Francine Shapiro Library - EMDR Bibliography Links
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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.
Language: English
Format: Conference
Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.
Keywords: Children Dissociation
Accuracy Verified: Yes
2. Eschenroder, 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
3. 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
4. 市井雅哉, 熊野 宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用 ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].
Language: Japanese
Format: Journal
Abstract:
著者らは、EMDを（眼球運動脱感作）阪神淡路大震災から受けたとのASD（急性ストレス障害）の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像（例えば、火）、8の初期SUDにレベルを訴えた。眼球運動（EM）の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。
Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.
Keywords: Acute Stress Disorder ASD Earthquake Kobe
Accuracy Verified: Yes
5. 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
6. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、（24）、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].
Language: Japanese
Format: Journal
Abstract:
市井 雅哉 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法 バイオフィードバック研究
日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.
The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.
Keywords: Acute Stress Disorder Clinical Case Study Earthquake Empirical Study Females Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
7. 김 [Kim, D.] (2009). 직장 스트레스로 악화된 뚜렛 장애의 EMDR： 단일 증례 연구 [A single case study of eye movement desensitization and reprocessing (EMDR) with tourette’s disorder aggravated by stress at work]. Mental Health Research, 28, 14-20.
Language: Korean
Format: Journal
Abstract:
뚜렛 장애(Tourette’s disorder)는 다발성 운동 틱과 한
개 이상의 음성 틱이 1년 이상 나타나며 틱이 없는 기간이
3개월 이하일 때 진단된다.1) 이 장애는 만성적인 경과를 밟
으며, 많은 환자들이 성인기에 접어 들면 증상이 호전되지만
더 심해지는 경우도 있어 그 개인차가 크다.2) 또한 틱증상이
악화되었다가 호전되는 패턴이 삽화처럼 존재하기 때문에 약
물치료의 시작하는 시점이나 그 효과 판별에 주의를 요한다.
예를 들어, 악화기엔 어떠한 약물도 그 효과가 적기 때문에
이 시점에서 유용성을 판단하기 어렵다.3)
뚜렛 장애의 치료는 약물치료가 1차 선택 치료이지만 많
은 환자들이 원치 않는 부작용 때문에 약물복용을 거절하거
나 중단한다. 또한 일부는 약물의 효과가 없으며, 있다고 해
도 그 효과는 제한적이다.4) 한 연구에 의하면 평균적인 약물
반응은 틱 증상의 50% 전도 감소라고 한다.5) 따라서 약물
치료와 병용할 수 있는 효과적인 정신치료의 필요성이 요구
되고 있다.
뚜렛이나 틱 장애의 대표적인 정신치료는 습관 반전(habit
reversal) 이라는 행동치료이다.6) 그외에도 인식 훈련, 자기
주장 훈련, 인지치료, 이완치료 등이 있다.4) 현재까지 가장
효과의 준거가 강한 것은 습관반전이며7) 그 외 정신치료에
대한 연구 축적은 부족한 실정이다. 뚜렛장애에 대한 정신치
료는 증상의 완화 뿐 아니라 질환을 이해시키고, 자존감을
높이며 사회적 기능을 향상시키는 데 중요한 역할은 한다.8)
비교적 최근 심리적 외상 치료로 개발된 안구운동 민감소실
및 재처리 요법(Eye Movement Desensitization and Reprecessing,
EMDR)이 여러 임상 영역에 활발하게 쓰이면서 그
관심을 받고 있다.9) 외상후 스트레스 장애 외의 불안장애에
부터 보다 최근에는 우울증과 정신분열병에 까지 시도되고
있는 실정이다.10,11) 이 증례는 직장 스트레스로 악화된 뚜렛
환자에게 EMDR을 사용하여 성공적으로 치료한 경험을 공
유하고자 작성되었다.
This single case report involves a 24 year-old woman with Tourette’s syndrome who experienced exacerbation of tic symptoms after
stressful events at work. After eight months of unsuccessful pharmacotherapy, the five sessions of EMDR was tried targeting the events,
which resulted in significant reduction in tic and stress symptoms to previous level. In fact, she felt so good that she discontinued her
medication after two sessions but maintained her improvement throughout treatment period. Two years after termination of treatment
she was reported to have been doing great at work although she continued to display her tics at usual, mild level.
Keywords: Tic Disorder Tourette’s Disorder Psychotherapy Stress
Accuracy Verified: Yes
8. 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
9. 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
10. 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
11. Grenough, M. (2007, September). 4 brief strategies to calm, relax, and re-wire the brain. Presentation at the annual meeting of EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Looking for calm in the chaos – for you and your clients? Examine findings of recent research regarding the brain’s neuroplasticity and our ability to re-wire our own brains. Learn four 60-second strategies that can calm, relax, heighten sense of personal control, diminish power of old patterns, and strengthen healthy neural pathways. Understand, and be able to explain to clients, how research testifies to the efficacy of these simple strategies and how their implementation can be useful in EMDR treatment. In this highly experiential workshop, you will learn four strategies and explore how/when to use each with your clients – and with yourself.
Keywords: Relaxation
Accuracy Verified: Yes
12. Corcoran, M. (2001, July 5). 6-string therapy for Dale. Austin, TX: Austin American-Statesman Starr, Sec. XL ENT.
Language: English
Format: Newspaper
Abstract:
Out of hardship often comes great art. That's the message behind "Every Song I Write Is For You," the album by Dale Watson that hits stores July 24. The hard-core honky-tonker wears his heart on his sleeve -- literally, the sleeve of his CD, which features a picture of Teresa Lynn Herbert, the girlfriend he lost to a car accident Sept. 15. She crashed en route to Houston, where Watson had a gig. He had shut off his cell phone at lunch, and when he turned it back on a couple hours later, the caller ID showed that Herbert had called 13 times. "She had something she really wanted to tell me, but I'll never know what," says Watson, who plays every Monday at Ego's. The singer took the tragedy hard, and on New Year's Eve, he swallowed a handful of pills in a suicide attempt. After being evaluated by a psychiatrist, Watson was diagnosed with post-traumatic stress disorder and has been undergoing EMDR treatments. "After about 20 minutes, I'd felt like an 800-pound gorilla had been lifted off my shoulders," Watson says of the hypnosis-like therapy said to rejuvenate sleep-deprived patients. "For four months after Teresa's death, I'd relive it every day, all day. My mind was like a needle stuck in the groove of a record." Watson's next release was supposed to be a live album for Audium/KOCH, but he insisted that this "love song album with no apologies" come out first. "It was an easy album to write, but real hard to record."
Keywords: Austin General Overview
Accuracy Verified: Yes
13. 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
14. 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
15. 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
16. 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
17. 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
18. 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
19. 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
20. 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
21. 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
22. 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
23. 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
24. 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
25. Litt, B. (2008). Advanced techniques in the use of EMDR to treat complex trauma. www.barrylittmft.com.
Language: English
Format: Other
Abstract:
Summary
• Pathogenic family dynamics (relational
configurations) are internalized as ego state
conflicts
• The resulting ego state system is a structured
complementation of the loyalty system
• The subjective sense of Self (and corresponding
relational attitude) is adaptive to the original,
formative context[Excerpt]
Keywords: Complex Trauma
Accuracy Verified: Yes
26. 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
27. 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
28. 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
29. 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
30. 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
31. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.
Language: English
Format: Book Section
Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]
Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness
Accuracy Verified: Yes
32. 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
33. O'Shea, K. (2008, June). Anger, imagination and EMDR – what EMDR has taught us about the importance of anger and how to facilitate its safe release. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
Jaak Panksepp’s text, Affective Neuroscience (1998), informs us of the vast amount of neurological data available
to show that, like all mammals, anger is one of our basic affective circuits. Yet it is not identified as such in the
diagnostic manual, at least here in the States. Only the destructive outcomes of angry behaviors are included.
Guiding EMDR sessions over the past 17 years has given me the opportunity to observe the nondestructive
release of anger as a protective response to harmful (traumatic) experiences. Imagination appears to provide us
with an innate ability to acknowledge the degree of harm, and to experience, at a physical level, the capability to
protect ourselves and others, if anything similar recurs. Following that release, I consistently see what I call
“Compassion-with-Protection”, spontaneously expressed. Others call it “forgiveness”. Because of their
experiences with destructive anger and our cultural avoidance of anger, clients often have difficulty allowing
their angry feelings to be felt and released during EMDR work. Letting them know they have this capability can
enable them to “just notice what happens” during trauma reprocessing. This workshop will address, via
description and case examples, how EMDR has clarified the nature of anger. It will specify how EMDR clinicians
can support their clients in releasing anger non-destructively (by clearing the anger circuit during Preparation,
teaching them how the Imagination works - for self-use and during reprocessing, - and identifying the most
efficient targeting sequences), so they can update their systems to their current level of capability and fully
experience the “Compassion-with-Protection” that naturally follows.
Keywords: Anger Imagination
Accuracy Verified: Yes
34. 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
35. 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
36. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.
Language: Spanish
Format: Conference
Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como
tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew,
de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005).
El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del
significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a
nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el
movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir
de esta observación estudió científicamente este efecto y en 1989, informó del éxito al
utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress.
Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las
contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en
víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un
método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo
también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos
psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la
información" (Shapiro, 1991), que postula que la experiencia (los sentimientos,
pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo
(Shapiro, 2001).
Presentamos aquí este abordaje terapéutico, con una primera intervención que
muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más
en las que, a partir de la presentación de un caso, se mostrará la aplicación de los
protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas
adaptativos en niños adoptados y la violencia doméstica en menores.
EMDR is now recognized as a psychotherapeutic approach
effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew,
2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of
meaning of the world, their security, their rationality, there is a "before and after" to
experiential level. The psychologist Francine Shapiro observed that under certain conditions
eye movement can reduce the intensity of disturbing thoughts, from
this observation scientifically studied this effect and in 1989, reported the successful
using EMDR to treat trauma victims in the Journal of Traumatic Stress.
Since then, EMDR has developed and evolved through
contributions of therapists and researchers from around the world. Controlled studies in
Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a
effective method in treating PTSD (PTSD), with
also effective in treating other problems such as chronic pain disorders
psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings,
thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention
shows the basics of EMDR and its application in chronic pain and three more communications
where, from the case report will show the application of protocols of treatment for eating disorders, problems
adaptive adopted children and domestic violence on children.
Keywords: Trauma
Accuracy Verified: Yes
37. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
Accuracy Verified: Yes
38. Fullam, P. (2003, Autumn). Applications of client self administered bilateral stimulation in the treatment of trauma. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/ on 12/27/2008..
Language: English
Format: Other
Abstract:
This article looks at some of the situations where client self-administered bi-lateral stimulation has facilitated EMDR by increasing the client’s sense of control during therapy.
Three conditions where this may be appropriate are discussed and partial presentations of two cases, Allen and Anna, in which the general approach has been used, are given. The second case, relating to client belief in childhood sexual abuse has, in addition to the above, some relevance to the debate relating to false memory syndrome.[Author abstract]
Keywords: Bilateral Stimulation
Accuracy Verified: Yes
39. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
40. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
41. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.
Keywords: Aachen Horses Poster Sports World Equestrian Games
Accuracy Verified: Yes
42. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists,
have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the
reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A
team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based
on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the
protocol they have developed, and the future possible applications of their work. The ways in which this project can be used
as a prototype for further applied research in the EMDR field will be described.
A call for more applied research and ways to support it will be made.
Accuracy Verified: Yes
43. 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
44. 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
45. 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
46. Edmond, T., & Rubin, A. (2004). Assessing the long-term effects of EMDR: Results from an 18-month follow-up study with adult female survivors of CSA. Journal of Child Sexual Abuse, 13(1), 69-86. doi:10.1300/J070v13n01_04.
Language: English
Format: Journal
Abstract:
This 18-month follow-up study builds on the findings of a randomized experimental evaluation that found qualified support for the short-term effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse (CSA). The current study provides preliminary evidence that the therapeutic benefits of EMDR for adult female survivors of CSA can be maintained over an 18-month period. Furthermore, there is some support for the suggestion that EMDR did so more efficiently and provided a greater sense of trauma resolution than did routine individual therapy. [Author Abstract]
Keywords: Adults Americans Child Abuse Empirical Study Females Follow-up Study Quantitative Study Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
47. 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
48. 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
49. 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
50. 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
51. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
52. 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
53. 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
54. 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
55. Kuiken, D., Chudleigh, M., & Racher, D. (2010, December). Bilateral eye movements, attentional flexibility and metaphor comprehension: The substrate of REM dreaming?. Dreaming, 20(4), 227-247. doi:10.1037/a0020841.
Language: English
Format: Journal
Abstract:
Explanations for the effects of the rapid eye movements induced during Eye Movement Desensitization Reprocessing (EMDR; Shapiro, 2001) have drawn upon an analogy with the eye movements of REM sleep (Kuiken, Bears, Miall, and Smith, 2002). An extension of that analogy posits two orienting systems, one involving threat-fear related mnemonic contextualization and another involving loss-pain related monitoring of conflicting response alternatives. In a study involving individuals who had recently experienced significant loss or trauma, we found that experimentally induced saccadic eye movements decreased reaction times to unexpected stimuli among those reporting traumatic distress (characterized by hyperarousal and intrusive thoughts) and increased reaction times among those reporting separation distress (characterized by vivid reminiscences and the sense of a foreshortened future). Also, we found that saccadic eye movements increased the perceived strikingness of metaphoric sentence endings among those reporting amnesia for events related to either loss or trauma. The eye movements of both EMDR and REM sleep may differently affect the attentional and cognitive reorienting activity of those living with the consequences of loss or trauma. These differences may be evident in their waking reflections and in their dreams.
Keywords: Attention Bereavement Dreams Eye Movements Metaphors REM Sleep Trauma
Accuracy Verified: Yes
56. 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
57. 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
58. 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
59. 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
60. 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
61. 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
62. 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
63. 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
64. 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
65. 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
66. 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
67. 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
68. 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
69. 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
70. 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
71. 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
72. 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
73. 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
74. 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
75. 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
76. Shreeve, J. (1995, May 1). The brain that misplaced its body. Discover.
Language: English
Format: Magazine
Accuracy Verified: Yes
77. 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
78. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that
resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved
out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist
Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish
the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation
and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements
through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy
movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the
context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks
to amplify client assets and resources and minimize client liabilities and shortcomings.
Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for
creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They
believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the
problem situation for which the client originally sought help.
These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will
experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems
presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem,
the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has
attempted to resolve the problem thus far.
Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward
changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is
most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will
engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation.
A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They
collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to
handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than
his/her past.
The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being
handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce
clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors
surrounding the problem situation and involves the use of a variety of skills.
A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in
her/his own ability to function effectively without the therapist.
This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists
find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of
perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it
is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative
solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction.
In the ever-changing world of mental health, this is no small achievement.
Keywords: MRI Brief Therapy
Accuracy Verified: Yes
79. Meignant, I., & Meignant, C. (2008, May). Buddy the dog's E.M.D.R. EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
The Buddy's Extroadinary Momentum for Discovery and Reconciliation is made to help kids from 0 to 99 deal with the abreaction through the story of a traumatized dog.
It allows us to understand the internal process which takes place during the acceptance creation of a trauma, a process caused by eye movements, as during the therapy EMDR.
It's also a magnificent tool for understanding the neuro emotional integration processing which takes place during the bilateral stimulation, for all those suffering traumatism in the broad sense of the term: simple or complex, unique or multiple, the traumatic disorders of development and generally the memories of the past staying emotionally in the present. These events of the past of which we say "it's as if, it was yesterday" which do not become memories which we consult and which do not hurt any more. This book shows an example of the internal process of EMDR which will allow Buddy the dog to become reconciled with himself and to be able to live WITH the memories and not IN the memories.
Keywords: Children
Accuracy Verified: Yes
80. Dulworth, S. (2004, September). CAM offerings really can enhance quality of care for some patients. Managed Care Magazine.
Language: English
Format: Magazine
Abstract:
People flock to these services whether insurers cover them or
not. When does it make economic and medical sense to offer
them?
Keywords: CAM General Overview
Accuracy Verified: Yes
81. 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
82. 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
83. 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
84. 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
85. 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
86. 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
87. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.
Language: Spanish
Format: Other
Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico.
El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia.
Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Chronic Posttraumatic Stress Disorder Chronic PTSD
Accuracy Verified: Yes
88. 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
89. 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
90. 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
91. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.
Accuracy Verified: Yes
92. 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
93. 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
94. 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
95. Lazrove, S. (1997, June). Clinical notes. EMDRIA Newsletter, 2(4), 10-12.
Language: English
Format: Newsletter
Abstract:
During EMDR trainings, trainers make clear that EMDR is not a “cookie-cutter,” in the sense of being a rote technique. It is expected that with practice, clinicians will personalize the method according to their own needs and experiences. However, it can be difficult at times to determine whether one is adapting EMDR to meet one’s needs, or in unwittingly violating basic principles. The following is the first in a series of articles illustrating how senior EMDR clinicians have personalized EMDR.
Keywords: Personalized EMDR
Accuracy Verified: Yes
96. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
97. McMulin, T. (1998, June). Combining EMDR with relapse prevention programs to enhance treatment outcomes with sex offenders. EMDRIA Newsletter, 3(2), 20-24.
Language: English
Format: Newsletter
Abstract:
There have been numerous barriers to the development of comprehensive and successful treatment for sex offenders. One of the primary barriers involved societal views of offenders as being incorrigible and first and foremost deserving of punishment. Offenders themselves have fed that view because of seemingly impenetrable defense mechanisms they develop to maintain a sense of safety from others as well as their own thoughts, feelings, and memories. Other barriers to development of comprehensive treatment models involve the failure of traditional psychodynamic techniques, which focus primarily on resolving intrapsychic conflicts, to provide cost effective, adequate, and reliable treatment results (Lockhart, Saunders, & Cleveland, 1989).
Keywords: Relapse Prevention Programs Sex Offenders
Accuracy Verified: Yes
98. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
Accuracy Verified: Yes
99. 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
100. Codina, C., & Olivia, A. M. (2012, June). Concordancia corazon y cerebro [Heart and brain concordance]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract: Abstract:
Si bien es cierto que el EMDR tiene como objetivo el procesamiento de la información perturbadora hacia un estado adaptativo, no lo es menos que una exhaustiva y previa preparación de la persona, con el fin de asegurar sus recursos internos, facilita muchísimo el trabajo, cooperando en gran medida al éxito del mismo. Considero, por tanto, cuestión de responsabilidad terapéutica nutrir previamente al paciente con un amplio y efectivo surtido de ejercicios que refuercen su sentimiento de seguridad y confianza. En este sentido, la aportación de mi experiencia puede mostrar que: fomentar el desarrollo de la “Consciencia Psicocorpórea”(1) deviene el gran aliado no solamente de los seres humanos implicados en el proceso terapéutico, sino también del EMDR, el método terapéutico en sí. Llegué al EMDR impulsada por comprender ¿Qué ocurría? cuando en el proceso de solución, efectuando Constelaciones Familiares(2), los ojos cerrados del cliente(3) , a menudo, se movían como en la fase REM del sueño. Necesitaba una explicación. En el 2003 la encontré en un libro de David Servan-Schreiber sobre EMDR, generando un nuevo interrogante fruto del cual nace el trabajo: CONCORDANCIA CORAZÓN & CEREBRO CARMEN CODINA, EL EJERCICIO 5C.
Abstract: While the EMDR aims at disturbing information processing towards an adaptive state, the fact remains that a thorough and after preparation of the person, in order to ensure its internal resources, greatly facilitates the work, cooperating greatly to the success. I consider, therefore, a matter of responsibility to nurture therapeutic advance for patients with a wide and effective range of exercises to strengthen their sense of security and confidence. In this sense, the contribution of my experience may show that: encourage the development of "Psicocorpórea Consciousness" (1) becomes not only a great ally of the humans involved in the therapeutic process, but also of EMDR, the therapeutic method itself. I came to understand EMDR driven by What happened? when the settlement process, making Constellations (2), the closed eyes of the customer (3) often moved as in REM sleep. I needed an explanation. In 2003 I found a book by David Servan-Schreiber about EMDR, creating a new question which arises fruit of work: MATCHING HEART & BRAIN CODINA CARMEN, THE EXERCISE 5C.
Keywords: Poster
Accuracy Verified: Yes
101. 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
102. 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
103. 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
104. 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
105. 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
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. 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
108. Carvalho, E. (2011, August). Curando a galera que mora la dentro: Como o EMDR e as novas terapias de reprocessamento podem curar nossos papeis internos [Healing the folks who live inside: How EMDR can heal our inner gallery of roles]. Reino Editorial .
Language: Portuguese
Format: Book
Abstract:
Este livro tem como proposta identificar e esclarecer a existência da Galera Interna – aqueles personagens que moram dentro de todos nós e que dirigem as nossas vidas, tais como a Medrosinha, o Adolescente em Crise, a Criança Assustada, o Mentiroso (que mente para mim!). Veremos como estes papéis nascem e se desenvolvem dentro de nós, qual a função que cumprem nas nossas vidas, as suas interações e algumas formas de curar aquelas personagens feridas da nossa Galera Interna que nos impedem de viver plenamente. A ênfase especial neste processo de curar é nas novas terapias de reprocessamento tais como EMDR e Brainspotting. Também se aprende a celebrar àqueles papéis que nos edificam, nos jogam para cima e para frente e nos servem de recursos positivos. Enfim, temos como proposta desenvolver a “política da boa convivência” só que dessa vez, com os personagens que vivem dentro de nós, a nossa Galera Interna.
Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.
Keywords: Inner Gallery of Roles
Accuracy Verified: Yes
109. 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
110. 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
111. 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
112. 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
113. 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
114. 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
115. 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
116. 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
117. 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
118. 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
119. 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
120. 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
121. 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
122. Leeds, A. (1997, October). A discussion thread from the EMDR Institute discussion list: Applications of EMDR with nailbiting. EMDRIA Newsletter, 2(5), 17-20.
Language: English
Format: Newsletter
Abstract:
To provide a sense of the kind of discussions that take place on the EMDR Institute Discussion list, I have selected the following threaded discussion for readers of the EMDRIA Newsletter.
Keywords: Nailbiting
Accuracy Verified: Yes
123. 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
124. 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
125. 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
126. Marquis, J. N., & Puk, G. (1994, November). Dissociative identity disorder: A common sense and cognitive-behavioral view. Presentation at the annual meeting of the Association for Advancement of Behavior Therapy, San Diego, CA.
Language: English
Format: Conference
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
127. 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
128. 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
129. Grohol, J. M. (2007, February). Does EMDR work for PTSD in just 5 sessions?. PsychCentral Online.
Language: English
Format: Other
Abstract:
For the first answer, I turn to Swedish researchers who examined 24 subjects who had just five sessions of EMDR therapy for the treatment of PTSD. After the five-session treatment, 67% of the subjects no longer met criteria for PTSD (compared to 10% of the control group), and there were significant differences post-treatment between the groups in Global Assessment of Function (GAF) scores and Hamilton Depression (HAM-D) scores. These latter two measures helped to measure how the person actually felt (versus some objective, but clinical, third-party diagnostic criteria). That’s significant, because it means that not only did two-thirds of those who received the EMDR treatment not meet the criteria for PTSD any longer, they actually felt better too. Sometimes researchers forget to measure silly things like that.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
130. Laliotis, D. (2009, March). Dreaming the future: Part 1 & Part 2 - Creating new possibilities with EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
EMDR is often used to help clients access and rewire neural pathways to integrate traumatic memories and relieve dissociation, hyperarousal, and numbing. But it can also help clients move toward a better future by mentally rehearsing aspects of more positive, fulfilling lives. In this workshop, we'll describe how to use EMDR to develop alternative neural pathways freeing clients from the fears and self-doubts that keep them from developing to their fullest potential. We'll review the brain circuitry involved in moving from an internal state of disconnection and helplessness to one of integration and empowerment. Then through lecture, discussion, and videotaped examples, you'll learn guidelines for using EMDR to help clients develop new internal maps, future scenarios, and a clear sense of how to get from their present state to their future self.
Accuracy Verified: Yes
131. Ravaglia, G. (2003). E.M.D.R. e percorso analitico [EMDR and path analysis]. Gianfranco Ravaglia.
Language: Italian
Format: Other
Abstract:
Le tesi sviluppate negli scritti di questo sito
rinviano a vari indirizzi psicoterapeutici che convergono nel considerare i disturbi psicologici come esiti di atteggiamenti difensivi intenzionali, anziché come "effetti" di "cause" intrapsichiche o ambientali. Il cliente in analisi non è quindi considerato un malato da curare, ma un soggetto che ha costruito le sue difese e che per questo può anche cambiare.
Il lavoro analitico verte sul chiarimento delle convinzioni irrazionali su cui si fonda la strategia difensiva della persona e sull'esplorazione dei vissuti profondi non integrati nell'infanzia perché sentiti in tale epoca come intollerabili. Il lavoro analitico si basa sull'idea che i sintomi, gli atteggiamenti difensivi ed anche molti atteggiamenti considerati normali costituiscano una risposta ragionevole nell'infanzia, ma irrazionale nella vita adulta, al dolore. Il bambino evita il dolore, mentre l'adulto può accettarlo perché dispone di risorse che nell'infanzia non aveva.
Il lavoro analitico ha come obiettivo l’elaborazione delle esperienze dolorose attuali e dei vissuti dolorosi del passato. Non “cura” i disturbi psicologici, ma serve a renderli superflui; consente quindi alla persona in analisi non solo di "star meglio", ma di modificare l'atteggiamento complessivo nei confronti della sua esistenza.
Dal 2000 ad oggi questo sito è cresciuto includendo ogni anno nuovi lavori.
Per ogni saggio indico la data della prima pubblicazione; indico anche quella dell’ultima revisione solo nei casi in cui parti significative sono state aggiunte.
The arguments in the writings of this site
refer to various addresses psychotherapy converge in considering the results of psychological disorders such as defensive intentional, rather than "effects" of "causes" intrapsychic or environmental. The customer analysis is therefore not considered a patient to be cured, but a person who has built his defenses and that this may also change.
The analytical work focuses on clarifying the irrational beliefs underlying the defensive strategy of the person and the exploration of deep feelings are not integrated in childhood because at that time felt as intolerable. The analytical work is based on the symptoms, the defensive and many considered normal behavior in childhood constitute a reasonable response, but irrational in adult life, the pain. The child avoids the pain, while the adult can accept it because it has resources that childhood did not have.
The analytical work has as objective the development of painful experiences of current and past painful experiences. Not cure psychological disorders, but serves to make them redundant; then allows the person in analysis not only of "getting better", but change the overall attitude towards its existence.
Since 2000 this site has grown to include new works each year.
For each test indicates the date of first publication, also indicates that the last review only in cases where significant parts have been added.
Keywords: Path Analysis
Accuracy Verified: Yes
132. Bar-Sade, E. (2003, May). Early trauma: Revisited and revised through EMDR, the narrative story and the implementation of attachment theory concepts. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
If we regard adult psychotherapy as the basis for a kind of attachment relationship in which the client seeks proximity by having a physical and emotional closeness with the therapist through which the client tries to create a”safe haven” soothing him or her when upset while providing a sense of security, child therapists often regard child-psychotherapy as a means to develop an attachment relationship between child and caregiver, whenever possible. It is a common assumption, that in child-psychotherapy, especially while dealing with trauma, the therapist must stress the importance of empowering the parental figure as an attachment figure and as a “secure base”.
Keywords: Attachment Theory Complex Trauma
Accuracy Verified: Yes
133. 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
134. Silverman, S. J. (2011). Effecting peak athletic performance with neurofeedback, interactive metronome®, and EMDR: A case study. Biofeedback, 39(1), 40-42. doi:10.5298/1081-5937-39.1.08.
Language: English
Format: Journal
Abstract:
This case study chronicles the application and effects of a customized combination of therapies, including neurofeedback, Interactive Metronome® (IM), and Eye Movement Desensitization and Reprocessing (EMDR) created to help a professional athlete improve his brain function and performance. Brian, a 28-year-old professional baseball player, sought help for difficulty maintaining focus and concentration while playing baseball. He felt his challenges impeded his athletic performance, and he wanted to perform at the highest possible level during the upcoming spring training season. Brian's history combined with the results of a QEEG brain map led to a diagnosis of Attention Deficit Disorder–Inattentive Type. The individualized treatment program for Brian included neurofeedback to lower theta activity and increase beta, IM to improve coordination and timing, and EMDR to address his feelings of anger and lack of self-confidence. At the conclusion of his training, Brian described feeling “clear-headed” and was able to focus his mind when needed. His timing and coordination improved, and he showed a positive attitude about playing baseball and felt confident that he would perform well at spring training.
Keywords: Athelete Attention Deficit Disorder–Inattentive Type IM Interactive Metronome® Neurofeedback Performance ENhancement QEEG Brain Map
Accuracy Verified: Yes
135. 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
136. 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
137. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.
Language: English
Format: Journal
Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.
Keywords: Horitzontal Eye Movements
Accuracy Verified: Yes
138. 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
139. 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
140. 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
141. 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
142. 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
143. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Other
Abstract:
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real.
En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.
Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change.
In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health.
The letters called EMDR that mean in English:
Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.
Keywords: Practice, Theory
Accuracy Verified: Yes
144. 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
145. 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
146. 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
147. 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
148. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Complex
Post
Traumatic
Stress
Disorder
(C-‐PTSD)
is
a
psychological
injury
that
results
from
protracted
and
repeated
exposure
to
traumatic
stressor.
Though
the
literature
in
recent
years
presented
and
published
papers
on
C-‐PTSD,
the
category
is
under
consideration
for
inclusion
in
DSM
or
ICD.
PTSD
descriptions
fail
to
capture
some
of
the
core
elements
of
C-‐PTSD.
Such
elements
include
captivity,
psychological
fragmentation,
the
loss
of
a
sense
of
safety,
trust,
and
self-‐
worth,
as
well
as
the
tendency
to
be
re-‐victimized,
and
the
loss
of
a
coherent
sense
of
self.
It
is
this
loss
of
a
coherent
sense
of
self,
and
the
ensuing
symptom
profile,
that
most
pointedly
differentiates
C-‐PTSD
from
PTSD.
Six
clusters
of
symptom
have
been
suggested
for
diagnosis
of
C-‐PTSD.
These
are;
1. Alterations
in
regulation
of
affect
and
impulses
2. Alterations
in
attention
or
consciousness
3. Alterations
in
self-‐perception
4. Alterations
in
relations
with
others
5. Somatization
6. Alterations
in
systems
of
meaning
The
aim
of
this
workshop
is
to
present
C-‐PTSD
and
the
use
of
EMDR
treatment
of
a
severely
disturbed
young
woman
with
unfinished
bereavement
for
her
mother
lost
10
years
ago,
series
of
sexual
abuse
by
12
persons,
rejection
and
emotional
abuse
by
close
family
members.
The
case
will
be
presented
via
DVD
recordings
of
sessions.
El
trastorno
por
estrés
post-‐traumático
complejo
(C-‐TEPT)
es
una
lesión
psicológica
consecuencia
de
una
exposición
prolongada
y
repetida
a
un
estresor
traumático.
Si
bien
la
literatura
ha
presentado
y
publicado
trabajos
sobre
C-‐TEPT
en
los
últimos
años,
la
categoría
se
encuentra
sometida
a
debate
para
su
inclusión
en
el
DSM
o
CIE.
Las
descripciones
de
TEPT
no
captan
algunos
de
los
elementos
esenciales
de
C-‐
TEPT.
Dichos
elementos
incluyen
la
fragmentación
psicológica,
la
pérdida
de
una
sensación
de
seguridad,
confianza
y
valor
propio
de
la
persona,
así
como
la
tendencia
a
sufrir
nuevas
victimizaciones
y
la
pérdida
de
un
sentido
coherente
del
yo.
Es
precisamente
esta
pérdida
un
sentido
coherente
del
yo
y
el
perfil
sintomatológico
consecuente,
lo
que
diferencia
más
marcadamente
el
C-‐TEPT
del
TEPT.
Se
han
planteado
los
siguientes
seis
grupos
(“clusters”)
de
síntomas
para
el
diagnóstico
de
C-‐TEPT:
1. Alteraciones
de
la
regulación
del
afecto
e
impulsos
2. Alteraciones
de
la
atención
o
conocimiento
3. Alteraciones
de
la
auto-‐percepción
4. Alteraciones
de
las
relaciones
con
terceros
5. Somatización
Alteraciones
de
los
sistemas
de
significado
El
objetivo
que
persigue
este
taller
es
el
de
presentar
el
C-‐TEPT
y
el
empleo
del
tratamiento
con
EMDR
de
una
joven
gravemente
perturbada
con
duelo
incompleto
por
la
pérdida
de
su
madre
hacía
10
años,
una
serie
de
abusos
sexuales
por
parte
de
12
personas,
el
rechazo
y
abuso
emocional
por
parte
de
familiares
cercanos.
Se
presentará
el
caso
mediante
las
grabaciones
en
DVD
de
las
sesiones.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD
Accuracy Verified: Yes
149. 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
150. 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
151. 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
152. Titze, M. (1997). EMDR - Unterstützte thematisierung bei psychodynamisch fundierten fokaltherapien [EMDR - Supported theming in-depth psychodynamic focal therapy]. In C. T. Eschenröder: EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 179-188). Tübingen: DGVT-Verlag.
Language: German
Format: Book Section
Abstract:
Lange Zeit galt eine im Sinne der psychoanalytischen Standardmethode durchgeführte Langzeittherapie als qualitativ besonders hochstehend. Dabei ließ sich argumentieren, dass die entscheidenden Eckpfeiler des analytischen Prozesses (Erinnern, Wiederholen, Durcharbeiten) einer zeitaufwendigen Methodik (freie Assoziation, "gleichschwebende Aufmerksamkeit" und regressionsfördernde Zurückhaltung / Schweigen des Analytikers, Übertragungs- und Widerstandsdeutungen usw.) bedürfen (vgl. Thomä & Kächele, 1989). Eine unbestreitbare methodische Schwäche dieser Vorgehensweise resultiert allerdings aus dem Verzicht auf eine aktive Strukturierung durch den Analytiker. Dies kann dazu führen, dass sich manche Klienten in der realen therapeutischen Beziehung allein gelassen bzw. nicht ernst genommen fühlen. Eine nicht selten mehrjährige Behandlungsdauer kann zudem eine Unzufriedenheit hervorrufen, die dann zu realen Widerstandstendenzen auf Seiten des Klienten führen wird, wenn ein spürbarer Behandlungserfolg ausblieb (vgl. dazu Eschenröder, 1986, Kap. 11). Doch es sind nicht allein solche Einwände, die zu einer Relativierung der Bedeutung von analytischen Langzeittherapien geführt haben. Es waren auch reale ökonomische Gegebenheiten, die diese Bedeutung in den letzten Jahren zunehmend in Frage gestellt haben. Nachdem nämlich, zunächst in den Vereinigten Staaten, die Versicherungen dazu übergegangen sind, nur eine stark begrenzte Anzahl psychothe-rapeutischer Leistungen zu erstatten, kam es auch im Bereich der Tiefenpsychologie zu einer verstärkten Hinwendung gegenüber kurzzeittherapeutischen Verfahren (vgl. Goleman, 1981).
Long considered a standard in the sense of the psychoanalytic method carried out as long-term therapy of particularly high standing. It could be argued that the crucial cornerstone of the analytical process (remembering, repeating, working through) a time-consuming method require (free association, evenly suspended attention "and regression-promoting restraint / silence of the analyst, transference and resistance interpretations, etc.) (see Thoma & Kächele, 1989). One undoubted methodological weakness of this approach, however, results from the absence of an active structure by the analyst. This can cause that some clients feel in the real therapeutic relationship alone and not taken seriously. An often multi-year duration of treatment may also cause discontent that will lead to real resistance tendencies on the part of the client when a substantial treatment effect failed to (cf. Eschenröder, 1986, Chapter 11). But it is not only an objection that led to a relativization of the importance of long-term analytic therapies. There were also real economic conditions that have made this meaning in recent years increasingly in question. After that is to report first in the United States, the insurance companies have started, only a very limited number of psychotherapy therapeutic services were also provided in the field of depth psychology (1981 cf. Goleman,) to an increased turn over short-therapeutic procedures.
Keywords: Focal Therapy
Accuracy Verified: Yes
153. 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
154. 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
155. 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
156. 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
157. 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
158. 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
159. 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
160. 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
161. 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
162. Eliscu, M.S., Fitzgerald, J., Gomez, A., Bergmann, U., Page, R., Cloud, L., Davis, K., & Janis, K. O. (2010, September/October). EMDR and diversity: A panel presentation discussion. Panel discussion at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
The workshop will consist of a panel of EMDR clinicians who work with a particular population of clients with whom the clinician shares a background or heritage or with whom he/she has a deep sense of empathy and understanding. Each presenter will explain how he/she came to work with this population. This will be followed by a response to three questions about using EMDR with a particular population. In addition, presenters will explain what special approaches and adaptations (if any) work to benefit the population they serve. They will also address what unspoken issues may be important in treating each population.
Keywords: Diversity Panel Discussion
Accuracy Verified: Yes
163. 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
164. 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
165. Kail, J. (2001). EMDR and motor vehicle accident (MVA) trauma. John Kail, Creative Strategies.
Language: English
Format: Other
Abstract:
Fortunately, Carol’s doctor recognized that she was suffering from Posttraumatic Stress Disorder
(PTSD). The doctor also felt that Carol could get a quick and lasting resolution to her problem with Eye
Movement Desensitization and Reprocessing (EMDR). Referring her to a mental health professional that
utilized this technique, Carol was again able to drive comfortable and easily after just three sessions.
Keywords: Motor Vehicle Accident MVA Trauma
Accuracy Verified: Yes
166. 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
167. 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
168. 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
169. 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
170. Levine, L. (1999, June). EMDR and sex therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) understand how sex-negative cultural messages can lead to a damaged sense of self and understand how to target and reprocess these damaging messages; 2) understand the importance of taking a thorough psycho-social-sexual history before embarking on EMDR; 3) understand the indications and contraindications for using EMDR with sexual issues; and 4) understand how to use the EMDR model of past, present, and future to work on sexual performance issues.
Keywords: Cultural Messages Sexual Issues Sex Therapy Three Prongs
Accuracy Verified: Yes
171. 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
172. 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
173. 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
174. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
175. 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
176. 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
177. Blore, D. C. (2002, September). EMDR and the workplace - helpful hints for the practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
Here we are in 2002, no less than 13 years on from Francine Shapiro's first publishetl
article on Eye Movement Desensitisation. Now called EMDR, the intervention came:son
despite those with agendas to the contrary. The author nears 10 years use of EMDR
himself and reflecting upon the cases seen, finds that over half of the 500+ EMDR cases
during that time have had significant connectionswith the workplace. It is the benefit of
experience that I wish to pass on here. Please forgive me for starting with some basic:
issues which are likely to be obvious to many and could be described as 'common sense'.
The problem is that 'common sense' could be described as 'not common enough' and in
any case, preparation - like preparation in EMDR - can and does play a major role in the
success or otherwise of any enterprise.
Accuracy Verified: Yes
178. 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
179. Nickerson, M. (2009, August). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR offers unique potential in the treatment of clients with angry, violent and abusive behaviors, including intimate partner violence, abusive parenting and bullying. A client’s unconscious drive to “make others feel the way I felt” can be dismantled with the tailored implementation of the 8-Phase Treatment approach. A metaphor based guide to case formulation and a cycle of violence model for understanding behavior and identifying treatment targets will be highlighted. Practical and innovative techniques will be offered to aid in assessment, stabilization and effective reprocessing. Numerous video clips from clinical sessions will illuminate points. Relevant research will be cited.
Accuracy Verified: Yes
180. 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
181. 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
182. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Keywords: CISM Critical Incidence Stress Management Recent Events
Accuracy Verified: Yes
183. 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
184. Kannan, L. (2010, July). EMDR as a tool in change management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 2008-2009, many professionals and executives faced various organizational pressures ranging from pay slash, contrived
performance appraisals, layoffs and work overload due to the recession which impacted many traumatically. It affected the
morale, motivation and basic sense of security which was previously part of the work culture in Eastern countries especially
in India. EMDR is an effective tool for organizations to manage dramatic change without adversely impacting the individual
and consequently the organization.
Participants will learn:
1. What constitutes work trauma both direct and vicarious and how to identify its impact,
2. The impact of such work trauma on the clinical and non clinical parameters affecting performance, efficiency and well
being.
3. How to use EMDR efficiently with work trauma.
4. Adapting EMDR to the different setting where work trauma clients may present themselves in the Eastern context.
Keywords: Change Management
Accuracy Verified: Yes
185. 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
186. Greenwald, R. (1998, September). EMDR cures kidney stones?: A case report. EMDRIA Newsletter, 3(3), 32.
Language: English
Format: Newsletter
Abstract:
When I was teaching EMDR to a small group of professionals last year, I had occasion to demonstrate various portions of EMDR treatment of a medical problem during Day 3 of the course (roughly equivalent to the first half of Level II). The participant was a middle-aged man who had suffered for months with complications related to kidney stones which he failed to eliminate from his system, leading to installation of a shunt and entailing frequent infection. He was barely able to attend class, felt constantly exhausted and ill, and lived on liquids and medications.
Keywords: Case Report
Accuracy Verified: Yes
187. Nicolais, G. (2011, Settembre). EMDR e attaccamento [EMDR and attachment]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Secondo Bowlby, le esperienze precoci del bambino con le proprie figure di attaccamento determinano rappresentazioni mentali - denominate Modelli Operativi Interni della relazione - che regolano aspetti centrali dello sviluppo come la regolazione degli affetti e la fiducia interpersonale. Analogamente, il modello AIP di Shapiro ipotizza l’effetto di esperienze precoci sullo sviluppo futuro del bambino. Ricordi di eventi particolarmente stressanti o traumatici tendono ad essere immagazzinati in modo disfunzionale nel cervello in uno stato non metabolizzato, sotto forma di “network mnestici” contenenti costellazioni di percezioni, aspettative negative, affetti e sensazioni corporee che possono essere riferite all’esperienza di caregiving. In situazioni infantili all’interno di accudimento particolarmente disfunzionali, il modello di attaccamento sviluppato dal bambino conterrà quindi network mnestici caratterizzati dall’esperienza del rifiuto e/o del maltrattamento. Il modello AIP prefigura perciò interventi, realizzati attraverso l’approccio dell’EMDR, che agiscono in senso trasformativo sulle peculiarità dei Modelli Operativi Interni della relazione. Le implicazioni di tale premessa sono l’oggetto della relazione presentata.
According to Bowlby, the child's early experiences with attachment figures determine their mental representations - called internal working models of the report - that regulate key aspects of development such as affect regulation and interpersonal trust. Similarly, the model AIP Shapiro assumed the effect of early experience on the future development of the child. Memories of traumatic or stressful events tend to be stored in a dysfunctional brain in a non-metabolized form of "network mnemonic" containing clusters of perceptions, expectations, negative emotions and bodily sensations that may be related to the experience of caregiving . In situations in caregiving particularly dysfunctional childhood, the attachment model developed by the child will then contain mnemonic networks characterized by the experience of rejection and / or mistreatment. The model therefore anticipates AIP intervention, achieved through the approach of EMDR, which act in the sense of transformation on the peculiarities of the internal working models of the relationship. The implications of this premise are the subject of the report.
Keywords: Attachment
Accuracy Verified: Yes
188. 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
189. 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
190. 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
191. 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
192. 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
193. 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
194. 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
195. 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
196. 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
197. 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
198. 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
199. 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
200. 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
201. 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
202. 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
203. 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 204. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 . Language: English Format: Journal Abstract: (The above link is to the English version of the German article.) Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research Accuracy Verified: Yes 205. 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 206. 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 207. Mehrotra, S., & Wei Geng (2011, February). EMDR in India. Journal of Xihua University (Philosophy & Social Sciences). doi:CNKI:SUN:CDSF.0.2011-02-000. Language: English Format: Journal Abstract: Keywords: Drawings India Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 208. 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 209. 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 210. 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 211. 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 212. 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 213. 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 214. Marich, J. (2011). EMDR made simple: 4 approaches to using EMDR with every client. Eau Claire, WI: Premier Publishing & Media . Language: English Format: Book Abstract: Accuracy Verified: Yes 215. Korn, D. (2008, September). EMDR Master Series - I. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 216. Dogan, E. (2009, Ocak). EMDR nedir nasil uygulanir? [How is EMDR to be applied?]. Epsikiyatri Haberleri. Retrieved from http://www.mcaturk.com/EMDR-NEDIR-NASIL-UYGULANIR_2019.html 6/12/2010. Language: Turkish Format: Journal Abstract: Keywords: Death Fear Harassment Neurophysiology Rape Trauma Accuracy Verified: Yes 217. 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 218. 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 219. 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 220. 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 221. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain. Language: English Format: Dissertation/Thesis Abstract: Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 222. Maccarrone, B., & De Divitiis, A. M. (2008, Novembre). EMDR per eventi recenti - Un modello e un nuovo protocollo [EMDR to recent events - a model and a new]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Recent Events Protocol Accuracy Verified: Yes 223. 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 224. 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 225. 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 226. 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 227. 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 228. 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 229. 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 230. Manon, M. (2007). EMDR Treatment of family abuse: Eye movement to "I" movement. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 95-110). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model Child Abuse Cognitive Processes Early Memories Family Abuse Family Systems Perspective Memories Accuracy Verified: Yes 231. 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 232. 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 233. Jacobs, S., Rackowitz, M., Strack, M., & de Jongh, A.
(2009). EMDR und biofeedback in der behandlung der posttraumatischen belastungsstorung - Erweiterung der evaluation des neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the treatment of post traumatic stress disorder - extension of the evaluation of the neuropsychological treatment program]. In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 51-81). Göttingen: Universitätsverlag. Language: German Format: Book Section Abstract: In the year (2007) the manual of the neuropsychotherapeutic intervention program
EMDR and biofeedback in the therapy of posttraumatic stress disorder by
Jacobs and de Jong was published. The therapeutic concept based on new neuroscienctific
findings, which declare a dissociation of implicit and explicit traumamemory
as one reason for emergence a PTSD. On this background the treatment
program integrates selective modules. The allocation of information carried out by
an educational movie for patients, specific cognitive-behavioural intervention
techniques, which are supplemented by biofeedback-supported Eye Movement
Desensitisation and Reprocessing (EMDR). During the treatment the skin conductance
(electrodermal activity), which is a stress parameter, is mesured.
This program was already evaluated in the pilot-study. The patient pool could
be enlarged, so that 28 patients were available for the evaluation. Additionally the
educational movie was examined on efficiency. The total feedback was positive.
After therapy-end the PTSD-symptomatology decreased consistently
(demp=2.48), as well as the psychological stress in another problem areas
(demp=1.30). Moreover the EMDR-method achieved objective a significant decrease
of the autonomic arousal (demp=.79) and subjective an explicit reduction
of the felt stress (demp=2.40), while growth of the coherence of a worked out
positive cognition (demp=2.52). Three- and 12-month follow-up analysis could
demonstrate the stability and sustainability of the changes.
The intervention program EMDR and biofeedback was also proved to be efficient
( 19 sessions) and effective (demp=1.39) in the enlarged sample, with high Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 234. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. VPP - Verhaltenstherapie & Psychosoziale Praxis, 39(4), 855-876. Language: German Format: Journal Abstract: Keywords: Biofeedback PTSD Accuracy Verified: Yes 235. 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 236. 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 237. Hornsveld, H. (2008, Maart). EMDR werkt! Maar hoe? [EMDR works! But how?]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland. Language: Dutch Format: Conference Abstract: Accuracy Verified: Yes 238. 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 239. Morris-Smith, J. (2001, May). EMDR with children exposed to chronic abuse and domestic violence. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Children Chronic Abuse, Domestic Violence Accuracy Verified: Yes 240. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 241. 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 242. 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 243. 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 244. 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 245. 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 246. 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 247. 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 248. 小川 栄一 , 青山 慎史 , 東山 正靖 , 谷 好充 , 志和 資朗 , 佐々木 高伸 [Eiichi Ogawa, Shinji Aoyama, Masayasu Higashiyama, Yoshimitsu Tani,
Shiro Shiwa, and Takanobu Sasaki] (2008年4月). EMDR(眼球運動による脱感作と再処理法)法の主観的安心感に及ぼす効果と脳波変化(一般発表,第35回日本バイオフィードバック学術総会抄録集) [EMDR (treatment of eye movement desensitization and reprocessing) effects for subjective sense of security and EEF changes(general presentation, Abstracts of the 35th Annual Meeting of Biofeedback Research)]. バイオフィードバック研究、35の日本学会（1）、72 [Biofeedback Research, 35(1), 72]. Language: Japanese Format: Journal Keywords: EEG Changes Safety Accuracy Verified: Yes 249. 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 250. 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 251. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden. Language: Swedish Format: Dissertation/Thesis Abstract: Keywords: Adolescents Children: Psychotherapy Trauma Treatment Accuracy Verified: Yes 252. 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 253. 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 254. 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 255. Hofmann, A., Fischer, G., Galley, N., & Shapiro, F. (1998). EMDR: Memory reprocessing and accelerated emotional learning. European Journal of Clinical Hypnosis, 4, 206-213. Language: English Format: Journal Abstract: Keywords: Accelerated Emotional Learning Therapeutic Integation Accuracy Verified: Yes 256. 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 257. Shapiro, E. (1993, Fall/Winter). EMDR: Warts and all. EMDR Network Newsletter, 3(2), 4-5. Language: English Format: Newsletter Abstract: Keywords: Outcome Positive Effects Accuracy Verified: Yes 258. 市井雅哉 [Ichii Masaya]. (2008年6月). EMDR…トラウマ治療の新常識
[EMDR ... a new common sense of trauma treatment]. こころの臨床ア・ラカルト, 29(2), 163-344 [Clinical Psychology: Various Aspects], 27(2), 163-344. Language: Japanese Format: Journal Abstract: Keywords: Autism Spectrum Children Crime Victims DESNOS Gender Identification Disorders Hypnotism Loss of Coordination Disorder Parents Phobias Sexual Abuse Victims Traumatic Bereavement Truancy Accuracy Verified: Yes 259. 市井雅哉 [Ichii Masaya]. (2008年6月). EMDR…トラウマ治療の新常識 [EMDR: New common sense for trauma therapy - Editorial]. こころの臨床ア・ラカルト, 27(2) [Clinical Psychology: Various Aspects, 2(27), 163-165]. Language: Japanese Format: Journal Abstract: Keywords: Editorial Practice Theory Accuracy Verified: Yes 260. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Experimental Use Selective Mutism Accuracy Verified: Yes 261. 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 262. Goodyear-Brown, P. (2008, January). Empirically informed play therapy inteventions for treating traumatized children, Parts I & II. Presentation at the San Diego International Conference on Child and Family Maltreatment, San Diego, CA. Language: English Format: Conference Abstract: E Keywords: Children Evidence-Based Practice Play Therapy Accuracy Verified: Yes 263. 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 264. 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 265. 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 266. Shapiro, S. (2001). Enhancing self-belief with EMDR: Developing a sense of mastery in the early phase of treatment. American Journal of Psychotherapy, 55(4), 531-542. Language: English Format: Journal Abstract: Keywords: Hypnotherapy Self Efficacy Self Esteem Stressors Treatment Effectiveness Accuracy Verified: Yes 267. 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 268. 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 269. 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 270. 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 271. 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 272. 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 273. 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 274. 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 275. Blore, D. C., Farrell, D., & Clifford, C. (2008, June). The experience of post traumatic growth amongst road traffic accidents victims who have completed EMDR treatment: A status report on research. Poster presented at the annual meeting of the EMDR Europe Conference, London, England. Language: English Format: Conference Abstract: Keywords: Motor Vehicle Accidents Poster Posttraumatic Stress Disorder PTSD Victims Accuracy Verified: Yes 276. Nicol, M. (2009, November). Experiences of peer supervision for
EMDR in Lanarkshire. DCP in Scotland, 1, 23-26. Language: English Format: Newsletter Abstract: Keywords: Lanarkshire Peer Supervision Accuracy Verified: Yes 277. 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 278. 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 279. Leeds, A. M. (2010, February). Extinction or reconsolidation
differences between suppression and transformation in how we recover from traumatic experiences. Author. Language: English Format: Other Abstract: Keywords: Adaptive Information Processing AIP Extinction, Prolonged Exposure Reconsolidation Accuracy Verified: Yes 280. 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 281. 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 282. 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 283. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35. Language: English Format: Journal Abstract: Accuracy Verified: Yes 284. 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 285. 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 286. 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 287. 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 288. Tarquinio, C., Brennstuhl, M. -J., Rydberg, J. A., Schmitt, A., Mouda, F., Lourel, M., & Tarquinio, P. (2012, October). Eye movement desensitization and reprocessing (EMDR) therapy dans le traitement des victimes de violences conjugales: Étude pilote [Eye movement desensitization and reprocessing (EMDR) therapy in the treatment of victims of domestic violence: A pilot study]. Revue Européenne de Psychologie Appliquée, 62(4), 205–212
. Language: French Format: Journal Abstract: Keywords: Anxiety Depression Domestic Violence Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 289. 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 290. 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 291. 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 292. 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 293. 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 294. 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 295. 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 296. 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 297. 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 298. Glaser, G. (2006, August 23). Eye-catching therapy: An unusual treatment for post-traumatic stress, eye movement desensitization goes mainstream. Portland, OR: The Oregonian, Sunrise, Living, C01. Language: English Format: Newspaper Abstract: Keywords: General Overview Portland Accuracy Verified: Yes 299. 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 300. Elias, M. (1999, November 29). Eyeing new treatment for trauma. USA Today, 1D, 1-2. Language: English Format: Newspaper Abstract: Keywords: General Overview Steve Silver Steven Lazrove Accuracy Verified: Yes 301. Pinker, S. (2002, June 25). The eyes may have it. Toronto, Ontario: The Globe and Mail, Health, R7. Language: English Format: Newspaper Abstract: Keywords: General Ontario Overview Accuracy Verified: Yes 302. Taylor, R. J. (2002, September). Family unification with reactive attachment disorder: A brief treatment. Contemporary Family Therapy, 24(3), 475-481. doi:10.1023/A:1019867317042. Language: English Format: Journal Abstract: Keywords: Anxiety Attachment Disorder Children Educational Counseling Family Family Therapy Family Unification Individual Psychotherapy Parent Child Relations RAD Reactive Attachment Disorder Treatment Accuracy Verified: Yes 303. Taylor, R. J. (2003, September). Family unifications with reactive attachment disorder: Children – A brief treatment approach. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Educational Counseling Family Therapy Family Unification Individual Psychotherapy Parent Child Relations RAD Reactive Attachment Disorder Treatment Accuracy Verified: Yes 304. Parnell, L. (2010). Fear of learning. Vernon, CT: Fair Point Productions. Language: English Format: Video Abstract: Keywords: Fear of Learning Accuracy Verified: Yes 305. 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 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. 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 308. Fowler, K. B. (2007, January). The first symptoms of psychosis. Schizophrenia Bulletin, 33(1), 16-18. Language: English Format: Journal Abstract: Keywords: First Symptoms Psychosis Postpartum Depression Schizophrenia Symptoms Accuracy Verified: Yes 309. 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 310. 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 311. 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 312. 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 313. 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 314. 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 315. 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 316. 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 317. 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 318. Kernstock-Redl, H. (2007). Fur die praxis: Einsatz von EMDR-geschichten in der psychologischen bertatung und therapie von kinderin [For the practitioner: The use of EMDR-stories in psychological counselling and therapy of children]. Psychologie in Osterreich, 27(1), 34-38. Language: German Format: Journal Abstract: Accuracy Verified: Yes 319. 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 320. Shapiro, F. (2012, March 19). Getting past the past: Healing the suffering heroes of war. Big Think. Retrieved from http://www.bigthink.com/ideas/getting-past-the-past-healing-the-suffering-heroes-of-war?page=1 on 3/19/2012. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder Veterans War Accuracy Verified: Yes 321. 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 322. 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 323. 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 324. 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 325. 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 326. 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 327. Schultz, J. (1995, March 21). Hand-eye healing: A controversial psychiatric technique is helping patients who have been through traumatic experiences. Norfolk, VA: The Virginian-Pilot, B1. Language: English Format: Newspaper Abstract: Keywords: General Norfolk Overview Accuracy Verified: Yes 328. 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 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. Carvalho, E. (2013, April). Healing the folks who live inside: How EMDR can heal our inner gallery of roles. EMDR Treinamento e Consultoria Ltda. Language: English Format: Book Abstract: Keywords: Inner Gallery of Roles Accuracy Verified: Yes 331. 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 332. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK. Language: English Format: Conference Abstract: Keywords: Complex Trauma Personality Disorders Re-Scripting 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. Laliotis, D. (2009). Healing the wounds of attachment: An EMDR relational approach. In A. Bloomgarden & R. B. Mennuti (Eds). (2009). Psychotherapist revealed: Therapists speak about self-disclosure in psychotherapy. (pp. 151-162). New York, NY, US: Routledge/Taylor & Francis Group. xviii, 324 pp.. Language: English Format: Book Section Abstract: Keywords: Attachment Early Childhood Experiences Psychotherapy Relational Approach Self-Disclosure Accuracy Verified: Yes 335. 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 336. 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 337. 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 338. 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 339. 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 340. 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 341. Waldon, A. P. (2006). Hello Strength & Bravery: A Resource Workbook for Children. (Online) LuLu.com and EMDRResources.com. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 342. Morris-Smith, J. (2006, March). Helping children and families recover: The role of EMDR therapy in the aftermath of disaster and traumatic events. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Children Families Disaster Trauma Accuracy Verified: Yes 343. 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 344. 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 345. 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 346. 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 347. 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 348. 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 349. 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 350. Cowan, B. (2002, April 23). I felt the memory gush out. London, England: The Times, Features. Language: English Format: Newspaper Abstract: Keywords: General London Overview Accuracy Verified: Yes 351. Gaarde Madsen, P-E. (2009). I patientens tjeneste: NLP, hypnose og EMDR i kombination og samspil som en mulig virksom form for psykoterapi i det 21. århundrede [Inpatient services, NLP, hypnosis and EMDR in combination and interaction as a possible form of psychotherapy in the 21st century]. Udgave: 1, Oplag: 1 [1st ed] , Copenhagen, Dansk: Frydenlund. Language: Danish Format: Other Abstract: Keywords: Hypnosis Neurolingquistic Programming NLP Accuracy Verified: Yes 352. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Infertility Accuracy Verified: Yes 353. 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 354. 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 355. 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 356. 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 357. Daigger, M. (2007). Imaginative techniken in der psychotraumatherapie unter besonderer berücksichtigung des motivs "Die innerern helfer" [Imaginative techniques in the psychotrauma-therapy in special view of the motif "The inner helpers"]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 39-51. Language: German Format: Journal Abstract: Keywords: Psychotrauma Accuracy Verified: Yes 358. 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 359. 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 360. Peters, E., Wissing, M. P., & du Plessis, W. F. (2002, June). Implementation of EMD(R) with cancer patients: Research. Health SA Gesondheid, 7(2), 100-109. Language: English Format: Journal Abstract: Keywords: Cancer Enhancement of Well-Being Psycho-Oncology Psychotherapy Stress Reduction Accuracy Verified: Yes 361. 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 362. 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 363. Wieland, S. (2005, July). An important form of therapy for children - EMDR. Center for Counselling & Therapy. Language: English Format: Other Abstract: Keywords: Children Accuracy Verified: Yes 364. Meertens, K. (2007, November). In eigen woorden: Cliënt over EMDR-therapie:
“De angst is weg” [In her own words: Client on EMDR therapy: "The fear is gone"]. Over Riagg Rijnmond, 49, 21-22. Language: Dutch Format: Magazine Abstract: Keywords: Rape Victims Accuracy Verified: Yes 365. Tupponce, J. (2005, January 20). In the mind’s eye: Ocular movement and rhythmic stimulation may curb bad thoughts. Richmond, VA: Richmond Times-Dispatch, City, Explore, F-1. Language: English Format: Newspaper Abstract: Keywords: General Overview Richmond Accuracy Verified: Yes 366. 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 367. 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 368. 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 369. 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 370. 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 371. 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 372. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Attachment Repair Orientation Relational Trauma Accuracy Verified: Yes 373. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La
integración
de
la
teoría
del
apego
y
el
modelo
AIP
al
trabajar
sobre
el
trauma
infantil
precoz
dentro
de
una
relación
de
apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Attachment Theory Childhood Trauma Accuracy Verified: Yes 374. 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 375. 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 376. 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 377. 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 378. Armstrong, M. K. (2009). Integrating focusing into EMDR. Author. Language: English Format: Other Abstract: Keywords: Focusing Accuracy Verified: Yes 379. Foster, S. (2012). Integrating positive psychology applications into the EMDR peak performance protocol. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 213-217. doi:10.1016/j.erap.2012.04.005. Language: English Format: Journal Abstract: Keywords: Performance Enhancement Positive Psychology Accuracy Verified: Yes 380. 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 381. 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 382. 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 383. 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 384. 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 385. 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 386. Rossman, M. & Bresler, D. (1995, June). Interactive guided imagery and EMDR: Synergy and complementarity. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Guided Imagery Accuracy Verified: Yes 387. 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 388. 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 389. 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 390. 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 391. 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 392. Herbert, C. (2004, June). Introduction to a safe place installation protocol for use with clients who have no pre-existing concepts or feelings of safety. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Complex Trauma EMDR Resource Installation Protocol Safe Place Accuracy Verified: Yes 393. Hermans, H. P., & de Putter, M. (2012). Is een toevoeging van een aspect uit de
contraconditionering aan EMDR zinvol? [Is an addition of one aspect of the counter-conditioning to EMDR useful?]. Utrecht, Nederlands: Universiteit Utrecht. Language: Dutch Format: Dissertation/Thesis Abstract: Keywords: Counter Conditioning Memory Theory Accuracy Verified: Yes 394. 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 395. 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 396. 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 397. 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, Österreich. Language: German Format: Conference Abstract: Keywords: Body Experience Accuracy Verified: Yes 398. 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 399. 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 400. 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 401. 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 402. 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 403. 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 404. 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 405. 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 406. 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 407. 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 408. Blinka, D. (2007, March 3). Look again at trauma. New Scientist, 193(2593), 20. Language: English Format: Magazine Abstract: 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. Gallagher, C. (2002). Making sense of EMDR: Efficacy of EMDR and the application of Horowitz's control process theory to a psychological analysis of EMDR psychotherapy. Widener University, Institute for Graduate Clinical Psychology, Chester, PA. AAT 3132374. Language: English Format: Dissertation/Thesis Abstract: Keywords: Clinical Case Study Empirical Study Horowitz's Control Process Theory Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 412. 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 413. Kiessling, R. (2009). Managing the "fear of fear". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 81-83). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 414. 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 415. 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 416. Brewin, C. (2003, March). Memory, identity and post-traumatic stress disorder. Keynote at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Identity Memory Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 417. Theall, M. (2005, December 2). The mind-body connection. Knight Ridder/Tribune News Service. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 418. 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 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. 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 421. 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 422. 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 423. 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 424. 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 425. 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 426. 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 427. 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 428. Lazrove, S. (1995). A modification of the EMDR trauma treatment protocol. EMDR Network Newsletter, 5(2), 7-8. Language: English Format: Newsletter Abstract: Keywords: Modification of Treatment Protocol Accuracy Verified: Yes 429. Lazarus, A. A. (1995, Issue 3). The multimodal orientation. EMDR Network Newsletter, 5(3), 3-4. Language: English Format: Newsletter Abstract: Keywords: Multimodal Approach Accuracy Verified: Yes 430. 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 431. 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 432. 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 433. 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 434. 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
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.
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
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).
After the earthquake in January 2001 in India,40 trained EMDR Therapists participated in helping more than 1600 people.The symptoms of Post Traumatic Stress Disorder(PTSD) were observed both in children and adults;no gross disintegration of personality was noted.Through analyzing children's drawings,the study finds the relationship between individual emotions and traumatic impact on their psychological health.Although people who had suffered greater destruction and severe loss demonstrated greater emotional upheaval,people in the large residential areas mostly intact from the earthquake felt more insecure than those in severely destructed areas,due to the threat of further destruction.
'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.
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.
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.
Eye Movement Desensitization and Reprocessing (EMDR) has established itself as an evidence-based psychotherapy for the treatment of trauma and other related mental health disorders. Despite the numerous studies touting EMDR’s efficacy, it is still largely regarded as too complicated to understand, a major factor in why many who have been trained in EMDR no longer use it. EMDR Made Simple: 4 Approaches to Using EMDR with Every Client offers a fresh approach to understanding, conceptualizing, and ultimately implementing EMDR into clinical settings.
Dr. Jamie Marich brings in her clinical experience from other modalities and disciplines to show that EMDR is more than just a series of protocols that need to be mastered in order for it to be effective. Using common sense language, clinical cases, and practical examples, EMDR Made Simple will give you the tools to build on your existing clinical knowledge and make EMDR work for you and your clients.
This workshop will address the challenges of working with clients raised in invalidating environments marked by deprivation and neglect. With significant disruptions in attachment (caregivers who were unpredictable, rejecting, frightening or frightened) and without the experience of a secure base from which to explore the world, such individuals often fail to develop a sense of object constancy and permanence and the capacity for reflection and metacognition. They lack self-compassion, self-confidence, and the capacity to self-regulate. They are often plagued by a profound sense of aloneness, shame, and self-hatred, denying their needs or convinced that their needs can never be met. Together, we will examine the ways in which EMDR can be utilized to promote the development of a secure, coherent sense of self. Protocol adaptations and cognitive interweaves to address feelings and beliefs associated with invisibility, unworthiness, and core badness will be highlighted. Cases will be presented with accompanying videotape segments, highlighting EMDR developmental repair strategies.
Herkesin geçmişinde büyüklü küçüklü travma yaşantıları vardır.
Deprem, taciz, tecavüz gibi bir defada olan büyük travmalar olabileceği gibi çok göze çarpmayan ama süreklilik sergilediği için kişiyi ilerideki yaşantısında olumsuz etkileyebilecek olan küçük ve orta büyüklükte travmalar da vardır. İkinci gruptakileri "olay" dan ziyade süreklilik arz eden "durumlar" olarak isimlendirmek sanırım daha doğru olur. Bu gruptakilerin kişi üzerinde ileriki yaşantılarında, büyük olarak nitelendirdiklerimizden daha az etki yapacaklarını söyleyemeyiz. Bu tanımlamada büyük-küçük ayrımını yaparken kastedilenin daha çok dışarıdan bakan birisinin bu olayın ciddiyeti ile ilgili görüşü olduğu izlenimini ediniyoruz. Ancak psikolojik sağlık açısından önemli olan kişin bu olay ya da durumu iç dünyasında nasıl yaşadığıdır. Kişi çocukluğunda yaşadığı ve bir başkasının travmatik olarak isimlendireceği bir durumun etkisi ile ileride psikolojik bir problem geliştirmek zorunda değildir. Aynı şekilde, dışarıdan bakan birisinin fark edemeyeceği ama kişinin çocukluğunda maruz kaldığı olumsuz bir olay ya da süre giden bir durum o kişinin ileride psikolojik bir sıkıntı geliştirmesine neden olabilir. Örneğin, babasının yaptığı şeyleri beğenmediğini ve büyük başarılar dışında yaptığı küçük şeyleri görmediğini algılayan bir çocuk bu süre giden deneyimlerin etkisi ile ileri de ancak çok başarılı olduğu durumlarda takdir edileceği hissine sahip olabilir ve enerjisinin büyük kısmını önemli gördüğü insanlardan büyük başarılar sağlayarak takdir almaya adayabilir. Yukarıda tanımladığımız anlamda, yani kişinin ruhsal dünyasında uzun dönemli olumsuz etki yaratan bir durum olması anlamında bu durum tarvmatiktir. Diğer bir deyişle, küçüklüğünde bu kişinin maruz kaldığı durum o kişi üzerinde travmatik bir etki yaratmış ve o kişinin geleceğini etkilemiştir.
Everyone has experiences of past trauma, large and small.
Earthquake, harassment, rape, such as major trauma at a time, which can be very subtle, but the person to exhibit continuity in the future could adversely affect the life of the trauma, there are also small and medium-sized. The second group are "event" rather than from the persistent "cases" as I think I would be more accurate to name. In Group on the future life of these people, do not say a large effect in less than nitelendirdiklerimizden. While this distinction meant little more than identifying large-outsider's view of someone with the impression that the seriousness of this incident ediniyoruz. However, in terms of psychological health status of the person inside the world of this event or how you live. Contact someone else's traumatic childhood and live in the future be called the psychological impact of a situation to develop is not a problem. Similarly, outsiders can not but notice one person while a child is exposed to an adverse event or a situation to develop that person's future can cause psychological distress. For example, outside the great achievements of his father and his little things he did not see things beğenmediğini detect the effect of experiences with a child going forward at this time but would be appreciated if the feeling may have to be very successful and very successful in providing energy to the majority of people it deems important to appreciate the adayabilir. Sense defined above, that person's mental world in terms of long-term negative impact that this is a situation tarvmatiktir. In other words, this person's childhood exposure to a traumatic effect on the situation created by that person and that person has affected the future of.
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.
Introducción: La violencia de género es uno de los problemas sociales más graves de
nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74
mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas),
como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el
Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS
o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el
objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas
emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus
capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al
cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor,
Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física
extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de
manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el
entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con
EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados
por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los
ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo.
Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias
superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que
posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la
habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida
en la intervención de sucesos traumáticos de violencia de género, por lo que resulta
altamente recomendable para estos casos.
Introduction: Gender violence is one of the most serious social problems
our society because of its prevalence (in the past year 2010 were killed 74
women, and it is estimated that about 11.1% of women are battered Andalusian),
as for the psychological consequences on the victims involved. Objectives: In the
Cabinet of Psychology, University of Jaén, we look at women (students, PAS
or PDI or their relatives) who have been or still are victims of domestic violence, with
priority objective of exceeding trauma and who are prepared
emotionally and cognitively to lead a full life with the maximum development of their
capabilities. During the assessment, including scales, users answer the
questionnaire on PTSD (Echeburúa, Corral, Love,
Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual
extreme than most living, result in 100% of cases this syndrome
chronically and charged. Methodology: To treat this syndrome is undertaken the
training in breathing and relaxation techniques and subsequent treatment with
EMDR. This technique consists in processing events that were blocked
sense of fear at the time they occurred, by mobilizing the
eyes simultaneously listening to the episode, trying to revive him again.
We apply this technique in 5 patients. Results: In all cases the user
exceeded the 4 or 5 position in 5-minute sessions each, so that
subsequently reported that the situation no longer produce sadness or pain, and that the
had accepted. Discussion: These results suggest that this technique is effective and fast
intervention in the traumatic events of violence, so it is
highly recommended for these cases.
Il ricordo di un trauma recente differisce da quello di un trauma avvenuto in un passato più distante, poiché è ancora frammentato e disorganizzato e quindi non si è ancora integrato all’interno di un evento coerente, pertanto potrebbe non essere ancora generalizzato e rappresentato da un’immagine. Questo è il motivo per cui per il trattamento terapeutico di eventi traumatici avvenuti da alcune settimane, o forse anche da pochi mesi, sarà necessario ricorrere ad un protocollo specifico che pur preservando l’integrità delle 8 fasi del protocollo EMDR standard, sia in grado di approcciare l’evento all’interno di un resoconto.
In questo lavoro verrà descritto un protocollo, elaborato da Elan Shapiro e Brurit Laub per il trattamento dell’Episodio Traumatico Recente ( Recent Traumatic Episodi Protocol ; R-TEP), il quale approccia l’evento in termini di episodio intero (definito come il periodo che va dall’evento traumatico ad oggi) ed introduce una strategia per la scelta del target, da loro denominata “Google Search”. L’ipotesi è che l’assimilazione e l’integrazione dell’informazione traumatica avvenga ristabilendo la regolazione adattiva dell’attenzione; le relazioni parte/tutto si muovono attraverso catene associative nella direzione della differenziazione e integrazione puntando al completamento, nel senso dell’integrazione armonica delle esperienze negative e positive. L’elaborazione si muove da un ristretto focus sull’immagine (livello percettivo), ad un più ampio focus sull’evento /episodio (livello esperienziale), sino ad un focus esteso riferito al tema/identità (livello di significato).
Il completamento dell’elaborazione di un trauma recente potrà prevenire lo sviluppo di un PTSD, ristabilendo l’Elaborazione Adattiva dell’Informazione (AIP).
The memory of a recent trauma differs from that of a trauma occurred in a past more distant it is still fragmented and disorganized and therefore not yet integrated in a event consistent, so it may not yet be generalized and represented by an image. That is why for the treatment of traumatic events that occurred some weeks, or maybe even a few months, you must use a specific protocol that even preserving the integrity of the 8 phases of EMDR standard protocol, is able to approach the event within a report.
In this paper we describe a protocol, developed by Elan Shapiro and Laub Brurit for Traumatic handling of the episode recently (Traumatic Recent Episodes Protocol, R-TEP) which approaches the event in terms of the whole episode (defined as the period from event traumatic present) and introduces a strategy for choosing the target, which they called "Google Search. The hypothesis is that the assimilation and integration of information occurs traumatic adaptive re-establishing control of attention, relations part/whole move through associative chains in the direction of differentiation and integration aiming at completion, harmonious integration in the sense of positive and negative experiences. Processing moves by a narrow focus on the image (perceptual level), to a broader focus on the event/episode (experiential level), up to an expanded focus refers to theme / identity (level of meaning).
Completing the development of a recent trauma may prevent the development of PTSD, restoring the Adaptive Information Processing (AIP).
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
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.
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.
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.
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.
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
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.
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
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)
A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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.
Het leidt geen enkele twijfel dat EMDR een effectieve behandelvorm is. EMDR is opgenomen in de guidelines van de International Society for Traumatic Stress Studies (ISTSS) waarbij zowel EMDR als Imaginaire Exposure (IE) als ‘treatment of choice’ bij de behandeling van PTSS gelden. Ook in de Nederlandse GGZ-richtlijnen (Trimbos Instituut, 2003) worden EMDR en imaginaire exposure (IE) genoemd als superieure behandelvormen voor PTSS. Rechtstreekse vergelijking van CGt en EMDR leverde echter wisselende resultaten op. Over het geheel genomen kan worden gesteld dat wat betreft effectiviteit er geen duidelijk verschil is vastgesteld tussen CGt en EMDR.
Dit is opvallend, omdat de procedures en de veronderstelde werkingsmechanismen bij IE en EMDR duidelijk verschillen. Bij IE wordt reliving essentieel geacht en bij EMDR distancing. Hier is echter nog nauwelijks expliciet onderzoek naar gedaan; het meeste onderzoek heeft zich tot nu toe gericht op de effectiviteit van EMDR en op de rol van de BLS. In deze presentatie zullen drie eigen experimenten worden besproken die worden uitgevoerd met masterstudenten van de Universiteit Utrecht naar het effect van reliving versus distancing. Het onderzoek bouwt voort op het werk van de Chris Lee en zijn collega’s. (Lee et al 2006)
In het onderzoek worden 3 experimenten uitgevoerd, waarbij de variabele distancing en reliving worden gevarieerd. Verondersteld wordt (vanuit de EMDR visie) dat responses tijdens de desensitisatiefase, die getuigen van distancing leiden tot meer verbetering dan responses die getuigen van reliving. Een tweede onderzoeksvraag die wij beogen te beantwoorden is of dit verschil groter is voor narigheid uit het domein “zelfwaardering” dan voor narigheid uit het “domein controle en machteloosheid”. Een derde onderzoeksvraag betreft de vraag of een verhoogde parasympatische (arousal onderdrukkende) activiteit (een reeds aangetoond effect van BLS) samengaat met veranderingen in SUD-niveau en levendigheid van de herinneringen.
De workshop is bedoeld voor therapeuten die geïnteresseerd zijn in de achtergronden van EMDR. Op zo eenvoudig mogelijke wijze zal een overzicht worden gegeven van de “state of the art” met betrekking tot de veronderstelde werkingsmechanismen. Dit zal worden geïllustreerd met bovengenoemd onderzoek en videomateriaal. Aan het eind van de workshop zal de therapeut zijn cliënten en collega’s iets meer kunnen zeggen dan “ dat EMDR de verwerking stimuleert door de linker en de hersenhelften beter te laten samenwerken, waardoor gevoel en verstand beter met elkaar verbonden raken.”
There is no doubt that EMDR is an effective form of treatment. EMDR is included in the guidelines of the International Society for Traumatic Stress Studies (ISTSS) where both EMDR and imaginal exposure (IE) as treatment of choice in the treatment of PTSD are. Also in the Dutch mental health care directives (Trimbos Institute, 2003) are EMDR and imaginal exposure (IE) identified as superior forms of treatment for PTSD. Direct comparison of CBT and EMDR yielded mixed results, however. Overall it can be stated that in terms of effectiveness there is no clear difference observed between CBT and EMDR.
This is striking because the procedures and mechanisms assumed by IE and EMDR markedly different. When IE is reliving considered essential to EMDR and distancing. There is still little research has been done explicitly, most research has hitherto focused on the effectiveness of EMDR and the role of the BLS. This presentation will discuss three own experiments conducted with master students of the University of Utrecht to the effect of relieving versus distance. The research builds on the work of Chris Lee and his colleagues. (Lee et al 2006)
In the study, three experiments, with variable distancing and reliving be varied. It is assumed (from the EMDR vision) that responses during desensitisatiefase, evidence of distancing lead to more improvement than responses that show reliving. A second research question we seek to answer is whether this difference is in trouble from the domain "esteem" than for trouble from the "domain control and powerlessness". A third research question concerns whether an increased parasympathetic (arousal suppressive) activity (an effect already demonstrated BLS) is associated with changes in SUD level and vividness of the memories.
The workshop is designed for therapists interested in the backgrounds of EMDR. In the simplest possible manner, an overview of the state of the art "regarding the supposed mechanisms of action. This will be illustrated with the above study and video material. At the end of the workshop, the therapist will have clients and colleagues can say little more than "that EMDR stimulates the processing by the left and the brain work better together, making sense and intellect more interrelated."
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.
This paper aims to discuss some of the issues of working using EMDR, as a part of the
integrated treatment process of children, who have been exposed to chronic abuse and
domestic violence. These children are all in the care system and are living with foster parents
who know very little about their previous lives. Often the professionals caring for them also
have little of the child's history and many details of what they have been exposed to are not
known. The children are frequently detached, dissociated and shut down from their past
experiences, though their traumatised behaviours continue to blight and dominate their entire
lives and present major difficulties in their daily management and future planning. Their
emotional and social development appears to be arrested by their chronic multiple
traumatisation. They are also kept in transitional placements for long periods of time, whilst
their long-term needs are assessed. There is a struggle to identify appropriate long-term
placements for such damaged children as their severe multiple traumatisation prevents them
from being able to trust or begin to form new attachments or even to develop a sense of
safety. There is a nee for early intervention to treat their severely traumatised symptoms and
memories, to help rid them of their overwhelming terror and fears of the adult world and to
free them to begin to form healthier more appropriate behaviours and attachments. How
using EMDR to enable these children to develop and progress emotionally and socially
towards a more positive future is described.
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions.
Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs
children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily
increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life
experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events.
Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may
be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome
for the child may depend on the parents' reprocessing of traumatic material.
Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with
play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative
interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.
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.
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?
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?
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.
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
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.
A number of recent controlled studies has shown that EMDR (Eye Movement Desensitization and Reprocessing) can reprocess disturbing memories and bring them to therapeutic resolution whether or not patients fulfil the DSM (or ICD)- criteria of post-traumatic stress disorder (PTSD). The method can be integrated into treatment plans of different therapeutic approaches and integrates aspects of a number of the major treatment orientations. Clinical experience and EEG research show that the reprocessing in EMDR is not a trance-related phenomenon (Nicosia, 1995). However, EMDR blends well with hypnotic techniques in specific cases, especially with severe complex traumatised and dissociative patients. In addition, EMDR seems to help stabilise and generalise positive self-referencing beliefs as well as positive images, such as "a safe place", and accelerates future projectionsof new orientations and behaviours. In this sense, EMDR can be viewed not only as a method for the treatment of traumatic memories, but as a method of accelerated emotional learning.
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).
After my first training with Francine
in 1989, in Israel, I was excited by
this promising method and infected
with her enthusiasm. I went on to
use EMDR whenever I could in my
work at the Nazareth Ilite Educational
Psychological Service and in
my private practice, as well as during
my present sabbatical leave in London.
I often incorporated EMDR into
my work and felt comfortable and
confident with a wide range of clients,
ages, and difficulties and was
ready to explore further with the
method. Since my Level II training
in November of 1992, I have learned
to be more discerning, perhaps even
overcautious for the time being, in
applying EMDR. Reflecting over my
earlier years of bolder and freer uses
of EMDR, I did not encounter any
negative effects. The worst that happened
was that nothing much happened,
and this occurred in a minority
of cases (perhaps in less than
20%). Even with those cases, I had
noticed that there may have been a
tendency to underestimate positive
effects. One of the subtle difficulties
I observed assessing outcomes was
that the cognitive changes that occurred
were sometimes so spontaneous
and "naturally" that the client took
them for granted. I first notice this
phenomenon clearly in two cases.
《今回の特集：EMDR…トラウマ治療の新常識》
本誌でEMDR（眼球運動による脱感作と再処理法）を，「これは奇跡だろうか！」と紹介してから10年。今やPTSDのみならず，ボーダーラインや発達障害の領域でもめざましい治療効果を発揮し，心理療法のあり方そのものをダイナミックに変革しようとしています。本特集ではさまざまな疑問に答える50のQ&Aや座談会など多方面から，「奇跡を確実に，安全に起こす治療法」として，再びEMDRの魅力と可能性に迫ります。
"The topic of today: EMDR ... a new sense of trauma treatment"
The publication EMDR (and re-treatment of eye movement desensitization), and "Will this be a miracle!" From 10 years to introduce. Now not only PTSD, but demonstrated a remarkable therapeutic effect and developmental disabilities borderline area, trying to transform itself into a dynamic way of psychotherapy. In this special issue is to answer 50 questions from various fields, various Q & A and roundtable discussion, "Surely a miracle cure for lead safe" as the possibility looms again appeal and EMDR.
《今回の特集：EMDR…トラウマ治療の新常識》
本誌でEMDR（眼球運動による脱感作と再処理法）を，「これは奇跡だろうか！」と紹介してから10年。今やPTSDのみならず，ボーダーラインや発達障害の領域でもめざましい治療効果を発揮し，心理療法のあり方そのものをダイナミックに変革しようとしています。本特集ではさまざまな疑問に答える50のQ&Aや座談会など多方面から，「奇跡を確実に，安全に起こす治療法」として，再びEMDRの魅力と可能性に迫ります。
"The topic of today: EMDR ... a new sense of trauma treatment"
The publication EMDR (and re-treatment of eye movement desensitization), and "Will this be a miracle!" From 10 years to introduce. Now not only PTSD, but demonstrated a remarkable therapeutic effect and developmental disabilities borderline area, trying to transform itself into a dynamic way of psychotherapy. In this special issue is to answer 50 questions from various fields, various Q & A and roundtable discussion, "Surely a miracle cure for lead safe" as the possibility looms again appeal and EMDR.
This case concerns a 4,5 year old girl with Selective Mutism.
In this particular case. I considered Selective Mutism a symptom
of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom
as a target. I applied EMDR within a phase model: the preparation
phase, confrontation phase and integration phase. During
these three phases I continuously worked with bilateral stimulation
It is my hypothesis that in this case the bilateral stimulation:
1. stimulated and strengthened positive links in the adaptive
network.
2 synchronized the activity of both cerebral hemispheres, resulting
in a connection between the primary emotions of traumatic
experiences and rational insights and language.
3. unblocked the traumatic information and reactivated the natural
healing process of the brain. I used several forms of bilateral
stimulation as visual stimulation, tactile stimulation and the butterfly
hug. Because of her lack of words, she wasn't able to tell me
anything. So through storytelling I offered her different themes to
which she could respond by making drawings, figures in clay, etc.
During the preparation phase, I focused on safety, ego strengthening
and affect management to reduce the fear to speak.
1. Working with safety : the eye movements were first accomplished
using a safe Image which brought up her own sense
of security. Then, after imagining this safe place, the child was
willing to play tapping games to strengthen feelings of safety.
2. Ego strengthening : to feel as strong as possible by installing
resources and positive cognitions, and guiding the child towards
acceptance and development of its unique being. Bilateral stimulation
was used to strengthen the positive experiences.
3. Affect management: in the process of strengthening affect
management, the child was given access to her anxiety by storytelling
linked to visualization, the use of images and bodywork.
Again, bilateral stimulation was used to strengthen the
positive experiences/skills. After a few sessions. I introduced
the use of language and stimulated her to make sounds, followed
by pronouncing places of words and finally the pronunciation
of complete words and sentences. Through this whole
process, 1 combined the specific exercises to learn how to speak
with bilateral stimulations. During the twelfth session, the child
started talking spontaneously Given the fact that there wasn't
any direct confrontation work during the sessions, we are left
to wonder whether there has or hasn't occurred any trauma
processing. The symptom came to a halt, together with the disappearance
of other symptoms that were Inked to the trauma.
The question is whether it is necessary to confront young children
with their trauma in order to heal. Nevertheless, it seems
like the combination of bilateral stimulation with storytelling,
art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
vidence Based Practice is the new standard in the field. However, the evidence base regarding trauma treatments for children, particularly young children, is in the early stages of it's evolution.
Recent research related to the neurobiology of trauma, implicit and explicit memory systems and the impact of these dynamics on trauma treatment will be discussed. Treatments with a large evidence base, such as TF-CBT and EMDR will be discussed with a view to how many of the treatment goals can be accomplished and more easily digested by children through the vehicle of play. It is critical that practitioners who serve traumatized children be able to match interventions to treatment goals and symptomatology. Specific play therapy interventions will be tied to treatment goals in an effort to help practitioners expand their repertoires with child-friendly interventions based on the latest research.
The treatment areas covered in this workshop will include helping the client to
1) re-establish a sense of safety and security,
2) learn and practice stress inoculation strategies,
3) identify and confront faulty attributions related to the trauma,
4) restructure distorted cognitions related to the trauma and
5) create a trauma narrative.
Several play therapy interventions will be explained and demonstrated for each of the aforementioned gaols. Children accomplish the hard work of healing from trauma in a gentle, fun and safe treatment milieu. Case vignettes, slides and video clips will augment the didactic presentation. Experiential methods will also be used. Participants should come prepared to play!
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.
Deep inside each of us is a seed that holds our vision of truth, peace, and happiness. Our early childhood attachments, societal influences, and innate capacity determine how well that seed is nurtured and the deepest inner vision is set free. This article is about the ways that vision becomes clouded by attachment deficits, trauma, and subsequent symptoms. The deep inner wish to heal allows for transformation, and approaches like Eye Movement Desensitization and Reprocessing, and hypnotherapy can assist in creating a more rapid acceleration of trauma resolution and transformation of self. [Author Abstract]
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
According to Tedeschi & Calhoun (1995; 2004 and 2006), Post Traumatic Growth (PTG) consists of five ‘domains’:
discovery of new possibilities in life; improvements in relating to others; an increased sense of personal strength;
greater appreciation of life and spiritual changes. The first author’s experience of treating Road Traffic Accidents
(RTA) victims with Eye Movement Desensitisation & Reprocessing (EMDR) suggests that the experience of PTG is
far wider and more complicated than Tedeschi & Calhoun’s domains. This paper reports on the current status of
a study whose aim is to identify PTG that may be occurring at any point from the immediate aftermath of an RTA
through to completion of EMDR. The study so far consists of 11 interviews utilising an Interpretative
Phenomenological Analysis (IPA) methodology. So far well over 50 PTG themes have emerged although only the
first hermeneutical analysis has been completed on the interviews analysed so far, it is currently difficult,
therefore, to establish the degree of ‘theme overlap’. However, new themes include growth ‘by proxy’ (growth in
those who have come into contact with the participants, but who have not themselves been traumatised by the
RTA); somewhat paradoxically, ‘pre-trauma growth’ apparently activated by a subsequent RTA; and a ‘cascade’ of
growth attributed to events subsequent to the initial trauma (such as the EMDR and the EMDR therapist). Some
implications of these themes are also discussed, particularly in relation to EMDR.
Following a decision by NHS Lanarkshire to provide funding for training in
Eye Movement Desensitisation and Reprocessing (EMDR) 11 professionals,
including clinical psychologists, counselling psychologists, a clinical associate and
a psychological therapist undertook the three-part training in 2008 and 2009 provided
by EMDR workshops, a leading UK EMDR training organisation and affiliated to the
European EMDR Network. The rationale for providing this training was to allow staff
to offer a variety of therapeutic interventions for individuals who have experienced
trauma. EMDR is an evidence-based treatment for trauma and is recommended by the
National Institute for Health and Clinical Excellence (NICE) guidelines as a treatment
for Post Traumatic Stress Disorder (PTSD). Whilst it is acknowledged that there
continues to be some debate within clinical psychology regarding the use of EMDR
and its scientific status, this will not be discussed within this article (see Van Etten &
Taylor, 1998; Davidson & Parker, 2001; and Chemtob et al., 2000 for more information).
As most of the therapists who undertook this training already had experience
of working with trauma, mostly within a Cognitive Behavioural Therapy (CBT) framework,
it was felt that providing an additional theoretical and practical framework for
working with these individuals would provide further client choice
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]
Memory is central to all learned behavior, and in humans to one’s sense of identity. Sleep and memory processes are deeply entwined. Both are central to our sense of well-being.
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.
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
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]
Introduction
Cette recherche décrit les effets du traitement EMDR sur les victimes de violences conjugales.
Objectif
Le but de cette étude était de mettre en évidence l’efficacité de l’EMDR dans la réduction des symptômes d’ESPT, d’anxiété et de dépression.
Méthode
Trente-six femmes ont participé à cette étude, 12 ont été traitées avec l’EMDR, 12 avec une approche de psychothérapie éclectique et 12 ont été assignées au groupe témoin.
Résultat
Les femmes ayant bénéficiées de la thérapie EMDR ont vu leurs scores aux différentes échelles (ESPT, dépression, anxiété) baisser significativement, comparativement à ceux de la condition psychothérapie éclectique. Les deux approches psychothérapeutiques ont conduit à des scores significativement plus réduits après traitement que ceux obtenus par le groupe témoin. Ces effets se sont maintenus six mois après l’intervention. Enfin, les tailles d’effet pour les scores IES et STAI sont plus élevées pour les sujets traités avec la thérapie EMDR.
Conclusion
Cette étude a répondu à nos attentes montrant ainsi tout l’intérêt de l’approche EMDR.
Introduction:
The purpose of this study was to determine the effectiveness of EMDR in reducing PTSD symptoms, anxiety and depression.
Method:
Thirty-six women participated in this study; 12 were treated with EMDR, 12 received eclectic psychotherapy, and 12 were assigned to the control group.
Result:
Women in the EMDR condition showed significantly reduced PTSD and anxiety compared with those in the eclectic psychotherapy condition. The two psychotherapy approaches led to significantly reduced scores (PTSD, depression, anxiety) after treatment compared to the control group. These effects were maintained at the 6-month follow-up. Finally, effect sizes for the IES and STAI scores were greater for the subjects in the EMDR condition.
Conclusion:
This study met our expectations in the sense that our findings confirm the advantages and the potential of EMDR.
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]
It had been almost a year since the accident, and Lynn Hornbuckle felt herself getting worse, not better.
She could not escape the deafening sound of the screeching tires and breaking glass. She was unable to
turn her mind away from the moment the truck slammed into her Mercedes near Bend, killing a woman in
the car behind her. Worst of all, Hornbuckle's arm, which required four surgeries and an excruciating skin
graft, throbbed, as if the bones themselves remembered.
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
Psychologist Steve Silver
was skeptical of the strange
new therapy but he felt desperate.
Facing him sat a middle
aged man whose prductive life was ended 20 years ago.As a young soldier in Vietnam,
his mental health had
been shattered in one split
second of savagery.
"He'd become very close to his battalion commander,"
says Silver, "and then one day watched as this man literally
had his head blown off right in front of him."
When Sophie read about EMDR in the newspaper, she immediately felt the psychotherapy approach might help her. It was worth a try. She'd been in what she calls regular therapy for several years to resolve divorce issues and had already tried hypnosis and massage therapy, even training as a massage therapist in the process. Despite all this time, effort and money, the 39-year-old communications executive - who chose a pseudonym to protect her privacy - felt little relief from early traumatic memories that were not only distorting her present experiences, but were likely at the root of her failed marriage as well, she said.
This is a case study of a family with a child (age eight) with reactive attachment disorder and the subsequent individual and family therapy. Treatment of choice for the child was Eye Movement Desensitization and Reprocessing (EMDR) and supportive educational counseling for the parents and family. Qualitative evaluation of the process demonstrated that the parents observed an instant change in the child's attitude. The child reported that she felt better about family, school, and truthfulness, and stated about the therapy: It opened a window for me. A 12-month evaluation demonstrated continued positive effects.
This presentation will discuss the symptomology of reactive attachment disorder in children and the effects on the family. In addition, the presentation will focus on the treatment mileau of Eye Movement Desensitization and Reprocessing (EMDR) and how it may be used in the treatment of reactive attachment disorder in children. The discussion also will include a case study of a family with a child age 8 with reactive attachment disorder and the subsequent individual and family therapy. Treatment of choice was EMDR for the child and supportive therapy for the parents. Qualitative evaluation of the process demonstrated that the parents observed an instant changing in the child's attitude. The child reported that she felt better about herself, family, school, and truthfulness. Her statement about the therapy: "It opened a windown for me." In relation to outcomes, a 12 and 24-month evaulation demonstrated continued positive effects. The importance of working with the family in understanding the dynamics of reactive attachement disorder and how improvement occurs will be discussed. Objectives of the session will be to give clinical information to practitioners about children with reactive attachment disorder, how this disorder affects the family, and possible therapeutic intervention techniques to open a diaglogue that will lead to understanding children who are in treatment.
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman who had a life-long fear of learning. She felt anxious whenever she was in a classroom situation, feeling that she would fail and wouldn't be able to learn.
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.
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]
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.
Episodes of significant depression have been a part of my life for as long as I can recall, but psychosis was unknown to me until I was in my mid-thirties, months after the birth of my second child. At first, all I recognized were the emerging symptoms of postpartum depression in the weeks after the birth: a familiar scenario, since it had also occurred with my first child. My doctor immediately prescribed 50mg of Prozac daily. I took the medication, felt much better, and continued to breastfeed my second daughter with no apparent problems. In fact, for about four months I felt better than I had in years. My therapist, an LCSW, was thrilled with my progress. She had been treating me with a technique called Eye Movement Desensitization and Reprocessing (EMDR). The therapy worked. In this article I present essays. These essays are my recollections of some of the new, and very foreign, moments in the beginning of that process, as my mind gradually turned from sane to psychotic. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
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.
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.
EMDR und Traumaforschung haben für Geschichten,
die das Ziel haben Veränderung zu erleichtern, eine
neue, klare Grundstruktur zur Verfügung gestellt. Die
darauf basierende Form der „Heilsamen Geschichte“
kann in der klassischen psychologischen, therapeutischen
bzw. EMDR-Behandlungen eingesetzt werden.
Solche Geschichten können auch mit entsprechender
Anleitung bzw. Unterstützung von Eltern geschrieben
und vorgelesen werden. Sie dient nicht nur der Verarbeitung
von traumatischen Erlebnissen, sondern ermöglicht
auch das indirekte Einbringen neuer Lösungsideen
und das Verankern von Erfolgserlebnissen und
konstruktiven Kognitionen.
Due to research in EMDR and trauma stories intending
to make changes easier now have a new and rather simple
structure. The so-called “Healing Stories” are based
on this new structure. They work very well for conventional
psychological counselling, therapy, and
EMDR treatment. And they can also be written by parents
themselves, who than tell them to their children.
“Healing Stories” help resolve traumatic experiences.
They also enable you to effortlessly bring in new solutions,
a sense of achievement, and positive beliefs.
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.
As a psychologist for the last 20 years, the first combat veterans I treated were those of the Vietnam War. When I walked into my local Veterans Outreach Center, I was startled to see how much suffering still existed. Although the war had ended twenty years earlier, these men were still haunted by their experiences. It was then that I learned about the depth of their suffering. The memories they often talked about, ones that still awoke them screaming from nightmares, involved the people who had died. One veteran spoke of the guilt he felt because, after going to war at the age of 19 to serve his country and help his fellow soldiers, he discovered that to do that he had to take lives. He cried as he recounted his fear that the artillery he had called in to save his battalion might have killed children in a nearby village. Others spoke of being powerless as they watched a friend die. They felt anger, fear, powerlessness and above all guilt. [Excerpt]
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]
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)
Therapy and counseling didn't help - until she began sessions last November in Eye Movement Desensitization and Reprocessing, or EMDR, with Virginia Beach psychotherapist Kathy Forti.
Within weeks, Bea's fears and anxieties began to slip away. She wanted to be around people, go out shopping alone. She felt energized.
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
Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.
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.
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.
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)
In this chapter the author describes the use of self-disclosure during eye movement desensitization and reprocessing (EMDR) psychotherapy with a patient, Melina, who had a poor sense of self and a fear of abandonment. As an EMDR therapist with a psychodynamic, object relations background, the author describes how she explores with Melina how her early experiences as a child informed how she felt about herself as a person and how she relates to family and friends as well as her intimates. (PsycINFO Database Record (c) 2009 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.
Using this workbook, the child EMDR psychotherapist guides the child client to create a notebook of drawings of the child`s own strengths and resources. Each page offers a "pick list" of examples related to the positive thought in the headline for that page. On each page the child is instructed to create a drawing or sculpture, or to tell or write a story related to that positive thought or resource.
This workbook is helpful to the EMDR therapist in several situations - for installation of resources in the Preparation phase of EMDR Therapy, for positive hands-on activities at the end of child therapy sessions, for selected parents to use at home to reinforce installation of positive resources, and for strength building if the child`s home life is too unstable for trauma processing. This workbook serves as a good companion to Goodbye Yucky Thoughts and Feelings. The workbook is also designed for use by non-EMDR therapists to help build confidence and a sense of mastery.[EMDRResources Abstract]
Children are often caught up in traumatic situations which are be)cond their
control and in which they experience overwhelming helplessness and a sense of
abandonment. Their lives become severely disrupted ard may even change
completely. Helping children understand their experiences whilst resolving their
traumatic memories is fundamental to their future health and adaptation. Parents
and carers take the primary role in re-establishing the children's sense of safety
in the world. Enabling parents or carers to be a part of the EMDR therapy
process and thus to develop insights into the child's understandings through the
development of a shared narrative and attunement may also be key to the
recovery of the children. This paper aims to look at how this can be achieved
during EMDR therapy and will be illustrated by case examples and video clips.
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]
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
"After ten hours of EMDR, I had made the breakthrough I needed and I left the
surgery in a state of euphoria. I haven't had a panic attack or nightmare since
and now realise that they were the physical memory of the rapist crushing and
suffocating me. Replaying events gave my brain another chance to process them.
This time it got it right and emotionally, not just rationally, I now
acknowledge that you can't control everything."
Beskrivelse
Det etablerede systems opfattelse af sig selv og af såkaldt alternativ terapi debatteres i denne bog. Forfatteren har valgt at sætte fokus på problemerne med spiseforstyrrelser. Kritikken af de eksisterende forhold i det etablerede system på dette område er meget skarp, men derimod er de beskrevne terapeutiske forslag om en mulig virksom terapi generøse. Disse nye muligheder er terapeutiske tiltag, der stadig betragtes som alternative, men de kan ikke desto mindre anvendes på alle de områder, hvorom man i dag mener, der kan bedrives psykoterapi. Det kræver dog, at man forlader illusionen om, at terapi baseret på samtale med såkaldt sund fornuft har nogen som helst terapeutisk effekt. Den omfattende, mulige terapeutiske værktøjskasse beskrives. Det drejer sig om NLP som basis for hypnose. Denne metode kan kombineres med modificeret EMDR. Der fremlægges i bogen mange forskellige paradigmer; det drejer sig bl.a. om tilknytningsteorier, affectteorier, den tredelte hjerne og ikke mindst også de resultater, som den moderne hjerneforskning har produceret i de sidste femten år. Dette omfattende materiale bliver sat sammen til en klinisk enhed, der er fleksibel og mangfoldig. Desuden rummer bogen detaljerede beskrivelser af terapiforløbet for flere patienter med en spiseforstyrrelse. --
Description: The system established perceptions of themselves and the so-called alternative therapies discussed in this book. The author has chosen to focus on problems with eating disorders. Criticism of the existing conditions in the established system in this area is very sharp, but they are described therapeutic suggestions about a possible business therapy generous.
These new opportunities are therapeutic interventions that are still considered alternative, but they can nevertheless be applied to all areas on which we now believe there may commit psychotherapy. It requires that you leave the illusion that therapy based on interviews with "common sense has any therapeutic effect.
The extensive potential therapeutic tool sets. It is about NLP as a basis for hypnosis. This method can be combined with modified EMDR.
Presented in the book many different paradigms, namely, inter alia, on related theories affectteorier, the triune brain, and not least also the results of modern brain research has produced over the last fifteen years. This extensive material is put together to form a clinical entity that is flexible and diverse. In addition the book contains detailed descriptions of therapy for more patients with an eating disorder.
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.
Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.
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.
In psychotraumatherapy den therapeutischen Prozess (Stabilisierung, Therapie mit dem inneren Kind, Trauma-Exposition) ist oft durch mehrere Probleme behindert. Dann das Motiv "Die Inneren Helfer" als eine phantasievolle Ressource im Zusammenhang mit der suggestiven Beeinflussung durch den Therapeuten kann gute Dienste leisten. Die Inneren Helfer symbolisieren unbewussten Teile des Selbst, die losgelöst haben und verdrängten durch das Mittel der Projektion im Sinne von Fähigkeiten, die der Patient hat (noch) keinen Zugang. Die Inneren Helfer nehmen eine repräsentative Funktion für den Patienten, bis er in der Lage, diese Teile des Selbst nach Gebrauch mit integrierten ihnen. Die Aktivierung dieser Ressourcen phantasievolle ermöglicht nicht nur ein Erfolg versprechende Stabilisierung und Therapie mit dem inneren Kind, sondern auch eine sanfte und wenig Anstrengung Trauma Exposition für Patient und therapist.In diesem Artikel möchte ich zunächst das Motiv einführen "Die Inneren Helfer" . Ich weiterhin durch den Nachweis wichtige Techniken der Psychotraumatologie, indem sie Beispiele für mögliche Anwendungen der das Motiv des Inneren Helfer in schwierigen Situationen des therapeutischen Prozesses. Alle Techniken ergänzen einander und können miteinander kombiniert werden. [Autor Zusammenfassung]
In psychotraumatherapy the therapeutic process (stabilization, therapy with the Inner Child, trauma exposure) is often hindered by multiple difficulties. Then the motif "The Inner Helpers" as an imaginative resource in connection with suggestive influencing by the therapist can serve well. The Inner Helpers symbolize unconscious parts of the self that have been dissociated and repressed by the means of projection in the sense of abilities to which the patient has (yet) no access. The Inner Helpers take a representative function for the patient until he is able to use these parts of the self after having integrated them. The activation of these imaginative resources not only makes possible a success promising stabilization and therapy with the Inner Child, but also a gentle and little straining trauma exposure for patient and therapist.In this article I first want to introduce the motif "The Inner Helpers". I continue by demonstrating important techniques of psychotraumatology by giving examples of possible applications of the motif of the Inner Helpers in difficult situations of the therapeutic process. All techniques complete each other and can be combined. [Author Summary]
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.
Eye movement desensitization and reprocessing (EMDR(R)), developed in 1987 and proved highly effective in treating psychological disturbances rooted in traumatic memories. It was hypothesised that EMDR(R) would enhance coping in patients traumatised by a cancer diagnosis and / or treatment, as indicated by their subjective responses and levels of depression, anxiety, satisfaction with life, positive-negative affect balance and sense of coherence. A descriptive multiple case-study method was implemented. Three cases were treated by EMDR(R) and three by a supportive method. Data collection was triangulised in terms of semi-structured interviews, quantitative measuring instruments and interviews by an external validator. Findings were consistently in favour of EMDR(R). The results confirmed EMDR(R)'s efficacy in terms of beneficial clinical outcomes on both objective and subjective measures of change.[Journal abstract]
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.
As we work with children, we help them explore the empty and frightening places inside. We also help them build a sense of inner security and personal strength. In all of this, EMDR can be an invaluable form of therapy.
Nu moest ik in de therapie die verkrachting gaan verwerken.
Terwijl ik de gevoelens daarover van mijn 16e tot mijn 43ste heb
vastgehouden. Ik vond dat heel moeilijk, was bang dat ik het
weer moest meemaken. Wat zou er met mij gebeuren als ik het
zou vertellen? Zou ik doordraaien, in de war raken, de controle
over mijzelf verliezen? Een paar dagen voordat ik met de EMDRbehandeling EMDRbehandeling
zou beginnen, voelde ik me al slecht. De dag voor
de behandeling, verzon ik allerlei smoezen om af te bellen. De
eerste keer heb ik dus ook afgebeld. Ik heb de therapie een week
uitgesteld, omdat ik me zo rot voelde. Gelukkig haalde mijn
therapeut mij over de drempel heen. Ze zei dat ze me sowieso
wilde zien, ook als ik me rot voel. ‘Dan gaan we dáár iets mee
doen’, zei ze. Gelukkig maar, anders zou ik het nu nog voor me
uitschuiven.
Now I had the therapy that rape going process.
While I feel about my 16th to my 43th I
held. I found that very difficult, was afraid that I
again had to go through. What would happen to me if I
could tell? I would run through, get confused, control
about myself lose? A few days before I EMDRbehandeling the EMDRbehandeling
would begin, I already felt bad. Day before
treatment, I made all kinds of excuses to call off. the
first time I have also been called. I have therapy one week
postponed, because I felt so bad. Luckily got my
therapist me across the threshold. She said she me anyway
wanted to see, even when I feel bad. "Then we go over there something
do, "she said. Fortunately, otherwise I would still for me
extend. [Excerpt]
In her case, one EMDR session proved helpful. "After we finished, I felt like I knew something that I had always known," she said. "It helped me process the messages in a normal way like most people do. I noticed that I wasn't replaying the tape in my head anymore. It's been two years and I still haven't replayed it. I know what I did [in my marriage] was OK."
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.
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.
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.
In
this
presentation
I
would
emphasize
the
relationship
between
attachment,
trauma
and
the
development
of
the
AMN
(adaptive
memory
network).
From
a
psychobiological
point
of
view,
we
understand
that
early
relational
experiences
shape
brain
growth
and
organization
and
that
the
major
environmental
influence
on
the
development
of
the
brain
is
the
attachment
relationship.
Reductions
in
brain
volume
and
dysfunctional
memory
networks
following
traumatic
experiences
in
early
childhood
are
documented.
When
there
is
a
distressing
incident,
it
may
become
stored
in
state-‐specific
form,
unable
to
connect
with
other
memory
networks
that
hold
adaptive
information.
The
research
of
the
neurobiology
of
the
social
brain
and
the
mirror
neuron
system
let
us
assume
that
the
AMN
is
developing
in
the
presence
of
an
attuned
caretaker.
Healing
traumatic
memories
is
relational
and
procedural.
I
use
EMDR
within
the
Phase-‐
model
of
trauma-‐informed
treatment.
During
the
preparation
phase
(phase
1
and
2
EMDR
protocol)
I
would
like
to
stress
the
importance
of:
• evaluating
the
attachment
pattern
of
the
child.
It
affects
how
the
child
relates
to
the
therapist.
Establishing
a
healing
therapeutic
relationship
is
a
goal
of
phase
2.
• the
activation
of
networks
containing
adaptive
information
and
positive
memories
• increasing
coping
abilities,
self-‐efficacy
and
sense
of
mastery.
That
may
result
in
reduction
of
the
fear
responses
and
enabling
changes
in
the
meaning
of
the
experiences,
and
a
new
memory
can
be
formed.
En
esta
presentación,
queremos
enfatizar
la
relación
que
existe
entre
apego,
trauma
y
desarrollo
de
la
red
adaptativa
de
memoria
(AMN).
Desde
un
punto
de
vista
psicológico,
entendemos
que
una
temprana
experiencia
relacional
forma
el
cerebro
y
hace
crecer
la
organización
y
consideramos
que
la
principal
influencia
ambiental
del
desarrollo
del
cerebro
es
la
relación
de
apego.
Las
reducciones
en
el
tamaño
del
volumen
del
cerebro
y
las
redes
de
memoria
disfuncionales
seguidas
de
experiencias
traumáticas
en
la
infancia
están
documentadas.
Cuando
existe
un
evento
vital
estresante,
puede
ser
almacenado
en
una
forma
específica
de
estado,
impidiendo
conectar
con
otras
redes
de
memoria
que
retienen
la
información
adaptativa.
La
investigación
de
la
neurobiología
del
cerebro
social
y
el
sistema
de
neuronas
espejo,
nos
permite
asumir
que
la
AMN
se
desarrolla
en
presencia
de
un
cuidador
acostumbrado.
Sanar
recuerdos
traumáticos
es
relacional
y
referente
al
procesamiento.
Yo
uso
EMDR
dentro
del
modelo-‐fase
del
tratamiento
para
el
trauma
informado
por
el
paciente.
Tratamiento
del
modelo
de
fase
para
el
trauma
informado:
Durante
la
preparación
fase
(fase
1
y
2
del
protocolo
EMDR)
me
gustaría
recalcar
la
importancia
de:
-‐ Evaluar
el
patrón
de
apego
del
niño.
Que
afecta
en
como
el
niño
se
relaciona
con
el
terapeuta.
-‐ La
activación
de
redes
que
contienen
información
adaptativa
y
recuerdos
positivos.
-‐ Incremento
de
las
habilidades
de
afrontamiento,
autoeficacia
y
autocontrol.
Esto
puede
conllevar
una
reducción
de
las
respuestas
de
miedo
e
inhibir
cambios
en
significado
de
las
experiencias
y
puede
llevar
a
la
formación
de
un
nuevo
recuerdo.
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.
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]
Introduction:
This article describes an innovative Eye Movement Desensitization and Reprocessing (EMDR) protocol which applies the standard EMDR protocol, with modifications, to the reduction of performance anxiety and enhancement of skillful performance in higher functioning clients.
Objective:
The intention was to compare a modified version of the standard EMDR protocol for the reduction of performance anxiety and the enhancement of performance.
Method:
The method was applying the special EMDR protocol for peak performance with higher functioning clients. A further enhancement applied three empirically valid techniques drawn from the subfield of positive psychology.
Results:
Published case studies suggest that this special EMDR protocol aided an experienced commercial pilot in overcoming his avoidance and returning to the flight simulator following a failed proficiency check, and assisted an executive in managing his sense of failure following a significant business setback. Athletes preparing for competition have also found the protocol assists them in managing precompetition anxiety. A further enhancement is the application of three techniques drawn from positive psychology which the empirical research in this subfield of psychology suggests can further enhance the benefits of this protocol.
Conclusion:
Limitations are discussed and recommendations for future research are outlined.
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.
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.
I. What is Imagery?
An image is a thought-form with sensory qualities. It is an internal representation of personal reality. Imagery is the
natural, efficient way the human nervous system stores, processes and accesses information. Imagery is the major
natural language of the unconscious
II. What is Interactive Communication?
There are three levels of interactive communication.
(1) Non-interactive communication in which the client is a passive participant of suggestion and the guide sets the
pacing and direction of the experience.
(2) One way interactive communication in which the guide provides the direction but the client sets the pace (e.g.
"let me know when you are feeling more comfortable and relaxed).
(3) Two way interactive communication in which the client provides both the pace and the direction of the
experience.
There are many great advantages to working interactively. Greater client participation in the process leads to greater
client empowerment, and with a greater sense of personal control, clients are able to progress more rapidly with less
resistance to the change process.
III. What is Interactive Guided Imagery"? -
Interactive Guided Imagery is a therapeutic approach that quickly accesses and simultaneously utilizes the rich
resources available from both the client's conscious and unconscious minds. It includes a set of techniques designed to
enhance relaxation, reduce the effects of stress, modulate affect, increase motivation, expand creativity and problem
solving abilities, resolve conflicts and the sequellae of trauma and facilitate action planning.
IV. The Inner Advisor -
The Inner Advisor is an internalized image that has the qualifies of wisdom and compassion. It can represent a
crucial inner support system for clients dealing with PTSD. Participants are taught how to find their own Inner
Advisors and to establish a dialogue that can lead to future inner exploration. The benefits and potential
complications of working with Advisor figures are discussed.
V. EMDR and Interactive Guided Imagery - (IGI)
Drs. Bresler and Rossman discuss what Interactive Guided Imagery and EMDR have in common and how they differ.
In particular, EMDR therapists are encouraged to utilize Conditioned Relaxation to enhance the clearing process
during eye movements, and to recruit the assistance of the Inner Advisor to prevent or reduce flooding, traumatic
insight, and/or regression panic. Conflict resolution techniques are also discussed.
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.
Theoretical background: The teaching of a “safe place installation protocol” forms part of the standard EMDR training and for my EMDR practitioners and consultants alike it belongs to their repertoire of EMDR treatment techniques. Such a protocol requires clients to access and identify with an experienced place of safety in their lives. Complex (i.e., Type II) trauma clients, as well as other clients which have not been able to build a secure, positive sense of inner self, as a result of their unsafe experiences during most of all of their life, however, may find it very difficult to access and identify a safe place, which they can draw on during the use of EMDR safe place installation protocol. The standard safe pace installation protocol therefore frequently does not work for these clients. Yet, it is suggested in this presentation that access to the inner ‘safe place’ resource can be of particular therapeutic benefit for this client group. In recognition of the need for such a resource, Dr. Herbert has developed an alternative version of an EMDR-based safe place installation protocol, which draws on all sensory modalities (involving, cognitive, emotional and somatic systems) that will work with clients who have no known prior access to a place of safety in their lives.
Aim of presentation: The conference audience will have the unique opportunity to experience Dr. Herbert’s safe place installation protocol’ during an in-vivo EMDR demonstration session. Suggested variations of the protocol tailored to individual client differences and clinical applications for the use of such a resource with this client group will also be explored. The latter will include use of the protocol as an inner anchoring point that clients can access and connect to in situations of crisis in their daily life and as an aid to facilitate the rebalancing of nervous system functioning.
Eye Movement and Desensitization Reprocessing (EMDR) is een beproefde methode
voor de behandeling van posttraumatische stressstoornis (PTSS). Het
verklaringsmechanisme van EMDR lijkt de werkgeheugentheorie te zijn. De
werkgeheugentheorie voorspelt dat het belasten van het werkgeheugen tijdens het
ophalen van een nare herinnering, de emotionaliteit van de herinnering doet afnemen.
Het huidige onderzoek betrekt een aspect vanuit de contraconditionering bij
oogbewegingen. Participanten werden ingedeeld in 3 condities: positief, negatief en
neutraal. Elke participant voerde een tweetal reactietijd taken uit op de computer,
waarvan één met een stilstaande stip en één met een bewegende stip. Daarnaast haalde
elke participant 2 negatieve autobiografische herinneringen op, tijdens het ophalen
van één herinnering keken participanten naar een stilstaande stip, terwijl bij de andere
herinnering een bewegende stip gepresenteerd werd. Op het beeldscherm werd –
afhankelijk van de conditie – een positieve, neutrale of negatieve foto als achtergrond
geselecteerd om te kijken of de valentie van aangeboden foto’s het effect van
oogbewegingen beïnvloeden. De reactietijd taken bieden inzicht in welke mate
oogbewegingen een belasting voor het werkgeheugen vormen. De resultaten tonen
significant tragere reactietijden wanneer participanten oogbewegingen moesten
maken. Op het gebied van emotionaliteit is er eveneens een significant effect van
oogbewegingen gevonden. De narigheid van de opgehaalde herinnering nam –
onafhankelijk van conditie - af wanneer participanten oogbewegingen maakten.
Uitkomsten van het huidige onderzoek vormen een bevestiging van de
werkgeheugentheorie. Het verwachtte effect van valentie is uitgebleven, vermoedelijk
doordat participanten de valentie van de foto’s niet goed meekregen. Adequaat
vervolg onderzoek zal moeten uitwijzen of een toevoeging aan EMDR vanuit de
contraconditioneringstheorie zinvol is.
Eye Movement Desensitization and Reprocessing (EMDR) is a proven method for the treatment of post traumatic stress disorder (PTSD). The declaration mechanism of EMDR seems to be working memory theory. The working memory theory predicts that taxing working memory during retrieval of a bad memory, the emotionality of the memory decreases. The present study involves an aspect from the counter-conditioning at eye movements. Participants were divided into 3 conditions: positive, negative and neutral. Each participant performed a two reaction tasks on the computer, one with a stationary dot and one with a moving dot. In addition, each participant took 2 negative autobiographical memories, while retrieving a reminder to participants watched a stationary spot, while the other memory a moving dot was presented. On the screen was - depending on the condition - a positive, neutral or negative picture as background selected to see if the valence of pictures presented the effect of eye movements influence. The response functions provide insight into the extent to which eye movements constitute a burden on the working memory. The results show significantly slower reaction times when participants had to make eye movements. In the area of emotionality is also a significant effect of eye movements found. The misery of the retrieved memory Rose - regardless of condition - off when participants made eye movements. Results of the present study are a confirmation of the working memory theory. The expected effect of valence failed to materialize, probably because participants the valence of the pictures are not good afterworld. Adequate follow-up study is needed to determine whether an addition to EMDR from the contralateral conditioning theory makes sense.
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.
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.
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.
Originally a technique that seemed to desensitize disturbing memories, EMDR is now a full-scale protocol that is being used to treat a wide-range of disorders. Even its proponents acknowledge, however, that the mechanism of action in EMDR is still unknown. It is argued that there has been an over-emphasis on neurophysiological explanations of EMDR. After a review of controlled studies and a discussion of proposed mechanisms, two case studies of EMDR therapy (one child and one adult) with pathological grief are presented. The cases are analyzed for their adaptive changes as this term is applied in Horowitz's control process theory (1992). It is argued that Horowitz's theory represents a theoretical foundation by which a psychological understanding of the EMDR psychotherapy process can be achieved. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2625.
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.
For some clients finding a Safe/Calm Place is very difficult, either because of their life experiences or their difficulty in using their imagination. In cases such as these, construction of a container to hold traumatic material, both during desensitization and between sessions, may be an alternative strategy to help the client develop a sense of safety. Constructing a container follows the same basic setup protocol as establishing the Safe/Calm Place. In this chapter, the Managing "The Fear of the Fear" Script is provided. [PsycINFO Database]
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.).
Recent research indicates that the reactions to a traumatic event we know as PTSD are complicated because they may incorporate two quite separate sets of processes. One set of processes is concerned with specific reactions to extreme threat. The other set of processes is concerned with the challenge the trauma poses to the victim's beliefs and identity. These processes are not specific to trauma, hence the overlap between symptoms of PTSD and other disorders. Repeated exposure to threat will lead to the longer term establishment of identities that have lost much capacity for optimism, trust or intimacy. But even a single event which is merely upsetting for one person may fatally undermine the positive aspirations of another. Negative reactions to trauma go beyond thoughts and include impulses, imagined pictures, emotions, such as anger and shame, a feeling of being more than one person and a sense of disconnection from others. These individual responses are also highly varied and yet at the same time contain their own internal organisation, suggesting that a helpful framework for understanding them is the social psychological approach to identity involving multiple selves. Treating PTSD involves understanding how the survivor adapts to these twin challenges of memory and identity.
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 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.
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.]
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.
Trauma produces a change in our sense of self, our sense of the world's meaning, of its safety, of its rationality.
For better or worse, the victim of trauma is no longer the same as he or she was prior to the trauma. One of the
greatest strengths of EMDR is that it specifically acknowledges the need for cognitive restructuring as well as serves as a means to that end, formulating negative and positive cognitions.
This article points out a here-tofore unrecognized obstacle to cognitive restructuring and describes a simple modification of the EMDR trauma protocol that can be quite helpful for restarting stalled processing.
When I took the Level EMDR training,
I was impressed by the fact that it
dovetails very nicely with the
multimodal outlook and tends to cover
the same essential modalities. In Las
Vegas, while we were at the Evolution
of Psychotherapy Conference, Dr.
Francine Shapiro and I chatted about
numerous ideas, including the way in
which people familiar with EMDR
could profit from employing
multimodal assessment methods. Dr.
Shapiro perused the Multimodal Life
History Questionnaire (Lazarus &
Lazarus, 1991), for instance, and felt
that it could be a useful addendum in
the hands of well-trained EMDR
therapists and invited me to write
this very brief outline of the
multimodal therapy rationale.
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.
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.