclencher des réactions primaires qui bloquent un fonctionnement adapté du cerveau. Une portion de la discussion portera sur la relation entre
les 3 vecteurs énergétiques du cerveau/corps et leur influence sur le retraitement des traumatismes. Enfin, cet atelier présente et offre des outils et stratégies que les cliniciens peuvent utiliser pour aider leurs clients à être
présents, équilibrés et intégrés au plan énergétique de façon à optimiser le travail avec l’EMDR.
Integrating Brain Gym and Energy Techniques to Enhance EMDR Processing is a presentation which
encompasses the Triune Brain Theory, Educational Kinesiology and recent research on Brain development and functioning. Information will be presented which will help EMDR trained therapists to understand why their clients stop processing while conducting bilateral stimulation for issues related to trauma. This workshop will look at evolutionary brain development and how overwhelming sensory information can trigger the brain into habitual “bottom up” processing which will block adaptive functioning. A discussion of the three energy vectors of the brain/body and their influence on trauma processing will also be correlated. The workshop will end with the sharing of practical, hands on tools which therapists can use to assist clients to become energetically present, balanced and to have integrated brain functioning for optimal EMDR processing.
This paper details the Body Dialogue process and the EMDR protocol for its use and presents two case studies that demonstrate this integrative technique. Recent studies show that trauma can profoundly affect the body. Many symptoms felt by individuals who have experienced trauma appear to be somatically based. Imprinted memories from 'big T' traumas and 'little t' traumas appear to have their origins sometimes decades before the body 'remembers'. When triggered by a present stimulus, these imprinted body memories recur and the body relives the past trauma. Most methods of trauma counselling and therapy address only the cognitive and emotional components of trauma, lacking the techniques that work directly with the physiological components of past traumatic incidents. The Body Dialogue technique (Stone J, Stone H, Stone S) offers a way to explore the psychological significance of sensations such as pain, motor impulses, muscular tension, trembling, breathing and heart rate. Since such somatic disturbances contain emotional and cognitive components, this dialogue process is able to identify and explore the deep psychological issues surrounding these imprinted body sensations and muscular reactions. The Body Dialogue process is integrated into the EMDR protocol (Shapiro, 2002) when the individual is confronted with body sensations. Having identified the issues (traumas) surrounding these sensations using the dialogue technique, the EMDR protocol is resumed. This enables the processing of the original trauma to occur as well as the instillation of a positive belief. During the therapeutic process using these two therapies, the therapist never has to touch the client.
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other
cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be
discussed.
1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized.
Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping
skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation,
assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift
negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are
examples of negative cognitions whlch interfere with first stage stabilization goals:
- I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better.
- If I take care of myself, no one will know I hurt. - I'm pathetic, a failure.
- I will die/go crazy fiom these feelings. - I can never do anything right.
- I can't stand this feeling. I must cut myself. - Don't trust anyone or anything.
Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be
encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc.
2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic
stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues:
- fear/terror and associated avoidance
- sense of powerlessnesshelplessness
- responsibility/accountability
- safety - self, others, environment
- self-esteem/self as bad, defective, unlovable
- lack of individuation
- dependency
- anger
- grief/mouming
- trust/mistrust
- fear of abandonment
- guilt/self-blame
- shame/self-loathing
With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for
supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be
discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing
assessment and data collection in making decisions about EMDR targets will be addressed.
3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and
issues addressed via EMDR include:
- Increasing intimacy and healthy connections - Increasing self-esteem
- Increasing self-efficacy and sense of mastery - Reclaiming sexuality
- Increasing self-efficacy and sense of mastery - Identity exploration and development
- Establishing goals, initiating new projects, and taking reasonable risks
At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and
increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid
in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive
and vital self-image.
The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying
EMDR at a specific stage of treatment.
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.
A new interweave technique is described for when patients are slow to desensitize or when they are emotionally overwhelmed during EMDR treatment. The interweave is comprised of two parallel components: a finger-touching go/no-go tracking task as well as a semantic priming task. The theoretical rationale for the finger-touching task is explained relative to neuroimaging studies of the anterior cingulate cortex and other areas. The rationale for the semantic priming task is explained relative to research about dopaminergic activation projecting from the ventral tegmentum as well as novelty generated orienting responses. A two-stage model is proposed for constructing effective EMDR stimulation techniques.
The growing body of literature on the effects of bilateral saccadic eye movements, patterned after those
employed in eye movement desensitization and reprocessing (EMDR), on memory is reviewed. Research
indicates that engaging in bilateral saccadic eye movements prior to lab-based memory testing results in
signifi cant improvement in episodic memory across a wide range of memory tests. Other effects of these
types of eye movements on hemispheric activation and emotional state are also discussed. The fi ndings
are interpreted within a framework suggesting that bilateral saccadic eye movements, such as those employed
in EMDR, increase interaction between the left and right cerebral hemispheres. This framework
is also used to explain the effects of such eye movements on memory during EMDR treatment of posttraumatic
stress disorder.
This paper explores the application of interoceptive exposure (IE) therapy to treat the arousal and avoidant symptoms in veterans with posttraumatic stress disorder (PTSD). The historical background of PTSD and the functional impact of the disorder in veterans from Vietnam and Operation Enduring Freedom/Operation Iraqi Freedom are discussed in the first chapter. Literature on romantic and family relationship impairment, employment challenges, decreased physical health and overall quality of life, and increased mental health issues in veterans of combat are presented. Following the introductory chapter is a brief description of the history of treatment for combat trauma and a detailed review of the most common treatments for PTSD in their application to the veteran population. Research on psychophysiological approaches to treatment, pharmacotherapy, and EMDR is discussed. The extensive literature on cognitive behavioral treatment approaches for combat trauma is reviewed. As noted, exposure therapy appears to be the treatment approach with the most scientific support. A relatively new form of exposure therapy known as IE, as well as the small but promising body of research on the potential to augment conventional long-term exposure therapy with IE, are also addressed here. A new treatment protocol proposed here is built upon the foundation of empirical support for cognitive behavioral therapy for PTSD. It is intended to incorporate trauma-informed best practices and exposure therapy tenets through the implementation of group based IE for individuals with combat-related PTSD. Outlines of the following two sections will provide detailed descriptions of the group design and the specific treatment modules, the first of which addresses therapeutic rationale and group composition, and the second lists the specific twelve treatment modules.
Objetivo: Compartilhar a remissão dos sintomas da Síndrome da Fibriomialgia, com a Intervenção Psicoterapêutica EMDR – Dessensibilização e Reprocessamento através de movimentos oculares. R.M.S. iniciou seu tratamento psicoterapêutico em Outubro de 2010, na Abordagem Cognitiva Comportamental. R.M.S. nasceu em 23/06/1957, estava com 53 anos, viúva, tem duas filhas, uma solteira a outra casada. Sofria um luto há mais de três anos porque não aceitava a morte do marido. Apresentava Depressão e Ansiedade, e outras comorbidades: Anorexia Nervosa, Lúpus, Síndrome de Fibriomialgia. De Outubro de 2010 a Dezembro de 2011, a Intervenção Psicoterapêutica em TCC foi associada à medicação psicotrópica com a qual conseguiu redução dos sintomas depressivos. Fazia uso de outros medicamentos para a Síndrome da Fibriomialgia, Lúpus, assim como recorrentes internações em hospital de Clinica Médica Geral para a realização de procedimentos para a redução da dor intensa no corpo (Síndrome da Fibriomialgia) e de intervenção aos sintomas da Anorexia. Após um período de férias, entraram em contato comigo informando que a paciente estava hospitalizada permanecendo duas semanas com a hipótese diagnóstica de câncer, o que na sequência não foi confirmado, tendo recebido alta hospitalar. A dor intensa no corpo, a dificuldade para respirar permaneciam iguais. Solicitou o retorno para a psicoterapia, quando foi sugerido sobre a Intervenção Psicoterapêutica EMDR. As sessões foram realizadas conforme protocolo do EMDR. Para o Planejamento das Sessões o foco incial era a Síndrome de Fibriomialgia. Foi pedido à paciente para definir onde ela sentia mais dor no corpo, e de imediato mencionou a dificuldade para respirar, com a queixa de dor no peito. Nesta primeira sessão, ocorreram dessensibilização e reprocessamento rapidamente, tendo a mesma solicitado para trabalhar os braços. As sessões foram realizadas duas a três vezes na semana, e ao longo deste processo podem ser ouvidas frases tais quais: “Como pode passei por tantos médicos e estou sendo curada com por uma psicóloga” (sic); “Gastei com tanto medicamento, aqui com você não tomo remédio e não estou sentindo mais dor no meu corpo” (sic). A terapia prossegue a Intervenção Psicoterapêutica EMDR.
Objective: Share remission Syndrome Fibriomialgia, Psychotherapeutic Intervention with EMDR - Desensitization and Reprocessing through eye movements. R.M.S. began her psychotherapeutic treatment in October 2010, Cognitive Behavioral Approach. R.M.S. born on 06.23.1957, he was 53 years old, a widow, has two daughters, one married another maiden. He suffered a bereavement for over three years because they did not accept her husband's death. Presented Depression and Anxiety, and other comorbidities: Anorexia Nervosa, Lupus, Fibriomialgia Syndrome. From October 2010 to December 2011, Psychotherapeutic Intervention in CBT was associated with psychotropic medication which could reduce depressive symptoms. Made use of other medications for Fibriomialgia Syndrome, Lupus, as well as recurrent hospital admissions in Medical Clinic General to carry out procedures for the reduction of pain in the body (Fibriomialgia Syndrome) and intervention for symptoms of Anorexia. After a vacation, contacted me stating that the patient was hospitalized two weeks remaining in the diagnosis of cancer, which as a result was not confirmed, having been discharged. Severe pain in the body, difficulty breathing remained the same. Requested the return for psychotherapy, when it was suggested on EMDR Psychotherapeutic Intervention. The sessions were performed according to the protocol of EMDR. Planning sessions for the initial focus was Fibriomialgia Syndrome. The patient was asked to define where she felt more pain in the body, and immediately mentioned the difficulty breathing, complaining of chest pain. In this first session, desensitization and reprocessing occurred rapidly, with the same request to work the arms. The sessions were held two to three times a week, and during this process can be heard phrases such as: "How can so many doctors and I'm being healed by a psychologist with" (sic), "I spent with both medicine here I do not take medication with you and I'm not feeling more pain in my body "(sic). The therapy continues Psychotherapeutic Intervention EMDR.
The impact of psychological trauma on the mental health of children is now well documented. There is a growing body of clinical evidence indicating tat EMDR is an effective treatment for a variety of childhood complaints. The authors’ experience of using EMDR with children in the aftermath of a major disaster confirmed its effectiveness and highlighted its applicability to everyday “small trauma.” Drawing on past experience, they have set up a community-based project to provide a range of services for children who have experienced trauma and to investigate the use of EMDR for the enhancement of self-esteem.
In this second installment of our interview Dr.
Shapiro discusses the clinical issues in the use of Eye Movement Desensitization and Reprocessing, the phenomenon of the EMDR movement, the mind/body relationship and her thoughts on the nature of EMDR.
This cursory presentation may help the clinician recognize domestic violence clients and inspire interest in further training, promoting safer integration of EMDR in the treatment of domestic violence. Definitions, statistics, and examples of domestic violence will be briefly explored. History taking approach regarding exposure in childhood and in adulthood will be touched upon. Assessing the victim’s safety, readiness for treatment, and safer reprocessing will be highlighted. Target selection and the three-pronged approach will be briefly examined. Greater awareness may safeguard their practice with this potentially lethal population.
When Nicole, a 40-year-old teacher from Santa Barbara, began doing EMDR therapy, she had already been in regular old therapy since the age of 18. But despite years of cognitive behavioral work, she suffered an emotional breakdown at 38 and wound up at an inpatient treatment center. While being in treatment helped, what brought Nicole back to normalcy was a form of psychotherapy known as EMDR—which stands for Eye Movement Desensitization and Reprocessing and involves a therapist leading a patient through an eight-phase treatment, including a series of left-to-right and right-to-left eye movements, in a way that’s meant to process memories stored in the brain. Within a matter of weeks of once-a-week treatments, Nicole realized just how much her past experiences of bad romantic relationships were affecting her physically. “I realized that I was engaging in my addiction to avoid emotional pain,” she says. “When you don’t have a full self, you fill that emptiness with whatever substance you can get. Because EMDR is so focused on how trauma is stored in your body, it allowed me to experience the grieving process that I needed and let me release the negative emotions that were affecting me.”
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
This chapter focuses on EMDR-enhanced therapeutic protocols to treat individuals whose painful life experience is separated from consciousness by complex defensive structures, particularly those associated with narcissistic and avoidance defenses.In many of the clients I have worked with, the healing power of EMDR is prevented or impaired by unresolved positive feelings that block the client's full awareness of the negative experience associated with trauma. This can occur when the overall complex of posttraumatic images, self-defeating cognitions, unpleasant feelings and sensations (what Francine Shapiro calls the unprocessed "memory network") contains embedded strong positive affect that is highly valued by the client. In the case of a person with narcissistic defenses, the positive material may block awareness of negative memories, especially if the positive experience occurred in the larger context of trauma and neglect. In such instances the positive part of the experience is idealized through selective memory and strengthened in intensity, because it serves as a defense against the core PTSD. The negative part of the memory is partially or wholly dissociated and is thus less accessible to processing. [Adapted from Text, pp. 232, 233-234]
Participants will be able to: 1) anticipate and prepare for resistance to EMDR based on the history and symptoms presented; 2) minimize resistance and failure by proper framing and staging of the tasks involved in healing; 3) prepare the client to meet developmental gaps and losses through imaged interventions; 4) create and install appropriate experiential interweaves; and 5) utilize resistance and setbacks to identify successive areas appropriate for experiential interweaves.
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress
disorder (PTSD), is currently recognized as a treatable condition. It is considered the
paradigmatic dissociative disorder and carries with it extreme posttraumatic
symptomatology which lends itself to be an apt target for treatment combining the use of
EMDR and hypnosis. Therapists skilled in the treatment of DID and Dissociative Disorder
Not otherwise specified (DDNos) have augmented their therapeutic arsenal with the fluent
uses of hypnosis for stabilization, affect management, building a safe place and
grounding. EMDR, which has come to the forefront of clinical awareness in the last fifteen
years, seems well suited for the treatment of trauma, but can be destabilizing. The
presenters recommend a protocol, called Wreathing Protocol, for the imbricated use of
EMDR and hypnosis in the treatment of not only DID, but also DDNOS and complex
chronic PTSD. The Wreathing Protocol is useful to advanced clinicians skilled in both
modalities independently. This workshop will explain and illustrate with a clinical vignette
the sequential steps of the Wreathing Protocol; it will describe the required contextual
treatment frame for its safe use. The presenters will explore the consequences of the
premature uses of EMDR and offer planful structured responses to a disequilibrated
treatment and a destabilized patient. The clinical implications of the use of the Wreathing
Protocol will be discussed.
Learning objectives:
1. Name three prohibitions to the use of EMDR in the treatment of dissociative
disorders.
2. Exemplify one target symptom of the BASK model of dissociation in the clinical
example presented and relate a different one in one of your own patients.
3. Describe a potential multistep Wreathing Protocol sequence from selection of
target to resolution of at least one microsymptom in a patient of your choice.
For most people childbirth is a time for celebration and joy. However, for some women it can prove a harrowing
and traumatising experience. This may result in mothers developing Peri-natal Post Traumatic Stress Disorder
(PN-PTSD), (Slade, 2006). The reported prevalence of PN-PTSD ranges from 1.5% to 6%, (Beck, 2004). There is a
general lack of awareness of this issue, encompassing a myriad of health care professionals (General Practioners,
Health Visitors, Obstetricians and non specialist Psychiatrists), (Robinson, 2003). This can lead to misdiagnosis
and inappropriate treatment being offered, (Czarnocks & Slade, 2000). This paper will critically examine some of
the common themes associated with PN-PTSD and how EMDR can and should be used as an effective treatment
intervention. A case study will be used by way of explanation. The paper will discuss future staff training needs
and research implications, focusing on joint working between Health Visiting Services and Primary Care Mental
Health Teams. Finally the paper will discuss a future training initiative for health Visitors in the recognition and
signposting of PN-PTSD.
This workshop will focus on the benefits of EMDR to the therapist, rather than to the client (for whom they are already well established!). It will examine the therapeutic relationship that is made necessary by the AIP, where in the therapist now takes the stance of privileged expert witness to the client's own healing, rather than being the agent or supplier of that healing. The history of the therapeutic relationship will be briefly tracked, with adescription of the paradigm shift that began with family systems pioneers such as Carl Whitaker, who challenged therapists to take a more client-centered, respectfull view of the therapeutic relationship. EMDR therapists can now shift from being “ helpers ” or “ healers ” to being informed and privileged witnesses. Norcross (2005) has demonstrated that EMDR is an "evidence-based therapy" largely due to the therapeutic attunement that it requires. The neurobiological & hormonal benefits of attunement (Schore, Gray) are coming to be better understood. This attunement will be examined from the point of view of the benefit to the therapist, as well as to the client. This attunement greatly enhances ourability to work joyfully and abundantly (and hence, more effectively). These benefits, accompanied by the optimism and hope that is fed by therepeated witnessing of our clients ’ transformations precludes any possibility of compassion fatigue — indeed the work is exhilarating. This workshop will be largely didactic, but case examples and space for sharing & discussion will be incorporated into the 90-minutes framework.
Learning Objectives:
1.Participants will compare the traditional medical-model therapeutic relationship with EMDR’s more client-respectful / responsible model.
2. Participants will expand their understanding of how the AIP dictates & requires this changed therapeutic relationship and its impact on us as therapists.
3. Participants will identify and examine the EMDR therapist ’ s freedom from responsibility for our clients and appreciate the impact on us of our routinely excellent treatment outcomes
4. Participants will identify and acknowledge the benefits of therapeutic attunement to the therapist.
5. Participants will show awareness of their own experiences, from the point of view of the therapist-benefit aspects of EMDR.
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.
Menschen die an einer PTBS und deren Folgen leiden, erleben den Körper und dessen Symptome oft als Feind. Die sanfte, geleitete Schulung der Körperwahrnehmung ist ein Weg sich mit dem Körper anzufreunden. Lernen, angenehme Körperempfindungen wahrzunehmen erhöht das Vertrauen und erleichtert die Verarbeitung schmerzvoller Erfahrungen. Lernen mit unangenehmen oder schmerzhaften Körperwahrnehmungen umzugehen, reduziert die Angst.
Den Focus auf die Körpersensationen zu richten, setzt voraus, mit den auftretenden Körpererinnerungen, Schmerzen und/oder der Übererregung fertig werden zu können.
Die Kombination von Körper- und Körperimpulswahrnehmung und bewusster Bewegung im EMDR Prozess gibt die notwendige Sicherheit und erlaubt durch tiefe und bewußte Körpererfahrung eine sanfte Verarbeitung und Integration traumatischer Erfahrungen.
Stabilisierungsphase: Aufbau und Verankerung positiver Körpererfahrung und Körperressourcen mit bilateraler Stimulierung. Schulung der sinnlichen Wahrnehmung und deren Verbalisierung. Psychoedukation in Hinblick auf amnestische und/oder vorsprachlich codierte Erfahrungen im sinnlich, körperlichen Bereich.
EMDR Prozess: Erweiterung des EMDR Protokolls um das Installieren von Körperressourcen. Einweben von Bewegungsimagination und gerichteter Aufmerksamkeit auf bewusste Handlungsimpulse. Bewusstmachen und therapeutisches Nutzen von Körperhaltungen, Bewegungsimpulsen und Bewegungen während der Prozessierungsphase.
Abschluss und Integration: Körpertest vor Abschluss des Protokolls. Integration von neuer Körpererfahrung in Bewegung, Handlung und Begegnung. Führen eines Therapietagebuchs mit den Kategorien: Ich denke (Kognition) – Ich fühle(Emotion) – Ich spüre (sinnliches Erleben).
People suffering from PTSD and the consequences of experiencing the body and its symptoms often an enemy. The gentle, conducted training of body awareness is a way to make friends with the body. Learning to perceive pleasant body sensations increased confidence and facilitate the processing of painful experiences. Learning to deal with unpleasant or painful body awareness, reduces anxiety.
The focus to addressing the body sensations presupposes being able to cope with the developing body memories, pain and / or hyperarousal.
The combination of body and body movement in the conscious perception and impulse EMDR process provides the necessary security and allows the body through deep and conscious experience a gentle processing and integration of traumatic experiences.
Stabilization phase: structure and anchoring positive body experience and body resources with bilateral stimulation. Training of sensory perception and its verbalization. Psychoeducation in terms of amnesic and / or encoded preverbal experience in sensual, physical area.
EMDR process: expansion of the EMDR protocol for the installation of body resources. Weaving of movement and imagination directed attention to conscious action impulses. Awareness and therapeutic benefits of postures, movement, impulses and movements during the Prozessierungsphase.
Completion and integration: body test before the conclusion of the Protocol. Integration of new body of experience in movement, action and encounter. Run a therapy diary with the categories: I think (cognition) - I feel (emotion) - I feel (sensory experience).
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.
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute.
Tre gli elementi salienti offerti dalla ricerca:
1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni.
2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari.
3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente.
Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce.
Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle
interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico).
A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali.
Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa.
Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione.
Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio.
E questo è un punto di forza notevole per l’EMDR.
I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008).
L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).
In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems
complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment
able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that --
relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a
"Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of
neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008).
EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).
Propongo il caso di S. perché il PN-PTSD è poco diagnosticato e perché, attraverso una variante tecnica al floatback, il floatback-floatforward sulla timeline, sono riuscita ad aggirare la dissociazione post traumatica, a identificare i vari alter dissociati e a integrarli nella persona con l’uso del protocollo standard dell’EMDR.
A sedici anni S. fu portata in studio dai genitori che l’avevano sorpresa a inalare i fumi dell’eroina; oggi ha diciotto anni e non si droga più da quel giorno.
Guardandole le braccia piene di cicatrici mi resi conto che S. ricorreva alla pratica dell’autolesionismo, ma i genitori non se ne accorgevano.
Qual era il segreto custodito gelosamente dalla famiglia?
La storia di S. si articola intorno a due traumi: il PN-PTSD e l’abuso.
Dal trauma perinatale e dalla percezione in utero degli stati emotivi depressivi della madre sono scaturiti disturbi nell’attaccamento e, per la mancanza di mirroring e di sintonizzazione affettiva, sono falliti i processi d’internalizzazione che portano all’identità.
S. era consapevole del trauma dell’abbandono ma non dell’abuso, che definiva come un “pozzo nero impenetrabile”.
Per affrontare il trauma che minacciava la sopravvivenza, S. faceva ricorso in maniera invasiva a un meccanismo di coping: la dissociazione dell’oggetto e del Sé. Mettere in un alter l’abuso consentiva a S. di mantenere l’attaccamento ai membri della propria famiglia che avevano abusato di lei o attivamente, o passivamente con la complicità del silenzio.
Usando la scala Des non ho riscontrato risultati significativi sulla dissociazione, invece con la SCID-LIST ho rilevato valori alti.
L’autolesionismo può rappresentare l’odio per il corpo che ha subito l’abuso senza ribellarsi, o, come dice S., “un modo per punirsi della colpa di esistere o di infliggersi una sofferenza fisica per coprire l’angoscia di morte”.
L’EMDR ha rappresentato la sfida.
Propose the case of S. because the PN-PTSD is poorly diagnosed and because, through a variant technique to floatback the floatback-floatforward on the timeline, I managed to circumvent the Post traumatic dissociation, to identify the various alter-differentiated and integrate them in person using the standard EMDR protocol. At sixteen, S. was brought to the study by parents who had found to inhale the fumes of heroin; Today is eighteen years and not more drugs that day. Looking at the arms full of scars I realized that St. resorted to the practice of self, but the parents did not noticed. What was the secret guarded jealously by the family? The story of St. focuses on two traumas: the PN-PTSD and abuse. Since perinatal trauma and perception of emotional states of depression in the uterus of the mother are resulting in attachment disorders and the lack of mirroring and affective attunement, failed processes of internalization that lead to identity. S. was aware of the trauma of abandonment but not the abuse, which defined as a "well
impenetrable black. To deal with the trauma that threatened the survival, S. was used in an invasive manner coping mechanism: the dissociation of object and self. Putting an alter abuse allowed S. to maintain the attachment to family members who had abused her or actively, or passively with the complicity of silence. Using the scale Des I have not found significant results on the dissociation, but with the SCID-LIST I observed high values. The SIB may represent the hatred of the body that has suffered abuse without rebelling, or, as Saint, "a way to punish a fault to exist or to inflict physical pain
cover the anguish of death." EMDR has been the challenge.
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la
bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte
impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y
multifactorial que exige una atención y actuación que incluya los aspectos clínicos,
familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato
físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009).
Los profesionales que trabajan con TCA disponen en el EMDR de un modelo
psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta
comunicación es el explicar como se puede trabajar con EMDR para poder tomar
conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.
The feeding behavior disorders (ED), one of which is anorexia and
bulimia nervosa, are an emerging health problem that has a strong
impact on our society. The problem of these disorders is as varied and
multifactorial requiring attention and action, including the clinical,
family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse
physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009).
Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this
communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.
Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.
The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.
When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.
I can understand the disappointment of the writer
who would have liked to have the future template
spelled out in the body of the excerpt. However, the
fact that the full text of the future template was not
scripted is not a reflection of the lack of importance of
the future
template as it states in the section, “Create
a Future Template,” at the end of the “Protocol for
Excessive Grief” journal article (Luber, 2012, p. 135)
and in the Eye Movement Desensitization and Reprocessing
(EMDR) Scripted Protocols: Basics and Special Situations
(Luber, 2009a, p. 187).
One appears to be Eye Movement Desensitization and Reprocessing (EMDR), an extensively researched therapeutic technique with scientifically proven powerful effects in relieving traumatic memory.
There is brain imaging research that identifies the specific brain activities and changes created by EMDR. And no scientific body has ever found the slightest amount of hypnotic activity to be involved with EMDR therapy as provided by EMDR Institute-trained personnel.
Notes that the effects of war and terrorism can be long-lasting and discreet, emerging years later in different forms of psychological and physical strain in the body. In this work, the authors uncover how developments in Eye Movement Desensitization and Reprocessing (EMDR) can be successfully applied to the treatment of war and terrorism trauma. They address issues confronted by all clinicians attempting to respond to this particular type of trauma--the psychological aftermath of man's inhumanity to man. The authors focus on the application of EMDR to clients' traumatic experiences, covering a wide range of traumatic settings and survivors from school violence to "near-war" experiences, refugees, combat soldiers, children, and emergency service workers. They provide a review of the research on the use of EMDR, specific case studies to demonstrate their results as well as general suggestions for integrating EMDR into the therapeutic process. It is stated that this book can be used as a general reference for all practitioners looking to broaden their understanding and care of trauma patients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Life experience can shape how a person carries oneself (e.g. slumped shoulders, chronic scowl, etc.). Client postures and gestures can be used effectively to assist recovery from trauma. This workshop will outline specific applications of this concept including using client gestures and postures as targets for reprocessing; to enhance the connection to the NC and/or PC, as part of resource development, and as interweaves. Video recorded case material will illuminate points. Participants will practice these techniques.
I was disappointed that in discussing post-traumatic stress disorder (PTSD) Laura Spinney dismissed eye movement desensitisation and reprocessing (EMDR) as if it was just slightly better than snake oil (3 February, p 40). There is an impressive body of robust research showing that this modern therapy for trauma is, in fact, effective. It is endorsed as such by many prestigious institutions worldwide, including the American Psychiatric Association in its practice guidelines for the treatment of PTSD, which gives EMDR the same status as cognitive behavioural therapy as an effective treatment for the symptoms of both acute and chronic PTSD.
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Il modello paradigmatico di intervento clinico al quale l’EMDR si ispira è di non interferenza all’interno dell’elaborazione adattiva prodotta autonomamente dal paziente, stimolato da una ottimale relazione terapeutica e dalla stimolazione bilaterale all’interno di un campo di attenzione duale. Nondimeno, è esperienza abituale del clinico come tale modello incappi regolarmente all’interno di stalli rielaborativi che impediscono una adeguata desensibilizzazione e rielaborazione degli eventi stressanti o francamente traumatici. Per tale motivo, l’EMDR può massimizzare la sua efficacia psicoterapeutica attraverso l’impiego di specifiche strategie di “intervento cognitivo integrativo”, finalizzate all’implementazione adattiva ed ecologica delle risorse inattingibili da parte del paziente. In questa comunicazione, che prende in parte ispirazione dalle domande e dalle difficoltà emergenti nei colleghi durante l’attività di supervisione, attraverso numerose esemplificazioni cliniche si intenderà mostrare l’impiego flessibile ed euristico di strategie immaginative e corporee come interventi integrativi di particolare efficacia. In particolare, verrà posta una specifica attenzione nei confronti degli stalli integrativi dovuti principalmente a meccanismi dissociativi che possono causare difficoltà anche notevoli all’attività dello psicoterapeuta. Fenomeni dissociativi massicci, infatti, possono mostrarsi sin dall’inizio (in particolare qualora l’evento abbia suscitato una dissociazione peritraumatica), rendendo apparentemente non affrontabile il ricordo del paziente, in quanto non evocatore di alcuna risonanza emotiva; diversamente, la gestione dissociativa dei ricordi comparirà tra una seduta e l’altra, oppure all’interno del processo elaborativo condotto con l’EMDR. Verrà mostrato come la dissociazione, che può rendere impossibile l’elaborazione, possa essere gradualmente ridotta iperassociando il paziente nei confronti dei propri ricordi, di volta in volta privilegiando attività rivolte nei confronti delle immagini mentali oppure attraverso l’adozione di posture corporee finalizzate alla rottura delle barriere dissociative.
The paradigmatic model of clinical intervention in which EMDR is based is not interference in preparing adaptive generate themselves from the patient, stimulated by optimal therapeutic relationship and the bilateral stimulation within a field of attention dual. Nevertheless, it is habitual experience of the clinician how this model regularly encountering processed within stalls that prevent a adequate desensitization and reworking frankly stressful or traumatic events. Therefore, EMDR can maximize its effectiveness through the use of specific psychotherapeutic strategies, "Integrative cognitive intervention, aimed at the implementation of adaptive and ecological resources unattainable by the patient. In this communication, which takes some inspiration, the questions and difficulties emerging in the colleagues during the supervisory activities through numerous clinical examples to show you will understand the use of flexible, heuristic imaginative strategies and body as supplementary measures, particularly effective. In particular, specific attention will be paid in respect of the stalls due mainly to additional dissociative mechanisms that can cause considerable difficulties although the activity of psychotherapist. Dissociative phenomena massive, in fact, can show the beginning (in particularly if the event has generated a dissociation peritraumatica), making apparently not face the memory of the patient, because not suggestive of any resonance emotional, otherwise the management dissociative memories appear between sessions and one or within the computational process conducted with EMDR. Will be shown as the dissociation which may make it impossible to process, can be gradually reduced iperassociando
the patient against their own recollections, each time focusing on activities aimed respect of mental images or through the adoption of body postures designed to rupture of dissociative barriers.
Peu importe le type de cancer, cette maladie crée de l’anxiété chez les patients qui en souffrent et provoque une dépression auprès d’un tiers de la clientèle atteinte. La psycho oncologie étudie ces dimensions du cancer à partir des aspects psychologiques, sociaux, comportementaux et éthiques. Le cancer devient alors une maladie du corps et de l’esprit.
No matter which type of cancer, this illness creates anxiety in and may provoke those that suffer from it. Depression in a third of cancer patients. Psycho-oncology studies these dimensions of cancer by focusing on
psychological, social, behavioral and ethical aspects. Cancer therefore becomes an illness of body and mind/soul. This workshop aims to educate EMDR therapists to the traumas brought up by the diagnosis of cancer and its treatments with application to chronic illness in general. As cancer incidence increases yearly, more and more people and their close ones will be affected by this illness. Knowledge about those aspects
related to psycho-oncology then becomes important for clinicians who will be increasingly involved in such clinical situations.
This workshop is a presentation which encompasses the Triune Brain Theory, Educational Kinesiology and recent
research on trauma and how it effects brain development and functioning. Information will be presented on the
Triune Brain Theory and how “bottom up” processing can block EMDR from working with traumatized children.
A description of the energy blockages in the brain and how they can be detected and then eliminated through
Brain Gym exercises will comprise the second part of this educational workshop. The difference between hyper
arousal and dissociative responses and which brain centers are involved will be explained in order to understand
the adaptive, evolutionary response of the brain when the child/adult is experiencing trauma. Throughout the
workshop will be experiential Brain Gym exercises. This format is designed to encourage greater understanding
of the whole brained effects of the exercises as participants learn these tools. Several other exercises which
reduce stress and connect the three levels of the brain for efficient, whole-brained processing will also be
incorporated. Several case examples will be shared to illustrate how the Brain Gym exercises become part of the
child’s coping resources and eventually facilitate the processing of his/her traumaLearning Objectives:
• The participants will be able to demonstrate and describe the benefits of a Brain Gym Warm Up to create full
brain activation and a relaxed processing state.
• Participants will be able to describe the Triune Brain Theory and how trauma creates “bottom up” processing
instead of “top down” processing.
• Participants will be able to demonstrate specific exercises for reducing stress/trauma within the Central
Nervous system thus enhancing a child’s sense of safety.
• Participants will be able to identify 5 brain/energy imbalances and how they block EMDR processing.
• Participants will be able to identify and explain the Brain Gym exercises which correct each of the 5 brain/
body/energy imbalances.
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral.
Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction.
An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual.
There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung.
Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)
Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment.
In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).
He began EMDR (eye motion distraction response) therapy that uses alternating left and right taps or beeps designed to move the brain's awareness back and forth between the right and left sides — the effect stimulates a new way of thinking.
“The horror show lives in your left brain,” he said.
Nordic therapy:
EMDR taught him to go past the scenes he kept playing over in his mind. He believes Nordic skiing mimics the EMDR therapy with the left-right-left-right motion on Nordic skis.
At 25, I found a great therapist and tried Eye Movement Desensitization and Reprocessing therapy, or EMDR, for the first time. What I learned through EMDR could fill an entire magazine of its own. So, for those of you dealing with the residual effects of traumatic situations, you may want to check out www.emdr.com. I've since emerged a healthy and happy individual.
This workshop is experiential and informational, describing the use of tools of intuitive mindful skills and resonance within EMDR protocol. Theories and research will be presented reflecting the convergence of psychology, science, and spirituality. Relationship to brain integration and processing will be linked to tools of intuitive processes within expanded awareness and an interconnected field of energy and informational flow between therapist and client. Participants will identify internal feedback mechanisms through the use of guided imagery, leading to a nonlinear, moment to moment integrative therapy. Applications to the EMDR process and attachment issues will be discussed through case presentation.
Mindful awareness has been scientifically proven to promote social, emotional and physical well-being and is an effective part of psychotherapy practice. Research has demonstrated that mindful awareness is useful in the prevention of relapse of drug addiction and chronic depression, and in the treatment of anxiety and borderline personality disorder. This ancient practice of being fully aware in the present moment, without grasping onto judgments, has been found in cultures throughout the world. This lecture will explore the possible ways in which mindfulness may actually work to enrich our lives and be a part of EMDR and effective psychotherapy. The state of mindful awareness harnesses specific social and emotional circuits in the brain. With practice, this receptive state of mindfulness becomes a trait of resilience. The development of these “resonance circuits” creates an integrated brain state that creates the benefits of improved immune and cardiac function, enhanced empathy and self-understanding, and a deeper connection to oneself and others.
This session explores the synergy of Mindfulness and EMDR, specifically in relation to strengthening client affect tolerance, body awareness, observer capacity and self-acceptance. These skills are particularly useful in the Preparation phase of EMDR in order to build a strong foundation for the Desensitization phase of the Trauma Protocol. We will look at Mindfulness techniques, combined with Resource Development and Installation (RDI), that are useful for both rigid/conceptualizing clients and chaotic/overemotional clients. Research linking Mindfulness with neural plasticity and neural integration will be highlighted. The session includes lecture, case review and short experiential Mindfulness exercises.
Clinicians will learn the synergy of Mindfulness and EMDR, focusing on key skills developed in the Preparation Phase. The workshop reviews mindfulness basic principles, their relationship with EMDR and the AIP Model, and outcome research relating mindfulness with neuroplasticity. The session also explores Mindfulness strategies for strengthening observer capacity (dual attention), affect tolerance, somatic, and sensory awareness, including techniques useful for both rigid/conceptualizing clients and chaotic/overemotional clients. Finally the workshop addresses options for integrating Mindfulness with Resource Development Installation (RDI). The presentation includes lecture, slides, client case examples, and guided experiential Mindfulness exerices.
Both EMDR and Trauma-Focused CBT are the two main recommended treatments for symptoms of trauma meeting diagnostic criteria for Post Traumatic Stress Disorder.
In accordance with current literature, contrasting the use of Trauma-Focused CBT with EMDR, it has been found in practise by the author that overall, clients using EMDR experience significantly less long-term distress and appears to process much more quickly than clients engaging in trauma-focused CBT. However, the effect of bodily sensations does not tend to differ between the two groups nor does flashbacks or dissociative tendencies.
Specifically, dissociation is not uncommon in traumatised clients and in clients with a diagnosis of post traumatic stress disorder. The existence of dissociative tendencies can pose a realistic problem in effectively processing traumatic memories, regardless of whether the method being used is trauma-focused cognitive-behavioural exposure-based methods or EMDR.
Mindfulness has been utilised by the Author as a stabilisation method for reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005) and has since been found to reduce dissociation on the DES scale, when measured pre and post teaching clients the basics of the MBSR programme (taught on a 1-to-1 basis).
Equally, the level of flashbacks and bodily reactions subside dramatically when Mindfulness is taught prior to trauma processing, compared with clients who engage in trauma processing without any form of stabilisation.
The author has not found any evidence that the use of Mindfulness body-scan increases traumatic body memory in trauma survivors.
The purpose of this workshop is to explore the application of mindfulness, through experiencing aspects of the Mindfulness programme. Case studies will be presented to demonstrate the application of mindfulness as a stabilisation took, paying specific attention to clients with dissociative tendencies and personality disorders evolving from trauma.
In addition, role plays between participants will be used to practise the skills of mindfulness in relation to stabilisation prior to trauma processing.
Mindfulness mediation (based on Buddhist meditative techniques) has previously been advocated for depression relapse prevention and chronic pain reduction in former research trials (Teasdale; Kabat-zinn, etc.). Because the practice of mindfulness relates to body scans and focusing attention upon the body, it has been advised that it may cause problems in using such a method for sexual abuse and rape survivors, although no research appears to have been carried out in this area. In a single case study of child-sexual-abuse adult survivor who frequently dissociated and experienced “flashbacks” during clinical sessions, the methods of Mindfulness Mediation were introduced to her, in an attempt to keep an awareness of her surroundings whilst doing imagined exposure in for PDSD (post duress stress disorder). From dissociative phases, flashbacks and cognitive avoidance of stimuli, the client became able to focus on the traumatic information being presented and to emotionally relate and process trauma memories, which previously she had been unable to do. Her ability to attenuate upon traumatic information was increased, habituation was easier from a clinical perspective, her anxiety levels decreased (BAI) and her depression levels eased (BDI). (N.B. The client’s improved anxiety and depression scores may have been due to Mindfulness Mediation practices or to the processing of highly emotive information).
Conclusion: Mindfulness Meditation can be a useful adjunct to trauma processing when imagined exposure is being implemented for PTSD/PDSD for processing of un-integrated traumatic information, where dissociation, cognitive avoidance or flashbacks occur within the context of treatment, creating a barrier to habituation from traumatic information. [Two statistical charts which accompanied this abstract in the Conference Program entry have not been included here.]
Trauma interferes with living in the present moment; mindfulness expands awareness of the present. It is a helpful adjunct to therapy by increasing the client's dual focus of the "observing self' while processing past
material. This workshop will apply mindfulness to EMDR protocol in these specific areas: safe place, resource accessing and installing, feedback
of present beliefs, feelings and sensation, looping and cognitive interweaves. Bilaterally stimulated relaxation exercises will be offered
to enhance mindfulness. It will also be used to bracket and contain unfinished material as well as aid between-session integration.
The use of EMDR is often complicated with traumatized clients who cannot modulate
arousal, stay present rather than dissociating, tolerate positive or negative affect, or
differentiate past and present. Beset with an array of baffling, intense symptoms that
“tell the story” without words, they become uncertain both of what happened and
how they endured it. To make sense of the sensations and overwhelming emotions,
clients rely upon trauma-related cognitive schemas to interpret their experience: “I am
still not safe,” “I am a marked woman,” “I am worthless and unlovable.” These
cognitive schemas often increase the bodily dysregulation, resulting in looping or
inability to fully process and integrate the traumatic events. With such clients, the use
of body-centred techniques in preparation for or during EMDR processing can help to
increase affect and autonomic tolerance, strengthen both somatic and psychological
resources, and increase EMDR effectiveness by facilitating optimal levels of autonomic
arousal, which is neither too high nor too low, however is necessary for successful
desensitization and integration.
This workshop will introduce a number of interventions for working with traumatically
encoded somatic experience derived from Sensorimotor Psychotherapy, a bodycentred
talking therapy for trauma developed by Pat Ogden, Ph.D. that addresses the
non-verbal, autonomic components of PTSD by using the body both as a source of
information and a reservoir of resources. Sensorimotor Psychotherapy offers simple
body-oriented interventions for tracking, naming, and safely exploring trauma-related
experience, modulating a dysregulated autonomic nervous system, creating new
resources and competencies, and restoring a somatic sense of self. Sensorimotor
Psychotherapy can be easily integrated into EMDR treatments, used during
stabilization to prepare clients for more effective EMDR processing, during processing
to ensure effective and complete desensitization, or to enhance installation of positive cognitions and facilitate integration.
The use of EMDR is often complicated with traumatized clients who cannot modulate arousal, stay present rather
than dissociating, tolerate positive or negative affect, or differentiate past and present. Beset with an array of baffling, intense symptoms that “tell the story” without words, they become uncertain both of what happened and how they endured it. These clients often rely upon trauma-related cognitive schemas to interpret their experience. This plenary will introduce a number of interventions for working with traumatically encoded somatic experience derived from Sensorimotor Psychotherapy (SP), a body-centered talking therapy for trauma developed by Pat Ogden, Ph.D. SP offers simple body-oriented interventions for tracking, naming, and exploring trauma-related experience, modulating a dysregulated autonomic nervous system, creating new resources and competencies, and restoring a somatic sense of self. SP can be easily integrated into EMDR.
As the price for surviving trauma, individuals are left with an inadequate
memory record and a host of easily re-activated neurobiological responses.
Trauma-related autonomic dysregulation prohibits processing and resolution,
and the somatic responses, divorced from the events that caused them, are
interpreted as data about the self or the world. This worksop will introduce
approaches for working with traumatically encoded somatic experience using
Sensorimotor Psychotherapy, a body-entered talking therapy that addresses
these non-verbal, autonomic components by using the body as the entry
point in treatment, rather than the event. Sensorimotor Psychotherapy
offers simple body-oriented interventions for tracking, naming, and safely
exploring trauma-related somatic activation, modulating a dysregulated
nervous system, creating new resources and competencies, and restoring a
somatic sense of self. Sensorimotor Psychotherapy can be easily integrated
into EMDR and other trauma treatments and used to enhance installation of
positive cognitions and resources or to facilitate processing and integrating
of traumatic memories.
The need to address subcortical components of PTSD is critical to trauma work, especially with clients who cannot modulate arousal, tolerate positive affect, or maintain mindful states. With such clients, the use of Sensorimotor
Psychotherapy in conjunction with EMDR can enhance the effectiveness of both treatments. Sensorimotor Psychotherapy techniques can be utilized to increase affect and autonomic tolerance, to embody EMDR-acquired
resources, and to increase the effectiveness of EMDR processing by facilitating an optimal level of arousal. This workshop will introduce
participants to Sensorimotor Psychotherapy and describe the integrated use of both modalities to enhance trauma processing.
Following
Siegel’s
model
(2005),
the
authors
present
a
single
case
that
undergone
a
therapeutic
intervention
with
EMDR
aimed
to
reprocess
infantile
traumatic
memories
reactivated
in
the
parenting.
A
4
year
old
child
came
to
our
Child
Neuropsychiatric
Unit
because
she
presented
a
toe
walking
in
absence
of
neurological
signs.
She
undergone
periodic
physiatrist
visits
for
one
year
without
any
symptoms
regression.
She
was
then
seen
from
a
Child
Neuropsychiatrist
and
a
Psychomotor
Therapist
who
evaluated
the
importance
of
observations
by
a
psychologist.
Method:
The
psychologist
observed
a
general
anxiety
state
in
the
child
characterized
by
perfectionism,
inhibition
and
hypervigilance
to
the
environment
demand.
The
mother's
life
story
was
that
of
a
child
with
an
alcoholic
father
who
she
wished
to
save
with
her
love
and
who
died
for
cirrhosis.
It
was
clear
how
the
parenting
experience
reactivated
infantile
traumatic
memories.
It
was
proposed
a
treatment
with
EMDR.
The
child
treatment
was
addressed
to
install
resources
and
to
reprocess
stressing
interactions
with
the
mother.
The
mother
treatment
was
aimed
to
reprocess
infantile
traumatic
experience
and
to
look
at
the
present
triggers
in
the
interaction
with
the
daughter
who
reactivated
traumatic
memories
and
cause
emotion
dysregulation.
Results:
The
treatment
brought
to
a
resolution
of
the
child
symptoms
and
a
reorganization
of
the
interaction
between
the
child
and
the
mother.
Conclusions:
This
single
case
report
highlights
the
importance
to
understand
well
the
psychological
origin
of
somatic
symptoms
and
gives
an
evidence
of
the
efficacy
of
the
treatment
with
EMDR
following
Siegel’s
model.
Antecedente
Teórico:
La
desensibilización
y
reprocesamiento
por
el
movimiento
ocular
(EMDR)
es
una
reconocida
primera
línea
para
el
tratamiento
del
trauma
psicológico.
Sin
embargo
sus
bases
neurobiológicas
no
han
sido
descifradas
todavía.
Método:
La
electroencefalografía
ha
sido
usada
por
primera
vez
para
monitorizar
completamente
la
activación
neuronal
durante
sesiones
enteras
de
EMDR
incluyendo
el
guión
autobiográfico.
10
Clientes
con
traumas
psicológicos
mayores
fueron
investigados
durante
la
primera
sesión
de
EMDR
y
durante
la
última
después
del
procesamiento
del
trauma
raíz.
Las
comparaciones
entre
los
EEG
de
la
última
y
primera
sesión
y
las
de
EEG
de
los
clientes
en
la
primera
sesión
y
10
controles
realizando
el
mismo
procedimiento
de
EMDR
fueron
realizadas.
Resultados:
Durante
ambos
procesos,
la
escucha
y
la
estimulación
bilateral,
el
EEG
mostró
una
actividad
significativamente
mayor
en
el
córtex
límbico
prefontral
(Brodmann
Areas,
BA
9-‐10)
al
principio
comparadas
con
la
última
sesión
de
EMDR.
La
comparación
opuesta
muestra
un
cambio
en
la
actividad
fundamental
entre
las
regiones
corticales
temporal,
parietal
y
occipital
(BAs
20,
21,
22,
37,
17,
18,
19)
con
lateralizaciones
hacia
la
izquierda.
La
comparación
entre
los
10
clientes
y
los
controles
confirman
la
activación
máxima
de
la
corteza
límbica
en
los
clientes
antes
de
procesar
el
trauma.
Conclusiones:
La
metodología
usada
hizo
posible
visualizar
la
neuroimagen
por
primera
vez
de
las
activaciones
cerebrales
asociadas
con
las
acciones
terapéuticas
que
acontecen
en
el
EMDR.
Los
hallazgos
sugieren
que
el
procesamiento
cognitivo
de
los
eventos
traumáticos
seguidos
de
una
terapia
EMDR
exitosa
apoyan
la
evidencia
de
un
patrón
neurobiológico
diferenciado
en
las
activaciones
del
cerebro
durante
la
estimulación
ocular
bilateral
asociados
con
una
acumulación
un
experiencias
emocionales
negativas.
When working with attachment trauma, it is more than reprocessing the negative experience; it’s about making the necessary repairs that address the deficits in the client’s development. So, how do you decide when to offer a cognitive interweave to facilitate the client’s processing and when to simply stay out of the way? In this workshop, you will see the work of two esteemed teachers as they guide you through one another’s sessions, moment by moment, taking what is subtle and intuitive and making it explicit and understandable. You will learn how a comprehensive case conceptualization informs decision-making and broadens the possibilities for profound and shared transformation.
Spatial intelligence is emphasized in traditional EMDR protocols and instructional methods when focus is placed on imagery. Bodily-kinesthetic intelligence is honoured when body cues are addressed. However, individuals with primary musical or sonic intelligences are not optimally attended to with orthodox application of well-accepted EMDR strategies. Without making any changes to the stages of the Shapiro protocol, musical interventions can be implemented into EMDR treatment to amplify the holistic design of EMDR and to optimally serve those who struggle with spatial intelligence. In this workshop, participants will learn how to utilize music in resource development and EMDR preparation, to apply music as an appropriate “cognitive interweave” when processing is not flowing optimally, and to consider the impact that music can have on EMDR treatment. The presenter will implement a combination of lecture, participation activities, and case discussion to achieve learning objectives.
Definition of client population:
Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of
emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner
experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their
condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are
exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful
or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their
perfectionism or their quiet devaluing of others.
View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style.
People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as
interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters,
however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people
is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either
superior and powerful or inferior and worthless; supportive and admiring or critical and attacking.
Difficulties in using EMDR:
Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not
feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They
resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect,
other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and
worthlessness and their confusion about who they are and what is truly meaningful and valuable to them.
Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral
approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and
object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts,
body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty
with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with
homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating
beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change.
In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more
traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of
segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object
splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in
treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most
confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited
experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or
painful past experiences.
Length of treatment:
I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established
relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically
for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying
with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting
relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires.
Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they
are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are
able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient
purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are
reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as
a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and
consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with
narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions:
The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions.
Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will
never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my
flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must
please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire
me. It is often helpful to narrow these cognitions down to make them manageable with EMDR
Treatment:
In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an
EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in
particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed
Among other things, these facilitate more effective copitive interweaves.
The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since
it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in
helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of
children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's
own response to situations he has witnessed in news media, TV, movies or theater.
A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients
and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to
differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with
and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the
patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the
client as supportive but nevertheless make hun or her aware of having wandered.
Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will
agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has
never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth
that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while
doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must,
however, retain her healthy perspective if the client is to learn to accept himself.
For more clinical information about treating disorders of the self:
1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York,
N. Y., 1990
2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992.
3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach,
Professional Resource Exchange, Inc., Sarasota, Florida, 1990.
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values.
From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client.
Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories.
Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings.
[AAETS]
Progress in neuroscience and recent clinical studies are shedding light on how mind and body affect each other. The central mechanism of healing is homeostatisis: the body's ability to return to balance when provided with basic biological needs. This talk will review mind-body interactions in relation to emotional healing and how they translate into specific treatment interventions.
EMDR stimulates the body to heal the mind. Progress in neuroscience and
recent clinical studies are shedding light on how mind and body affect
each other. The central mechanism of healing is homeostasis: the body's
ability to return to balance when provided with basic biological needs. This
talk will review mind-body interactions in relation to emotional healing and
how they translate into treatment interventions.
Clients with traumatic childhood experiences and subsequent diagnoses of
Personality Disorder, hold self-identities that may have had adaptive, survival
enhancing functions during their upbringing, but may now be hindering and
even damaging. As babies their needs for secure attachment and nurturing
may have been compromised and as children they may not have
experienced unconditional love and acceptance of themselves. As adults,
they may carry internalized self-images about either being intrinsically 'bad'
or having to be especially 'good' in order to be accepted, valued and
loved by others. Subsequently, their Behaviour and their relationships with
others are determined by a distorted view of themselves, often causing
them to lead lives that involve great compromise and further suffering. They
may struggle with their capacity to regulate affect (Siegel, 1999: Shore, 1994,
1996). experiencing little self-control over their various fluctuating mood
states. The aim of this workshop is to introduce clinical techniques, involving
the interweave between EMDR and Schema-focused, cognitive
approaches, which help clients build a more secure and 6nctionally
positive sense of Self with healthy mechanisms of affect regulation. Based on current research, clinical practice and Herbert's (2002, 2003) therapeutic
framework for working with complex trauma, this workshop will focus
especially on two therapeutic ingredients for this work. One is the quality of
the therapeutic relationship as a necessary transitory phase for healthy
dependency in the client and the second is 'inner child' work as a method to
help clients modify and re-script their distorted images of self and repair
ruptures in their attachment relationships.
Current research in neuroscience and the neurobiology of dissociation is discussed and its connection to a wide variety of traumatic stress syndromes and attachment related disorders. Dissociation is a normal and adaptive response to overwhelming experience. At the same time, dissociative symptoms interfere with mindfulness and the continuity of self. Moreover, information processing becomes compromised or shut down, thus barring the integration and resolution of the traumatic experience. Thus, dissociation interferes with effective psychotherapeutic intervention. Therefore, addressing dissociative symptoms is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Participants will become familiar with interventions that reduce dissociative symptoms, as well as when and how to use them to maximize treatment effects.
The study of traumatology is increasingly more reliant on an understanding of the neurological
and biological mechanisms involved. It is a complex area for many people working with trauma
who have not had a background in human biology. So often presentations on neurobiology and
trauma are complex and focus on a specific topic thus never giving the overall picture.
This presentation will take delegates through the field of trauma, initially giving a good
understanding of how we acquire traumatic memories. It will go on to explain what the body does
to compensate for hyperarousal, and will outline the impact on brain development of early life
trauma and neglect. The paper will conclude with a description of the neurobiology of dissociation.
There will be an opportunity for questions and discussion.
Clinical case reports and a growing body of
controlled research suggest that EMDR is equally
and perhaps more efficacious when cross-compared
with other methods in treating Posttraumatic Stress
Disorder. However, as EMDR was originally an
empirically driven method, there has persisted a need
for a more defined theoretical model, further
scientific validation, and a neurobiological
understanding of EMDR's reported robust effects.
The possibility that EMDR can effectuate change
on a neurobiological level has fueled speculation as
to the neural-mechanisms that might underlie
EMDR's effects. Brain scans and QEEG's are
beginning to shed light on the alterations of brain
function that EMDR appears to yield. This
presentation will synthesize the existing research
with theoretical speculation correlated with Francine Shapiro's model of the Adaptive Information Processing System. Specific attention will be given to recent empirical findings involving the thalamus
in information processing and memory integration.
This material will be integrated with previously
posited theories regarding the cerebellum's
involvement in many aspects of information
processing and activation processes of the left
prefrontal areas and EMDR's activation of the
neurophysiology of REM-sleep systems. A
neurobiological definition of EMDR serve to
further legitimize its usage. It can also potentially
enlighten our practice by informing preparation,
resourcing and target selection strategies.
The research on Eye Movement Desensitization and Reprocessing (EMDR) has had a significant development in the last 10 years. The EMDR consists on a dual focalization activity (the use o eye movements or other forms of left/right rhythmical stimulation, while focusing on personal disturbing material). Many hypotheses have been made on how EMDR works and why the clinical results are so significant. One of the most possible reasons may regard the fact that there seems to be an innate information processing system that is physiologically configured to facilitate mental health in much the same way the rest of the body is designed to heal itself when injured (Shapiro, 1995). When operating appropriately, this system takes the perceptual and emotional information from a traumatic event to an adaptive resolution - useful information is stored with appropriate affect and is available for future use. The physiological and emotional arousal stemming from a traumatic event may disrupt the information processing mechanism. The blocked processing prevents the traumatic information from progressing through the normal steps of adaptive integration. The physiological stimulation appears to activate the innate information processing systems and may be linked to the mechanisms inherent in memory storage. EMDR apparently intervenes in brain functions, especially in the limbic system and amygdale, which have been already identified as actively involved in traumatic experiences.
This presentation – the first face-to-face meeting of the SIG, is an update on the status of the SIG and the effectiveness of uniquely launching the group on the www.linkedin.com website. In the first year of its existence, the SIG has attracted over 330 members from 36 countries. Although its inception was created by EMDR UK & Ireland it is clear from the current membership of over 330 from 36 countries worldwide that interest in this field far exceeds national boundaries. Nevertheless at present two thirds of members are from the UK.
The aims of the SIG are:
To bring together members of EMDR UK & Ireland who share a common interest in Positive Psychology as applied to EMDR and to foster awareness of a 'total beneficial outcome' of EMDR i.e. not just the ability of EMDR to reduce negative psychological symptomatology, but to additionally examine Positive Psychological Change including Post Traumatic Growth, Performance Enhancement and the development of the Maslowvian principle of an individual's full 'psychological height'.
The aims are to be achieved by:
Encouraging members to contribute to EMDR conferences, other related presentations, writing of papers for publication, whilst also acting as a resource/ support for EMDR researchers as well as fostering links to other appropriate organisations e.g. members of other National and International EMDR Associations as well as other Positive Psychology Associations e.g. the UK Centre for Applied Positive Psychology (CAPP).
The presentation will also set out the SIG’s agenda for the next two years up until the EMDR Europe Conference in Edinburgh 2014.
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.
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).
This highly participatory workshop will teach four 60-second strategies that can be learned quickly by clinicians and used immediately with clients. The presenter has used these strategies over ten years at an urban Hispanic Clinic, and with children and adults of diverse cultural, economic, educational, and national backgrounds. Because the strategies focus on active physical involvement, they quickly help clients to identify and manage personal sensations and emotions (Phase 2-Preparation), pave the way for clearer gut understanding of (Phase 3) negative and positive cognition’s as well as “Where do you feel it in your body?” and (Phase 6) Body Scan.
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.
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.)
Jealousy is an unwelcome emotion, which most people will have
experienced at sometime in their lives. In its mildest form it may be seen as an expression of devotion, however, for
some people it can become obsessive and destructive (Mullen, 1990) The possible consequences of this very
serious condition can result in suspician, violence and the complete breakdown of a relationship. This study
highlights the case of a man with a long standing history of jealousy towards his partner. Cognitive Behavioural
Therapy (CBT) would suggest that jealousy was maintained by a person's erroneous assumptions about sexual
behaviour and attractiveness of their partner, as well as pervasive negative schemas of self-worth. Any consideration
for treatment therefore, needed to address both these areas. The treatment intervention of Eye Movement
Desensitisation and Reprocessing (EMDR) utilising cognitive interweave was used to reduce the intensity of the
emotionof jealous reactions. Results showed a marked reduction in the intensity of the emotion of jealousy, which
lead to a reduction in the client's challenging and checking behaviours towards his partner. Results also indicate a
clear reduction in the client's erroneous automatic negative and jelous thoughts. What is unclear is whether it was the
EMDR therapy itself, or a combination of EMDR and other cognitive behavoural therapy interventions that brought
about these reducitons in symptomatology. Acknowledging the limitations of generalising from single case designs,
consideration will be given to the need for further investigation and research in to the application of EMDR with this
client group.
Objectives: In our mind as well as in our body and nature nothing is happened accidentally, we can often see that there is mutual connection between them. There is a case presentation of young man age 29 with obsessive thoughts for getting fatal disease if step on junky needles which he had seen in his neighbor. It thoughts influence his all life he is avoiding to go out of his apartment, poorly sleep, he insisted to be admitted to in patient treatment because he „would probably kill himself if he had to stay there jet…” His first difficulties appeared when he was 20, after his first sexual experience which he has had with prostitute, after his friend’s birthday party. Then he obsessively started to think about getting AIDS, getting died… Four years ago he really have got malignant testicular tumor and in his 24he had passed through exhausting surgery and chemotherapy. As a child he was growing up during the war time, experienced snake bite, often tonsil infections.Now he has no job, live with parents and one year older brother, no girlfriend or other relationship. Treated with antidepressant venlafaxin, and atypical narcoleptic risperidon, with additionally used EMDR, he showed good recovery and getting into every day activities.
Post-traumatic stress disorder (PTSD) is a disorder which can develop following exposure to one or more severely traumatic events. Symptoms experienced by PTSD suffers include re-experiencing the trauma through intrusive ‘flashbacks’ and recurrent dreams or nightmares, distress when exposed to reminders of the trauma, hyperarousal and emotional blunting. These symptoms can cause significant impairment of function and reduction in quality of life for suffers. Both psychotherapies, including cognitive behavioural therapies (CBTs) and eye movement desensitisation and reprocessing (EMDR), and pharmacotherapy are used in the treatment of PTSD.
Method
We audited patients with PTSD in Bedford East performed in November 2008. A re-audit was performed using data from August 2010 patient database. Demographic information, risk factors, co-morbidities, psychological therapy and pharmacotherapy were compared between these audit and re-audit.
Results
There is increased use of antidepressant augmentation between 2008 and 2010. While no patients in 2008 were on antidepressant augmentations, by 2010, 9 patients were. All 25 patients on anti-psychotics have important identified risk factors. There is no evidence of Psychosis in our PTSD patients except in two cases. There is an increase in Anti-psychotic use in our PTSD Patients. There is an increased use of Mood Stabilisers in our patients with PTSD.
Discussion
PTSD is being identified more frequently in our patients, probably because of greater awareness and more accurate identification.
Conclusion
New patients being identified represent a group of more difficult to treat patients who represent severe risks. Present psychotherapies offered are not all recommended in present guidelines.
It is suggested that when we receive a clean body scan, before we continue on to closure, we elicit positive affect and body activation that may currently be associated with the target and install with BLS. Following this we would return to the standard protocol with closure. The rationale for this is presented along with the introduction of an additional scale of SUPAs – Subjective Units of Positive Activation.
Long time pain in the low back and neck is often difficult to diagnose and treat. We have known for a long time that patients’ personality and motivation are crucial for progress in treatment. Patients treated by physiotherapists in southern Stockholm were invited to 2 seminars on Pain, Stress, and Quality of Life. The patients were taught about pain in general, about stress and how to handle it, about body awareness and how to handle daily situations. During the seminars we collected data about the patients’ background, coping resources and quality of life. They also filled out the personal pain drawing test (PPD). They are offered individual counseling by a physiotherapist, an occupational therapist and 10 meetings with a psychologist.
114 patients participated in 17 seminars. The patients were followed up. Half of the group had decreased pain according to the PPD, even those who had not consulted the psychology. Around 50% had less treatment by physiotherapist, 24% had less sick leave. 57% had started relaxation and/or exercise body awareness. The 34 patients treated by the psychologist (mostly with EMDR) increased their emotional and spiritual/philosophic coping resource as well as their emotional quality of life.
Our experiences are that many pain patients suffer from psychosomatic disorders and that psychological staffs is an effective and necessary part of the multidisciplinary treatment in primary health care.
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.
Although I had a relatively happy childhood, I picked up many unspoken messages from the people around me about my physical body and my self-worth. At age 17, I was brutally beaten and raped in my family home. Based upon these often misinterpreted messages and the brutal attack on my body and soul, I created an existence out of eating disorders, depression, rage, and distrust. Now it was time to deal with the emotions I had pushed down inside of myself. It has taken months of EMDR therapy and a low dosage of anti-depressant drugs, but now I'm well on my way. Happiness is right around the corner.This book describes my journey from the depths of despair, through the twisted pathways of my past, and into my future, proving that life can and should be more than mere survival. Life is to be treasured and lived -- and shared. The reader will walk through my struggles and successes, hopefully allowing her (or him) to feel the pain of the struggles as well as the thrill of successes. I hope my story gives at least one other victim (or as I now prefer to call myself "survivor") hope for her own future, or assistance in healing her own heart. I hope it gives one family member or good friend a better understanding of what his or her loved one might be going through. I hope it shows one parent how a critical comment said in jest can be taken by a child as gospel. I hope it shows one mother that how she treats herself, whether with words or by actions, will be mirrored in her daughter. I hope it shows one father that the remarks he makes about women in front of his daughter will shape her views of herself as she becomes a woman. But mostly, I want this book to help one person go through the healing process a little easier. That is my hope. [Adapted from Text, pp. viii-ix] [Pilots]
EMDR and the Internal Family System (IFS) model share a common treatment approach and their integration significantly increases the effectiveness of both. The workshop will provide a brief overview of the central IFS components. It will then demonstrate how IFS "parts" work can facilitate developing target events and memories, cognitions, feelings, and sensations, plus assist with reducing client resistance and looping. The IFS idea of "self leadership" will give a new context for "resource installation" and "cognitive interweave." A case example of abandonment by self or family will show how IFS enhances the timing and content of EMDR protocol.
Eye Movement Desensitization and Reprocessing (EMDR) is an innovative therapy that is currently used to treat anxiety disorders. Discovered by Francine Shapiro in 1987, the treatment was originally utilized on individuals suffering from Post Traumatic Syndrome Disorder; however, the original treatment protocol has evolved to include other forms of trauma such as performance anxiety. The main hypothesis of EMDR states that traumatic memories cause the nervous system to become dysfunctional and unbalanced. As a result, stimuli such as sound and images from these events are looped continuously within the nervous system until the body can functionally process the events toward an adaptive solution. Until a solution is established, the original thoughts and feelings encountered during previous disturbing events resurface each time a resembling experience occurs. EMDR serves as a performance enhancement for brass musicians by desensitizing and reprocessing maladaptive memories through bilateral stimulation of both hemispheres of the brain. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 68(4-A), 2007, pp. 1221.
Following an amputation of almost any body part, the patient can experience phantom limb sensation, which is the feeling that the limb is still there, or phantom limb pain (PLP), which is pain that exists after the amputation. Often the pain after the amputation is the pain that existed before the amputation, somehow staying locked in the nervous system. In 1996 we did a pilot study, using a case series approach, with 7 amputees. We wanted to see if EMDR could be effective in treating PLP. We thought that PLP might be similar to PTSD, in that the event is over but the pain (emotional or physical) is still there, somehow embedded in the nervous system. In our case series, EMDR was found to be an effective treatment for PLP (complete elimination) in leg amputations. In most of the cases, pain disappeared within three sessions of treatment after the initial diagnostic interview. In general, the protocol for PLP consists of three parts: history-taking and relationship building, then targeting the trauma of the experience, and finally targeting the pain itself. [Adapted from Text, pp. 147-151]
This presentation offers a description of an integrative approach of group treatment within
phase I treatment leaning on psychodynamic theory, a clear psycho-educative approach
that uses methods as hypnosis/relaxation training/mindfulness training, aims for
enhanced relational capacity and self-regulation by using hypnotic techniques aiming at
enhanced containment capacity (Brown & Fromm, 1986; Kluft, 1993, 1999; Phillips &
Fredericks 1995; Chu 1998; Cardeña et al., 2000). The treatment aims at enhanced
capacity to mentalize, i.e., using the reflective functions in self-organization (Fonagy,
1997). This is considered to offer the participants an enhanced ”self soothing capacity”
(Krystal 1988a,1988b), i. e., the capacity to calm and soothe the self by enhanced self
regulation and capacity to rest, by helping the participants to reach experiential states
where they can contain their own reactions, as well as offering training in order to tolerate
and understand the signals of the body, i. e. the “felt sense” (Gendlin, 1978; Ogden,
Minton, & Pain 2006). The trauma therapy within phase II-work by extended EMDRprotocols
is exemplified with special focus on the restoration of the capacity for adequate
self-care as well as care-giving functions.
Learning Objectives:
1. To show how an integrative group treatment in phase I treatment can be used in
trauma therapy for stabilization with patients with complex PTSD and high levels of
dissociation (psychoform and/or somatoform co-morbidity).
2. Exemplify trauma-therapy within phase II work by extended EMDR-protocols
addressing the special needs of continuous reinforcement of stabilization for the
same population.
3. Focus on restoration of the capacity for adequate self-care as well as care giving
functions.
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.
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors.
Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.
This presentation provides a collective body of
knowledge helpful for EMDR clinicians in
understanding disaster response at sites both in
post-Katrina operations in Louisiana and 911 operations in New York City. The presentation will
include information learned by EMDR
Humanitarian Assistance Program (HAP)
volunteers in establishing an on-site network for trauma recovery clinicians serving in Louisiana.
Lessons learned include establishing initial onsite networks, noting key contact persons, and
networking with local agencies in providing
EMDR services. EMDR Consultation and the
importance of daily debriefings of the clinical
work will be discussed. Differences in protocols
such as EMD, Recent Events Protocol, and
EMDR, as they relate to the timing of the trauma
will be outlined. The importance of practicing
healthy self-care and avoiding burnout will be
noted. A summation will include the similarities
and differences between the EMDR community-based
intervention project in New York City with
responders and civilian following 9/11 and the
post-Katrina HAP project with first responders in
Louisiana.
Der Artikel gibt einen Überblick über die Folgen psychischen seelischer Belastungen oder durch aktuelle high Trauma. Nach einem historischen Abriss werden die posttraumatische Belastungsstörung (PTBS) und andere Traumafolgestörungen Symptomatik in Diagnostik und dargestellt. Dabei findet auch die Berücksichtigung Stress-und Neurophysiologie. Es folgt die Darstellung eines integrativen Behandlungskonzeptes in dem Analytische Aspekte, körpertherapeutische Neuere Entwicklungen sowie Behandlungsansätze gestaltungstherapeutische und wie sind verknüpft EMDR. Zum Schluss wird versucht, den Bogen von den modernen Vorstellungen zum neurophysiologischen Traumabegriff bei C. G. Jung und zu seiner Komplextheorie zu schlagen.
The article gives an overview of the Psychological Effects of emotional distress by recent or old traumas. After a historical outline the posttraumatic stress disorder (PTSD) and other trauma-related disorders, Their symptomatology and diagnostics are presented. The stress-and neurophysiology Will Be Taken Into Account. This is Followed by the description of an integrative therapy concept, Analytical Aspects That merges with body therapy and art therapy as well as newer Developments as EMDR. At the end it will be tried to the modern neurophysiologically shaped Paradigms Relate to the ideas of trauma at C. G. Jung, Especially to His complex theory.
EMDR has enjoyed a comfortable alliance with Ego-State Therapy. ‘Inner Critics’ or ‘People Pleasers’ may be the repository for such Negative Cognitions (NCs) as, “It’s my fault,” or, “I cannot upset anyone.” But who is the author of Positive Cognitions (PCs)? Are they constructed in the assessment phase of treatment, or do PCs emerge spontaneously with Dual Attention Stimuli from the Self: our unfettered awareness and contemplation? This workshop reveals EMDR as a catalyst for dialogues between the Self and NCs. Extraordinary imagery tools that enhance work with children and adults are offered to illuminate the surfacing of the Self.
Working with severely damaged clients, the clinician
many times is faced with complex and challenging problems.
and staying out of the way during the desensitization phase
definitely not enough to get the SUD's down.
In this workshop a number of new types of interweaves will be
presented, developed to deal with clients who get severely stuck
during the desensitization phase, mostly in complex guilt-issues.
Many times standard cognitive interweaves are not enough to
unblock the EMDR processing, and the clinician has to be creative in order to help clients with these difficult issues. The more damaged the client, the more powerful interweaves are needed.
In this presentation new types of high-impact interweaves are introduced, involving non-cognitive aspects, e.g. visual, sensorimotor, symbolic, spiritual. Learning objectives:
1. Participants develop sensitivity to the dynamics underlying complex guilt-related problems.
2. Participants learn about the characteristics of high-impact interventions.
3. Participants learn to use their own creativity in developing new interweaves.
4. Participants add several powerful new interweaves to their of existing repertoire.
New in this presentation: These interweaves have not been described or presented before. They are applied within the standard EMDR-protocol, so they are an extension of existing principles and techniques.
This workshop offers creative and practical applications for integrating
EMDR into child, adolescent and family systems therapy. Ways to introduce
EMDR, uncover targets, adapt cognitive interweave to different ages and
stages of development and assess and utilize parental involvement will be
taught. Problems, such as resistance, family complexities and chronic versus
crisis problems, will be addressed. Enhancement skills including affect
management and ego strengthening will be taught. The how-to's of play, art,
music and stories as vehicles for creatively using EMDR will be demonstrated.
Cases involving ADHD, adoption, cutting, divorce, sexual abuse and other
traumas will be illustrated with videos, scripts and roleplay. Dr. Klaff is
known far her lively presentations, creativity and humor.
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.
There are commonalities between neurologic syndromes arising from lesions of the parietal cortex and psychiatric syndromes secondary to psychological trauma. Additionally some posttraumatic syndromes may reflect functional disruption of parietal areas. Directional or bilateral alternating peripheral sensory stimulation appear to assist in the amelioration of a wide range of clinical conditions, including the neglect syndrome and Posttraumatic Stress Disorder. It is posited that the stimulation may exert its effect through activation of parietal higher-order functions. The activation may result in an integration of sensory information and an updating of the current representation of person and space, which incorporates an awareness of current body reality, sense of self, and world view. It is hypothesized that the EMDR procedure is ideally constructed to facilitate parietal activation through multimodal sensory stimulation, attention and episodic memory retrieval and focus on internal and external body, space, and self. Further investigations and an integration of data between disciplines are suggested, in order to expand our range of effective treatments.
According to Solomon, therapists assume the human brain contains an information-processing mechanism that takes information to resolution, much like when the body heals a cut.
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.
My paper presents a model for integrating EMDR with Body Psychotherapy principles and techniques. The model
will be illustrated by clinical material from my work with a patient who suffers from complex PTSD as a result of a
recent traumatic event which evoked her early developmental trauma. My model of integration is based on
what both disciplines share in common: understanding the centrality of the body as the carrier of the trauma and
its symptoms, as well as its potential for healing and recovery. At the same time, Body psychotherapy and EMDR
offer different ways of utilising the body during the processing phase of the work. My paper will explore some of
the similarities and differences of the two approaches. This may shed some light on situations where patients
show blocks or resistance to EMDR, and offer complementary ways of working with the EMDR protocol. The
paper draws on recent neuro-biological research presented by A. Schore, Bessel v. d. Kolk and others, to highlight
the changes that take place in brain function during and after the traumatic event. It will also offer insight into
the work of some of the leading experts in the field of body psychotherapy and approaches to trauma work (Pat
Ogden’s sensori-motor approach, Babette Rothschild’s Somatic Trauma Therapy, Peter Levine’s traumawork with
the body). The clinical material is designed to make the theory accessible and illustrate its relevance.
A patient moving his eyes back and forth following the therapist's fingers as they move across his field of vision for 20-30 seconds. EMDR (Eye movement desensitization and reprocessing) might sound as a scam, but in fact it is becoming a highly recognized and widespread treatment method. It is an innovative clinical treatment. It has successfully helped over one million people who have experienced psychological difficulties which originate from some kind of traumatic experience, such as sexual abuse, childhood neglect, road traffic accidents and violence.
O assunto “trauma” vem adquirindo novos significados, considerando principalmente
acontecimentos sociais recentes, sejam eventos adversos, catástrofes, desastres,
sejam as situações-limite vividas pelas pessoas no cotidiano urbano. A psicologia
das emergências estuda o comportamento das pessoas nos acidentes e desastres
desde uma ação preventiva até o pós-trauma e, se for o caso, subsidia intervenções
de compreensão, apoio e superação do trauma às vítimas e profissionais do SAMU.
O assunto se estende às questões que vão desde a experiência pessoal do trauma
até os eventos adversos provocados por calamidades, sejam estas naturais e/ou
provocadas pelo homem. A psicologia das emergências é um tema de angústia
pública, sentimento difuso de mal-estar que se origina dos acontecimentos públicos
traumáticos, chamados estressores, tais como os acidentes de trânsito com vítima,
assim como os provenientes das demais situações limites de toda a violência
urbana. O trauma é uma experiência que explode a capacidade de suportar um
revés, traz a perda de sentido, desorganização corporal e paralisação da
consciência temporal, pode deixar marcas que influenciam a criatividade e a
motivação para a vida. Os objetivos nos primeiros auxílios psicológicos são de aliviar
as manifestações sintomáticas e o sofrimento, reduzindo os sentimentos de
anormalidade e de enfermidade. Um dos objetivos é a familiarização com temas
considerados complexos e muitas vezes distantes das discussões sobre trauma
psicológico, sendo que o problema da pesquisa é a compreensão da psicologia das
emergências e como colocá-la em prática. Os autores mais utilizados são Edgar
Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze e Michel Foucault, dentre
outros. São abordados os temas do não-reducionismo, da epistemologia de si
mesmo e da relação da Teoria das Representações Sociais com o EMDR
(dessensibilização e reprocessamento através de movimentos oculares). O método
desta pesquisa, com suporte na observação participante refere às questões da
complexidade, análise multirreferencial e de implicação. As técnicas mais utilizadas
foram entrevistas, grupos focais-“histórias significativas” e análise documental. É
indicado, como atitudes favoráveis pensar não a partir de algo, mas, sobretudo sobre
algo e que para mudar o modo de agir torna-se necessário modificar a imagem que
uma pessoa tenha de si próprio. Como conclusões da pesquisa, observou-se: que
as pessoas acidentadas trazem outros acontecimentos considerados difíceis junto
com o depoimento sobre o acidente, como situações de luto e de sofrimento com
familiares; que o estresse pós-traumático não é uma conseqüência inevitável do
trauma; que não há nenhuma orientação, ou rotina, nas missões de socorros e nos
documentos oficiais do SAMU sobre o tema psicologia das emergências. Também
são indicadas considerações finais sobre os temas da Síndrome de Burnout, sobre a
influência da instituição no cotidiano dos atendimentos, sobre a relação da clínica
com a psicologia social.
The subject of "trauma" has acquired new meanings, especially considering
recent social events, are adverse events, catastrophes, disasters,
are the extreme situations experienced by people in urban daily life. Psychology
emergencies studies the behavior of people in accidents and disasters
from preventive action to post-trauma and, if necessary, subsidize interventions
understanding, support and overcoming the trauma victim and professional SAMU.
The subject extends to issues ranging from the personal experience of trauma
to adverse events caused by disasters, whether natural and / or
manmade. The psychology of emergencies is a topic of anguish
public diffuse feeling of uneasiness that stems from public events
traumatic, called stressors, such as traffic accidents with victims,
as well as from the other extreme edge of all violence
urban. Trauma is an experience that explodes the ability to support a
setback, brings loss of mean