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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: 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.

Keywords: Boston  Letter  

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