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. Robertson, J. M., & Williams, B. W. (2010). "Gender aware therapy" for professional men in a day treatment center. Psychotherapy Theory, Research, Practice, Training, 47(3), 316–326. doi:10.1037/a0021163.
Language: English
Format: Journal
Abstract:
High accountability men in the medical,
legal, corporate, and mental health
professions sometimes engage in behavior
that violates their fiduciary responsibilities.
These highly skilled men may
engage in disruptive or explosive behavior,
cross sexual boundaries with
clients or patients, abuse substances, or
have other psychiatric problems that
compromise their workplace performance.
When this occurs, licensing
boards, professional societies, or supervising
executives often require the dysregulated
man to seek assistance. This
article reports on ways the Professional
Renewal Center incorporates recommendations
from “Gender Aware Therapy”
in developing a male-friendly approach
to conducting comprehensive
multidisciplinary psychological assessments,
and to providing intensive, multimodal,
weeks-long treatment services.
Keywords: Assessment Masculinity Professionals Treatment
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: Yes
4. 平岡 篤武 [Hiraoka Atsutake]. (2006年5月). 加害的性逸脱行動を行った男児(被害者)にEMDRを導入した心理ケア (特集 〔日本子ども虐待防止学会〕第11回学術集会(北海道大会)) [Perpetrators were male gender deviant behavior (victim) was introduced to the psychological care EMDR (Special Child Abuse Prevention Association of Japan] [11th Annual Meeting (Conference Hokkaido))]. 児童虐待とネグレクト、8（1）、29から38 [Child Abuse and Neglect, 8(1), 29-38].
Language: Japanese
Format: Journal
Keywords: Male Gender Deviant Behavior Perpetrators
Accuracy Verified: Yes
5. 海野千畝子 ウンノ チホコ [Unno Chihoko]. (2008年6月). 子ども虐待へのEMDRによる治療1―子どもへの治療― 海野千畝子 [Therapies for child abuse 1: For children]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 285-287] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Children
Accuracy Verified: Yes
6. 杉山 登志郎 [Sugiyama Toshiro]. (2008年6月). 子ども虐待へのEMDRによる治療2―親への治療―杉山登志郎 [Therapies for child abuse 2: For parents]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 289-292] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Parents
Accuracy Verified: Yes
7. 平岡 篤武 [Hiraoka Atsutake]. (2006). 子供のための福祉施設で子供とEMDRセッションは、性的逸脱行動を示したこと [EMDR sessions with a child in the welfare facility for children having shown sexual deviant behaviour]. Kodomo no Gyakutai to Negurekuto, 8(1), 29-38.
Language: Japanese
Format: Journal
Abstract:
ここでは子供のための福祉施設のケアの逸脱性行動を示す子とEMDRセッションについて報告されている。 1）半構造化面接をするため、自己観察は、被害者への思いやりの実現に向けて子供の可能性に関しての状況を明らかにするために、さらに犠牲者を間違って、積極的な海峡および/または支配の最終的な存在行うことで配置された。また、常軌を逸した性的行動の背後にある可能性経験に基づいて、以前の子供が性的虐待の被害者自身をしていたかどうかを確認する必要があった。 2）それが唯一の光/非重大な逸脱、人は性的虐待された逸脱子供の可能性に反映して、その存在に基づいて、必要と考えられるでしょう一般的にも。 3）は、事件の記録として性的虐待からフラッシュバックを説明し、EMDRは、性的逸脱行動が消失することが効果を適用した。過去のトラウマ記憶EMDR使用することで子供は開発中の通常のイニシアチブ-豊かな生活に戻ったことで、'安全なメモリに変更されました。 4）被害者にされて消えてしまった被害者を有するとの間のリンクとして、保護と介入手段を検討して児童相談センターや福祉施設からの協調努力のために、将来の必要性がある。 [著者抄録]
Here is reported about EMDR sessions with a child showing deviant sexual behaviour, in the care of the Welfare Facility for Children. 1) Semi-structured interviews were arranged in order to clarify the situation with regards to the child's potential for self-observation, compassion for the victim, realization of having done the victim wrong, further the eventual existence of dominating and/or aggressive straits. Further, based upon the possible sexual experience behind the deviant sexual behavior, there was a need to find out whether the child earlier had himself been a victim for sexual abuse. 2) Generally even if it only would be considered a light/non-serious deviance, one should, based upon its presence, reflect upon the possibility of the deviant child having been sexually abused. 3) As the case records describe flashbacks from sexual abuse, the EMDR was applied with the effect that the sexual deviant behaviour disappeared. By using EMDR the past traumatic memory was changed into a 'safe' memory, with the child having returned to normal initiative-rich life under development. 4) As the link between being victim and having victimized has disappeared, there is a future need for a coordinated effort from the Child Guidance Center and the Welfare Facility to consider the protection and intervention methods. [Author Abstract]
Keywords: Child Children Sexual Abuse
Accuracy Verified: Yes
8. 太田茂行[Ota Shigeyuki]. (1999). 家庭内暴力(情緒的虐待)を受けていた女性のエンパワメント [Clinical empowerment of women who suffered from domestics violence (emotional abuse)] . こころの臨床ア・ラカルト、18（1）、 42-47 [Clinical Psychology: Various Aspects, 18(1), 42-47].
Language: Japanese
Format: Journal
Keywords: Domestic Violence Empowerment Emotional Abuse Women
Accuracy Verified: Yes
9. 田中ひな子 [Tanaka Hinako]. (1999). 虐待子供時代を生き残った女性のためのEMDR治療 [EMDR treatment for a woman who survived childhood abuse]. こころの臨床ア・ラカルト, 18(1), 77-82 [Clinical Psychology: Various Aspects, 18(1), 77-82].
Language: Japanese
Format: Journal
Keywords: Childhood Abuse Woman
Accuracy Verified: Yes
10. 松本 慶太 , 杉山 登志郎 [Matsumoto Keita & Sugiyama Toshiro]. (2010). 被虐待児の治療 (特集 家族と暴力) [Treatment of abused children (Family Violence Special)]. 児童青年精神医学とその近接領域 51(3), 275-280 [Japanese Journal of Child and Adolescent Psychiatry, 51(3), 275-280].
Language: Japanese
Format: Journal
Keywords: Abuse Children Treatment
Accuracy Verified: Yes
11. Beccari, A. (2008). Abuso sessuale sui minori: Il sostegno alle giovani vittime [On child sexual abuse: Support for young victims]. Universita Degli Studi di Parma, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract: Il filo conduttore di questo report sarà il trauma.
La prima parte sarà incentrata sulla definizione di trauma, sulle risposte adattive e su quelle
patologiche di fronte ad un evento negativo e sulle variabili individuali e soggettive che
determinano nell’individuo un vissuto traumatico. Quest’ultimo aspetto, infatti, sappiamo
essere fondamentale per capire la differenza che intercorre tra le diverse reazioni (emotiva,
cognitiva e comportamentale) delle persone che si trovano ad essere esposte anche al
medesimo evento disturbante.
La seconda sezione sarà invece dedicata al trauma dei bambini e alle diverse modalità di
condurre un assessment adeguato.
La terza parte si concentrerà, nello specifico, sul trauma da abuso sessuale: ne prenderà in
considerazione la definizione, le conseguenze a breve e medio-lungo termine nonchè le
possibilità di sostegno alle giovani vittime di abuso sessuale intra ed extra familiare. Inoltre
verrà trattata una tecnica piuttosto recente dimostratasi efficace nel trattamento del Disturbo
Post-traumatico da Stress negli adulti come nei bambini: l’EMDR (eye movement
desensitization and reprocessing).
The theme of this report is trauma.
The first part will focus on the definition of trauma, and those on adaptive responses
pathological in the face of a negative event and the individual variables and subjective
determine in the individual a traumatic experience. This latter aspect, in fact, we know
be crucial to understand the difference between the different reactions (emotional,
cognitive and behavioral) of persons who are to be presented on the
same event disturbing.
The second section will be devoted to the trauma of children and the different modes of
conduct a proper assessment.
The third part will focus specifically on the trauma of sexual abuse: it will take
consider the definitions, the short-and medium-long term as well as the
possibility of support for young victims of sexual abuse within and outside the family. also
will be treated fairly new technique proved effective in treating the disorder
Post-traumatic Stress in adults as in children: EMDR (eye movement
desensitization and reprocessing).
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
12. Earley, P. H. (2007). Addiction memory in addiction recovery. Earley Associates, P.C., Addiction Recovery and Wellness Medicine.
Language: English
Format: Other
Abstract:
No abstract available.
Keywords: Addiction Substance Abuse
Accuracy Verified: Yes
13. Forgash, C.A. (2002, November). Addressing dissociation and its negative impact on the physical health of the adult sexual abuse survivor: An integrated EMDR and ego state treatment approach. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.
Language: English
Format: Conference
Keywords: Dissociation Ego State Therapy Sexual Abuse Survivors
Accuracy Verified: Yes
14. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
15. Omaha, J. (2006). Affect centered therapy for substance abuse of traumatic origin. In B. Carruth (Ed.), Psychological trauma and addiction treatment ( pp. 89-113). Binghamton, NY: Haworth Press.
Language: English
Format: Book Section
Abstract:
No abstract available.
Keywords: Affect Centered Therapy Substance Abuse
Accuracy Verified: Yes
16. Turner, E. (2005, September). Affect regulation for children through art, play and storytelling. Presentation at the annual mmeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Traumatized and neglected children are likely to have deficits that results in low affect tolerance, leading to a tendency to become overwhelmed and dissociate during trauma processing. This workshop will describe the impact of the abuse and neglect on emotional regulation and the need for fun and developmentally appropriate experiences that build internal resources prior to trauma processing. Through live demonstration and small group activities, participants will learn
to integrate EMDR principles with art interventions that help children identify emotion and tolerate affect. They will be able to apply EMDR principles to common games to increase affect tolerance and install resources and will be
able to identify the EMDR principles inherent in effective storytelling appropriate for the preparation phase.
Keywords: Affect Regulation Art Therapy Children Play Therapy Storytelling
Accuracy Verified: Yes
17. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag.
Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren.
Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod.
Werkvorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior.
Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve.
Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment.
Form
In the presentation combines theory and practice. Video images support the story.
Keywords: Infants Children Pre-Verbal Trauma
Accuracy Verified: Yes
18. 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
19. Wartik, N. (1994, Aug 7). The amazingly simple, inexplicable therapy. Los Angeles Magazine, 9.
Language: English
Format: Magazine
Abstract:
I've just seen a demonstration taped during the course of a recent study, of what's probably the most controversial psychotherapy in
use today. In 1989, the first articles about an improbable-sounding tech
nique for treating post-traumatic stress disorder (F'ISD) appeared in the
psychological literature. PTSD. an anxiety disorder with a multitude of
mental and physical symptoms, strikes after an ordeal such as rape. combat.
chid abuse or natural disaster and can permanently scar a psyche. But with
little more than a wave of the hand, it seemed, Eye Movement Desensitizatior.
and Reprocessing (EMDR) could undo trauma's tormenting effects in a remarkably
short time, sometimes in a single session.
The procedure, originated by psychologist Francine
Keywords: General Mary Overview
Accuracy Verified: Yes
20. 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
21. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .
Language: English
Format: Dissertation/Thesis
Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
Keywords: Narrative Therapy South Africa Transtheoretical Model
Accuracy Verified: Yes
22. 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
23. Weiner, M., & Mullaney, D. (2006). Are 'the basics' more important than innovation?. Addiction Professional, 4(2), 1-58.
Language: English
Format: Journal
Abstract:
Behavioral Health of the Palm Beaches (BHOPB) is a residential alcoholism and drug abuse treatment facility in Lake Worth, Florida. The desire to provide the best possible treatment for our patients has led us to seek innovative treatment interventions. Examples include Eye Movement Desensitization and Reprocessing (EMDR) for patients with symptoms of trauma and acupuncture for patients with chronic pain. Tailored interventions are also available for addicts with co-occurring chronic anxiety, unresolved anger, or grief issues. The desire to discover how well our patients have done led us to track a random sample of 90 patients for one year. Data were collected between August 2002 and December 2004. We were eager to determine an overall success rate, as well as the impact of our innovative interventions. Patients were contacted by telephone three months, six months, nine months, and one year from their date of discharge. We learned that 53% of the sample completed one year of continuous recovery. We believe these results understate patients' overall success. The essentials for treatment are discussed.
Keywords: Alcoholism Drug Abuse Drug Rehabilitation Health Care Services Residential Care Institutions
Accuracy Verified: Yes
24. 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
25. 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
26. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This paper presents the assessment and four year
psychotherapy of a Hispanic man with Complex PTSD
and Dissociative Disorder NOS. The patient’s history of
childhood sexual abuse caused significant disruptions
in normative developmental processes causing what
van der Kolk (2005) posits as a Developmental Trauma
Disorder. Based on Shapiro’s (2001) adaptive information
processing paradigm, the patient’s memories of extensive
childhood sexual victimization became blocked from
resolution from adaptive memory networks, becoming
embedded in the emotional brain and activated by the 9/11
tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled
his experiences of 9/11 and memories of severe childhood
sexual abuse, establishing a narrative of victimization,
helplessness, and confusion about his sexual orientation
(Gardner, 1999). Furthermore, there were episodes of
dissociation revealing the possibility of alters. Attempts
to access adaptive networks using EMDR protocols were
thwarted by intractable defenses. The patient’s desire
to return to work was offset by his entitlement to Social
Security Disability that was initially denied. Working through
my concordant countertransference (Racker, 1968), I
ultimately accepted his wish for SSD, which he obtained
on appeal based upon my symptom-specific evaluation.
The patient transferred to a clinic that accepted SSD.
Participants will be able to :
♦♦ identify the developmental derailing
effects of childhood sexual abuse on
normative developmental processes.
♦♦ assess how childhood trauma(s) that are
repressed or dissociated are invoked by
trauma(s) in adulthood through associative
memory networks causing Complex PTSD.
♦♦ apply methods of working with patients
dissociative defenses in psychotherapy.
Keywords: Case Study Developmental Trauma Disorder
Accuracy Verified: Yes
27. 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
28. 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
29. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
30. 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
31. 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
32. Blore, D. (2009, October). Blind to therapist protocol. Presentation at the 2nd EMDR Autumn Workshop Conference, Leeds, UK.
Language: English
Format: Conference
Abstract:
The Blind to Therapist (B2T) Protocol (Blore & Holmshaw 2006, 2009), is aimed at helping provide EMDR in special circumstances – particularly where the client is unwilling to describe a target image either because the client fears that the therapist will be disgusted or overwhelmed by the content - as in sexual abuse trauma, and/or where the client is reluctant to relinquish further perceived control for the purposes of conducting EMDR. In essence, the B2T protocol abandons the idea of 'client avoidance' and modifies EMDR so as to accommodate avoidance until the client is ready to identify traumatic material.
Keywords: Blind to Therapist Protocol
Accuracy Verified: Yes
33. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.
Keywords: Children Family Systems Approach
Accuracy Verified: Yes
34. Watson, C., Davis, R., & Heimonen, T. (2010, September/October). Bridging the gap between clinical practice and research with EMDR. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a trauma treatment with origins date back to 1987 by its founder Francine Shapiro. EMDR is based on an information-processing model and is being used to treat traumatic symptoms. Clinicians in many types of clinical settings worldwide employ EMDR for a board range of treatment issues including grief, depression, anxiety, physical and sexual abuse. Although there is evidence that EMDR is effective in treatment of Posttraumatic Stress Disorder, more research needs to be done in clinical practice settings to contribute to the much needed research base about effective of EMDR with other issues.
Therapists working with trauma are often dealing with high caseloads and administrative requirements of the agencies that they work with. The clinicians involved in this research have observed that there have been some encouraging developments in their community which have served to build bridges for clinicians to increase their confidence in the world of research. In 2007, an intiative called Research Skills Development Program offering mentoring in research skills development was offered in association with Lakehead University and Northern Ontario School of Medicine, Ontario, Canada.
Completion of this 1-year program proved to be the first step in make the transition from clinician to researcher. From there, partnerships were formed within the agency and community. With the support of our agency, researchers were able to gain access to testing and computer software that made data collection and data anaylsis possible with least disruption to our clinical services.
The clinicians were encouraged by previous results from our first study in 2007 (n=6) to continue systematic data collection with more clients (n=6). Approval for this recent study was received by the Ethics Committee of St. Joseph's Care Group.
Keywords: Poster Practice Research Research Skills Development Program
Accuracy Verified: Yes
35. Scheck, M. M., Schaeffer, J. A., & Gillette, C. (1998, January). Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. Journal of Traumatic Stress, 11(1), 25-44. doi:10.1023/A:1024400931106.
Language: English
Format: Journal
Abstract:
To study the efficacy of eye movement desensitization and reprocessing (EMDR) with traumatized young women, 60 women between the ages of 16 and 25 were randomly assigned to 2 sessions of either EMDR or an active listening (AL) control. Factorial ANOVA interaction effects and simple main effects for outcome measures (Beck Depression Inventory, State-Trait Anxiety Inventory, Penn Inventory for PTSD, Impact of Event Scale, Tennessee Self-Concept Scale) indicated significant improvement for both groups and significantly greater pre-post change for EMDR-treated participants. Pre-post effect sizes for the EMDR group averaged 1.56 compared to 0.65 for the AL group. Despite treatment brevity, the posttreatment outcome variable means of EMDR-treated participants compared favorably with nonpatient or successfully treated norm groups on all measures. [Author Abstract]
Keywords: Americans Battery Child Abuse Effects Emotional Abuse Females Empirical Study Follow-up Study Incest Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Stressors Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
36. Shapiro, F. (1999). Brief therapy inside out: EMDR - Working with grief. Phoenix, AZ: Zeig, Tucker & Theisen Inc. Publishers.
Language: English
Format: Video
Abstract:
Sit in on therapy with the masters! This video is part of the innovative "Brief Therapy Inside Out" series - a unique series that puts you directly in the therapy room to watch as leading therapists demonstrate their approaches in 45-minute, unrehearsed clinical sessions with real clients (not actors).
EMDR founder Francine Shapiro has trained over 30,000 clinicians worldwide in her unique approach to the treatment of trauma. Known formally as Eye Movement Desensitization and Reprocessing, EMDR has been used successfully in critical incident work with victims of such tragedies as the Oklahoma City bombing, with both single-incident rape and incest survivors, with survivors of chronic abuse, even with treatment-resistant Vietnam vets.
Here, Shapiro illustrates her eight-phase EMDR protocol with Angie, a recovering addict struggling with the sudden loss of her lover. While the exact neural mechanisms underlying EMDR are still not precisely understood, what is clear is that with skilled use of this potent reprocessing treatment, painful experiences that used to take months or years to treat have been resolved in as few as one to three 90-minute sessions. The videotape provides a singular introduction to this powerful approach as demonstrated by its extremely skilled founder.
The clinical session is preceded by an introductory interview with series hosts Drs. Jon Carlson and Diane Kjos in which Shapiro explains basic principles underlying her approach. The video closes with a Q&A segment in which key interactions from the eight-phase treatment protocol are replayed and discussed. 95 minutes.
Keywords: Grief
Accuracy Verified: Yes
37. Korn, D., Rozelle D., & Weir, J. (2005, June). Bringing EMDR research into practice. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Determining Readiness for
EMDR Trauma Processing:
• Neither diagnosis nor trauma history determine
readiness for trauma processing or response to
treatment
• Though studies often exclude subjects with
suicidal ideation, dissociation or substance abuse,
EMDR may be used with these clients if other
readiness criteria (e.g., affect tolerance, coping
skills, safe embodiment) are met
• Key point - Capacity to tolerate and modulate
arousal v. absolute level of arousal [Excerpt]
Accuracy Verified: Yes
38. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.
Language: English
Format: Conference
Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.
Accuracy Verified: Yes
39. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a
Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly
process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred
(non-directive) Play Therapy model is now well recognised as a way of helping children and
adolescents who have experienced psychological trauma to work through their experiences in
a way that is both empowering and non-threatening. It is based on Rogerian principles
(Rogers 1951), with the philosophy that given the right therapeutic conditions the children,
like adults, have an innate drive towards health. The child leads the way, and the therapist
follows. I have struggled to see how EMDR can fit comfortably within a client-centered play
therapy model, although I recognise that Shapiro describes the model as client-centred.
To test a hypothesis that EMDR could be integrated into a client-centred play therapy
approach, three children were identified. All 3 were waiting for some regular weekly client-centred
play therapy sessions, within the Child and Adolescent Mental Health Service, in
West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other
aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had
experienced complex psychological trauma including sexual abuse.
My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and
if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The
sessions were set up introducing the EMDR protocol alongside setting up the client-centred
play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I
will summarise my findings and hope to show how possible ways the two approaches can be
integrated.
Keywords: Children Play Therapy Poster
Accuracy Verified: Yes
40. 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
41. Lea, G. W. (1995). A case of spontaneous EMDR in a child. EMDR Network Newsletter, 5(1), 8.
Language: English
Format: Newsletter
Abstract:
Clinicians trained in Eye Movement
Desensitization and Reprocessing
(EMDR) are well aware of the often
cited report of Dr. Shapiro's discovery
of Eye Movement Desensitization. The
following is a brief account of an 8-
year-old male sexual abuse victim who
spontaneously discovered eye movement
desensitization.
Keywords: Children
Accuracy Verified: Yes
42. Groenendijk, M. (2009). Casus 14 – Ik! Ben! Goed!: Een cliënte van 55 jaar met een dissociatieve identiteitsstoornis (DIS) [Case 14 - I! Am! Good!: A woman of 55 years with a dissociative identity disorder (DIS)]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 205-222). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_21.
Language: Dutch
Format: Book Section
Abstract:
Miranda is 55 jaar en getrouwd met Peter, garagehouder. Zij hebben twee volwassen kinderen (een zoon en een dochter) en twee kleinkinderen. Miranda woont in een klein dorp in het noorden van het land. Tot acht jaar geleden werkte ze als administratief medewerkster op een kantoor, maar zij kwam in de ziektewet wegens problemen op het werk en in haar huwelijk. Ze meldde zich aan voor behandeling en bij haar werd als diagnose gesteld: reactieve depressie en sociale fobie bij een persoonlijkheid met ontwijkende trekken. Na een ambulante start werd ze aangemeld voor klinische psychotherapie en gedurende deze opname kwam voor het eerst haar geschiedenis met ernstig seksueel misbruik ter sprake. Op de deeltijdbehandeling die daarop volgde, kreeg ze steeds meer last van dissociatieve klachten. Ook thuis namen deze klachten toe en kreeg ze woedeaanvallen. Ze ging's nachts geregeld zwerven. Ze werd heropgenomen en nu werd de diagnose DIS gesteld. In de kliniek werden in het kader van traumaverwerking enkele EMDR-sessies gedaan, maar dit had weinig resultaat. Miranda herinnert zich er nauwelijks iets van.
Miranda is 55 years and married to Peter, mechanic. They have two grown children (a son and a daughter) and two grandchildren. Miranda lives in a small village in the north of the country. Until eight years ago she worked as an administrative assistant at an office, but she was on sick leave due to problems at work and in her marriage. She signed up for treatment and was considered its diagnosis: reactive depression and social phobia with avoidant personality in a draw. After a patient start, she was signed up for clinical psychotherapy and during this recording first came her history with sexual abuse seriously discussed. On the day hospital treatment that followed, she was increasingly suffering from dissociative symptoms. Also took home these complaints, and she rages. She went regularly roam at night. She was re-recorded and now the diagnosis was made DIS. In the clinic under some EMDR trauma processing sessions done, but this had little effect. Miranda remembers hardly anything.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
43. Leuning, E. (2009). Casus 17 – ‘Dat met die jongen’: Autistische jongen van 16 dringt aan op behandeling seksueel trauma [Case 17 – "That with that boy": Autistic boy of 16 calls for treatment of his sexual trauma]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 251-258). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_25 .
Language: Dutch
Format: Book Section
Abstract:
Edwin werd op 13-jarige leeftijd opgenomen in de kinderkliniek van het Dr. Leo Kannerhuis (LKH) in verband met zijn stoornis in het autistisch spectrum. Na enkele jaren in de kinderkliniek wordt hij doorgeplaatst naar de jongerenkliniek waar hij, inmiddels 16 jaar oud, behandeling krijgt in een groep van zes adolescenten. Edwin is een jongen met een forse autistische stoornis, wat zich met name uit in een zeer vertraagde informatieverwerking, moeite met sociale contacten en gebrekkig sociaal inzicht. Daarnaast is er bij Edwin sprake van preoccupaties in het denken (steeds dezelfde herhalende gedachten). Edwin raakt snel overprikkeld wanneer hij te veel informatie krijgt of te veel sociale interacties moet verwerken. Hij raakt dan in de war en probeert weer grip te krijgen op zijn verwarring door verklaringen te zoeken. Door Edwins beperkte inzicht in de omgeving zijn deze verklaringen vaak niet conform de werkelijkheid en veroorzaken ze bij hem nog meer verwarring. In het verleden is er daardoor sprake geweest van prepsychoses. Verder is bekend dat Edwin op jonge leeftijd zeer waarschijnlijk te maken heeft gehad met seksueel misbruik door zijn vader. In een later stadium heeft een jongen seksuele handelingen verricht bij Edwin en moest hij bij hem seksuele handelingen verrichten.
Edwin was 13 years of age included in the pediatric clinic of the Dr.. Leo Kanner (LKH) associated with their disorder in the autistic spectrum. After several years in the children's clinic he will be transferred to the clinic for youth, now 16 years old, receives treatment in a group of six adolescents. Edwin is a boy with a strong autistic disorder, in particular in what was a very slow information processing, difficulty with social interaction and lack of social insight. In addition, when Edwin there concerns in mind (repeating the same thoughts). Edwin quickly become overexcited when he gets too much information or too much to handle social interactions. He then gets confused and tries to get a grip on his confusion by looking statements. By Edwin limited understanding of the environment, these statements are often inconsistent with the reality and cause them to him even more confusion. In the past there has therefore been prepsychoses. Edwin is also known that at a young age is very likely to have experienced sexual abuse by his father. At a later stage, a boy sexual acts performed with Edwin and he had to perform sexual acts with him.
Keywords: Autism Sexual Trauma
Accuracy Verified: Yes
44. Amen, D. G. (2003, September). Change your brain, change your life: Breakthrough information on seeing and healing the brain. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Utilizing the latest, most sophistcated brain imaging technology in medicine, physician and clinical neuroscientist Daniel Amen will give you an intimate look into a "working brain." Based on his brain imaging work with over
16,000 brain SPECT studies, Dr.Amen will teach you what specific parts of the brain do, and graphically show what happens when things go wrong, illustrated by many case stories and a number of the actual brain images. He
will correlate different brain patterns with specific feelings and behaviors, such as moodiness, irritability, conflict avoidance, worrying and temper outbursts, along with certain common psychiatric disorders such as depression,
attenton deficit disorder, anxiety, and substance abuse. In addition, there will be prescriptions for healing each part of the brain, including cognitive, behavioral, nutritional and medicinal strategies.
Accuracy Verified: Yes
45. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (p 159) Palermo.
Language: English
Format: Other
Abstract:
EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.
Keywords: EEG Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
46. Inoue, N., Nawa, J., Katoh, T., & Shirakawa, M. (2010, July). Changes in personality functioning over the course of eye movement desensitization and reprocessing trauma therapy: Findings on the early changes. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Objective: Although eye movement desensitization and reprocessing (EMDR) is said not only to reduce trauma-related
symptoms but also to enhance ability to function in life, its effectiveness in other than reducing trauma-related symptoms
has yet to be verified. The objective of this study was to explore the broad range of effectiveness of EMDR, especially changes
in the personality functioning during the early phase of treatment. Methods: Using the non-randomized design, we assessed
and compared the treatment changes in subjects treated with EMDR and subjects who participated in the psycho-education
course of trauma. Eligible subjects were adult women who experienced human-caused trauma such as domestic violence,
rape, or childhood abuse. The Rorschach Comprehensive System (CS) was used as the first outcome measure to evaluate
personality functioning, and self-report questionnaires and a clinical interview for trauma-related symptoms were used as
the secondary outcome measures. Subjects of both groups were assessed at the time of enrollment in the study and 4 months
after the enrollment. We completed the evaluation of 5 and 6 subjects in the EMDR and the control group, respectively.
Results: The CS index for self-esteem and self-concern was improved in the EMDR sample compared with the controls.
Women treated with EMDR showed increased openness to internal and external stimuli (assessed by CS F%), whereas some
women in the control group even developed a tendency to avoid internal and external stimuli after 4 months. Conclusion:
The differences of early changes in personality functioning between the EMDR group and the controls will be discussed in
detail.
Keywords: Changes in Personality Functioning Poster
Accuracy Verified: Yes
47. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.
Language: English
Format: Newsletter
Abstract:
Linda (not her real name) is a 40-
year-old professional woman whose
avocation is healing and who is proficient
in several of the touch therapies.
She has a Dissociative Disorder with
well-defined "parts," but she has not
experienced time loss. She is not on
medication and although she is often
depressed, she is able bfunction fairly
well most of the time. As a child, she
was emotionally and sexually abused
by her father for approximately ten
years. He is bedridden now, but she is
still subject to his verbal abuse when
she visits him once a week. He has
never acknowledged his abuse, nor
has she confronted him about it (although
she has told her mother). She
said she will not feel totally safe until
he is dead. We have had ten sessions
together. EMDR was used in most of
our sessions during which she processed
specific incidents of abuse that
were very traumatic for her. She
believes that she has many dissociated
infant and child parts-each of
whom hold a memory of one of the
abusive incidents she experienced.
Keywords: Cognitions
Accuracy Verified: Yes
48. Helen. (2011, February). Child abuse and voice hearing: Finding healing through EMDR. Psychosis, 3(1), 90-95 doi:10.1080/17522439.2010.542827.
Language: English
Format: Journal
Abstract:
Public education campaigns are needed to proclaim the right of children to be safe in their own homes and to encourage both abusers and victims to seek help. Broad-based discussion of this problem, its causes, its consequences and its remedies, would help lift the veil of secrecy and shame that surrounds the topic of sexual abuse within the family, preventing many individuals from seeking assistance. We therefore urge that all means, including the media, be used to raise public awareness about the need to end the sexual abuse of children, particularly within the family. (Rights of The Child: Sexual abuse of children within the family. Statement submitted by the Baha’i International Community to the Economic and Social Council of the United Nations, February 1998). (PsycINFO Database Record (c) 2011 APA, all rights reserved)
Keywords: Child Abuse Voice Hearing
Accuracy Verified: Yes
49. BBC. (2012, April 1). Childhood abuse victims given light therapy. BBC News. Retrieved from http://www.bbc.co.uk/news/uk-scotland-tayside-central-17893954 on 5/1/2012.
Language: English
Format: Newspaper
Abstract:
NHS [Ms] Forth Valley's head of behavioural psychotherapy, Therese McGoldrick, said victims of childhood sexual, physical and emotional abuse often found it difficult to speak about what they had suffered. [Excerpt]
Accuracy Verified: Yes
50. Monahan, K., & Forgash, C. (2012, March). Childhood sexual abuse and adult physical and dental health outcomes. In E. A. Kalfoğlu & R. Faikoglu (Eds.), Sexual Abuse - Breaking the Silence (pp. 137-152). Intechopen.
Language: English
Format: Book Section
Abstract:
Along the same lines, evidence-based assessment and interventions must be in line with the
finding of how significant the subjective impressions of sexual assault are for incarcerated
older adults in treatment. A promising intervention that is being piloted in the criminal
justice system with younger age groups is Eye Movement Desensitization and Reprocessing
(EMDR). EMDR specifically targets change in subjective units of distress among trauma
survivors, particularly sexual abuse survivors, which in turn reduces post traumatic stress
symptoms (Kitchiner, 2000). Moreover, previous research with incarcerated juvenile
offenders shows that EMDR can work in reducing post traumatic stress reactivity resulting
in less violent behavior and conduct problems among samples. Its utility for older adults,
especially those with histories of sexual assault victimization and perpetration is perhaps a
promising intervention. The use of evidence-based practices suggests that untreated trauma
and grief are related to increased adult recidivism rates (Leach et al., 2008). Therefore,
treating psychological distress and untreated symptoms effectively, which involves both
screening and treatment that captures subjective experiences, may help to break the cycle of
recidivism and in some case sexual offending. [Excerpt]
Keywords: Dental Health Physical Health
Accuracy Verified: Yes
51. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract]
Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]
Keywords: Adults Neglect Sexual Abuse Survivors
Accuracy Verified: Yes
52. Leeds, A. M., & Korn, D. L. (1998, October). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at The Menninger Clinic, Topeka, KS.
Language: English
Format: Other
Keywords: Abuse Adult Neglect Survivors
Accuracy Verified: Yes
53. Korn, D. (2001, June). Clinical applications of EMDR in treating adult survivors of childhood abuse and neglect. Preconference presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will focus on integrating EMDR into a phase-oriented recovery plan in treating adult survivors of childhood abuse and neglect. EMDR applications with the full range of trauma-related syndromes, including simple and complex PTSD, Borderline Personality Disorder and Dissociative Disorders, will be addressed. Treatment planning and pacing will be discussed in view of presenting problem, attachment style, defenses, and self-capacities. In recognition of clients' rigid, maladaptive schemas, poor impulse control, dissociative tendencies and limited affect tolerance, strategies for modifying and supplementing standard EMDR protocols will be explored, Significant attention will be devoted to integratring EMDR ego strengthening and resource development protocols into all phases of treatment.
Keywords: Borderline Personality Disorder Child Abuse Dissociative Disorders Ego Strengthening Neglect Posttraumatic Stress Disorder PSTD Resource Development
Accuracy Verified: Yes
54. Korn, D. (1997, July). Clinical applications of EMDR in treating survivors of sexual abuse. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse Survivors
Accuracy Verified: Yes
55. Korn, D. (1996, June). Clinical applications of EMDR in treating survivors of sexual abuse. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
No abstract available.
Keywords: Sexual Abuse Survivors
Accuracy Verified: Yes
56. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]
Keywords: Adults Anaphylactic Shock Case Report CBT Child Abuse Choking Phobia Cognitive Behaviorial Therapy Eating Disorders Females Phobia Spouse Abuse Survivors
Accuracy Verified: Yes
57. Keane, T. (1999, November). Cognitive behavior therapy: Different approaches to different trauma populations. In R. Bryant (Chair), Symposium Intervention Research, International Society for Traumatic Stress Studies, Miami, FL .
Language: English
Format: Conference
Abstract:
This symposium presents recent findings of treatment outcome
studies that have applied cognitive behavior therapy to a variety of
trauma populations. Edna Foa presents data on her study that
compares prolonged exposure (PE), prolonged exposure combined
with cognitive restructuring (PE/CR), and a wait-list control for
assault vcitims with PTSD. Initial data suggests that PE and
PE/CR show comparably superior benefits in treating PTSD.
Annmarie McDonagh-Coyle presents data on a major treatment
study of childhood sexual abuse survivors with PTSD. This study
compares CBT with Present Centered Therapy and a wait-list control
condition. Initial findings point to similar improvements in
CBT and PCT groups relative to controls. Claude Chemtob presents
data on a community-based study of disaster-affected children
who were provided with either indiviudal or group treatment
that involved four sessions. At one-year follow-up, 32 children who
were still symptomatic were provided with exposure-based therapy
that included EMDR. Intervention resulted in symptom reduction
and reduced utilization of health resources. Richard Bryant presents
preliminary findings of a treatment study of acute stress disorder,
which compares CBT, CBT+Hypnosis, and supportive
counseling. Initial findings indicate that whereas CBT and
CBT+Hypnosis are comparably more effective in preventing
PTSD than supporitve counseling, hypnosis is associated with
greater reductions in anxiety. As Discussant, Terry Keane integrates
these diverse studies in terms of their procedural differences,
conceptual overlap, and directions for more emprically
based treatments of traumatic stress.
Keywords: CBT Cognitive Behavior Therapy Symposium Trauma
Accuracy Verified: Yes
58. Capps, F. (2006, January). Combining eye movement desensitization and reprocessing with Gestalt techniques in couples counseling. Family Journal, 14(1), 49-58. doi:10.1177/1066480705282055.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is gaining acceptance as efficacious treatment for PTSD for individuals but not for couples. This article reports three case studies of couples in which EMDR is combined with Gestalt therapy in a single session to resolve relational trauma effects, increase empathy and awareness in the supportive partner, and deepen intimacy within the couple. Case studies are described, and implications for research and clinical applications are discussed. [Author Abstract]
Keywords: Adults Americans Couples Therapy Family Therapy Gestalt Therapy Nonclinical Case Study Qualitative Study Perpetrators Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Spouse Abuse Survivors Trauma
Accuracy Verified: Yes
59. Davis, N. (1998, July). Combining visual imagery and EMDR to treat traumatic symptoms of rape, child abuse, and sudden loss of a loved one. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) how to use visual imagery are a part of EMDR with rape victims who are terrified of their rapist; 2) how to use visual imagery as a part of EMDR with adults, adoelscents, and children who have been abused as a way of empowering them; and 3) how to implant a positive memory of a loved one who died suddenly once EMDR has eliminated the negative flashbacks or images associated wth death.
Keywords: Child Abuse Loss Rape Visual Imagery
Accuracy Verified: Yes
60. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
61. Jaberghaderi, N., Dolatabadi, S., Zand, S. O., Greenwald, R., & Rubin, A. (2002, June). A comparison of CBT and EMDR for sexually abused girls in Iran. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Keywords: CBT Cognitive Behaviorial Therapy Iran Poster Sexual Abuse
Accuracy Verified: Yes
62. Jaberghaderi, N., Greenwald, R., Rubin, A., Zand, S. O., & Dolatabadim, S. (2004, September-October). A comparison of CBT and EMDR for sexually abused Iranian girls. Clinical Psychology and Psychotherapy, 11(5), 358-368. doi:10.1002/cpp.395.
Language: English
Format: Journal
Abstract:
14 randomly assigned Iranian girls ages 12-13 years who had been sexually abused received up to 12 sessions of CBT or EMDR treatment. Assessment of post-traumatic stress symptoms and problem behaviours was completed at pre-treatment and 2 weeks post-treatment. Both treatments showed large effect sizes on the post-traumatic symptom outcomes, and a medium effect size on the behaviour outcome, all statistically significant. A non-significant trend on self-reported post-traumatic stress symptoms favoured EMDR over CBT. Treatment efficiency was calculated by dividing change scores by number of sessions; EMDR was significantly more efficient, with large effect sizes on each outcome. Limitations include small N, single therapist for each treatment condition, no independent verification of treatment fidelity, and no long-term follow-up. These findings suggest that both CBT and EMDR can help girls to recover from the effects of sexual abuse, and that structured trauma treatments can be applied to children in Iran. [Author Abstract]
Keywords: Brief Psychotherapy CBT Child Abuse Cogntiive Behavorial Therapy Cognitive Therapy Elementary School Students Empirical Study Females Incest Iranians Manual-Based Treatments Posttraumatic Stress Disorder Preadolescents PTSD Quantitative Study Rape Random Clinical Trial RCT Survivors Treatment Effectiveness
Accuracy Verified: Yes
63. Jaberghaderi, N., Greenwald, R., Rubin, A., Dolatabadi, S., & Zand, S. O. (2002, November). A comparison of CBT and EMDR for sexually abused Iranian girls. Poster presented at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Fourteen randomly assigned Iranian girls ages 12-13 who had been sexually
abused received up to 12 sessions of CBT or EMDR treatment.Assessment
of post-traumatic stress symptoms and problem behaviors were completed
at pre-treatment and 2 weeks post-treatment. Both treatments showed very
large effect sizes on the post-traumatic symptom outcomes, and a modest
effect size on the behavior outcome, all statistically significant. A non-significant
trend on self-reported post-traumatic stress symptoms favored EMDR
over CBT.Treatment efficiency was calculated by dividing effect size by number
of sessions; EMDR was significantly more efficient. Limitations include small
N, single therapist for each treatment condition, and lack of long-term followup.
These findings suggest that both CBT and EMDR can help girls to recover
from the effects of sexual abuse, and that structured trauma treatments can
be applied to children in other cultures.
Keywords: CBT Cognitive Behavioral Therapy Girls Iran Poster Sexual Abuse
Accuracy Verified: Yes
64. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]
Keywords: Adults Arousal Child Abuse Exposure Therapy Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
65. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.
Language: English
Format: Journal
Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment.
Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.
Keywords: Iran Sexual Abuse SIT Stress Inocculation Training
Accuracy Verified: Yes
66. Kluft, R. P. (1995,December). The confirmation and disconfirmation of memories of abuse in DID patients: A naturalistic clinical study. Dissociation, 8(4), 253-258.
Language: English
Format: Journal
Abstract:
The charts of 34 dissociative identity disorder (DID) patients in treatment with the author were reviewed for instances of the confirmation
or disconfirmation of recalled episodes of abuse occurring naturalistically in the course of their psychotherapies. Nineteen, or 56 %, had instances of the confirmation of recalled abuses . Ten of the 19, or 53 %, had always recalled the abuses that were ronfirrned. However, 13 of the 19, or 68%, obtained documentation . of events that were recovered in the course of therapy, usually with the use of hypnosis. Three patients, or 9%, had instances in which the inaccuracy of their recollection could be demonstrated. The forgetting oftraumatic
experiences, their reasonably accurate recovery in treatment, and the formation of pseudomemories in clinical populations were all documented in this study . This suggests that stances that are either extremely credulous of retrieved recollections or extremely skeptical of
retrieved recollections are inconsistent with clinical data, and therefore are not constructive influences on the contemporary scientifi c
study of trauma and memory. [Author Abstract]
Keywords: Abuse DID Dissociative Identity Disorder Memories
Accuracy Verified: Yes
67. Hase, M. (2009). CravEx: An EMDR approach to treat substance abuse and addiction. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 467-488). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Addiction CravEx Protocol Substance Abuse
Accuracy Verified: Yes
68. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco, CA: 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
69. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation
Accuracy Verified: Yes
70. Stowasser, J., Brown, S., & Zabukovec, J. (2011, August). The crucible of trauma: Domestic violence, substance abuse, and the military. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Untreated trauma and PTSD are believed to underlie substance abuse (SA) and domestic violence (DV). Some military personnel attempt to manage their PTSD with the use of DV tactics and SA, causing harm to themselves and others. Workshop participants will be able to broadly define DV, the Cycle of Violence and The Apology, and adapt them for use with EMDR; screen for substance abuse, conceptualize cases and plan treatment; understand how military experience contributes to post-traumatic stress including DV and SA; and dovetail this knowledge into the EMDR Model as an integrated, phased, trauma treatment approach.
Keywords: Apology Cycle of Violence Domestic Violence Military Substance Abuse
Accuracy Verified: Yes
71. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the
second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were
generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading
textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in
the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years,
it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of
different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included
in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive
behaviors, problems with close relations and an impairment in the capacity to experience pleasure,
satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than
being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur
depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social
support received and the duration of the traumatic experience(s).
Keywords: Psychobiology
Accuracy Verified: Yes
72. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro.
Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato.
Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite.
In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.
The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.
Accuracy Verified: Yes
73. Scharwachter, P. (2001). De behandeling van een vrouw met meermalige traumatisering in één zitting met emdr Behandeling meermalige traumatisering [The treatment of a woman with multiple trauma with EMDR treatment session in a multiple trauma]. Directieve Therapie, 21(3), 210-218. doi:10.1007/BF03060258.
Language: Dutch
Format: Journal
Abstract:
In de literatuur over Eye Movement Desensitization and Reprocessing (emdr ) wordt bericht dat een succesvolle traumabehandeling in één therapiezitting mogelijk is. Dit geldt met name voor eenmalige traumatisering. Dit artikel belicht een succesvolle traumabehandeling met emdr, in één zitting van anderhalf uur, bij een vrouw die in haar adolescentie herhaaldelijk seksueel is misbruikt. Bij de twee follow-ups na twee weken en zes maanden bleven de behandelingsresultaten gehandhaafd.
The literature on Eye Movement Desensitization and Reprocessing (EMDR) is reported that a successful trauma treatment in a therapy session is possible. This is particularly true for single traumatization. This article highlights a successful EMDR trauma treatment, within a half hour session, a woman who repeatedly sexually abused her adolescence. In two follow-ups after two weeks and six months the treatment results were maintained.
Keywords: Case Study Sexual Abuse
Accuracy Verified: Yes
74. van der Vleugel, B. (2013, April). De behandeling van PTSS bij mensen met een psychotische stoornis [The treatment of PTSD in people with a psychotic disorder]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Trauma is een risicofactor voor het ontwikkelen van psychose. Het hebben van een ernstige psychiatrische aandoening verhoogt de kans op het ontwikkelen van een co-morbide posttraumatische stress stoornis. Desondanks wordt een co-morbide PTSS zelden gediagnostiseerd en wanneer dit wél gebeurt is behandeling van deze PTSS bepaald niet vanzelfsprekend. Behandelaren vrezen vaak dat het openlijk bespreken van traumatische levenservaringen zal leiden tot decompensatie, heropname, middelenmisbruik, zelfbeschadigend gedrag en / of suïcidaliteit. Ondertussen werken de PTSS klachten als olie op het vuur van de psychose.
Omdat mensen met psychotische klachten over het algemeen werden uitgesloten van deelname aan onderzoek naar de effecten van PTSS behandeling was lang niet bekend of psychologische behandeling conform de Richtlijn Angststoornissen ook bij deze populatie veilig en effectief is. Hier begint verandering in te komen.
In deze presentatie komen achtereenvolgens aan bod:
- De resultaten van een pilot onderzoek naar de effecten van EMDR bij mensen met een psychotische stoornis en een co-morbide PTSS (Van den Berg & Van der Gaag, 2012).
- De resultaten van een gecontroleerde multiple baseline study naar de effecten van EMDR en Prolonged Exposure bij mensen met een psychotische stoornis en een comorbide PTSS (De Bont, Van Minnen & De Jongh, submitted).
- De opzet en eerste bevindingen van het onderzoeksproject Treating Trauma in Psychosis (T.TIP), een multicenter RCT naar de behandeling van PTSS bij mensen met een psychotische Trauma is a risk factor for the development of psychosis. Having a severe psychiatric condition increases the chance of the development of a co-morbid post-traumatic stress disorder. Nevertheless, a co-morbid PTSD rarely diagnosed and when this happens, treatment of these PTSD determined not obvious. Clinicians often fear that openly discussing traumatic life experiences will lead to decompensation, reuptake, substance abuse, self-injurious behavior and / or suicidality. Meanwhile, the PTSD symptoms as fuel to the fire of the psychosis.
Because people with psychotic symptoms were generally excluded from research into the effects of PTSD treatment was long unknown or psychological treatment in accordance with Directive Anxiety disorders also in this population safely and effective. Here begins to be changing.
This presentation will subsequently be discussed:
- The results of a pilot study on the effects of EMDR in people with a psychotic disorder and comorbid PTSD (Van den Berg and Van der Gaag, 2012) .
- The results of a controlled multiple baseline study on the effects of EMDR and Prolonged Exposure to people with a psychotic disorder and comorbid PTSD (De Bont, Van Minnen & De Jongh, submitted).
- The design and initial findings of the research Treating Trauma in Psychosis (T.TIP), a multicenter RCT on the treatment of PTSD in people with a psychotic disorder (De Bont et al, submittedstoornis (De Bont et al., submitted).
Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders
Accuracy Verified: Yes
75. Reno, J. (2010, October 14). Debate rages on how to treat PTSD, the signature wound of this war. Home Post, The Military in San Diego.
Language: English
Format: Newspaper
Abstract:
While it’s invisible to the naked eye, post-traumatic stress disorder (PTSD) has become the signature wound of the fighting in Iraq and Afghanistan and has already had a negative impact on hundreds of thousands of American soldiers and their families.
Keywords: Afghanistan Depression Dr. Adrienne McFadd Drug Abuse Homelessness Iraq Life in the Military Matthew Kiernan Michael Schindler Newsweek Posttraumatic Stress Disorder PTSD San Diego Spouses & Families Suicide VA Secretary Eric Shinseki Veterans Veterans Administration War Virtual Reality
Accuracy Verified: Yes
76. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
77. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.
Language: English
Format: Newsletter
Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of
working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation
stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but
do not have a dissociative disorder
Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as
symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people
with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual
abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as
earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the
dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life.
The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily
triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and
place, and so forth.)
Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find
stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated
trauma memories and the PTSD symptoms.
We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a
major survival strategy, but to help the client utilize it with conscious control.
It is important to note that attachment issues are an aspect of development that are especially impacted by trauma.
The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the
client's resources and responses to trauma.
One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These
approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating
these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure
to the trauma processing experiences for these clients.
Keywords: Ego State Therapy
Accuracy Verified: Yes
78. 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
79. Popky, A. J. (2009). The desensitization of triggers and urge reprocessing (DeTUR) protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 489-511). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Addiction Protocol Substance Abuse Triggers Urge
Accuracy Verified: Yes
80. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Inhoud van de workshop: Dissociatie
en trauma zijn nauw met elkaar verbonden.
Dissociatieve stoornissen worden toch vaak niet
herkend en dissociatieve stoornissen bij kinderen
gelden als controversieel. Kinder- en jeugdpsychiaters
leren in de opleiding weinig over dissociatieve
stoornissen.
In de workshop wordt aandacht besteed aan
het herkennen van dissociatieve stoornissen bij
(seksueel) getraumatiseerde kinderen en aan de
behandeling ervan, geïntegreerd in de traumabehandeling.
Ernstig getraumatiseerde kinderen
hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een
goede traumabehandeling. We bespreken de
internationale richtlijnen en recente literatuur
over diagnostiek en behandeling van dissociatieve
stoornissen bij kinderen. Neurobiologische aspecten
van vroegkinderlijke traumatisering en de
gevolgen hiervan voor het kind worden behandeld.
Verschillende behandelmethoden zoals eye
movement desensitisation and reprocessing (EMDR) en
differentiatiefasetherapie worden besproken.
Vorm:
—— Aan de hand van presentaties worden de theorie
en de praktijk van de diagnostiek en het behandelen
van dissociatieve stoornissen bij kinderen
en jeugdigen besproken.
—— We tonen beeldmateriaal van diagnostiek en
behandeling van dissociatieve stoornissen bij
kinderen en jeugdigen.
—— Uitwisselen van ervaring en kennis, inbrengen
van casuïstiek en discussie.
Leerdoel:
—— Aan het einde van de workshop erkent de deelnemer
het belang van herkennen en behandelen
van dissociatieve stoornissen bij getraumatiseerde
kinderen en jeugdigen.
—— De deelnemer vergroot zijn kennis van diagnostiek
en behandeling van dissociatieve stoornissen
van kinderen en jeugdigen, waarbij hij op de
hoogte is van de recente literatuur.
stressstoornis (PTSS) en hechtingsstoornis.
Dissociatieve problematiek kan ook verward
worden met onder meer obsessieve-compulsieve
stoornissen (ODD), aandachtstekortstoornis met
hyperactiviteit (ADHD) en vele andere kinderpsychiatrische
stoornissen en zo het resultaat van
therapieën bemoeilijken. Wij gaan er daarom vanuit
dat herkennen en behandelen van dissociatieve.
Contents of the workshop: Dissociation
and trauma are closely linked.
Dissociative disorders are often not yet
recognized and dissociative disorders in children
construed as controversial. Child and adolescent psychiatrists
learning in the training little dissociative
disorders.
The workshop focuses on
recognition of dissociative disorders
(Sexual) traumatized children and the
its treatment, integrated into the trauma treatment.
Severely traumatized children
often have multiple diagnoses, such as post traumatic stress is essential for the success of a
good trauma treatment. We discuss the
International guidelines and recent literature
about diagnosis and treatment of dissociative
disorders in children. Neurobiological Aspects
of early childhood trauma and
consequences for the child to be treated.
Various treatments such as eye
Movement Desensitisation and Reprocessing (EMDR) and
phase modulation therapy are discussed.
Form:
- Based on the theory presentations
and practice of diagnosis and treatment
of dissociative disorders in children
and adolescents are discussed.
- We show footage of diagnosis and
treatment of dissociative disorders
children and adolescents.
- Share the experience and knowledge, contribute
of cases and discussion.
Objective:
- At the end of the workshop, the participant acknowledges
the importance of recognizing and treating
of dissociative disorders among traumatized
children and adolescents.
- Participants increased their knowledge of diagnosis
and treatment of dissociative disorders
of children and youth, taking on the
aware of the recent literature.
stress disorder (PTSD) and attachment disorder.
Dissociative problem can also confused
are including obsessive-compulsive
disorder (ODD), attention deficit
hyperactivity disorder (ADHD) and many other children's psychiatric
disorders and as a result of
therapies difficult. We therefore assume
that recognition and treatment of dissociative.
Keywords: Adolescents Children Dissociative Disorders Sexual Abuse
Accuracy Verified: Yes
81. Lovelle, C. (2008, February). Dialectical behavioral therapy and EMDR for adolescents in residential treatment: A practical and theoretical perspective. Residential Treatment For Children and Youth, 23(1&2), 27–43. doi:10.1300/J007v23n01_03.
Language: English
Format: Journal
Abstract:
DBT and EMDR as primary treatment methods provide effective treatment for adolescents in the setting of group residential facilities. Regardless of the intensity of the pathology or the length of stay, these compatible treatment methods provide adolescents with significant decreases in the impact of traumatic memories and increased emotional regulation skills. The methods have been empirically supported as effective in a variety of settings and with a diversity of age groups. They are well suited for use in a residential environment and can constitute a powerful, effective method for dealing with Post Traumatic Stress Disorder, Bipolar Disorder, Major Depression, Anxiety Disorders, Substance Abuse, and other disorders.
Keywords: Adolescent Residential Treatment DBT Dialectical Behavior Therapy Trauma
Accuracy Verified: Yes
82. Forgash, C. (2010, September/October). Dissociation in the dental chair: Implications for the EMDR treatment of health issues. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR treatment is effective in dealing with many health problems (exacerbated by dissociation)encountered by many complex trauma clients. The negative sequelae of abuse on the physical and mental health of these clients includes flashbacks and dissociative episodes. They are frequently avoidant of health care, which can lead to further consequences. This presentation will focus on expanding the EMDR Preparation Phase; presenting strategies to deal with dissociation, emotional issues, and PTSD symptoms. The Desensitization and Reprocessing Phase will deal with earlier traumatic events, health issues and current and past dissociative events which are frequently at the root of these problems.
Keywords: Dissociation Health Issues
Accuracy Verified: Yes
83. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.
Language: English
Format: Magazine
Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
84. Winner, K. (1997, July). Divorced from justice: The abuse of women and children by divorce lawyers and judges. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Abuse Children Divorce Lawyers Judges
Accuracy Verified: Yes
85. Lockhart, S. (2009, June 16). Do the eyes have it?. Psychology Today.
Language: English
Format: Magazine
Abstract:
A few years ago, my friend Ally, who had a somewhat unwarranted confidence in my knowledge of Things Psychological, asked if I knew anything about EMDR; she had suffered some severe childhood trauma, and was thinking of trying it. "EMDR?" I asked, "Is that a new street drug?" I guess that showed her what I knew. She explained that her therapist had suggested this relatively new technique, Eye Movement Desensitization and Reprocessing, that had been shown to ease symptoms of Post Traumatic Stress Disorder (PTSD) in soldiers and rape victims. From what she understood, the therapist would help her to focus on her devastating memories of childhood abuse while directing her eyes to twitch rapidly from side to side. This, according to her shrink, would help her to better "process" her memories. "Sounds like hypnotism," I expertly analyzed. "Who knows, maybe it will work." More recently, when I wrote here about the neurobiological advantages of emotionally "finding a safe place," several readers also wrote in to ask me about EMDR. Now I understand why people want an expert opinion (and I'm no expert, by the way): a heap of controversy surrounds this popular technique.
Accuracy Verified: Yes
86. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.
Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse
Accuracy Verified: Yes
87. Kleinman, M., & Kleinman, M. (1998, July). The dynamics of family violence: Its impact on women and children: Using EMDR to treat victims and perpetrators. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the subtleties and complexities of abusive relationships; 2) be able to assess children for subtle signs of abuse and coercion, including brainwashing; 3) be taken through a case of successful treatment of a perpetrator; 4) be able to employ EMDR with victims of domestic vilence to "unhook" them from a controlling partner; 5) know the strategic points to address therapeutically with children growing up in these families and how to use EMDR to process past trauma and to restore self esteem; 6) better understand what makes an abuser "tick" and to assess whether or not to use EMDR with perpetrators; and 7) gain a fuller understanding of domestic violence.
Keywords: Brainwashing Children Domestic Violence Family Violence Perpetrators Victims Women
Accuracy Verified: Yes
88. de Jongh, A., & ten Broeke, E. (1993). Een nieuwe behandelingsmethode voor angst en trauma's: ‘Eye movement desensitization and reprocessing’ [A new treatment for anxiety and trauma: Eye movement desensitization and reprocessing]. Directieve Therapie, 13(2), 78-83. doi:10.1007/BF03060028 .
Language: Dutch
Format: Magazine
Abstract:
In deze bijdrage wordt een beschrijving gegeven van de achtergronden en principes van ‘Eye movement
desensitization and reprocessing’ ( EMDR), een recente ontwikkeling op het gebied van de psychotherapie. Deze
procedure wordt gepresenteerd als een snelle en effectieve behandelmethode voor aan angst gerelateerde klachten,
waaronder posttraumatische stress-stoornissen. Een belangrijk onderdeel van EMDR is dat de therapeut bij de cliënt
een aantal snelle en ritmische oogbewegingen uitlokt door hem te vragen zijn vinger te volgen, terwijl de cliënt een
beeld van de traumatische herinnering in gedachten houdt. Dit zou resulteren in cognitieve veranderingen en een
langdurige vermindering van angst, alsmede een verdwijnen van terugkerende herinneringen en indringende
gedachten. Zoals naar voren komt uit onderzoek en twee gepresenteerde gevalsbeschrijvingen (een geval van
extreme angst voor de tandheelkundige behandeling en een geval van seksueel misbruik), kan EMDR reeds effectief
zijn in slechts één zitting. Het artikel sluit af met evaluatieve opmerkingen en aanbevelingen met betrekking tot het
gebruik van deze behandelingsmethode in de praktijk.
In this article describes the background and principles of "Eye movement
desensitization and reprocessing "(EMDR), a recent development in the field of psychotherapy. This
procedure is presented as a rapid and effective treatment for anxiety-related symptoms,
including post-traumatic stress disorder. EMDR is an important part of the therapist to the client
a number of rapid and rhythmic eye movements provokes him by asking his finger to follow, while a client
image of the traumatic memory in mind. This would result in cognitive changes and a
lasting reduction of anxiety and a loss of recurrent and intrusive recollections
thoughts. As emerges from two studies and presented case studies (one case
extreme fear of dental treatment and one case of sexual abuse), EMDR can already effectively
in only one session. The article concludes with evaluative comments and recommendations regarding the
using this treatment method in practice.
Accuracy Verified: Yes
89. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.
Language: English
Format: Dissertation/Thesis
Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.
Keywords: Brain Stimulation Drug Abuse Drug Rehabilitation Empirical Study Military Veterans Relaxation Therapy Self Efficacy Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
90. Kruse, M. J. (2011, June). The effect of energy psychology on rates of relapse and recidivism for substance abuse offenders in a community correction setting. The University of the Rockies, Colorado Springs, CO. AAI3460565.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation was a study of a community corrections program which incorporated adjunct Energy Psychology Therapies for Substance Abuse Offenders (SAOs), who were transitioning back into community. Rates of relapse and recidivism were compared, upon success/failure to complete drug and alcohol treatment. When Energy Psychology therapies were added, assisting offenders in resolving underlying trauma issues, there were significance differences between groups. The Choices Program used brief therapies including: Eye Movement Desensitization and Reprocessing, Thought Field Therapy, Emotional Freedom Techniques, (EMDR, TFT, EFT) along with group and individual classes/sessions to relieve underlying trauma symptoms. The results indicated that people who chose to resolve underlying trauma achieved more successful treatment outcomes, thereby lowering rates of relapse and recidivism significantly.
Keywords: Community Corrections EFT motional Freedom Techniques Energy Psychology Offenders Eye Movement Social Sciences Substance Abuse Trauma
Accuracy Verified: Yes
91. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.
Language: English
Format: Dissertation/Thesis
Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.
Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness
Accuracy Verified: Yes
92. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology, Los Angeles, CA. AAT 9531596.
Language: English
Format: Dissertation/Thesis
Abstract:
The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854
Keywords: Adults Americans Battery Empirical Study Follow-up Study Females Posttraumatic Stress DIsorder PTSD Spouse Abuse Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
93. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
94. Ueda, E., Yamanishi, K., & Fukui, Y. (2010, July). The effective way of controlling of habitual scratching on atopic dermatitis patients with social stress by using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
This study aims to cure refractory atopic dermatitis (AD) patients, by using EMDR, who severely suffer from habitual scratching
that may derive from their unbearable social stress. The prevalence of AD is 13.2% in 3 year-old children and 8.2% among 1st
grade university students in Japan, according to a Ministry of Health, Labour and Welfare study, 2000 to 2002. The patients
with AD have been increasing in the past 20 years. Among these patients, 20% have more than moderate severity, and within
this group, some of the patients have chronic and refractory conditions with some psychosomatic factors. So far a great deal
of effort has been made to care those patients, however, there are still quite some patients who are distressed with their
difficult state of condition. We then focus on treatment of controlling habitual scratching of AD patients that may generally
derive from personal friction or social stress. We obtained fairly significant results with EMDR on which these patients came
to be able to control themselves, reduce their scratching, and also enhance their self-efficacy. These results suggested that
EMDR were useful for controlling the habitual scratching from stress of traumatic memory such as child abuse, bullying of
tragedy and effective for refractory AD patients.
Keywords: Atopic Dermatitis Habitual Stress Scratching
Accuracy Verified: Yes
95. Edmond, T. E., Rubin, A., & Wambach, K. G. (1999, June). The effectiveness of EMDR with adult female survivors of childhood sexual abuse. Social Work Research, 23(2), 103-116. doi:10.1093/swr/23.2.103.
Language: English
Format: Journal
Abstract:
A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse. 59 women were assigned randomly to one of three groups: (1) individual EMDR treatment (six sessions); (2) routine individual treatment (six sessions); or (3) delayed treatment control group. A MANOVA was statistically significant at both posttest and follow-up. In univariate ANOVAs for each of four standardized outcome measures EMDR group members scored significantly better than controls at posttest. In a three-month follow-up, EMDR participants scored significantly better than routine individual treatment participants on two of the four measures, with large effect sizes suggestive of clinical significance. [Author Abstract]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Empirical Study Females Follow-up Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Self Efficacy Survivors Treatment Effectiveness
Accuracy Verified: Yes
96. Edmond, T., & Rubin, A. (2006, June). Effectividad de EMDR en supervivientes adultas de abuso sexual en la infancia [Efficacy of EMDR in adult survivors of childhood sexual abuse]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: Spanish
Format: Conference
Keywords: Efficacy Sexual Abuse
Accuracy Verified: Yes
97. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.
Language: English
Format: Dissertation/Thesis
Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.
Accuracy Verified: Yes
98. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.
Language: English
Format: Dissertation/Thesis
Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]
Keywords: Conduct Problems Protective Services Psychotherapeutic Techniques Trauma Treatment Outcome Youth
Accuracy Verified: Yes
99. Hensel, T. (2005, September). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Jahrestagung der deutschsprachigen gesellschaft für psychotraumatologie DeGPT, Dresden .
Language: German
Format: Conference
Abstract: EMDR ist als ein effektives und ökonomisches Verfahren zur Behandlung von chronischer PTBS bei Erwachsenen anerkannt. Dieses Poster verdeutlicht die Effektivität von EMDR bei psychisch traumatisierten Kindern und Jugendlichen. Die kontrollierten Studien sind inhaltlich und in ihrer methodologischen Güte beschrieben und ausgewertet worden. Es sind sowohl singulär traumatisierte Kinder und Jugendliche nach einer Naturkatastrophe bzw. einer Explosion, wie auch sequentiell traumatisierte Kinder und Jugendliche mit sexuellem Missbrauch und Gewalterfahrungen behandelt worden. Alle Studien weisen EMDR als hoch effektiv aus. Dies gilt gleichermaßen für die Reduktion der PTB wie auch der komorbiden Symptome (Depression, Angst). Bemerkenswert ist, dass in den beiden Behandlungsvergleichen mit bewährten kognitiv-behavioralen Verfahren EMDR bei gleicher Effektivität signifikant effizienter war. Dies repliziert Ergebnisse aus dem Erwachsenenbereich (van Etten & Taylor, 1998). Obwohl die geringe Anzahl an Studien die Generalisierbarkeit der Ergebnisse einschränkt, scheint EMDR über alle untersuchten Alterstufen hinweg ein einheitliches Wirkprofil vorzuweisen.[Author abstract]
EMDR is recognized as an effective and economical method for the treatment of chronic PTSD in adults. This poster illustrates the effectiveness of EMDR with psychologically traumatized children and adolescents. Controlled studies are described and evaluated in terms of content and its methodological quality and has been. They are both singular traumatized children and adolescents after a natural disaster or an explosion, as well as sequentially traumatized children and adolescents treated with sexual abuse and violence. All the studies point out EMDR to be highly effective. This applies equally to the reduction of the PTB as well as the comorbid symptoms (depression), anxiety. It is noteworthy that cognitively in the two treatment comparisons with best-behavioral procedures with the same effectiveness of EMDR was significantly more efficient. This replicates results from the adult participants (Van Etten & Taylor, 1998). Although the small number of studies limits the generalizability of the results, it seems EMDR track record across all age groups studied a single-action profile. [Author abstract].
Keywords: Adolescents Children Poster Trauma
Accuracy Verified: Yes
100. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]
Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness
Accuracy Verified: Yes
101. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.
Language: English
Format: Journal
Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]
Keywords: Americans Anxiety Combat Incest Memories Molestation Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Trauma Veterans Vietnam War
Accuracy Verified: Yes
102. Stapleton, J. A., Taylor, S., & Asmundson, G. J. G. (2007, Spring). Efficacy of various treatments for PTSD in battered women: Case studies. Journal of Cognitive Psychotherapy, 21(1), 91-102. doi:10.1891/088983907780493287.
Language: English
Format: Journal
Abstract:
Spousal abuse and other forms of domestic violence can lead to PTSD. Little is known about how to best treat this form of PTSD. The current case series, based on data collected as part of a larger clinical trial, was designed to evaluate the effectiveness of exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), or relaxation therapy. 3 women with battered-spouse-related PTSD were assigned to one of these treatments. The patient receiving exposure responded well to treatment and no longer met the criteria for PTSD at post-treatment or at 3-month follow-up. The battered women in the other two conditions continued to meet the criteria for PTSD at post-treatment and at follow-up. The patterns of treatment response were similar to those experienced by individuals with other forms of PTSD (N = 42) examined in the larger trial. The results of these case studies encourage further studies of exposure therapy for battered-spouse-related PTSD. [Author Abstract]
Keywords: Adults Battered Women Canadians Exposure Therapy Domestic Violence Empirical Study Females Follow-Up Study Posttraumatic Stress Disorder PSTD Quantitative Study Relaxation Training Spouse Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
103. Cruz, M. R. (2010, Octubre/Noviembre). Eficácia del EMDR como técnica terapêutica en mujeres que presentan depresion por abuso sexual, que acuden al Hospital Cantonal de Sangolqui a consulta externa en el año 2007 [Effectiveness of EMDR as a therapeutic technique in women with depression, sexual abuse, who come to the Cantonal Hospital in outpatient Sangolqui in 2007]. Presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Keywords: Cantonal Hospital Depression Sangolqui Sexual Abuse Women
Accuracy Verified: Yes
104. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .
Language: German
Format: Journal
Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren.
In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen.
Epidemiologie
Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit.
Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein.
Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.
Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose.
In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma.
Epidemiology
According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times.
The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance.
Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
105. Artigas, L., & Jarero, I. (2005, March). El abrazo de la mariposa [The butterfly hug]. Revista de Psicotrauma para Iberoamérica, 4(1), 30-31.
Language: Spanish
Format: Journal
Abstract:
E.M.D.R. Son las siglas de Eye Movement Desensitization and Reprocessing, que se podría traducir como Desensibilización y reprocesamiento por medio de movimiento oculares. Se trata de un tratamiento psicoterapéutico innovador utilizado para tratar un amplio rango de patologías. Originalmente fue diseñado por F. Shapiro en 1987 para tratar el estrés postraumático y su eficacia fue probada experimentalmente para casos de abusos infantiles, violaciones, veteranos de la guerra de Vietnam y otros trastornos. Su éxito fue tan rotundo que se multiplicaron las investigaciones sobre su capacidad de curar otras patologías, demostrándose su utilidad en los trastornos que implican ansiedad, dolor crónico, duelos y fobias. Cientos de estudios de casos han sido publicados y la amplia investigación experimental realizada en EEUU y en Europa El abrazo Mariposa es una técnica de Auto control.
E.M.D.R. Stands for Eye Movement Desensitization and Reprocessing, which could be translated as Desensitization and Reprocessing Eye Movement. This is an innovative psychotherapy used to treat a wide range of pathologies. Originally designed by F. Shapiro in 1987 to treat PTSD and its effectiveness was tested experimentally for cases of child abuse, rape, veterans of the Vietnam War and other disorders. Its success was so resounding that multiplied the research on their ability to cure other diseases, proving its usefulness in disorders involving anxiety, chronic pain, grief and phobias. Hundreds of case studies have been published and extensive experimental research conducted in the U.S. and Europe The butterfly hug is a technique of self-control.
Keywords: Butterfly Hug
Accuracy Verified: Yes
106. Armendariz, M., & Noguerol, V. (2012, June). El abuso sexual intrafamiliar: La epidemia silenciosa. Comentarios en torno a la película "No tengas miedo" [Intrafamiliar sexual abuse: The hidden epidemics. Comments about the movie: "Don't be afraid"]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
No abstract available.
Keywords: Intrafamiliar Sexual Abuse
Accuracy Verified: Yes
107. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]
Keywords: EMDR Blind to Therapist Protocol Script Survivors Therapeutic Relationship Traumatic Memories
Accuracy Verified: Yes
108. 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
109. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze.
Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden.
In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.
When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice.
This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed.
The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.
Keywords: Abuse Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Neglect
Accuracy Verified: Yes
110. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
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, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
111. 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
112. Hensel, T. (2003). EMDR - Eine neue behandlungsform für traumatisierte kinder, jugendliche und deren familien eine aufzeichnung der kindertagung [A new form of treatment for traumatized children, adolescents and their families - A recording of children's conference]. Video-Cooperative-Ruhr.
Language: German
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist die zur Zeit effektivste und
schonendste Behandlungsform für Menschen mit durch Traumata bedingte Störungen,
insbesondere einer posttraumatischen Belastungsstörung.
Thomas Hensel stellt in diesem Workshop nach einer kurzen theoretischen Einführung in die Psychotraumatologie im Kindes- und Jugendalter verschiedene Praxisbeispiele mit
EMDR-Behandlung vor.
Mit Videoeinspielungen von drei unterschiedlichen Therapiesitzungen, wird die kindspezifische
und altersgemäße Durchführung veranschaulicht (die Beispiele umfassen das Vorschulalter
bis zum Jugendalter). Anschließend werden die Abläufe und weitere
Aspekte erläutert (EMDR-Setting - Traumascore PROPS - Ressourceninstallierung
etc.). An einem Beispiel zeigt Thomas Hensel die einzelnen Phasen des standardisierten
EMDR-Verfahrens nach Francine Shapiro. Darüber hinaus wird an weiteren
Praxisbeispielen verdeutlicht, dass EMDR als ein Element eines Gesamttherapieprozesses
auch bei dysfunktionalen, verfestigten Zuständen wirksam ist (Albträume,
Missbrauchserfahrungen, Lernbehinderung, Störungen des Sozialverhaltens).
Thomas Hensel gibt diesem Workshop durch den Wechsel von Fallbeschreibungen
und theoretischer Aufarbeitung (Folien, Publikumsnachfragen) eine sehr effektive
Struktur und Impulse für die eigene Praxis.
Die gezeigten Videoeinspielungen im Workshop sind Originalaufnahmen von
Thomas Hensel.
EMDR (Eye Movement Desensitization and Reprocessing) is currently the most effective and
gentlest form of treatment for people with disorders caused by trauma,
especially post-traumatic stress disorder.
Thomas Hensel is in this workshop after a short theoretical introduction to the psychological trauma in childhood and adolescence with several practical examples
EMDR treatment before.
With video recordings of three different therapy sessions, the child-specific
and age-appropriate implementation illustrates (the examples include the pre-school age
to adolescence). Then the processes and be more
Aspects discussed (EMDR Setting - Trauma Score PROPS - Resources Installation
etc.). Thomas Hensel an example shows the different phases of the standardized
By Francine Shapiro EMDR method. Moreover, in further
Practical examples illustrates that EMDR as an element of an overall treatment process
even when dysfunctional, solidified states is effective (nightmares,
Experiences of abuse, learning disabilities, conduct disorders).
Thomas Hensel is this workshop through the exchange of case reports
and theoretical work (slides, audience demands) a very effective
Structure and ideas for their own practice.
The video recordings shown in the workshop are original recordings of
Thomas Hensel.
Keywords: Adolescents Children Families
Accuracy Verified: Yes
113. 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
114. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
115. Sochaczewsky, E. M. (2001, May). EMDR and intergenerational violence in a children's psychiatric hospital. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Most of the children who come to our Clinic are multi-traumatised and very often they have
been hurt in their own families. Domestic violence is usually understood as physical and
sexual abuse and neglect, and we have learned to look at the "T-traumatas", Silent Violence,
the "t-traumatas", including constant negative feedback to the child, devaluation and
narcissistic abuse suffered from for many years in the "ghetto family" do also cause severe
woundings, which we have not yet learned to look at.
Keywords: Children Intergenerational Violence
Accuracy Verified: Yes
116. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from
the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience
and the present through play to help them connect the pieces of experience into a narrative that is
understandable for them. Every piece of trauma in the past is integrated into their life and may adversely
influence their personality formation. Trauma work with children through play and EMDR techniques can be
helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years
old boy with learning disability. He was separated from his family and stayed at the residential home. He had his
past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had
caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play
with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods.
Because of his limitation, he preferred to communicate his emotions through action and play rather than
verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the
play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied
corresponding with the event in play, for example checking through the worst event, the negative event, the
positive event, the strength, the changes taking place in their mind and the play. Most of his play started with
the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were
monitored at the residential home and at the school. It was found later that he could control his anger better and
he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion
can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours,
affects, and communication.
Keywords: Children Play Therapy
Accuracy Verified: Yes
117. DeGraffenried, D. F. (2002, June). EMDR and TANF recipients: Effective home-based interventions. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
As a result of domestic violence many women who receive Temporary Assistance to Needy Families (TANF) develop PTSD and other anxiety disorders. Participants in this workshop will: 1) be able to summarize the components of a home-based model of EMDR that helps TANF recipients resolve domestic abuse and reduce barriers to employment; 2) evaluate the advantages of using EMDR in a strength based, solution oriented,
capitated, home-based model; and 3) via a powerpoint presentation and videos, identify five specific skills that support the successful use of
EMDR in home-based settings.
Keywords: Home-based Interventions Needy Families TANF
Accuracy Verified: Yes
118. 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
119. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.
Keywords: Adults Childhood Sexual Abuse Keynote Neglect Survivors
Accuracy Verified: Yes
120. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.
Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD
Accuracy Verified: Yes
121. 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
122. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.
Keywords: Partners of Survivors
Accuracy Verified: Yes
123. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical
pain and living with chronic pain. Participants in this workshop will learn:
(a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain;
(b) a guided pain healing meditation;
(c) an EMDR protocol for installing pain relief imagery and self-care techniques;
(d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories;
(e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating,
drinking) and dependence on pain medication in this population.
The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The
dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic
pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer
will be presented.
Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also
incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the
"C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed.
The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can
do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing
will be discussed.
The presentation will then cover (with clinical case examples):
(1) Red flags and cautions to consider before proceeding with EMDR-
(2) What to do and what not to do if the patient is dissociative;
(3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with
"secondary gains" minus primary losses;
(4) Teaching the distinction between pain sensations and suffering;
(5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief
imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy
self-care behaviors;
(6) How to directly address with the patient the application of "cognitive psychology" and imagery
for pain reduction;
(7) EMDR reprocessing of memories around the pain's origins;
(8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences,
internalized self-identifications, self-punitive tendencies and self-defeating behaviors;
(9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient;
(10) EMDR reprocessing of negative cognitions associated with depression and anxiety.
(11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers;
(12) Material that often comes up in using EMDR with pain patients;
(13) Strategically restructuring patient "resistance" with coanitive interweave;
(14) Managing narcotic and pain medication seeking behavior and substance abuse;
(15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in
this population;
(16) Treating pain patients who also have PTSD.
Videotaped case excerpts will be shown that illustrate important points covered.
If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
124. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
Keywords: Addiction Memory Substance Abuse
Accuracy Verified: Yes
125. Hase, M. H. (2008, September). EMDR bei stoffgebundenen Süchten [EMDR and substance-abuse]. Präsentation auf der Pre-Congress on EMDR auf dem European Congress of Hypnosis, Wien, Österreich.
Language: German
Format: Conference
Keywords: Substance Abuse
Accuracy Verified: Yes
126. ten Broeke, A., & de Jongh, A. (1997). EMDR bij debehandeling van Type II psychotrauma: Een casus [EMDR in the treatment of Type II psychotrauma: A case-study]. Tijdschrift voor Psychiatrie, 39(3), 249-255.
Language: Dutch
Format: Journal
Abstract:
Deze casus beschrijft de toepassing van EMDR bij de behandeling van ernstige en herhaalde seksueel misbruik. Tijdens een patiënt in de psychiatrische behandeling EMDR werd gebruikt om ongevoelig en "opwerken" de traumatische herinneringen. Zoals blijkt uit eigenbelang van de cliënt-verslag en gestandaardiseerde psychologische vragenlijsten, EMDR was succesvol in het verlichten van diverse ptss-symptomen en daarmee samenhangende klachten. De resultaten werden gehandhaafd op negen maanden follow-up. Zaak verslagen als deze kunnen stimuleren gecontroleerde outcome research over de toepassing van EMDR bij complexe (Type II) vormen van PTSS.
This case history describes the application of EMDR in the treatment of severe and repeated sexual abuse. During an in-patient psychiatric treatment EMDR was used to desensitize and 'reprocess' the traumatic memories. As is evident from the client's selfreport and standardized psychological questionnaires, EMDR was successful in alleviating various PTSD symptoms and associated complaints. The results were maintained at nine months follow-up. Case-reports like these may stimulate controlled outcomeresearch on the applications of EMDR with complex (Type II) forms of PTSD.
Keywords: Case Report Clinical Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Young Adults
Accuracy Verified: Yes
127. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand.
De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS...
Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken.
Vorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development?
Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious.
The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ...
Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment.
Form
In the presentation combining theory and practice. Video images support the story.
Keywords: Prevebral Trauma
Accuracy Verified: Yes
128. de Groot, J. (2012, March). EMDR bij seksuologische behandeling. Seksueel misbruik, seksuele disfuncties en seksverslaving [EMDR in sexological treatment. Sexual abuse, sexual dysfunctions, and sex addiction]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop wordt aan de hand van diagnostische criteria en theoretische richtlijnen geïllustreerd hoe EMDR toegepast kan worden bij seksuologische behandelingen. Met behulp van diverse casus en video fragmenten zullen praktijkvoorbeelden van de EMDR behandeling van seksuele disfuncties, zoals vaginisme en erectiele disfunctie, verduidelijkt worden. Naast de toepasbaarheid van EMDR bij seksueel misbruik en seksuele disfuncties, zal inzicht geboden worden in de geïntegreerde EMDR behandeling bij seksverslaving.
Er zal expliciet worden ingegaan op de toepassing van EMDR op het negatieve zelfbeeld bij seksverslaafden en het daaruit voortvloeiende gedrag, waarbij de seksverslaafde voortdurend, maar tevergeefs, probeert zijn behoeften te bevredigen met seks.
This workshop is based on diagnostic criteria and theoretical guidelines illustrate how EMDR can be applied with sexological treatments. Using various case examples and video clips will of the EMDR treatment of sexual dysfunctions, such as vaginismus and erectile dysfunction, should be clarified. Besides the applicability of EMDR in sexual abuse and sexual dysfunctions, will provide insight into the integrated EMDR treatment for sex addiction.
There will explicitly address the use of EMDR on the negative self-image sex addicts and the resulting behavior, in which the sex addict constantly, but vainly, trying to satisfy his needs with sex.
Keywords: Sexual Abuse Sexual Addiction Sexual Dysfunction
Accuracy Verified: Yes
129. Withers, D. (2000, December). EMDR bilateral movement groups for children with ADHD. EMDRIA Newsletter, 5(Special Edition), 11-13.
Language: English
Format: Newsletter
Abstract:
Using EMDR to treat children diagnosed with ADHD is challenging on many levels. Differentiating the effects of trauma versus pure ADHD or other diagnoses such as OCD, learning disabilities, and even autism is difficult at best because these symptoms could be present as the result of early trauma (Tinker, 1999). These experiences include birth trauma, illness, medical procedures and surgery as well as abuse or neglect (Becker, 2000). These children may be unintentionally further traumatized on a daily basis by parents, teachers, coaches and peers for missing social cues, being impulsive and disruptive and no paying attention or cooperating. They may not easily engage in therapy and tend to avoid new situations due to past failures and harbor negative views of themselves because of their belief that they somehow need to be “fixed.” These response could also be due to attachment disorders or to a “poor match” between temperament of parent and child (Bowlby, 1973).
Keywords: ADHD Attention Deficit Hyperactivity Disorder Children
Accuracy Verified: Yes
130. O’Dell, K. (2005, April 05). EMDR can fight fears, soften troubling memories. Springfield, MO: Springfield News-Leader, Health, E4.
Language: English
Format: Newspaper
Abstract:
Psychologists say Eye Movement Desensitization and Reprocessing, or EMDR, appears to help clients thoroughly process old painful events so they "unstick" from the conscious mind and move into resolved memory.
Several Springfield-area therapists say they have used EMDR to successfully treat troubled war veterans as well as clients with a host of phobias, eating disorders, a history of sexual abuse, depression and low-self esteem.
Keywords: General Mike Murrell Overview Springfield
Accuracy Verified: Yes
131. Manfield, P. (2003). EMDR casebook: Expanded (2nd Ed.). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book picks up where formal EMDR training leaves off. Research has now shown that EMDR is powerfully effective in the treatment of residual psychological effects of a single-incident trauma. Through case studies, this book explores other areas where EMDR may be helpful, including long-term childhood abuse and complex PTSD. The eleven case reports illustrate the application of EMDR to a broad range of cases. The many clinical transcripts will help newly trained EMDR clinicians fell comfortable using EMDR with their clients and provide models for experienced EMDR clinicians to broaden their use of EMDR. The clear explanations of the treatment processes will demystify EMDR for both clinicians and clients.
The introduction includes basic descriptions of EMDR and the accelerated information processing model, as well as definitions of its terminology. Each of the following chapters begins with a discussion of the contributors background, the principles of the traditional treatment approach used before incorporating EMDR, and the ways he or she has integrated EMDR into that approach. The contributors, who represent various orientations, including psychodynamic, behavioral, cognitive, and systems, demonstrate the importance of procedural fidelity while extending EMDR protocols.
Keywords: Miscellanous
Accuracy Verified: Yes
132. Vogelmann-Sine, S., Sine, L. F., Smyth, N. J.,& Popky, A. J. (1998). EMDR chemical dependency treatment manual. New Hope, PA: EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
A comprehensive and flexible EMDR-based treatment manual designed to be used with clients in recovery from chemical dependency. Includes assessment and clinical application of specialized protocols. [EMDR-HAP]
Keywords: Chemical Dependency Substance Abuse
Accuracy Verified: Yes
133. Manfield, P. (2010, June). EMDR clinical skills: Dyadic resourcing. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This workshop introduces 'dyadic resourcing,' a form of
resourcing designed to facilitate the processing of very early trauma
with severely deprived clients, including those with attachment
disorders. The goal of this process is to help a client connect
affectively to the experience of being in a nurturing relationship
Through this process clients experience both roles, the role of the
adult who loves them and the role of the child who is lovable
and loved. These roles become increasingly real to them and clients
come away with access to a loving non-judgmental view of
themselves as a child. Clients whose original trauma was a result
of or exacerbated by a lack of a strong connection to a nurturing
caregiver will benefit from a variety of resources, but the resource
that is essential is access to a secure internal nurturing relationship,
which this process provides. This procedure is particularly
useful for clients who think they were bad or worthless as children,
who think the abuse or neglect they suffered chronically
was deserved, who are overwhelmed by the intensity of their
pain from early childhood experiences, or who cannot view their
child selves in an accepting nurturing way. In other words, this
type of resourcing is ideal for some of the most difficult EMDR
clients, and helps to prepare them for trauma processing.
Once developed, these resources allow the EMDR clinician to
utilize cognitive interweaves in which the adult client is able
to support the child self. Dyadic resourcing is typically a five step process: identifying a nurturing adult resource, make the
resource real for the client, formulating a parent-child relationship involving the resource, intensify the client's experience of
that relationship, and helping the client to have the experience
of both the child and adult in the resource dyad. This workshop
will address each of these steps, covering the basic principles
and processes central to this form of resourcing. The process
will be illustrated using clinical videos, transcripts, and a live
demonstration. Techniques borrowed from Eidetic Psychotherapy,
Neuro-Linguistic Programming, Gestalt Therapy, hypnotic
phrasing and other disciplines will be addressed Links to free
downloadable explanatory material from the presenter's book.
EMDR Clinical Skills: Case Conceptualization and Dyadic re^
sourcing will be offered for those interested in sharpening their
skills in this useful resourcing approach.
Learning objectives: Participants will be able to
- Explain why cognitive Interweaves are often not helpful to
clients with attachment disorders
-List 15 possible sources of resource figures
- List 8 techniques that can be used to help a client feel more
intensely connected to a resource.
- Describe 4 indications that clients are NOT assuming an outside
observer role and are instead overly identifying with their
child selves.
Keywords: Dyadic Resourcing Keynote
Accuracy Verified: Yes
134. Costa, C. S. (2012, Novembro). EMDR como recurso para a elaboração de laudo pericial [EMDR as a resource for the preparation of expert report]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Por meio de relato de caso clínico, objetiva-se mostrar a possibilidade da do uso do EMDR para a elaboração de laudo pericial. O caso foi enviado por uma Casa de Acolhimento Institucional, órgão público vinculado à Delegacia de Defesa da Mulher, de um município da Grande São Paulo, devido à suspeita de abuso sexual da criança pelo genitor, uma vez que outros laudos profissionais, como o psicodiagnóstico de Rorscharch e o exame clínico por perito legista não foram aceitos como conclusivos pelo juiz que autorizou a visita do pai. Diante disso, o Órgão de Proteção à Criança encaminhou o caso para nova avaliação. Após as entrevistas com a criança, que se mostrava bastante resistente às perguntas feitas pela psicóloga, aplicaram-se os seguintes recursos do EMDR: identificação da imagem, crença e emoção (ICE); som bilateral; desenhos e identificação do grau de desconforto (SUDs), que lhe possibilitaram exteriorizar a situação que a incomodava, reforçada nos vários desenhos. Encaminhados os resultados ao Órgão que solicitou a avaliação foram considerados conclusivos em relação ao abuso sofrido pela criança, o que significou seu afastamento do genitor, pelo juiz, e investigação para apurar os fatos visando a proteger a vítima. Isso permite concluir que o EMDR pode ser um instrumento auxiliar para a elaboração de laudo pericial nos casos de estresse pós-traumático, como no abuso sexual de crianças.
Through clinical case, the objective is to show the possibility of the use of EMDR for the preparation of an expert report. The case was sent by a House of Hospitality Institutional, public agency linked to the Women's Police Station, a town in Greater São Paulo, due to suspicion of child sexual abuse by parent, since other reports professionals, as psychodiagnostic of Rorschach and clinical examination by forensic expert were not accepted as conclusive by the judge who authorized the visit of his father. Thus, the Child Protection Authority referred the case for further evaluation. After the interviews with the child, that proved quite resistant to the questions asked by the psychologist, we applied the following features of EMDR: identifying the image, belief and emotion (ICE); sound bilateral; drawings and identify the degree of discomfort (SUDs ), which enabled him to externalize the situation that bothered him, strengthened in various designs. Forwarded the results to the Board requesting the evaluation were considered conclusive regarding the abuse suffered by the child, which meant being away from the parent, the judge, and investigation to ascertain the facts in order to protect the victim. This indicates that EMDR can be an auxiliary tool for the development of expert opinion in cases of post-traumatic stress, such as the sexual abuse of children.
Keywords: Expert Report Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
135. Dautovic, E., Aldenkamp, E., & Rodenburg, R. (2012, June). EMDR effectiveness in adults with PTSD and an intellectual disability: A case series [La efectividad del EMDR en adultos con una discapacidad intelectual y TEPT: Series de casos]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Background People with an intellectual disability (ID) have an increased
vulnerability for abuse and assault, and subsequently an increased risk of developing
post-traumatic stress disorder (PTSD). The prevalence of PTSD is found to be
significantly higher in people with intellectual disabilities than in people without
disabilities. Eye movement Desensitization and Reprocessing (EMDR) has proved to be
an effective PTSD treatment in people without ID. EMDR is widely used in treating
people with ID, while research into the effectiveness of EMDR in individuals with an ID
is very scarce. Therefore more research is necessary to speak of EMDR being an
evidence-based trauma treatment for this specific population.
Objective The objective of this study was to investigate the efficacy of eye movement
desensitization and reprocessing (EMDR) in treating PTSD in adults with an ID. The
effects of the treatment on anxiety, symptoms of depression, and quality of life were
also investigated.
Methods From September 2010 till december 2012, adults with an ID, diagnosed with
PTSD and treated with EMDR, were included in the study. Before and after treatment
questionnaires were completed by the participants. Normative deviation scores (NDS)
were calculated to estimate the condition of the participant before and after
treatment compared to the non-disabled population. The Reliable Change Index (RCI)
was used to establish statistically significant change due to treatment.
Preliminary results Primarily, a significant change in PTSD symptoms, from clinical to
non-clinical levels, is found. Secondarily, co-morbid anxiety and depression complaints
are detected, which decline after treatment with EMDR. In addition, an increase in
wellbeing in the participants is found.
Conclusion From the preliminary results EMDR seems an effective treatment for PTSD
in adults with an ID. However, for calculations are still being conducted, the final
results and conclusions will be presented at the conference
La
población
con
una
discapacidad
intelectual,
tiene
un
riesgo
mayor
de
vulnerabilidad
para
el
abuso
y
el
asalto,
y
por
tanto
un
aumento
en
el
riesgo
de
desarrollar
un
trastorno
de
estrés
post-‐traumático
(TEPT).
La
prevalencia
del
TEPT
es
significativamente
mayor
en
personas
con
retraso
mental
que
en
personas
sin
este
tipo
de
discapacidad.
El
EMDR
ha
sido
mostrado
como
efectivo
en
el
tratamiento
del
TEPT
en
personas
sin
discapacidad
intelectual.
EDMR
es
ampliamente
usado
en
el
tratamiento
de
personas
con
discapacidad
intelectual,
mientras
tanto
la
investigación
en
la
efectividad
del
EMDR
en
personas
con
discapacidad
intelectual
es
muy
escasa.
Consecuentemente
mas
investigaciones
son
necesarias
para
hablar
de
EMDR
siendo
un
tratamiento
valido
para
el
trauma
en
esta
población
especifica.
El
objetivo
de
este
estudio
fue
investigar
la
eficacia
del
reprocesamiento
por
movimiento
oculares
(EMDR)
en
el
tratamiento
del
TEPT
en
adultos
con
una
deficiencia
mental.
Los
efectos
de
este
tratamiento
en
ansiedad,
síntomas
de
depresión
y
calidad
de
vida
fueron
también
investigados.
Desde
Septiembre
de
2010
hasta
diciembre
de
2012,
los
adultos
con
una
deficiencia
mental,
fueron
diagnosticados
de
TEPT
y
tratados
con
EMDR,
fueron
incluidos
en
este
estudio.
Se
pasaron
cuestionarios
pre
y
post
tratamiento
a
los
participantes.
Las
puntuaciones
de
desviación
típica
fueron
calculadas
para
estimar
la
condición
del
participante
antes
y
después
del
tratamiento
comparada
con
la
población
sin
discapacidad.
El
índice
de
cambio
real
(RCI)
fue
utilizado
para
establecer
de
manera
estadísticamente
significativa
el
cambio
debido
al
tratamiento.
Los
resultados
preliminares,
muestran
un
cambio
significativo
en
el
los
síntomas
del
TEPT,
en
niveles
clínicos
y
no
clínicos.
De
manera
secundaria,
quejas
de
comorbilidad
con
ansiedad
y
depresión
fueron
detectadas
que
disminuyeron
tras
el
tratamiento
con
EMDR.
Además,
un
incremento
en
el
bienestar
de
los
participantes
fue
encontrado.
La
conclusión
de
estos
datos
preliminares
es
que
el
EMDR
parece
ser
un
tratamiento
efectivo
para
el
TEPT
en
adultos
con
una
discapacidad
intelectual.
Sin
embargo,
los
cálculos
aún
están
siendo
analizados,
los
resultados
finales
y
las
conclusiones
serán
presentadas
en
la
conferencia.
Keywords: Adults Intellectual Disability Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
136. Baita, S. (2012, June). EMDR en niños con trastornos disociativos [EMDR in children with dissociative disorders]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
Sandra Baita will describe the case of a dissociative girl whose traumatization was a consequence of early exposure to chronic sexual abuse
by her father. In this case, Dr. Baita will explain the challenge of working with systems surrounding the child other than the family, for example,
the Justice System. She will focus on the paramount importance of the first stage of treatment and the achievement of external security when
working with severely traumatized children. Dr. Baita will offer for discussion with the attendees, the development of a treatment plan for this
dissociative girl using EMDR during the therapeutic stages of security and stability, working with traumatic memories, and integration.
Sandra Baita expondrá el caso de una niña con un trastorno disociativo en el cual la traumatización ha sido consecuencia de la exposición
temprana a abuso sexual por parte del padre. En este caso, la Dra. Baita explicará el desafío que implica trabajar con otros sistemas además
del familiar, tales como el sistema de Justicia. Ilustrará además la relevancia que adquiere la primera etapa del tratamiento y el establecimiento
de un contexto real de seguridad externa en el tratamiento de niños severamente traumatizados, y mostrará, para su discusión con los
asistentes, el desarrollo del tratamiento exhaustivo de esta niña utilizando EMDR a lo largo de las etapas de seguridad y estabilidad, trabajo
con las memorias traumáticas e integración.
Keywords: Children Dissociative Disorders
Accuracy Verified: Yes
137. Kennedy, S. (2004, March 31). EMDR An essential “tool” for a counselor’s “toolbox”. Arizona Department of Public Safety Crime Victim Services Newsletter, 24, 1-2.
Language: English
Format: Newsletter
Abstract:
Eye Movement Desensitization
and Reprocessing
(EMDR) is quickly becoming
a valuable and soughtafter
method for treating
victims of trauma. Use of
EMDR is revolutionizing
the treatment of commonly
seen mental health problems
(such as depression,
anxiety, phobias, etc.) and
some of the most troubling
and difficult-to-treat problems
professionals deal
with in clinical settings (such as posttraumatic stress syndrome, substance abuse,
eating disorders, and dissociative
disorders).
Accuracy Verified: Yes
138. Twombly, J. H. (2005). EMDR for clients with dissociative identity disorder, DDNOS, and ego states. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 88-120). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract: U
sing EMDR with clients with dissociative identity disorder (DID) and other dissociative disorders (DDs) requires careful adaptation to allow the unique benefits of EMDR to be used productively, without risking unleashing a flood of traumatic material and destabilizing the client. In this chapter I will discuss adaptations for each stage of treatment for dissociative clients. While I'll focus on work with DID (formerly multiple personality disorder) and dissociative disorder not otherwise specified (DDNOS), the EMDR adaptations and protocols taught in this chapter can be used with people with other DDs and complex PTSD, and in ego-state work. This chapter is divided into three sections, summarizing the treatment of DDs within the three stages of standard phase-oriented trauma treatment. [Text, pp. 88, 90]
Keywords: Adults Child Abuse DID Dissociative Identity Disorder Hypnotherapy Psychotherapeutic Processes Survivors
Accuracy Verified: Yes
139. Adler-Tapia, R. (2012). EMDR for the treatment of children in the welfare system who have been traumatized by abuse and neglect. In A. Rubin, (Ed.), Programs and interventions for maltreated children and families at risk, The clinician's guide to evidence-based practice series, (pp. 141-160). Hoboken, N.J.: John Wiley & Sons, Inc.
Language: English
Format: Book Section
Abstract:
The use of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized children is discussed. The Adaptive Information Processing model that supports EMDR is explained, as well as assessment and diagnostic processes for children in the child welfare system, the phases of the EMDR treatment protocol, and the impact of child welfare involvement on EMDR with children.
Keywords: Abuse Children Neglect Welfare System
Accuracy Verified: Yes
140. Hofmann, A. (2010, July). EMDR for treating depression. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of
the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders
that may have part of their origins in stressfull memories. One of these disorders is chronic depression. Severe depression
is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes.
Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression,
the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and
suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (like abuse
experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study
that tries to explore the potential use of trauma specific treatments like EMDR with depressive patients with trauma history.
The presenter will report the status of research on the subject and on a current controlled study underway to explore the
use of EMDR in depressive patients.
Keywords: Depression
Accuracy Verified: Yes
141. 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
142. 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
143. 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
144. Hase, M. H. (2006). EMDR in der behandlung der stoffgebundenen abhängigkeit [EMDR in the treatment of substance-dependence]. In: F. Lamprecht (Hrsg.), Praxisbuch EMDR: modifizierungen für spezielle anwendungsgebiete [EMDR practice book: modifications for special areas of application] (pp. 132-156) Stuttgart: Klett-Cotta.
Language: German
Format: Book Section
Keywords: Addiction Substance Abuse
Accuracy Verified: Yes
145. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..
Language: English
Format: Other
Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren
traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen
von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung
betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2
Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 -
6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig
häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter.
In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen
Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch
und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel,
2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer
komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).
The probability that we are in the course of our lives one or more
traumatic events are exposed, is relatively high: the lifetime prevalence
of traumatic events and posttraumatic stress disorder
be in international epidemiological studies for women from 17.7 to 74.2
Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 -
6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance
often violence and abuse experiences in childhood, adolescence and adulthood.
In many cases, a connection between the traumatic
Event, the development of post traumatic stress disorder and alcohol abuse
and are derived dependence (Perkonigg et al., 2000; Zobel,
2006). In the event of a PTSD is a risk of addiction or other
comorbid disorders at the 4-5-fold increased (Breslau, 2002).
Keywords: Addictions Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
146. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.
Language: English
Format: Journal
Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.
Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing
Accuracy Verified: Yes
147. Hase, M. (2010, June). EMDR in the treatment of addiction - Reprocessing of the addiction memory. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This is in accordance with the experience that the addiction memory can be activated at any time by relapse-endangering complexes as well as internal and/or external situations, which are experienced as cravings by the person in question. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
Without adequate therapeutic interventions, it is hardly extinguishable, as shown in the animal model where a re-imprinting of the AM facilitated by steroids extinguished craving in opiate addicted rats. Thus, altering or extinguishing the AM in human addicts could add an important component to well-established treatment modalities. The reprocessing of the AM with EMDR should, thus, lead to measurable changes in addiction symptoms, if the AM qualifies for maladaptive memory within the AIP model. As the AM includes the urge to consume the drug being abused, more aptly named craving, reprocessing of the AM should lead to a reduction in craving.
Preliminary data demonstrates the efficacy to reduce craving in alcohol-addicted patients. Anecdotal reports from clinicians seem to indicate an effect of the reprocessing of the addiction memory in patients addicted to heroin or psycho-stimulants. According to research in the animal model, the same principles should apply.
There are, however, other aspects to addiction. Is there a difference between chemical dependency and other addictive behaviour? How much do we know already? What have we yet to discover? These questions lead to the direction of developing a comprehensive EMDR approach in the treatment of addictions.
Accuracy Verified: Yes
148. Parnell, L. A. (2003, September). EMDR in the treatment of adults abused as children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
EMDR therapists need specific and advanced understanding of the EMDR method as well as additional skills to complete treatment successfully. In this workshop the overall course of treatment with EMDR is briefly outlined but specific areas are focused on in more detail. These areas include: 1) the development and installation of resources; 2) strategic target development including the bridging technqiue; 3) modification of the standard EMDR procedural steps, 4) techniques for unblocking blocked processing including advanced interweave strategies; and 5) technqiues for closing incomplete sessions.
Keywords: Adults Children Bridging Technique Incomplete Sessions Interweave Strategies Resource Development Sexual Abuse
Accuracy Verified: Yes
149. 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:
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.
Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference
Accuracy Verified: Yes
150. Parnell, L. A. (2002, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
EMDR therapists need specific and advanced understanding of the EMDR method, as well as additional skills, to complete treatment successfully. In this workshop the overall course of treatment with EMDR is briefly outlined, but specific areas are focused on in more detail. These areas include 1) the development and installation of resources; 2) strategic
target development, including the bridging technique; 3) modifications of
thc standard EMDR procedural steps; 4) techniques for unblocking blocked processing including advanced interweave strategies; and 5) techniques
for closing incomplete sessions.
Keywords: Adults Blocked Processing Bridging Children Incomplete Sessions Resource Installation Sexual Abuse
Accuracy Verified: Yes
151. Parnell, L. (1999). EMDR in the treatment of adults abused as children. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book offers practical information about the use of EMDR in a typical clinical setting and presents innovations that build upon the information in Shapiro's 1995 book. It not only teaches many practical techniques that help the therapist when a therapeutic impasse is reached but also provides a selection of treatment choices. Case material is used throughout the book to illustrate the techniques described and to provide the therapist with a deeper, more grounded understanding of different kinds of abuse cases. Included are suggestions I have used with my clients and collected from other sources over the last 8 years. [Text, pp. x-xi] [Pilots]
Keywords: Adults Survivors Child Abuse Incest Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Rape
Accuracy Verified: Yes
152. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.
Language: English
Format: Journal
Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]
Keywords: Adults Americans Borderline Personality Disorder Case Report Child Abuse Clinical Case Study Empirical Study Females Incest Individual Psychotherapy Interpersonal Difficulties Interpersonal Interaction Psychotherapeutic Processes Qualitative Study Rape Suicide Survivors Treatment
Accuracy Verified: Yes
153. Hofmann, A. (2013, June). EMDR in the treatment of Depression. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma-specific treatments like EMDR with depressive patients.
The presenter will report the status of research on the subject, and will talk about possible EMDR strategies that have shown to be useful in depressive patients.
Learning objectives:
Understanding the relationship of trauma and depression;
Creating a treatment plan for depressive patients following the AIP model; and
Find strategies to deal with relapsing and chronic depression
Keywords: Depression Research
Accuracy Verified: Yes
154. Brown, S., & Gilman, S. (2011, July). EMDR in the treatment of trauma and substance abuse. Presentation at CalSouthern’s Master Lecture Series at California Southern University in Irvine, CA.
Language: English
Format: Other
Abstract:
This lecture will provide an overview of a comprehensive psychotherapy treatment approach called EMDR by two Certified EMDR Approved Consultants who each have over 25 years of clinical experience. EMDR is one of the most widely researched psychotherapies for Post-traumatic Stress Disorder (PTSD) and it also has research support for the treatment of other trauma-driven disorders including substance abuse and behavioral addictions, depression, panic disorder, generalized anxiety disorder, borderline personality disorder and phantom limb pain. This workshop will focus on the application of EMDR with PTSD, trauma, and co-occurring substance use disorder.
Keywords: Substance Abuse Trauma
Accuracy Verified: Yes
155. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress.
As a pilot experience, we have been able to use this EMDRIT framework with 64 clients.
Their complex disorders included, for each of them, at least 3 of the following symptoms:
Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions.
For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis:
•Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN).
•The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN).
•The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system.
•Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent.
•Need to standardize appropriate scale for database, in order to foster international research and results sharing.
We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.
Keywords: EMDR Intensive Therapy EMDRIT
Accuracy Verified: Yes
156. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Dissociation is a normal human process. We all
dissociate. Some individuals are so severely and
chronically traumatized that, in order to survive,
they split their awareness into at least two levels
or streams of consciousness - one level being the
participant in the abuse drama and the other level
being an observer watching as if the abuse was
happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to
the reprocessing of their traumatic memories. This
presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and
complications of clinical treatment with
dissociative process; the nature of dissociative
process; screening for dissociation and the 'Red
Flags' of treatment concerns; the differential
diagnoses of dissociation - from dissociation
found in diagnostic categories other than
Dissociative Disorders (e.g., Mood Disorders,
Anxiety Disorders, PTSD) to DDNOS (ego states
work) and DID; the use of EMDR in the treatment
of dissociation in relation to trauma; therapist
attributes that help contribute to the successful
treatment of dissociative patients. Participants will
be encouraged to share their own insights and
difficulties in working with this very traumatized
population of individuals.
Keywords: Accelerated Information Processing Model AIP DID Dissociation
Accuracy Verified: Yes
157. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224.
Language: Italian
Format: Newsletter
Abstract:
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute.
Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché
assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato
positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC
(Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///
Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently,
studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the
EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the
“Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects
before and after the EMDR treatments.[Author Abstract]
Keywords: Affect Bridge Compulsion Trauma Withdrawal
Accuracy Verified: Yes
158. Moore, R. (2001). EMDR offers hope – an effective treatment for trauma. Massachusetts Office for Victim Assistance, Victim Impact, 2(1), 5.
Language: English
Format: Newsletter
Abstract:
Eye Movement Desensitization and
Reprocessing (EMDR) is a procedure
that is increasingly used in psychotherapy
to help victims reduce the impact
of negative experiences from the past
that intrude on present day life. Often
these negative life experiences involve a
trauma such as sexual assault, abuse, a
car crash, or the murder of a loved one.
Accuracy Verified: Yes
159. Omaha, J. (1998, July). An EMDR protocol for treatment of chemical dependency disorder. Presentation at the annual meeting of the EMDR International Assocation, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) the Chemotion Model for chemical dependency disorder describing how substance abuse presents an reenactment of childhood emotional trauma: 2) how specific object relations deficits constitute emotional traumas that translate into specific chemical dependencies in the adult substance abuses; 3) how the object relations deficits driving chemical dependency can be evoked through Gestalt communication technique or recognized in dreams; and 4) how to apply principles of EMDR to desensitize and reprocess object relations deficits driving chemical dependency.
Keywords: Chemotion Dreams Gestalt Object Relations Deficits
Accuracy Verified: Yes
160. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.
Accuracy Verified: Yes
161. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co.
Language: English
Format: Book
Abstract:
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]
Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
162. Manfield, P. (1998). EMDR terms and procedures: Resolution of uncomplicated depression. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st Ed.) (pp. 15-36). New York: W. W. Norton. xii, 292 pp.
Language: English
Format: Book Section
Abstract:
No abstract available.
Keywords: Adults Americans. Child Abuse Depressive Disorders Life Experiences Males Psychotherapeutic Processes Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
163. Grey, E. (2008, September). EMDR theory exists: An explanation of neuro-physiological underpinnings. Presentation at the annual meeting of EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR Theory Exists is designed to provide a peer reviewed explanation of the neuro-physiological underpinnings of the AIP model. Through educating practitioners on the links between bilateral stimulation and the brain one’s ability to describe EMDR to consumers increases. The brain mechanisms impacted by bilateral stimulation move memories into a stage in which a human naturally heals. These neuro-physiological underpinnings are illustrated through synthesis with a complex case of childhood ritual abuse. Participants will be furnished the opportunity to practice applying these underpinnings to cases and improve their ability to explain EMDR’s potential impact on a consumer.
Keywords: Theory
Accuracy Verified: Yes
164. Grey, E. (2009, May). EMDR theory exists: An explanation of neurophysiological underpinnings. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
EMDR Theory Exists is designed to provide a peer reviewed explanation of the neurophysiological underpinnings of
the AIP model. Through educating practitioners on the links between the AIP and the brain, one’s ability to describe
EDMR to consumers increases. The brain mechanisms impacted by EMDR moves memories into a stage in which
a human naturally heals. These neurophysiological underpinnings are illustrated through synthesis with a complex
case of childhood ritual abuse. Participants will be furnished the opportunity to practice applying these
underpinnings to cases and improve their ability to explain EMDR’s potential impact on a consumer.
Keywords: Neurophysiological Underpinnings Ritual Abuse Theory
Accuracy Verified: Yes
165. Hase, M. (2010, June). EMDR to treat substance abuse and addiction. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This neurobiological-based, imprinted, addictive behaviour seems to resist change under normal circumstances. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
In a pilot-study group, 34 patients with chronic alcohol dependency in in-patient treatment for detoxification were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU+EMDR. In the TAU+EMDR group, patients received two sessions of EMDR focussing on memories of intense craving or relapse in order to activate and reprocess the addiction memory. The craving for alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre, post, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving post-treatment and 1 month after treatment whereas TAU did not. The TAU+EMDR group showed lower relapse rates at the six-month follow-up. The results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving (Hase et al. 2008). Anecdotal reports show results with opiate and stimulant addicted patients.
This Workshop will address the EMDR treatment of comorbid PTSD and focuses on the application of EMDR as an adjunct in addiction treatment. Targets for a comprehensive EMDR treatment plan will be explained. A video demonstration, self-experience and discussion of cases shall contribute to learning.
REFERENCES
Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6): 755-65.
Hase, M., Schallmayer, S. and Sack, M (2008). "EMDR reprocessing of the addiction memory: Pre-treatment, post-treatment, and 1-month follow-up" J EMDR 2 (3), 170-179.
Keywords: Addiction Memory Posttraumatic Stress Disorder PTSD Substance Abuse TAU Treatment As Usual
Accuracy Verified: Yes
166. Vogelmann-Sine, S., Sine, L. F., & Popky, A. J. (1997, July). EMDR treatment for chemical dependency: Training for participation in a multisite study. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
167. Gould, E. (1994, March). EMDR treatment of adult survivors of sexual abuse. Presentation at the 14th annual meeting of the Anxiety Disorders Association of America, Santa Monica, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: No
168. 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:
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.
Keywords: Alcohol Dependence Comorbid PTSD
Accuracy Verified: Yes
169. 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:
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)
Keywords: Adaptive Information Processing Model Child Abuse Cognitive Processes Early Memories Family Abuse Family Systems Perspective Memories
Accuracy Verified: Yes
170. Holmshaw, M. (2009, March). EMDR treatment of four cases of long term heterosexual unconsummated relationships: Efficacy of trauma-based, adaptive psychological approach. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
Four women between the ages of 29 and 35 presented with distress
and relationship problems due to their perceived inability to sexually consummate their
marriages. On average they had been married for 48 months and in all four cases presented
with considerable distress as they perceived themselves as failures fearing that they would
not be able to have children.
Despite varied past histories, this small cohort all had either sexual abuse histories (one
case) or unusual fantasies about sexual penetration and their own and their partners’ sexual
organs.
This presentation illustrates the helpfulness of history taking and case conceptualisation
with specific emphasis on sexual and developmental history, the role of the “normal” male
partner and the use of the touchstone memory in obtaining initial targets for processing
The four women are compared to establish individual variables which determined sessions
numbers and successful treatment outcome. (Session numbers varied between 6 and 35,
with three subjects needing fewer than 10 sessions).
Suggestions for the use of a similar approach to treat sexual performance anxiety are put
forward
Keywords: Heterosexual Unconsummated Relationships Symposium
Accuracy Verified: Yes
171. Young, W. (1994, June). EMDR treatment of phobic symptoms in multiple personality disorder. Dissociation, 7(2), 129-133.
Language: English
Format: Journal
Abstract:
Two multiple personality disorder patients with severe, persistent phobias were treated using Eye Movement Desensitization/Reprocessing (EMDR). Both patients achieved significantly beneficial results with a single session in one patient and two sessions in another. Each patient confronted the previously phobic object successfully showing an objective measure of success and results were maintained at six months follow-up. Caution should be exercised from generalizing the use of EMDR for specific target symptoms to using it as a total treatment technique. Further research is needed to determine the efficacy of EMDR as a treatment procedure in general and its role in the overall treatment of dissociative conditions. [Author Abstract]
Keywords: Adults Child Abuse DID Dissociative Identity Disorder Empirical Study Females Follow-up Study Incest Phobia Rape Survivors
Accuracy Verified: Yes
172. Haour, F., Meignant, I., & De Beaurepaire, C. (2012, June). EMDR treatment of sexual traumas in a child offender [Tratamiento EMDR de traumas sexuales en un pedófilo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Child
offenders
have
been
abused
3
to
6
time
more
than
controls
during
childhood
and
these
figures
are
probably
grossly
underestimated.
Most
of
them
exhibit
all
or
many
symptoms
of
Post
Traumatic
Stress
Disorders
(PTSD)
in
association
with
anxiety-‐depression-‐addiction.
TCC
treatments
are
useful
but
with
limited
efficacy
(Brooks-‐
Gordon
B
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:442-‐466).
The
treatment
by
the
EMDR
approach
of
the
traumatic
memories
should
be
beneficial
to
these
patients.
Previous
work
(Ricci
RJ
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:538-‐562)
has
provided
preliminary
results
in
child
molesters.
Clinical
Case:
A
40
years
old
male
convicted
and
jailed
for
sexual
abuse
(pedophilia)
at
33
years
of
age.
He
lives
with
a
wife
and
a
son
(9
year
old)
and
has
a
regular
job.
His
medications
are:
antipsychotic,
antidepressor,
antiepileptic,
anxiolytic
and
anti
androgens.
He
sees
regularly
a
psychologist
but
is
submitted
to
anxious
attacks
and
pedophilic
desires.
He
usually
needs
to
be
hospitalized
several
weeks
twice
a
year.
Following
assessment
and
psychological
evaluation
(DSM
IV,
PCLS,
SOS,
BECK
21,
DES)
and
case
conceptualisation,
the
traumatic
events
were
desensitized
and
reprocessed
through
EMDR
treatment:
rape
and
sexual
abuse
by
an
older
brother
from
5
to
12,
familial
humiliations,
rape
under
threat,
at
11
year
of
age
by
an
adult,
accusation
by
a
13
years
old
partner
at
33
years
of
age,
prison,
trial,
etc.
The
themes
of
the
first
8
EMDR
sessions
(first
3
months)
were:
helplessness/control,
danger/
security,
and
will
be
exposed
in
details.
The
changes
in
the
patient
appreciation
of
himself
and
his
symptoms
were
followed
during
this
period.
A
sharp
decline
in
the
anxiety
scores
(Beck
21)
and
a
rapid
increase
in
the
SOS
(Schwartz
outcome
scale:
quality
of
life)
were
observed.
At
the
same
time
the
pedophilic
desires
were
disappearing.
This
allowed
the
psychiatrist
to
reduce
the
antiandrogenic
treatments
as
well
as
antipsychotic,
antiepileptic
and
antidepressor.
Nine
month
after
the
beginning
of
therapy
the
patient
was
without
antiandrogens.
The
SOS
scores
remained
high
but
episodes
of
anxiety
and
depression
were
still
present
(9
to
12
months
after
beginning
of
EMDR
treatment).
In
conclusion,
desensitization
of
traumatic
memories
lied
to
a
dramatic
improvement
of
anxiety
and
changes
in
sexual
desire
in
a
man
convicted
for
pedophilia.
Los
abusadores
sexuales
han
sido,
durante
la
infancia,
víctimas
de
abusos
sexuales
de
3
a
6
veces
más
que
los
controles
y
estos
datos
están
lejos
de
aproximarse
a
un
dato
real.
Muchos
de
ellos
exhiben
todos
o
muchos,
síntomas
del
Trastorno
de
Estrés
Post-‐traumático
(TEPT)
en
asociación
con
ansiedad,
depresión
o
adicciones.
Los
tratamiento
TCC
son
útiles
pero
de
limitada
eficacia.
(Brooks-‐
Gordon
B
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:442-‐466).
El
tratamiento
a
través
de
EMDR
de
los
recuerdos
traumáticos
debería
ser
beneficioso
para
el
paciente.
En
trabajos
previos
(Ricci
RJ
et
al,
Journal
of
forensic
Psychiatry
and
Pathology,
2006;
17:538-‐562)
han
mostrado
resultados
preliminares
en
pedófilos.
Caso
Clínico:
Un
convicto
varón,
40
años,
entró
en
la
cárcel
por
abusos
sexuales
(Pedofilia)
a
la
edad
de
33
años.
Vive
con
su
mujer
y
su
hijo
(9
años
de
edad)
y
posee
un
trabajo
estable.
Su
tratamiento
farmacológico
es:
Antipsicóticos,
antidepresivos,
antiepilépticos,
ansiolíticos
y
anti-‐andrógenos.
Muestra
un
patrón
psicológico
regular
pero
está
supeditado
a
ataques
de
ansiedad
y
deseos
pedófilos.
Normalmente
necesita
ser
hospitalizado
durante
varias
semanas
2
veces
al
año.
Siguiendo
las
tareas
y
la
evaluación
psicológica
(DSM
IV,
PCLS,
SOS,
BECK
21,
DES),
conceptualización
del
caso,
los
eventos
traumáticos
donde
se
ha
aplicado
el
tratamiento
EMDR:
Violación
y
abuso
sexual
por
su
hermano
mayor
desde
los
5
hasta
los
12
años,
humillaciones
familiares,
violación
bajo
amenaza
por
un
adulto
a
la
edad
de
11
años.,
acusación
por
un
niño
de
13
años,
ingreso
en
prisión,
juicio…
Las
temáticas
en
las
primeras
8
sesiones
de
EMDR
(los
primeros
3
meses)
fueron:
Desesperanza/Control,
peligro/
Seguridad,
y
serán
expuestas
en
detalle.
Se
hizo
un
seguimiento
de
los
cambios
apreciados
por
el
paciente
y
sus
síntomas.
Una
fuerte
bajada
de
las
puntuaciones
en
ansiedad
(Beck21)
y
un
rápido
aumento
de
la
SOS
(Schwartz
outcome
scale:
quality
of
life)
fueron
observadas.
Al
mismo
tiempo
que
los
deseos
pedófilos
iban
desapareciendo.
Esto
permitía
al
psiquiatra
reducir
los
tratamiento
antiandrogénicos,
antiepilépticos,
antidepresores
y
antipsicóticos.
Nueve
meses
más
tarde
del
comienzo
del
tratamiento
el
paciente
abandonó
los
antiandrógenos.
Las
puntaciones
del
SOS
seguían
altas
pero
los
episodios
de
ansiedad
y
depresión
seguían
presentes
(de
9
a
12
meses
después
del
tratamiento
EMDR)
En
conclusión,
desensibilizar
recuerdos
dramáticos
ligados
a
una
espectacular
mejora
de
la
ansiedad
y
cambios
en
el
deseo
sexual
del
convicto
por
pedofilia.
Keywords: Child Offenders Sexual Trauma
Accuracy Verified: Yes
173. Farrell, D. (2013, June). EMDR treatment plan and survivors of child sexual abuse by clergy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
The issue of sexual abuse by clergy is not a new phenomenon of concern. Sipe (1995, pg 10) states that in spite of all the good done by clergy for both children and adults there is an ancient awareness of the danger of and potential for their corruption. This workshop will consider some of the essential aspects of survivor’s experiences of sexual abuse perpetrated by clergy or religious from a psycho-traumatology perspective. It will explore the implications for using EMDR with this client group. The primary focus of the workshop will be upon the EMDR phases of: History taking (Case Conceptualisation), Preparation Phase, Implications for desensitisation and reprocessing and the wider implications for EMDR clinical practice.
Learning Objectives:
Consider the diagnostic and case conceptual frameworks relating to this specific client group informed by the Adaptive Information Processing model;
Outline key aspects relating to phase 2 preparation and resource building; and
Explore some of the implications for desensitization and reprocessing in relation to working with survivors of sexual abuse perpetrated by clergy.
Keywords: Children Clergy Abuse Sexual Abuse
Accuracy Verified: Yes
174. Korn, D. L. (2008, May). EMDR treatment with survivors of chronic abuse and neglect: Repairing developmental deficits and shattered selves - [Utilisation d’EMDR dans le traitement des survivants d’abus ou négligence chroniques: Réparer les déficits développementaux et les sois éclatés]. Presentation at an annual meeting of EMDR Canada, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Cet atelier d’une journée met l’accent sur l’intégration de l’EMDR à l’intérieur d’un plan thérapeutique. Nous aborderons l’utilisation d’EMDR pour traiter le Stress post-traumatique complexe, de même que d’autres syndromes cliniques d’origine traumatique, tels que le Trouble de personnalité limite et les Troubles
dissociatifs. Des modifications et/ou additions au protocole EMDR seront proposées afin de tenir compte des capacités limitées à tolérer les affects, des défenses rigides, de la sur-utilisation des stratégies d’évitement, des conflits entre les états du moi, des tendances à la dissociation ou des dérégulations émotionnelles
importantes.
Nous aborderons l’évaluation des aspects développementaux et des besoins d’attachement du client, l’établissement d’une bonne compréhension de la situation clinique et le développement d’un plan de traitement intégré avec des objectifs atteignables et réalisables. On portera plus particulièrement notre attention sur l’intégration de l’EMDR comme moyen de renforcer l’Ego et le développement des ressources au
cours des différentes étapes du traitement.
This full-day workshop will focus on integrating EMDR into an overall recovery plan. The use of EMDR in treating complex PTSD as well as other trauma-related syndromes such as borderline personality disorder and dissociative disorders will be addressed. In recognition of clients’ limited affect tolerance, rigid defenses,
overdeveloped avoidance patterns, ego state conflicts, dissociative tendencies, and extreme emotional dysregulation, strategies for modifying and supplementing standard EMDR protocols will be explored.
Assessing the developmental and attachment needs of the client, establishing a useful case conceptualization, and developing an integrated treatment plan with achievable goals will be discussed. Considerable attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment.
Keywords: Complex PTSD Dissociative Disorders
Accuracy Verified: Yes
175. Lilienfeld. S. O. (1996, January/February). EMDR treatment: Less than meets the eye. Skeptical Inquirer, 20(1), 25-31.
Language: English
Format: Magazine
Abstract:
Examines EMDR and the experimental evidence surrounding it, which does not indicate that it is any more effective than other treatments for PTSD, despite its enthusiastic support. [Pilots]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Females Longitudinal Study Methodology Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Rape Self Efficacy Survivors Treatment Effectiveness
Accuracy Verified: Yes
176. Jacobs, S., Schmidt, S., Ludecke, C., & Strack, M. (2009). EMDR und biofeedback in der behandlung von substituierten traumapatienten [EMDR and biofeedback in the treatment of substituted traumatic patients]. EMDR und biofeedback in der behandlung von substituierten traumapatienten, In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte, [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 107-134). Göttingen: Universitätsverlag.
Language: German
Format: Book Section
Abstract: Prevalence of Posttraumatic Stress Disorder is alarmingly high among substanceabusing inpatients. Although many studies have shown this problem, treatment offered for combined trauma and substance abuse-therapy can hardly be found. Many patients are told to initially treat their substance abuse before treating the PTSD. This study deals with the trauma-treating method EMDR and biofeedback with substituted inpatients. 15 of these inpatients recieved questionnaires at three different point in time during their therapy, in addition nine of them during a 3-month-follow-up. Furthermore biofeedback-conductance was held within the EMDR-sets to represent the decline of the psycological affrivation, measured wit electrodermal activity h electrodermal activity. These data were compared to not-consuming outpatients, who received the same treatment. Overall there were positive changes in ratings regarding the traumaspecific variables, general psychic strain, depressivity, somatic discomfort and dissociative symptoms. An increased satisfaction in different areas of life could also be observed. Data associated with electrodermal activities showed only marginal differences compared to the reference data.
Keywords: Biofeedback
Accuracy Verified: Yes
177. Hase, M. (2008, September). EMDR und substanzgebundene abhängigkeit [EMDR and substance abuse]. Pre-Congress Präsentation auf dem 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich.
Language: German
Format: Conference
Keywords: Substance Abuse
Accuracy Verified: Yes
178. Hase, M. (2008, September). EMDR und substanzgebundene abhängigkeit [EMDR and substance-related addiction]. Präsentation auf der Pre-Kongress am EMDR auf dem European Congress of Hypnosis, Wien, Österreich .
Language: German
Format: Conference
Keywords: Addiction Substance Abuse
Accuracy Verified: Yes
179. ter Heide, J. J. (2008, June). EMDR versus stabilisation in the treatment of traumatised asylum seekers and refugees: Preliminary results of a pilot RCT. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.
Language: English
Format: Conference
Abstract:
Despite the high prevalence of PTSD in refugee populations, it is as yet unclear how to treat traumatised refugees
and asylum seekers most effectively. Whilst EMDR is a treatment of choice for PTSD, it is considered good clinical
practice to use a phased model of intervention with these patients. In this model, a stabilisation phase precedes
EMDR. Many clinicians are reluctant to try EMDR with this population for fear of psychological decompensation.
They tend to stick to stabilisation techniques. Centrum ’45 in the Netherlands is a national centre for mental
health care, specialising in the treatment of victims of war and organised violence. In order to optimise the
mental health care offered, the centre is conducting a pilot RCT to see which is more effective in the treatment of
traumatised asylum seekers and refugees: eight sessions of EMDR or eight sessions of stabilisation. The study
population consists of 20 adult patients who applied for treatment and who met the DSM-IV criteria of PTSD,
excluding those who are suicidal, psychotic, (hypo) manic or who suffer from substance abuse or eating
disorders. Patients are screened for participation using the SCID module PTSD and part of the MINI. Symptoms of
PTSD, depression and anxiety, and quality of life are assessed at pre- and post-treatment and follow-up, using the
HTQ, HSCL-25 and the WHOQOL-BREF. The pilot study is due to finish in October 2008. In this poster
presentation, we present preliminary findings, including data from the pre- and post-treatment assessments.
Keywords: Asylum Seekers Poster Refugees
Accuracy Verified: Yes
180. Ward, C. (2010, March). EMDR with a family using a group protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
I will
present a way of working with families using EMDR, offer question and discussion time
and the opportunity to explore the approach. I would very much like to provide an arena
to discuss and share learning about EMDR with families and to agree some success criteria
for working in this way.
The focus of my presentation is the successful use of the EMDR group protocol to work
with domestic abuse.
I will describe the use of images to process memories and current fears.
I will cover what made the approach successful in the context of the existing resources.
Conference Abstracts
I will describe our learning about co-working across different modalities in the way that we
did.
The workshop will have an interactive and experiential focus, which I hope will capture the
energy and creativity of the approach.
New Learning points:
• Adapting and developing a group EMDR protocol
• Co-work with a parent and a colleague from another modality
• Using EMDR to process the legacy of domestic abuse
Keywords: Family Group Protocol
Accuracy Verified: Yes
181. 近藤千加子[Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1（1）、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43].
Language: Japanese
Format: Journal
Abstract:
The junior high school girl in this case witnessed her mother's suicide at the age of four. She
has been acting violently since she entered elementary school. One yearbefore the author met
her, a consultation office for children intervened due to physical abuse by her father. Flashbacks
and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic
and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved
her interpersonal relationship and began to trust others. The consultation aclivities by a school
counselor, namely the offering of psycho-educational information to the school, supporting teachers
and improving teacher's psychological understandings about her, was also important in addition to
individual treatment. The author discussed about the treatment of school children survivors who
rarely visit mental or medical institutions.
Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
182. Zobel, M. (2010, June). EMDR with alcohol addicted patients with comorbid PTSD in a treatment facility for alcoholism - experiences, outcome, perspectives. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Patients with alcohol addiction often report sexual abuse
and neglect in childhood and/or other traumatic events during
lifetime. In addiction treatment facilities symptoms of PTSD are
frequently not treated, because there is no sufficient method.
which could be completed within the addiction treatment period?
The lecture will inform about an ongoing scientific project dealing with the question, if EMDR is an intervention, which is equal
or superior to common multimodal stabilizing interventions. The
project is supported by the Deutsche Rentenversicherung Bund.
Patients with alcohol addiction and comorbid PTSD are divided
into two groups: EMDR or multimodal therapy including stabilizing methods. Prevalence of PTSD-symptoms is measured
before and after intervention and one year after treatment.
Up to date nearly 90 Patients with alcohol addiction and PTSD
have been treated. Data indicate, that both trauma treatments
are effective but that EMDR leads to a significant larger decrease
in trauma symptoms. The results of the one year after
treatment evaluation are presented and discussed.
Educational objectives: Addiction therapy in a treatment facility
can be effectively combined with trauma therapy.
EMDR is an effective method in the treatment of patients with
alcohol addiction and comorbid PTSD.
Most patients with alcohol addiction and PTSD show multiple
trauma and need a prolonged period of treatment.
What's new? There are only few studies in Germany, which
have investigated the effects of EMDR in a sample of alcohol
addicted patients.
The presented study includes a follow up evaluation one year
after treatment (currently in progress), which rarely is the case
in research on EMDR-effectiveness.
Keywords: Alcoholism Treatment Comorbid Posttraumatic Stress Disorder Comorbid PTSD Symposium
Accuracy Verified: Yes
183. Ward, C. (2010, June). EMDR with children and adolescents in a family setting using a group protocol. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Our aim: We will present some EMDR family work,
offer question and discussion time and the opportunity to explore
the approach. We would very much like to provide an
arena to discuss and share learning about EMDR with families
and to agree some success criteria for working in this way.
The focus of our presentation is the successful use of the EMDR
group protocol with a family of 5 children. The children
had witnessed domestic abuse and had been physically abused themselves. We were greatly assisted by the children's mother Lea
who co-worked with us. We will include how we structured 1. I
support for her to carry out this difficult role.
We will describe the use of images to process the children's
memories and current fears.
We will cover what made the approach so successful in the children's and our opinion, including the context of the existing resources.
We will describe what we learnt about co-working across different
modalities in the way that we did.
The workshop will have an interactive and experiential focus which
we hope will capture the energy and creativity of the approach.
Learning points:
- Adapting and developing a group EMDR protocol to work
with a family of 5 children.
- Co-work with a parent and a colleague from another modality.
- Using EMDR to process the legacy of domestic abuse by the children's father including processing current fears.
As co-workers we found that, using the vehicle of the EMDR
group protocol has been an exciting and effective initiative. My
colleague and I came from different agencies and worked together in the family's home in a collaborative way with the children, parent and each other We will include in our presentation the children's and parent's views on what worked for them and on the process as a whole.
Keywords: Adolescents Children Family Group Protocol
Accuracy Verified: Yes
184. 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:
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.
Keywords: Children Chronic Abuse, Domestic Violence
Accuracy Verified: Yes
185. Vogelmann-Sine, S., & Sine, L. F. (1993, Winter). EMDR with clients in recovery from chemical dependency. EMDR Network Newsletter, 3(3), 12-15.
Language: English
Format: Newsletter
Abstract:
We have found that the treatment protocol outlined below has been very helpful in our work with clients suffering from substance abuse or dependence.
Keywords: Addictions Chemical Dependency Protocol Substance Abuse
Accuracy Verified: Yes
186. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol .
Language: English
Format: Conference
Abstract:
This presentation will outline the utilisation of EMDR with deaf clients exploring the
challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case
examples this session will outline the ways in which EMDR needs to be adapted for this population
Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to
some of the abstract ideas used and the heavy reliance on spoken language. Many people, both
hearing and deaf find it difficult to think about thinking, and develop levels of insight into their
emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse
at a much higher rate than hearing people, but there are few established therapies to help them.
As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult
experiences that bring them to therapy may have been stored visually or kinaesthetically rather than
linguistically. Trauma may also be caused by smaller events due to lack of information available to
them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic
memories and their triggers. It does this through a combination of physical stimulation and the
recollection and discussion of memories. As such, it seems ideally suited for use with people who are
Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use
with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf
children in British Sign Language.
Keywords: Children Deafness Hearing Impairment
Accuracy Verified: Yes
187. Burdova, I., Lievegoed, R., & Wijga, S. (2006, June). EMDR with mentally ill children and adults. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Fragments of a treatment
different from the protocol
Asking the client to choose the aspect of the
abuse that is most difficult to her at the
moment, accomponied by auditory
stimuli.
Installing the positive cognition while the
tension is still 9 (SUD). [Excerpt]
Accuracy Verified: Yes
188. Farrell, D. (2011, March). EMDR with survivors of clergy sexual abuse. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This presentation reviews research which investigated the idiosyncratic effects of sexual
abuse perpetrated by Roman Catholic Priests and makes related treatment recommendations.
The research determined that this distinct form of sexual trauma generated unique posttraumatic
symptoms not accounted for within the existing Posttraumatic Stress Disorder conceptual
frameworks. These included significant anxiety and distress in areas such as theological belief,
crisis of faith, and fears surrounding the participant’s own mortality. This presentation makes
recommendations about EMDR treatment with clergy abuse survivors, based on these research
findings utilising survivors stories to illustrate case formulation and the utilisation of process and
content cognitive interweaves in addressing episodes of blocked processing.
Keywords: Clergy Abuse Sexual Abuse Symposium
Accuracy Verified: Yes
189. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.
Language: English
Format: Conference
Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization.
A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile.
A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations.
To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.
Keywords: Narcissim
Accuracy Verified: Yes
190. 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:
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?
Keywords: Children Dissociation Sexual Abuse Symposium
Accuracy Verified: Yes
191. Hase, M. H. (2005, June). EMDR – Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Substance abuse is always a challenge for the therapist. Substance abuse
and its sequelae often mean intense suffering for the individual and huge
costs for society. Established treatment modalities, as good as they are, lack
effectiveness. Recent research in the field of neuroscience has shown that
most experience is automatically processed on sub cortical levels, i.e. by
"unconscious" interpretations that are made outside of conscious awareness.
Insight and understanding have only a limited influence on the operation of
these sub cortical processes. These findings are also applicable on addicted
people and help to create a new approach. The concept of an addiction
memory is helpful (Wolffgramm 2000: Wolffgramm 2002). It can be
understood as a form of maladaptive memory and EMDR is the tool for
resolution (Shapiro 2001). In this workshop an overview over theory and the practical aspects of EMDR treatment for substance abusers will be given.
Theory in combination with video demonstration will facilitate the transfer of
knowledge into everyday therapy.
Keywords: Addiction
Accuracy Verified: Yes
192. 杨善真 [Yang Zhen]. (2006). EMDR（眼动身心重建法）的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR（眼動身心重建法）的研究探討
眼物质重建法（眼动脱敏和再加工）在过去10年来，作为一个新兴的心理治疗方法，并正成为越来越受欢迎，并确保特别是对创伤后应激综合征的治疗，是新兴的治疗方法，根据Greewald回想起来，一个文献研究指出，“它已被用于治疗许多人的选择”（由约翰库萨克和斯帕茨，1999年报价），因为传统的治疗心理咨询技术的使用往往需要耗费时间，对于一些不长的治疗或治疗病人的具有时间限制并不适用，而且还描述伤痛的经历，以repeat简单动作usually只会使病情恶化，最后连药物也无效，所以今天非常受欢迎并EMDR可应用于其他精神疾病，如：恐惧，疼痛疾病，性虐待的创伤，手术后感情伤害，而且由于其方法和结果仍在广泛讨论，因此对EMDR in treatment和谐促进more 。
Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.
Accuracy Verified: Yes
193. Holm, O. (2009, November). An EMDR-based tactical and strategic integrational approach combined with IFS personality scale in survivors of severe abuse and neglect with complex trauma and comorbid cluster C personality traits. About 5 clinical cases. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .
Language: English
Format: Conference
Keywords: Cluster C Personality Traits IFS Personality Scale
Accuracy Verified: Yes
194. Rougemont-Bucking, A., & Zimmermann, E. N. (2012). EMDR-based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Schweizer Archiv Für Neurologie Und Psychiatrie, 163(3), 107-115.
Language: English
Format: Journal
Abstract:
The co-occurrence of PTSD and of substance use disorder (SD) is known to
be very high. However the question of whether and how to treat such
patients remains largely unanswered in the EMDR community. We report on
two cases of EMDR-based treatment of heavily affected SD patients in whom
psychotraumatic antecedents were identified. EMDR sessions focused on
trauma-related material and not on the expression of cue-induced drug
craving. The treatment appeared to be a difficult and challenging endeavour.
However, some beneficial effects on general comfort and on drug consumption
could be observed. A long stabilisation phase was mandatory and the
standard EMDR protocol needed to be conducted with much flexibility.
Interestingly, there was no provocation of a prolonged psychological crisis or
of relapse. Experiencing of emotional stress could be limited to the sessions
and dissociation could be absorbed with specific well-known techniques
without permanently increasing drug craving. These observations are discussed
in relation to previously published concepts of using EMDR in the
field of trauma and substance abuse.
Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder
Accuracy Verified: Yes
195. de Groot, J., & de Jong, A. (2012). EMDR-behandeling van PTSS na seksueel misbruik bij een vaginistische vrouw: Een casus [EMDR treatment for PTSD of a sexually abused woman with vaginismus: A case study]. Tijdschrift voor Seksuologie, 6(3), 197-199.
Language: Dutch
Format: Journal
Abstract:
Een 24 jarige vrouw is vier jaar geleden seksueel misbruikt. Sindsdien was het voor haar onmogelijk gemeenschap te hebben met haar huidige partner (secundair vaginisme). Bovendien had ze klachten die behoren bij een posttraumatische stress-stoornis, ofwel PTSS. Ze zocht hulp bij een psycholoog-seksuoloog. De behandeling nam vijf zittingen in beslag en bestond uit een aanpak gericht op de verwerking van herinneringen aan het misbruik middels EMDR. Dit leidde er uiteindelijk toe dat de PTSS-klachten verdwenen en gemeenschap weer mogelijk was. Deze casus is een voorbeeld van hoe seksueel misbruik vaginisme kan induceren en hoe in dergelijke gevallen een trauma-gerichte behandelaanpak succesvol kan zijn.
Keywords: Case Study Posttraumatic Stress Disorder PTSD Vaginismus
Accuracy Verified: Yes
196. Eschenroder, C. T. (2003). EMDR. La nuova tecnica sul movimento guidato degli occhi che fa superare traumi, fobie e ansia [EMDR. The new technique on the guided movement of the eyes that overcomes trauma, phobias and anxiety]. Red Edizioni, collana L'altra medicin, Libreria Universitaria.
Language: Italian
Format: Book
Abstract:
Emdr è una nuova psicoterapia che mediante precisi movimenti degli occhi, guidati dalle dita del terapeuta, permette in poco tempo di superare positivamente i traumi dovuti a esperienze particolarmente dolorose: incidenti gravi, abusi, violenze. Ma il suo campo di intervento si è ora allargato fino a comprendere le fobie, gli attacchi di panico, i disturbi dell'alimentazione, le tossicodipendenze.
EMDR is a psychotherapy that new form of specific eye movements, led by the fingers of the therapist, brings us quickly to overcome the traumas caused by positive experiences particularly painful accidents, abuse, violence. But its field of action has now expanded to include phobias, panic attacks, eating disorders, drug addiction.
Accuracy Verified: Yes
197. Doner, K. (1994, September). EMDR: Miracle cure or sleight of hand? . . . Eye movement desensitization and reprocessing. American Health, 13(7), 78-79.
Language: English
Format: Magazine
Abstract:
Thousands of victims of phobias, rape, childhood abuse, natural disasters, and combat-related post-traumatic stress disorder have benefited from a controversial new treatment called Eye Movement Desensitization and Reprocessing (EMDR). Developed in the late 1980s by psychologist Francine Shapiro, EMDR involves having patients move their eyes back and forth, following a practitioner's fingers, while the practitioner evokes an image or feeling about a specific trauma. Shapiro speculates that the method may unlock traumatic feelings and pictures from the nervous system because the eye movements in EMDR are similar to movements that occur during REM sleep, which is when the brain processes disturbing memories. Researchers are currently trying to measure the effectiveness of EMDR, which is used by an estimated 7,000 therapists across the U.S. Some critics dismiss EMDR as pop psychology promoted by hucksters.
Accuracy Verified: Yes
198. Jones, J. (1995, June). EMDR: A candid view from the psychiatrist's couch. Presentation at the EMDR Network Conference, Santa Monica, CA .
Language: English
Format: Conference
Abstract:
I will attempt to present an overview of the major psychiatric disorders, some medical and neurologic syndromes and general concepts on how I approach diagnosis, prognosis and treatment. Our time will include all this and put special focus on psychpharmacology. The nature and scope of this material will be mostly introductory but i will certainly be open to exploring my topic at greater depth depending the needs of the group present. The audience should be any among you who would likea way to begin organizing you approach to pharmacology and the impact that is having on your practice and the use of EMDR. Licensed clinical social workers, marriage and family counselors and psychologists should especially benefit form the discussion. You can expect to hear about major depression and its variants, bipolar disorder, panic disorder and the general anxiety disorders- some coverage of eating disorders, PTSD and adult attention deficit disorder but in less detail. I shall only touch upon schzophrenia and the psychotic disorders unless you show a special interest. The same is true for medical and neurologic diagnosis which have psychotic sequelas. I shall then to proceed to describe the differences and similarities among the antidepressants following that with a less detailed presentation of anit-anxiety agents, anti-psychotics, lithium and its siblings and a few of the "tried-and-true" substances of abuse like alcohol, stimulants, hallucinogens and narcotics. Please forgive me if I draw the line at designer drugs. This is a vast amount of information. I shall empasize general organizing concepts which will help the clinician who would like to understand some of his/her clients better, know better when to make a referral to a psychiatrist, now some of the potentials and limitations of EMDR when your clients are taking medications and/or have a major psychiatric disorder. Do not come to if you wish to set sail on a sea of psychiatric and medical details - 90 minutes just will not suffice! I will depend on you to speak up at any time with your concerns and queries (not to mention contradictions) so we can tailor the moment to the real interests of those present. I will attempt to reserve a substantial amount of time for question, answers, and observations but, if we are lucky, this will be happening throughout the ninety minutes. If we have time left I will explore the subject of "you and your psychiatrist" with both panache and hubris. We have a reputation for not being the most ingratiating of colleagues. I have a number of suggestions from a psychiatrist perspective which could make it easier to manage (sic) your psychiatrist. I hope we will be able to conclude with some high spirits and as they say here in California, a time for sharing and mutual understanding.
Accuracy Verified: Yes
199. Morris-Smith, J. (2002). EMDR: A case for pre-verbal memory?. In J. Morris-Smith (Ed.), EMDR : Clinical applications with children, Occasional paper no. 19 (pp. 23-29). London: The Association for Child Psychology and Psychiatry.
Language: English
Format: Book Section
Abstract:
The use of EMDR with children aged 4 years and over who have been exposed to physical abuse, disasters and other traumatic incidents in their infancy and early childhood is beginning to reveal some interesting material. The characteristics of the play and behaviours of traumatized young children were described by Terr (1991). It is suggested that the use of EMDR as a treatment approach is indicative that long-term retention for pre-verbal traumatic events does occur for children traumatised in infancy and perhaps even in the womb. This presentation presents two cases treated by EMDR in which it appears that the children are accessing and processing experiences that occurred too early in development to be encoded with language. EMDR helps these children access and process very early traumatisation and in some cases they are then able to report on them verbally. It is hypothesized that the EMDR technique helps create a verbal narrative for the early memories, and that this allows the child to process and integrate their sensations, emotions and cognitions within a more coherent personal biography. The ability of EMDR to help a child to process and bring to resolution hitherto almost inaccessible infantile memories particularly those relating to abuse, has enormous implications for the child's ability to move on and form healthier attachments and more construction behaviour patterns. It suggests new avenues for research into infantile traumatic memories and their impact on the developing child.
Keywords: Memory Occasional Paper Pre-verbal
Accuracy Verified: Yes
200. 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:
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.
Accuracy Verified: Yes
201. Solomon, E. P., Solomon, R. M., & Heide, K. M. (2009, October). EMDR: An evidence-based treatment for victims of trauma. Victims & Offenders, 4(4), 391 - 397. doi:10.1080/15564880903227495.
Language: English
Format: Journal
Abstract:
More than half of the United States population has been affected by psychological trauma. Many individuals who survive traumatic experiences develop post-traumatic stress disorder (PTSD) and related psychological problems. Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for such disorders. EMDR focuses on reprocessing the dysfunctionally stored memories of the traumatic experience, enabling the client to progress through appropriate stages of affect and insight to reach an adaptive resolution regarding critical issues such as personal responsibility, safety in the present, and the availability of choices in the future. This article describes EMDR, discusses studies of its effectiveness, and concludes with recommendations for trauma-related policy and practice.
Keywords: Child Abuse Crime Victims Evidence-Based Treatment Postraumatic Stress Disorder PTSD Trauma Traumatic Stress
Accuracy Verified: Yes
202. Smyth, N. J., & Maccio, E. M. (2000, November). EMDR: A method to assist in substance abuse prevention & treatment?. Presentation at HOPE 2000 International Conference on HIV and Substance Abuse Prevention and Control, Mumbai, India.
Language: English
Format: Conference
Abstract:
The paper was a research paper on Eye Movement Desensitization and Reprocessing (EMDR), a trauma treatment method, which was summarised and the implications for substance abuse prevention and treatment explored, including protocols that apply EMDR to substance abuse and to disorders among youth.
Keywords: Substance Abuse
Accuracy Verified: Yes
203. Pacheco, J. Q. (2010, Febrero-Marzo). EMDR: Tratamiento de la fobia social [EMDR: Treatment of social phobia]. Communicacion presentada en: 11º Congreso Virtual de Psiquiatría, Trujillo, Peru, Interpsiquis 2010. Psiquiatria.com..
Language: Spanish
Format: Conference
Abstract:
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and
Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Keywords: Social Phobia Treatment
Accuracy Verified: Yes
204. Kellogg-Spadt, S, (2007, August). EMDR: A useful adjuvant for sexual healing. Women's Health Care, 6(8), 24-25.
Language: English
Format: Journal
Abstract:
The text consist of two pages of questions and answers about the utilization of EMDR as a treatment with successful outcomes.
Keywords: Psychotherapy Psychological Theory Sexual Abuse Sexual Abuse Treatment Outcomes
Accuracy Verified: Yes
205. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..
Language: Dutch
Format: Book
Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
Accuracy Verified: Yes
206. Lindqvist, A. (2006). EMDR:n käyttö seksuaalisesti hyväksikäytettyjen lasten hoidossa [EMDR's use of sexually abused children in care]. European Society for Trauma and Dissociation. Retrieved from http://www.estd.org/fi/ARTICLES/EMDRn_kaytto_seksuaalisesti_hyvaksikaytettyjen_lasten_hoidossa.pdf on August 17/2012.
Language: Finnish
Format: Other
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
207. 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:
《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.
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
208. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975.
Language: English
Format: Dissertation/Thesis
Abstract:
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.
Keywords: Adults Adult Child Abuse Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
209. Datta, P., & Wallace, J. W. (1996, June). Enhancement of victim empathy along with reduction in anxiety and increase of positive cognition of sex offenders after treatment with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Treatment of sex offenders who have been themselves sexually abused in their childhood, offers
a significant challenge for many therapists. The traumas related to abuse are unique to the
individual offender and need to be addressed to enhance victim empathy that is so crucial in
breaking the cycle of offense. Treatment of a group of sexually abused adolescent sex offenders
using eye movement desensitization and reprocessing (EMDR) showed reduction in anxiety and
increase in positive cognition. A pre- and post-treatment evaluation using the Datta Empathy
Scale (DES), after an average of 3 sessions, showed a significant increase in empathy for
respective victims. The DES was administered one year after the cessation of EMDR treatment
and the results showed a sustaining effect of EMDR on victim empathy, anxiety and positive
cognition.
Keywords: Empathy Sex Offenders
Accuracy Verified: Yes
210. Datta, P. C., & Wallace, J. W. (1996, November). Enhancement of victim empathy along with reduction in anxiety and increase of positive cognition of sex offenders after treatment with EMDR: Maintenance after three years. Presentation at the EMDR Special Interest Group at the Annual Convention of the Association for the Advancement of Behavior Therapy, New York.
Language: English
Format: Conference
Abstract:
Treatment of sex offenders who have been themselves sexually abused n their childhood, offers a significant challenge for many therapists. The traumas related to abuse are unique to the individual offender and need to be addressed to enhance victim empathy that is so crucial in breaking the cycle of offense. Treatment of a group of sexually abused adolescent sex offenders using eye movement desensittization and reprocessing (EMDR) showed reduction in anxiety and increase in positive cognition. A pre- and post-treatment evaluation using the Datta Empathy Scale (DES), after an average of 3 sessions, showed a significant increase in empathy for respective victims. The victim empathy (using DES), anxiety (using SUDS0, and cognition control (using VoC scale) were also measured in the available subjects one year after and three years after the cessation of EMDR treatment, the results showed a sustaining effect of EMDR on victim empathy, anxiety, and positive cognition.
Keywords: Anxiety Sex Offenders
Accuracy Verified: Yes
211. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.
Language: English
Format: Dissertation/Thesis
Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.
Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness
Accuracy Verified: Yes
212. Smyth, N. J. (2004, September). Evidence-based practice: Ethical and clinical issues for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
International and national movements toward evidence-based practice (EBP) in the treatment of health, mental health and substance abuse Problems are resulting in policy changes for therapists all over the world. This workshop will provide participants with an overview of the EBP movement and explore the ethical and clinical issues raised for EMDR practitioners.
Keywords: Clinical Issues Ethical Issues
Accuracy Verified: Yes
213. Capps, F. (2005). The EXACT method: Resolution of substance abuse-related trauma in couples counseling utilizing eye movement desensitization and reprocessing (EMDR). Texas A&M University, Corpus Christi, TX. AAT 3173700.
Language: English
Format: Dissertation/Thesis
Abstract:
This study utilized single session EMDR (Shapiro, 1995, 2002) and the Experiential Approach to Couples Treatment (EXACT method) to target substance abuse related trauma in non-dependent partners (NDPs) of former substance abusers. Chemical dependent partners (CDPs) received simultaneous experiential treatment. Treatment effects and maintenance of treatment between experimental and wait-list control groups were examined for trauma reduction, commitment to sobriety, and emotional intimacy. Correlations among intimacy, emotional quality, between and commitment to sobriety were examined. Meta-analyses informed the literature review and described the gold standards (Foa & Meadows, 1997) which were used to rate controlled research. The Emogram (Priesmeyer, Knickerbocker, Comstock, & Mudge, 2001) was used for pre-posttest comparisons. This study met the gold standards at a rating of seven (RGS = 7.0). The sample consisted of 12 couples (N = 24) drawn from adult volunteers who met screening criteria. Data was analyzed using within subjects multivariate analyses of variance with repeated measures, and Pearson product-moment correlations. Trauma-related symptoms were significantly reduced for NDPs. Commitment to sobriety was measured by anxiety and depression symptoms which were significantly reduced for chemical dependent partners (CDPs). Trauma, anxiety, and depression reductions were maintained for all participants at follow-up. Maintenance of gains in commitment to sobriety and in emotional intimacy for CDPs failed to reject the null hypotheses. Measures of Self Disclosure, Love and Affection, and Personal Validation were significantly correlated, but were not significantly correlated to Trust or to Emotional Quality. No significant relationship was found between Emotional Quality and Commitment to Sobriety or between Emotional Quality and Emotional Intimacy for CDPs. Conclusions include that a single session of the treatment was efficacious for trauma, anxiety, and depression reduction and for increased commitment to sobriety and intimacy. Treatment gains for trauma, anxiety, and depression reduction were maintained. Commitment to sobriety and emotional intimacy gains tended to be maintained but were not significant. Intimacy measures tended to be related to each other, but relationships among other measures were not significant. Recommendations include larger sample sizes, additional variables of study, and lengthening follow-ups. Comparative treatment methods are recommended. Future research should include families. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 66(4-A), 2005, pp. 1282.
Keywords: Counseling Couples Drug Abuse Emotional Trauma Empirical Study Quantitative Study
Accuracy Verified: Yes
214. Gezondheidsraad (2011, June). Executive summary. In Gezondheidsraad Behandeling van de gevolgen van kindermishandeling (pp. 15-20). Den Haag: Gezondheidsraad.
Language: English
Format: Book Section
Abstract:
Compiled at the request of the Aan de staatssecretaris van Volksgezondheid, Welzijn en Sport, [The The Secretary of State for Health, Welfare and Sport] requested Gezondheidsraad [the Health Council of the Netherlands] compile this 130 page national report on child abuse. This report includes EMDR as a major tool for the treatment of abuse children. The text is in Dutch except for the "Executive Summary" which is in English. Abstract: Request for advice:
Child abuse has always been with us and it takes many different forms. It is estimated
that more than 100,000 children are abused in the Netherlands each year. In recent years, the government has taken strong measures to improve the prevention,
detection, and reporting of child abuse. Given the lack of clarity concerning
the available treatment options for juvenile and adult victims of child
abuse, the Minister for Youth and Family has requested the Health Council’s
advice on this matter. He asked for a summary of the current level of knowledge
regarding treatment of the effects of child abuse, and an explanation of the nature
of these effects. He further requested an indication of the care requirement, and
recommendations on how the care for victims can be improved.
Keywords: Abuse Children Guidelines
Accuracy Verified: Yes
215. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Several psychosocial treatments appear to be effective in treating
posttraumatic stress disorder (PTSD). However, little is known about
the predictors of treatment outcome. It is possible that some variables
predict poor outcome for some treatments but not for others.
To investigate this issue, outcome predictors were examined for
three 8-session treatments: Exposure therapy (entailing prolonged
imaginal and in vivo exposure), relaxation training, and eye movement
desensitization and reprocessing (EMDR). Sixty people with
PTSD entered and 45 completed treatment. To our knowledge, ours
was the first EMDR study to meet all the Foa and Meadows Gold
Standards for methodologically sound outcome research.
Treatments did not differ in attrition or perceived credibility.
Predictors of treatment outcome in PTSD:
While psychological treatments for PTSD have developed considerably
in recent years, large variation in individual treatment response
is apparent. This symposium integrates research from the USA,
Canada, and Australia to examine the impact of personal characteristics,
childhood abuse history, and treatment setting as predictors
of response to cognitive behavioral interventions.
PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation
did not differ in efficacy. Low patient ratings of treatment credibility
(assessed in session 2) predicted treatment dropout, regardless of
treatment type. Of the potential outcome predictors examined,
severe reexperiencing symptoms (assessed prior to treatment) predicted
poor outcome for relaxation training but not for the other
therapies. The best predictor of treatment outcome was whether or
not patients received exposure therapy.
Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium
Accuracy Verified: Yes
216. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
"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]
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
217. Scroppo, F. (2001, December). Extreme stress. Chatelaine Magazine for Canadian Women, 74(12).
Language: English
Format: Magazine
Abstract:
Most of us have suffered bouts of severe stress triggered by work or family troubles. At other times, the anxiety stems from trauma such as physical abuse, a serious car accident or witnessing the World Trade Center tragedy. In the past, professionals advised people with acute stress and post-traumatic stress disorder to get long-term counselling. These days, more and more therapists are turning to a much shorter form of therapy: eye movement desensitization and reprocessing (EMDR).
Keywords: Stress
Accuracy Verified: Yes
218. Brown, S. H., Stowasser, J. E., & Shapiro, F. (2011). Eye movement desensitisation and reprocessing (EMDR): Mental health-substance use. In D. B. Cooper (Ed.), Intervention in Mental Health-Substance Use (pp. 165-193) United Kingdom: Radcliffe Publishing Ltd .
Language: English
Format: Book Section
Abstract:
Substance use disorders remain a persistent social and medical problem. According to a
recent report,1 addiction is the number one health problem in the United States. The report
notes that when one considers the direct costs of drug-induced health problems, deaths due
to accidents, Human immunodeficiency virus (HIV), or drug-related acts of violent crime,
there are ‘more deaths, illnesses and disabilities from substance abuse than from any other
preventable health condition’.1
Most experts today agree that substance use disorders are a complex interaction
between genetics, environment, and experience. ‘Substance dependence is not a failure of
will or of strength of character, but a medical disorder that could affect any human being.
Dependence is a chronic and relapsing disorder, often co-occurring with other physical
and mental conditions’.2
The question remains - Why has it been that over the course of human history,
where people and cultures have had access to alcohol and potent mind-altering substances,
that only some become addicted while the rest are able to regulate their use?
The drugs that people experiencing substance use disorders select are not chosen
randomly, but are a result of an interaction between the psychopharmacologic action of the
drug and the dominant painful feelings with which they struggle. Edward Khantzian,
observed that opiates are often preferred because of their powerful numbing action on the
affects of rage and aggression. Cocaine has its appeal because of its ability to relieve
distress associated with depression. Although ill-fated, ‘addicts discover that the short-term
effects of their drugs of choice help them cope with distressful subjective states and an
external reality otherwise experienced as unmanageable or overwhelming’. Thus emerges a compelling hypothesis, which proposes that people use psychoactive substances in an
attempt to control painful symptoms resulting from psychological trauma. This is referred
to as ‘self-medication’.
Some studies in the United States show that more than 50% of people with mental
disorders also suffer from substance dependence compared to 6% of the general
population.2 It is from our interest in providing integrated treatment for the complex
interaction of genes, environment, trauma, and psychological pain as a driving force behind
mental health-substance use disorders, that this chapter is written.
Keywords: Substance Abuse
Accuracy Verified: Yes
219. ten Broeke, E. & de Jongh, A. (2008). Eye movement desensitization and reprocessing. EMDR na seksueel misbruik. [Eye movement desensitization and reprocessing. EMDR following sexual abuse]. In N. Nicolai (red.), Handboek psychotherapie na seksueel misbruik. [Handbook psychotherapy following sexual abuse] (2e. herz. dr.) (pp. 183-207). Utrecht: De Tijdstroom.
Language: Dutch
Format: Book Section
Abstract:
No abstract available.
Accuracy Verified: Yes
220. 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:
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.
Keywords: Pathological Conditions Posttraumatic Stress Disorder PTSD Substance Abuse Disorders
Accuracy Verified: Yes
221. Fernandez, I. [2008]. Eye movement desensitization and reprocessing. Progetto TiAMA [Project TiAMA].
Language: Italian
Format: Other
Abstract:
EMDR è un acronimo per Eye Movement Desensitization and Reprocessing (Desensibilizzazione e Rielaborazione
attraverso i Movimenti Oculari). E' un metodo clinico innovativo che ha aiutato con successo ormai più di un milione di
individui reduci da eventi traumatici (abuso sessuale, violenza in famiglia, guerra, crimini) ma anche soggetti con altri
disturbi psicologici (depressione, dipendenze, fobie e aspetti legati all'auto stima).
EMDR is an acronym for Eye Movement desensitization and reprocessing (desensitization and reprocessing eye movements). It 'an innovative clinical method that has already successfully helped over a million people emerging from traumatic events (sexual abuse, family violence, war crimes), but also those with other psychological disorders (depression, addictions, phobias and issues self esteem).
Accuracy Verified: Yes
222. 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:
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.
Keywords: Intervention Summary
Accuracy Verified: Yes
223. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.
Language: English
Format: Book Section
Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
224. Vyas, K. J. (2008, April). Eye movement desensitization and reprocessing (EMDR) to decrease human immunodefiency virus (HIV) risk behaviors among Latino men who have sex with men (MSM). Presentation at the National Conference on Undergraduate Research, Salisbury University, MD.
Language: English
Format: Conference
Abstract:
Among Latino MSM, those who have reported early childhood sexual abuse continually report high levels of HIV risk behaviors. The objective of this study was to test if EMDR can be more effective as an HIV risk reduction behavioral intervention than a non-trauma based comparison, the Explore Study intervention. At a university-based outpatient clinic, 35 Latino MSM were randomized into Explore (n=13) and EMDR (n=22). The main outcome measure was a self-report questionnaire assessing unprotected anal sex, number of sexual partners, and use of substances before or during sexual activity during the previous month. Sexual risk behaviors were assessed at baseline, before randomization, and at one week post-intervention. Compared to baseline rates, participants who didn’t report unprotected receptive anal intercourse increased by 11% in Explore and decreased by 12% in EMDR. The corresponding comparisons for number of sexual partners were a 4% increase for Explore and a 41% decrease in EMDR. Explore and EMDR participants showed an increment of 25% and 9%, respectively, in those who denied having used alcohol or drugs before or during sexual activity. Follow-up data at 2 and 6 months post-intervention are being collected. This preliminary analysis suggests that certain HIV risk behaviors can be reduced by EMDR, while others can be equally reduced by more conventional interventions.
Accuracy Verified: No
225. 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:
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)
Keywords: Integrative Psychotherapy Approach
Accuracy Verified: Yes
226. Brenner, I. (2004). Eye movement desensitization and reprocessing (EMDR)?. In I. Brenner (Ed.), Psychic trauma: Dynamics, symptoms, and treatment(pp. 243-302) Lanham: Jason Aronson.
Language: English
Format: Book Section
Abstract: This book is about the psychoanalytically informed understanding, recognition, and treatment of severe psychological trauma. It goes beyond the limited notion of posttraumatic stress disorder (PTSD) and addresses the issues associated with problems ranging from physical and sexual abuse to genocidal persecution.
Keywords: Genocidal Persecution Physical Abuse Sexual Abuse
Accuracy Verified: Yes
227. Kim, D., & Choi, J. (2004, November). Eye movement desensitization and reprocessing for disorder of extreme stress: A case report. Journal of the Korean Neuropsychiatric Association, 43(6), 760-763.
Language: Korean
Format: Journal
Abstract:
A chronic psychological disorder is often encountered in adult survivors of severe and repeated child abuse. We report a case of successful Eye Movement Desensitization and Reprocessing (EMDR) treatment in a multiply traumatized survivor whose previous treatments with psychotropic medication and supportive psychotherapy were unsuccessful. A series of consecutive six weekly sessions of EMDR were given. The patient completed Symptom Checklist-90-Revised. Dissociative Experiences Scale. State and Trait Anxiety Inventory, Beck Depression Inventory and Impact of Event Scale-Revised at four points; at two months and a week before EMDR, a week and six months after EMDR. After EMDR, the patient improved on all the measures of scales. These gains were maintained at six months after the termination of treatment. This case suggests a possible application of EMDR with for chronic difficult-to-treat post traumatic conditions.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
228. Carpenter, M. N. (1999). Eye movement desensitization and reprocessing in battered women: Alleviation of post-traumatic stress disorder. California State University - Fullerton, Fullerton, CA. AAT 1394355.
Language: English
Format: Dissertation/Thesis
Abstract:
This study assessed the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating battered women. 5 battered women who received EMDR treatment experienced a significant reduction from pre to posttest (approximately 45 days) in post traumatic stress (t = 3.68, p < .05), state anxiety (t = 5.86, p < .05), trait anxiety (t = 6.14, p < .05) and depression (t = 5.60, p < .05). Battered women (N = 5) who completed the same shelter program but did not undergo EMDR treatment also showed reduced PTSD (t = 4.50, p < .05), state anxiety (t = 3.28, p < .05), and depression (t = 6.03, p < .05). The average reduction for the shelter + EMDR subjects on the four independent measures was as follows: Impact of Events: 27.8, STAI Y-1: 30.2, STAI Y-2: 21.8 and Beck: 16.8. Scores for the shelter-only subjects were reduced on all four measures but to a far lesser extent: Impact of Events: 16.8, STAI Y-1: 15, STAI Y-2: 2.6 and Beck: 8.8. Results appear to support the efficacy of both EMDR with battered women and the shelter program itself. [Author Abstract]
Keywords: Adults Anxiety Disorders Battery Depressive Disorders Females Posttraumatic Stress Disorder PTSD Shelter Residents Spouse Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
229. Reicherzer, S. (2011). Eye movement desensitization and reprocessing in counseling a male couple. Journal of EMDR Practice and Research, 5(3), 111-120. doi:10.1891/1933-3196.5.3.111.
Language: English
Format: Journal
Abstract:
This practice-based article discusses the use of eye movement desensitization and reprocessing (EMDR) in counseling “Paul“ and “Eddie“ (aliases), a couple for 4 years who presented with what they identified as “communication problems.“ Through the use of psychosocial assessments of the men's personal histories, it was determined that Paul's experience of feeling controlled and Eddie's struggles to believe that he mattered in the relationship were linked to traumatic memories in each man's childhood that related to his sexual identity development. EMDR was used to target the men's traumatic memories, alternating between Paul and Eddie. Following each EMDR treatment series, the work was integrated by talking through how the reprocessed material integrated into the overall couple experience, leading to both men's increased satisfaction in the relationship.
Keywords: Couple Counseling Gay Sexual Abuse
Accuracy Verified: Yes
230. Hase, M. (2007). Eye movement desensitization and reprocessing in der behandlung der substanzabhängigkeit [Eye movement desensitization and reprocessing in the treatment of substance dependency. Alcohol - new strategies for an old problem]. Fachkonferenz der Deutschen Hauptstelle für Suchtfragen e.V., Mannheim .
Language: German
Format: Conference
Keywords: Addiction Alcohol Dependence Substance Abuse
Accuracy Verified: Yes
231. Balcom, D. (2000, December). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. Journal of Gay and Lesbian Social Services, 12(1/2), 75-89. doi:10.1300/J041v12n01_04 .
Language: English
Format: Journal
Abstract:
Gay men suffering from traumatic experiences can benefit from Eye Movement Desensitization and Reprocessing treatment (EMDR). In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. Through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. EMDR can also be useful for developing internal resources and for exploration of relevant themes for the client. Further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. [Author Abstract]
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
232. Balcom, D. (2001). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. In J. Cassese (Ed.), Gay men and childhood sexual trauma: Integrating the shattered self (pp. 75-89). Binghamton, NY: Harrington Park Press/The Haworth Press.
Language: English
Format: Book Section
Abstract:
Describes the theory and practice of eye movement desensitization and reprocessing treatment (EMDR), presents a survey of its applications to traumatized gay male clients, and offers an illustrative case study to highlight the utility of EMDR. In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. The author suggests that gay men suffering from traumatic experiences can benefit from EMDR. It is noted that through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. It is concluded that further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
233. Shapiro, F., Levin, C., Dunton, R., & Goldstein, A. (1992, July). Eye movement desensitization and reprocessing procedure: A rapid treatement for anxiety and related trauma. Presentation at the Fourth World Congress on Behaviour Therapy, Queesland, Australia.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitisation and Reprocessing (EMDR) procedure has been used on thousands of victims (ages 3-74) f traumatic memories, including, combat, rape/molestation, and sexual cult abuse.
Accuracy Verified: Yes
234. Greenwald, R. (2006). Eye movement desensitization and reprocessing with traumatized youth. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 246-264). New York: Guilford Press. xx, 316 pp.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of how eye movement desensitization and reprocessing (EMDR) may be used to treat trauma/loss memories and related symptoms in children and adolescents. The literature on EMDR indicates not only that it works well, but that it may be more efficient than other methods. The reasons for its effect are unclear. Several cases are presented. It is important that clinicians receive formal training to use EMDR, and that it is integrated into a comprehensive trauma-informed treatment approach. [Text, p. 246]
Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors
Accuracy Verified: Yes
235. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press.
Language: English
Format: Book
Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias.To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text]
Keywords: Abuse Adults Assessment Child Abuse Children DID Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Survivors Veterans
Accuracy Verified: Yes
236. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press.
Language: English
Format: Book
Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias. To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text of 1st Edition]
Keywords: Adults Assessment Child Abuse Children Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Abuse Survivors Veterans
Accuracy Verified: Yes
237. Edmond, T. E. (1998, August). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. University of Texas at Austin. AAT 9824929.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of the study was to evaluate, through the use of a randomized experimental design, the effectiveness of EMDR in reducing trauma symptoms in adult female survivors of childhood sexual abuse. No EMDR research to date has been exclusively comprised of adult survivors of childhood sexual abuse, a historically difficult treatment population. Additionally, while numerous clinical accounts of treatment with sexual abuse survivors have been published, controlled treatment research has rarely been done. Of the studies found that examine treatment efficacy exclusively with this population, none involved the use of random assignment.A sample of 60 adult female sexual abuse survivors were selected and randomly assigned to one of three groups: (1) individual EMDR treatment; (2) individual eclectic treatment; or (3) delayed treatment control group. The participating survivors' trauma symptoms were measured in pretests and posttests on standardized as well as subjective instruments that measured anxiety, posttraumatic stress, depression, negative beliefs about the sexual abuse, emotional distress and desired positive self beliefs. The survivors in the study assigned to the experimental or comparison treatment groups received six 90 minute individual sessions of either EMDR or eclectic therapy. The delayed treatment control group subjects were pretested, asked to delay treatment for six weeks, and after being post tested were assigned a therapist with which to work. Data analysis consisted primarily of multivariate and univariate analysis of variance. The posttest results indicated that EMDR was very effective in reducing the targeted trauma symptoms compared to the control group. Eclectic therapy at posttest was also found to be very effective, resulting in a lack of statistically significant differences between the experimental and comparison treatments. However, analysis conducted at the three month follow-up revealed that EMDR was significantly more effective than eclectic therapy at maintaining therapeutic gains. The results of this study suggest that while both EMDR and eclectic therapy, when applied as brief psychotherapy models of treatment for survivors, can produce significant alleviation of trauma symptoms, EMDR may provide more enduring resolution. These findings have important implications for both survivors and the service providers available to them. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 59(2-A), Aug 1998, pp. 0617.
Keywords: Adults Child Abuse Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
238. 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. doi:10.1080/02791072.1994.10472458.
Language: English
Format: Journal
Abstract:
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]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
239. Edmond, T. (2000). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. Presentation at the Conference of the Twelfth National Symposium on Doctoral Research in Social Work.Ohio State University, Columbus, Ohio.
Language: English
Format: Conference
Keywords: Adults Child Abuse Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
240. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing: Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480.
Language: English
Format: Dissertation/Thesis
Abstract:
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.
Keywords: Case Report Empirical Study Male Multiple Traumatic Events Nonclinical Case Study Posttrauamtic Stress Disorder Preadolescents PTSD Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
241. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.
Language: English
Format: Dissertation/Thesis
Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]
Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community
Accuracy Verified: Yes
242. Spates, C. R., & Burnette, M. M. (1995, March). Eye movement desensitization: Three unusual cases. Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 51-55. doi:10.1016/0005-7916(95)00001-G.
Language: English
Format: Journal
Abstract:
Three complex cases are presented to document further the broad applicability of eye movement desensitization (EMD) for PTSD. In the first subject this disorder was combined with panic attacks; in the second, sexual dysfunction was an additional consequence of childhood sexual abuse; and in the third the causative situation directly resulted in profound impairment of occupational and social function. In all three cases treatment produced rapid resolution of symptoms and functional recovery. [Author Summary]
Keywords: Adults Case Report Child Abuse Females Incest Males Multiple Traumatic Events Panic Disorder Police Personnel Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Survivors Treatment Effectiveness Wounds
Accuracy Verified: Yes
243. Dees, L. (2006, November 2). Eye-movement therapists tackle post-traumatic stress. Portland, OR: The Forecaster.
Language: English
Format: Newspaper
Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a form of psychotherapy used to relieve the symptoms of post-traumatic stress disorder. EMDR was developed in 1987 by American psychologist Dr. Francine Shapiro. Shapiro studied the impact of EMDR on reducing the symptoms of post-traumatic stress syndrome in Vietnam combat veterans. EMDR has since been expanded to include applications for grief, phobias, anxiety, depression, abuse, performance anxiety and addictions.
Keywords: General Molly Stanley Overview Portland Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
244. Atkinson, J. (1998, Sep). The eyes have it. Texas Monthly, 26(9), 60-68.
Language: English
Format: Magazine
Abstract:
By the time that vietnam veteran Jerry Smith (not his real name) found his way to psychologist John Black at the Veterans Administration North Texas Health Care System in Dallas in the fall of 1995, he was an absolute mess. In and out of the V.A. system since 1976 suffering from depression, anxiety, alcoholism, and post-traumatic stress disorder (PTSD), he had tried various medications and sat through hours of conventional therapy to no avail. He was an unemployable shut-in: Driving anywhere or visiting the mall—being in any crowd, in fact—made him anxious. He was tormented by sleep terrors, meaning he would wake up in the middle of the night in a cold sweat. And he was so morose that in the previous year he had checked into the V.A. center ten times, five for attempting or considering suicide.
The V.A. first tackled 53-year-old Smith’s drinking problem in the center’s substance-abuse ...
Accuracy Verified: Yes
245. Stuart, J. (2003, January 8 ). The eyes have it. London, England: The Independent, Features, 8-9.
Language: English
Format: Newspaper
Abstract:
It sounds like a quack remedy -just moving the eyes from side to
side to treat emotional suffering. But it works, says Julia Stuart,
for anything from childhood abuse to post-traumatic stress
disorder,
Keywords: Overview General London
Accuracy Verified: Yes
246. PR Newswire. (2001, January 1). Famed EMDR psychologist abandoned her patient in the middle of controversial treatment (EMDR) aimed at helping patient recover from significant childhood abuse. San Francsico, CA: PR News Wire, State and Regional News.
Language: English
Format: Newspaper
Abstract:
EMDR is a treatment modality for use with adults who have been abused as children, which is purported to help them clear their trauma more rapidly and to lead full, productive lives. In using EMDR treatment, a patient is asked to hold in mind an image of the trauma, a negative self-cognition, negative emotions and related physical sensations about the trauma. While doing so, the client is instructed to move their eyes quickly and laterally back and forth for about 15-20 seconds, following the therapist's fingers or some other stimulation device. The patient then reports the images, cognitions, emotions and physical sensations that emerge. This procedure continues until "desensitization" of the troubling material is complete and positive self-cognitions have replaced the previous negative self-cognition.
Keywords: General Overview San Francisco
Accuracy Verified: No
247. Zampieri, M. A. J. (2007, Novembro). Família e co-dedependência [Family and co-dependency]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil .
Language: Portuguese
Format: Conference
Abstract:
Apresentação de aplicação do EMDR
em terapia de casais, famílias e sistemas no
tratamento em contextos que apresentem padrões
de co-dependência. A autora se apóia na descrição
de manifestações sistêmicas da co-dependência
já publicada e demonstra como a intervenção com
EMDR pode ser empregada individualmente e
adaptada em grupo. Apresentam-se exemplos de
casos em tratamento de abuso de substâncias na
co-dependência familiar e na co-dependência
sócio-institucional no acompanhamento de
profissionais do Conselho Tutelar. Espera-se que
ao término da atividade o participante formado
em EMDR seja capaz de identificar manifestações
da co-dependência, nomear tais princípios num
plano de intervenção com uso do EMDR na família
ou na instituição.
Submission of application of EMDR in couples therapy, family systems and the treatment in environments that present standards co-dependency. The author relies on the description systemic manifestations of codependency already published and demonstrates how the intervention EMDR can be used individually and adapted group. There are examples of cases of substance abuse treatment in
family co-dependency and codependency
socio-institutional follow-up professionals from the Guardianship Council. It is expected that the end of the activity the participant made in EMDR is able to identify events of co-dependency, appoint such principles in a intervention plan with the use of EMDR in the family or institution.
Keywords: Co-Dependency Family
Accuracy Verified: Yes
248. Affonso, S. D. S. (2012, Novembro). Família vítima de sequestro em cativeiro: Intervenção com EMDR e protocolo grupal integrativo como prevenção do transtorno de estresse pós-traumático [Family kidnap victim in captivity: Intervention with EMDR protocol and group integrative prevention of disorder like post-traumatic stress]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Caso de sequestro familiar onde pai e dois filhos pequenos ficaram em cativeiro por 19 horas. Mãe teve que acompanhar os outros assaltantes durante toda a ação criminosa sob ameaça de morte. Objetivo: Reestruturação da dinâmica familiar pós-trauma de sequestro por meio da aplicação do EMDR, Grupal (PGI) e sistêmico familiar como recurso teórico e prático da resolução do trauma. Justificativa: Aplicação do EMDR como instrumento eficaz e mediador em situações de sequestro familiar, minimizando suas consequências. Empoderar a família para uma reorganização segura reincorporando as atividades do cotidiano e as biopsicossociais. Os componentes desta família foram vítimas de violência urbana com abusos emocionais físicos e ameaças de morte constantes. Metodologia: Foram realizado sete atendimentos. O primeiro com o Protocolo Grupal Integrativo (Suds e Voc - projeção do futuro com 03 membros da família) e o restante com o EMDR individual (CN-CP-Voc-E-S-Suds) e Sistêmico Familiar. Período de julho a novembro de 2011 em consultório particular na região de São Paulo. Conclusão: ao término dos atendimentos foi possível observar a capacidade de reorganização da dinâmica familiar com a resolução dos traumas por meio da aplicação do EMDR. Possibilitando o retorno gradativo dos filhos às atividades diárias e escolares, com o término dos pesadelos e comportamentos fisiológicos decorrentes do trauma sofrido, confirmando, assim, a potencialidade que o EMDR individual, grupal fortalecem e recuperam a reestruturação familiar pós-trauma em sequestro.
Introduction: Case of kidnapping family where father and two small children were in captivity for 19 hours. Mother had to follow the other robbers throughout the criminal action under threat of death. Objective: Restructuring family dynamics posttraumatic sequestration through the application of EMDR Group (PGI) and systemic family as a resource of theoretical and practical resolution of trauma. Rationale: Application of EMDR as an effective tool and mediator in situations of family abduction, minimizing their consequences. Empower the family to secure a reorganization reincorporating everyday activities and biopsychosocial. The components of this family were victims of urban violence with physical and emotional abuse constant death threats. Methods: We conducted seven sessions. The first Protocol to the Integrative Group (Suds and Voc - projection of the future with 03 family members) and the rest with the individual EMDR (CN-CP-You-ES-Suds) and Systemic Family. From July to November 2011 in private practice in the region of São Paulo. Conclusion: At the end of the visits was possible to observe the ability of reorganization of family dynamics with the resolution of trauma through the application of EMDR. Allowing the gradual return of the children to their daily activities and school, with the end of nightmares and physiological behaviors resulting from trauma, thereby confirming the potential that the EMDR individual, group and strengthen the family restructuring recover post-trauma in kidnapping.
Keywords: Family Restructuring Trauma Victims
Accuracy Verified: Yes
249. Vanhoeck, K., & Gykiere, K. (2010). Fantasiemanagement bij seksuele delinquenten [Fantasy management in sexual offenders]. Tijdschrift voor Seksuologie, 34, 224-235.
Language: Dutch
Format: Journal
Abstract:
Fantasy management for sex offenders
Sexual fantasies of sex offenders are a complex therapeutic issue. First, there is not so much we know yet for sure
about sexual fantasies. Secondly, the question is what role
sexual fantasies play as a risk factor for sexual abuse. And
third, therapists see themselves confronted with the difficult task how to affect the sexual fantasies of their client (if
they are willing to do this at all). In part 1 of this article, we
briefly go through the scientific knowledge about sexual
fantasies of sex offenders and will primarily have to find
out that we do not know much. In part 2 we present four
ethical statements as a therapeutic framework for fantasy
management. Finally we describe six steps to make it practical to get started.
Keywords: Fantasy Management Sex Offenders
Accuracy Verified: Yes
250. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.
Language: Spanish
Format: Conference
Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Keywords: Floatback Technique Float Foward Technique
Accuracy Verified: Yes
251. Edmond, T. (2005, September). The future of evidence in EMDR. Plenary presented at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Evidence based practice has gained increased attention in recent years, having
been advanced initially by the medical professions, encouraged by various
academic institutions, increasingly required by insurance companies, and
endorsed by many professional associations. Although this represents an
important movement towards improving the quality of care available to
clients, there are legitimate concerns about what constitutes evidence. In
the past 15 years, research on EMDR has proliferated and the methodological
rigor of that work has greatly improved. Yet skepticism ahout the effectiveness
of EMDR remains and much is still unknown about the parameters of this
innovative approach to psychotherapy. This presentation will provide a
description of evidence based practice as a backdrop for examining the
current state of EMDR research with recommendations for areas of research
that are needed, methodological issues that should be considered, and the
role of practitioners in the generation of that knowledge. Findings from a
mix-methods study evaluating the effectiveness of EMDR with adult female
survivors of childhood sexual abuse will be used as an example to critique the
limitations of the gold standard approach to generating evidence based practice
and to illustrate the importance of methodological diversity in the pursuit of
knowledge about the practice of psychotherapy.
Keywords: Evidence-Based Practice Gold Standard Plenary
Accuracy Verified: Yes
252. Brayne, M. (2011, March). Giving evidence in court on behalf of an EMDR client. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol .
Language: English
Format: Conference
Abstract:
What’s it like to give court evidence in the UK on behalf of an EMDR client? And what can EMDR unleash
in a survivor of child sexual abuse now become war reporter? In 2007, Mark Brayne became one of the
very few EMDR therapists internationally to have taken the witness stand for a client, involving sexual
abuse charges against a former priest at a prominent Catholic school in the UK. Mark’s client “G”, a former
war correspondent, had always known he was abused as a child. But it was in EMDR, more than 20 years
later, that he recalled the detail. Four years after the trial, “G” has now given permission for his story to be
told. This workshop will a space to explore some of the legal challenges of working with EMDR, and also
EMDR’s table-turning and at times colourfully cartoon-like impact on the narrative of dysfunctional
memory networks.
Keywords: Court Evidence
Accuracy Verified: Yes
253. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.
Keywords: Posttraumatic Stress Disorder Psychotherapy Treatment
Accuracy Verified: Yes
254. Courtois, C. (1997, January). Guidelines for the treatment of adults abused or possibly abused as children (with attention to issues of delayed/recovered memory). EMDRIA Newsletter, 2(3), 3-8.
Language: English
Format: Newsletter
Abstract:
These guidelines provide practicing clinicians with information regarding psychotherapy with adults who: 1) disclose an abuse history (physical, sexual, emotional) at the beginning of therapy, 2) do not disclose abuse despite having knowledge and memory about such events in their past; 3) report new (delayed or recovered) memories of abuse during the course of therapy; and/or 4) suspect past abuse, but have no clear memories of having been abused. The most common clinical scenario involves an individual who has retained memory for past abuse, but recalls additional events or details during therapy. The less common scenario is for an individual to have totally absent any memory of abuse and to later develop highly detailed memory. Practitioners should expect a range of memory presentations and must work to neither suggest nor suppress abuse-related issues that arise in the course of therapy.
Keywords: Abuse Delayed Recovery Memory
Accuracy Verified: Yes
255. Nicolai, N. (2003). Handboek psychotherapie na seksueel misbruik [Handbook psychotherapy after sexual abuse]. Utrecht: De Tijdstroom.
Language: Dutch
Format: Book
Keywords: Sexual Abuse
Accuracy Verified: Yes
256. Hofmann, A. (2010, June). Healing depression by treating trauma?. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools for treating posttraumatic stress disorders. One of the lesser-known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders, which may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population during their lifetimes. Although many psychotherapeutic and pharmacologic interventions exist that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (around 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (such as abuse experience in childhood) and the later occurrence of a depressive disorder. Research also shows that patients with a traumatic childhood history respond differently to treatment than patients without such a history do.
However, there is no published systematic study that tries to explore the potential use of trauma-specific treatments, such as EMDR, with depressive patients with a trauma history.
The presenter will report on the status of research on this subject and on a current controlled study, which is exploring the use of EMDR in depressive patients.
Keywords: Depression Keynote Trauma
Accuracy Verified: Yes
257. Vogelmann-Sine, S. (1998). Healing hidden pain: resolving the effects of childhood abuse and neglect. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 167-190). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract: W
hen EMDR is incorporated into a treatment plan, the treatment outcome is primarily determined by the clients' willingness and ability to trust their therapists and face the painful feelings that are limiting their functioning. Each treatment plan has to be carefully designed in order to assist individuals to overcome behavior adaptations based on trauma and assist them to function more adequately in the present. I have found it most effective to educate clients about their trauma history and the adaptations they have to make and enlist them as active participants in the healing process. A collaborative relationship is necessary in order to determine whether clients are willing and able to take the risks necessary to face painful emotions and experiences in order to overcome barriers in their lives. The therapeutic journey discussed in this chapter is inspiring because it illustrates the complexity of such a healing process. "Susan's" story demonstrates that EMDR is a tool that can help clients go back in time and develop those parts of their personalities that could not emerge because of an invalidating environment. [Text, p. 169]
Keywords: Adults Americans Case Report Child Abuse Females Life Experiences Neglect Psychotherapeutic Processes Self Concept Survivors Treatment Effectiveness
Accuracy Verified: Yes
258. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136.
Language: English
Format: Journal
Abstract:
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.
Keywords: Caregiving System Connection: Contingecy Differentiation Mentalization Regulation
Accuracy Verified: Yes
259. 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:
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.
Keywords: Complex Trauma Personality Disorders Re-Scripting
Accuracy Verified: Yes
260. Adler-Tapia, R. (2013, January). Healing the origins of trauma: Eye movement desenitization and reprocessing (EMDR) psychotherapy for children exposed to violence and abuse. Presentation at the 27th Annual San Diego International Conference on Child and Family Maltreatment, San Diego, CA.
Language: English
Format: Conference
Keywords: Children, Violence
Accuracy Verified: Yes
261. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley.
Language: English
Format: Book Section
Abstract:
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Adolescents Children
Accuracy Verified: Yes
262. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and
behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching
sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment
during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual
functioning concerns.
EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded
issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken
to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex
therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This
can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills,
and modifying the physical aspects associated with the technique.
There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative
messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can
be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse.
EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular
objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions.
Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual
response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving
sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the
techniques.
Keywords: Sexual Abuse Sexual Issues
Accuracy Verified: Yes
263. Rogers, M. (2001, January 24). Healing through the windows of the soul. Sante Fe, NM: The Sante Fe New Mexican, E-3.
Language: English
Format: Newspaper
Abstract:
The therapy technique, called eye-movement desensitization and reprocessing, is an innovative method of therapy for anyone who has experienced a trauma of any kind, Stark said. EMDR can be used to treat victims of sexual abuse, domestic violence, criminal violence, combat and natural disasters. It has even been used to treat people with personality disorders, such as schizophrenia.
Keywords: General Overview Sante Fe
Accuracy Verified: Yes
264. Bayliss, S. (2010, April). Healing trauma with eye movement integration - with reference to victims of controlling and abusive relationships. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Keywords: Abuse Relationships
Accuracy Verified: Yes
265. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
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]
Keywords: Attachment Behavior Psychotherapy Stressors Survivors
Accuracy Verified: Yes
266. Armstrong, M. (1998, March). Healing traumatic wounds from childhood. The Focusing Connection, 15(2).
Language: English
Format: Newsletter
Abstract:
We are just beginning to understand that psychological trauma from emotional, physical and sexual abuse in childhood is epidemic in our society. We know the extent of the problem, and that trauma is trauma, no matter how it happens. For example, a child living in an anger-filled or incestuous home may have all the signs and symptoms of the traumatized Vietnam veteran. We know too that the cause of the lasting distress may be largely physical, resulting from permanently altered neurology and biochemisty.
Keywords: Childhood Sexual Abuse
Accuracy Verified: Yes
267. Capps, F. (2005). Healing wounds of substance abuse related trauma using EMDR in couples counseling. Presentation at the CEDER Conference, TAMU-CC, Corpus Christi, TX.
Language: English
Format: Conference
Keywords: Couples Counselling Couples Therapy Substance Abuse
Accuracy Verified: Yes
268. Miller, B. (2005. November 21). The hidden abuse - Catholic church faces hurt with hope. Wilmington, DE: The News Journal, News, A1, A6.
Language: English
Format: Newspaper
Abstract:
It took years of counseling and a process sometimes used with trauma victims called EMDR - Eye Movement Desensitization and Reprocessing - for John Dougherty to remember the day Carley first raped him.
Keywords: Catholic Church Sexual Abuse Wilmington, DE
Accuracy Verified: Yes
269. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives:
Know that trauma influences psychotic symptoms,
Understand how EMDR can influence paranoia and hallucinations, and
Be able to conceptualize EMDR for these symptoms
Keywords: Psychosis
Accuracy Verified: Yes
270. Cook, A. (1994). Ideas for using EMDR with dissociative states. EMDR Network Newsletter, 4(3), 5.
Language: English
Format: Newsletter
Abstract:
I have been using EMDR with many
of my clients a number of whom had
been sexually assaulted as children
and have suffered other childhood
trauma. While it is very helpful for
most clients, I have found that some,
who had suffered repeated and early
abuse, are overwhelmed with the material
that they uncovered using
EMDR in its original form. I have
tried a couple of techniques for altering EMDR which have been very helpful
to some clients. Interestingly,
many clients can return to the original
version once their anxiety levels
have been lowered.
Keywords: Dissociation
Accuracy Verified: Yes
271. 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:
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.
Keywords: Child Bearing Sexual Abuse
Accuracy Verified: Yes
272. Maxwell, J. P. (2003, October). The imprint of childhood physical and emotional abuse: A case study on the use of EMDR to address anxiety and lack of self-esteem. Journal of Family Violence, 18(5), 281-293. doi:10.1023/A:1025165227590.
Language: English
Format: Journal
Abstract:
This article examines the use of Eye Movement Desensitization and Reprocessing (EMDR) in helping a client address problems with persistent anxiety and a lack of self-esteem. During EMDR treatment, the client explored the dichotomous thinking that had plagued her since childhood, and correspondingly, the role of childhood physical and emotional abuse in her chronic feelings of inadequacy and anxiety. The client experienced significant improvement in her levels of anxiety and problems with self-esteem, both at the end of treatment and at 1-year follow up. Qualitative and quantitative data are utilized in this case study outlining the use of EMDR with a client diagnosed with dysthymic disorder.
Keywords: Adult Female Anxiety Child Abuse Childhood Physical Abuse Childhood Emotional Abuse Clinical Case Study Emotional Abuse Empirical Study Lack of Self-Esteem Patient History Self Esteem
Accuracy Verified: Yes
273. Forgash, C. A. (2003, May). Improving child sexual abuse survivor’s health with integrated EMDR & ego state treatment. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Attachment Theory Complex PTSD, Ego State Therapy Symposium
Accuracy Verified: Yes
274. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
Keywords: Affect Tolerance Poster Self-Regulation Social Functioning
Accuracy Verified: Yes
275. Forgash, C. A. (2003, September). Improving survivor’s health with integrated EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop will present an EMDR and Ego State integrated approach dealing with the health problems of child sexual abuse survivors (CSAS). These problems are exacerbated by dissociative and PTSD symptoms and may have affected clients accessing health care. These complex clients require tri-phased treatment approach which includes an extended preparation phase (to help CSAS manage triggers and avoid retraumatization in the healthcare setting) desensitization and reprocessing of earlier trauma, including both sexual abuse and medical situations, and the future template phase where consumer skills development will be planned, rehearsed and installed. The workshop will include handouts, bibliography, and a slide presentation.
Keywords: Ego State Therapy
Accuracy Verified: Yes
276. Bluthgen, C., & Pomeranec, E. (2007, Novembro). Incidencia del trauma temprano en conflictos de pareja [Impact of trauma early in marital conflict] . Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizagem:
• Este trabajo enfoca el impacto de experiencias
traumáticas tempranas, especialmente
abuso sexual infantil, en relaciones de pareja
disfuncionales y en el conflicto marital.
Aprendizagem objectives:
• This study addresses the impact of experiences
early traumatic, especially
child sexual abuse in relationships
dysfunctional and marital conflict.
Keywords: Marital Conflict
Accuracy Verified: Yes
277. Lazrove, S. (1995, June). An inconclusive look and the complex interplay between trauma and substance abuse. Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The idea of using EMDR to treat substance abusers is attractive. However,
EMDR is most effective when the target is identified precisely. Two related, but
distinct, targets are presumed to exist in substance abusers: 1. The drug abuse
behavior, and 2. The psychological underpining which, presumably, drive the
substance abuse. Depending upon which is selected, two different approaches
to treatment are possible.
Keywords: Substance Abuse
Accuracy Verified: Yes
278. Stewart, K., & Dalman, R. (1998, July). Incorporating EMDR in a residential setting for abused adolescent females. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) how EMDR is utilized in a residental facility for abused adolescent females; 2) how to use milieu staff to reinforce and strengthen EMDR work from individual sessions; 3) how EMDR and Linehan's DBT methodology can work together to strengthen treatment; and 4) how to train millieu staff.
Keywords: Abuse Adolescents DBT Dialectical Behavior Therapy Female Residential Settings
Accuracy Verified: Yes
279. Baldwin, D. (1997). Innovation, controversy, and consensus in traumatology. Traumatology, 3(1), 7-22. doi:10.1177/153476569700300103.
Language: English
Format: Journal
Abstract:
Controversy follows innovation and threats to the status quo in many social domains, including the sciences. This article briefly summarizes information from the philosophy of science and data from studies of conflict in diverse fields. It then introduces two independent contemporary controversies in traumatology -- a new clinical method called EMDR and the Final Report of the APA Working Group on memories of childhood abuse -- and considers them within a broader context of the historical rift between psychological research and practice. The aim is to step outside the frame of specific conflicts and identify differences in philosophical orientation and values that contribute to communication difficulties and associated conflict between partisans. Approaches are offered toward building consensus within the field. [Author Abstract]
Keywords: Child Abuse Commentary False Memory Rape Scientific Research Survivors
Accuracy Verified: Yes
280. Manfield, P. (2000). Innovative EMDR-Ansätze: Die Anwendungsfelder von EMDR [Innovative approaches to EMDR]. Paderborn: Junfermann.
Language: German
Format: Book
Abstract:
EMDR wurde von Francine Shapiro infolge einer zufälligen Entdeckung, die sie im Jahre 1987 machte, entwickelt. Wie sie selbst in ihrem Vorwort zu diesem Buch schreibt, ist "EMDR ... mittlerweile zu einer Methodologie geworden, die Aspekte aller wichtigen psychotherapeutischen Methoden zu einem fokussierten Ansatz für die Behandlung eines großen Spektrums von Pathologien vereint."
Das vorliegende Buch setzt an, wo die formelle EMDR-Ausbildung endet. Mittlerweile wurde mit Hilfe wissenschaftlicher Untersuchungen nachgewiesen, daß EMDR die psychologischen Nachwirkungen traumatischer Erinnerungen ungeheuer erfolgreich zu behandeln vermag. Anhand von Fallstudien wird im vorliegenden Buch untersucht, in welchen anderen Bereichen EMDR nützliche Dienste leisten könnte. Unter diesen befinden sich so schwierig zu behandelnde Probleme wie längerfristiger Kindesmißbrauch und komplexe Fälle von posttraumatischer Belastungsstörung. Die wiedergegebenen elf Fallberichte veranschaulichen die Anwendung von EMDR auf ein großes Spektrum von Fällen.
Die zahlreichen klinischen Beispiele werden angehenden EMDR-Therapeuten helfen, die neu erlernte Methode bei ihren Klienten anzuwenden, und sie liefern erfahrenen EMDR-Praktikern Modelle zur Erweiterung der Anwendung dieser Methode. Durch die gut verständlichen Erklärungen des Behandlungsprozesses wird EMDR sowohl für Kliniker als auch für Klienten entmystifiziert. Die Autoren der Einzelbeiträge sind Vertreter unterschiedlicher psychotherapeutischer Ansätze, unter anderem des psychodynamischen, des behavioristischen, des kognitiven und des systemischen.
EMDR was developed by Francine Shapiro as a result of an accidental discovery she made in 1987. As she writes in her foreword to this book, "EMDR is ... now become a methodology that combines aspects of all major psychotherapeutic methods into a focused approach to the treatment of a wide spectrum of pathologies." This book is at, where the formal EMDR training ends. Now been shown through scientific studies that EMDR can handle the psychological aftermath of traumatic memories enormously successful. Through case studies is examined in this book could make in what other areas EMDR useful services. Among these are so difficult to treat problems such as longer-term complex cases of child abuse and post traumatic stress disorder. The reproduced eleven case reports illustrate the application of EMDR to a wide range of cases. The numerous clinical examples will help prospective EMDR therapists who learned new method for their clients to apply and provide experienced EMDR practitioners to increase their use of this method. Due to the easily understandable explanations of the treatment process is demystified both EMDR for clinicians and for clients. The authors of individual contributions are representatives of different psychotherapeutic approaches, including the psychodynamic, the behavioral, cognitive, and systemic.
Keywords: Innovations
Accuracy Verified: Yes
281. Colt, K. M., & Marvasti, J. A. (2004). Innovative therapies for trauma related disorders: TARGET, TREM, and EMDR. In J. A. Marvasti (Ed.), Psychiatric treatment of victims and survivors of sexual trauma: A neuro-bio-psychological approach (pp. 73-95). Springfield, IL: Charles C. Thomas Publisher.
Language: English
Format: Book Section
Abstract:
In this chapter, Marvasti and Colt explore the victims' response to trauma and examine nontraditional treatment models for psychological trauma. The TARGET model (Trauma Adaptive Recovery Group Education and Therapy) of treatment focuses on current symptoms. Treatment is aimed at helping the victim move from maladaptive patterns of thought and behavior toward healthy ways of managing life. TREM (Trauma Recovery and Empowerment Model) was created to assist disempowered female victims of trauma to develop self-esteem and coping skills. EMDR (eye movement desensitization and reprocessing) is a set of protocols designed to decrease the symptoms of traumatic stress by use of rhythmic movements and cognitive restructuring. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Emotional Trauma Empowerment Female Victims Group Education and Therapy Group Psychotherapy Human Females Models Nontraditional Treatment Models Psychological Trauma Sexual Abuse Symptoms Treatment Victimization
Accuracy Verified: Yes
282. 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:
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.
Keywords: Integration of the Spiritual Dimension
Accuracy Verified: Yes
283. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author.
Language: English
Format: Other
Abstract:
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system.
Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.
Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder
Accuracy Verified: Yes
284. Brown, S., Gilman, S. G., & Kelso, T. (2008, September). Integrated trauma treatment program: A novel EMDR approach for PTSD and substance abuse. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
PTSD and substance abuse is a common co-occurring disorder for which current research recommends a phased, integrated treatment approach. This presentation covers the 4-year pilot program using EMDR and Seeking Safety© as an Integrated Trauma Treatment Program (ITTP) in a Drug Court. The process, rationale and clinically significant outcomes of this study will be presented. Participants will learn how to implement EMDR in other similar settings and will learn how to develop a simple research model to collect data. Time will be provided for discussion of clinical issues addressed in this ITTP and video of study participants post-treatment.
Keywords: Posttraumatic Stress Disorder PTSD Substance Abuse
Accuracy Verified: Yes
285. Brown, S., & Gilman, S. (2005, September). Integrated treatment of PTSD and substance abuse with chemically addicted offenders in a drug court model: A pilot study. Poster presented at the annual meeting of EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Keywords: Drug Court Model Pilot Study Poster Posttraumatic Stress Disorder PSTD Substance Abuse
Accuracy Verified: Yes
286. 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:
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.
Keywords: Attachment Repair Orientation Relational Trauma
Accuracy Verified: Yes
287. Forgash, C. (2006, November). Integrating EMDR and ego state treatment: Addressing dissociation and PTSD in adult sexual abuse survivors and their negative impact on physical health. Presentation at the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA .
Language: English
Format: Conference
Keywords: Dissociation Ego State Therapy Physical Health Posttraumatic Stress Disorder PTSD Sexual Abuse Survivors
Accuracy Verified: Yes
288. Bergmann, U. (2003, May). Integrating EMDR into specific therapeutical approaches - Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state work. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of
personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental
coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
289. Wernimont, T. (2004, September). Integrating EMDR into the treatment of brain injury. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Brain injury is the often overlooked result of abuse, accidents, sports injury, seizure disorder, tumors/surgery, and toxic exposure/overdose. Symptoms from brian injury are often attributed to other causes, including depression, addiction, and even schizophrenia impeding treatment. There will be practical suggestions regarding: 1) assessment for symptoms of brain injury in your population; 2) applying EMDR approach within a comprehensive treatment plan; and 3) how to use strategies to treat symptoms of dysregulation and to reinforce skills. In addition, the cognitive, emotional, behavioral, and social effects of brain injury will be addressed.
Keywords: Brain Injury
Accuracy Verified: Yes
290. 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:
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.
Keywords: Sexual Abuse Survivors
Accuracy Verified: Yes
291. Ringel, S. (2012). An integrative model in trauma treatment - utilizing eye movement desensitization and reprocessing and a relational approach with adult survivors of sexual abuse. Psychoanalytic Psychology. doi:10.1037/a0030044.
Language: English
Format: Journal
Abstract:
The aim of this article is to offer an integrative approach in the treatment of adult survivors of sexual abuse. The treatment orientation is psychodynamic and intersubjective and will draw on three conceptual models: (a) a developmental model based on current attachment research, (b) current neuroscience findings concerning traumatic memory that emphasize sensory, affective, and implicit knowing in the understanding and treatment of trauma, and (c) eye movement desensitization and reprocessing as an adjunctive technique to help access traumatic memories. The author will summarize each theoretical perspective and will provide a case illustration to demonstrate a treatment approach that incorporates all three modalities.
Keywords: Adults Relational Approach Sexual Abuse Survivors
Accuracy Verified: Yes
292. Maxfield, L. (2007). Integrative treatment of intrafamilial child sexual abuse. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 344-364). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter discusses childhood sexual abuse (CSA); the role of the family after disclosure; theoretical conceptualizations; and family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of CSA. A combination of family therapy and EMDR can provide thorough comprehensive treatment for the child and nonoffending family members. The integrated treatment process developed by this author has four stages, as further discussed here. To simplify, the family situation is configured as a nonoffending protective mother with a child abused by the mother's husband or live-in boyfriend. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Childhood Sexual Abuse Family Systems Theory Family Systems Therapy Family Therapy Integrative Psychotherapy Integrative Treatment Sexual Abuse
Accuracy Verified: Yes
293. Harford, P. M. (2010). The integrative use of EMDR and clinical hypnosis in the treatment of adults abused as children. Journal of EMDR Practice and Research, 4(2), 60-75. doi:10.1891/1933-3196.4.2.60.
Language: English
Format: Journal
Abstract:
The potential benefits of the use of a permissive style of clinical hypnosis as a therapeutic medium to enhance eye movement desensitization and reprocessing (EMDR) trauma treatment are explored. A comparative review of hypnosis and EMDR is provided, including putative psychophysiological mechanisms for both. A rationale for integrating clinical hypnosis with EMDR treatment is presented. It is suggested that hypnosis primarily enhances the accessibility of traumatic information while EMDR primarily enhances the reprocessing of traumatic information and that accessibility and reprocessing are reciprocal features. The relative and combined merits of hypnosis and EMDR for resource development are discussed. The author proposes that clinical hypnosis may be incorporated into EMDR without necessarily modifying the eight-stage EMDR protocol apart from modifications that are indicated for special conditions. Three case vignettes are used to illustrate the integrative use of clinical hypnosis and EMDR in the treatment of adults who experienced childhood abuse.
Keywords: Abuse ACC Adolescents Children Clinical Hypnosis Complex PTSD Complex Posttraumatic Strress Disorder C-PTSD Integrative Use VMPFC
Accuracy Verified: Yes
294. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
Keywords: Couples Therapy
Accuracy Verified: Yes
295. Snyder, M. (1996, December). Intimate partners: A context for the intensification and healing of emotional pain. Women and Therapy, 19(3), 79-92. doi:10.1300/J015v19n03_08.
Language: English
Format: Journal
Abstract:
A case of a lesbian couple is presented in which one partner experienced early sexual abuse and the other a series of major losses (beginning with the death of her mother) in early childhood. The first partner developed an alcohol addiction and the second a high level of emotional lability and some practices of self-harm. Both partners developed dissociative patterns. The couple is now in a committed relationship and have continued in therapy for the last 9 months, with sessions gradually becoming less frequent. The therapeutic work has included the "externalization" of the problem(s), some individual work within the couple session using Eye Movement Desensitization and Reprocessing (EMDR), and a strong emphasis on the development of empathic skill through the technique of "becoming" the other person. The case reveals the way in which a primary relationship often surfaces intense unresolved feelings and dysfunctional relationship practices, and also the way in which emotional commitment and a structure for the couple becoming therapeutic agents to each other allows for a deep level of healing. The couple comments on their relationship process and the therapeutic process as part of the article. [Author Abstract]
Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors
Accuracy Verified: Yes
296. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.
Language: English
Format: Book Section
Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]
Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
297. National Council on Disability (2009, March). Invisible wounds: Serving service members and veterans with PTSD and TBI. Author.
Language: English
Format: Publication
Abstract:
More than 1.6 million American service members have deployed to Iraq and Afghanistan in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). As of December 2008, more than 4,000 troops have been killed and over 30,000 have returned from a combat zone with visible wounds and a range of permanent disabilities. In addition, an estimated 25-40 percent have less visible wounds--psychological and neurological injuries associated with post traumatic stress disorder (PTSD) or traumatic brain injury (TBI), which have been dubbed "signature injuries" of the Iraq War. National Council on Disability (NCD) concurs with the recommendations of previous Commissions, Task Forces and national organizations that: (1) A comprehensive continuum of care for mental disorders, including PTSD, and for TBI should be readily accessible by all service members and veterans. This requires adequate staffing and adequate funding of Veterans Administration (VA) and Department of Defense (DoD) health systems; (2) Mechanisms for screening service members for PTSD and TBI should be continuously improved to include baseline testing for all Service Members pre-deployment and follow up testing for individuals that are placed in situations where head trauma may occur; and (3) The current array of mental health and substance abuse services covered by TRICARE should be expanded and brought in line with other similar health plans. As this report indicates, the medical and scientific knowledge needed to comprehensively address PTSD and TBI is incomplete. However, many evidence-based practices do exist. Unfortunately, service members and veterans face a number of barriers in accessing these practices including stigma; inadequate information; insufficient services to support families; limited access to available services, and a shortage of services in some areas. Many studies and commissions have presented detailed recommendations to address these needs. There is an urgent need to implement these recommendations. (Contains 4 exhibits.)
Keywords: Afghanistan Iraq Military Posttraumatic Stress Disorder PTSD TBI Traumatic Brain Injury Veterans
Accuracy Verified: Yes
298. Lustig, S., Smrz, A., Sladen, P., Sellers, T. D., & Hellman, S. (2000, January-February). It takes a village: Caring for a traumatized art student. Harvard Review of Psychiatry, 7(5), 290-298. doi:10.3109/hrp.7.5.290.
Language: English
Format: Journal
Abstract:
One of the fascinating developments in mental health care in the last decade has been the appearance of specific psychotherapies for various psychiatric illnesses. Perhaps the best known of these is dialetical behavior therapy (DBT), pioneered by Linehan and colleagues for borderline personality disorder and consisting of rigorous group and individual cognitive-behavioral therapy within an empathetic and validating psychotherapy setting. Another is eye-movement desensitization and reprocessing (EMDR), described by Shapiro and coworkers as a treatment for PTSD and other anxiety disorders.The following case study involves a patient in a team-treatment setting who benefitted significantly from the use of DBT and EMDR, as well as a complex psychopharmacology regimen, after receiving an extensive battery of psychological tests. The clinicians who were involved with the patient will discuss the aspects of her care for which they were responsible. We do not endeavor to isolate which modality was the "right" one; rather, we are looking at the manner in which each potentiated the others. [Introduction] [Pilots]
Keywords: Borderline Personality Disorder Case Report Child Abuse Cognitive Therapy College Students Drug Therapy European Americans Females Incest Individual Psychotherapy Partial Hospitalization Psychotherapeutic Processes PTSD Rape Survivors Young Adults
Accuracy Verified: Yes
299. Churchill, M. A. (2000, January 7). Junk science invades psychiatry. Detroit, MI: Detroit Free Press.
Language: English
Format: Newspaper
Abstract:
This psychiatrist tries to cure mental illness with eye wiggles. He says memory of
childhood abuse is stored in the hips, elbows and toes. And he wants to bill
health insurers for his services, the same as other medical doctors, a concept called
"parity."
Keywords: Detroit General Overview
Accuracy Verified: Yes
300. Lovett, J. M. (2000). Kleine wunder [Small wonders]. Paderborn: Junfermann.
Language: German
Format: Book
Abstract:
Traumatische Erlebnisse, wie sie bei Kindern häufig vorkommen, können die normale gesunde Entwicklung der Betreffenden, ihre Selbstachtung und das Zusammenleben ihrer Familien stark belasten.
Eye Movement Desensitization and Reprocessing (EMDR) ist ein umfassender therapeutischer Ansatz, der Patienten in kurzer Zeit hilft, belastende Gedanken und Emotionen, die durch traumatische Erlebnisse entstanden sind, aufzulösen. Traumatisch wirken im allgemein akzeptierten Sinne Mißbrauchs- oder Mißhandlungserlebnisse, Naturkatastrophen und Gewalttätigkeit, doch können Kinder auch viel harmlosere Vorgänge als sehr bedrohlich erfahren. Ein Unfall auf dem Spielplatz, der Verlust eines sehr nahestehenden Menschen oder Probleme in der Schule schockieren ein Kind oft viel stärker als einen Erwachsenen. Außerdem können solche Vorfälle bewirken, daß sich ein Kind hilflos und machtlos fühlt, ängstlich wird und belastende Verhaltensprobleme entwickelt.
Das Buch Kleine Wunder befaßt sich auf sehr ansprechende und eingehende Weise mit den Möglichkeiten therapeutischer EMDR-Arbeit mit Kindern. Das Buch wendet sich an Eltern, die sich Sorgen darum machen, wie ihre Kinder ein gewisses grundlegendes Vertrauen entwickeln können, außerdem an Erwachsene, die sich damit beschäftigen wollen, wie die Geschehnisse in ihrer Kindheit ihr Selbstbild geprägt haben, und an Therapeuten, die mehr über EMDR sowie auch darüber erfahren wollen, wie diese Methode auf die besonderen Bedürfnisse traumatisierter Kinder abgestimmt werden kann.
Traumatic experiences, such as occur frequently in children, can pollute the normal healthy development of the individuals themselves, their self-esteem and the coexistence of their families strong. Eye Movement Desensitization and Reprocessing (EMDR) is a comprehensive therapeutic approach that patients in a short time helps to resolve stressful thoughts and emotions that are caused by traumatic experiences. Traumatic effect in the generally accepted meaning abuse or maltreatment experiences, natural disasters and violence, but children can also learn much more harmless activities as very threatening. An accident on the playground, the loss of a very loved one or problems at school to shock a child often much stronger than an adult. Furthermore, such incidents have the effect that a child feels helpless and powerless, anxious and is developed incriminating behavior problems. Small wonder the book deals in a very appealing and detailed way with the possibilities of therapeutic EMDR work with children. This book is for parents who are worried about how their children can develop some basic trust, also for adults who want to deal with how the events have shaped her childhood her self-image, and therapists, the more about EMDR, and also about to learn how this method can be adapted to the special needs of traumatized children.
Keywords: Children Stressors Survivors
Accuracy Verified: Yes
301. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir psikoterapotik yaklaþým: Göz hareketleri ile duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41.
Language: Turkish
Format: Journal
Abstract:
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.
Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.
Keywords: Chronic Pain Pain Disorders Pain Psychotherapy
Accuracy Verified: Yes
302. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana..
Language: Italian
Format: Dissertation/Thesis
Abstract:
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi.
“E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929).
Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6
consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche.
Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione.
Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione.
Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza.
L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD.
7
Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali.
Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto.
Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti.
Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto.
Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.
In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy
Accuracy Verified: Yes
303. 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:
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.
Keywords: Complex PTSD Poster
Accuracy Verified: Yes
304. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura.
A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica.
L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività.
Nell’ambito del Workshop verranno approfondite le seguenti tematiche:
• Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico.
• Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici.
• Ruolo dell’abuso sessuale.
• Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare.
• Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico.
• Strumenti di screening psicodiagnostico.
• Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche
• Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature.
Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy.
EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness.
As part of the workshop will examine the following issues:
• Differential diagnosis between different types of pain, uro-gynecology.
• Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events.
• Role of sexual abuse.
• psychophysiological mechanisms in the onset of the disorder: the role of muscle tension.
• Psychological characteristics of women with uro-gynecological pain.
• psycho-diagnostic screening tools.
• Work on the main strategies for assessment and intervention uro-gynecological and pharmacological
• Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.
Keywords: Urogenital Pain
Accuracy Verified: Yes
305. 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:
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.
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
306. Giard, M. (2009, May). La guérison, par l’EMDR, des femmes abusées sexuellement durant l’enfance [Women healing childhood sexual abuse with EMDR]. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada .
Language: French
Format: Conference
Abstract:
Do you recognize the signs that a survivor of childhood sexual abuse may not be able to talk about the abuse and
yet may be suffering from it? What are some of the risks that a survivor of childhood sexual abuse may encounter
when using EMDR? During this workshop you will understand how the brain stores trauma—freeze, fight, flight
responses—with an emphasis on dissociation and hypervigilance as coping mechanisms. The second part of the
workshop will include practicing with EMDR and alternating techniques such as anchorage, strength-building
(Tomlinson, 2008), remembering and healing childhood sexual abuse.
Keywords: Childhood Sexual Abuse
Accuracy Verified: Yes
307. Tofani, L. R. (2006, March). Le famiglie cosiddette multiproblematiche. Trauma e intervento integrato con EMDR [The so-called multiproblematic family. Trauma and intervention integrated with EMDR]. Terapia Familiare, 80, 35-59.
Language: Italian
Format: Journal
Abstract:
Famiglie multiproblematiche sono un obiettivo difficile per qualsiasi approccio terapeutico a causa della rilevanza delle esperienze traumatiche per tutti i membri della famiglia. Essi vengono sostituiti con maltrattamenti, uso di sostanze o altri comportamenti illeciti, abusi sessuali e il problema principale è quello di superare i danni di attaccamento disorganizzato e per interrompere il ciclo della violenza psicosociale e trascuratezza. Nell'esempio riportato, terapia familiare sistemi indirizzata alla realtà ecologica di queste famiglie è stato integrato con EMDR, un approccio metodologico specifico per traumi, e questo ha rafforzato i risultati attesi solo con la terapia familiare. (PsycINFO Database Record (c) 2008 APA, tutti i diritti riservati)
Multiproblem families are a difficult target for any therapeutic approach because of the high relevance of traumatic experiences for all family members. They are overridden with maltreatment, substance use or other illegal behavior, sexual abuse and the main problem is to overcome damage from disorganized attachment and to interrupt the cycle of psychosocial violence and child neglect. In the example reported, family systems therapy addressed to the ecological reality of these families has been integrated with EMDR, a methodological approach specific for trauma, and this has strengthened the expected outcome using only family therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Family Members Family Therapy Family Integrated Services Intervention Trauma
Accuracy Verified: Yes
308. Leeds, A. (2006, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Keywords: Affect Tolerance and Integration Protocol
Accuracy Verified: Yes
309. Leeds, A. (2007, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Keywords: Positive Affect Tolerance and Integration Protocol
Accuracy Verified: Yes
310. Parrett, B. (1996, June). Legal abuse in family court/RX, EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Family Court Legal
Accuracy Verified: Yes
311. Montgomery, R. (1994). Letters. Monitor on Psychology, 25(12), 2.
Language: English
Format: Magazine
Abstract:
Letters to the editor discuss the following: EMDR controversies; substance abuse training for psychologists; support for public television; violence as a public health issue; use of the words "males" and "females"; contact information in the Monitor; prescription privileges for psychologists; television violence and its effects on children; and psychology and managed care. This author is responding critically to the content of: Azar, B. (1995, October). Research documents the success of EMDR. Monitor on Psychology, 11(10), 11
Keywords: Controversy
Accuracy Verified: Yes
312. Noga, S. (2001, May 14). Letters: EMDR not hypnosis. Detroit, MI: The Detroit News, No Dot, Letters, 08A.
Language: English
Format: Newspaper
Abstract:
I am a practitioner of Eye Movement Desensitization and Reprocessing (EMDR). The writer evidently knows little if anything about EMDR as she claims it is "hypnotic" and leaves clients open to suggestions (of sexual abuse) during the procedure. During the use of EMDR, clients make their own associations to their own thoughts and feelings. It is not the therapists' place to make suggestions of any kind regarding a person's history during the use of EMDR. Further, EMDR is not a hypnotic method.
Keywords: Detroit General Overview
Accuracy Verified: Yes
313. Leeds, A. M. (1998). Lifting the burden of shame: Using EMDR resource installation to resolve a therapeutic impasse. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 256-281). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
With Meredith, what had seemed an insurmountable impasse using a standard PTSD protocol had become amenable to significant resolution when addressed with a non-standard protocol. The key to this approach was to install multiple positive resources without deliberately activating the distressing emotions and associations of a specific, disturbing memory or current stimuli. I have coined the phrase "EMDR resource installation" to describe this protocol. I have since used this approach with other challenging clients who have childhood histories of significant failures of attachment with their primary caregivers. In these cases, their histories and current functioning led me to conclude that their capacity for self-soothing and affect modulation was not yet developed to the point where they could tolerate directly targeting distressing memories using the standard EMDR protocol. [Text, pp. 276-277]
Keywords: Adults Case Report Child Abuse Defense Mechanisms Diseases Females Neglect Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
314. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this project was to propose a long-term, theoretically sound and research
supported person-centered grief counseling group for adult women who were sexually abused as
children. A review of the literature indicated that child abuse survivors can benefit from
supportive group counseling; sharing a context of common experience seems to aid in their
healing process. The proposed program recognizes the need to provide women who were abused
with a trusting, social environment that helps to remove the secrecy and isolation, decrease the
feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a
nondirective approach with grief counseling creates a more comprehensive approach in which to
support the development of social skills and healthy and trusting relationships. The group is
structured for survivors to share their experiences, heal from their traumas, and find the tools to
move forward into happier, healthier, and better functioning lives.
Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling
Accuracy Verified: Yes
315. Gilligan, S. (1996, June). Love in the face of violence: Self relations psychotherapy, Ericksonian, hypnosis, and EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Love in the face of violence - Definitions and premises. Webster's dictionary definition of violence: " 1) exertion of physical force
so as to injure or abuse; 2) intense, turbulent, or furious and often destructive
action or force. Webster's definition of trauma: "from Greek: to wound. to pierce; 1) an
injury to living tissue caused by an extrinsic agent; surgeons traumatize a person
when they put a scalpel to skin a:nd wound them in surgery, 2) a disordered
psychic or behavioral state resulting from mental or emotional stress or physical
injury"
Keywords: Violence Eriksonian Hypnosis
Accuracy Verified: Yes
316. Puliatti, M. (2006, Gennaio). L’abuso sessuale nelle donne con vulvodinia: trattamento con l’EMDR [Sexual abuse in women with vulvodynia: Treatment with EMDR] . EMDR Italia newsletter italiana, 7(11) .
Language: Italian
Format: Journal
Keywords: Sexual Abuse Vulvodynia
Accuracy Verified: Yes
317. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
318. Giannantonio, M. (2001, Ottobre). L’eye movement desensitization and reprocessing (E.M.D.R.) negli adulti e adolescenti abusati sessualmente in età infantile [The eye movement desensitization and reprocessing (EMDR) in adults and adolescents sexually abused in childhood]. Congresso AIAMC, Palermo, Italia.
Language: Italian
Format: Conference
Abstract:
L’Eye Movement Desensitization and Reprocessing (EMDR) nasce come
interevento elettivo nella terapia del Disturbo Post-traumatico da Stress
(PTSD) e, in particolar modo nelle fasi iniziali del suo consolidamento
clinico e teoretico, ha calibrato il proprio protocollo di intervento standard sul
PTSD generato da combattimenti bellici, catastrofi naturali e provocate
dall’uomo. L’abuso sessuale, soprattutto se avvenuto nell’infanzia, in modo
prolungato ed all’interno di un contesto familiare (ovvero il tipo di abuso
sessuale sul quale concentrerò ora la mia attenzione), è un tipo di evento
traumatico che può presentare caratteristiche peculiari: elementi dissociativi
da marcati ad assenti, alterazioni mnestiche e codifiche mnestiche statodipendenti,
massicci meccanismi di repressione operanti anche per decenni,
condizionamento negativo dell’evoluzione del sistema comportamentale
dell’attaccamento, presenza di memorie somatiche di difficile gestione da
parte del paziente, disturbi sessuali, difficoltà nell’instaurazione e nel
mantenimento della relazione terapeutica. L’abuso sessuale intrafamiliare si
accompagna abitualmente alla trascuratezza emotiva ed alla violenza
psicologica, in alcuni casi anche a quella fisica. Di fronte ad un quadro
2
clinico così complesso (laddove la presenza di PTSD è semplicemente uno
dei possibili esiti psicopatologici, e con ogni probabilità non il più
frequente), l’intervento con l’EMDR richiede modificazioni rispetto al
protocollo standard di intervento per il PTSD ma, soprattutto, l'inserimento
all'interno di un intervento clinico di respiro decisamente più ampio rispetto
all’impiego di algoritmi terapeutici ridotti all’essenziale. Il sottoscritto ritiene
che, al momento attuale, lo studio più approfondito sull’argomento sia una
pubblicazione di Laurel Parnell del 1999. Personalmente, ed in modo
concorde con quest’ultimo autore, ho verificato la notevole efficacia
nell’operare con l'EMDR - anche molto direttivamente - sulla storia di
attaccamento del paziente al fine di colmarne le falle evolutive o eliminare gli
ostacoli per il conseguimento di questo fondamentale obiettivo terapeutico.
The eye movement desensitization and reprocessing (EMDR) is born as
interevento elective in the treatment of Posttraumatic Stress Disorder
(PTSD) and, especially in the early stages of its consolidation
clinical and theoretical, has calibrated their intervention protocols for the standard
PTSD generated by fighting wars, natural disasters and caused
man. Sexual abuse, especially if done in childhood, so
Prolonged and within a family context (ie the type of abuse
which focus on sex now my attention) is a type of event
trauma that may have special characteristics: elements dissociative
to be marked absent, changes in mnemonic and mnemonic encodings statodipendenti,
massive repression mechanisms operating for decades
negative evolution of behavioral conditioning system
attachment, presence of somatic memories of unmanageable
the patient's sexual problems, difficulty in establishing and
maintaining the therapeutic relationship. Sexual abuse is intrafamilial
usually accompanies the emotional neglect and violence
psychological, in some cases to physical. Faced with a framework
2
clinical as complex (where the presence of PTSD is simply a
possible outcomes of psychopathology, and probably not the most
frequent), intervention with EMDR requires changes compared to
standard protocol of intervention for PTSD but, more importantly, the inclusion
within a clinical intervention to breath much larger than
use of therapeutic algorithms reduced to essentials. My opinion
that, at present, more thorough study on the subject is a
Published by Laurel Parnell in 1999. Personally, and so
agreed with this page, I checked the remarkable effectiveness
in working with EMDR - very directly - on the history of
attachment of the patient in order to bridge the evolutionary gaps or eliminate
obstacles to achieving this important therapeutic target.
Keywords: Adolescents Adults Postttraumatic Stress Disorder PTSD Sexual Abuse
Accuracy Verified: Yes
319. Arnstein, M. (1996, December). Marital therapy, EMDR, Herman's model of recovery from trauma: The journey of one woman and her family. Australian & New Zealand Journal of Family Therapy, 17(4), 212-224.
Language: English
Format: Journal
Abstract:
Judith Herman delineates a 3-stage model of recovery from trauma: (1) Safety; (2) Remembrance and Mourning; (3) Reconnection. She criticises current treatment methods for their failure to make a difference in the "constrictive symptoms of numbing and social withdrawal...and marital, social and work problems do not necessarily improve." Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counseling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for "family therapy" are raised. [Author Abstract]
Keywords: Adults Australians Case Report Child Abuse Family Therapy Females Marital Problems Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
320. Greenwald, R., Lebeau, T. M., & Lemay, J. (2008, Mai). MASTR (Greenwald, 2005), un modèle de traitement pour jeunes avec des problèmes de conduite qui tient compte du trauma [The MASTR Protocol (Greenwald, 2005) is a treatment model for youths experiencing conduct problems with a trauma focused framework]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Le modèle «conte de fées» et la thérapie MASTR pour traiter les traumatismes chez les jeunes ont été développés par Dr. Ricky Greenwald. Il s’agit d’un protocole thérapeutique préparatoire pour faciliter l’EMDR avec les préadolescents et adolescents. Ce modèle a permis d’obtenir des résultats intéressants pour ce qui est de l’intervention face à divers comportements problématiques, notamment les troubles de la conduite, l’agression, la violence familiale, la maltraitance et l’abus de substances. Cette présentation propose un survol des éléments du cadre théorique, un résumé des résultats de recherche en appui au modèle et l’enseignement
d’habiletés cliniques qui tiennent compte du trauma pour effectuer l’évaluation et la planification du traitement. À l’aide d’exercices pratiques, d’une démonstration et d’un extrait vidéo, les quatre premières séances seront
abordées : la prise de contact, l’histoire des traumas ou des pertes, le rêve d’avenir et le contrat.
The Fairy Tale Model and MASTR Protocol in the treatment of traumas in youths were both developed by Dr. Ricky Greenwald. It’s a protocol designed to prepare for and to facilitate EMDR processing with pre-teens and teens. This approach provides interesting results with a wide array of problem behaviour: aggression, family
violence, substance abuse, etc. This workshop’s goal is to present the theoretical framework for this model, the results of studies supporting its use, as well as teaching clinical skills that take into account the trauma history when evaluating and planning for treatment. This workshop will focus on the first 4 sessions: contact – history taking (trauma & losses) – dreams for the future – and the therapeutic contract. Practices, demonstrations and video excerpts will be provided.
Keywords: Adolescents Fairy Tale Model, MASTR Protocol
Accuracy Verified: Yes
321. 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:
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.).
Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders
Accuracy Verified: Yes
322. Noorthoorn, E. O., Havenaar, J. M., de Haan, H. A., van Rood, Y. R., & van Stiphout, W. A. (2010). Mental health service use and outcomes after the Enschede fireworks disaster: A naturalistic follow-up study. Psychiatric Services, 61(11), 1138-1143. doi:10.1176/appi.ps.61.11.1138.
Language: English
Format: Journal
Abstract:
Objective: This study documented the number of people seeking help for mental health problems after a fireworks disaster in Enschede, the Netherlands. It describes their diagnostic characteristics, interventions provided, and their results. Methods: Researchers coded data from intakes and medical charts of all patients who sought help (N=1,659) and entered treatment (N=663) at a disaster relief service between May 13, 2000 (day of the disaster), and June 1, 2004. Patients who received more than eight treatment sessions (N=394) and were in treatment one year after the disaster were interviewed with the Composite International Diagnostic Interview (CIDI) (N=228, response rate, 58%) and other questionnaires (N=271, response rate, 69%). Results: In the population probably exposed, the cumulative referral-incidence for disaster-related mental health problems over four years was approximately 10%; in terms of referrals to the mental health facility over five years, the proportion of disaster-related referrals was 5.7%. Among adults, posttraumatic stress disorder (PTSD) was the most common clinical diagnosis (53%, chart sample). However, depression was the most common CIDI diagnosis (58%, CIDI interview sample). The recovery rate was about 50% on the basis of clinical judgment (chart sample), between 69% and 76% on the basis of "healthy" scores on symptoms, and between 39% and 60% in social and physical functioning (interview sample). Conclusions: Apart from persons seeking support during the first weeks postdisaster, the largest influx occurred after about one year and was limited in size. Clinicians in specialized services should be aware that conditions other than PTSD, such as depression, anxiety, substance abuse, and somatoform disorders, are also quite common after disasters. (Psychiatric Services 61:1138—1143, 2010)
On the afternoon of May 13, 2000, a fireworks deposit situated in a residential area exploded, killing 22 people and injuring about 1,000 in the center of Enschede, a town in the east of the Netherlands. As a result approximately 1,500 houses were damaged, of which 498 had to be demolished, leading to displacement of 4,163 inhabitants (1). An estimated 17,000 individuals were probably exposed in one way or another to this disaster (1). The event was immediately declared a national disaster. In response, a nationwide support effort was launched and funds were allocated for research to document health consequences of this disaster. As a result, data about health, well-being, and medical service use have been systematically collected since the early days after this event (2,3,4,5).
In contrast to the wealth of publications about the epidemiology of mental health problems after a disaster (6,7), there are only few studies that describe help-seeking behavior for these problems in a population stricken by disaster, or the outcomes of interventions. In this article we present the results of a chart study and interviews in early and later phases of treatment of adults who sought help from mental health services for disaster-related problems. The aim of the study was to evaluate mental health service delivery to persons affected by the fireworks disaster in Enschede during the period from May 2000 to May 2005. This study documented the number of people seeking help for disaster-related psychological problems, their sociodemographic and diagnostic characteristics, the interventions that they received, and some results of these interventions. To our knowledge this is the first systematic investigation of all adults seeking specialized mental health care in a disaster-stricken area.
Keywords: Enschede Fireworks Disaster
Accuracy Verified: Yes
323. 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:
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.]
Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
324. Zangwill, W. (1994). Mistakes to avoid in using EMDR: Or “Do what I say, not what I’ve done”. EMDR Network Newsletter, 4(1), 13-14.
Language: English
Format: Newsletter
Abstract:
There are a number of people involved with EMDR who have specialties in various areas including children, veterans, sexual abuse, peak performance,
smoking cessation, etc. Though
I have my own areas of clinical specialization,
when it comes to EMDR, my
particular area of expertise seems to
be in the area of What NOT To Do. In
this first of a two-part article, I want to
review many of the mistakes that I
and others have made using EMDR.
While this list is probably most helpful
for those beginning to use EMDR, I
have found it useful for experienced
clinicians as well.
Keywords: Mistakes
Accuracy Verified: Yes
325. Andonucci, H. (2004). The modifications of the EMDR protocol for sexually abused children. Alliant International University, San Francisco Bay. AAT 3133439.
Language: English
Format: Dissertation/Thesis
Abstract:
There is an increasing interest in using the procedures of EMDR with sexually abused children because of its effectiveness in treating PTSD and trauma in adults and children. Within the literature clinicians have reported modifications of the standard adult protocol originally developed by Shapiro in order to facilitate the therapy with children. To date, no study has investigated the actual modifications clinicians use when treating sexually abused children. A study was designed to elicit information about the actual use of such modifications from appropriately trained clinicians who work with sexually abused children 12 years and younger. A questionnaire was developed to obtain demographic information from therapists about their background and experience with abused children. An EMDR protocol modification survey was also created to elicit information about whether and how clinicians alter the standard EMDR protocol for use with abused children. Eight completed surveys were returned and the results of data analysis showed that clinicians do indeed modify the protocol as described and discussed. In particular, the results indicated the importance of modifications in the EMDR procedure for children and suggested important changes in the questionnaire that could be used for future data collection. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2611.
Keywords: Child Abuse Empirical Study Psychotherapeutic Processes Qualitative Study Rape School Age Children Survivors
Accuracy Verified: Yes
326. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603.
Language: English
Format: Journal
Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]
Keywords: Commentary Empirical Study Longitudinal Study Review Scientific Research Spouse Abuse Survivors Treatment
Accuracy Verified: Yes
327. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.
Language: English
Format: Conference
Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with
current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma
survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative
disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of
adult CTS. Second, there are specific health problems predominant in this population which often are untreated,
misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health
needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good
health care may be minimal for this population. This presentation will focus on the development of an EMDR
treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized
Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage
triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze,
hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these
problems, (these may include iatrogenic events and specific physical problems seemingly related to current
health problems, which actually result from early trauma); and become assertive health consumers. Skills
development needed by the CTS to become empowered and competent health consumers, such as rehearsal,
identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy
Accuracy Verified: Yes
328. Hofmann, A. (2009, June 15). New developments in research and application of EMDR. Presentation at the Pre Conference of the 11th European Conference on Traumatic Stress, Olso, Norway.
Language: English
Format: Conference
Abstract:
EMDR is one of the traumaspecific treatment methods that have shown to
be effective in the treatment of PTSD. Even if studies and metaanalysis of EMDR have shown
that EMDR is one of the most effective tools to treat traumabased disorders and it is
recommended in all relevant international therapy guidelines on the subject, the mechanism of
EMDR is still not fully understood.
Recent studies have shown that the EMDR method is also effective in cases that go beyond
the field of PTSD. Studies have shown that EMDR seems to be effective in complex PTSD,
in the treatment of traumatized sex offenders, in certain pain disorders (like phantom limb
pain) and may also be usefull in the treatment of alcohol abuse.
These results, their possible basis as well as some useful EMDR interventions will be
discussed.
The presenter uses EMDR since 1991 and will report on the current research data and his
experience with the method.
Keywords: Developments
Accuracy Verified: Yes
329. Greenwald, R. (1996, October). New hope for trauma victims. Ithaca, NY: Ithaca Times.
Language: English
Format: Newspaper
Abstract:
Even the word shocks, jars a little. But most of us have some. Who hasn't been
in a car accident, a house fire, lost a loved one, been assaulted? Not to mention child
abuse, rape, war... These are the adverse life experiences that are supposed to make us
stronger. Supposed to - but it's not automatic. We become stronger not merely by having
a bad experience, but by mastering it. Some people can accomplish this on their own over
time, while others may need months or even years of therapy. The important thing is to
face it head on, work through the emotions, and get through it. To the other side, where
life is good again.
Keywords: General Ithaca Overview Trauma Victims
Accuracy Verified: Yes
330. Earley, P. H. (2009, January). New tools and troubles in addiction treatment. Presentation at the 9th annual CAPTASA (Clinical Applications of the Principles in Treatment of Addictions and Substance Abuse) Conference, Lexington, KY.
Language: English
Format: Conference
Abstract:
EMDR and Recovery
• EMDR helps patients reframe their attachment to drug
use and drug lifestyle into “addiction trauma.”
• EMDR decreases traumatic memories that destabilize the
path to recovery.
• EMDR provides hope of trauma resolution for patients
who have suffered past physical, sexual and emotional
trauma in addition to addiction trauma.
• EMDR may decrease euphoric recall.
• EMDR may reprogram the procedural learning produced
by past use behaviors, and thus, decrease relapse. [Excerpt]
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
331. Paquette, C. (1997, October 26). New type of psychotherapy seen as boon to traumatic disorders. New York, NY: The New York Times. Retrieved on 1/3/2009 from http://query.nytimes.com/gst/fullpage.html?res=9F03E1DE123EF935A15753C1A961958260&sec=&spon=&pagewanted=3.Times.
Language: English
Format: Newspaper
Abstract:
Sexually abused by a relative from the ages of 5 to 11, Deirdre, a 29-year-old nurse spend much of her life in a rage until she tried a new type of psychotherapy. The memory of her abuse was repressed until she was about 19, she said, then the flashbacks began and she was consumer with anger and a feeling that she was suffocating. At 21, her impending marriage encouraged her to seek help.
Keywords: David Grand General New York Overview
Accuracy Verified: Yes
332. Krystal, S. (2003). A nondual approach to EMDR: Psychotherapy as satsang. In J. J. Prendergast, P. Fenner, & S. Krystal (Eds.), The sacred mirror: Nondual wisdom and psychotherapy, (1st ed.) (pp. 116-137). St. Paul, MN: Paragon House Publishers.
Language: English
Format: Book Section
Abstract:
Tibetan Buddhist Dzogchen, Hindu Advaita, Taoism, Kabbalism, and mystical Christianity all suggest that the fulfillment of human potential and the liberation from suffering happen when attention rests peacefully in its source, prior to thought. These traditional spiritual disciplines inform a nondual approach to psychotherapy that views form as a natural and temporary expression of a unified, omnipresent, nonlocatable, and pregnant emptiness. In time all forms--everything and everyone--dissolve back into this emptiness which is present now. Once clients begin to appreciate that they are actually not their distracting thoughts, emotions, or bodily sensations, but rather a dispassionate, observing Presence, a process of disidentification begins and peace of mind unfolds naturally. Clients learn that they have within a natural predisposition toward health and wholeness. Freedom from psychological suffering is often immediately available when clients know how to look or how to just be. Clients learn that simply being fully present now in a timeless moment of silence can reveal what is already and always free. This philosophy informs the EMDR therapeutic approach. This chapter explains the EMDR model, illustrating its use with a case study. EMDR is an integrative psychotherapeutic appproach first discovered and developed by Dr. Francine Shapiro (2001) in 1987, which is guided by an information processing model that has numerous protocols and procedures including the administration of bilateral stimulation to the client. The procedure was originally used to treat trauma, but it has now developed into a comprehensive approach used widely to ameliorate a variety of psychological symptoms and disorders including anxiety and depression, phobia, addiction and substance abuse, among others. In fact, EMDR is now used to target experiential contributors of all clinical complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Being Fully Present Now Clinical Case Study Cognitive Processes Emptiness Information Processing Model Integrative Psychotherapeutic Approach Models Nondual Approach Psychotherapeutic Processes Psychotherapy
Accuracy Verified: Yes
333. Young, W. C. (1992, December). Observations on using EMDR with patients with a history of sadistic and ritual abuse. EMDR Network Newsletter, 2(2), 14-15.
Language: English
Format: Newsletter
Abstract:
When working with patients with a
history of sadistic and ritual abuse,
judgment needs to be made as to his
or her readiness to continue when
alters present for EMDR. For example,
in preparing one patient for
EMDR, a child alter presented. Feeling
that this was her starting point,
she began to realize she was not yet
prepared and felt too much was coming
at her. In another patient, a
"non-feeling" satanic alter presented.
I assumed the starting point was of a
state that did not feel and that the
processing would lead this state to
the pain of the others (which it did).
Another woman recalled concentrating
on "Satan's" robe when raped,
seeing i t was not ironed, but
wrinkled, and asked herself how a
demon could present with a wrinkled
robe. She was on the way to becoming
more realistic.
Keywords: Ritual Abuse Sadistic Abuse
Accuracy Verified: Yes
334. Young, W. (1992, Winter). Observations on using EMDR with patients with a history of sadistic and ritual abuse. EMDR Network Newsletter, 2(3), 9-11 .
Language: English
Format: Newsletter
Abstract:
For some time, therapists have been struggling with the issues of ritual abuse as they have been working with patients having Multiple Personality Disorder. Recently, an number of therapists who have extensive experience working with ritual abuse, particularly with patients who have a Multiple Personalit Disorder, have put together protocols to be used in treating this disorder. In this section, I would like to point out some specific issues, and perhaps some cautions, in our thinking concerning EMDR until we gain some more information and data about its effective usages and recognized side effects.
Keywords: Ritual Abuse Sadistic Abuse
Accuracy Verified: Yes
335. Amundsen, J. E., & Karstad, K. (2006, Mai). Om bare Jeppe visste...EMDR og rusbehandling [Integrating EMDR and the treatment of substance abuse]. Tidsskrift for Norsk Psykologforening, 43(5), 469-475.
Language: Norwegian
Format: Journal
Abstract:
Denne artikkelen fokuserer på bruk av EMDR i behandling av klienter med rusmiddelproblemer. Personer i denne kundegruppen synes å vise en høy grad av symptomer knyttet til PTSD. Forfatterne presenterer en teoretisk begrunnelse for behandling av rus og traumer. Under henvisning til 20 forskjellige behandling saker ansette EMDR, viser de hvordan EMDR kan brukes til å hjelpe personer i denne klientgruppen. Potensielle problemer som oppstår under behandlingen blir også diskutert. Forfatterne foreslår at den tradisjonelle EMDR protokollen skal være tilrettelagt for bruk med denne klientgruppen. De konkluderer med at bruken av EMDR i behandling av klienter med rus synes faktisk både nyttig og fordelaktig. (PsycINFO Database Record (c) 2008 TFO, alle rettigheter reservert)
This article focuses on the use of EMDR in the treatment of clients with substance abuse. Persons in this client group seem to display a high rate of symptoms related to PTSD. The authors present a theoretical rationale for treatment of substance abuse and trauma. Referring to 20 different treatment cases employing EMDR, they demonstrate how EMDR can be used to help persons in this particular client group. Potential problems arising during treatment are also discussed. The authors suggest that the traditional EMDR protocol should be adapted for use with this client group. They conclude that the use of EMDR in the treatment of clients with substance abuse does indeed seem both useful and beneficial. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Client Group Clients Drug Abuse Posttraumatic Stress Disorder PTSD Substance Abuse Symptoms Treatment
Accuracy Verified: Yes
336. Holm, O. (2012, October). On the path of shame affect: Its management in traumatized and dissociative patients with the compass of shame and EMDR special interventions and/or IFS ego states. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Five traumatized patients grouped this way: 2 males, 2 females, one boy of 11. The two men had received treatment with CBT, 1 of females Gestalt therapy, the other female with EMDR, and the 11 years old boy with IFS; they had come to a point of stuck in their therapy because of the therapists not being able to manage Shame Affect during trauma confronting; also, when alters appeared during some therapy sessions in one of the adult females. Four of the patients had already worked on some traumatic memories with previous therapists. According to Compass of Shame 2 of the male patients had a rather high urge to enter into Attacking others pole with rage, and one of them, also, into Avoidance pole with drug abuse, compulsive sex and gamble; two females were more urged to enter into Attack self pole and in 1 of the females, her alter and patient described herself as being very upset and paralyzed with Shame. The 11 years old boy was stuck in Withdrawn pole; a highly Shamed Negative Part was so paralyzed that the Integrating Strategy was stopped until the child Ego state was released from Shame.
Learning Objectives:
EMDR/and not EMDR participants will able to perform interventions characterized by working with Shame or preparing patients to tolerate Shame.
Participants will be able to define the scripts inside each pole of the Compass
Participants will be able to identify the different poles of Compass of Shame.
Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect
Accuracy Verified: Yes
337. Blake, D. D., & Sonnenberg, R. T. (1998). Outcome research on behavioral and cognitive-behavioral treatments for trauma survivors. In V. M. Follette, J. I. Ruze & F. R. Abueg (Eds.), Cognitive-behavioral therapies for trauma (pp. 15-47), New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
In this chapter, we describe the current status of outcome research on behavioral and cognitive-behavioral therapy for PTSD. In this endeavor, we describe these treatments and outline their empirical foundations, providing rationale for their use. We then review and critique the existing research and propose future directions for outcome research. [Text, p. 42]
Keywords: Americans Behavior Therapy Child Abuse Cognitive Therapy Females Males Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
338. Kelley, S. D., & Bozorg, A. (2010, December). Outcomes of trauma-induced psychogenic nonepileptic attacks treated with eye movement desensitization and reprocessing. Poster presented at the 64th Annual Meeting of the American Epilepsy Society, San Antonio, TX.
Language: English
Format: Conference
Abstract:
Rationale: Because of high rates of trauma (44-100%) and abuse (23-77%) among PNEA
patients, it has been suggested that PNEA are a clinical expression of a PTSD subtype. Although
little is known about psychological treatments that are most effective with PNEA, EMDR has
proved to be an effective treatment for trauma and is now showing promise in the treatment of
PNEA patients with trauma and abuse histories. This presentation details outcomes of 74 patients
with PNEA, the majority of whom have such histories, who have been referred for mental health
treatment.
Methods: This study integrates EMDR into the mental health treatment of PNEA patients
referred after video EEG monitoring confirmed the presence of psychogenic attacks and
diagnostic interviews revealed virtually ubiquitous trauma and abuse histories/experiences. Data
were analyzed for patients referred over a 6-year period from a hospital-based clinic serving
Floridians and persons from the southeastern US.
Results: The study protocol was comprised of 2-3 initial sessions for diagnosis and rapport
building followed by weekly EMDR ranging from 3 to 15 sessions. Of 74 patients referred, 31
were from distant locales and were matched with mental health practitioners in their home
locations. 43 patients were interviewed; 20 were seen for consultation only - they refused
treatment, preferring to pursue disability benefits. 21 of 23 remaining had trauma and abuse
histories. 14 of those realized complete remission of PNEA with EMDR; 8 discontinued
treatment because of relocation, transportation difficulties, and the like. Followup reveals no
return to seizure status.
Conclusions: EMDR appears to be an efficacious intervention in the psychological treatment of
PNEA patients with trauma histories. A two year highly innovative single center randomized
controlled tial comparing EMDR with another innovative promising approach, Neurofeedback
Therapy (NFT) is planned for the fall of 2010 for 60 patients.
Keywords: Trauma-Induced Psychogenic Nonepileptic Attacks
Accuracy Verified: Yes
339. Wesselmann, D. (2007, September). Overcoming obstacles to healthy bonds: Treating parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Disturbed attachment in childhood is associated with serious emotional and behavioral disorders throughout the lifespan. Unfortunately, problems related to poor attachments and abuse by attachment figures are frequently transmitted from one generation to the next. This workshop will explain how these problems are transmitted and describe strategies for using EMDR to heal the effects of past trauma and strengthen the bonds between parents and children in birth families and challenging adoptive situations. By targeting blocks to healthy attachment and strengthening new, healthier patterns of relating for parents and children, even parents who were not lucky enough to have grown up with a secure attachment can be helped to overcome the odds and give their children a better life. This workshop blends technical, theoretical, and clinical elements in a manner that is both practical and enjoyable for participants.
Keywords: Attachment Bonds Children Parents
Accuracy Verified: Yes
340. Levin, C., & Nelson, S. (1992, April). Partners of sexual abuse survivors. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: Yes
341. Nelson, S. (1993, March). Partners of sexual abuse survivors. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sexual abuse Survivors
Accuracy Verified: Yes
342. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
343. Bergmann, U. (2004, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state work and EMDR. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
344. Bergmann, U. (2004, June). Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
345. Bergmann, U. (2002, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state therapy and EMDR. Presentation at the annual meeting of International Society for the Study of Dissociation Fall Conference, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
346. Bergmann, U. (2003, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
347. Bergmann, U. (2003, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state work in the repair of the self. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of
personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental
coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
348. Bergmann, U. (2004, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego-state work. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeated experiences of abuse deprivation, abandonment and personal coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.
Keywords: Personality Disorders Dissociation Ego State Therapy
Accuracy Verified: Yes
349. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
350. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
351. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea.
Language: English
Format: Dissertation/Thesis
Abstract:
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors.
Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels
Accuracy Verified: Yes
352. Daniel, J. (2000). Play therapy and EMDR. The Children’s Group Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html November 16, 2011.
Language: English
Format: Newsletter
Abstract:
Children vary greatly in their ability to tolerate focusing on “the problem.” The wise EMDR therapist has various ways of approaching a traumatic memory or a current day problem to fit the tolerance level of the client. EMDR and the process of bilateral stimulation to address problematic material is one method of speeding up therapeutic work with children. However, when using bilateral stimulation with children I am simultaneously using my training as a family systems therapist, and the various play therapy strategies that were the backbone of my work with children before I learned EMDR or other alternative therapies. In a way, EMDR and the sand tray saved my professional life. In my first year of practice after my family therapy post-graduate training, I got a job at a family therapy clinic in Louisville, Kentucky. I was assigned to handle all referrals that came to the agency through a Victim Assistance grant. All of these were cases in which a child had been victim of some crime, and the majority were victims of abuse from some one other than a family member. You can imagine the population. Families who had found that a neighbor or teacher had abused their child were common. Both child and family were traumatized. My family therapy skills were good. But in addition to them I needed two things: a better way for children to communicate their feelings and a way to help both adults and children reduce the intensity of emotions around the trauma they had been through. Just (Continued from page 1) when I was beginning to feel that I was not up to the job, I learned EMDR. With this wonderful knowledge, I found I could help both children and adults move beyond the trauma and regain their grasp on the present moment, their strengths and their security. A deepening understanding of play therapy provided the additional communication tools I needed. Since Then I have never looked back, and find that our field is continually generating new perspectives and more efficient tools for us to use.
Keywords: Children Play Therapy
Accuracy Verified: Yes
353. van der Kolk, B. A. (2000). Posttraumatic stress disorder and the nature of trauma. Dialogues in Clinical Neuroscience, 2(1), 7-22.
Language: English
Format: Journal
Abstract:
The role of psychological trauma (e.g., rape, physical assaults, torture, motor vehicle accidents) as an etiological factor in mental disorders, anticipated as early as the 19th century by Janet, Freud, and Breuer, and more specifically during World War I and II by Kardiner, was "rediscovered" some 20 years ago in the wake of the psychlogical traumas inflicted by the Vietnam war and the discussion "in the open" of sexual abuse and rape by the women's liberation movement. 1980 marked a major turning point, with the incorporation of the diagnostic construct of PTSD into DSM-III and the definition of its main diagnostic criteria (reexperiencing of the traumatic event, avoidance of stimuli associated with the trauma, and symptoms of increased arousal). Initially described as resulting from a onetime severe traumatic incident, PTSD has now been shown to be triggered by chronic multiple traumas as well. This "state-of-the-art" article discusses past and current understanding of the disorder, with particular emphasis on the recent explosive developments in neuroimaging and other fields of the neurosciences that have highlighted the complex interrelationships between psychological, psychiatric, biological, and neuroanatomical components of the disorder, and opened up entirely new therapeutic perspectives on how to help the victims of trauma overcome their past. [Author Abstract]
Keywords: Etiology Historical Account Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
354. Lindauer, R. J. L., Beer, R., Boer, F., Hendriks, G. J., & van Minnen, A. (2006, May). Posttraumatische stressstoornis bij adolescenten na seksueel misbruik: Goed te behandelen [Posttraumatic stress disorder in adolescents after sexual abuse is readily treated]. Nederlands Tijdschrift voor Geneeskunde, 150(20), 1154-1155.
Language: Dutch
Format: Journal
Abstract:
Een brief van Lindauer, bier en commentaar op Boer Hendriks en Van Minnen, 'Posttraumatische stressstoornis BIJ adolescenten na seksueel misbruik: goed te behandelen ", English Tijdschrift voor Geneeskunde 150 (6): 281-285 (11 februari 2006) [29431] ; met een reactie van Hendriks en Van Minnen. Beperkte indexering toegepast. [Loodsen]
A letter from Lindauer, Beer, and Boer commenting on Hendriks and Van Minnen, "Posttraumatische stressstoornis bij adolescenten na seksueel misbruik: goed te behandelen", Nederlands Tijdschrift voor Geneeskunde 150(6): 281-285 (11 February 2006) [29431]; with a response from Hendriks and Van Minnen. Limited indexing applied. [Pilots]
Keywords: Abuse Child Cognitive Therapy Letter Professional Criticism Postrraumatic Stress Disorder Professional Criticism Reply PTSD Rape Survivors
Accuracy Verified: Yes
355. Klaff, F. (2005, September). Practical EMDR with children and adolescents: An integrative family systems approach. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This workshop offers creative and practical applications for integrating
EMDR into child, adolescent and family systems therapy. Ways to introduce
EMDR, uncover targets, adapt cognitive interweave to different ages and
stages of development and assess and utilize parental involvement will be
taught. Problems, such as resistance, family complexities and chronic versus
crisis problems, will be addressed. Enhancement skills including affect
management and ego strengthening will be taught. The how-to's of play, art,
music and stories as vehicles for creatively using EMDR will be demonstrated.
Cases involving ADHD, adoption, cutting, divorce, sexual abuse and other
traumas will be illustrated with videos, scripts and roleplay. Dr. Klaff is
known far her lively presentations, creativity and humor.
Keywords: Adolescents Children Integrative Family Systems Approach
Accuracy Verified: Yes
356. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099.
Language: English
Format: Journal
Abstract:
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]
Keywords: Adults Child Abuse Clinical Case Study Complex Empirical Study Females Neglect Postt traumatic Stress Disorder Psychotherapeutic Processes PTSD Review Survivors Treatment Effectiveness
Accuracy Verified: Yes
357. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora.
L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini.
IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati.
Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.
The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more.
The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men.
IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared.
So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.
Keywords: Cancer Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
358. Jefferson, R. S. (2001, April 30). Procedure helps patients handle past traumatic experiences that won’t let go. St. Louis, MO: St. Louis Post-Dispatch, Five Star Lift, St. Charles County Post, 8.
Language: English
Format: Newspaper
Abstract:
Eye Movement Desensitization and Reprocessing, or EMDR, is a procedure used to help reduce the impact of past experiences on present-day life. These experiences typically involve a trauma such as an assault, abuse, accident or natural disaster, said Ralph Caraffa, a licensed psychologist in St. Charles County certified in the procedure by the EMDR International Association.
Accuracy Verified: Yes
359. Paunovic, N. (2002, April). Prolonged exposure counterconditioning (PEC) as a treatment for chronic post-traumatic stress disorder and major depression in an adult survivor of repeated child sexual and physical abuse. Clinical Case Studies, 1(2), 148-169. doi:10.1177/1534650102001002004.
Language: English
Format: Journal
Abstract:
Prolonged exposure counterconditioning (PEC) was tested as a treatment for
chronic post-traumatic stress disorder (PTSD) in an adult survivor of repeated child sexual
and physical abuse. PEC utilizes imaginal reliving of very pleasurable life moments in
order to weaken traumatic conditioned emotional responses (CERs). A higher-order conditioned
stimuli (CS) is used as a traumatic CER elicitor. Prolonged imaginal reliving of
pleasurable CSs is used as a counterconditioner to the traumatic CERs. A statistical technique
for analyzing single-case subject designs based on classical test theory was used to
evaluate the client’s progress in treatment. Results showed that PEC effectively decreased
the client’s PTSD symptoms, depression, and anxiety. In addition, the client’s negative
cognitions became considerably more positive. Also, the client lost his comorbid conditions
of chronic major depressive disorder and social phobia. Finally, other clinically
observed symptoms, which are described in the article, improved markedly. All results
were maintained at a 3-month follow-up.
Keywords: Imaginal Reliving PEC Posttraumatic Stress Disorder Prolonged Exposure Counterconditioning PTSD
Accuracy Verified: Yes
360. Oren, U. (2008, December). Promising results with the EMDR method - Alleviating traumatized bodies and minds . Rehabilitation and Research Centre for Torture Victims: An International Evidence-Based Conference, Copenhagen, Denmark .
Language: English
Format: Conference
Abstract:
A patient moving his eyes back and forth following the therapist's fingers as they move across his field of vision for 20-30 seconds. EMDR (Eye movement desensitization and reprocessing) might sound as a scam, but in fact it is becoming a highly recognized and widespread treatment method. It is an innovative clinical treatment. It has successfully helped over one million people who have experienced psychological difficulties which originate from some kind of traumatic experience, such as sexual abuse, childhood neglect, road traffic accidents and violence.
Keywords: Mind-Body
Accuracy Verified: Yes
361. Jarero, I., Roque-López, S., & Gomez, J. (2013). The provision of an EMDR-based multicomponent trauma treatment with child victims of severe interpersonal trauma. Journal of EMDR Practice and Research, 7(1), 17-28. doi:10.1891/1933-3196.7.1.17.
Language: English
Format: Journal
Abstract:
This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.
Keywords: Children Complex Trauma Integrative Group Treatment Protocol Interpersonal Trauma Multicomponent-Phased Therapy
Accuracy Verified: Yes
362. Montefiore, D., Mallet, L., Lévy, R., Allilaire, J-F., Pélissolo, A. (2007, Juin). Pseudo-démence conversive et état de stress post-traumatique [Pseudo-dementia conversion and post-traumatic stress disorder]. L'Encéphale, 33(3), 352-355. doi:10.1016/S0013-7006(07)92050-3.
Language: French
Format: Journal
Abstract:
Les états de stress post-traumatique (ESPT) sont souvent associés à d’autres troubles psychiatriques, mais la comorbidité avec les troubles somatoformes est peu étudiée. Le cas décrit dans cet article concerne un patient souffrant d’un ESPT déclenché par une agression sexuelle vécue à l’âge de 8 ans. Le déroulement de son histoire est néanmoins très particulier puisque l’agression a eu lieu plus de trente ans avant l’apparition des troubles. Pendant la plus grande partie de sa vie, entre 13 et 43 ans, le patient avait complètement occulté l’événement traumatique. Puis, pour des raisons inconnues, il développa un syndrome conversif pseudo-neurologique mimant un état démentiel inquiétant, qui persista plus d’un an. La disparition des symptômes neurologiques et la remémoration du traumatisme furent brutales, après que le patient ait vu, au cinéma, un film relatant l’histoire d’un homme victime d’une agression sexuelle. Apparurent alors les symptômes typiques d’un ESPT, puis d’un état dépressif sévère compliqué d’une tentative de suicide par pendaison. Les liens entre ESPT et conversion devraient faire l’objet d’études plus approfondies, d’un point de vueépidémiologique, clinique et de neuro-anatomie fonctionnelle.
The posttraumatic stress disorder (PTSD) are often associated with other psychiatric disorders, but comorbidity with somatoform disorders is poorly studied. The case described in this article concerns a patient suffering from PTSD triggered by a sexual assault experienced at the age of 8 years. The course of its history is still very special because the assault occurred more than thirty years before the onset of disorders. During most of his life, between 13 and 43 years, the patient had completely obscured the traumatic event. Then, for reasons unknown, he developed a neurological syndrome conversive pseudo-dementia mimicking a state concern, which lasted over a year. The disappearance of neurological symptoms and recall of trauma were brutal, after the patient has seen the film, a film which tells the story of a male victim of sexual assault. Appeared while the typical symptoms of PTSD, then a severe depression complicated by attempted suicide by hanging. The relationship between PTSD and conversion should be further studied, a point vueépidémiologique, clinical and neuro-functional anatomy.
Keywords: Amnesia Conversion Posttraumatic Stress Disorder PTSD Sexual Abuse
Accuracy Verified: Yes
363. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.
Language: English
Format: Journal
Abstract:
Background:
Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high
personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no
systematic reviews of these therapies in children and adolescents.
Objectives:
To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods:
We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011.
The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane
Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked
reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria:
All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in
children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis:
Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or
referral to the review team.
We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95%
confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results
Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included
sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated
support service.
The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative,
supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a
control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological
therapy.
Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and
symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI
-1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of
completing psychological therapy compared to a control group.
The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for
up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study,
n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month:
three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01),
and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group
compared to a control. No adverse effects were identified.
No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and
other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias.
Authors’ conclusions:
There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for
up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared
to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less
likely to respond to psychological therapies than others.
The findings of this review are limited by the potential for methodological biases, and the small number and generally small size
of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by
subgroup or sensitivity analyses.
More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence
is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies
compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis
of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable
measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
364. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123.
Language: English
Format: Journal
Abstract:
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
365. Silinger, P. (2005, February 28). Psychotherapy's new tool - "EMDR" takes aim at anxiety. The Easterner.
Language: English
Format: Other
Abstract:
"It's not really a verbal therapy," says Carrie Brown, a trauma victim who, after several EMDR sessions, overcame the negative self-perception that typically follows victims of sexual abuse.
Updated: Saturday, October 10, 2009
Keywords: Anxiety General Overview
Accuracy Verified: Yes
366. Capps, F. (2005, September). Rebuilding trust: Healing for couples using EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Previous couples' therapy using EMDR has focused on attachment injuries. The body of work is discussed, as is the EMDR protocol, for couples proposed by Moses (2003). This workshop focuses on trust wounds within the relationship my describing 3 scenarios: substance abuse, violence abuse, and infidelity. Protocol variants that enhance client safety are illustrated. Results that include trauma resolution, increased empathy, relapse prevention gains, and heightened intimacy are reported. Innovative outcome assessment instrumentation is demonstrated.
Keywords: Couples Therapy
Accuracy Verified: Yes
367. Young, W. C. & Young, L. J. (1997). Recognition and special treatment issues in patients reporting childhood sadistic ritual abuse; Appendix A: Informed consent regarding the treatment of traumatic and dissociative disorders. In G. A. Fraser (Ed.), The Dilemma of Ritual Abuse: Cautions and Guides for Therapists (Clinical Practice, No. 41) (1st ed.) (pp. 65-93, 95-100). Washington, DC: American Psychiatric Press.
Language: English
Format: Book Section
Abstract:
The purpose of this chapter is to review reports of the Sadistic Ritual Abuse (SRA) phenomenon, to discuss credibility of the accounts, and to describe current issues in its treatment, including preparation for treatment, general treatment issues, management of cultic or satanic alters, pharmacological treatment, and controversy over historical accuracy. Controversial trends in the etiology and treatment of SRA cases are also discussed. It should be kept in mind that the controversy surrounding SRA continues to heighten. Actual clinical interpretations may be considerably different if scientific data should support patients' accounts or, from an opposing viewpoint, if a socially contagious, media-influenced syndrome is shown to run its course among dissociative, suggestible individuals. [Text, p. 68]
Keywords: Adults Child Abuse Dissociative Amnesia Dissociative Identity Disorder Drug Therapy Etiology False Memory Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Ritual Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
368. Courtois, C. (1998, July). Recollections of sexual abuse: Principles and guidelines of treatment (EMDR not the focus). Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) discuss some of the major issues in the delayed/recovered memory controversy; 2) list some of the long-term clinical correlates associated with a history of child sexual abuse; 3) list some of the clinical presentations of adults abuse or possibly abused as children as they pretain to memory; and 4) describe suggested guidelines for treatement of adults abused or possibley abused as children and most common stages and tasks of posttrauma treatment.
Keywords: Sexual Abuse
Accuracy Verified: Yes
369. Ramos-Ruggiero, L., & Solomon, R. (2004, June). Recovery and processing of repressed traumatic memories during EMDR. In psychodynamics and EMDR (R. Hultstrand, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The identification and description of different defense mechanisms was one of Freud’s early discoveries. Defense mechanisms are defined as unconscious strategies in order to protect the subject from painful and anxious emotions or affects. The first defense mechanism described by Freud was repression. The repression is defined as the process in which unacceptable impulses and/or affects associated with traumatic experiences, or unresolved conflicts are repressed into the unconscious.
During the last 100 years, a number of discussions and controversies have taken place regarding repression. Are the so-called repressed memories and experiences stored somewhere? In that care, how can the subject get access to such repressed memories during the psychotherapeutic process?
Originally, Freud suggested hypnosis and later on free associations as a way of accessing repressed and unprocessed traumatic experiences and the underlying emotional conflicts in ‘neurotic’ psychopathology.
Is it possible to use EMDR in order to track down repressed memories of severe traumatic memories? If this is indeed possible, can EMDR make possible both a re-experiencing and a processing of the conflictual content? Is it possible to work through and integrate shame, guilt, and hate associated with grave abuse through EMDR treatment?
During this workshop, an extensive clinical material is presented from treatment sessions with Grace, a woman of 55 with severely traumatic background (torture, prison, and childhood sexual abuse). During the workshop, several video-taped sequences will serve as examples of the remarkable findings as Grace, assisted by eye movements, for the first time recovers and re-experiences severely traumatic childhood experiences.
The EMDR treatment works simultaneously in disarming repression, to process, and to liberate her from severe psychosomatic symptoms; symptoms which have neither found explanation nor remedy during a long treatment process.
Keywords: Psychodynamism Repressed Memories Symposium
Accuracy Verified: Yes
370. Colosetti, S., & Thyer, B. A. (2000, October). The relative effectiveness of EMDR versus relaxation training with battered women prisoners. Behavior Modification, 24(5), 719-739. doi:10.1177/0145445500245006.
Language: English
Format: Journal
Abstract:
5 women prisoners with a history of being battered and who met the DSM-IV criteria for PTSD were assessed (A phase) and provided with structured relaxation training (RT) (B phase, or placebo treatment), followed by eye movement desensitization and reprocessing (EMDR) therapy (C phase). Using the Beck Anxiety Inventory and the Impact of Events Scale's avoidance behavior and intrusive thoughts subscales as outcome measures, RT alone did not result in any clinical improvements. The subsequent provision of EMDR did not improve upon this lack of success with 4 of the 5 participants; 1 did improve on anxiety and intrusive thoughts. The apparent ineffectiveness of EMDR with these participants may be attributed to several explanations. Foremost perhaps is the hypothesis that EMDR is not sufficient to ameliorate the effects of chronic abuse. [Author Abstract]
Keywords: Adults African American Anxiety Disorders Avoidance Battery Drug Abuse Effectiveness Empirical Study European Americans Females Intrusive Thoughts Quantitative Study Posttraumatic Stress Disorder Prison Inmates PTSD Rape Relaxation Therapy Survivors Treatment Outcome/Clinical Trial Treatment Spouse Abuse
Accuracy Verified: Yes
371. Silva, D. O. P. (2012, Novembro). Relato de caso de abuso sexual x EMDR [Report cases of sexual abuse and EMDR]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Trata-se de uma adolescente de 17 anos, atendida no PAV-Programa de Atenção a Vítimas de Violência-SES/DF, que foi abusada sexualmente por um inquilino do lote onde morava com sua mãe, ocorrido durante um período não preciso da infância, por volta dos cinco anos de idade. Flashbacks ocorreram durante todo seu desenvolvimento, porém os sintomas se agravaram durante a adolescência, desenvolvendo transtorno alimentar, transtorno obssessivo-compulsivo, isolamento, despersonalização, depressão e ideação suicida. O tratamento com EMDR teve a duração de 3 meses, tendo como alvo as imagens dos momentos de abuso, a imagem da “substância verde e visguenta presa em sua garganta”, que representava o sexo oral que era induzida a praticar com o abusador, e que a levava a provocar o vômito de forma recorrente. Foram intensificados recursos positivos, visualizações antídotos e utilizados os protocolos clássico e de desenhos. Durante o tratamento alguns sintomas se intensificaram, necessitando de cuidadoso reforço e instalação de recursos positivos, porém as evidências de resolução adaptativa apareceram por meio do retorno à vida social, cessação dos episódios de indução de vômito, relatos de projetos de vida, melhora na auto-imagem, relatos de superação, e desenhos que demonstram a volta da alegria de viver, e a visualização dos eventos de forma diminuída, como algo que cessou e pertence ao passado. A paciente conta com uma sólida rede de apoio, a qual foi fundamental durante o processo.
This is a 17 years attended in PAV-Care Program for Victims of Violência-SES/DF who was sexually abused by a tenant of the lot where he lived with his mother, which occurred during a period not need infancy about five years of age. Flashbacks occurred throughout its development, but the symptoms worsened during adolescence, developing eating disorders, obsessive-compulsive disorder, isolation, depersonalization, depression and suicidal ideation. EMDR treatment lasted three months, targeting the images of abuse of moments, the image of "green substance and visguenta caught in her throat," which represented the oral sex he was induced to practice with the abuser, and which led her to induce vomiting recursively. Resources were enhanced positive views and antidotes used protocols and classic designs. During treatment some symptoms intensified, requiring careful reinforcement and installation of positive resources, but evidence of adaptive resolution appeared through the return to social life, cessation of episodes of induced vomiting, reports of life projects, improved self -image, overcoming reports, and drawings showing the back of the joy of living, and the visualization of the events so diminished, and ceased as something that belongs to the past. The patient has a strong support network, which was instrumental in the process.
Keywords: Children Sexual Abuse Trauma
Accuracy Verified: Yes
372. Jenkins, S. (2008, June). Relieving suffering and restoring lives: Understanding and treating sexual abuse survivors. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Without a thorough understanding of the physical, emotional, and spiritual impact of sexual assault and sexual
abuse, therapists may reach an impasse with their clients. With this in mind, supplemental to EMDR training, and
clinical experience, therapists must be knowledgable of the emotional, physical, developmental, and spiritual
impact of sexual assault and sexual abuse. This presentation offers a holistic approach to the treatment of sexual
assault and sexual abuse. Attendees will learn specific techniques for identifying, understanding, and treating it,
as well as a greater understanding of the emotional, physical, developmental, and spiritual impact of such
traumas. The information provided will enable therapists to conduct developmentally appropriate and clinically
sound EMDR treatment. Furthermore, to help EMDR therapists facilitate their clients’ integration of traumatic
events, information will be given on combining EMDR with a cross cultural shamanic approach to ego splitting or
“soul loss.” Information and techniques will be provided on how to further facilitate processing during EMDR, in
order to retrieve the parts of the self, the soul, that were “lost” or “split” during the trauma. Without recovering
these parts, clients can be left open and unable to integrate their traumatic experiences. They can continue to
experience a sense of not being “whole.” With this in mind, attendees will also learn how to further assist clients’
processing of the behavioural, emotional, physical, and cognitive aspects of traumatic events, thus facilitating
clients processing via EMDR. Attendees will learn through a combination of case presentations, activities, and
case presentations.
Keywords: Sexual Abuse Survivors
Accuracy Verified: Yes
373. Madrid, A., Skolek, S., & Shapiro, F. (2007). Repairing maternal-infant bonding failures. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 131-145). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
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)
Keywords: Asthma Attachment Attachment Behavior Attachment Disorders Bonding Problems Bonding Failure Maternal-Infant Bonding Mother-Infant Bonding Mother Child Relations Mothers
Accuracy Verified: Yes
374. Stephenson, S. (2010, October). A report of Ohio’s acute mental health care: An update report of the 2004 “Crisis in Ohio’s acute mental health care”. Ohio Department of Mental Health, Columbus, OH.
Language: English
Format: Publication
Abstract:
This document is an updated report of the status of “The Crisis in Ohio’s Acute Mental
Heath Care: A Mental Health and Overall Health Problem” (herein referred to as the
2004 Report) initially published in April 2004. It is funded in part through the
Transformation State Incentive Grant (TSIG) awarded to the Office of the Governor by
the Substance Abuse and Mental Health Services Administration (SAMHSA) to
enhance system transformation planning. The Ohio Department of Mental Health
(ODMH) provided overall leadership and management of the five-year TSIG grant.
Keywords: Acute Mental Health Care
Accuracy Verified: Yes
375. Hase, M. H., Popky, A. J., & Woffgramm, J. (2007, June). Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
A randomized pilot study demonstrated the efficacy of EMDR to reduce the craving in alcohol addicted in-patients (Hase, 2006). The rationale of this EMDR approach is based on the concept of the addiction memory (Woffgramm and Heyne, 1995; Heyne, May et al, 2000; Wolffgramm, Galli et al, 2000). The addiction memory qualifies as a maladaptive memory regarding to the Adaptive Information Processing Model. The DeTUR approach was introduced to reprocess triggers for abuse and to reduce the user to use a drug in 1998 (Popky, 1998; Popky, 2005). If differs slightly in it rationale. J. Wolffgramm established an animal model of addiction providing data to move towards the concept of memory of addiction (Wolffgramm, Galli et al, 200). A. J. Popky established the DeTUR approach. M. Hase conducted the randomized pilot study demonstrating the efficacy of EMDR in the treatment of alcohol addicts. Wolffgramm, Popky, and Hase will discuss research, theory, and practice of EMDR in the treatment of addictions representing the state of the art of EMDR addiction treatment.
Hase, M. (2006, September) EMDR applied to reprocess the addiction memory in alcohol addicted in-patients. Outcome and follow-up data of a clinical study, 2006 EMDRIA Conference, Philadelphia, PA.
Heyne, A., May, T. et al. (2000). "Persisting consequences of drug intake toward a memory of addiction," J. Neural Transm, 107(6), 613-638.
Popky, A. J. (1998). DeTUR, (Desensitization triggers and urge reprocessing). Monte Sereno, CA.
Popky, A. J. (2005). "DeTUR, an urge reduction. protocol for addictions and dysfunctional behaviors," in EMDR Solutions. R. Shapiro. New York: W. W. Norton, pp. 167-188.
Wolffgramm, J. G., Galli, G. et al. (2000). "Animal models of addiction: Models for therapeutic strategies." J. Neural Transm, 107(6), 649-668.
Wolffgramm, J., & Heyne, A. (1995). "From controlled drug intake to loss of control: The irreversible development of drug addiction in the rat." Behav Brain Res, 70(1), 77-94.
Keywords: Addiction
Accuracy Verified: Yes
376. Hase, M. (2011, June). Research on clinical application of EMDR other than PTSD - EMDR to treat substance abuse and addiction. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Keywords: Addiction Substance Abuse
Accuracy Verified: Yes
377. Calof, D. (1995). A response to Dr. Zangwill. EMDR Network Newsletter, 5(2), 17-21.
Language: English
Format: Newsletter
Abstract:
I fervently agree with Dr. Zangwlll's
wise counsel that "we must accept our
limitations and the ambiguities of life."
For the last two years, I have provided
extensive training for trauma and
abuse recovery therapists on the
countertransference to client doubt,
uncertainty, and ambiguity.
Keywords: Countertransference
Accuracy Verified: Yes
378. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR),
Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT),
Traumatic Incident Reduction (TIR), and Visual/Kinesthetic
Dissociation (V/KD) are relatively new approaches in the treatment
of trauma-related disorders. These approaches have come
under intense scientific and professional scrutiny and criticism,
with proponents and critics offering diverse and intriguing arguments
in support of their respective points of view. This discussion
will focus on the current empirical and anecdotal evidence on
the efficacy of these five approaches, as well as various criticisms
that have been proferred in response to the empirical and clinical
literature on treatment efficacy and theory. EMDR will be highlighted,
given the growing empirical database on EMDR outcome
studies and the contention surrounding the treatment and its’ theory.
The evidence for and/or against the other four approaches will
also be presented, upon which we will raise for discussion issues
relating to methodological rigour, scientific reporting of clinical
data, and the interpretation of efficacy studies in general. The discussion
will occur within the context of philosophical discourse on
the ideal of integration of science and practice, and the feasibility
of attaining this ideal within the current scientific Zeitgeist.
INTERVENTION RESEARCH, CLINICAL CASE STUDY
Sandringham
Skills-Based Treatment
of Dissociation: A Case Study 238
Chair: ELHAI, Jon D., Nova Southeastern University
Discussant: GOLD, Stephen
A clinical case study of skills-based treatment of a 48-year-old,
female survivor of child sexual abuse (CSA) reporting severe dissociative
symptomatology is presented. Chief complaints were daily
amnestic episodes, depersonalization, panic attacks, agoraphobia,
and consequent long-term unemployment. In contrast to most
approaches to therapy for dissociative syndromes, it is argued that
treatment does not need to be primarily trauma-focused. Instead
treatment focused on targeting dissociation and anxiety by teaching
skills to be implemented by the client outside of session.
Functional behavioral analysis of particular recent incidents of dissociation
were conducted over several sessions. Imagery-based
relaxation and progressive muscle relaxation were used and monitored
to help the client learn additional methods of reducing distress.
Grounding techniques were implemented to counter the dissociative
tendency to lose experiential awareness of the here and
now. Cognitive interventions were utilized to challenge the erroneous
notions reported about dissociative experiences, such as the
panic she experienced when her dissociation had been revealed to
others. Last, in vivo systematic desensitization was used with a fear
hierarchy, ranging from the least to most fearful stimuli that precipitate
dissociation, where graduated exposure was followed by relaxation.
At termination the client reported elimination of panic
attacks, resumption of driving, and marked reduction in frequency
and duration of amnestic periods, with substantial additional gains
and progress in finding full-time employment reported at 8 month
follow-up. Treatment outcome is assessed based on psychological
test data obtained at intake, discharge, and 8 month follow-up, as
well as client anecdotal report.
Keywords: Neoteric Trauma Treatments Practice Guidelines
Accuracy Verified: Yes
379. Mize, S. (2002, February). The role of eye-movement desensitization and reprocessing (EMDR) in the interdisciplinary treatment of low sexual desire women. Presentation at the American Psychological Association Public Interest Directorate; Women's Programs.
Language: English
Format: Other
Abstract:
Low sexual desire disorder is the most common sexual dysfunction in women. There is no standard definition for "normal" sexual desire and there are many factors that can influence it, hence, low desire can be one of the more difficult sexual dysfunctions treat. Given its inherent complexity, it frequently requires interdisciplinary assessment and treatment. The present symposium is an attempt to share our model for the treatment of this widespread and yet, poorly understood dysfunction. One component of the complexity of low sexual desire is its correlation with other difficulties, for example, PTSD, depression, anxiety, relationship disturbance, physical illness, and life stress. Another one of these concerns is childhood sexual abuse. EMDR has been used very successfully to resolve the trauma associated with sexual assault as well as sexual dysfunctions. We will illustrate the use of EMDR with a woman presenting with low sexual desire and a history of sexual abuse. EMDR methodology will be described. The use of EMDR for abuse recovery as a method of resolving low desire will be discussed. We will explore a number of important therapeutic issues including: (1) fundamental questions of responsibility, control and safety as they relate to sexual abuse and ultimately sexual desire in the current relationship; (2) individuation from partner and perpetrator, barriers to this process and the impact on sexual desire of successful differentiation; and (3) repression of anger and the concomitant physical manifestations. In addition, we will discuss the collaboration with both sexual medicines and psychiatry around modulation of medications to maximize treatment outcomes with EMDR.
Enhancing Outcomes in Women's Health: Translating Psychosocial Behavioral Research Into Primary Care, Community Interventions, and Health Policy; American Psychological Association
[American Psychological Association Public Interest Directorate; Women's Programs].
Keywords: Females Inhibited Sexual Desire Low Sexual Desire Sexual Abuse
Accuracy Verified: No
380. Pena, M. (2006). Sanar el dolor a traves del movimiento ocular [Healing the pain through eye movement]. Buenos Aires: Kier.
Language: Spanish
Format: Book
Abstract:
Ningún Método aplicado por la medicina tradicional ha podido terminar con esta clase de sufrimiento. Hoy, gracias a la novedosa técnica EMDR (Movimientos Oculares de Desensibilización y Reprocesamiento), nos encontramos ante un nuevo paradigma terapéutico: la posibilidad real de terminar con el dolor.
Los recuerdos traumáticos se aíslan en el cerebro como resultado de los neuroquímicos producidos por el cuerto en el momento del trauma, que se almacenan sin asimilar durante años. El trabajo que se realiza a través del movimiento de los ojos desbloquea estos recuerdos reconectando las redes neuronales, antes aisladas del resto del cerebro, logrando así eliminar la sensación de dolor que el recuerdo genera en el paciente.
Las técnicas EMDR y T.I.C. (Técnicas de Integración Cerebral) se han utilizado con enorme éxito en personas que sufrieron graves traumas: asaltos, abusos sexuales, así como en soldados con secuelas de guerra (Guerra de los Balcanes en Sarajevo, Bosnia), en víctimas de ataques con bombas (Oklahoma, EE.UU), en pacientes con ataques de pánico y fobias. Es tratamiento de soldados con estrés de combate, víctimas de inundaciones y huracanes y en los sobrevivientes al ataque a las Torres Gemelas en Nueva York, EE.UU., en 2001.
La Lic. Marta Peña nos acerca en esta obra las bases y aplicaciones de las técnicas con ejemplos de exitosos casos clínicos reales.
No method used by traditional medicine has failed to finish with this kind of suffering. Today, thanks to the new technique EMDR (Eye Movement Desensitization and Reprocessing), we face a new treatment paradigm: a real chance to end the pain.
Isolated traumatic memories in the brain as a result of neurochemicals produced by the cuerto at the time of trauma, which are stored for years without assimilating. The work done through eye movement unlock these memories reconnecting the neural network, previously isolated from the rest of the brain, thus eliminating the sensation of pain that the memories generated by the patient.
EMDR techniques and T.I.C. (Cerebral Integration Techniques) have been used with great success in people who suffered severe trauma: assaults, sexual abuse, as well as soldiers with sequelae of war (War in the Balkans in Sarajevo, Bosnia), victims of bombings ( Oklahoma, USA) in patients with panic attacks and phobias. It's treatment of soldiers with combat stress, flood and hurricane victims and survivors of the attack on the Twin Towers in New York, USA, in 2001.
Ms. Marta Peña us about this document the basis and applications of the techniques with examples of successful real clinical cases.
Accuracy Verified: Yes
381. Scheck, M. M., Schaeffer, J. A., Gillette, C. S., & van der Kolk, B. A. (1996, June). Scientific investigations into EMDR (Part I) - Brief psychological intervention with young high-risk females: A comparison of eye movement desensitization and reprocessing with active reflective listening. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Americans Battery Child Abuse Effects Emotional Abuse Females Incest Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Stressors Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
382. Becker, L., Edmond, T., Rubin, A. & Baldwin, W. (1996, June). Scientific investigations into EMDR (Part II) – Evaluating the effectiveness of EMDR in reducing trauma symptoms in adult survivors of childhood sexual abuse. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: Yes
383. Najavits, L. (2004, September). Seeking safety: A stabilization therapy for PTSD and substance abuse. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
The goal of this presentation is to describe current state-of-the-art knowledge about the treatment of patients with the dual diagnosis of posttraumatic stress disorder and substance abuse, a population that is typically considered "difficult to treat" We will cover background on PTSD (including rates, the “typical case”, models and stages of treatment, clinical dilemmas, and gender issues) and clinical interventions for PTSD and substance abuse (including demonstration of specific treatment strategies, assessment tools, and community resources).
Keywords: PTSD Substance Abuse
Accuracy Verified: Yes
384. Calof, D. (1995, June). The self of the therapist: An experiential clinic for clinicians working with abuse recovery issues. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Working with survivors of trauma and abuse can challenge or shatter therapists' basic beliefs about safety, goodness, and meaning,
leaving one anxious, vulnerable, uncertain and prone to countertransference act-out. Through discussion and structured experiences
that allow for individual pacing, participants in this experiential clinic will have an opportunity to identify, transform, and work
through issues of the self of the therapist including countertransferences, parallel process, secondary traumatization, and the intense
and sometime immobilizing existential crises that may result from this work. The leader will endeavor to create an enjoyable playful
climate of mutual respect, trust, confidentiality and containment throughout the day.
Educational objectives:
A. Participants will engage in group and individual exercises designed to break with injunctions, scripts and
internalizations left over from the family of origin that have prohibited personal authority and experimentation.
B. Through lecture/discussion and exercises, participants will explore countertransference issues, secondary PTSD, and
common therapeutic impasses and the existential crises they evoke in the self of the therapist.
C. Participants will engage in group and individual exercises designed to assist in the resolution of on-going
countertransference issues growing out of their current clinical practice.
Bibliography:
(1) Benedeck, E.P. (1984). The silent scream; Countertransference reactions to victims. American Journal Of Social Psychiatry, IV,
3:49-52.
(2) Camstock, C.M. (1991). Countertransference and the suicidal MPD patient. Dissociation, Vol. IV, No. 1;25-35.
Keywords: Abuse Recovery Survivors Trauma
Accuracy Verified: Yes
385. Forrest, M. S. (1995, June). Self-soothing and the multiple trauma survivor. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Remember the joke about the doctor who says, "The operation was a success, but the patient died"? That's how some clients feel
about EMDR. They succeed in accessing deep and important material, but find themselves extremely depressed and/or anxious in
the days afterward. For these clients, who are often survivors of multiple trauma such as long-tenn child abuse or incest, the ability
to self-soothe (both during and after an EMDR session) makes the difference between whether they regard EMDR as a useful tool or
a necessary evil.
To find out what self-control techniques work best for such clients, I interviewed EMDR clients (all women) who had experienced
long-term sexual abuse in childhood.
The first thing I learned was that for survivors of multiple trauma, the ability to feel safe starts long before EMDR is ever used.
Many women cited their relationship with their therapist as the foundation of their feeling safe with EMDR: "I trust my therapist
absolutely." One client's therapist told her he had used EMDR himself: "That made a huge difference to me," she said.
Other advance work included planning and taking preventative measures. Planning means picking the right time (and pace) for
doing EMDR: being sure the therapist and/or other support people will be available in the days after the session; not driving or
going back to work afterward (if possible); being able to have plenty of alone time; and going slowly, doing EMDR in small
increments. "I didn't expect myself to go out in the world and be social afterward. I was pretty raw for a few days, sometimes for a
whole week," B. told me.
Planning also means taking preventive measures, such as teaching the client how to find "a safe place." Most clinicians know the
importance of this, but one of the women I interviewed was emphatic that creating a safe place was very different from being able to
go to it when she was in a session and reliving the experience of being a three-year-old overwhelmed by extreme grief or terror. She
said she needed a lot of practice accessing her safe place and some special interventions (see below) to get through the intense times.
Being able to self-soothe between sets of eye movements was very difficult for most clients. "I cry all the time we do it," S. told me.
"I have to sit near the door and not have my therapist sit too close," said M. Another woman said, "We do the eye movements for a
few seconds and we talk in between."One successful intervention, especially for clients overwhelmed by the intensity of their
feelings, involved the therapist asking his client to listen to the sound of his breathing and to breathe along with him. Another
clinician has his client when she gets extremely upset ask her "inner guide or "higher power" whether it's "okay to continue;" a third
asks, "Is there more underneath or is it time to wind down?" Letting the client control the pace and progress of his/her own
processing can be an important way to teach self-trust -- especially to people for whom loss of power was endemic to their abuse.
Some clients are able to repeat special phrases or afirmations over and over between sets to calm themselves. L., a ritual abuse
survivor, said she grounds herself by silently reciting a mindfulness verse from Zen master Thich Naht Hanh in time with her inbreath
and out-breath: "In, out. Deep, slow, Calm, ease. Smile, release. In, out. Deep, slow ......
Different kinds of self-soothing techniques work best after the eye-movement sets are completed.
Immediately afterwards, while still in session, one client said she falls asleep for a few minutes -- she finds this a big help in
countering the dissociated state in which she typically concludes an EMDR session. Another said she and her therapist share a cup
of tea and talk over what happened as a way to "come down" and normalize the experience.
Some clinicians close a session by doing eye movements to reinforce the client's safe place. One woman said her therapist has her
"cement the present in place" by doing eye movements on either a present-day image, an image of her inner child in the safe place, or
a positive statement.
Francine Shapiro has often said that what happens after the EMDR session can be as important as what happens during it. The
women I interviewed felt exactly the same way. They had learned the necessity of talung exquisitely good care of themselves in the
hours and days that follow. "I take time-and time out," declared B., who often has a delayed fear reaction following EMDR.
Most clients said they go home and either curl up in bed or in a favorite rocking chair with their stuffed animals. They cry, sleep,
write in their journals, draw pictures, listen to music, look at favorite photographs, and/or call a support person. M. uses self-talk to
ease her feelings: "I say to myself, 'You know that knot of fear. I know it's only fear. I know that nothing is going to hurt me right
now'." For others, going home immediately is not the best option: D. takes a walk along the shores of Long Island Sound; C., the
mother of three young children, finds solace in a favorite bookstore.
Sometimes all the planning in the world doesn't help: the abreaction seems to launch the client back to the age she was when she
was abused - and she simply can't remember how to calm herself. To counter this, several clients said they carry a list of things
they can do to quiet themselves. S. finds reading mystery stories comforting("At the end you always find out what really happened."), but has to keep two of them on her bedside table at all times: "If they're not in full view, I forget about using them."
One interesting example of "assigned" self-soothing was given by a ritual abuse survivor who was new to EMDR. After a session
when a lot of memories came up about how her sexuality was used and degraded during the abuse, her therapist gave her very
specific instructions on how to care for herself, including buying a romantic nightgown and soaking in bath salts for 45 minutes;
listening to romantic music; and not touching or kissing her partner for 48 hours. "It worked out great!" she told me happily. "I felt
SO pretty and so safe."
The conclusion I reached about how multiple-trauma survivors learn to self-soothe in the face of the intense feelings EMDR can
trigger is not revolutionary. The recipe is: Step 1. Plan for the worst. Step 2. Let the client select the self-soothing techniques that
specifically fit for her or him. Step 3. Make sure s/he is able to use these techniques no matter how intense his/her emotions are.
Sometimes this will call for the therapist to take an active role by either leading the client in specific calming techniques or by
assigning very clear-cut homework.
If the recipe calls for planning and practicing, then the pot in which the ingredients are cooked is labeled "TRUST"-trust before
initiating EMDR, trust during the eye movements, and trust after the sets are completed. Unless the client deeply trusts the
clinician, the method itself, and his or her own capacity to go into the feelings and me out safely, the recipe for success with
EMDR can turn into a recipe for disaster.
Accuracy Verified: Yes
386. Burkart, T. (2007, September). Seminar: EMDR bei bulimia nervosa [EMDR for bulimia nervosa]. Psychotherapeutishchen Zentrums Kitzberg-Klinik Bad Mergentheim.
Language: German
Format: Other
Abstract:
Ich möchte in meinem Seminar am Beispiel der Bulimia nervosa zeigen, wie die Methodik
der modernen Traumatherapie mit den Phasen Stabilisierung, Ressourcenorgansiation,
Exposition und Neuorientierung auch auf bindungsrelevante Traumatisierungen im Sinne
schwerer Kränkung, Demütigung oder öffentlicher Beschämung erweitert werden kann. Hier
möchte ich vor allem die Möglichkeiten erfolgreicher Exposition deutlich machen.
Ein entscheidender Grund, EMDR in die Essstörungsbehandlung einzuführen, war die
Tatsache, dass mit großer Häufigkeit makro- und mikrotraumatisches Material in der
Lebensgeschichte der Patientinnen und ihrer Familien vorkommt.
Die Untersuchung der Makrotraumata zeigt eine enorme Häufigkeit sexueller
Missbrauchserfahrungen bei den essgestörten Mädchen und jungen Frauen; die Häufigkeit
liegt wahrscheinlich bei etwa 25 – 30 % (Köpp & Jacoby 2000) und damit 4mal höher als im
allgemeinen Durchschnitt.
Aber nicht nur die Makrotraumen wie Objektverlust, erlittene Gewalt, sexueller Missbrauch
haben diese Wirkung, sondern auch die Mikrotraumen, dies sind kumulative Verletzungen der
kindlichen Schutz- und Entwicklungsbedürfnisse. Sie sind weniger offensichtlich, sie sind
auch weniger bewusst, sie sind aber nicht weniger wirksam. Sie bewirken nicht die einmalige
große Erschütterung der Person, sondern eher eine permanente Vergiftung.
I want to show nervosa in my seminar on the example of bulimia, such as the methodology
of modern trauma therapy with the stabilization phase, Ressourcenorgansiation,
Exposure and refocus on bond-related trauma in the sense
severe insult, humiliation or shaming can be extended. here
I would especially make the possibilities of successful exposure significantly.
A key reason, introduce EMDR into the eating disorder treatment, the
Fact that in a high frequency macro-and micro-traumatic material
Life history of the patients and their families occurs.
The study of macro trauma are enormous frequency of sexual
Abuse experiences among girls and young women suffering from eating disorders, the incidence
is probably at about 25 - 30% (Koepp Jacoby & 2000), and 4 times higher than in the order
general average.
But not only the macro traumas such as loss of the object, experienced violence, sexual abuse
have this effect, but also the micro-trauma, these are cumulative injuries
child protection and development needs. They are less obvious, they are
even less aware, but they are no less effective. Do not bring the unique
great disturbance in the person, but rather a permanent poisoning.
Keywords: Bulimia Nervosa
Accuracy Verified: Yes
387. Belton, R., Gould, E., & Passano, B. (1992, April). Sexual abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: Yes
388. Gould, E., Korn, D., Nelson, S., & Forrest, M. S. (1994, March). Sexual abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: Yes
389. Gould, E., Korn, D., Nelson, S., & Forrest, M. S. (1993, March). Sexual abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sexual Abuse
Accuracy Verified: Yes
390. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.
Language: English
Format: Journal
Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma
Accuracy Verified: Yes
391. Edmond, T. (2003, September). Sexual abuse survivors' perceptions of the effectiveness of EMDR and eclectic therapy. Poster presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Eclectic Therapy Sexual Abuse Survivors
Accuracy Verified: Yes
392. Edmond, T., Sloan, L., & McCarty, D. (2004, July). Sexual abuse survivors’ perceptions of the effectiveness of EMDR and eclectic therapy. Research on Social Work Practice, 14(4), 259-272. doi:10.1177/1049731504265830.
Language: English
Format: Journal
Abstract:
Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse -- Eye Movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted with 38 adult female survivors of childhood sexual abuse. Results: Two major differences in outcomes between the two treatment approaches were observed. There were considerable distinctions between the two treatment groups in terms of the importance and effect of the client-therapist relationship, and in terms of the depth of change reportedly caused by the different therapies. Conclusions: Survivors' narratives indicate that EMDR produces greater trauma resolution, while within eclectic therapy, survivors more highly value their relationship with their therapist, through whom they learn effective coping strategies. [Author Abstract]
Keywords: Adults Americans Child Abuse Depressive Disorders Empirical Study Females Individual Psychotherapy Mixed Methods Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
393. Koedam, W. S. (2007). Sexual tauma in dsfunctional marriages: Integrating structural therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.223-242). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Sexual abuse survivor couples who choose to engage in marital therapy often present with problems around attachment, intimacy, infidelity, rage, a sense of entrapment, feelings of betrayal, low self-esteem, powerlessness, codependency, and a need to control or have power. Their individual histories become critical to understanding what type of interventions to implement as these individuals continue to respond to one another in an almost stylized and predictable manner. This chapter describes a treatment approach that combines Structural Family Therapy (SFT) and Eye Movement Desensitization and Reprocessing (EMDR) in marital therapy when one or both partners have a history of childhood sexual abuse. In this approach, the therapist begins with SFT and then shifts to EMDR treatment of the traumatized partner. This shift is to process the survivor's abuse experience so that he or she can come to an adaptive resolution. This sets the stage for the survivor to respond differently to the possible triggers in his or her life as well as in the relationship. Once the EMDR process is complete and the couple participates in joint debriefing of the EMDR intervention, they reengage in the SFT marital sessions while integrating insights and adaptations the trauma survivor has gained from the EMDR work. This approach involves the applications of the EMDR standard protocol. It also uses the core elements of SFT, such as joining, restructuring diffuse and rigid boundaries, relabeling, and enactments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dysfunctional Marriages Emotional Trauma Integrative Psychotherapy Marriage Counseling. Sexual Abuse Sexual Trauma Structural Family Therapy
Accuracy Verified: Yes
394. Bergmann, U. (2008). She's come undone: A neurobiological exploration of dissociative disorders. In C. Forgash and M. Copeley (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 61-89). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Life is often an enduring struggle for people who have been chronically traumatized. Their suffering essentially recounts a horrifying and anguished past that haunts them, incessantly. As clients attempt to hide their sorrow beneath a veneer of normality, therapists often feel beleaguered by their many symptoms and never-ending pain. Van der Kolk and McFarlane (1996) note that "experiencing trauma is an essential part of being human; history is written in blood" (p. 3). Centuries of wars, famines, pogroms, holocausts, slavery, dictatorship, and colonization brought every type of horror and abuse into the homes of our ancestors. Some found ways to adapt, but many succumbed to the horror and despair. Despite the capacity of humans to survive and adapt, traumatic experiences tend to alter their biological, psychological, and social equilibrium to such a vast extent that the memory and interpretation of their traumas wash over and taint all other experiences, contaminating the present and future (van der Kolk & McFarlane, 1996). (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dissociative Disorders Neurobiology Trauma
Accuracy Verified: Yes
395. Brogan, J. (2011, June 11). Shifting the focus. Boston, MA: Boston Globe. Retrieved from http://articles.boston.com/2011-07-11/lifestyle/29761983_1_emdr-ptsd-eye-movement-desensitization on 7/11/2011.
Language: English
Format: Newspaper
Abstract:
Once highly controversial, EMDR has made gains in acceptance. In 2004, both the American Psychiatric Association and the Department of Defense recommended it as an effective treatment for PTSD. In May, the federal Substance Abuse and Mental Health Services Administration, an agency of the Department of Health and Human Services, recognized EMDR as an evidence-based treatment for depression and anxiety as well as for PTSD. (Excerpt)
Accuracy Verified: Yes
396. Spindler-Ranta, D. C., & Schwartz, S. (2003, September). Slaying the monster: Relieving trauma in 3 – 9 year olds. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This technique is significant because it allows relief from trauma without articulating the event that caused the trauma or even fully remembering
that event. It combines EMDR with drawing and storytelling. Positive cognitions are installed during the process, leaving the child with self-esteem tools that can serve them in the future. It reduces symptoms of abuse, loss, or accidents. This technique deviates from EMDR protocol
to accommodate children's short attention spans and need to play in therapy. Clinicians will be able to: I) identify the components of the
Slaying the Monster technique, 2) solve the dilemma of young children being unable to identify or articulate their trauma, and 3) demonstrate how to reduce symptoms associated with trauma.
Keywords: Children Slaying the Monster Trauma
Accuracy Verified: Yes
397. Ricci, R. J., Clayton, C. A., & Shapiro, F. (2006, December). Some effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings. Journal of Forensic Psychiatry and Psychology, 17(4), 538-562. doi:10.1080/14789940601070431.
Language: English
Format: Journal
Abstract:
Ten child molesters with reported histories of childhood sexual abuse underwent eye movement desensitization and reprocessing (EMDR) trauma treatment as an adjunct to standard cognitive-behavioural therapy-relapse prevention (CBT-RP) group treatment. Trauma resolution produced significant pre/post changes on all relevant subscales of the Sexual Offender Treatment Rating Scale (SOTRS). One unanticipated benefit was a consistent and sustained decline in deviant sexual arousal compared to the control condition. As measured by the SOTRS, decrease in arousal was also correlated with a decrease in sexual thoughts, increased motivation for treatment, and increased victim empathy. Deviant arousal is strongly associated with sexual recidivism. Clinical observations support the notion that those sexual offenders with histories of childhood sexual abuse may be left with aberrant sexual arousal, which is one pathway to sexual offending. The adaptive information processing model offers an explanation of the decreased and sustained deviant arousal observed in this study. This preliminary evidence supports a call for further research into this phenomenon.
Keywords: Child Molester Childhood Sexual Abuse Emotional Trauma Empirical Study Eye Movements Pedophilia Phallometry Quantitative Study Sex Offenders Sexual Abuse Trauma Treatment Treatment
Accuracy Verified: Yes
398. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions.
The workshop will promote an understanding of:
•Complex PTSD presentations in refugees and asylum seekers
•Stabilisation and symptom management in preparation for trauma focused interventions
•Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks
•Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work
•How best to work with trauma memories and when to use NET, CBT or EMDR
•Cultural considerations
•Managing vicarious traumatisation and self care
Keywords: Refugees Stablilization
Accuracy Verified: Yes
399. Neuner, F. (2008, Juli). Stabilisierung vor konfrontation in der traumatherapie -- Grundregel oder mythos? [Stabilization before confrontation in trauma treatment -- Elementary rule or myth?]. Verhaltenstherapie, 18(2), 109-118. doi:10.1159/000134006.
Language: German
Format: Journal
Abstract:
Psychotherapie der PTBS ist oft in die Phasen der Stabilisierung und Konfrontation unterteilt. In der Stabilisierungsphase lernt der Patient, Strategien zur Regulierung und Kontrolle beeinflussen Symptome. Danach kann die Erinnerungen an das traumatische Ereignis offen gelegt und verarbeitet werden in der Konfrontation Phase. Deutsch Behandlungsrichtlinien und etwas Text Pfund postulieren, dass eine Phase der Stabilisierung bedingungslos vor der Konfrontation mit dem Trauma Erinnerungen erforderlich stattfinden kann. Im Gegensatz zu dieser Aussage, Evidenz aus randomisierten, kontrollierten Studien zeigt, dass die sogenannten Trauma-Ansätze konzentrieren (Varianten der kognitiven Verhaltenstherapie, Exposition Therapie und EMDR) die erfolgreichsten Methoden für die Behandlung von PTBS sind. Als Konsequenz empfehlen mehreren internationalen Verbänden und Instituten diese Verfahren als Therapie der ersten Wahl. Alle Trauma-konzentrierte Ansätze umfassen irgendeine Art von Konfrontation mit nur rudimentären Stabilisierung oder ohne Stabilisierung bei allen. Darüber hinaus gibt es keine Hinweise, dass die Exposition Verfahren gefährlicher als Stabilisierung oder dass sie weniger gut toleriert und akzeptiert werden. Ebenso gibt es keinen Beweis, dass die Stabilisierung ist notwendig für Patienten mit komplexen Trauma-bedingten Erkrankungen wie bei erwachsenen Patienten mit einer Vorgeschichte von sexuellem Missbrauch. Entgegen der gängigen Lehre, eine Phase der Stabilisierung ist nicht notwendig, Trauma Behandlung und die Möglichkeit der negativen Auswirkungen der Stabilisierung kann nicht ausgeschlossen werden. [Abstract Autor]
Psychotherapy of PTSD is often divided into the phases of stabilization and confrontation. In the stabilization phase, the patient learns strategies to regulate affect and control symptoms. Thereafter, the memories of the traumatic event can be disclosed and processed in the confrontation phase. German treatment guidelines and some text books postulate that a phase of stabilization is unconditionally required before the confrontation with trauma memories can take place. In contrast to this statement, evidence from randomized controlled trials shows that the so-called trauma-focused approaches (variants of cognitive-behavioral therapy, exposure therapy, and EMDR) are the most successful methods for the treatment of PTSD. As a consequence, several international associations and institutes recommend these procedures as the treatment of first choice. All trauma-focused approaches include some type of confrontation with only rudimentary stabilization or with no stabilization at all. In addition, there is no evidence that exposure procedures are more dangerous than stabilization, or that they are less well tolerated and accepted. Likewise, there is no evidence that stabilization is necessary for patients with complex trauma-related disorders such as adult patients with a history of childhood sexual abuse. Contrary to the common doctrine, a stabilization phase is not necessary for trauma treatment and the possibility of negative effects of stabilization cannot be ruled out. [Author Abstract]
Keywords: Confrontation Exposure Posttraumatic Stress Disorder PTSD Stabilization Trauma
Accuracy Verified: Yes
400. Thaxton, D. (2007, June). Star wars therapy: Integrating EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: EMDR with children can be clinically challenging. Traditional protocols are difficult to follow, especially with younger children. Unique to this approach, Star Wars therapy allows children to produce their own bilateral stimulation while the therapist installs verbal cognitive interweaves. Star Wars therapy facilitates the integration of resource installations; it provides children with an exciting venue to explore schemas and ego states resulting form trauma, abuse and neglect. Star Wars play therapy is a practical skill set for clinicians interested in integrating EMDR with children. Star Wars is unique in its immediate accessibility for children. The rich story line it provides them with accessible themes of good and evil, betrayal, injustice, universal hierarchy, and connectedness with “the force:’ the main characters act as primary archetypes. The body of this work is dived into two mains sections. The first section outlines Star Wars Play Therapy from a theoretical standpoint. The goal is to address the neurobiological, psychological, and attachment aspects which are the basis for treatment. The second reaction addresses the technique form a practical perspective. A complete clinical protocol is outlines, from conceptualization to execution of play, to the integration of EMDR instillations and trauma targeting.
Keywords: Children Star Wars Therapy
Accuracy Verified: Yes
401. Leeds, A. M. (2000). Strengthening the self: Principles and procedures for creating successful treatment outcomes for adult survivors of neglect and abuse. Andrew M. Leeds, Ph.D., Santa Rosa, CA.
Language: English
Format: Other
Keywords: Abuse Adult Neglect Survivors
Accuracy Verified: Yes
402. Siegel-Itzkovich, J., & Cukan, A. (2002, April 16). Stress treatment offers hope, questions. Albany, New York: United Press International, Financial News.
Language: English
Format: Newspaper
Abstract:
Robbie Dunton, coordinator of training at the EMDR Institute Inc. in Pacific Grove, Calif., said 60,000 clinicians have been trained in the two levels of EMDR. More than 1 million people have been treated for traumas, including sexual abuse, domestic violence, combat, crime and other mental health problems.
Keywords: General Overview Robbie Dunton
Accuracy Verified: Yes
403. Accornero, N., Kitchen, R., Leeds, A., & Lewis, V. (1992, April). Substance abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Substance Abuse
Accuracy Verified: Yes
404. Vogelmann-Sine, S., & Sine, L. (1994, March). Substance abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
405. Vogelmann-Sine, S., & Sine, L. (1993, March). Substance abuse. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
406. Vogelmann-Sine, S., Popky, A. J., Sine, L. F., & Carlson, J. G. (1997, May). Substance abuse research protocol: Research protocol EMDR integrative addiction treatment model and the modified standard EMDR chemical dependency treatement protocol. Mental Research Institute, Palo Alto, CA.
Language: English
Format: Other
Keywords: Research Protocol Substance Abuse
Accuracy Verified: Yes
407. Mehigan, T. (2003, April). Successful EMDR with a sexually abused child. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
408. Devilly, G. J. (2001, January). The successful treatment of PTSD through overt cognitive behavioral therapy in non-responders to EMDR. Behavioural and Cognitive Psychotherapy 29(1), 57-70. doi:10.1017/S1352465801001072.
Language: English
Format: Journal
Abstract:
This research investigated the efficacy of an operantly cognitive-behavioural trauma treatment protocol (TTP) in two cases that had previously been treated unsuccessfully with EMDR. In line with previous research, both participants improved following TTP, to the extent where one of the participants was asymptomatic at post-treatment and 3 month follow-up. These cases also demonstrate the ability of a cognitive-behavioural intervention to successfully treat childhood sexual abuse victims later in life. (Cambridge Journals)
Keywords: Battery Case Report CBT Child Clinical Case Study College Students Cognitive Behavioral Therapy Cognitive Therapy Death of Child Empirical Study Females Follow-up Study Homicide Incest Middle Aged Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Young Adults
Accuracy Verified: Yes
409. Borden, T. (2009, January). Successful treatment of trauma and addictions using EMDR (Eye movement desenitization and reprocessing), Parts I and II. Presentation at the San Diego International Conference on Child and Family Maltreatment.
Language: English
Format: Conference
Abstract:
Over the past two decades we have seen an increase in the relationship between Trauma and Addiction including eating disorders. Studies have focused on the psychobiological effects on the brain and PTSD symptomology. Eye Movement Desensitization and Reprocessing has gained great respect in the field for its efficacy and long term benefits with PTSD (Trauma Survivors) and Substance Abuse. Research suggests that PTSD clients are more responsive to treatments that specifically "process" traumatic memories such as EMDR. EMDR is an exposure treatment in which clients perform saccidic eye movements to process traumatic memories which in turn accelerates the processing of information involving a shift of cognitive structures ( including the assimilation of positive beliefs)." The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight, cognitive restructing of potential relaspe triggers and physical cravings";Shapiro F.(1994). What we have learned over the years is that brain function can be altered by external stimuli; with the use of EMDR, eye movement "Naturally" occures in the rem sleep as well as activating it in the wake states has proven to be quite effective in the treatment of maladaptive behaviors: This workshop will look at this treatment modality its effectiveness and use with Trauma and Addictions; Workshop format will include lecture, case examples, and experiental exercises.
Keywords: Addictions Children
Accuracy Verified: Yes
410. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Sexologie, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 .
Language: English
Format: Journal
Abstract:
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged.
Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities.
In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches.
Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance.
The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological.
Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.
Keywords: Dyspareunia Dysesthetic Vulvodynia Sexual Pain Sexological Techniques
Accuracy Verified: Yes
411. Mosquera, D., González, A., & Vazquez, I. (2012, Enero ). Terapia EMDR (eye movement desensitization reprocessing) en el trastorno límite de personalidad: Reflexiones en torno a un caso de patología dual [EMDR (Eye Movement Desensitization Reprocessing) in BPD personality: Reflections on a case of dual diagnosis]. Revista Espanola de Drogodependencias, 37(1), 82-95.
Language: Spanish
Format: Magazine
Abstract:
Los pacientes con trastorno límite de la personalidad y adicciones suponen un desafío
para los centros de atención específicos. Los pacientes con patología dual suelen presentar
dificultades en los programas orientados a la evitación del consumo. No solo
por sus frecuentes problemas interpersonales sino debido a que su problemática de
adicción no se ajusta al patrón prototípico de abuso o dependencia de sustancias.
La terapia Eye Movement Desensitization Reprocessing (EMDR), orientada al tratamiento
de las experiencias desde las cuales se han desarrollado ambos trastornos, permite un
abordaje integral de ambos problemas. EMDR es una terapia que aborda las situaciones
relacionadas con trauma temprano y apego disfuncional, altamente prevalentes tanto
en el trastorno límite de personalidad como en las conductas adictivas.A través de un
caso clínico se ilustra un posible plan de tratamiento para trabajar la patología dual
desde EMDR.
Patients diagnosed with borderline personality and substance abuse disorders represent
a challenge for specific treatment centers.These patients tend to experience difficulties
in substance or alcohol abuse programs due to their frequent interpersonal problems
and their addiction patterns, which do not fit into a standard pattern of substance abuse
or dependence. Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented
toward the treatment of the experiences that originate both disorders, allows an integrated
approach of both problems. EMDR is a psychotherapy that addresses early trauma
and dysfunctional attachment experiences, which are highly prevalent both in BPD and
substance abuse disorders.We will illustrate a possible treatment plan from the EMDR
perspective through a case example.
Keywords: Alcohol Abuse Borderline Personaity Disorder BPD Dual Diagnosis
Accuracy Verified: Yes
412. Donovon, J. (1995). A therapeutic and spiritual transformation. EMDR Network Newsletter, 5(1), 3-5.
Language: English
Format: Newsletter
Abstract:
I work in an office where we do assessments and referrals, as well as mental health and substance abuse treatment. Client A was referred to me from our EAP colleague as a possible candidate for EMDR. She arrived for our intake session as scheduled, presenting quite anxiously and childlike, both verbally and in her bodv posture. She spoke in a soft, wispy voice, and her small frame folded over itself as she sat in her chair so that she seemed even smaller. As her
story unfolded, she was embarrassed
to be weeping and it became apparent
she had been emotionally stuck at age
four, although she was reportedly a
happily married woman and mother
of two children, ages three and five.
She had been working part-time outside
of the home and her job was
ending that week, for which she was
"mostly relieved."
Keywords: Spiritual
Accuracy Verified: Yes
413. Kaplan, S. (1998, September). Thoughts on EMDR and Arundhati Roy’s novel, The God of small things. EMDRIA Newsletter, 3(3), 28-30.
Language: English
Format: Newsletter
Abstract:
I want to bring Arundhati Roy’s remarkable, new novel, The God of Small Things, to the attention of psychotherapists, especially EMDR therapists, as we work with people in pain and suffering from serious psychological trauma. Almost every character in the book, like many of our clients, has been traumatized y death, loss, rejection, sexual abuse gender or caste exploitation, abandonment, violence, deceit, betrayal, inappropriate blaming, shame, rage, guilt, lack of validation, humiliation, fear, and/or terror.
Keywords: Arundhati Roy
Accuracy Verified: Yes
414. Fernandez, B. R. (2010, December). Through the eyes of a child: A symbolic, narrative journey through complex childhood trauma. Pacifica Graduate Institute, Carpinteria, CA . 1490015.
Language: English
Format: Dissertation/Thesis
Abstract:
This research examines how symbolic expression in the form of written autobiographical stories, dream images, and original art can heal the survivor of complex childhood trauma. Chronic neglect, witnessing and/or experiencing physical and sexual abuse, systematic humiliation, or other terrorizing experiences can lead to psychic fragmentation, disruptions in memory, and other adaptations that can cause lifelong suffering and functional impairment. These trauma sequelae concern psychotherapists and other professionals who treat survivors. Included is a discussion of attachment theory, brain development, memory, and other psychological experiences endured by childhood trauma survivors. Presented is the author's artistic, phenomenological, and hermeneutic engagement with healing such trauma through depth psychology, psychotherapy, and symbolic artistic representations including memoir. There is a focus on the importance of rebuilding self through the piecing together of coherent autobiographical narrative. It includes coverage of stages of recovery and various treatment approaches including EMDR, art therapy, and Jungian dreamwork.
Keywords: Art Autobiographical Stories Dream Images Narration Symbolic Expression
Accuracy Verified: Yes
415. Glang, C. (1995). Tidbits. EMDR Network Newsletter, 5(2), 9.
Language: English
Format: Newsletter
Abstract:
The negative cognition-generating
question! "What does that say about
you? can be used at any point in the
process, when the movement
turns in a positive direction.
For example, a male client was working
On the beatings he received
his older brother who had been beaten
by their father. "My brother passed on the abuse, but I didn't turn and find another victim." "And what does
that say about you?" "I guess I'm a caring person." EM.
Keywords: Negative Cognition Positive Cognition
Accuracy Verified: Yes
416. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15.
Language: English
Format: Newsletter
Abstract:
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect,
dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR
may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative
abreaction.
Keywords: Dissociation
Accuracy Verified: Yes
417. Abel, N. J., & O'Brien, J. M. (2012). Traitement par l’EMDR d’états comorbides d’ESPT et de dépendance à l’alcool: Un exemple de cas [EMDR treatment of comorbid PTSD and alcohol dependence: A case example]. Journal of EMDR Practice and Research, 6(2), E1-E11. doi:10.1891/1933-3196.6.2.E1.
Language: French
Format: Journal
Abstract:
L’EMDR (désensibilisation et retraitement par les mouvements oculaires) est une thérapie qui a démontré
son efficacité dans le traitement de l’état de stress post-traumatique (ESPT). Une littérature clinique
encore relativement réduite, mais croissante, montre que l’EMDR peut aussi être un traitement complémentaire
efficace de la toxicomanie. Le présent article passe en revue les divers protocoles qui ont été
développés dans ce but, avec les protocoles de Vogelmann-Sine et al., Omaha, Popky et Hase. Une étude
de cas intégrant certaines de ces interventions est présentée afin d’illustrer la réussite du traitement par
l’EMDR d’une femme souffrant de longue date d’une dépendance à l’alcool et d’un ESPT comorbides.
Le suivi, deux ans plus tard, a montré que cette femme restait sobre et que l’ESPT était en rémission
complète. Après une discussion des aspects importants de ce cas, les auteurs explorent de futures directions
de recherche.
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.
Keywords: Alcohol Dependence Comorbid PTSD
Accuracy Verified: Yes
418. Parnell, L. A., & Cohn, L. (1998, July). Transforming sexual abuse trauma with EMDR. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) how to best integrate EMDR into their work with sexual abuse survivors; 2) how to use imagery techniques throughout EMDR treatment of sexual abuse survivors and in the beginning, middle, and end of individual ongoing EMDR sessions; 3) how to use art throughout EMDR treatment with sexual abuse survivors; 4) how to use cognitive and imaginal interweaves when clients are looping or stuck in the processing of a traumatic event; and 5) several techniques for closing down EMDR sessions, including use of imagery, art, and meditation.
Keywords: Art Closing A Session Cognitive Interweave Imagery Techniques Imaginal Interweave Meditation Sexual Abuse Survivors Trauma
Accuracy Verified: Yes
419. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
Los trastornos de personalidad son un grupo complejo a la hora de trabajar en
psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR.
El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia
temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas.
Algunos autores destacan los contextos invalidantes en la historia biográfica de las
personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El
concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero.
La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática,
siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se
ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la
posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo
Personality disorders are a complex group when working in
psychotherapy. Relational problems and emotional reactions are often overflowing
be in the forefront. Many of these disorders are built on a history of
early trauma and dysfunctional attachment relationships with primary caregivers
can be treated with EMDR.
The BPD or BPD personality has been associated with a history
early attachment dysfunctional childhood trauma (sexual abuse, physical trauma
attachment and / or neglect), but not all specific therapeutic guidelines
for BPD directly addressed these previous traumatic experiences.
Some authors emphasize the disabling contexts in the biographical history of the
People with this diagnosis, which often goes hand in complex traumatization. The
EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us
think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......)
but, in fact, by definition, trauma is any event that has had a negative effect
durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are
is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will
visualize the results that can be achieved in one session. Through the case
illustrate the theory of Model Adaptive Information Processing (AIP) and
possible application of EMDR in personality disorders with complex trauma.
Keywords: Borderline Personality Disorder Symposium
Accuracy Verified: Yes
420. Mosquera, D. (2012, June). Trastorno narcisista de la personalidad y EMDR [Narcissitic personality disorder and EMDR]. Presentación en el IX Congreso Nacional de Trastornos de la Personalidad. Asociación Española para el Estudio de los Trastornos de la Personalidad. Zaragoza, Spain.
Language: Spanish
Format: Conference
Abstract:
La descripción de la DSM-IV del trastorno de personalidad narcisista se centra en las cualidades "externas" del narcisismo (grandiosidad, explotación de otros, arrogancia, problemas interpersonales y rabia) mientras que omite las características "internas" menos obvias y más sutiles (tendencia a ser sensitivos a la vergüenza, introvertidos, vulnerables, inhibidos y tendentes a la ansiedad: Gabbard, 1989). Las características narcisistas de grandiosidad son a menudo asociadas a la personalidad del abusador, pero ambas formas de narcisismo pueden ser relevantes tanto en víctimas como en familiares "no abusadores".
Una característica central del narcisismo es la falta de empatía. Los rasgos narcisistas y antisociales pueden ser el resultado final de un entorno negligente, de abuso crónico o de una valoración excesiva. Los problemas de apego con los cuidadores principales pueden dar lugar a falta de empatía y egocentrismo.
En esta presentación se realizará una descripción de diferentes perfiles caracterizados por egocentrismo, actitud egoísta y falta de empatía. Se planteará la patología narcisista desde la perspectiva del trauma y el abordaje con EMDR.
The description of the DSM-IV narcissistic personality disorder focuses on the qualities of "outside" of narcissism (grandiosity, exploitation of others, arrogance, anger and interpersonal problems) while omitting features "internal" less obvious and more subtle (tendency to be sensitive to shame, introverted, vulnerable, inhibited and prone to anxiety: Gabbard, 1989). Grandiose narcissistic characteristics are often associated with the personality of the abuser, but both forms of narcissism may be relevant to both victims and family members "not abusive".
A central feature of narcissism is a lack of empathy. Narcissistic and antisocial traits may be the end result of a negligent environment of chronic abuse or excessive valuation. The problems of attachment with primary caregivers may result in lack of empathy and self-centeredness.
This presentation will be a description of different profiles characterized by selfishness, selfish and lack of empathy. We will examine the narcissistic pathology from the perspective of trauma and EMDR approach.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
421. Robredo, J. (2011, Julio). Tratamiento con EMDR en menores victimas de abuso [EMDR treatment with children victims of abuse]. 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:
Las estadísticas acerca del maltrato físico de los niños son alarmantes. Se estima que
cientos de miles de niños han recibido abuso y maltrato a manos de sus padres o parientes.
Los que sobreviven el abuso, viven marcados por el trauma emocional, que perdura mucho
después de que las consecuencias físicas hayan desaparecido. A menudo el daño emocional
severo a los niños maltratados no se refleja hasta la adolescencia, o aún más tarde, cuando
muchos de estos niños maltratados se convierten en padres abusivos y comienzan a
maltratar a sus propios hijos. El reconocer y dar tratamiento inmediato es importante para
minimizar los efectos a largo plazo causados por el abuso o maltrato físico.
En este sentido, en los últimos años venimos trabajando con menores que han sido
víctimas de abuso, negligencia, violencia familiar o abandono. El abordaje terapéutico
desde el EMDR se muestra como un paradigma muy eficaz a la hora de trabajar con niños y
menores. El trabajo con la red de recuerdos y el reprocesamiento de recuerdos traumáticos
ayuda a su recuperación. A través de los dibujos que los niños han ido haciendo en las
sesiones se observa como el reprocesamiento en el niño es diferente al del adulto. Además
la etapa del desarrollo del niño interfiere tanto en el modo de procesar información
traumática como en la construcción de los recuerdos y su posterior reprocesamiento. Por
lo que los protocolos de EMDR en el niño son diferentes a los del adulto para que sean
igualmente eficaces.
En esta comunicación se presenta el protocolo de trabajo para tratar a los menores
víctimas de abuso, desarrollado desde la perspectiva de EMDR, exhibiendo cómo funciona
el protocolo a través de la presentación de los datos que se han ido recogiendo durante la
aplicación del programa de intervención.
The statistics on physical child abuse are alarming. It is estimated that
hundreds of thousands of children are physically abused by their parents or relatives.
Those who survive abuse, living marked by the emotional trauma remains long
after the physical consequences are gone. Often the emotional damage
severely abused children is not reflected until adolescence or even later, when
many of these abused children become abusive parents and begin to
abuse their own children. Early recognition and treatment is important for
minimize long-term effects caused by abuse or physical abuse.
In this regard, in recent years we have been working with children who have been
victims of abuse, neglect, family violence or neglect. The therapeutic approach
from the EMDR appears as a very effective paradigm for working with children and
minors. Working with the memory network and reprocessing of traumatic memories
aid their recovery. Through drawings children have been doing in the
sessions were observed as the reprocessing in children is different from the adult. also
stage of child development interfere much in the way of processing information
traumatic as the construction of memories and subsequent reprocessing. by what EMDR protocols in children are different from the adult to be
equally effective. In this paper we present the working protocol for dealing with juveniles
victims of abuse, developed from the perspective of EMDR, showing how protocol through the presentation of the data have been collected during the implementation of the intervention program.
Keywords: Abuse Children Symposium
Accuracy Verified: Yes
422. Gonzalez, A., & Mosquera , D. (2010). Tratamiento del abuso sexual con EMDR [Treatment of sexual abuse with EMDR]. Revista de Psicoterapia, 20(80).
Language: Spanish
Format: Other
Abstract:
"La terapia EMDR ha obtenido reconocimiento internacional como tratamiento de elección para el trastorno de estrés postraumático, aunque su utilización se ha extendido a numerosas patologías. Desde EMDR se entiende que el origen de los síntomas está en experiencias traumáticas previas que se almacenan en el cerebro de una manera disfuncional. La resolución de los problemas presentes del paciente se consigue a través del procesamiento de las memorias traumáticas, que se reconsolidarán como memorias ordinarias. El procedimiento estándar incluye no sólo el procesamiento de eventos pasados, sino también de las situaciones presentes y la proyección de futuro. Para su aplicación específica en casos de abuso sexual es preciso tener en cuenta si se trata de un abuso temprano y/o prolongado, sobre todo un abuso sexual intrafamiliar, ya que las consecuencias en este caso van más allá de un estrés postraumático simple, como ocurre en un episodio aislado de agresión sexual en un paciente con una historia previa sin elementos de traumatización grave temprana. En este artículo se ejemplificará con casos clínicos la aplicación diferencial en ambos casos."
"EMDR therapy has achieved an extense international recognition as treatment of choice for PTSD. Its use has been extended to a broaden field of pathologies. From the EMDR perspective, symptoms are considered to feed on previous traumatic experiences, and the patient´s problems resolution will be achieved throughout the processing of this dysfunctionally stored information, that becomes reconsolidated as an ordinary memory. The standard EMDR procedure includes not only the processing of past events, but also the processing of present situations and future scope. In order to use EMDR in sexual abuse cases, it is crucial to differentiate between early abuse (overall intrafamiliar abuse) and single sexual aggression in adulthood. The first situation has more severe consequences and needs modified EMDR procedures oriented to severe traumatization and dissociation. The implementation of this therapy will be illustrated with clinical case examples."
Keywords: Posttraumatic Stress Psychotherapy Sexual Abuse Trauma
Accuracy Verified: Yes
423. Buscaglia, S. (2008, Julio 10). Tratamiento realizado con EMDR [Performed with EMDR treatment]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Journal
Abstract:
EMDR es un nuevo método psicoterapéutico para el tratamiento de diferentes problemas que pueden tener su origen tanto en experiencias tempranas como en cualquier tipo de situación traumática que se produzca en el curso de la vida, como abusos, depresión, trastornos de pánico, sobrevivir a catástrofes, etc.
La información traumática queda bloqueada y provoca los síntomas de los distin-tos cuadros psicopatológicos.
EMDR combina un abordaje cognitivo junto con un abordaje neurofisiológico, la estimulación bilateral sensorial. Esta consiste en movimientos oculares, sonidos alternados o palmoteo en las manos, lo cual produce un aceleramiento y desblo-queo de las funciones de procesamiento de la información en el cerebro, lo que lleva al alivio de los síntomas y a tener una nueva mirada sobre la vida, al poder usar las experiencias vividas como aprendizaje para el buen manejo de la realidad.
A continuación se presentarán dos viñetas de tratamientos para ejemplificar cómo se trabaja con el modelo EMDR.
EMDR is a new psychotherapeutic method for the treatment of different problems that can result from both early experiences as in any type of trauma occurring in the course of life, such as abuse, depression, panic disorder, surviving disasters , etc.
Traumatic information is blocked and causes the symptoms of psychopathology differ-ent.
EMDR combines a cognitive approach along with a neurophysiological approach, bilateral sensory stimulation. This consists of eye movements, alternating or clapping sounds in the hands, resulting in an acceleration-lock and unlock the functions of information processing in the brain, leading to relief of symptoms and have a new look life, to use as learning experiences for the proper handling of reality.
Then it will present two vignettes to illustrate how treatment works with the EMDR model.
Accuracy Verified: Yes
424. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.
Language: Italian
Format: Journal
Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi
di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica
Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top
e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri
approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione
(EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel
ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche
trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio
fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è
importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.
Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms
of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic
Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing
and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other
approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing
(EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the
last years, many data from the research give strong advice for starting CBT and pharmacological
treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk
factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s
important to consider comorbidity with other axis I and II disorders and with substance abuse.
Keywords: Acute Stress Disorder ASD Cognitive-Behavioral Therapy Comorbidity Hypnosis Peritraumatic Dissociation Psychological Debriefing Trauma
Accuracy Verified: Yes
425. Punamaki, R.L., & Peltonen, K. (2008). Trauma among children and adolescents: Treatments and interventions. European Trauma Bulletin, 15(2), 3-13.
Language: English
Format: Newsletter
Abstract: Keywords: Adolescents Children Accuracy Verified: Yes 426. Ford, J. D., Chapman, J. F., Hawke, J., & Albert, D. (2007, June). Trauma among youth in the juvenile justice system: Critical issues and new directions. Research and Program Brief, National Center for Mental Health and Juvenile Justice, 1-8. Language: English Format: Publication Abstract: Keywords: Adolescents Juvenile Justice System Youth Accuracy Verified: Yes 427. Grand, C. (2010, November 17). Trauma and EMDR therapy. Safe Space Radio (WMPG 90.9 & 104.1 FM), Portland, ME. Language: English Format: Audio Abstract: Keywords: Interview Posttraumatic Stress Disorder PTSD Sexual Abuse Trauma Accuracy Verified: Yes 428. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Body Biological Systems Somatic Therapy Trauma Accuracy Verified: Yes 429. Mastronardi, C. (2007). Trauma da abuso e EMDR: Presentazione di una ricerca in corso [Abuse trauma and EMDR: A presentation of current research]. Universita Degli Studi di Milano, Italia. Language: Italian Format: Dissertation/Thesis Abstract: Accuracy Verified: Yes 430. Ricci, R. J., & Clayton, C. A. (2008). Trauma resolution treatment as an adjunct to standard treatment for child molesters: A qualitative study. Journal of EMDR Practice and Research, 2(1), 41-50. doi:10.1891/1933-3196.2.1.41. Language: English Format: Journal Abstract: Keywords: Abuse Propensity Adults Child Abuse Child Molester Clinical Trial Cognitive Therapy European Americans Males Qualitative Perpetrators Rape Sex Offenders Survivors Treatment Effectiveness Accuracy Verified: Yes 431. Ricci, R. J. (2004). Trauma resolution treatment as an adjunct to standard treatment for sexual offenders. Virginia Polytechnic Institute and State University. AAT 3136393. Language: English Format: Dissertation/Thesis Abstract: Keywords: Sex Offenders Trauma Treatment Accuracy Verified: Yes 432. Tapanya, S. (2008, June). Trauma therapy for bullying victims in Thai schools. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK. Language: English Format: Conference Abstract: Keywords: Bullying Poster Thailand Trauma Therapy Accuracy Verified: Yes 433. Scharloo, A., & Coppens, L. (2010, Apirl). Trauma treatment after sexual abuse for people with developmental disabilities. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociaion Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Developmental Disabilities Sexual Abuse Accuracy Verified: Yes 434. Luber, M. (1992, Winter). Trauma/abuse memories with a client diagnosed with MPD. EMDR Network Newsletter, 2(3), 6-8. Language: English Format: Newsletter Abstract: Keywords: Abuse Memories MPD Multiple Personality Disorder Accuracy Verified: Yes 435. Schore, A. (2000, September). Traumatic attachment and the development of the right brain. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Attachment Dissociation Right Brain Trauma Accuracy Verified: Yes 436. Huso, D. R. (2010, March/April). Treating child abuse trauma with EMDR. Social Work Today, 10(2), 20. Retrieved from http://www.socialworktoday.com/archive/032210p20.shtml 8/3/2010 . Language: English Format: Magazine Abstract: Accuracy Verified: Yes 437. ten Hoor, N. M. (2013, May). Treating cognitive distortions with EMDR: A case study of a sex offender. International Journal of Forensic Mental Health, 12(2), 139-148. doi:10.1080/14999013.2013.791350. Language: English Format: Journal Abstract: Keywords: Child Sexual Abuse Childhood Victimization Cognitive Distortions, Sex Offender Single-Case Study Accuracy Verified: No 438. Bergmann, U. (2004, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA. Language: English Format: Conference Abstract: Keywords: Dissociation Personality Disorders Accuracy Verified: Yes 439. Bergmann, U. (2005, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Dissociation Personality Disorders Accuracy Verified: Yes 440. Bergmann, U. (2006, September). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Dissociation Personality Disorders Accuracy Verified: Yes 441. Bergmann, U. (2006, November). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego-state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA. Language: English Format: Conference Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 442. Settle, C., & Bolte, C. S. (2012, October). Treating dissociation, ritual abuse and mind control from an attachment perspective. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Dissociation Mind Control Ritual Abuse Accuracy Verified: Yes 443. Omaha, J. (1999, June). Treating nicotine dependency: An application of the Chemotion/EMDR protocol. Presentation at the annual meeting of the EMDR International Assocation, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Chemotion Denial Gestalt Communication Nicotine Dependency Object Relations Deficits Reality Testing Accuracy Verified: Yes 444. Bexson, T. (2003, April 28). Treating the child abusers. London, England: London Evening Standard, 26-27. Language: English Format: Newspaper Abstract: Keywords: Child Abuse London Perpetrators Treatment Accuracy Verified: Yes 445. Armstrong, M. (1998). Treating trauma with focusing and EMDR. The Folio: A Journal for Focusing and Experiential Therapy, 17(1), 23-30. Language: English Format: Journal Abstract: Keywords: Focusing Accuracy Verified: Yes 446. Carbone, D. (2005, July). Treating trauma, depression and anxiety in gay men with childhood trauma histories using EMDR. Presentation at the World Congress of Sexology, Montréal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Anxiety Depression Homosexuality Sexual Orientation Sexuality Accuracy Verified: Yes 447. Puk, G. (1991, June). Treating traumatic memories: A case report on the eye movement desensitization procedure. Journal of Behavior Therapy and Experimental Psychiatry, 22(2), 149-151. doi:10.1016/0005-7916(91)90010-3. Language: English Format: Journal Abstract: Keywords: Case Report Child Abuse Death of Sibling Females Interpersonal Interaction Posttraumatic Stress DIsorder PTSD Rape Survivors Young Adults Accuracy Verified: Yes 448. Klaff, F. R. (1995, June). Treatment of children's fears with EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 449. Parnell, L. A. (1994, August). Treatment of sexual abuse survivors with EMDR: Two case reports. Presentation at the 102nd annual meeting of the American Psychological Association, Los Angeles, CA. Language: English Format: Conference Keywords: Sexual Abuse Survivors Accuracy Verified: Yes 450. Bonczijk, L. (2009, October 16). Treatment, therapy there for victims of sex abuse. Newberg, Oregon: Newburg Graphic. Language: English Format: Newspaper Abstract: Keywords: General Overview Sexual Abuse Accuracy Verified: Yes 451. Russell, M. C. (2012, February 5). Underestimating the true prevalence of war stress injury in the military. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-military-_b_1250227.html on 2/5/2012. Language: English Format: Other Abstract: Keywords: Blog Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 452. Mosquera, D. (2012, June). Understanding
and
treating
narcissistic
and
antisocial
personalities
with
EMDR [Personalidades
narcisistas
y
antisociales.
Comprensión
y
abordaje
desde
EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Antisocial Personality Disorder Narcissistic
Personality Disorder Accuracy Verified: Yes 453. Mosquera, D. (2013, June). Understanding and treating narcissistic personality disorder with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Narcissistic Personality Disorder Accuracy Verified: Yes 454. McFarlane, A. (2010, June). Understanding traumatic stress reactions - The linking of phenomenology, aetiology and treatment plan. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Traumatic Stress Accuracy Verified: Yes 455. Lovett, J. (2008). Usando EMDR para ayudar a los niños a recuperarse de prácticas médicas traumáticas [Using EMDR to help children recover from traumatic medical practices]. 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. 201-247). Buenos Aires: TdeA Ediciones. Language: Spanish Format: Book Section Abstract: Keywords: Medical Abuse Accuracy Verified: Yes 456. Pessina, C (2007, June). The use and adaptation of EMDR technique with sexually abused children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Children Sexual Abuse Accuracy Verified: Yes 457. Hyer, L. (1996). Use of EMDR in a "dementing" PTSD survivor. Clinical Gerontologist, 16(1), 70-73. doi:10.1300/J018v16n01_06. Language: English Format: Journal Abstract: Keywords: Aged Americans Case Report Cognitive Disorders Death of Spouse Elder Abuse Empirical Study Females Psychiatric Inpatients PTSD Rape Survivors Accuracy Verified: Yes 458. Paulson, S. (2003, September). Use of EMDR with a sexually abused severely autistic child. Poster presented at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Keywords: Autisitism Children Sexual Abuse Accuracy Verified: Yes 459. Gupta, M., & Gupta, A. (2003, September/October). Use of eye movement desensitization and reprocessing (EMDR) in the treatment of dermatologic disorders. Journal of Cutaneous Medicine and Surgery, 6(5), 415-421. doi:10.1007/s10227-001-0116-8. Language: English Format: Journal Abstract: Keywords: Dermatological Disorders Accuracy Verified: Yes 460. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608. Language: English Format: Dissertation/Thesis Abstract: Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors Accuracy Verified: Yes 461. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors Accuracy Verified: Yes 462. Avent, P. (2000, September). Using a person’s religious beliefs to enhance EMDR outcomes. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Religious Beliefs Spirituality Biblical Cognitive Interweave Prayer Accuracy Verified: Yes 463. Zahorsky, R. (1995, June). Using dream work and EMDR with survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Dreams Dream Work Sexual Abuse Survivors Accuracy Verified: Yes 464. Nutting, R. (2002, June). Using EMDR 'interweave' to reprocess 'defectiveness schema' in sexual abuse victims. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Keywords: Cognitive Interweave Poster Schema Accuracy Verified: Yes 465. Marich, J. (2010, September/October). Using EMDR as a complement to 12-step recovery. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: 12-Step Recovery Addiction Substance Abuse Accuracy Verified: Yes 466. Tinker, R. H. (1995, June). Using EMDR to treat children. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 467. Marich, J. (2009, February). Using EMDR to treat co-occurring traumatic stress and substance abuse disorders. Presentation at Argosy University Sarasota's Annual Symposium on Tarumatic Stress, Sarasota, FL. Language: English Format: Conference Keywords: Substance Abuse Traumatic Stress Accuracy Verified: Yes 468. Sabey, A. (2004, February). Using EMDR with adolescents within a child and adolescent mental health service. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK. Language: English Format: Conference Abstract: Keywords: Adolescents Accuracy Verified: Yes 469. Tinker, R. (1996, June). Using EMDR with children. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 470. Wieland, S. (2009, May). Using EMDR with children who dissociate. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada. Language: English Format: Conference Abstract: Keywords: Children Dissociation Accuracy Verified: Yes 471. Justus, W. (2004). Using EMDR with recovering addicts: An interview with Wendy Justus. Journal of Social Work Practice in the Addictions, 4(2), 85-93. doi:10.1300/J160v04n02_07. Language: English Format: Journal Abstract: Keywords: Dysfunctional Family Drug Addiction Emotional Trauma Interviews Recovering Addicts Substance Abusers Accuracy Verified: Yes 472. Knipe, J. (2006, June). Using EMDR with substance addictions and with behavior problems that have an addictive pattern. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract:
Eye Movement Desensitization and Reprocessing
Therapy (EMDR), which is a somewhat controversial
technique involving recalling traumatic memories
while focusing on personal strengths and engaging in
distracting behaviors such as lateral eye movements.
EMDR generally is conducted for fewer sessions
than TF-CBT, and has shown preliminary evidence
of efficacy with conduct-disordered boys [38], child
disaster survivors [39], and girls who experienced
sexual abuse [40]. EMDR [41] is generally conducted
as only one part of a multimodal therapy program
rather than a stand-alone treatment.
An interview with therapist Celia Grand, EMDR facilitator and Sensorimotor Psychotherapy trainer with trauma survivors and their partners. Celia blends her expertise in Eye Movement Desensitization and Reprocessing therapy (EMDR) with her extensive experience working with the body in trauma. She describes three phases of trauma recovery and how EMDR in particular can change the way that traumatic memory is stored in the brain, allowing new beliefs about the self to emerge.
According to recent neuroscience research, psychological trauma disrupts homeostasis
and can negatively affect various organs and biological systems (Solomon & Heide,
2005). Somatic therapy addresses the physiological elements of the trauma by focusing
on the body, which, in turn, helps individuals cognitively and emotionally process trauma
(Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the
experience of 5 participants who underwent ongoing somatic therapy in the treatment of
symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed
twelve common essential elements among all the participants that illustrated their
experience prior to and during the somatic therapeutic process. Some of the elements
identified included: presence of severe trauma history of emotional, physical, and/or
sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of
PTSD in physical symptoms and/or illness; increasing awareness of body allowed access
to trauma; newfound knowledge and tools gained in helping to manage triggers; and
gaining a sense of physical and psychological freedom. Three additional essential
elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic
expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A
process was identified in which a non-verbal bodily experience became a verbal,
intellectual, or cognitive experience. In addition, seven characteristics were identified
within the transformative process of improving PTSD symptoms occurring during the
somatic therapy. According to the participants’ reports, somatic therapy not only
decreased their PTSD symptoms, but the process had a significant positive impact on the
quality of their lives. This study’s findings highlight the potential of somatic therapy to
help those dealing with the effects of psychological trauma.
La tesi “Trauma da abuso e EMDR: presentazione di una ricerca in corso” mira ad
esplorare il trauma in un’ottica sia psicologica che neurobiologica. Recenti ricerche
dimostrano che i sopravvissuti affetti da Disturbo Post-traumatico da Stress (PTSD) non
solo manifestano dei sintomi post traumatici – come intrusività, evitamento ed arousal – ma
hanno anche livelli più bassi di cortisolo rispetto ai sopravvissuti senza Disturbo Posttraumatico
da Stress. In questa tesi viene riportato uno studio su un caso singolo nel quale
sono stati misurati i livelli di cortisolo urinario pre e post-trattamento EMDR (Eye
Movement Desensitization and Reprocessing) in una ragazzina di quindici anni affetta da
Disturbo Post-traumatico da Stress. L’obiettivo è determinare se il trattamento produce un
decremento dei sintomi, misurati attraverso una valutazione testistica, e se a questo
decremento è associato un aumento dei livelli di cortisolo urinario. I risultati indicano una
diminuzione dei sintomi che ha comportato una remissione del PTSD. Questo
miglioramento è confermato anche da un aumento dei livelli di cortisolo urinario. Questi
risultati confermano l’efficacia dell’EMDR (trattamento evidence-based) per la cura del
Disturbo Post-traumatico da Stress e suggeriscono l’utilità di includere misurazioni
neuroendocrine nella valutazione dei risultati.
The thesis “Trauma da abuso e EMDR: presentazione di una ricerca in corso” aims at
exploring the trauma from a psychological and neurobiological point of view. According to
the latest studies, trauma survivors with posttraumatic stress disorder (PTSD) have been
shown to have not only posttraumatic symptoms - as Avoidance, Intrusion and Arousal -
but also lower basal cortisol levels than in trauma survivors without PTSD. In this thesis a
single case study, in which pre and post–Eye Movement Desensitization and Reprocessing
(EMDR) treatment urinary cortisol levels have been measured in a 15-year old female with
PTSD, has been reported. The aim of this study is the assessment of the EMDR treatment
effectiveness in symptom reduction measured with psychological instruments; besides, the
assessment of the changes in the urinary cortisol levels following the symptom reduction.
Results show a symptom reduction with a PTSD remission associated with higher urinary
cortisol levels. These results confirm the EMDR treatment effectiveness with PTSD and the
utility of including neuroendocrine measures in the assessment of treatment outcome in
PTSD.
A literature review of current treatment models for child molesters and contemporary theories of etiology suggests a gap between theory and practice. Despite emerging recognition of the importance of addressing etiological issues in sexual offender treatment, many programs resist addressing the trauma sequelae of childhood sexual abuse (CSA) in those sex offenders where it is present. Adding trauma treatment to standard sexual offender treatment was identified as a means to closing some of that gap. 10 child molesters with reported histories of CSA were treated with eye movement desensitization and reprocessing. Subsequent to adding this trauma resolution component, there was improvement on all six subscales of the Sex Offender Treatment Rating Scale as well as decreased idiosyncratic deviant arousal as measured by the penile plethysmograph. The current study reviews qualitative data collected during treatment and at posttreatment interviews. [Author Abstract]
This study explored the use of adding trauma resolution therapy to standard cognitive-behavioral relapse prevention therapy for sex offenders. Ten adjudicated sex offenders with sexual abuse histories were treated with eye movement desensitization and reprocessing as an adjunct to standard outpatient sex offender treatment. Data points include self-report, other-report, assessment instruments, session transcripts, research journals, and physiological measures. Systematic treatment research and development methods (Bischoff, McKeel, Moon, & Sprenkle, 1996) resulted in a proposed treatment protocol. Emergent themes from a cross-case, grounded theory data analysis are presented. The data suggests the adjunct treatment provided some benefit both to participants and to the goals of standard sex offender-specific treatment. Implications for treatment providers, marriage and family therapy, and future research are discussed.
The knowledge on the treatment of psychological trauma in Thailand is still in its rudimentary stage despite the
fact that the country has been known for its highly trained medical personnel who are capable of providing
sophisticated medical treatment such as plastic surgery, high quality dental care, and sex-change operation. And
although the problem of violence has been well recognized, especially relating to child abuse and domestic
violence, a more subtle form of violence such as bullying in school has been largely ignored. The author aims to
present the summary from his survey of bullying incidence from over 3,000 students in all regions of Thailand.
The problem appears to be wide-spread and resulted in fear and anxiety about going to school. During the past
few years a number of bullying survivors have come forward to receive treatment for their traumatic memories
that continue to trouble them. The presentation will outline treatment strategies for this client population and
cite several case studies which may show how EMDR can be applied in a way that is unique to Thai culture.
Trauma treatment after sexual abuse for people with developmental disabilities People with disabilities have an increased vulnerability to experience violence and abuse. Also they have more negative experiences in general and are more often treated in an unpleasant manner. They are therefore at greater risk to develop trauma. Beside that they have fewer capacities to cope with traumatic experiences in a healthy way. For a long time it was thought that people with developmental disabilities couldn’t profit from psychotherapy. Still people with developmental disabilities are being told that they can’t get treatment. In this workshop we will show that psychotherapy is very well possible for people with developmental disabilities and we will show how adjustments can be made to the regular approach to meet the special needs of these people. We will explain that to meet these needs a broader scope is necessary which include therapeutic interventions towards key persons and organizations in their lives. We will introduce two women with mental disabilities who both have been sexually abused. We will tell about the therapy in which we used this broader approach (involving parents, group counselor, church) combined with EMDR, solution focused therapy methods, cognitive behavioral techniques and creative techniques.
Learning Outcomes Participants will know that trauma treatment is possible for people with developmental disabilities. Participants will know adjustments can be made to the regular approach to meet the special needs of people with developmental disabilities. Participants will know how to involve key persons from the network of the developmentally disabled client in order to make trauma treatment work well.
Dissociation is the result of overwhelming trauma. The major feature of patients with Dissociative Disorders is a disturbance or alteration in the normally integrative functions of identity, memory, or consciousness (American Psychiatric Association, 1987). “The task of psychotherapy is to re-associate disrupted memory patterns, to restore a continuity of consciousness, and to assimilate the patient’s identity into a unified whole” (Steele, 1988, p. 151).
Participants will learn: 1) how a history of early abuse and/or neglect induces severe attachment pathology in infants and toddlers; 2) the deleterious effects of early abuse and neglect on the development of right brain coping systems, specifically focusing on the impairment of the maturation of higher right coritcal interconnections into the hypothalamo-pituitary-adrenal axis and the sympthomedullary axis; and 3) a developmental psychoneurobiological model of dissociation.
EMDR has been successful in treating trauma from childhood abuse in victims and survivors young and old.
With more than 3 million instances of child abuse reported annually in the United States and probably many more cases going unreported, social workers face an often daunting client list of children and adults who are or have been victims of abuse and neglect. Left untreated, these individuals’ chances of leading lives fraught with substance abuse, incarceration, unwanted pregnancies, and future psychological conditions are multiplied by many degrees.
In the last two decades, however, researchers have made major strides in developing methods for treating victims and survivors of child abuse, including therapies that work as well (and in some cases better) with children as with adults. Among the most successful of these treatments is Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic process that uses eye movements, sounds, and repetitive motions to help clients process and come to terms with traumatic memories more quickly than talk therapy alone. And since many children and some adults are unable to verbalize traumatic experiences, EMDR can often provide the breakthrough that more traditional therapies can’t.
This single-case study illustrates howeyemovement desensitization and reprocessing (EMDR)
can be of use in the treatment of cognitive distortions in sex offenders who themselves have
been victimized in their childhood. A 56-year-old man did not perceive his childhood sexual
experiences as negative. As a consequence, he could not see any harm in his own offending in
later life. He spent one year in cognitive-behavioral group therapy barely making any progress.
After nine EMDR sessions, most cognitive distortions appeared to be resolved. He was able to
attend his group sessions in a more open and involved manner.
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
The integration of EMDR with Ego State Therapy
will be presented as a comprehensive approach
to treatment of the wide spectrum of personality
disorders. These diagnostic categories include
individuals manifesting character pathology,
borderline personalities, antisocial and
sociopathic tendencies as well as addictive
behaviors. These clients have often been seen as
poor candidates for EMDR or even nonresponders.
They are often mandated for
treatment or come at the behest of others. Their
histories often include early repeated experiences
of abuse, deprivation, abandonment, and parental
coldness. The hallmarks of personality disorders
are rigid, intractable defenses, difficulty relating
and empathizing with others, as well as acting out
behavior. Historically, the treatment of
personality disorders has been described as the symptoms of personality disorders be viewed
as aspects of dissociation and will examine the
applications of ego state concepts and techniques
to all phases of the EMDR protocol in order to
facilitate the treatment of these clients. Central
to this approach is the conceptualization of self
and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the
enhancement of EMDR processing.
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Using EMDR as an integrative therapeutic approach from an attachment and developmental trauma lens, this presentation will give practical strategies for treating clients with Dissociative Identity Disorder (DID) symptoms who have experienced Ritual Abuse and Mind Control (RA/MC). Infant disorganized attachment is an important precursor to adult dissociation and perhaps even more of a predictor of Post Traumatic Stress Disorder (PTSD) than severe trauma alone (van der Kolk). RA/MC programming will be explained so the clinician understands the layers of complexity in treating these dissociative symptoms and ego states.
Participants will learn: 1) the definition of denial as an unconscious mechanism preventing awareness and acceptance of a relationship between negative consequences of nicotine abuse and the nicotine abuse iself; 2) the origin of denial in a defected ego function of reality testing; 3) how defected reality testing in nicotine dependents means they cannot distinguish what is inside them - their archaic, unresolved trauma-coded affects, memories, cognitions, and images - from what is outside them - the smoking-induced affects, cognitions, and images; 4) how smokers reenact their childhood emotional trauma through their nicotine abuse. Cigarettes facilitate re-experiencing affects directed against the child by traumatizer and also re-experiencing the unmetabolized affect felt by the child during traumatization; 5) the Chemotion/EMDR protocol, a brief, effective treatment for nicotine dependency; 6) how Gestalt commmunication technique in Chemotion/EMDR protocol can evoke the object relations deficits during nicotine dependency; 7) how EMDR can desensitize and reprocess the specific childhood emotional trauma driving the dependency; and 8) how EMDR can install or strengthen the reality testing ego function.
Child sex abuse is probably the most taboo subject in Britain despite the increased reporting and publicity given to it. And those who are involved with treating child sex offenders are inevitably faced with a difficult task, but there are rewards, not least protecting potential victims.
"..at least 20% of American women and 5% of American men have experienced some form of sexual abuse in childhood.. without regard to race, ethnicity, or socioeconomic status."
(APA Working Group on Investigation of Memories of Childhood Abuse - Final Report, 1996 p.20)
This statement from the American Psychological Association gives a conservative estimate for the prevalence of child sexual abuse in our society. In Canada, the federal government commissioned the 1984 Badgley Report on Sexual Offences Against Children and Youth. It found that as many as one in two females and one in three males under the age of 21 years reported experiencing some sort of unwanted sexual touching by a perpetrator older than themselves. Yet, thirty years ago child abuse was considered rare. Child sexual abuse was thought to be practically non-existent. Child psychiatrists had never heard of it. There was nothing in the academic literature and there were no statistics or studies available about this unacknowledged endemic problem. (Steed, 1994.)
Mental health research tells us that gay men use psychological services in far more greater numbers than their heterosexual counterparts. Gay men typically present themselves in treatment for problems relating to depression and anxiety, often the result of past and present social stigma. Quite frequently in treatment, it has been noted that these men report frequent childhood experiences of peer and familial ridicule, experienced during formative periods in the development of identity. This ridicule may be conceptualized as a chronic stressor that often results in traumatic responses in adulthood such as substance abuse and self-destructive sexual behavior. This presentation puts forth a treatment model for assisting gay men in overcoming their tramatic responses to childhood ridicule that take the form of self-destructive behaviors in adulthood. Participants will become familiar with the special mental health needs of the gay client and through the presentation of case studies, will become familiar with therapeutic techniques designed to releave the resulting depression and anxiety by employing cognitive restructuring techniques. Participants will come to understand the value of gay affirmative psychotherapy, the need for advocacy outside of the gay community and ancillary treatment options for therapists.
There are at present three published papers on the eye movement desensitization procedure. This paper reports two successfully treated cases, one with traumatic memories of childhood sexual abuse, and the other based on memories of a terminally ill sister. Follow-ups of 12 and 6 months, respectively showed maintenance of treatment effects. [Author Summary]
Through case material, the usefullness of EMDR is illustrated for the treatment of children's fears and phobias. The issue of
integrating EMDR treatment with more traditional treatment is also addressed, especially with more complex contextual problems.
Three case histories are presented with emphasis on the most complicated case. Family therapy treatment espouses the notion that
psychopathology in the child results from dysfunctional family functioning, and as such the entire family system has to be treated.
This concept is broadened with the use of EMDR.
The first case illustrates a single trauma event in which a 6 year old boy was bitten by a rottweiler. Presenting symptoms were
nightmares, fear of sleeping alone, poor school performance, persistent thoughts and fear of dogs. The first session of EMDR was
successful in eliminating most of these fears. A second EMDR session focusing on a nightmare was also successful. Two follow
up sessions with the family dealt with other parenting issues and the possibility of attention deficit disorder. The targeted problem
was eliminated via EMDR.
The second case demonstrates a successful one session treatment of an otherwise healthy 6 year old girl who had fears of the dark
and had slept in her parent's bed for years.
In the third case, a complex symptomatology is presented of a nine year old girl (Lily) with a severe, life threatening heart condition
for which she has undergone 4 delicate aortal surgeries since age 2 and is on a medication maintenance regimen. Future surgery is
anticipated during adolescence. Family history is significant for mother's struggle to overcome alcohol addiction, depression and
past abuse. The family has financial pressures. Family system analysis reveals over involvement between mother and daughter,
peripheral father and sibling rivalry (daughter 11). Family treatment involved boundary and limit setting, hierarchical restructuring
and family communication skills. The illness as an organizing factor in the family system was repeatedly addressed.
Interspersed with this treatment approach were EMDR sessions for daughters and mother. Lily had fears of separation fiom mother,
fears of dying, choking, becoming ill, swimming, going to bed, and fears of the devil (as learned in their fundamentalist religion) as
well as several other fears. EMDR sessions targeted these fears, and sometimes several fears were intertwined, such as fear of
sleeping, the devil coming into her room and taking her away to die. Cognitive interweave was used when she appeared stuck.
Through the EMDR treatments, Lily was able to deeply examine her fears, based on the real life uncertainties she faced. Her
progress demonstrated a particularly poignant attempt to make sense of the meaning of life and cope with the threat of death.
A multipart series looks at the incidents of sex crimes in the Newberg area, its causes,
prosecution and treatment options
Media and official reports on prevalence rates of military war stress injury have focused almost exclusively on escalating rates of well-known war stress injuries such as PTSD, depression, generalized anxiety, substance abuse, and traumatic brain injury (TBI). Take a look at some of this week's headlines:
•Michelle Obama Tackling PTSD Treatment For Veterans
•Veteran PTSD: Lawmakers Want Audit Of Wait Times For Appointments
However, the true impact from war trauma cannot be reduced to a handful of psychiatric diagnoses, as some may want. It is a well-established, albeit uncomfortable, and conveniently ignored historical, medical and scientific fact that human adaptation to uncontrollable, unpredictable and potentially traumatic stress "causes" or significantly contributes to a wide-range of neurobiological, physical, cognitive, emotional and behavioral changes that, when chronic and/or severe enough, will inevitably cause significant physiological alterations in the brain-mind-body, eventually leading to physical and/or psychological breakdown. It's not just me saying it. [Excerpt]
The
DSM-‐IV
description
of
narcissistic
personality
disorder
focuses
on
the
“overt”
qualities
of
narcissism
(grandiosity,
exploitation,
arrogance,
interpersonal
problems
and
rage)
while
omitting
the
less
obvious
and
more
subtle
“covert”
characteristics
(tendency
to
be
shame
sensitive,
introverted,
vulnerable,
inhibited
and
anxiety-‐prone).
A
core
characteristic
of
narcissism
is
lack
of
empathy.
While
empathy
issues
can
be
present
in
many
people
with
personality
disorders,
there
are
two
personality
disorders
that
are
more
related
with
lack
of
empathy,
and
a
(sometimes
only
apparent)
lack
of
concern
about
the
suffering
that
they
can
cause
in
other
people:
narcissist
and
antisocial
personality
disorder.
Both
types
of
personalities
share
this
self-‐centered
profile.
People
characterized
by
lack
of
empathy
and
selfishness
are
usually
considered
difficult
to
treat
and
poor
candidates
for
psychotherapy
(even
untreatable)
but
many
cases
can
be
treated
effectively
with
EMDR.
Targeting
the
roots
of
the
symptoms
is
crucial
for
an
adequate
case
conceptualization.
A
description
of
different
profiles
characterized
by
self-‐centerness,
selfish
attitude
and
lack
of
empathy
will
be
described
in
this
presentation.
These
aspects
may
be
present
in
abusers
and
victims,
in
overt
or
subtle
presentations.
To
conceptualize
EMDR
therapy
in
these
cases
it
is
important
to
understand
the
pathway
from
early
experiences
to
present
problems.
Narcissism
and
antisocial
features
can
be
final
outcomes
of
a
neglecting
environment,
chronic
abuse
or
excessive
appraisal.
Different
attachment
disturbances
with
primary
caregivers
can
lead
to
lack
of
empathy
and
self-‐centerness.
In
some
cases,
structural
dissociation
is
underlying
narcissistic
or
antisocial
features
that
can
characterize
some
dissociative
parts
of
the
personality.
All
these
aspects
and
the
complexity
of
therapeutic
relationship
in
narcissistic
and
antisocial
personalities
will
be
reviewed
in
this
presentation.
La
descripción
de
la
DSM-‐IV
del
trastorno
de
personalidad
narcisista
se
centra
en
las
cualidades
“externas”
del
narcisismo
(grandiosidad,
explotación
de
otros,
arrogancia,
problemas
interpersonales
y
rabia)
mientras
que
omite
las
características
“internas”
menos
obvias
y
más
sutiles
(tendencia
a
ser
sensitivos
a
la
vergüenza,
introvertidos,
vulnerables,
inhibidos
y
tendentes
a
la
ansiedad.
Una
característica
central
del
narcisismo
es
la
falta
de
empatía.
Mientras
que
los
problemas
de
empatía
pueden
estar
presentes
en
muchas
personas
con
trastornos
de
personalidad,
hay
dos
trastornos
de
personalidad
más
relacionados
con
la
falta
de
empatía
y
la
falta
de
preocupación
(en
ocasiones
tan
sólo
de
modo
aparente)
sobre
el
sufrimiento
que
pueden
causar
en
otras
personas:
el
trastorno
de
personalidad
narcisista
y
el
antisocial.
Ambos
tipos
de
personalidad
comparten
un
perfil
egocéntrico.
Las
personas
que
se
caracterizan
por
una
falta
de
empatía
y
egoísmo,
normalmente
son
consideradas
difíciles
de
tratar
y
malos
candidatos
para
psicoterapia
(incluso
intratables)
pero
muchos
casos
pueden
ser
tratados
de
manera
efectiva
con
EMDR.
Entender
la
raíz
de
los
síntomas
es
crucial
para
una
adecuada
conceptualización
del
caso.
En
esta
presentación
se
realizará
una
descripción
de
diferentes
perfiles
caracterizados
por
egocentrismo,
actitud
egoísta
y
falta
de
empatía.
Estos
aspectos
pueden
estar
presentes
en
agresores
y
víctimas,
de
forma
evidente
o
sutil.
Para
realizar
una
adecuada
conceptualización
de
estos
casos
desde
EMDR
es
importante
comprender
cómo
las
experiencias
tempranas
influyen
en
la
problemática
actual.
Los
rasgos
narcisistas
y
antisociales
pueden
ser
el
resultado
de
un
entorno
negligente,
de
abuso
crónico
o
de
un
exceso
de
elogio
y
refuerzo.
Los
diferentes
problemas
de
apego
con
los
cuidadores
principales
pueden
generar
una
falta
de
empatía
y
una
actitud
egocentrista.
Todos
estos
aspectos
y
la
complejidad
de
la
relación
terapéutica
en
las
personalida
Narcissistic Personality Disorder is associated with selfish behaviors and lack of empathy towards others. Patients with this diagnosis show a self-centered profile and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people but this is only part of the picture.
The DSM-IV description of narcissistic personality disorder focuses on the “overt” qualities of narcissism (grandiosity, exploitation, arrogance, interpersonal problems and rage) while omitting the less obvious and more subtle “covert” characteristics (tendency to be shame sensitive, introverted, vulnerable, inhibited and anxiety-prone). All of these aspects may be present in both abusers and victims, in either overt or subtle presentations. In this presentation we will show how to conceptualize and treat different profiles characterized by self-centeredness, selfish attitudes and a lack of empathy from the EMDR perspective.
To conceptualize EMDR therapy in these cases it is important to understand the developmental pathways from early experiences to present problems. Narcissism features can be final outcomes of a neglecting environment, chronic abuse or other adverse experiences. In some cases it can even be related to excessive appraisal. A variety of attachment disturbances with primary caregivers can lead to lack of empathy and self-centeredness. Being able to identify (and reprocess) the etiological experiences at the roots of the symptoms is crucial for an adequate case conceptualization.
All these aspects and the complexity of therapeutic relationship in narcissistic personalities will be reviewed in this presentation linking theory and case examples. Video cases will be shown to illustrate case conceptualization and treatment methods.
Learning objectives:
Narcissism is in many cases a trauma-based disorder. Students will be able to understand Narcissism from a trauma perspective; as a presentation of early complex traumatization.
Special interest will be placed on relevant aspects for the history taking and how present symptoms can be linked to traumatic events (triggers).
Relational difficulties and defenses are key aspects in the treatment of personality disorders and their management will be one of the objectives of this workshop.
Treatment and conceptualization of these complex cases will be explained with the necessary adaptations of the EMDR procedures for narcissism.
Description of how workshop would achieve the learning outcomes:
The theory will be illustrated through case examples. Videos of interviews and clinical sessions will be showed, maintaining an interactive dialogue with the audience, where theoretical concepts will be exemplified and discussed with the participants.
One of the most intriguing aspects of traumatic stress has been the repeated learning and forgetting of lessons about its importance as a cause of psychopathology. It remains the case that the broader body of psychiatry and psychology has an ambivalent relationship with the field of traumatic stress and the nature of posttraumatic stress disorder. The origins of this ambivalence and their impact will be discussed. It is important that practitioners in the field of traumatic stress be aware of these barriers and how to address them in a research setting and clinical practice.
The underlying phenomenology of posttraumatic stress disorder will be explored and its neurobiological origins will be highlighted. It is important to deconstruct posttraumatic stress disorder into the different symptom components, as they have substantially different mechanisms underpinning their intensity and presentation. Posttraumatic stress disorder is a dynamic condition in which symptoms fluctuate with time and are substantially influenced by the environmental demands placed upon the individual.
It is often forgotten that somatic symptoms are a core element of the experience of individuals with PTSD. The nature of these somatic dimensions of distress and their significance will be discussed.
The epidemiology of posttraumatic stress disorder highlights how the prevalence of these conditions is seemingly increasing. However, this reflects the developments in the measurement of the effects of trauma in research settings. This has major implications for clinicians as to how best take a history about exposures to traumatic events. The evidence is that systematic investigation is critical and that unless questions are asked, symptoms will frequently go unreported. Recent evidence suggests that PTSD may be in fact more common than major depressive disorders. Equally, it should not be forgotten that depression is an important dimension of posttraumatic reactions. There is also an associated comorbidity with substance abuse. The risks associated with trauma exposure have a long tale of effect and these will be described.
The challenges of treatment will be discussed in the context of early intervention and workplace intervention. Treatment needs to be a sequential process where there are a variety of strategies, including EMDR, which can be used in treatment. The sequence of these strategies in treatment is a challenging question that has not been systematically addressed in research.
It remains the case that one of the primary issues in treatment is early identification, and this raises questions about the importance of screening in at-risk populations. Again, there are significant differences in opinion; however, the militaries around the world are now regularly screening populations returning from deployment. A recent novel approach to considering the issues of treatment is whether a staging approach should be used for conditions such as PTSD.
In summary, it is critical that clinicians have an explicit model of the mind and its neurobiology. Posttraumatic stress disorder can best be understood as an information processing disorder, which both impacts upon an individual's ability to engage with their day to day environment as well as integrate past experiences as a source of information to influence current behaviour. The integration and modulation of neural systems that manage environmental input is critical to adaptive functioning. The ways that these systems become dysregulated in PTSD will be highlighted and how these underlying deficits can be addressed in treatment will be focused upon.
A further issue that needs to be considered in the treatment of PTSD is the long-term risk of individuals, who have developed this condition, to have relapses after a successful intervention. Some long-term treatment outcome data will be presented.
No abstract available.
Thanks to a European Equal project the sexually abused children who came to our Center for therapy have been treated with EMDR. We will illustrate, through the use of clinical examples, the main therapeutic issues, the difficulties and strategies in order to exceed them. In particular, we will address the following topics: the use of "menus,” the use of positive installations, how to identify targets, how to exceed the use of psychological defenses, mainly dissociative, etc. We will then highlight the advantages of using EMDR with those children.
Presents a case study of a 72-yr-old woman with dementia to examine the usefulness of eye movement desensitization and reprocessing (EMDR) in treating posttraumatic stress disorder (PTSD) in "dementing" elderly. EDMR is a therapeutic tool in which clients are made to reexperience and cognitively reprocess their trauma in imagination, moving their eyes simultaneously. It is reported to be a good instrument in treating younger survivors of trauma, however, a few studies support its use in elderly. The S experienced a series of traumatizing events. Test results showed that the S had symptoms of PTSD, depression, anxiety, and borderline dementia. After 3 sessions of EDMR, significant improvement was seen in the S, who was ready to start and lead a normal life. It is suggested that EDMR allows the client to participate in the past as currently real, and to evaluate the unfolding of the process from an observer perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Background: The use of psychological therapies in dermatology is being increasingly recognized because stress and negative emotions are major factors in a wide range of dermatologic disorders. Eye movement desensitization and reprocessing (EMDR) is a relatively new psychological intervention which was first described to be effective in post-traumatic stress disorder, a condition associated with extremely stressful life situations. Objective: We evaluated the efficacy of EMDR in primary dermatologic disorders where psychological stress plays an important part in the pathogenesis of the disorder, and in clinical situations where the dermatologic symptom is the feature of a stress-related psychiatric disorder. Methods: Four patients (two patients with atopic dermatitis and psoriasis, respectively, whose symptoms were exacerbated by stress, one patient with acne excoríee associated with body image pathology as a result of childhood emotional abuse, and one patient with generalized urticaria associated with post-traumatic stress disorder) were treated using the standard EMDR protocol with 3–6 sessions for a period ranging from 4 to 12 weeks, and followed up for 6–12 months after the end of EMDR therapy. Results: All 4 patients experienced a marked improvement in their symptoms after 3–6 sessions of EMDR, within a period of ?3 months, and maintained improvement during followup periods of 6–12 months. Conclusion: Our preliminary findings suggest that EMDR may be beneficial in the treatment of a wide range of stress-mediated dermatologic symptoms.
Antécédents: Le stress et les émotions négatives étant les principales causes de certaines dermatoses, la psychothérapie est de plus en plus reconnue en dermatologie. La désensibilisation des mouvements oculaires et retraitement est une intervention psychologique relativement nouvelle, qui, à l'origine, était décrite comme efficace pour le syndrome de stress post-traumatique, une condition associée à un style de vie extrêmement stressant. Objectif: Nous avons évalué l'efficacité de la désensibilisation des mouvements oculaires et retraitement dans les troubles dermiques primaires, où le stress psychologique joue un rôle important dans la pathogenèse du trouble, et dans les situations cliniques où le symptôme cutané est causé par le trouble psychique relié au stress. Méthodes: Quatre patients (2 patients souffrant l'un de dermatite atopique et l'autre de psoriasis, dont les symptômes ont été exacerbés par le stress, une patiente souffrant d'acné excoriée associée à un complexe de l'image du corps découlant d'abus psychologiques durant l'enfance et un patient atteint d'urticaire genéralisée associée au syndrome de stress post-traumatique) ont été traités à la désensibilisation des mouvements oculaires et retraitement, avec 3 à 6 séances durant une période allant de 4 à 12 semaines, et suivis pendant 6 à 12 mois après la fin du traitement. Résultats: Les 4 patients ont été soulagés de leurs symptômes aprés 3 à 6 séances de traitement au cours d'une période ne dépassant pas 3 mois et leur amélioration s'est maintenue durant les 6 à 12 mois de suivi. Conclusion: Les résultats préliminaires suggèrent que la désensibilisation des mouvements oculaires et retraitement pourrait être bénéfique dans le traitement d'un éventail de symptômes cutanés reliés au stress.
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of
sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use
in the beginning, middle and end of EMDR sessions.
In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their
treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and
image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity
and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response.
Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and
want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something
happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered
flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another
reason but uncover what they believe to be sexual abuse memories with EMDR.
There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment
of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of
traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been
uncovered and preparation for life outside of therapy.
Interweaves can be utilized in the beginning, middle and end of EMDR sessions.
In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week.
What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets
for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing).
A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the
safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the
client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork.
Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can
stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established
along with the EMDR protocol.
In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur
frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time
lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator
can hurt me), look for blocking images, and talking to the child part (what does he/she need?).
Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these
include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a
powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can
helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc.
It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the
adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger
to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling
too overwhelmed.
There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic
memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these
cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the .
safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave
it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult
can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by
protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the
session, installing their response with eye movements.
It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work,
exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for
teaching self soothihg to adult survivors of sexual abuse.
Participants will: 1) learn the importance of addressing religious or spiritial issues; 2) learn how EMDR can interface with religious or spirital beliefs; 3) learn ways that non-clergy therapists can reduce faith-related resistance; 4) review strategy for dealing with common religous issues, fears, spiritual questions, and blocking beliefs; 5) learn to apply a variety of spirital and/or biblical cognitive interweaves; 6) learn how to use EMDR to strengthen positive religious experiences while unraveling destructive ones; and 7) learn how to lead patients in "EMDR prayer" to enhance safe place and to strengthen outcomes.
Dreamwork is a highly effective tool in working with survivors who are in the active stages of working through their abuse. As they
begin to focus on painful memories, whether they are repressed or not, often post traumatic stress symptoms are activated. Often
there is much traumatic material emerging in dreams. Sometimes the dreams are symbolic ways of highlighting the emotional
issues, and sometimes the dreams contain material that is an additional piece of the memory being worked on. Over time, in
conjunction with EMDR, it can be clarified what the information is really about. The symbolism that emerges is often very powerful
and healing for the survivor, in and of itself, as it is truly their own creation and perhaps brilliant solution to the dilemmas at hand.
Recently, I have been working with a specific method of doing dreamwork, called dream interviewing, developed by Dr. Gayle
Delaney. This method is extremely client centered, allowing the client to come up with personalized descriptions of elements of the
dream, bridge it to issues in their current life, and make sense of what the dream means for them, rather than have the therapist make
interpretations. This is similar to what we do in EMDR following the client's process and allowing the meaning to emerge for
them.
I have been working with different ways of combining this dreamwork with EMDR. Sometimes a very interesting series of work
happens when EMDR is used to follow a dream; either using the dream as the target, or following a dreamwork session where
certain issues have been clarified. Sometimes there is such a powerful metaphorical image that is created, it may take several
EMDR sessions in which EMDR becomes the dream and takes off on its own direction. I have also had much success in helping to
uncover material by starting with a dream element that seems to convey some historical information. I will clarify the clinical
cautions to be aware of when working with possible memories.
In this presentation I will give some didactic material about PTSD dreams and dreams related to sexual abuse, some examples of
how dreams can track the stages of healing of the survivor, an overview of doing dream interview work, and case examples of
combining EMDR and dreamwork.
Twelve-step recovery models and EMDR are highly complementary when appropriately combined. In this workshop, participants will identify the most common problems encountered in traditional addiction treatment models and consider how proper implementation of EMDR can provide elegant solutions. Participants will learn how to apply knowledge from the literature to formulate a list of “best practices” for using EMDR with addicted populations. Finally, participants will learn how to utilize the standard EMDR protocol (along with some simplified variations) in a recovery-specific fashion to help clients overcome their recovery roadblocks. This workshop contains interactive lecture, video clips/discussion, small group discussion activities, and a live demonstration/discussion.
Last year over 3 million children were exposed to physical and sexual abuse, and/or community and domestic violence (based on
conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to
PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR
with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in
childhood.
General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be
illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers.
Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds
and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For
example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy
resolving a nightmare image.
Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred
for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided,
with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes
and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental
considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how
EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be
presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible,
footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR
with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a
youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and
illustrated via videotape. References will be provided.
Working within a child and adolescent mental health service, a large proportion of the work is with adolescents, many of whom come to us as a result of self-harming behaviours. Often it later emerges that there is a history of trauma or abuse.
Engaging with such young people can often be a challenge, often requiring sensitivity and creativity. After 15 years of experience working with this group I still enjoy the challenge presented. Using case material, I will explore some of the key issues I have encountered, along with some of the pitfalls and successes experienced.
I often use EMDR with a client-centered model, at times incorporating Play Therapy and art. I am at times surprised by young people's own inventiveness in using EMDR.
Last year over 3 million children were exposed to physical and sexual abuse, andor community and domestic violence (based on
conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to
PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR
with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in
childhood.
General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be
illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers.
Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds
and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For
example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy
resolving a nightmare image.
Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred
for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided,
with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes
and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental
considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how
EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be
presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible,
footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR
with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a
youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and
illustrated via videotape. References will be provided.
Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized
attachment. This workshop will briefly describe the effect of dissociation on a child’s inner world and the emotional,
behavioural, cognitive, and somatic symptoms that appear in the child’s outer world. The use of EMDR to (1)
increase a child’s sense of safety and stability (the first stage in trauma treatment), (2) decrease the disconnection
between aspects of self, and (3) process trauma will be described. Attention will be given to recognizing and
responding to dissociation during EMDR processing. Numerous case examples will be presented.
Presents an interview with Wendy Justus on the efficacy of using Eye Movement Desensitization and Reprocessing (EMDR) with recovering addicts. People who survive trauma often carry around a great deal of shame, usually based on a flawed belief that they could or should have prevented something terrible from happening. Addicts are usually riddled with shame, and Justus believes that this shame directly prolongs the life of their addiction and makes recovery seem impossible. So helping to lessen shame is her primary goal when working with addicts. She believes that EMDR, focused on either "large T" trauma, such as sexual abuse, or "small t" trauma, such as the fear induced by growing up in a dysfunctional family, can alleviate the shame attached to those traumas and therefore relieve the addict's need for a substance to quiet the shame. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
It is clear from over 17 published