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1. Koshal, A. (2010, June). The 4-fields-technic in the traumatherapy of complex traumatized and drug-addicted people (in methadone-treatment). In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Nowadays several international studies demonstrate
that the problem of drug-addiction is very often found in combination
with complex traumatization in early childhood and
youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006;
Schmidt, 2000 etc.)
As we all know PTSD and the other trauma symptoms cause a
lot of psychophysical dysregulation. So the psychiatrist Khantrian
postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called
this assumed combination of trauma-consequences and drug-addiction,
"compensatory strategies aimed at self-regulation"
In many years of working with drug-addicted people it became
very obvious that a high percentage of this people are using drugs,
for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without
nightmares, to alleviate the feeling of helplessness and fear etc.
Drugs and alcohol do reduce all the mentioned symptoms for
a while. To learn to cope in another, more adaptive way, the
addicted people need to learn alternatives strategies for a good
functioning self-regulation.
After stabilization, the trauma therapy can start, so the patient
can reduce some of the sources of psychophysiological dysregulation.
Even when the addicted people still get methadone psychotherapy
is possible. Practical experience over a long time.
started 1990, did show a lot of successful treatments and that
methadone does not interfere a traumatherapy.
The 4-Fields-Technic is a special method of EMDR that was
developed by Jarero et al. 1997 in Mexico after a hurricane
disaster. Dorothee Lansch modified the group method into a
therapy-setting for single persons.
For complex traumatized and drug-addicted people this technic
is very helpful. The focus is more easy to keep in mind, - in
front of the eyes. In the 4-Fields-Technic the patient focuses
on a self-painted picture, that represents the worst part of a
trauma experience.
The patient keeps his focus on this picture, combined with bilateral
stimulation, till he feels the picture should be changed.
And so the process is going on till finished.
The participant will be able to learn:
- about the correlation between complex trauma and drug-addiction
- that drug-addicted people who get methadone are able to do
trauma therapy
-the 4-Fieids-Technic as a method to create resources.
Psychotherapy and specially psychotraumatherapy with drug-addicted
people who are as well in a methadone-treatment is for
many therapists still controversial. This presentation will give you
an idea how good it can work, based on various case series.
Keywords: 4-Fields-Technic Complex Trauma Drug Addiciton Methodone Treatment Symposium
Accuracy Verified: Yes
2. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
will
employ
lecture
and
demonstration
of
several
case
studies.
The
4-‐Field-‐Technique
is
a
special
method
of
EMDR
that
was
developed
by
Jarero
et
al.
1997
in
Mexico.
For
complex
traumatized
and
drug
addicted
people
this
method
is
very
helpful.
The
risk
to
trigger
other
trauma
clusters
is
quite
minor,
because
the
patient’s
concentration
is
focused
on
his
specific
picture
and
situation.
Several
international
studies
demonstrate
that
addicted
people
are
very
often
complex
traumatized.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
PTSD
and
other
trauma
symptoms
cause
a
lot
of
psychophysical
deregulation.
The
psychiatrist
Khantzian
realized
1985,
that
addicted
people
suffer
a
lot
from
different
symptoms
and
try
to
reduce
the
unbearable
inner
tension
in
using
drugs.
So
Khantzian
postulated
the
“self-‐medication
hypothesis
of
addictive
disorders”.
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpreted
the
correlation
of
early
traumatization
and
drug-‐addiction
as
“compensatory
strategies
aimed
at
self-‐
regulation”.
20
years
of
psychotherapeutic
work
revealed,
a
high
percentage
of
addicted
patients
use
drugs
to
influence
their
emotional
states.
Drugs
and
alcohol
do
short
term
reduce
the
mentioned
symptoms.
Addicted
patients
need
to
learn
to
cope
in
another,
more
adaptive
way
to
get
a
better
functioning
self-‐regulation.
After
stabilization,
trauma-‐therapy
can
start.
So
the
patient
can
reduce
his
psycho-‐
physiological
deregulation.
Even
when
addicted
patients
are
still
in
a
methadone-‐
treatment
trauma-‐therapy
is
effective.
Practical
experiences
show
a
lot
of
successful
treatments.
Este
taller
empleará
la
presentación
y
demostración
de
muchos
estudios
de
caso.
La
técnica
de
4
campos
es
un
método
especial
de
EMDR
que
fue
desarrollado
por
Jarero
et
al.
1997
en
Méjico.
Para
gente
con
traumas
complejos
y
adictos
este
método
resulta
ser
muy
adecuado.
El
riesgo
de
disparar
grupos
de
traumas
es
menor,
debido
a
que
la
concentración
del
paciente
está
centrada
en
una
sola
imagen
y
situación.
Muchos
estudios
demuestran
que
los
adictos
son
muy
a
menudo
traumatizados
de
manera
compleja.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
El
TEPT
y
otros
síntomas
del
trauma
causan
muchas
desregulaciones
psicofisiológicas.
El
psiquiatra
Khantzian
se
dio
cuenta
en
1985,
que
la
gente
que
sufre
de
adicción
sufren
también
muchos
otros
síntomas
diferentes
e
intentan
reducir
su
tensión
interna
a
través
del
uso
de
sustancias.
Por
ello
Khantzian
postuló
“
La
hipótesis
de
la
automedicación
en
trastornos
adictivos”
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpretó
la
correlación
de
la
traumatización
temprana
y
la
adicción
a
la
drogas
como
“
Estrategias
compensatorias
dirigidas
a
la
autorregulación”.
20
ańos
de
trabajo
psicoterapéutico
muestran
que
un
gran
porcentaje
de
pacientes
adictos
usan
drogas
para
modificar
sus
estados
emocionales.
Las
drogas
y
el
alcohol
reducen
a
corto
plazo
los
síntomas
mencionados.
Los
pacientes
adictos
necesitan
aprender
a
afrontar
de
manera
más
adaptativa
su
autorregulación.
Después
de
la
estabilización,
la
terapia
del
trauma
puede
empezar.
Por
ello
el
paciente
puede
reducir
su
desregulación
psicofisiológica.
Incluso
cuando
aún
están
sometidos
a
un
tratamiento
de
metadona
la
terapia
del
trauma
es
efectiva.
Las
experiencias
en
la
práctica
muestran
una
gran
cantidad
de
tratamientos
exitosos.
Keywords: 4-Fields-Technique Addiction
Accuracy Verified: Yes
3. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
4. Bresnan, A. (2000, September 1). Ask Beth: Grandmother too important to forget. Boston, MA: The Boston Globe, Third Editon, Living, C10.
Language: English
Format: Newspaper
Abstract:
Thank you for supporting therapy in your column. I'd like to tell you about a technique I've been using with clients for almost four years. Eye Movement Desensitization and Reprocessing helps people heal from traumas and works faster than just talking, as it helps the person unload negative feelings. It is helpful with adolescents who were exposed to criticism and other forms of mental abuse at home
Keywords: Boston General Letter Overview
Accuracy Verified: Yes
5. 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
6. Fitzgerald, B. (2001, January 12). The eyes have it: Controversial therapy treats trauma disorders through eye movement. Boston University Community Weekly Newspaper: B.U. Bridge, IV(10), [3 pages].
Language: English
Format: Newspaper
Abstract:
Bessel van der Kolk does not mince words when describing the effectiveness of a
controversial therapy that started becoming popular among psychologists a decade
ago. "It's the greatest thing since sliced bread," he says about eye movlement
desensitization and reprocessing (EMDR).
Keywords: Boston General Overview
Accuracy Verified: Yes
7. Foreman, J. (1997, February 24). It’s enough to make you crazy. Boston, MA: The Boston Globe, Third, Health and Science, C1.
Language: English
Format: Newspaper
Abstract:
There's less agreement on the efficacy of psychoanalysis, despite its longstanding reputation, or some newer controversial treatments like EMDR -- eye movement desensitization and reprocessing, a technique that relies on eye movement exercises to relieve for post-traumatic stress disorder.
Keywords: Boston General Overview
Accuracy Verified: Yes
8. Marsa, L. (2002, April 15). Mind-eye coordination:Â A psycho therapeutictechnique that relies on hand movements is gaining more adherents. Bergen County, NJ: The Record, F1.
Language: English
Format: Newspaper
Abstract:
"EMDR sounds like utter nonsense, but this weird thing has a profound effect on people," says Dr. Bessel A. van der Kolk, a professor of psychiatry at Boston University who has studied EMDR.
Keywords: Bergen County General Overview
Accuracy Verified: Yes
9. Marsa, L. (2002, April 16). Miracle or mirage: Hand movement therapy receives acceptance from doctors, patients. Fort Wayne: IN: The Journal Gazette, Final Edition 1D.
Language: English
Format: Newspaper
Abstract:
"EMDR sounds like utter nonsense, but this weird thing has a profound effect on people," says Dr. Bessel A. van der Kolk, a professor of psychiatry at Boston University who has studied EMDR.
Keywords: General Fort Wayne Overview
Accuracy Verified: Yes
10. Foreman, J. (1998, September 14, Corr 16). New therapy for trauma is doubted. Boston, MA: The Boston Globe, Science and Technology, C1.
Language: English
Format: Newspaper
Abstract:
But since that day 11 years ago Shapiro has been ferociously studying -- and promoting -- EMDR. When she first began her studies, she was enrolled in a now-defunct, never-accredited school, the Professional
School of Psychological Studies in San Diego. She eventually earned a PhD in psychology there and in 1989 published a study showing EMDR seemed to help people with post-traumatic stress disorder, which is characterized by nightmares, flashbacks and anxiety.
Keywords: Boston General Overview
Accuracy Verified: Yes
11. Goode, E. (2004, March 9). Psychology police challenge theories. Torrance, CA: Daily Breeze, A7.
Language: English
Format: Newspaper
Abstract:
The challengers have also criticized a number of fashionable therapies, including "critical incident" psychological debriefing for trauma victims, eye-movement desensitization and reprocessing, or EMDR, and other techniques.
"These guys are sort of the Ralph Naders of psychology," said David Barlow, director of the Center for Anxiety and Related Disorders at Boston University.
Keywords: General Overview Torrance, CA
Accuracy Verified: Yes
12. Davison, G. C. (2000, December 17). Questionable therapy. Boston, MA: The Boston Globe, Magazine, 3.
Language: English
Format: Newspaper
Abstract:
Richard Saltus quotes an EMDR enthusiast as saying that more than 60,000 people have been trained in the therapy. It is common for EMDR folks to cite the number of people who have attended EMDR workshops, and they do so in order to lend credibility to the approach. What is never mentioned is how many of these people found the workshops instructive and how many go on to use EMDR in their clinical work. I know that I am not alone in having “been trained” in EMDR and yet deciding not to use it. My reason, similar to others’, I am sure, is that I find EMDR to be, at best, old wine in a very expensive new bottle, one that is heavily oversold. Gerald C.
Keywords: Boston General Letter Overview
Accuracy Verified: Yes
13. Gery, L. (2001, January 28). Reason to hope. Boston, MA: The Boston Globe, Magazine, 4.
Language: English
Format: Newspaper
Abstract:
Body Institute, practiced meditation, and attended two different support groups. Although these methods certainly had their benefits, after five years I still felt as if I could slingshot into my deepest grief with the slightest trigger. I debated whether to try taking Prozac or find a therapist who could use EMDR. I chose the non-pharmaceutical route. I had no specific hopes for EMDR, especially since none of my previous treatments had succeeded in helping me move out of my depression. After only four EMDR sessions, I have noticed a significant shift in my attitude about the same triggers that would have otherwise caused me deep emotional pain. I have come to have hope again that, someday, I will be able to fully enjoy my life - a belief that I had long ago given up.
Accuracy Verified: Yes
14. Saltus, R. (2000, October 29). Seeing is believing. Boston, MA: The Boston Globe, Magazine, 6.
Language: English
Format: Newspaper
Abstract:
About 10 years ago, word of a curious new therapy began trickling into psychologists' offices. Proponents claimed that the therapy could relieve anxiety, phobias, and frightening flashbacks related to past hurts - and in a matter of weeks or months instead of years.
Now, the trickle has become a torrent. The treatment, called eye movement desensitization and reprocessing, or EMDR, is the hottest new therapy in years, and therapists of many schools are rushing to learn to do it. EMDR was first used with patients suffering from post-traumatic stress disorder, but it's now being offered for problems ranging from panic attacks to the effects of depression, addiction, and low self-esteem.
Keywords: Boston General Overview
Accuracy Verified: Yes
15. van der Kolk, B. A. (1998, July 12). Staring down the demons. Boston, MA: The Boston Globe, D1, D5.
Language: English
Format: Newspaper
Abstract:
In recent years, the problem of post-traumatic stress disorder has received a great deal of public attention.
Keywords: Boston General Overview
Accuracy Verified: Yes
16. Carse, K. (2013, February 4). Staten Islanders can ease the stress of Sandy's aftermath with counseling. Staten Island Advance. Retrieved from http://www.silive.com/healthfit/index.ssf/2013/02/ease_the_stress_of_sandys_aftermath_with_counseling.html on 2/5/2013.
Language: English
Format: Newspaper
Abstract:
Recommended by the Department of Defense and the American Psychiatric Association among many other organizations, EMDR uses a set of standardized protocols that incorporate elements from many different treatment approaches. It “essentially shines a light on the emergency event or events stored in the more primitive brain allowing the event to be processed in a safe way,” said Joyce Goldstein of West Brighton a family therapist and trained EMDR therapist.
Volunteer licensed and EMDR trained therapists from Staten Island, Manhattan and Boston will be available, several of whom have helped relieve suffering after September 11, Hurricane Katrina and the earthquake in Haiti as part of the EMDR Humanitarian Assistance Program.
Keywords: Hurricane Sandy
Accuracy Verified: Yes


