Francine Shapiro Library - EMDR Bibliography Links
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1. Everly, G. S. Jr., & Lating, J. M. (2002). A clinical guide to the treatment of the human stress response, 2nd ed. Springer Publishing Company.
Language: English
Format: Book
Abstract:
This updated edition of A Clinical Guide to the Treatment of the Human Stress Response reflects the dramatic changes in this field over the past decade. This edition covers a range of new topics, including stress and the immune system, post-traumatic stress and crisis intervention, Eye Movement Desensitization and Reprocessing (EMDR), Critical Incident Stress Debriefing (CISD), Crisis Management Briefings in response to mass disasters and terrorism, Critical Incident Stress Management (CISM), spirituality and religion as stress management tools, dietary factors and stress, and updated information on psychopharmacologic intervention in the human stress response. As with the previous edition, this volume is designed as a comprehensive and accessible guide to both the clinically relevant physiology and treatment of the human stress response. Discussion of treatment protocols, using selected behavioral treatment strategies, is purposefully brief and clinically targeted. Supplemental information for practitioners includes a flow chart on the nature of stress physiology, a relaxation report form, specific protocols for teaching the relaxation response, a self-report checklist designed for health education purposes, and over 700 references. [Springer]
Springer Series on Stress and Coping
Keywords: Human Stress Response
Accuracy Verified: Yes
2. 本多正道 [Honda Masamichi]. (2008年6月). 災害被災者への支援 本多正道 [Supporting disaster victims]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 305-310] .
Language: Japanese
Format: Journal
Accuracy Verified: Yes
3. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、（24）、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].
Language: Japanese
Format: Journal
Abstract:
市井 雅哉 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法 バイオフィードバック研究
日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.
The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.
Keywords: Acute Stress Disorder Clinical Case Study Earthquake Empirical Study Females Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
4. Forgash, C., & Knipe, J. (2007, April). Advanced treatment of dissociation, personality disorders, couple and disaster survivors. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.
Language: English
Format: Conference
Keywords: Couples Disasters Dissociation Personality Disorders
Accuracy Verified: Yes
5. Formenti, L. (2008, Novembre). Alleanza terapeutica nel trattamento di bambini vittime di disastri collettivi [Therapeutic alliance in the treatment of child victims of mass disasters]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nel lavoro verrà trattata la centralità dell’alleanza terapeutica in un intervento sul trauma effettuato su bambini vittime di disastri collettivi. L’autore illustrerà come tale alleanza risulta essere propedeutica al trattamento con EMDR e quanto sia fondamentale, per una piene riuscita della terapia, la creazione di un’alleanza allargata, che raggiunga anche i genitori e più in generale tutte le figure di accudimento che ruotano attorno ai bambini. Offrire supporto psicologico e EMDR ai genitori, infatti, accresce l’efficacia del trattamento nei bambini in quanto:
• L’accordo con i genitori sulle attività terapeutiche che verranno svolte e sugli obiettivi di tale intervento, facilita il lavoro del terapeuta nella fase di preparazione del bambino.
• La psicoeducazione fatta al genitore permette a quest’ultimo di aiutare il proprio bambino nello sviluppo di risorse aggiuntive per il contenimento emotivo, utili sia in fase di preparazione che durante la vera e propria elaborazione del trauma.
• Il benessere del genitore porta ad una risoluzione più rapida della sintomatologia del bambino, spesso determinata o aggravata proprio dall’intuizione del bambino circa il disagio del genitore e dal suo tentativo di porvi rimedio.
Tutto ciò verrà esposto con l’ausilio di due casi clinici di bambini trattati a seguito dell’incidente avvenuto in data 8 maggio 2007 a Stroppiana (VC) nel quale un pullman contenente tutti i bambini della scuola elementare si è ribaltato. 39 bambini sono sopravvissuti, 2 hanno perso la vita.
The work will be treated the centrality of the therapeutic alliance in a speech carried on trauma on child victims of collective disaster. The author illustrates how this alliance appears to be preparatory treatment with EMDR and the fundamental for a full success of
therapy, the creation of an enlarged alliance, which also reaches parents and more generally all caregivers that revolve around children. Offer psychological support and EMDR to Parents, in fact, increases the effectiveness of treatment in children because:
• The agreement with parents about therapeutic activities to be carried out and the objectives of such intervention, the therapist facilitates the work in preparing the child
• The parent psychoeducation made to allow him to help your child development of additional resources for emotional content, useful both during preparation and during the actual processing of the trauma
• The welfare of the parent leads to a more rapid resolution of symptoms of child, often determining or increasing the child's own intuition about the inconvenience the parent and its attempt to remedy. This will be explained with the help of two clinical cases of children treated after incident occurred on 8 May 2007 Stroppiana (VC) in which a bus containing all primary school children was overturned. 39 children survivors, 2 have died.
Keywords: Children Mass Disaster Therapeutic Alliance
Accuracy Verified: Yes
6. Yule, W. (2002). Alleviating the effects of war and displacement on children. Traumatology, 8(3), 160-180. doi:10.1177/153476560200800304.
Language: English
Format: Journal
Abstract:
The mental health of children is severely compromised by war and consequent displacement. Nations have a duty under various UN agreements to alleviate the effects of war on children’s mental health. This paper argues that fostering mental health in communities starts with re-establishing safety, basic health needs, education and recreation. School and other community leaders need education in recognising stress reactions and in providing basic first aid. Large-scale programmes need to be developed and validated for delivery following wars and disasters. Once such validated programme is described. Small group and individual work is also needed. As long as wars and disasters happen, so the international mental health community needs to prepare positively to meet the predictable, but usually unexpected needs.
Keywords: Displaced Children Large Scale Intervention Refugee Children Traumatic Events Traumatization UNICEF War
Accuracy Verified: Yes
7. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists,
have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the
reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A
team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based
on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the
protocol they have developed, and the future possible applications of their work. The ways in which this project can be used
as a prototype for further applied research in the EMDR field will be described.
A call for more applied research and ways to support it will be made.
Accuracy Verified: Yes
8. Sukirna, S., Sadatun, T. I., & Direzkia, Y. (2008, June). Applying EMDR for tsunami survivors with severe PTSD in a disaster region with minimum mental health facilities. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Tsunami that hit Aceh on the 26th of December 2004 taken approximately 150,000 lives has changed the region
into a devastated area. Although health services and facilities had been re-established and some NGOs started
delivering psychosocial and mental health services, only a few of them focussed on effective trauma therapy
while the number of survivors who need the treatment are enormous. Tsunami survivors in this region are more
likely to suffer from complex PTSD because of years of armed-conflict had been going on in this region. A survey
conducted by Crisis Centre of the Faculty of Psychology University of Indonesia in collaboration with Terre des
Hommes Germany showed high incidents of various psychological disorders amongst child survivors.. The
program of trauma therapy and EMDR organized by Indonesian Psychological Association and TdH Germany
funded by BMZ Germany since 2006 has treated a good number of tsunami survivors with severe PTSD. Hyperarousal,
flashbacks and bad dreams, avoidance, and somatisation are common. There has been no indication
whether there has been a natural process of recovery among those who were not treated. Starting in February
2008 a controlled study on the effectiveness of EMDR is conducted with 30 tsunami survivors with PTSD that will
be randomized into two groups of 15. The treatment group will be given EMDR therapy until April 2008 and
waitlist group will be given EMDR in May 2008. The effectiveness of EMDR will be measured using IES, HTQ, DES
pre and post treatment with EMDR. First follow up will be collected until June 2008.
Keywords: Disasters Poster Tsumani
Accuracy Verified: Yes
9. 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
10. Hutchinson, J. (1998, August 28). Beating an incey wincey problem: Anachnophobia. Melbourne, Australia: The Age, Living, 13.
Language: English
Format: Newspaper
Abstract:
When I raised my eyebrows in disbelief Dr Wolowski conceded he, too, had been extremely sceptical at first. But after six years of treating hundreds of patients with the technique, he is now one of its strongest advocates. While EMDR is still regarded with some scepticism by the Australian medical and scientific community, he says 20,000 clinicians world-wide have been trained in it.
Keywords: Arachnophobia General Overview
Accuracy Verified: Yes
11. 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
12. Hettiarachchi, M. (2007). Brief intervention for post traumatic stress disorder with combined use of cognitive behaviour therapy and eye movement desensitisation reprocessing. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-5.
Language: English
Format: Journal
Abstract:
This case study is of a 23 year old female diagnosed with Post Traumatic Stress Disorder (PTSD) in Sri Lanka, six months following the Asian Tsunami of December 2004. The intervention was conducted in a village clinic on the southern coast of the country. Treatment involved the use of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation Reprocessing (EMDR). The Beck Anxiety Inventory (BAI) was used to monitor levels of anxiety. The Impact of Event Scale (IES) was administered to assess level of intrusion and avoidance (Horowitz, Wilner & Alvarez, 1979). Subjective Units of Distress Scores (SUDS) were obtained to assess level of distress and the Validity of Cognition Scale (VOC) used to assess accuracy of positive beliefs (Shapiro, 2001). A significant reduction in trauma symptoms, levels of distress, intrusion and avoidance were noted at post-treatment. Treatment gains were maintained at one month and nine month follow-up. The combined treatment protocol may be an effective brief intervention to use in situations that require rapid treatments to alleviate personal psychological distress in the aftermath of large scale disasters.
Keywords: Asian Tsunami Brief Intervention Clinical Case Study Cognitive Behavior Therapy Cognitive Therapy Emotional Trauma Natural Disasters Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
13. Chemtob, C., Nakashima, J., & Carlson, J. (2002, January). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: A field study. Journal of Clinical Psychology, 58(1), 99-112. doi:10.1002/jclp.1131.
Language: English
Format: Journal
Abstract:
Effective psychological intervention is needed to help children recover from disaster-related PTSD. This controlled study evaluated the effectiveness of a brief intervention for disaster-related PTSD. At one-year follow-up of a prior intervention for disaster-related symptoms, some previously treated children were still suffering significant trauma symptoms. Using a randomized lagged-groups design, we provided three sessions of Eye Movement Desensitization and Reprocessing (EMDR) treatment to 32 of these children who met clinical criteria for PTSD. The Children's Reaction Inventory (CRI) was the primary measure of the treatment's effect on PTSD symptoms. Associated symptoms were measured using the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Treatment resulted in substantial reductions in both groups' CRI scores and in significant, though more modest, reductions in RCMAS and CDI scores. Gains were maintained at six-month follow-up. Health visits to the school nurse were significantly reduced following treatment. Psychosocial intervention appears useful for children suffering disaster-related PTSD. Conducting controlled studies of children's treatment in the postdisaster environment appears feasible. [Author Abstract]
Keywords: Americans Brief Psychotherapy Child Treatment Disasters Elementary School Students Empirical Study Follow-up Study Health Care Utilization Hurricanes Hurricane Iniki Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT School Age Children Survivors Treatment Effectiveness Victim Service
Accuracy Verified: Yes
14. Shapiro, F. (2012, November). Building sustainable mental health services in war-torn and disaster-affected areas. Presentation at the 28th Annual Meeting of the ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
The after effects of trauma can be transmitted across generations, resulting in ongoing cycles of violence
and pain that affect individuals, families and societies. For those people and organizations working in
countries in need of significant conflict prevention, mediation, reconstruction and reconciliation, these
unprocessed memories can present a grave challenge.
EMDR therapy is an empirically supported treatment for trauma. Since it does not demand a description
of the event, it has proved successful in those cultures where self-disclosure is problematic. Since it does
not need homework, it can also be implemented on consecutive days, making it amenable to the use of
field teams after both natural and manmade disasters. Program evaluations have documented positive
and rapid treatment effects using both individual and group protocols.
The EMDR-Humanitarian Assistance Programs (HAP) is a global network of volunteer educator/clinicians
working to prevent and/or remediate the psychological aftereffects of trauma. HAP projects worldwide
have provided education about trauma and stabilization techniques, and taught local clinicians how to
provide both individual and group treatment in war-torn and disaster-affected areas. The primary goal is
to train clinicians to build sustainable mental health services that will meet not only immediate crisis
needs, but also comprehensively serve future generations.
Accuracy Verified: Yes
15. Greenwald, R. (2007, June). Case conceptualization for EMDR therapists. Presentation at the annual meeting of EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This workshop will present a phase model of trauma-informed treatment that is consistent with the EMDR protocol and that clearly specifies how to go step by step towards EMDR. Participants will have practice analyzing a case from the trauma perspective, developing a structured case conceptualization and explaining this to clients, developing a structure treatment plan, and applying this model to their own cases. Case conceptualization has been widely identified as a skill in need of further development within the EMDR community; and developing a shared understanding and treatment plan has been identified as among "common factors" of effective therapy. This method of teaching case conpetualization and treatment planning has been documented to lead to improved participant attitudes and behaviors towards their challenging clients.
Keywords: Case Conceptualization
Accuracy Verified: Yes
16. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.
Language: English
Format: Journal
Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]
Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession
Accuracy Verified: Yes
17. Meijer, S. (2000). Casus 13 – Zoals mijn leven nu gaat mag het altijd blijven: Een borderlinecliente met ernstige PTSS en terbeschikkingstelling [Case 13 - My life should stay as it is now. A woman with borderline personality disorder and severe PTSD who had a forensic psychiatric criminal justice sentence]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 193-204). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_20.
Language: Dutch
Format: Book Section
Abstract:
Marion is een 28-jarige vrouw die eind 2003 een tbs krijgt opgelegd vanwege een poging tot brandstichting. Haar zus doet aangifte. Er zijn geen eerdere veroordelingen geweest, maar Marion heeft wel eerder brand gesticht. In 1996 sticht zij voor het eerst brand en zij merkt dat dit haar spanningen vermindert; ze wordt er rustig en zelfs vrolijk van. Er is sprake van een borderline persoonlijkheidsstoornis; deze wordt in 2000 vastgesteld gedurende een behandeling in een psychotherapeutische gemeenschap. Marion verbetert niet tijdens deze opname en breekt de behandeling tegen advies in af. In die periode is er sprake van ernstige automutilatie en suïcidaliteit. Er zijn diverse suïcidepogingen en rond 2002 neemt Marion een grote hoeveelheid pillen in. Daaropvolgend wordt Marion opgenomen. Na vijf maanden wordt de klinische behandeling afgerond met de boodschap: ‘We kunnen niets meer doen.’ De aangeboden poliklinische behandeling kon door Marion niet worden gevolgd omdat zij toen reeds was opgepakt.
Marion is a 28-year-old woman in late 2003 a TBS is imposed for an attempted arson. Her sister does return. There have been no previous convictions, but Marion does have been arson. In 1996 she established the first fire and they find that it reduces her stress, she is calm and even cheerful. There is a borderline personality disorder, which is set in 2000 during a treatment in a psychotherapeutic community. Marion does not improve during this recording and breaks off the treatment against advice. During that time, there is serious self-harm and suicidality. There are several suicide attempts and Marion around 2002, a large quantity of pills. Subsequently, Marion recorded. After five months, the clinical treatment has been completed with the message: "We can not do anything." The outpatient treatment offered by Marion could not be followed because they had already been arrested.
Keywords: Borderline Personality Disorder BPD Posttraumatic Stress Disorder PTSD Women
Accuracy Verified: Yes
18. 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
19. Grygo, M. (2008). A clinical trial of motivation-adaptive skills-trauma resolution (MASTR) therapy with conduct disordered adolescent boys. University of Manitoba, Winnipeg, Manitoba Canada. AAT NR35998.
Language: English
Format: Dissertation/Thesis
Abstract:
Conduct disorder and other disruptive behaviours represent the most common form of child and adolescent psychopathology referred for treatment by parents and teachers. A number of studies conducted in university research centers have demonstrated meaningful treatment gains especially with preadolescents with conduct disorder. However, studies conducted with older adolescents, especially those with comorbid disorders, as well as studies conducted in community-based clinic settings have been mostly unsuccessful. With a few exceptions, the extant treatments have not made any special effort to address effects of traumatic experiences that research has demonstrated to be very prevalent among conduct disordered children and adolescents. Motivation-Adaptive Skills-Trauma Resolution (MASTR) therapy developed by Ricky Greenwald (2002a) has shown promising results in his open trial study. MASTR is a complex treatment approach which addresses several key areas crucial in treating adolescents with conduct disorder: development/enhancement of motivation for treatment, development/enhancement of anger management and problem solving skills, and treatment of past trauma effects. The present study evaluated the effectiveness of MASTR therapy with 10 adolescent boys with conduct disorder placed in a residential treatment facility. This study combined single subject and qualitative research methodologies to offer a detailed look into the implementation and evaluation of MASTR therapy in a residential treatment centre. Foremost, this study demonstrates the formidable problems of conducting treatment research with this population in this kind of setting. Results suggested that, when it can be sufficiently implemented, MASTR therapy may be an effective treatment method producing some meaningful changes in behaviour for some severely disturbed adolescents with conduct problem. The study also demonstrated that EMDR may be an effective treatment for reducing emotional distress associated with past trauma in adolescents with conduct disorder. Factors associated with the limited success of this treatment study are identified and discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 69(1-A), 2008, pp. 109.
Keywords: Adolescent Boys Clinical Trial Conduct Disorder Empirical Study MASTR Motivation-Adaptive Skills-Trauma Resolution Therapy Quantitative Study
Accuracy Verified: Yes
20. Fisher, E. (1997, May 26). Coached to success: Professional advisers help many workers break out of career and personal slumps. Washington, DC: The Washington Times, Business Times, D12.
Language: English
Format: Newspaper
Abstract:
Many in the scientific community dispute EMDR's validity, but Ms. Fox and many patients of EMDR insist the method reduces stress and improves performance at key moments.
Keywords: General Overview Washinton, DC
Accuracy Verified: Yes
21. 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
22. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.
Language: English
Format: Journal
Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]
Keywords: Adults Children Disaster Recent Events South Asia Sri Lanka Tsunami
Accuracy Verified: Yes
23. Ironson, G., Freund, B., Strauss, J., & Williams, J. (2002, January). Comparison of two treatments for traumatic stress: A community-based study of EMDR and prolonged exposure. Journal of Clinical Psychology, 58(1), 113-128. doi:10.1002/jclp.1132.
Language: English
Format: Journal
Abstract:
This pilot study compared the efficacy of two treatments for PTSD: Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed. [Author Abstract]
Keywords: Empirical Study Meta Analysis Methodology Posttraumatic Stress Disorder Prolonged Exposure PTSD Random Clinical Trial RCT Treatment Effectiveness
Accuracy Verified: Yes
24. Fernandez, I. (2010, June). The contribution of EMDR with children survivors of mass trauma. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked incidents).
EMDR treatment was part of a comprehensive treatment of the population and was the elective treatment for children of those elementary schools, which were most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and one year after the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and siblings.
Psychological support and EMDR treatment was provided to parents and school personnel, and this aspect has been considered fundamental in enhancing treatment results in children during the last interventions.
Results of questionnaires and clinical interviews to assess posttraumatic symptomatology before and after treatment will be shown along with follow up data. Treatment groups show a significant improvement after EMDR treatment. Results and statistical data regarding EMDR treatment with heavily traumatized children will be presented.
The author will discuss clinical aspects of using EMDR with children following recent traumas of great magnitude. Analysis and evaluation of children's reactions and needs have highlighted significant epidemiological aspects.
The posttraumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proven critical when dealing with children's symptomatology. Guidelines and indications for structured interventions with all parties involved (parents, school personnel, community) from our field studies will be presented.
Keywords: Children Keynote Mass Trauma Survivors
Accuracy Verified: Yes
25. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.
Language: English
Format: Journal
Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
26. Solomon, R. M. (2008). Critical incident interventions. Journal of EMDR Practice and Research, 2(2), 160-165. doi:10.1891/1933-3196.2.2.160.
Language: English
Format: Journal
Abstract:
A response to the question: "I have been asked to respond to community tragedies. What critical incident interventions are commonly used?" [Adapted from Text, p. 160]. [Pilots]
Keywords: Critical Incident Critical Interventions Interventions Recent Events Stressors Survivors Victims Services
Accuracy Verified: Yes
27. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.
Language: English
Format: Journal
Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.
Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan
Accuracy Verified: Yes
28. Berendsen, S. (2008). De behandeling van traumagerelateerde klachten na rampen en mogelijke dilemma’s [The treatment of trauma-related complaints after disasters and possible dilemmas.]. Psychologie & Gezondheid, 36(3), 147-152.
Language: Dutch
Format: Journal
Abstract:
Dit artikel geeft de kenmerken van de trauma-gerelateerde klachten die mensen kan laten zien na blootstelling aan rampen. Verschillende criteria en de bijbehorende dilemma's met betrekking tot de beslissing over de noodzaak van een behandeling worden besproken. Ten slotte wordt een overzicht gegeven van de evidence-based en best practice behandelingsmethoden voor mensen met een trauma-gerelateerde klachten na blootstelling aan rampen, met inbegrip van imaginaire en in vivo blootstelling, EMDR, cognitieve therapie, en het schrijven van oefeningen.
This article presents the characteristics of trauma-related complaints that
people can show after being exposed to disasters. Several criteria and
corresponding dilemmas with regard to deciding on the need for treatment
are discussed. Finally, an overview is provided of evidence-based and
best-practice treatment modalities for people with trauma-related complaints
after being exposed to disasters, including imaginary and in vivo
exposure, EMDR, cognitive therapy, and writing exercises.
Keywords: Complaints, Disasters Symtoms
Accuracy Verified: Yes
29. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
30. Mendez Carrillo, F. M., Quiles Sebastian, M. J., & Ortigosa, J. M. (2002). Desensibilización por movimiento de ojos y reprocesamiento: Una década después [Eye movement desensitization and reprocessing: A decade later]. Psiquis: Revista de Psiquiatria, Psicologia Medica y Psicosomatica, 23(1), 39-47.
Language: Spanish
Format: Journal
Abstract:
Zehn Jahre nach Francine Shapiro hat ihren ersten Artikel über Eye Movement Desensitization und die Wiederaufbereitung Methode (EMDR), Interesse an der therapeutischen Anwendung, theoretische Fundierung und physiologischen Mechanismen beteiligt ist gestiegen. Der vorliegende Beitrag führt eine bibliometrische Analyse der wissenschaftlichen Produktion zu dieser Methode ein Jahrzehnt nach ihrer Präsentation in der wissenschaftlichen Gemeinschaft. Die wichtigsten Ergebnisse zeigen, dass die produktivsten Jahre 1996, ist Deutschland das Land, dass die meisten veröffentlichte mit dem Thema und der Autor mit der größeren Anzahl von Literaturangaben Hinsicht ist Francine Shapiro. Auf der anderen Seite ist posttraumatischen Belastungsstörungen der Pathologie, in der EMDR wurde hauptsächlich beantragt hat.
Ten years after Francine Shapiro edited her first article about Eye Movement Desensitization and Reprocessing method (EMDR), interest in the therapeutic application, theoretical basis and involved physiological mechanisms has increased. The present article carries out a bibliometric analysis on the scientific production about this method a decade after its presentation to the scientific community. The main results indicate that the most productive year is 1996, United States is the country that has published most with regard the subject and the author with the greater number of bibliographical references is Francine Shapiro. On the other hand, posttraumatic stress disorder is the pathology in which EMDR has been principally applied.
Accuracy Verified: Yes
31. Shapiro, F., Lake, K., & Norcross, J. C. (2003, November). Desensibilización y reprocesamiento por movimientos oculares (EMDR): Un tratamiento integrador para el trauma [Eye movement desensitization and reprocessing (EMDR) as an integrative treatment for trauma]. Revista de Psicotrauma para Iberoamérica, 2(3), 4-12.
Language: Spanish
Format: Journal
Abstract:
EMDR es un método psicoterapéutico integrador que ha sido designado oficialmente una forma efectiva de tratamiento para el trastorno de estrés postraumático en la comunidad internacional. El EMDR de ocho fases proporciona un método eficiente, estructurado y seguro para hacer frente a los efectos nocivos de los eventos traumáticos. Varios aspectos del método EMDR, incluyendo su capacidad para hacer frente a los componentes múltiples de la experiencia del trauma (creencias, emociones, sensaciones fisiológicas), han hecho un llamamiento a los psicoterapeutas de diversas orientaciones teóricas. Aunque existen muchas similitudes entre el método EMDR y otros sistemas de las psicoterapias, EMDR es un enfoque distinto, debido, en parte, al uso de un modelo de procesamiento de información para explicar la psicopatología. Protocolos EMDR incorporan una combinación única de elementos que se piensa extender los resultados positivos del tratamiento. [Autor Resumen]
EMDR is an integrative psychotherapeutic approach that has been officially designated an effective form of treatment for PTSD within the international community. The eight-phase EMDR provides an efficient, structured, and safe method for addressing the deleterious effects of traumatic events. Various aspects of EMDR, including its ability to address the multiple experiential components of trauma (beliefs, emotions, physiological sensations), have appealed to psychotherapists of diverse theoretical orientations. Though many similarities exist between EMDR and other systems of psychotherapies, EMDR is a distinct approach due, in part, to its use of an information processing model to explain psychopathology. EMDR's protocols incorporate a unique combination of elements that are thought to extend positive treatment outcomes. [Author Abstract]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressor Survivors
Accuracy Verified: Yes
32. DeGraffenried, D. F. (2005, September). Developing EMDR practice in community mental health & agency settings: Working with clinical or administrative reluctantance. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR has not achieved full acceptance as a practice model within community
mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities of color, those that are impoverished and often in settings where post traumatic stress is the focus of treatment. This workshop
will identify the three common areas or agency reluctance concerning EMDR and will demonstrate the use af a simple assessment tool designed to identify where thc intervention is needed to accomplish change and support EMDR integration into the agency.
Keywords: Client or Administrative Reluctance Community Mental Health Agencies
Accuracy Verified: Yes
33. Gelbach, R. (2009, March). Disaster in Buffalo and the case for a trauma recovery. EMDRIA Newletter, 14(1), 19.
Language: English
Format: Newsletter
Abstract:
A commuter plane out of Newark crashed late in the evening
of February 12th as it approached the Buffalo airport, killing
all 49 onboard, as well as a resident of Clarence, New Yrok, when the flight came to a fiery end in a residential neighborhood. Within hours a local EMDR clinician and
educator called HAP seeking support and advice on how to
offer help in her community.
Keywords: Buffalo Disaster HAP
Accuracy Verified: Yes
34. Gelbach, R. A., & Davis, K. E. B. (2007). Disaster response: EMDR and family systems therapy under communitywide stress. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 387-404). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Disaster is commonly understood as an overwhelming misfortune that is not easily overcome or set right. Though our lives may go on after a disaster, it is virtually certain that they will have been transformed in some profound way. Nevertheless, it is very clear that not all who live through a disaster will be traumatized by it and that only a fraction of survivors will develop trauma-related disorders such as Posttraumatic Stress Disorder (PTSD). Societies that have resources and choose to use them to shore up the infrastructure quickly and effectively will buffer their populations from increasing levels of PTSD. The impact of disasters on family and societal function and intervention priorities are discussed here. Report of the Task Force (2002) of the International Society for Traumatic Stress Studies is summarized next. The chapter then discusses psychotherapy as a response to disaster. Two approaches to postdisaster psychotherapy that have adapted well in diverse cultural environments are Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) and family systems approaches. The therapy process is presented next. Other topics here include family and cultural considerations and group treatment. A case example is presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Disaster Response Disasters Emotional Trauma Family Systems Therapy Family Therapy Post Disaster Psychotherapy Posttraumatic Stress Disorder PTSD Stress Society Therapy Process
Accuracy Verified: Yes
35. Yule, W. (2008, April). Disaster, crisis and trauma psychology: Meeting the needs of children and adolescents. Presentation at the Annual Meeting of the Psychological Society of Ireland and NIBPS, Dublin,Ireland.
Language: English
Format: Conference
Abstract:
This presentation will summarise the work undertaken by the Standing Committee
and describe the developments in Disaster, Crisis and Trauma Psychology as they
relate to children and adolescents. Post Traumatic Stress Reactions are now well
described in children, although much has still to be learned about pre-schoolers.
Developmental and gender differences as well as family influences have all been
investigated within a broad developmental psychopathology framework. Most
excitingly, efficient and effective brief interventions such as trauma focused cognitive
behaviour therapy and EMDR have been developed, applied and validated. These individually oriented interventions
have also been adapted for large group interventions as are needed after major disasters and war. Recent developments
will be highlighted and future directions indicated.
Keywords: Adolescents Children Crisis Disaster Trauma
Accuracy Verified: Yes
36. Valdez, D. W. (2006, September 10). Disasters, crime leave their marks on survivors. El Paso, TX: El Paso Times, Lifestyle.
Language: English
Format: Newspaper
Abstract:
"There are some new treatment approaches that can shorten the amount of time some of these people have to spend in therapy," Patterson said. "One of these is known as EMDR -- eye movement desensitization and reprocessing. It is effective."
The treatment, developed in the late 1980s, uses eye movement in connection with images or other reminders to help people to release a trauma.
Keywords: Crime El Paso Disasters
Accuracy Verified: Yes
37. O'Connor, M., Russell, A., & Mueller, K. (2008, June). A discussion forum for child practitioners. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
The aim of this workshop is to provide participants with an opportunity to join a discussion led by a group of Child
Trained EMDR Consultants. The focus of the discussion will be on the most frequently voiced queries, issues and
concerns raised by EMDR child practitioners in the various support and supervision groups across the UK.
Participants will be invited to join the discussion amongst Panel Members as they share learning arising from
their experiences of leading support and supervision groups where the practice issues range from work with very
young children to older teenagers including those with additional support needs. Members of the Panel are from
a range of professional disciplines and practice EMDR with children and adolescents in a variety of education,
health and community settings.
Keywords: Child Therapists
Accuracy Verified: Yes
38. Zucker, M., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2006). Dissociative symptomatology in posttraumatic stress disorder and disorders of extreme stress. Journal of Trauma and Dissociation, 7(1), 19-32. doi:10.1300/J229v07n01_03.
Language: English
Format: Journal
Abstract:
The present study was designed to assess differences in
dissociative symptoms in adults with Posttraumatic Stress Disorder
(PTSD) vs. PTSD plus Disorders of Extreme Stress Not Otherwise Specified
(DESNOS). This study was done for two reasons: (1) to better understand
the clinical profile of DESNOS clients in order to inform more
effective treatment, and (2) to further empirical research on the validity
of the DESNOS construct. To assess severity of dissociative symptoms,
the authors administered the Dissociative Experiences Scale (DES) to
155 participants with PTSD. Using the Structured Interview for Disorders
of Extreme Stress (SIDES), participants were divided into two
groups: those who also met criteria for DESNOS and those who did not.
DES means are provided for the two groups. Participants with PTSD
plus DESNOS scored higher than participants with only PTSD on the
measure of dissociative symptomatology, particularly on the DES scales that tap absorption/fantasy and depersonalization/derealization. The two
groups did not differ on the amnesia subscale of the DES. Findings support
the construct validity of the DESNOS concept and further delineate
the clinical profiles of community-based PTSD with and without DESNOS,
thus contributing to the knowledge base on the assessment of complex
adaptations to trauma. [Article copies available for a fee from The Haworth Document
Delivery Service: 1-800-HAWORTH. E-mail address:
Keywords: DES DESNOS Dissociation Dissociative Experiences Scale Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
39. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.
Language: English
Format: Journal
Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]
Keywords: Adolescents Adults Assessment Children Depressive Disorders Females Males Injuries Memory Retrieval Techniques Posttraumatic Stress Disorder PTSD Somatic Symptoms Survivors Treatment Effectiveness Visual Hallucinations Witnesses
Accuracy Verified: Yes
40. Shapiro, F. (1995, September/October). Doing our homework. Family Therapy Networker, 19(5), 49-53.
Language: English
Format: Journal
Abstract:
Michael Lerner's call to arms at last spring's Family Therapy Network Symposium (see page 44) challenged therapists to become a greater moral force in the world and to take more responsibility for the collective good. Lerner stirred an audience of 2,500 therapists with his impassioned appeal for the mental health community to mobilize politically, yet 1 was struck by an important omission in his address there was little mention of our own individual and collective responsibility for the current crises feeing our profession. I don't think therapists can take the moral high ground with anyone when we haven't cleaned up our own house.
I remember hearing about a conversation in which a therapist who said he did family therapy was asked where he was trained. "What's the big deal?' he replied. "I'm a therapist and 1 was born into a family. What more do I need?" I asked the person who told the story, "How did you respond to that?" She shrugged and said, "Nothing. You know how people are. It goes on all the time."
In a field that prides itself on its mavericks and creative innovators, from Freud to Milton Erickson, doing therapy without training is often viewed as an indicator of a willingness to reject stultifying orthodoxies and break with outmoded clinical traditions. But the argument that individual clinicians need the autonomy to work intuitively can often become an excuse for not bothering to become thoroughly prepared and knowledgeable about what has already been developed.
As the originator of a new therapeutic approach called Eye Movement De-sensitization and Reprocessing (EMDR), I have had the opportunity to get a close-up view of how therapists incorporate new clinical methods into their practices. After publishing a controlled study on EMDR in 1989, I decided to teach it to licensed mental health professionals as an experimental procedure. This way, as we awaited further research, clinicians could use EMDR judiciously, careful to employ other procedures if the method did not work. However, I soon began getting reports about clients who appeared to be harmed by EMDR and discovered that they had been treated with improvised versions of the method taught to their therapists by past participants in EMDR trainings. Some participants had even trained lay hypnotists and massage therapists in their version of EMDR. There seemed to be little understanding that you are not qualified to teach something you just learned. My psychiatrist friends laughed at my shock and said, "Why are you surprised? Haven't you heard of 'See one, do one, teach one?" Advertisements for "eye movement therapy" started appearing around the country taught by people who had never been fully trained themselves. Some even started to run workshops based on their reading of the two-page procedure section of my eight-year-old research publication.
The intentions of these therapists may have been benign, but the consequences for their clients were sometimes disastrous. One young woman who had been raped was treated by a therapist who had heard that EMDR was useful for treating trauma. Without any other information, preparation or procedural safeguards, the therapist started using the eye movement component of EMDR, without any real grasp of the method. The young woman appeared to calm slightly, but when she returned home, she started crying uncontrollably, ended up in a fugue state and had to be hospitalized. When I told the story to another therapist, his response was, "Clients do that all the time. How do you know it wouldn't have happened anyway?" The answer is I don't, but I know that there is much less likelihood of a client being hurt if clinicians are well trained in their methods. As long as we shrug off the use of methods by colleagues who haven't been adequately trained in them, we have to accept part of the responsibility for their results.
Accuracy Verified: Yes
41. Nofal, S. (2003). E.M.D.R: Método psicoterapéutico de elección [EMDR psychotherapeutic method of choice]. Psicoterapias. Presentación en: 3º Congreso Virtual de Psiquiatria.com.
Language: Spanish
Format: Conference
Abstract:
E.M.D.R.: que significa Desensibilización y Reprocesamiento con Movimientos Oculares es un método psicoterapéutico para tratar trastornos emocionales que son causadas por experiencias abrumadoras de la vida, que van desde eventos traumáticos como guerras, accidentes, violaciones y desastres naturales, hasta situaciones traumáticas originadas en la niñez. · Se pueden tratar también además del T.E.P.T. todos los trastornos de ansiedad, depresión, desórdenes disociativos, duelos, dolor crónico, adicciones, perturbaciones somáticas, etc. en niños, adolescentes y adultos.
EMDR: meaning Desensitization and Reprocessing eye movement is a psychotherapeutic method for treating emotional disorders that are caused by overwhelming experiences of life, ranging from traumatic events such as war, accidents, violations and natural disasters, to traumatic situations arising in childhood . · You can also treat PTSD plus all anxiety disorders, depression, dissociative disorders, grief, chronic pain, addiction, somatic disturbances, etc.. in children, adolescents and adults.
Keywords: Postraumatic Stress Disorder Psychotherapies PTSD Stress Trauma
Accuracy Verified: Yes
42. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives:
Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general.
Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP);
Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention;
Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and
Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.
Keywords: Early Intervention Theory EEI Mass Disaster
Accuracy Verified: Yes
43. Dyregrov, A. (2006, March). Early interventions following disasters – A place for EMDR and trauma therapy?. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
Considerable professional debate exists regarding the role of mental health
professionals in the early intervention following disasters. Emotional first aid is a
natural part of disaster response in western countries, while the active
involvement of mental health professionals is debated. The current paradigm is
to screen to find those at risk after a period of time (usually > 1 month) and then
refer those in need to more active traumatherapeutic assistance based on the
screening results. Dr. Dyregrov will argue for an active role for mental health
professionals in the early response, but will discuss and question whether EMDR
or other specific trauma therapy should be offered within the first few weeks
following a disaster.
Keywords: Disasters Early Interventions
Accuracy Verified: Yes
44. 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
45. 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
46. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
47. Konuk, E., Knipe, J., Eke, I., Yuksek, H., Yurtsever, A., & Ostep, S. (2006, August). The effects of eye movement desensitization and reprocessing (EMDR) therapy on post-traumatic stress disorder in survivors of the 1999 Maramara, Turkey, earthquake. International Journal of Stress Management, 13(3), 291-308. doi:10.1037/1072-5245.13.3.291.
Language: English
Format: Journal
Abstract:
As part of a program of response to the 1999 Marmara, Turkey, earthquake, an estimated 1,500 trauma victims with posttraumatic stress disorder (PTSD) symptoms were treated in tent cities with eye movement desensitization and reprocessing (EMDR). A field study evaluating a representative group of 41 participants with diagnosed PTSD indicated that a mean of five 90-minute sessions was sufficient to eliminate symptoms in 92.7% of those treated, with reduction in symptoms in the remaining participants. Significant reductions occurred between the pre and posttreatment PTSD Symptom Scale Self-Report version (PSS-SR) total scores and all subscales. These gains were maintained at 6-month follow-up. The same pattern of recovery was observed regardless of the use or nonuse of psychotropic medication at the time of intake.
Keywords: Clinical Trial Developing Countries Disaster Response Emotional Trauma Empirical Study Follow-up Study Field Study Natural Disasters Posttraumatic Stress Disorder PTSD Quantitative Study Recent Events Survivors Treatment Outcome
Accuracy Verified: Yes
48. Abbasnejad, M., Mahani, K. N., & Zamyad, A. (2007, Winter). Efficacy of "eye movement desensitization and reprocessing" in reducing anxiety and unpleasant feelings due to earthquake experience. Psychological Research, 9(3-4), 104-117.
Language: English
Format: Journal
Abstract: Keywords: Anxiety Earthquake Experience Empirical Study Eye Movements Follow-up Study Natural Disasters Quantitative Study Randomized Controlled Study Unpleasant Feelings Accuracy Verified: Yes 49. Jarero, I. (2011). El desastre después del desastre: ¿Ya pasó lo peor? [Disaster after disaster: Is the worst over?]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [10 pages] . Language: Spanish Format: Other Abstract: Keywords: Complex Trauma Disaster, Management of Critical Incident Stress Accuracy Verified: Yes 50. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009. Language: Spanish Format: Other Abstract: Keywords: Practice, Theory Accuracy Verified: Yes 51. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji. Language: Turkish Format: Other Abstract: Keywords: Emre Konuk Headaches Migraines Accuracy Verified: Yes 52. DeGraffenried, D. F. (2007, March). EMDR and Temporary Assistance to Needy Families (TANF) recipients: A case study of trauma treatment in the home. EMDRIA Newsletter, 12(1), 6-9. Language: English Format: Newsletter Abstract: Keywords: Home-based Interventions Needy Families TANF Accuracy Verified: Yes 53. Artigas, L., Jarero, I., Mauer, M., Cano, T. L., & Alcala, N. (2000, September). EMDR and traumatic stress after natural disasters: Integrative treatment protocol and the butterfly hug. Poster presented at the annual EMDRIA Conference, Toronto, CA. Language: English Format: Conference Keywords: Butterfly Hug Accuracy Verified: Yes 54. Artigas, L. A., Jarero, I., Mauer M., Lopez Cano, T., & Alcala, N. (2000, September). EMDR and traumatic stress after natural disasters: Integrative treatment protocol and the butterfly hug. Poster presented at the annual meeting of the EMDR International Association, Toronto, Ontario, Canada. Language: English Format: Conference Keywords: Butterfly Hug Poster Accuracy Verified: Yes 55. Fernandez, I. (2007). EMDR as a treatment of post-traumatic reactions: A field study on child victims of an earthquake. Educational and Child Psychology, 24(1), 65-72. Language: English Format: Journal Abstract: Keywords: Child Victims Elementary Schools Emotional Trauma Field Study Natural Disasters Post-Emergency Context Molise Earthquake Post-Traumatic Reactions PTSD PTSD Symptoms Remission Traumatic Experiences Accuracy Verified: Yes 56. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI. Language: English Format: Conference Abstract: Keywords: Disasters Intervention Mental Health Posttraumatic Stress Disorder Prevention Risk Factors Trauma Treatment Effectiveness Evaluation Accuracy Verified: No 57. Fernandez, I., Baldassarre, G., & Dutton, P. (2003, May). EMDR as an early treatment with survivors of mass catastrophes. In Treatment of survivors of mass disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Keywords: Mass Disasters Recent Events Survivors Symposium Treatment Accuracy Verified: Yes 58. Fernandez, I. (2008, June). EMDR as an elective treatment with children survivors of mass disasters. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Children Elective Treatment Mass Disasters Recent Events Survivors Accuracy Verified: Yes 59. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5. Language: English Format: Newsletter Abstract: Keywords: Case Study Micronesia Accuracy Verified: Yes 60. Shapiro, F. (2007, November). EMDR clinical parameters and research findings:
“What’s new and useful”. Master clinician series at the 23rd annual meeting of the International Society for Traumatic Stress, Baltimore MD. Language: English Format: Conference Abstract: Keywords: De-arousal Effects of Eye Movement Group Protocol Master Series Accuracy Verified: Yes 61. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Adolescents Complex Trauma Accuracy Verified: Yes 62. Quinn, G. (2011, June). EMDR emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Acute Trauma Emergency Treatment Man-Made Disasters Natural Disaasters Accuracy Verified: Yes 63. Blore, D. (2009). EMDR for mining and related trauma: The underground trauma protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 215-232). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Disasters Mining Trauma Underground Trauma Underground Trauma Protocol Accuracy Verified: Yes 64. Eliscu, D., & deGraffenried, D. (2009, August). EMDR group work in community mental health: engagement, stabilization, and preparation for treatment. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Community Mental Health Group Work Accuracy Verified: Yes 65. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: HAP Training Tsunami Accuracy Verified: Yes 66. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Asia Keynote History Accuracy Verified: Yes 67. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Disaster Emergency Response Procedure ERP Extreme Stress Silent Terror Accuracy Verified: Yes 68. Mehrotra, S. (2013, June). EMDR in Asia: Needs, challenges and way ahead. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Asia Diversity Keynote Accuracy Verified: Yes 69. Tumani, V. (2011, June). EMDR in interkulturellen therapien [EMDR in intercultural therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Intercultural Therapies Accuracy Verified: Yes 70. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and
PTSD: A pilot study. In PTSD in patients
with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland. Language: English Format: Conference Abstract: Keywords: Pilot Study Postraumatic Stress Disorder PTSD Psychotic Disorders Symposium Accuracy Verified: Yes 71. Levin, C., Allen-Byrd, L., & Miller, M. (1997, July). EMDR in the treatment of natural disaster survivors. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA. Language: English Format: Conference Keywords: Natural Disasters Survivors Accuracy Verified: Yes 72. Jarero, I., Artigas, L., Montero, M., & Lopez-Lena, L. (2008). The EMDR integrative group treatment protocol: Application with child victims of a mass disaster. Journal of EMDR Practice and Research, 2(2), 97-105. doi:10.1891/1933-3196.2.2.97. Language: English Format: Journal Abstract: Keywords: Children Death of Parent Explosions Females Group Psychotherapy Group Treatment Human-Provoked Disaster Industrial Accidents Latin American Males Mexicans Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors School Age Children Treatment Effectiveness Accuracy Verified: Yes 73. Jarero, I., & Artigas, L. (2012). The EMDR integrative group treatment protocol: EMDR group treatment for early intervention following critical incidents. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 219-222. doi:10.1016/j.erap.2012.04.004. Language: English Format: Journal Abstract: Keywords: Critical Incident Group Treatment Integrative Group Treatment Protocol Accuracy Verified: Yes 74. Jarero, I., Artigas, L., & Hartung, J. (2006). EMDR integrative group treatment protocol: A postdisaster trauma intervention for children and adults. Traumatology, 12(2), 121-129. doi:10.1177/1534765606294561. Language: English Format: Journal Abstract: Keywords: Children Latin America Natural Disaster Posttraumatic Stress Disorder PSTD Trauma Accuracy Verified: Yes 75. Tinker, R., & Wilson, S. (2005, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Attachment Disorder Attachment Theory Children Master Series Resource Development Accuracy Verified: Yes 76. Pozzi, M. A. (2008, Novembre). EMDR nel supporto psico-sociale de Erba [EMDR in the psycho-social support de Grass]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: CISM Critical Incident Stress Management Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 77. Lendl, J. (1999). EMDR Specialists as adjuncts to multi-discipline
performance practice. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada. Language: English Format: Conference Abstract: Keywords: Athletes Performance Enhancement Sports Psychology Symposium Accuracy Verified: Yes 78. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29. Language: English Format: Journal Abstract: Keywords: 9/11 Americans Crisis Intervention Empirical Study Quantitative Study September 11 Survivors Terrorism Terrorist Attacks Treatment Effectiveness Accuracy Verified: Yes 79. Maxfield, L. (2008). EMDR treatment of recent events and community disasters. Journal of EMDR Practice and Research, 2(2), 74-78. doi:10.1891/1933-3196.2.2.74. Language: English Format: Journal Abstract: Keywords: Community Disasters Recent Events Treatment Accuracy Verified: Yes 80. Amann, B. (2013, June). EMDR with bipolar disorder. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Bipolar Disorder Accuracy Verified: Yes 81. Zampieri, A. M. F. (2009, Junio). EMDR y ayuda humanitaria para las victimas de catástrofes de Santa Catarina [EMDR and humanitarian aid for victims of disasters of Santa Catarina]. Presentación en el IX Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina. Language: Spanish Format: Conference Keywords: Children Disaster Humanatarian Aid Santa Catarina Accuracy Verified: Yes 82. Zampieri, A. M. F. (2009, Junio). EMDR y ayuda humanitaria para las victimas de catástrofes de Santa Catarina [EMDR humanitarian aid for victims of disasters of Santa Catarina]. Presentación en X Congreso Internacional de Estres Traumatico, Buenos Aires, Argentina. Language: Spanish Format: Conference Keywords: Disasters Humanitarian Aid Santa Catarina Victims Accuracy Verified: Yes 83. Nofal, S. (2010, Aogosto). EMDR y desastres naturales [EMDR and natural disasters]. In Trauma y EMDR, (N. Benenti, Co-Presidente). VII Congreso Mundial de Estados Depresivos y Simposium Internacional de Trastorno por Estrés Postraumático, Mendoza, Argentina. Language: Spanish Format: Conference Keywords: Natural DIsasters Accuracy Verified: Yes 84. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades. Language: Spanish Format: Book Abstract: Keywords: Dissociation Accuracy Verified: Yes 85. Wachter, M. (2002). EMDR — inte bara traumabehandling [EMDR - not just trauma treatment]. Föreningen Psykisk Hälsa, (43)3, 256-266. Language: Swedish Format: Journal Abstract: Accuracy Verified: Yes 86. Saul, J., Errebo, N., Boel, J., & Knope, J. (2005, September). EMDR, disaster, and emerging standards of psycho-social response. Panel presentation (R. Gelbach, Moderator) at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Disaster Relief Humanitarian Assistance Accuracy Verified: Yes 87. 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: Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder Accuracy Verified: Yes 88. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124. Language: English Format: Journal Abstract: Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis Accuracy Verified: Yes 89. Luber, M. (2009). EMDR: A community of heart. Author.. Language: English Format: Book Abstract: Accuracy Verified: Yes 90. 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: Accuracy Verified: Yes 91. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference. Language: English Format: Conference Abstract: Keywords: Webcast Accuracy Verified: Yes 92. 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: Keywords: Memory Occasional Paper Pre-verbal Accuracy Verified: Yes 93. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 94. Burns, M. (2011). EMDR: A documentary film. Author. Language: English Format: Video Abstract: Keywords: Interviews Practice Theory Accuracy Verified: Yes 95. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Disasters Emergency Treatment Accuracy Verified: Yes 96. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period
of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Emergency Response Procedure ERP Accuracy Verified: Yes 97. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland. Language: English Format: Conference Abstract: Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami Accuracy Verified: Yes 98. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the World Psychatric Association Meeting, Seoul, Korea. Language: English Format: Conference Keywords: Emergency EMDR Man-Made Disasters Natural Disasters Accuracy Verified: Yes 99. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Emergency EMDR Man-Made Disasters Natural Disasters Accuracy Verified: Yes 100. Quinn, G. (2009). Emergency response procedure. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 271-276). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Emergency Response Procedure Protocol Accuracy Verified: Yes 101. Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., & Lee, H. (1997, October). An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473. Language: English Format: Journal Abstract: Keywords: Adults Americans Disaster Effects Empirical Study Hurricane Andrew (1992) Hurricanes Longitudinal Study Non-Randomized Study Survivors Treatment Effectiveness Trauma Accuracy Verified: Yes 102. deGraffenreid, D., & Page, R. (2009, April 18). The enhanced safe place: A practitioners guide to using multi sensory imaging to strengthen the safe place. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA. Language: English Format: Conference Abstract: Keywords: Enhanced Safe Place Accuracy Verified: Yes 103. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353. Language: English Format: Dissertation/Thesis Abstract: Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study Accuracy Verified: Yes 104. Soberman, G. B. (1998). Eye movement desensitization and reprocessing (EMDR) in the treatment of conduct disorder with preadolescents and adolescents. Walden University, Minneapolis, MN. AAT 9910218. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adolescents Conduct Disorder Emotional Trauma Empirical Study Preadolescents Symptoms Trauma Treatment Outcomes Accuracy Verified: Yes 105. Reyes, M. A. (1999, October). The eye movement desensitization and reprocessing (EMDR) program: intervention for children with posttraumatic stress disorder. Carlos Albizu University, Miami, FL. AAT 9925128. Language: English Format: Dissertation/Thesis Abstract: Keywords: Children Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Accuracy Verified: Yes 106. 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: Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors Accuracy Verified: Yes 107. Rafferty, P. (2005). Eye movement desensitization and reprocessing: An analysis of a controversial evidence based treatment. The New School for Social Research, New
York, NY. The New School Psychology Bulletin, 3(2), 83-105. Language: English Format: Dissertation/Thesis Abstract: Keywords: Efficacy Accuracy Verified: Yes 108. Shapiro, F. (1990, July). Eye movement desensitization procedure: A new treatment for anxiety. The California Psychologist, 18-19. Language: English Format: Newsletter Abstract: Keywords: Anxiety Commentary Hypnotherapy Accuracy Verified: Yes 109. 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 Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community Accuracy Verified: Yes 110. Miller, K. (2005, June 15). An eye on recovery - Hocus-pocus or miracle cure? A controversial therapy called EMDR claims to help victims see trauma - and recovery - in a new light. Minneapolis, MN: Star Tribune, Metro, Variety, 1E. Language: English Format: Newspaper Abstract: Keywords: General Minneapolis Overview Accuracy Verified: Yes 111. Hendrick, B. (1994, August 15). Eye therapy credited with relieving trauma: Method eases pain of bad memories. Atlanta, GA: The Atlanta Journal and The Atlanta Constitution National News, A4. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 112. Evans, R. (2000, February 21). Finger-flash therapy catches on. Healtheon/WebMD. Retrieved from http://archives.cnn.com/2000/HEALTH/alternative/02/15/eye.movement.wmd/index.html on 3/4/2006. Language: English Format: Magazine Abstract: Keywords: Postraumatic Stress Disorder PTSD Therapy Treatment Accuracy Verified: Yes 113. Kiessling, R. (2006, September). From BLS to EMDR: Treating survivors of trauma, natural disaster, and combat along a time and stability continuum. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: T Accuracy Verified: Yes 114. Imbroinise, F. (2008, June). The function of the EMDR approach as an anamnestic and therapeutic tool in
paediatrics - psychosocial unit. Poster session presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Anamnesis Children Pediatrics Accuracy Verified: Yes 115. Leeds, A. M. (2009). A guide to the standard EMDR protocols for clinicians, supervisors, and consultants. New York, NY: Springer Publishing Co. Language: English Format: Book Abstract: Keywords: Protocols Accuracy Verified: Yes 116. Lui, L. (1996, July/August). Hand waving? An unconventional for post-traumatic stress is put to the test. The Sciences, 36(4), 13. Language: English Format: Other Abstract: Accuracy Verified: Yes 117. 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: Keywords: General Overview Sante Fe Accuracy Verified: Yes 118. McKay, L. (2006). Helping the helpers: Understanding, assessing, and treating humanitarian workers experiencing
acute stress reactions. Pasadena, CA: Headington Institute. Language: English Format: Other Abstract: Keywords: Acute Stress Reactions Helpers Humanitarian Workers Treatment Accuracy Verified: Yes 119. Wilson, D. L. (1998, June). Heuristics. EMDRIA Newsletter, 3(2), 24-25. Language: English Format: Newsletter Abstract: Keywords: Domain of Verfication Domain of Discovery Research Accuracy Verified: Yes 120. Luber, M. (2013). Implementing EMDR early mental health interventions for man-made and natural disasters: Models, scripted protocols and summary sheets. New York, NY: Springer Publishing. Language: English Format: Book Abstract: Keywords: Disasters Early Interventions Scripted Protocols Summary Sheets Accuracy Verified: Yes 121. DeGraffenried, D. F. (2007, September). Implementing EMDR practice in community mental health & agency settings: Working with clinical or administrative reluctance. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Client or Administrative Reluctance Community Mental Health Agencies Accuracy Verified: Yes 122. Bergmann, U. (2000, September/October). In your mind's eye: Speculations on the neurobiology of eye movement desensitisation and reprocessing (EMDR). New Therapist, 9, 24-27. Language: English Format: Magazine Abstract: Keywords: Neurobiology Accuracy Verified: Yes 123. Berson, C. (2008, September 19). Innovative trauma center opens in Newhallville. New Haven Independent, New Haven, CT. Language: English Format: Newspaper Abstract: Keywords: New Haven Trauma Center Accuracy Verified: Yes 124. Yang, Y. (2005, June). An integrated grief-focused intervention after the death of a chief teacher. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: China Grief Psychotrauma Slovakia Symposium Accuracy Verified: Yes 125. Kiessling, R. (2005). Integrating resource development strategies into your EMDR practice. In R. Shapiro, (Ed.), EMDR solutions: Pathways to healing (pp. 57-87). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Life Experiences Psychotherapeutic Processes Survivors Accuracy Verified: Yes 126. Maquierira, S., & Buthgen, C. (2005, Junio). Intervención en catástrofes. Un modelo integrativo con EMDR [Intervention in disasters. An integrative model with EMDR]. Presentación en el V Congreso Internacional de Trauma Psíquico y Estrés Traumático, Buenos Aires, Argentina. Language: Spanish Format: Conference Keywords: Disasters Accuracy Verified: Yes 127. Fernandez, I. (2008, Novembre). Interventi precoci con EMDR: Applicazione nei disturbi post-traumatici acuti con vittime di disastri collettivi [Early intervention with EMDR: Application in mass post-traumatic stress/acute disaster victims. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Early Intervention Mass Disasters Plenary Recent Events Accuracy Verified: Yes 128. Russell, A., & O'Connor, M. (2002). Interventions for recovery: The use of EMDR with children in a community-based project. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional Paper No. 19 (pp. 43-45). London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Keywords: Children Community-Based Project Occasional Paper Accuracy Verified: Yes 129. Rutten, J., & Schlattmann, N. (2006). Interview met Renée Beer en Carlijn de Roos. Kinder- & Jeugdpsychotherapie, 33(3), 7-13. Language: Dutch Format: Journal Abstract: Keywords: Carlijn de Roos Interview Renée Beer Accuracy Verified: Yes 130. Luber, M., & Shapiro, F. (2009). Interview with Francine Shapiro: Historical overview, present issues, and future directions of EMDR. Journal of EMDR Practice and Research, 3(4), 217-231. doi:10.1891/1933-3196.3.4.217. Language: English Format: Journal Abstract: Accuracy Verified: Yes 131. Lovett, J. M. (2000). Kleine wunder [Small wonders]. Paderborn: Junfermann. Language: German Format: Book Abstract: Keywords: Children Stressors Survivors Accuracy Verified: Yes 132. Maquieira, S., Aduriz, M. E., & Knopfler, C. (2008, Abril). La catastrofe y el trauma: Un model de abordaje con grupos acotados [Catastrophe and trauma: An approach with short terms]. Revista de Psicotrauma, 5(1), 28-39. Language: Spanish Format: Journal Abstract: Keywords: Crisis Intervention Trauma Accuracy Verified: Yes 133. Castello, A. L. G. & Zampieri, A, M. F., & Padua, E. A.
(2010, Junio). La experiencia de trabajar con el protocolo integrante del grupo con grupos de niños en los desastres [The experience of working with the protocol team member with groups of children in disasters.]. Ponencia presentada en el XI Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina. Language: Spanish Format: Conference Abstract: Keywords: Birth Trauma Children Disasters Psychodrama Accuracy Verified: Yes 134. Schrage, J. (2012). Law enforcement and trauma: Psychological intervention strategy, methodology, and techniques. Alliant International University, Los Angeles. 3502349. Language: English Format: Dissertation/Thesis Abstract: Keywords: Law Enforcement Trauma Accuracy Verified: Yes 135. Fox. L. (2001, October 5). Letters. Salon. Language: English Format: Magazine Abstract: Keywords: Letter Accuracy Verified: Yes 136. Hamner, M. B. (2007, June 1). Long-term treatment of posttraumatic stress
disorder. Psychiatric Times, 24(7), 36. Retrieved from http://www.psychiatrictimes.com/display/article/10168/54861 8/9/2007. Language: English Format: Magazine Abstract: Keywords: Posttraumatic Stress Diorder PTSD Symptom Clusters Accuracy Verified: Yes 137. 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: Keywords: Adolescents Adults Postttraumatic Stress Disorder PTSD Sexual Abuse Accuracy Verified: Yes 138. Watson, P. J., Friedman, M. J., Ruzek, J. I., & Norris, F. (2002, August). Managing acute stress response to major trauma. Current Psychiatry Reports, 4(4), 247-253. doi:10.1007/s11920-996-0043-x. Language: English Format: Journal Abstract: Keywords: Critical Incident Stress Debriefing Effects Literature Review Negative Research Needs Review Posttraumatic Stress Diorder Psychological Debriefing PTSD Stressors Survivors Therapeutic Reaction Treatment Effectiveness Accuracy Verified: Yes 139. Chandarasiri, P.
(2012, June). Mekong Project - EMDR treatment for traumatised populations [El
proyecto
Mekong
-‐
Tratamiento
con
EMDR
para
poblaciones
traumatizadas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Mekong Project Trauma Aid Accuracy Verified: Yes 140. 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: Keywords: Enschede Fireworks Disaster Accuracy Verified: Yes 141. Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005, February). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214-227. doi:10.1176/appi.ajp.162.2.214. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Treatment Effectiveness Accuracy Verified: Yes 142. Adler, S. P., & Heber, R. (2002, June). Multimodal approach to trauma with cross-cultural context. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Cross-Cultural Context Accuracy Verified: Yes 143. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR)
and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Adoption Narrative Family Therapy Accuracy Verified: Yes 144. Prado-Gasco, V. J., Perez-Marin, M., & Molero-Zafra, M. (2010, July). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: An intervention protocol. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia. Language: English Format: Conference Abstract: From the model of Narrative family therapy we
use tales that could symbolically represent in
therapy settings a person or a legal entity, both
individual and collective, and which expresses a
personal identification, a family tie, a community
link or a socially recognized status or personal
worth. Externalisation, in narrative family
therapy, is a process to “get out” from the
person any element or quality that is
transformed in some with entity (White, 1991;
White y Epston, 1993). In psychotherapy,
externalising is the use of language to convert
problems that affect the person or family on to
an independent entity. This transformation
allows people to fight against them or to view
them from a new perspective. Externalisation
technique through the metaphoric use of tales
as external representation of family entity and
individual’s worth inside the family system is
applied in children adoption cases. The objective
here is not to fight against the external
representation of the family. We use tales inside
the symbolic techniques that permits families to
work together with meanings, individualism and
cohesion within their members, and after
adoption. We present a therapeutic protocol
that combined EMDR and narrative family
therapy externalisation techniques. We expose
in a format of clinical case report the therapeutic
work with a family that have adopted a child
who suffer of a simple phobia. Using the
protocol we describe above we carried out an
analysis of the therapeutic issues and benefices
of EMDR and narrative therapy in these family
processes. This protocol has been useful to
manage the phobia symptoms and to improve
the adoptive family identity and cohesion. The
combined approach we describe could help
adoptive families to understand and to interpret
the meanings from the construction that family
systems make of their own world and relieve
psychological symptoms that children could
present. Keywords: Adoption Intervention Protocol Narrative Family Therapy Poster Accuracy Verified: Yes 145. Gersons, B., Schnyder, U., Rothbaum, B., & McFarlane, A. (2006, November). The need for new directions in psychotherapy
for PTSD. Panel presentation at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA. Language: English Format: Conference Abstract: Keywords: CBT Cognitive Behavioral Therapy Panel Accuracy Verified: Yes 146. Shapiro, F. (1995, November). Note from Francine Shapiro, Ph.D. The Harvard Mental Health Letter, 7. Language: English Format: Newsletter Abstract: Keywords: Letter Accuracy Verified: Yes 147. Eisele, N. (2012, Novembro). O conceito de resiliência aplicado a situações extremas: Como o EMDR pode ajudar? [The concept of resilience applied to extreme situations: How EMDR can help?]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Resiliency Accuracy Verified: Yes 148. Yoeli, F. R., & Prattos-Spongalides, T-A. (2004, June). OCD: Anxiety, rituals, co-morbidity or altered state? Treatment outcomes with EMDR. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the annual meeting of th EMDR Europe Association, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes Accuracy Verified: Yes 149. Hoffman, S. (2009). On science, orthodoxy, EMDR, and the AIP, H. Lipke, Invited response. Journal of EMDR Practice and Research, 3(2), 111. doi:10.1891/1933-3196.3.2.109. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Letter Orthodoxy Science Accuracy Verified: Yes 150. Agius, M., Middleton, E., & Zaman, R. (2011, January). P02-466 - Audit and re-audit of patients with PTSD in a community team in Bedfordshire, UK. European Psychiatry, 26(1), 1062. doi:10.1016/S0924-9338(11)72767-5. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 151. Grand, D., Hartung, J., Adúriz, M.E., Jarero, I., & Artigas, L. (2007, Novembro). Panel HAP – Desastres y Ayuda Humanitaria [EMDR in disasters - C) Disasters and humanitarian help]. Mesa redonda en El Primer Congreso Iberoamericano de EMDR, Brasilia, Brasil. Language: Spanish Format: Conference Abstract: Keywords: Disasters HAP Humanitarian Assistance Programs Humanitarian Efforts Panel Discussion Accuracy Verified: Yes 152. Morini, P. L., & Romanini, M. L. (2001). Pedophilia: An integrated treatment in a prison setting. Tigis. Language: English Format: Other Abstract: Keywords: Pedophilia Prison Setting Accuracy Verified: No 153. Romanini, M., & Morini, P. (2004, June). Pedophilia: An integrated treatment in a prison setting. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Pedophilia Symposium Accuracy Verified: Yes 154. Bleich, A., Kotler, M., Kutz, E., & Shaley, A. (2002). A position paper of the (Israeli) National Council for Mental Health: Guidelines for the assessment and professional intervention with terror victims in the hospital and in the community. Jerusalem, Israel: Israeli National Council for Mental Health. Retrieved from http://www.essentia.fr/blog/wp-content/uploads/2011/09/Israel-Council-of-MH.pdf on 6/19/2013. Language: English Format: Publication Abstract: Keywords: Israel Treatment Guidelines Accuracy Verified: Yes 155. Mattioli, G. (2004, May). The post traumatic stress disorder and EMDR therapy. Full Informatiu, 169. Retrieved http://guillermomattioli.com/?p=540&lang=en on 2/10/2013. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 156. Hurley, E. C., & Colelli, G. (2006, September). Post-Katrina disaster response: EMDR Humanitarian Assistance Program (HAP) volunteers discuss post-Katrina recovery work and its comparison with the 9/11 New York City response. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 157. Yule, W. (1999) . Post-traumatic stress disorders: Concepts and therapy. Chichester, England: John Wiley and Sons. Language: English Format: Book Abstract: Keywords: PTSD Treatment Adults Children Survivors Adolescents Coping Behavior Social Support Networks Personality Traits Psychobiology Intrusive Thoughts Cognitive Processes Cognitive Therapy Behavior Therapy Research Needs Epidemiology Etiology Accuracy Verified: Yes 158. Qain, M. (2010, July). Posttraumatic growth and its impact factos among earthquake victims in Sichuan. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Earthquake Sichaun Victims Accuracy Verified: Yes 159. Prattos-Spongalides, T. A., & Yoeli, F. R. (2003, May). Pre-war anxiety as impacted by previously unreported (embedded) trauma & EMDR: A preliminary hypothesis. In Treatment of survivors of mass disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Keywords: Anxiety Mass Disasters Symposium Treatment War Accuracy Verified: Yes 160. Kazi, A., Freund, B., & Ironson, G. (2008, April). Prolonged exposure treatment for posttraumatic stress disorder following the 9/11 attack with a person who escaped from the twin towers. Clinical Case Studies, 7(2), 100-117. doi:10.1177/1534650107306290. Language: English Format: Journal Abstract: Keywords: 9/11 CBT Cognitive Behaviorial Therapy Posttraumatic Stress Disorder Prolonged Exposure Treatment PTSD September 11th Terrorist Attacks Accuracy Verified: Yes 161. Carvalho, E. (2012, Novembro). Protocolo grupal e integrativo com EMDR [Protocol group and integrative with EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Group Protocol Accuracy Verified: Yes 162. Jarero, I., & Artigas, L. (2007, Novembro). Protocolo grupal e integrativo con EMDR [Group protocol integrated with EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Spanish Format: Conference Abstract: Keywords: Disasters Group Protocol Accuracy Verified: Yes 163. Jarero, I., Artigas, L., & Hartung, J. G. (2005, March). Protocolo grupal e integrativo con EMDR: Intervención post-catástrofe para niños y adultos [EMDR integrative group treatment: A postdisaster trauma intervention for children and adults]. Revista de Psicotrauma para Iberoamérica, 4(1), 22-29 . Language: Spanish Format: Journal Abstract: Keywords: Adolescents Adults Argentines Colombians Natural Disasters Group Psychotherapy Mexicans Nicaraguans Salvadorans School Age Children Survivors Trauma Venezuelans Accuracy Verified: Yes 164. Artigas, L. (2012, June). Protocolo grupal [Group protocol]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain
. Language: Spanish Format: Conference Abstract: Keywords: Group Protocol Accuracy Verified: Yes 165. Bruck, N. R. V. (2007, March). A psicologia das emergências: Um estudo sobre angústia pública e o dramático cotidiano do trauma [The psychology of emergencies: A survey of public angst and dramatic daily life of trauma]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia
Doutorado Em Psicologia, Porto Alegre. Language: Portuguese Format: Dissertation/Thesis Abstract: Keywords: Emergency Treatment Postrraumatic Stress Disorder PTSD Social Psychology Stress Accuracy Verified: Yes 166. Maslovaric, G., & Formenti, L. (2008, Novembre). Psicologia dell’Emergenza e EMDR: sinergia ed
integrazione. Un’esperienza sul campo, il caso di Viggiù [Psychology of the emergency and EMDR: Synergy and integration. Experience in the field, the case of Viggiù]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Emergency Intervention Accuracy Verified: Yes 167. Melbeck, H. H. (2003, May). PSTD-Unit: Trauma therapy with in-patients – A ward concept. Poster presented at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Poster Ward Concept Accuracy Verified: Yes 168. Ratliff, K. (2000, November 19). Psychological care explores new arena. Iowa City, IA: Iowa City Press-Citizen, 1C. Language: English Format: Newspaper Abstract: Keywords: General Iowa City Overview Accuracy Verified: Yes 169. Adshead, G. (2000). Psychological therapies for post-traumatic stress disorder. British Journal of Psychiatry, 177(2), 144-148. doi:10.1192/bjp.177.2.144. Language: English Format: Journal Abstract: Keywords: Fear Posttraumatic Stress Disorder PTSD Shame Accuracy Verified: Yes 170. Gomes, A. L., Fonseca, A. M., & Alabe, E. (2011, August). Psychology for humanity. Poster presented at the annual conference of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Brazil Disasters Humanitarian Assistance Poster Accuracy Verified: Yes 171. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272. doi:10.2165/00128071-200304040-00004. Language: English Format: Journal Abstract: Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment Accuracy Verified: Yes 172. Schottenbauer, M. A., Arnkoff, D. B., Glass, C. R., & Gray, S. H. (2006). Psychotherapists in the community: Reported prototypical psychodynamic treatments of trauma. Journal of the American Psychoanalytic Association, 54(4), 1347-1353. doi:10.1177/00030651060540040111. Language: English Format: Journal Abstract: Keywords: Poster Psychodynamic Treatments Trauma Accuracy Verified: Yes 173. Zhao, Dong-Mei (2009, March). Psychotherapy models and theories of mental trauma. Journal of South China Normal University (Social Science Edition). Language: English Format: Journal Abstract: Keywords: Mental Trauma Virtual Reality Technique Accuracy Verified: Yes 174. Shapiro, E., & Laub, B. (2009). The recent-traumatic episode protocol (R-TEP): An integrative protocol for early EMDR intervention (EEI). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 251-269). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Early EMDR Intervention EEI Protocol Recent Events Recent Traumatic Episode R-TEP Accuracy Verified: Yes 175. Holmshaw, M., Hodder, K. I., & Carswell, J. W. (2009, April). The relative efficacy of trauma-focused cognitive behavioural therapy and EMDR in treating psychological trauma resulting from road traffic accidents. Presentation at the annual British Psychological Society Conference, Brighton, UK. Language: English Format: Conference Abstract: Keywords: CBT Cognitive Behavior Therapy Road Traffic Accidents Accuracy Verified: Yes 176. Smyth, N. J. (2002, June). Research networking meeting. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: EMDR Research Network Accuracy Verified: Yes 177. Forgash, C. A. (2003, May). Responding to massive trauma: An integrated EMDR/Ego state approach for treating survivors of earlier trauma. In Treatment of survivors of mass disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Keywords: Ego State Approach Mass Disasters Survivors Symposium Trauma Treatment Accuracy Verified: Yes 178. 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: Keywords: Females Inhibited Sexual Desire Low Sexual Desire Sexual Abuse Accuracy Verified: No 179. Oren, U. (2008, Novembre). Ruolo dell'EMDR nel campo della psicoterapia in ambito europeo [Role EMDR in psychotherapy in Europe]. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Accuracy Verified: Yes 180. Simonson, E. L. (2009). School-based intervention programs for symptoms of traumatic stress. Universitetet i Stavenger, Stavenger, Norway. Language: English Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD School Intervention Trauma Accuracy Verified: Yes 181. 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: Keywords: PTSD Substance Abuse Accuracy Verified: Yes 182. Dyregrov, A. (2006, March). Self-help methods, EMDR and trauma therapy following disasters. Presentation at the 4th annual conference of the EMDR Association of UK and Ireland. Language: English Format: Conference Abstract: Keywords: Disasters Trauma Therapy Accuracy Verified: No 183. Astbury, J. (2006, December). Services for victim/
survivors of sexual assault - Identifying needs, interventions and
provision of services in Australia. Issues, Australian Centre for the Study of Sexual Assault, 6, 1-26. Language: English Format: Publication Abstract: Keywords: Violence Accuracy Verified: Yes 184. Jayatunge, R. (2013). Shell shock to palali syndrome PTSD Sri Lankan experience. Author. Language: English Format: Book Abstract: Keywords: Palali Syndrome Posttraumatic Stress Disorder PTSD Shell Shock Sri Lanka Accuracy Verified: Yes 185. Fernandez, I. (2010, March). Small victims of big disasters: Post-traumatic stress reactions and EMDR efficacy. Keynote presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Children Efficacy Keynote Mass Disaster Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 186. Matthess, H., & Yang, Y. (2010, July). Social and cultural adaptation. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Social and Cultural Adaptation Accuracy Verified: Yes 187. Norcross, J. (2003, August). Sociopolitical and psychohistorical factors in acknowledging the effectiveness of EMDR. Presentation at the 111th annual meeting of the American Psycholgical Association, Toronto, Ontario, Canada. Language: English Format: Conference Abstract: Keywords: Effectiveness Accuracy Verified: No 188. Norcross, J. (2002, June). The sociopolitical context of EMDR research: can't we all just get along (or at least look at the data)?. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the (SPR)Society for Psychotherapy Research, International Conference, Santa Barbara, CA. Language: English Format: Conference Abstract: Keywords: Exposure Therapy Outcome Research Panel Discussion Accuracy Verified: Yes 189. Puk, G., & Silver, S. (1997, October). Some lessons learned in the EMDR Humanitarian Assistance Program intervention in the Balkans. Behavior Online. Retrieved http://www.behavior.net/forums/evolutionary/1998/27-user=&email=&depth=8&detail=description&lastread=5-8.htm 6/10/1998. Language: English Format: Other Abstract: Keywords: Balkans ERMDR-HAP EMDR Humanitarian Assistance Program Accuracy Verified: Yes 190. Liggan, D. Y., & Kay, J. (1999, Spring). Some neurobiological aspects of psychotherapy: A review. Journal of Psychotherapy Practice and Research, 8(2), 103-114. Language: English Format: Journal Abstract: Keywords: Brain Physiology Compulsions Delusions Fear Modes of Psychotherapy Obsessions Accuracy Verified: Yes 191. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005). A study of a psychological relief effort conducted in New York City following September 11th: Preliminary results of a pro bono community based intervention project. Unpublished. Language: English Format: Other Keywords: 9/11 September 11th World Trade Center WTC Accuracy Verified: Yes 192. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal, 7(3), 206-220. doi:10.1177/1066480799073002. Language: English Format: Journal Abstract: Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication Accuracy Verified: Yes 193. Evans, S., Alter-Reid, K., & Schaefer, S. (2010, September/October). Therapy for therapists project: Impact of intensive EMDR treatment post-Katrina. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Accuracy Verified: Yes 194. Nieves, D. (2002, January 8). Therapy helps police unwind. Colorado Springs, CO: The Gazette, 2. Language: English Format: Newspaper Abstract: Keywords: Colorado Springs Policemen Stress Accuracy Verified: No 195. Colelli, G., & Patterson, B. (2008). Three case reports illustrating the use of the protocol for recent traumatic events following the World Trade Center terrorist attack. Journal of EMDR Practice and Research, 2(2), 114-123. doi:10.1891/1933-3196.2.2.114. Language: English Format: Journal Abstract: Keywords: 9/11 Adults Americans Case Report Man-Made Disasters Recent Events Protocol September 11 Survivors Terrorism Terrorist Attacks Accuracy Verified: Yes 196. deGraffenried, D., Page, R., & Gomez, A. (2009, August). Tipping points: Lessons learned in moving EMDR into community mental health. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA
. Language: English Format: Conference Abstract: Keywords: Community Mental Health Accuracy Verified: Yes 197. Cohen, A., Prattos, T., Birnbaum, A., Yoeli, F. R., Quinn, G., & Lopacka, J. (2006, June). Training EMDR practitioners of another culture and language following a disaster. In Cross-cultural EMDR training following disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Disasters Symposium Training Accuracy Verified: Yes 198. Rasolkhani-Kalhorn, T. (2005). Translation and adaption of the EMDR protcol to the Iranian culture. Colorado School of Professional Psychology, Colorado Springs, CO. AAT 3295606. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Eye Movements Quantitative Study Sociocultural Factors Accuracy Verified: Yes 199. 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: Keywords: Borderline Personality Disorder Symposium Accuracy Verified: Yes 200. 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: Accuracy Verified: Yes 201. Giusti, E., & Montanari, C. (2000). Trattamenti psicologici in emergenza con EMDR per profughi, rifugiati e vittime di traumi [Psychological treatments in emergency EMDR for refugees, refugees and victims of trauma]. Roma: Sovera Multimedia. Language: Italian Format: Book Abstract: Keywords: Emergency Treatment Refugees Accuracy Verified: Yes 202. 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 203. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: ACEH Disasters Keynote Plenary Accuracy Verified: Yes 204. Gelbach, R. A. (2008). Trauma, research, and EMDR: A disaster responder's wish list. Journal of EMDR Practice and Research, 2(2), 146-155. doi:10.1891/1933-3196.2.2.146. Language: English Format: Journal Abstract: Keywords: Disaster Disaster-Response Posttraumatic Stress Disorder PTSD Trauma Accuracy Verified: Yes 205. Grand, D. (2002, June). Treating survivors of the World Trade Center disaster with natural flow EMDR resorting. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: 9/11 Disasters Natural Flow EMDR September 11th World Trade Center Accuracy Verified: Yes 206. 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 207. Bar-Sade, S. (2008, June). Under the shadow - Fostering children’s resilience and coping strategies in an ongoing
crisis situation. Keynote presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Children Crisis Keynote Resilience Accuracy Verified: Yes 208. Foster, S. (2000, September). Unique EMDR applications for building your private practice: Escaping managed care. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Private Practice Accuracy Verified: Yes 209. Glaser, G. (2006, August 25). Unusual eye movement therapy for PTSD goes mainstream. Newhouse News Service. Language: English Format: Other Abstract: Accuracy Verified: Yes 210. 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 211. Shellenberger, S. (2007). Use of the genogram with families for assessment and treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 76-94). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Couple Assessment Family Family Assessment Family Systems Theory Family Therapy Genogram Psychotherapeutic Techniques Therapeutic Options Accuracy Verified: Yes 212. Keller, M. (2010, July). Using EMDR at each stage of the trauma recovery process. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Trauma Recovery Process Accuracy Verified: Yes 213. 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 214. Kitchiner, N. J. (2000, February). Using EMDR to treat post-traumatic stress disorder in a prison setting. British Journal of Community Nursing, 5(1), 26-31. Language: English Format: Journal Abstract: Keywords: Case Report Delayed Onset Males Miscarriage Nursing Posttrauamtic Stress Disorder Prison Inmates Psychotherapeutic Processes PTSD Survivors Young Adults Treatment Effectiveness Accuracy Verified: Yes 215. 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 216. Forgash, C. A. (1997, Spring). Utilizing EMDR consultation in a concurrent treatment model. The Clinician, 28(2), 1-2. Language: English Format: Newsletter Abstract: Keywords: Concurrent Treatment Model Consultation Accuracy Verified: Yes 217. Laban, C. J., Somers, J. A. G., Gokoel, K., & Minkenberg, E. (2011, April). Van transculturele verwarring, naar kennis en kunde [Of cross-cultural confusion, for knowledge and skills]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam
. Language: Dutch Format: Conference Abstract: Keywords: Cross-Cultural Accuracy Verified: Yes 218. Hurley, E. C. (2012, February 5). Veterans and PTSD treatment. Huffinton Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-military_b_1250216.html 2/5/2012. Language: English Format: Other Abstract: Keywords: Blog Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 219. Keenan, P., & Royle, L. (2007, Fall). Vicarious trauma and first responders: A case study utilizing eye movement desensitization and reprocessing (EMDR) as the primary treatment modality. International Journal of Emergency Mental Health, 9(4), 291-298 . Language: English Format: Journal Abstract: Keywords: Case Report Clinical Case Study Cognitive Schemas Depressive Disorders Helping Professionals Males Police Officers Police Personnel Psychotherapeutic Processes Stressors Stigma Treatment Effectiveness Vicarious Trauma Accuracy Verified: Yes 220. Marich, J. (2009, August). What makes a good EMDR therapist?: Exploratory findings from client-centered inquiry. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA . Language: English Format: Conference Abstract: Keywords: Client-Centered Inquiry Accuracy Verified: Yes 221. Yoeli, F. R., & Prattos-Spongalides, T. A. (2006, June). When all you have is 90 minutes: A systemic approach to EMDR case conceptualization in times of stress and/or following crisis. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 222. Dutton, P. (2004). Will someone tell me the truth about EMDR?. Presentation at the British Psychological Society Scottish Branch Annual Conference, Pitlochry, Scotland. Language: English Format: Conference Abstract: Accuracy Verified: Yes 223. deGraffenried, D., Welte-Lake, C., & Greten, B. (2010, September/October). Working with homicide survivors in community mental health: Effective use of the EMDR recent event protocol. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Community Mental Health Homicide Recent Event Protocol Survivors Accuracy Verified: Yes 224. Birnbaum, A. (2009). A written workbook for individual or group EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 297-336). New York: Springer, pp. 450. Language: English Format: Book Section Abstract: Keywords: Disasters Early Group EMDR Intervention Trauma Written Journaling Written Workbook Accuracy Verified: Yes
Durante y después de un desastre, el trauma psicológico es una consecuencia de las multifacéticas situaciones que viven individuos y comunidades. El modelo que se presenta a continuación, nos da una visión general del amplio espectro de los devastadores efectos psicoemocionales y psicosociales que pueden provocar los desastres a corto, mediano y largo plazo. Es una síntesis elaborada por el autor, misma que se basa en su amplia experiencia de campo, en el modelo de Manejo de Estrés en Incidentes Críticos de la International Critical Incident Stress Foundation (ICISF) y en las guías de la Organización Panamericana de la Salud (OPS) y de la Organización Mundial de la Salud (OMS).
During and after a disaster, psychological trauma is a consequence of living situations multifaceted individuals and communities. The model presented below, gives an overview of the broad spectrum of psycho-emotional and psychosocial devastating effects that can cause disasters in the short, medium and long term. It is a summary prepared by the author, it is based on his extensive field experience in the management model of Critical Incident Stress the International Critical Incident Stress Foundation (ICISF) and the guidelines of the Pan American Health Organization (PAHO) and World Health Organization (WHO).
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real.
En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.
Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change.
In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health.
The letters called EMDR that mean in English:
Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.
EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.
This article, in case study format, seeks to expand how we think about and use EMDR in agency and community
mental health settings. EMDR has been slow to grow in agency settings, and this article challenges the stereotype that
EMDR is impractical in community mental health settings by describing the use of EMDR in a time-limited, homebased,
solution-oriented framework within a non-profi t community family service agency. The client was a Temporary
Assistance to Needy Families (TANF) recipient who had been the victim of domestic violence and who had developed
post traumatic stress disorder.
This field study explores the effectiveness of EMDR (eye movement desensitisation and reprocessing) for the post-traumatic reactions of child victims in the post-emergency context of an earthquake that occurred in 2002 in Molise, a region of Central Italy. EMDR was chosen as the treatment for the children of the San Giuliano Primary School in Molise. Twenty-two of the children who experienced the traumatic event, being suddenly buried under the debris of their collapsed school and in contact with the bodies of their dead classmates for hours, received three cycles of EMDR treatment over one year, with a total average of 6.5 sessions of EMDR each. The results show that EMDR contributed to the reduction or remission of PTSD symptoms and facilitated the processing of the traumatic experience. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in
mass disasters (natural disasters, accidents and intentionally provoked). EMDR treatment was part of a
comprehensive treatment with the population and was the elective treatment for the children of elementary
schools which were the most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were
organized at one month, three months and a year from the critical event. Individual sessions were used for the
school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and
sibling. Psychological support and EMDR treatment were provided to parents and school personnel and this
aspect has been considered in the last interventions fundamental to enhance treatment results in children.
Results of questionnaires and clinical interviews to assess post-traumatic symptomatology before and after
treatment will be shown, along with follow up data. Treatment group show a significant improvement after
EMDR treatment. Statistical analysis of results will be discussed. The author will highlight clinical aspects of using
EMDR with children following recent trauma of great magnitude. The post-traumatic stress reactions of this
group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the
disaster has proved to be critical when dealing with children’s symptomatology. Guidelines and indications for
structured interventions coming from our field studies will be presented.
As a physician board-certified in Psychiatry,
Addiction Medicine, Addiction
Psychiatry, Sexology, Traumatology, and with
credentials in Massage Therapy, EMDR, and
as a Forensic Examiner, I have worked in
almost every practice setting imaginable and
with a broad variety of patients. Having been
based from a hospital, community clinic,
halfway-house residence, private office,
Veterans Administration Medical Center,
training institution, and doing outreach on the
streets, I am clinically familiar with the
behavioral challenges of children, adolescents,
young adults, old adults, couples, families, and
groups manifesting acute symptoms and
exacerbations of chronic disorders, with and
without chemical dependency, physical
problems, and sociological impairments. I like
to teach trainees, do interactive lectures, travel
and experience ‘difference.’ It is thus that I
have found myself a settled homeowner on
Saipan, a Manhattan-sized island that, as part
of the Commonwealth of the Northern Mariana
Islands (U.S.), is the farthest-flung American
overseas possession. Always the outsider; here
among the various tan tones of complexion
found among the indigenous of the western
Pacific, I have experimented with several
interventional strategies, both to establish
rapport and some trust and also to start creating
that unique and culturally competent treatment
modality that will foster growth among my
patients. Cognitive-behavioral approaches
generally work better than insight-oriented
ones because of the ‘here-and-now’ mindset
of Chamorros, Carolinians, Yapese, Chukese,
Pohnpeians, Kosraeans, and Filipinos who
comprise the population base here. Let me
briefly discuss one fascinating case. Twenty two
year old Chamolinian woman, married and
with three young children was involved in a
minor motor vehicle accident. This accident was
a spinoff of a more serious one primarily
involving two other vehicles. In a large truck
(Toyota T100), she was not hurt, and the two
children riding with her were also unharmed.
Numerous controlled studies have indicated that EMDR´s effects on
PTSD symptoms are comparable to those of trauma-focused CBT.
However, EMDR does not require homework, sustained arousal,
detailed verbalization of the index trauma, or prolonged exposure to
the event. In this invited presentation, videotapes of an incest survivor
and a disaster victim will demonstrate the EMDR treatment,
and the de-arousal effects of the eye movements, which have been
documented in numerous controlled laboratory studies. In addition,
the clinical procedures of an EMDR group-protocol used subsequent
to disasters and terrorist attacks will be illustrated.
The presentation will review research findings, with long-term follow
up, indicating that the resolution of etiological events can result in
the successful treatment of conditions that have often been considered
intractable. A recent study will be used to explore the clinical
parameters of the EMDR treatment of child molesters, which has
resulted in the sustained reduction of deviant arousal. Likewise, representative
case examples from studies documenting the elimination/
reduction of phantom limb pain subsequent to EMDR processing
will be presented to explore both the clinical and theoretical
implications.
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and presented them here as the Underground Trauma Protocol (UTP). The UTP is intended to provide a rapid and effective method of conducting EMDR with traumatized miners and other similar, very specific, client groups. The principal use of the UTP is for traumatized miners of coal, gold, nickel, gems, and so forth. It has also been used with the following populations: traumatized tunnelers (e.g., excavators of tunnels in both war and peace); those traumatized in rail accidents in tunnels (e.g., fire in Channel Tunnel, Kings Cross tube fire); those traumatized in underground leisure pursuits (e.g., exploration of caves, pot holing); those traumatized by being trapped (e.g., in collapsed buildings as in Turkish earthquakes); and those traumatized during 9/11 in New York and the 7/7 bombings in London. The author recommends that the treatment of this client group only be undertaken by fully trained EMDR clinicians who have experience with modifying protocols and existing clinical experience of using cognitive interweave. The Underground Trauma Protocol Script is provided. [PsycINFO Datab]
This workshop will address innovative EMDR group practice within an outpatient community mental health setting. As the poor, people of color, the disenfranchised, and multiply traumatized become our agency clients, clinicians are developing innovative, recovery oriented and solution based treatment models. Specific content to be reviewed will include a revolving five-session, time limited group model, teaching the theory of EMDR in a group setting, helping clients to recognize affect, use of limited BLS in group sessions, evaluative client solution based satisfaction scaling questions, and flexible group composition. Client videos will be shown to explore client feedback, satisfaction, and how the group process has supported and enhanced their recovery.
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
To know the present status of EMDR in Asian countries:
Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people
were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India,
Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand.
Questions were on the origin of EMDR, the first training, the number of trainings so far, the number
of trained practitioners, credentials, academic organization, acceptance from government, media, and
professional world, future possibilities, and difficulties expected.
Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems
to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization
started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started
publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on
trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early
stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural
disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could
be a good opportunity to start mutual understanding and cooperation in Asia.
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives:
Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP;
To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions;
To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities;
How to utilize the Recent Events Protocol in the face of ongoing danger;
To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment
This paper tries to highlight the milestones of some of the Asian EMDR Associations and the evolution of EMDR Asia and the practices and challenges faced. Some of the issues are related to the parity of trainees’ qualifications with those from USA, Europe and within Asia. Similarly it impacts upon the training standards. Attention is also drawn to the cultural, language and economical diversity. The task ahead is to reinforce the uniformity of EMDR practice by developing accreditation procedures, standardization, training standards, contents and duration, selection criteria and requirements for the trainees and trainers, certification process, curriculum, linkages with associations, methods of supervision and consultation. UN agencies have a huge presence in Asia for developmental and relief work. UN agencies engaged in a wide range of the health spectrum could make a huge difference if they promoted the efficacy of EMDR for effective management of psychological health. This would include the use of EMDR not only for manmade and natural disasters, but also for other chronic and life threatening illnesses e.g. HIV, cancer and other psycho-social issues related to mental health.
Derzeit Migration verfügt über umfangreiche Ausmaße angenommen. Weltweit gehen wir von einer 1 bis 200 Migranten (WHO). Durch Bürgerkriege, Naturkatastrophen, politischen und wirtschaftlichen Umständen die wahre Zahl dürfte noch höher.
So ist es zunehmend vor, dass Psychiater und Psychotherapeuten bei der Behandlung Einzelpersonen aus anderen Kulturen begegnen, präsentiert mit verschiedenen psychiatrischen Symptome. Die Behandlung dieser Menschen werden manchmal große Schwierigkeiten. Nicht nur wegen der Sprache, sondern auch wegen der relativen Bedeutung bestimmter Symptome in einem kulturellen Kontext, ist es wichtig, Kultur Hintergrund arbeiten Milieu und Unordnung bestimmten psychiatrischen / psychotherapeutischen betrachten. Aber was bedeutet Kultur-und Milieu sensiblen Psychiatrie oder Psychotherapie bedeuten? Basierend auf den vorhandenen Studien über Menschen mit Migrationshintergrund und die Untersuchungen des Sozio-Vision-Institute, und unsere eigenen Erfahrungen, die wir klären, wie eine interkulturelle Begegnung und ein Milieu sensiblen Psychotherapie erfolgreich angewandt werden.
Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher.
So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.
Introduction: Mueser at al. (2008) showed that a treatment
program that was predominantly based on cognitive restructuring
was effective and safe in treating PTSD in patients with Serious
Mental Illness. However, only 15.7% of the participants in this
study had a psychotic disorder. Frueh et al. (2009) conducted a
pilot study into PTSD treatment in patients with schizophrenia and
schizoaffective disorders (n=20). At three month follow-up twelve
out of thirteen completers no longer met criteria for PTSD.
Treatment caused no adverse events. Unfortunately psychosis
measures were not included in this study. A third therapy with
strong empirical support for its efficacy in treating PTSD is Eye
Movement Desensitization and Reprocessing (EMDR, Bisson et al.,
2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler &
Wagner, 2006). In this presentation the results of a feasibility trial
(n=27) of EMDR in patients with psychosis and comorbid PTSD
will be presented.
Method: An open pilot trial of EMDR in treating PTSD symptoms
in participants with a diagnosis of schizophrenia or an other
psychotic disorder. Participants were all outpatients from
community mental health centres in the Netherlands. After referral
to the study patients were screened for PTSD with the Clinician
Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was
diagnosed baseline measurements were performed after which an
informed consent was obtained. Treatment consisted of a
maximum of six weekly EMDR sessions, after which post
measurements were taken.
Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post
measurement. Treatment did not result in adverse events. In fact,
other symptoms, such as delusions, auditory verbal hallucinations,
anxiety and depression decreased significantly, e.g. only four out
of the nine participants that reported voices at baseline still
reported voices at end of treatment.
Conclusions: The preliminary conclusion is that treating PTSD in
patients suffering from psychosis with EMDR is feasible, is safe
and has a positive influence on other symptoms.
The EMDR Integrative Group Treatment protocol (EMDR-IGTP) has been used in different parts of the world since 1998 with both adults and children after natural or man-made disasters. This protocol combines the eight standard EMDR treatment phases with a group therapy model, thus providing more extensive reach than the individual application of EMDR. In this study the EMDR-IGTP was used with 16 bereaved children after a human provoked disaster in the Mexican State of Coahuila in 2006. Results showed a significant decrease in scores on the Child's Reaction to Traumatic Events Scale that was maintained at 3-month follow-up. Although controlled research is needed to establish the efficacy of this intervention, preliminary results suggest that EMDR-IGTP may be an effective means of providing treatment to large groups of people impacted by large-scale critical incidents (e.g., human-provoked disasters, terrorism, natural disasters. [Author Abstract]
Introduction:
This paper presents an overview of the Eye Movement Desensitization and Reprocessing – Integrative Group Treatment Protocol (EMDR-IGTP) that has been used since 1998 with both children and adults in its original format or with adaptations to meet the circumstances in numerous settings around the world for thousands of survivors of natural or man-made disasters and during ongoing geopolitical crisis.
Method:
The author's intention is to highlight and enlightened the reader of the existence of this protocol that combines the eight standard EMDR treatment phases with a group therapy model and an art therapy format and use the Butterfly Hug as a form of a self-administered bilateral stimulation, thus providing more extensive reach than the individual EMDR application.
Conclusion:
Randomize Controlled Trial Research is suggested to establish the efficacy of this intervention.
Eye movement desensitization and reprocessing (EMDR) is recognized as an effective and efficient treatment for trauma-related issues. This article describes an integrated EMDR and group treatment for children and adults traumatized by natural disasters in several Latin American countries. This protocol combines the eight standard EMDR treatment phases with a group therapy model. The hypothesis is that the resulting hybrid offers more extensive reach than did the original EMDR model, which was intended for use with individuals, and takes treatment efficacy and efficiency well beyond that expected from traditional group process. To illustrate the application of the model, one formally measured field study and nine pilot projects are described. The promising results of this intervention suggest that EMDR is an effective means of providing treatment to large groups of people impacted by large-scale traumatic events (e.g., natural disasters). Controlled research is needed to clarify this issue.
The effectiveness of EMDR with children can be enhanced with the use of a number of theoretical conceptualizations, protocol modifications, and specific techniques. In this master class, we will cover: understanding how attachment
theory informs the use of EMDR with attachment-disordered children; how EMDR can be used on a group basis across cultures, with children scarred by war as well as natural disasters; how attunement is more important than relationship
in EMDR; how resource development can be used within the EMDR protocol, instead of beforehand; how dissociation is manifested and treated with children; how additional techniques can be used to jump-start stalled processing with
children; how trauma-based diagnosis relates to DSM-lV nomenclature; how heart math solutions can be combined with Safe Place; and how one- and two-year-old childrcn can benefit from EMDR. Also, participants will be encouraged to share their own experiences, techniques, and conceptualizations with EMDR and children.
Il CRSP (centro di ricerche e studi in psicotraumatologia) sede di Erba, operativo già da alcuni anni sul territorio , si è trovato ad intervenire, nell'emergenza all'evento critico avvenuto ad Erba (Co) l'11 dicembre 2006 ( tristemente noto come “Strage di Erba”) . Si è lavorato in un complesso intervento di Psicologia dell'Emergenza. Questo ha visto applicati i criteri e le azioni derivanti dal modello teorico del Critical Incident Stress Management (CISM) di George S. Everly e Jeffrey T. Mitchell (1983). Secondo questi criteri viene individuata una vittima di secondo tipo, una bimba di 8 anni (amica degli aggressori) seguita in psicoterapia individuale per PTSD ad un mese dall'evento, con EMDR. Questo è il tema principale della relazione.
Riteniamo inoltre, di poter contribuire nell'esplicitare il nostro operato, di quanto sia possibile intervenire in un evento critico , sensibilizzando gli amministratori comunali, gli operatori del soccorso e la popolazione sull’importanza e utilità dell’intervento psicologico nei contesti d’emergenza. Attivando una capillarità dell’intervento stesso: più destinatari, più metodologie usate e flessibilità , con un lavoro di rete sul territorio. Ed infine con interventi efficaci sul PTSD quali il trattamento con EMDR.
The CRSP (center for research and studies in psychotraumatology) when Grass, operating for some years in the area, was found to intervene in emergency critical event occurred in Erba (CO) December 11, 2006 (notorious as "Massacre of Erba"). He worked in a complex intervention of Emergency Psychology. This has since applied the criteria and actions arising from the theoretical model of Critical Incident Stress Management (CISM), George S. Everly and Jeffrey T. Mitchell (1983). According to these criteria, identified the victim of a second type, a child of 8 years (friend of the attackers) followed in individual psychotherapy for PTSD one month after the event, with EMDR. This is the main theme of the report. We also can help make explicit what we are doing what is possible to intervene in a critical event, sensitizing the community leaders, emergency workers and people on the importance and utility of psychological intervention in emergency situations. Activating a capillary of the action: multiple recipients, more flexibility and methodologies used, with a working network in the area. And finally with PTSD on effective interventions such as treatment with EMDR.
There is evidence for the efficacy of eye movement
desensitization and reprocessing (EMDR) with athletes. Case
studies will be used to demonstrate the value of a trauma and
performance specialist trained in EMDR as an adjunct to a
multi-disciplinary support team. Three multiteam situations
will be discussed. The first includes military base personnel
working to improve performance after trauma and, in some
cases, transition to the private sector. The second is a
behavioral medicine clinic with a focus on working with
trauma hindering performance and performance anxiety. The
third is a sport group utilizing a trainer, exercise physiologist,
and nutritionist working with a community college basketball
team.
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]
This special issue on eye movement desensitization
and reprocessing (EMDR) treatment of
recent events and community disasters gathers
information on the application of EMDR in situations
of extreme chaos, disaster, violence, and war. The authors
provide a global perspective, writing from Israel,
Palestine, the United Kingdom, Sri Lanka, the United
States, Italy, and Mexico. They describe the effectiveness
and utility of EMDR in treating severe distress
subsequent to experiences of overwhelming terror,
loss, and despair. This is a vital topic, suggesting the
possibility of reducing exceptional emotional disturbance,
helping restore function and stability to individuals
and communities. The reports from these authors
are encouraging and hopeful, stimulating thought and
suggesting direction and guidance for future research. (Excerpt)
Research of the last decade suggests a decisive role of traumatic events on the onset and on the course of severe mental disease, especially affective disorders. The robustness of this data has been largely ignored by the psychiatric community, also due to a striking lack of trials designated to traumatized patients with severe mental disease. With this workshop we aim to create awareness on that issue by reviewing existing evidence of the impact of trauma on the patients’ life with severe mental disease. We also will show first controlled data of EMDR in instable, traumatized bipolar patients, with a focus on its effect on trauma and mood stabilization. Furthermore, we will present for the first time a Spanish Bipolar EMDR protocol as direct result of the above-mentioned study; to highlight practical details of this protocol, we also will discuss two cases of the study in an interactive way with the audience.
Learning objectives:
Trauma in severe mental disorder is so far not adequately recognized and treated by therapists;
Understanding the role of trauma in severe mental disorder, with a focus on bipolar disorder;
Results of a first controlled pilot study of instable bipolar patients suggest that EMDR reduces effectively trauma symptoms and trauma load; and
Results also suggest that EMDR stabilizes better the mood of subsyndromal, instable bipolar patients than a control group.
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas.
Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.
During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.
Jag har arbetat de senaste tio åren med behandling av barn och ungdomar på en BUP-mottagning i Stockholm i ett invandrartätt område. Jag träffar därför många barn/ungdomar med olika typer av krigstrauman men naturligtvis också klienter med andra trauman och mer "vanliga" svårigheter. Med denna artikel skulle jag vilja visa hur jag har inlemmat EMDR-metoden (Eye Movement Desensitization and Reprocessing) i behandlingen av två barn med sinsemellan helt olika livshistoria och symtom. Min erfarenhet är att EMDR förutom vid trauma är effektiv vid olika typer av problem. Den kan dessutom användas för att förstärka jagresurser och självkänsla. [Excerpt]
I have worked the last ten years with children and young people on a BUP reception in Stockholm in an ethnic community. I see why a lot of children / adolescents with different types of war traumas but of course also clients of other traumas and more "normal" difficulty. With this article I would like to show how I have incorporated EMDR method (Eye Movement Desensitization and Reprocessing) in the treatment of two children with one another completely different life history and symptoms. My experience is that EMDR except in trauma is effective in various types of problems. It also can be used to enhance jagresurser and self esteem.
EMDR volunteers usually working through Humanitarian Assistance Programs, have been responding to disasters worldwide for over ten years, beginning with Oklahoma City. During that period, major international relief organizations and leaders in psychosocial response to disaster have been generating new and explicit standards to guide interventions. This panel, consisting of EMDR activists ad independent experts on disaster relief, will review the emerging standards and how EMDR clinicians can relate to them.
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.
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]
This book is a compilation of the "In the Spotlight" articles that Dr. Luber wrote for the EMDR Internation Association's newsletter while she was a Founding Board Member. She published this book in celebtation of the 20th anniversary of the beginning of EMDR.
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.
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
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.
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Contents:
Robert H. Tinker. EMDR for traumatised children around the world
Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems
Joanne Morris-Smith. EMDR: a case for pre-verbal memory?
Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties
Guinevere Tufnell. EMDR: working with the legal system
Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project
Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey
Tony Roberts. Websites relating to psychological trauma: with emphasis on children
This film weaves personal stories into discussion about Eye Movement Desensitization and Reprocessing's evolution and remarkable development. Researchers and practitioners from across the world share their reflections about EMDR's early days when founder Francine Shapiro began honing the therapy's methodology as well as how EMDR has transformed their practices in the decades since. Interviews explore the acute need for PTSD and trauma treatment that works efficiently and quickly to address the needs of the millions upon millions in need.
Through interviews with the top EMDR community memebers, this documentary introduces and explains this therapy's components. Combining powerful personal stories from the military and civilian worlds, the film explores the ability of the human brain to re-wire itself when given the opportunity. More and more people every day, are affected by trauma personally. Many more feel the ripple-effects as family, friends, and co-workers of a traumatized person. This project's premise is that the trajectory of lives touched by tragedy and pain need not be predetermined.
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can
be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress
Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period
following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency
Response Procedure is an adaptation of the Standard EMDR Protocol which was developed to deal with victims
of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn
the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case
examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the
Tsunami in Thailand and with victims of terror and war. Learning Objectives:
• Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the
immediate aftermath of trauma utilizing ERP
• To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the
Preparation Phase of EMDR or at other time of treatment when patients exhibit strong emotional reactions
• To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial
treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities
• To understand how to utilize the Recent Events Protocol in the face of ongoing danger
• To understand EMDR methods that may be used in emergency settings where multiple patients need rapid
treatment
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that
PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been
used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent
terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance
Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within
hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the
immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the
event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR.
Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress
during initial treatment by first responders at the scene of an accident or in ambulances en route to medical
facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD)
with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in
Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying
the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be
presented and followed by a practicum. [There are 2 PDF files.]
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
EMDR is a well-established theory for Post Traumatic Stress Disorder (PTSD). EMDR has also been used effectively in the immediate period following trauma. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual and developed to deal with victims of terror within hours of exposure to trauma, will be discussed and taught. Participants will learn how to respond to clients in the immediate aftermath of trauma utilizing Debriefing and ERP. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) and PTSD with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror in Jerusalem and those in bomb shelters during the last Lebanon war. In this presentation, the Recent Events Protocol will be reexamined with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol, used with large numbers of disaster victims needing simultaneous treatment, will be presented and followed by a practicum.
The Emergency Response Procedure (ERP) was initially developed to help victims within hours of a terrorist attack, but can be applied in the immediate aftermath of any trauma. Patients may present with "silent terror," shaking and inability to speak, or if they are verbal, often they are in a highly agitated state. The procedure has been used in the emergency room and during hospitalization. It is also appropriate for immediate intervention at the scene of critical incidents such as car accidents, earthquakes, natural or man-made disasters, and in ambulances. While taking an initial history, prior to the Preparation Phase of EMDR, ERP can be put into effect if patients suddenly abreact. This procedure presumes familiarity with the Standard EMDR Protocol of which it is an adaptation. Clinicians highly experienced in dealing with patients immediately after a traumatic event—who are not familiar with EMDR—will still benefit from this report. Note: This procedure has not received official sanctioning from the EMDR Institute and has not been validated by research. This procedure can only be considered after all medical needs have been evaluated or treated. The Emergency Response Procedure Script is provided. [PsycINFO Database]
Controlled studies of treatments effective with victims of natural disasters are almost nonexistent. This is a small study conducted under difficult conditions to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in treating trauma related reactions following Hurricane Andrew. The results were positive in that EMDR produced significant improvement over wait list controls in perceived posttraumatic avoidance behaviors and thoughts as measured by changes in the Impact of Event Scale and significant improvement in subjective aversive reactions to representative experiences of the hurricane. These results suggest and support other studies that EMDR can be an effective therapeutic intervention for trauma reactions. [Author Abstract]
Enhanced Safe Place (ESP) builds comfort and trust early in treatment. EP is especially effective in community MH settings. ESP contains preparatory information, multi sensory imaging, progressive relaxation and simple hypnotherapy techniques. Participants will practice the three stages (preparation, beginning, debriefing) and 10 specific techniques to help create highly effective body-oriented ESP experiences.
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
The purpose of this study was determine the efficacy of Eye Movement Desensitization Reprocessing (EMDR) with traumatized adolescents primarily diagnosed with conduct disorder (CD). The effect of exposure to domestic violence and other forms of human initiated violence puts children at risk of developing significant mental health problems including CD and other childhood disorders that can have a profound effect on the community. In order to test the null hypotheses that the EMDR treatment protocol would not lead to any significant reduction in posttraumatic or behavioral symptoms with this population, a repeated measures MANOVA was utilized for four of the five dependent variables. These variables were the Impact of Event Scale (IES), the Child Report of Posttraumatic Symptoms (CROPS), the Parent Report of Posttraumatic Symptoms (PROPS), and the Problem Rating Scale (PRS). A simple two-group independent t-test analysis was used to analyze the fifth independent variable (reward points) and the 2-month follow-up data. All of the 5 null hypotheses were supported by an inferential analysis (MANOVA; t-test) of the dependent variables of this study. EMDR treatment was not found to be statistically significant on any of the dependent variables. Despite these findings, future research should continue to focus on the efficacy of EMDR with childhood trauma. Future research should also continue to focus on the emotional needs of children in residential treatment, the benefits of therapeutic as opposed to punitive intervention with delinquent youths, and the role that EMDR can play in breaking the cycle of violence in our society. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(10-B), April 1999, pp. 5587.
This dissertation examines research pertaining to the diagnosis and characteristics of childhood Posttraumatic Stress Disorder (PTSD), natural disasters, and Eye Movement Desensitization and Reprocessing (EMDR) theory and technique in children. In addition, the effectiveness of EMDR theory and technique related to childhood PTSD is reviewed. The purpose of this study is to develop a program within a school setting suitable for children diagnosed with PTSD as a result of having witnessed, confronted, or experienced a natural disaster. The program is referred to as the EMDR Program or the Eye Movement Desensitization and Reprocessing Program. An attempt was made to be like no other programs related to children and natural disasters researched. The program's goal is to design a program that investigates the effectiveness of EMDR theory and technique related to children who have developed PTSD as a result of being exposed to a hurricane, tornado, flood, earthquake, or fire. The objectives of this program include creating a safe environment in order to help children reprocess their traumatic experiences within a short period of time utilizing EMDR with age appropriate alterations as suggested by Shapiro (1995) and Greenwald (1997). The philosophy of this program is based on an Accelerated Information Processing Model. The EMDR program established an admission criteria and a means of monitoring the progress of each child. An evaluation and budget were also proposed as a guide, were this design be implemented. Overall, it was believed that by utilizing EMDR with age appropriate alterations, the EMDR program would help children overcome their PTSD symptoms related to their traumatic experiences involving natural disasters within a short period of time. (Abstract shortened by UMI.) (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1869.
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]
Eye movement desensitization and reprocessing (EMDR) is an
inventive, popular and highly controversial treatment. Within the
scientific and professional community, there is divergent support
for each side of this debate. The heart of this controversy critically
examines the question of whether EMDR is as efficacious
as other well-established interventions for the treatment of PTSD.
The efficacy of EMDR could be due to its employment of a variety
of clinically sound therapeutic procedures, such as those similar
or the same as Prolonged Exposure Therapy, and not because
of its centerpiece eye-movements. Indeed, some researchers
have argued that the eye-movements are completely unnecessary and that EMDR is best understood as an exposure technique
(Renfrey & Spates, 1994; Davidson & Parker, 2001; Lohr,
Lilienfeld, Tolin & Herbert, 1999). EMDR may be an effective
treatment for non-combat related PTSD but is not effective for
PTSD etiologically related to combat induced trauma. Thus there
are three questions that serve as the focus of this evaluation: is
EMDR qualitatively different than Prolonged Exposure Therapy;
are the eye-movements necessary for treatment efficacy; and is
EMDR effective for combat-related PTSD?
The Eye Movement Desensitization (EMD) procedure is a recently developed rapid treatment for anxiety and traumatic memories. Although, according to the DSM-III, post-traumatic stress disorder (PTSD) develops from a "psychologically traumatic event that is generally outside thr ange orusual human experience," many people are affected. Symptoms include nightmares, flashbacks and intrusive thoughts based on inidents of combat, rape, incest, accidents and natural disasters such as the 1989 Lom Prieta earthquake. Clinical experience has demonstrated that one to four sessions iwth EMD are sufficient to produce cessation of trauma-related anxiety and pronounced symtomatology suffered by victims of such events.
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]
That was four years ago. Today, Colleen Eliason, 42, is happily remarried and lives in Elko. But in the nightmarish days after the suicide, she turned to St. Paul psychologist Catherine Hedberg, who uses a tool called EMDR (Eye Movement Desensitization Reprocessing) to treat trauma.
Since EMDR was introduced to the psychiatric community 15 years ago, it has remained highly controversial. Proponents call it a painless, quick, effective therapy to treat victims of trauma - from social anxiety to war, rape and natural disasters.
A study released in Los Angeles Saturday suggests you can remove the pain of traumatic memories from your mind by moving your eyes from side to side. The process is called Eye Movement Desensitization and Reprocessing (EMDR), and many psychologists are eyeing it as a treatment method for people troubled by memories of natural disasters, the death of a loved one, an assault, an accident or even military combat.
Though skeptics still criticize this unusual treatment, in which therapists wave their fingers in
front of their patients' eyes, EMDR is gaining acceptance in the psychotherapy community. The
approach was first developed by psychologist Francine Shapiro, Ph.D., of the Mental Research
Institute in Palo Alto, California.
he Comprehensive treatment protocols and
treatment outcomes of EMDR have been well
researched and documented. The calming effects
of bilateral stimulation (BLS) and its impact on
having images fade have also been documented.
Consequently, there are many situations where
stabilization and symptom reduction may be appropriate and/or necessary, such as trauma from
terrorism, natural disasters and combat. This workshop will discuss a number of Bilateral
Stimulation (BLS) interventions along a time and client stability continuum. Participants will learn and hone their skills using a number of
stabilization and symptom reduction interventions
through lecture, video and live demonstration, as
well as small group practice of these more
truncated, target specific, symptom
desensitization protocols. Additionally,
participants will understand when to select these
interventions in preparing the client for the
comprehensive EMDR treatment protocols.
652 children were treated during 2007 in our Paediatrics - psychosocial unit. The EMDR approach was a means to
do the history taking and anamnesis and it was used as well as an intervention methodology for all pathologies
and disturbances. Our clients received EMDR as inpatients in our war or as outpatients referred by the
community paediatric services. Our therapeutical programme includes a detailed anamnesis done together with
both parents or with caregivers if the child is very small or with the child himself if he’s able to provide the
information. History taking with the EMDR approach is an unique opportunity for the family to focus on family
life and its dynamics, and to analyse their unbalanced relational and affective patterns, which they are not always
aware of. Subsequently a therapeutical programme is outlined where EMDR is presented as a treatment method
to face and resolve the presenting complaints. This therapeutical approach facilitates the symptomatology
resolution and is useful to develop a more aware vision of their own family dynamics. Another beneficial effect is
to promote a greater psychophysical wellbeing for the client, providing a new meaning to the somatic disorder
and helping the family to understand and manage their child’s problems in a more functional way. This poster
describes all phases of the intervention and the disorders treated in our unit with EMDR. [There are three PDF files.]
This book serves as a resource for practicing clinicians, supervisors, clinic directors, and hospital administrators. Leeds provides clear, concise treatment guidelines on the clinical use of EMDR.
This book provides an orientation to the clinical, professional, and risk management issues. Leeds provides sample consultation agreements and forms for documenting treatment planning, case summaries, and treatment outcomes. These forms will be especially helpful for case managers and clinical supervisors in agencies and community health treatment centers.
Key features:
Includes charts, forms, illustrations, tables, and decision trees, presenting essential information clearly and concisely to guide treatment planning and documentation.
Presents case studies with transcripts illustrating the different protocols and presenting guidelines for informed decision making.
Outlines the stages of clinical skill development
Discusses ethical issues in clinical application, consultation, supervision, and research.
When Prometheus gave fire to the mortals, an angry Zeus chained him to Mount Causaus, where each day an eagle devoured his liver, and each night the liver grew back. Imagine for a moment that you must endure a variation of that Promethean hell. Instead of an eagle, your tormentor is a rapist, the murderer of your parents, a battlefield enemy who took away your legs and much more inside. For many people, the unbearable circumstances you are only imagining are real. The condition known as post-traumatic stress disorder (PTSD), forces it svictims to live the most traumatic events of their lives over and over again. Because the events are often wars, assaults or natural disasters, the persistence of memory alone would be difficult. But if you are a victim of PTSD, you may relive your tragic epiosde with such clarity that you can see the bloody bodies on the battlefield or smell the alcohol on your assailant's breath.
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.
Where there is crisis or hardship, there are usually humanitarian workers. Hundreds of
thousands strong, they are usually employed by one of the many non-governmental
organizations (NGOs) currently operating worldwide. The diversity of roles that a
humanitarian worker can undertake is staggering. Some work specifically in aid and
disaster response. This can include famine relief, refugee aid, emergency relief after
natural disasters, or the provision of primary health care services. Other humanitarian
workers focus more generally on civil society and peace-building, human rights,
education, advocacy, economics, governmental and election monitoring, arms-control
and refugee, gender and/or children’s issues. All of these diverse roles and aims are
linked by a common end – service in the face of crisis and suffering worldwide.
Most of the published research on EMDR to date has focused on the “domain of verification” – many case studies on EMDR applied to different clinical issues, some reports on a series of cases, a few well controlled outcome studies, a very few component analyses (See Shapiro, 1995, 1996). This work in the domain of verification is necessary to corroborate clinical impressions and legitimize our work in the eyes of the academic and research community. However, in recent years this emphasis on the “domain of verification” seems to have overshadowed the exploration of the “domain of discovery.”
Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy that has been extensively researched and proven effective for the treatment of trauma. It is a set of standardized protocols incorporating elements from many different treatment approaches that has, to date, helped more than two million people relieve many types of psychological stress.
This book presents EMDR early-response intervention protocols for such traumatic events as earthquakes, mining accidents, tsunamis, and ongoing warfare. It also provides concise summary sheets to facilitate quick information retrieval in perilous circumstances.
The book is authored by several of the first generation of therapists who successfully employed EMDR as a clinical treatment for acute stress following massive trauma events. They vividly describe their experiences and the protocols and models they developed to respond to disaster. The book describes two of the most commonly used resources: the Butterfly Hug and the Four Elements Exercise for Stress Management.
Includes new information on acute stress, secondary PTSD, and vicarious traumatization growing out of interventions subsequent to natural disasters, warfare, and massacres in Turkey, Asia, the Middle East, South and Central America, and the United States. Interventions that can be put to use on site and posttrauma are presented for groups, including work with children, adolescents, and adults and with special populations.
Additionally the book addresses working with first responders such as firefighters, EMS workers, and others when using EMDR. It facilitates the gathering and organizing of client data and contains updated and new scripted protocols, as well as summary sheets from EMDR Scripted Protocols: Basics and Special Situations and EMDR Scripted Protocols: Special Populations. Also included are templates for repeat use and an interactive PDF.
Key Features:
Provides EMDR early-intervention procedures for man-made and natural catastrophes
Addresses EMDR and early interventions for groups of all ages and special populations
Highlights international perspectives on how to organize a mental health response for recent traumatic events
Includes early-intervention scripts and summary sheets for individuals, groups, and special populations, as well as self-care scripts for clinicians
Offers concise summary sheets for quick information retrieval.
EMDR has not achieved full acceptance as a practice model within community mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities with the greatest need and often in settings where post traumatic stress is the focus of treatment. This workshop will identify the three common areas of agency reluctance concerning EMDR and, via a PowerPoint presentation, will demonstrate the use of a simple assessment tool designed to identify where the intervention is needed to accomplish change and support EMDR integration into the agency.
Francine Shapiro, the originator of Eye Movement Desensitisation and Reprocessing (EMDR), stumbled quite by accident upon the potentially positive effects of eye movements in desensitising negative emotions and cognitions. Ironically, she wasn't the first to do so. These findings had been made almost two decades earlier by Antrobus and his colleagues (Antrobus, 1973; Antrobus, Antrobus, & Singer, 1964). What unified the findings of Shapiro and Antrobus, apart from their agreement on the utility of eye movements, was that there was no theoretical system which could convincingly explain the findings to the skeptical research community to which Shapiro began disclosing her findings. What distinguished their approaches was that Shapiro set out to vigorously sell her belief in their utility in the relative absence of explanations as to why that might be the case. Uri Bergmann, an EMDR Institute Facilitator in New York, has recently put together a speculative neurobiological hypothesis for the effects of EMDR. In this article, he draws on a growing body of research into the area, particularly the ideas of Harvard University sleep researcher Robert Stickgold, who first identified the physiological pathways that link EMDR to REM functioning. Bergmann' offers his thoughts on the matter in a form accessible to the neurologically naïve as a first step to understanding the neurobiology of EMDR.
Over the years, EMDR has been used to treat survivors of traumatic experiences ranging from death of a loved one to rape. EMDR clinicians have worked with survivors on an individual basis as well as with victims of large-scale events — from 9/11 to violence in the Middle East. Shapiro emphasized the importance of treating mental trauma; if gone untreated, it can breed further violence in the community.
During the SARS outbreak in 2003, a chief middle school teacher in Beijing
unfortunately died of the disease. After her death, her students and
colleagues fell into a state of emotional and behavioral disturbance. We
describe in this paper a grief-focused intervention program offered by the
community-based youth hotline crisis intervention group and the school
counselor. In particular, the paper focuses on describing in detail a group based
intervention program for the affected students, including its
administrative structure, therapeutic objectives and interventions, and group
process. The intervention protocol was designed by combining cognitive behavior
and social therapy with some adapted skills of Eye Movement
Desensitization and Reprocessing (EMDR). It was found that stabilization and
installation were strongly significant in helping the students to recover from
this traumatic event by focusing on positive resources. We argue that in the Chinese cultural context, it is most important to build such an integrated
crisis intervention scheme to cope with such an event.
As EMDR became more accepted within the psychotherapy community and more clinicians became trained, a greater number of clients with diagnoses other than PTSD were introduced to it. As a result, it became apparent that some of these more difficult, complex clients were not immediately ready for EMDR targeting and reprocessing. Many were either too unstable, had affect tolerance issues, or lacked the ego strengths to withstand the potential rigors of target desensitization. Others lacked needed coping skills, lacked the ability to recognize that they have the tools available to address their issues, or were fearful of addressing their traumatic experiences. Resource Development and Installation (RDI) strategies were developed and, over time, have been accepted within the EMDR community as valuable solutions for these challenging clients. [Text, p. 57]
Questa relazione descrive l’applicazione dell’EMDR come trattamento precoce focalizzato sul trauma rivolto a bambini coinvolti in diastri collettivi (disastri naturali, incidenti e provocato in modo intenzionale dalla mano dell’uomo).
Il trattamento con EMDR in tutti questi casi è stato parte di un intervento con questa popolazione ed è stato il trattamento di elezione di bambini in età scolastica che erano stati i più esposti a eventi traumatici. In molti di questi casi, 3 cicli di sedute di EMDR sono stati organizzati ad un mese, a tre mesi e ad un anno dall’evento critico.
I bambini hanno avuto delle sedute individuali nella maggior parte dei casi dato che avevano avuto una grave traumatizzazione, unite al lutto, dove avevano vissuto una minaccia alla propria vita e la perdita di amici e fratelli.
Il supporto psicologico e il trattamento EMDR sono stati forniti anche ai genitori, al personale scolastico e questo aspetto è stato di fondamentale importanza negli ultimi interventi per rafforzare e mantenere i risultati nei bambini.
I risultati di questionari e delle interviste cliniche per valutare la sintomatologia post-traumatica prima e dopo il trattamento verranno descritti durante la presentazione insieme ai dati del follow-up. Il gruppo trattato dimostra un miglioramento significativo dopo il trattamento con EMDR. L’analisi statistica dei risultati sarà descritta in modo approfondito.
Durante la relazione verranno sottolineati gli aspetti clinici dell’applicazione dell’EMDR con i bambini dopo un trauma recente particolarmente grave. Le reazioni post-traumatiche di questo gruppo in età evolutiva sono state valutate, misurate e hanno dato delle informazioni rilevanti per questo campo di applicazione. Il trattamento EMDR con i genitori e con altri adulti coinvolti nel disastro e che era a contatto con i bambini si è rivelato un intervento chiave per quanto riguarda la sintomatologia dei bambini. A conclusione verranno presentate delle linee guida e delle
indicazioni per la strutturazione di interventi sulla base di questi studi sul campo.
This report describes the application of EMDR as early treatment focused on trauma facing children involved in mass disasters (natural disasters, accidents and pollution in
intentionally by man). Treatment with EMDR in all these cases was part of an intervention with this population and was the treatment of choice for school-age children who were most exposed to events traumatic. In many of these cases, 3 cycles of EMDR sessions were held one month, three months and one year after the event critical. The children have had some individual sessions in most cases because they had severe trauma, united in mourning, where they had lived a threat to his life and the loss of friends and brothers. Psychological support and treatment EMDR was provided to parents, staff school and this aspect was of paramount importance in recent efforts to reinforce and keep the results in children. The results of questionnaires and clinical interviews to assess the symptoms post trauma before and after treatment will be described during the presentation along with the data of follow-up. The treated group demonstrated significant improvement after treatment with EMDR. The statistical analysis of results will be described in detail. The report will be highlighted during the clinical application of EMDR with children after a recent trauma particularly serious. Post-traumatic reactions of this growing age group were assessed, measured and have information relevant to this scope. EMDR treatment with parents and other adults involved in disaster and who was in contact with children has proved a key intervention regarding symptoms of children. A conclusion will discuss the guidelines and indications for the structuring of interventions based on these field studies.
The impact of psychological trauma on the mental health of children is now well documented. There is a growing body of clinical evidence indicating tat EMDR is an effective treatment for a variety of childhood complaints. The authors’ experience of using EMDR with children in the aftermath of a major disaster confirmed its effectiveness and highlighted its applicability to everyday “small trauma.” Drawing on past experience, they have set up a community-based project to provide a range of services for children who have experienced trauma and to investigate the use of EMDR for the enhancement of self-esteem.
In een themanummer over EMDR mag een interview met Renée Beer en
Carlijn de Roos, de grondlegsters voor de toepassing bij kinderen en jeugdigen
in Nederland, niet ontbreken. Enerzijds omdat EMDR nog steeds veel vragen
oproept, anderzijds omdat wij hen aan het woord wilden laten over de wijze
waarop zij, in ons land, EMDR als behandelmethode voor kinderen en
jeugdigen tot ontwikkeling hebben gebracht.
Beiden bleken meteen enthousiast voor dit interview en wij raakten al snel
onder de indruk van het vele wat zij in korte tijd bereikt hebben.
Hoe zijn zij in aanraking gekomen met EMDR? Waren ze meteen enthousiast
of eerst nog wat sceptisch? Wat zijn de indicaties voor een EMDR behandeling
en wat de contra-indicaties? Welke EMDR behandelingen zullen ze nooit meer
vergeten? Voor welke problematiek vinden zij EMDR toepasbaar en wat zien
zij als de beperkingen van EMDR? Tegen welke misvattingen en vooroordelen
hebben ze moeten opboksen? Naast de antwoorden op deze vragen, wilden wij
tevens weten of EMDR al toegepast wordt ingeval van nationale rampen en of
Nederlandse EMDR therapeuten internationaal een rol spelen. Tenslotte
wilden we natuurlijk horen hoe zij tegen de toekomst met betrekking tot
EMDR aankijken.
In a special issue on EMDR may be an interview with Renee Beer and
Carlijn the Rose, the ground legs heaters for use in children and adolescents
in the Netherlands, not missing. Firstly, because EMDR still many questions
calls, and secondly because we wanted to let them have their say on the way
which they, in our country, EMDR as a treatment for children and
youth development have brought.
Both were immediately excited for this interview and we soon became
impressed by the many things they have achieved in a short time.
How did they come into contact with EMDR? They were immediately enthusiastic
or get a little skeptical? What are the indications for EMDR treatment
and what the contraindications? What EMDR treatments, they will never
password? For what issues they find EMDR applicable and see what
they see as the limitations of EMDR? At what misconceptions and prejudices
they have to compete? Besides the answers to these questions, we wanted
also know if EMDR is already applied in cases of national disasters and whether
Dutch EMDR therapists play an international role. finally
Of course we wanted to hear how they view the future with respect to
EMDR look.
This interview with Dr. Francine Shapiro, originator and developer of Eye Movement Desensitization and
Reprocessing (EMDR), provides an overview of the history and evolution of EMDR from its inception
to current findings and utilization, as well as future directions in research and clinical development.
Dr. Shapiro discusses the psychological traditions that informed the development of EMDR and the Adaptive
Information model, as well as the implications for current treatment. The rationale for the application
of EMDR to a wide range of disorders is discussed, as well as its integration with other therapeutic approaches.
Topics include research on the role of eye movements, the use of EMDR with combat veterans,
somatoform disorders, attachment issues, and the distinct features of EMDR that have allowed it to be
used for crisis intervention worldwide.
Dr. Francine Shapiro is the originator and developer of EMDR. She is a senior research fellow at the Mental Research Institute
(MRI) in Palo Alto, California, executive director of the EMDR Institute in Watsonville, California, and the founder and
president emeritus of the EMDR Humanitarian Assistance Program, a nonprofit organization that coordinates disaster
response and supports low fee training worldwide. She has written the primary text on EMDR: Eye Movement Desensitization
and Reprocessing: Basic Principles and Procedures (Guilford Press) and co-authored or edited four others: EMDR: The
Breakthrough Therapy for Overcoming Anxiety, Stress and Trauma (Basic Books), EMDR as an Integrative Psychotherapy Approach:
Experts of Diverse Orientations Explore the Paradigm Prism (American Psychological Association Books), Handbook of EMDR
and Family Therapy Processes (Wiley), and Short-Term Therapy for Long-Term Change. She has written and co-authored more
than 60 articles and chapters and is an invited speaker at psychology conferences all over the world. Dr. Shapiro is a recipient
of the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma
Psychology, the Distinguished Scientific Achievement in Psychology Award presented by the California Psychological Association
and the International Sigmund Freud Award for Psychotherapy presented by the City of Vienna in conjunction
with the World Council of Psychotherapy. She was appointed one of the “Cadre of Experts” by the American Psychological
Association and Canadian Psychological Association Joint Initiative on Ethno-political Warfare. She has served as an
advisor to many trauma treatment and outreach organizations and journals. She has three awards bestowed in her honor.
Those given by the EMDR International Association and the EMDR-Ibero-American Association celebrate members of
the EMDR community who follow in her footsteps of creative thinking, service, and dedication to the standard of EMDR.
The EMDR Europe Association presents the Francine Shapiro EMDR-Europe Research Award in order to encourage
research in the field. In 2008, a comprehensive electronic resource for scholarly articles and other important references
related to EMDR and adaptive information processing was introduced and was named The Francine Shapiro Library in
honor of Dr. Shapiro (http://emdr.nku.edu/emdr_data.php).
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.
Este documento se centra en un modelo de intervención para las catástrofes que utiliza grupo a corto plazo y el enfoque psicoterapéutico conocido como el método EMDR. Ayudar a una gran cantidad de personas es posible a través de este método de intervención terapéutica, que ha demostrado ser muy eficaz. Su objetivo es proporcionar ayuda emocional y para garantizar los eventos traumáticos son procesados correctamente, lo que impide el desarrollo de cualquier secuelas traumáticas. Requisitos para la planificación y excuting este tipo de intervención se describen. Conseptualisations metodológicos que subyacen a este enfoque, que tiene sus raíces en la salud mental en el modelo de desastres elaborado por Ignacio Jarero y Artigas Lucinca en México, se explicó. Algunos casos clínicos se presentan para ilustrar el nuevo tratamiento de experiencias perturbadoras y los resultados de la intervención. Esta intervención se consigue una reducción significativa de los síntomas, según lo confirmado por las mediciones con las escalas, así como las observaciones clínicas y de comportamiento. (Resumen del autor)
This paper focuses on an intervention model for catastrophes that uses short term groups and the psychotherapeutic approach known as EMDR. Assisting a large amount of people is possible through this therapeutic intervention method, which has proven to be highly effective. Its purpose is to provide emotional relief and to ensure traumatic events are correctly processed, thus preventing the development of any traumatic sequels. Requirements for planning and excuting this type of intervention are described. Methodological conseptualisations that underline this approach, which has its roots in mental health in disasters model developed by Ignacio Jarero and Lucinca Artigas in Mexico, are explained. Some clinical cases are presented to illustrate the reprocessing of disruptive experiences and the results of intervention. This intervention achieves significant symptom reduction, as confirmed by measurements with scales as well as clinical and behavior observations. (Author abstract)
Trabajo con grupos de niños en Institución Social - PGI- EMDR; Trauma infantil y EMDR, Psicodrama. La articulación del trabajo metodológico en el psicodrama y EMDR, en el procesamiento del trauma de parto y fobias múltiples durante la formación de la matriz de identidad
Working with groups of children in social institution - PGI-EMDR, childhood trauma and EMDR, psychodrama. The articulation of methodological work in psychodrama and EMDR, processing the trauma of birth and multiple phobias during the formation of the identity matrix [The experience of Working with the protocol team member with groups of children in disasters. Working with groups of children in social institution - PGI-EMDR, childhood trauma and EMDR, psychodrama. The articulation of methodological work in psychodrama and EMDR, processing the trauma of birth and multiple phobias During the formation of the identity matrix]
This doctoral project and brochure is meant to provide an understanding of the effects of trauma on law enforcement officers in order to provide insight and treatment strategies for this population. Effects of culture and diversity within the law enforcement community are discussed. The following chapters review various aspects impacting the research such as a brief history of trauma, Posttraumatic stress disorder within the law enforcement community, officer resiliency, coping, cognitive behavioral treatment strategies, EMDR, positive psychology, community psychology, critical incident stress debriefing as well as biological-based treatments. Treatment modalities and research for mental health professionals working with law enforcement are discussed. Evidenced-Based treatment methods are reviewed as well. The implications of this project are reviewed, as well as the limitation and further suggestions for future research.
I am surprised at the wide-eyed naivete with which Janelle Brown has eaten up all of
the praises lavished upon EMDR without taking a critical look at the controversy
surrounding this treatment. EMDR may be a good treatment for trauma/PTSD but it
also has many detractors within the psychological community who argue it is nothing
more than classic cognitivehehavioral techniques slickly repackaged and sold to a
desperate populace looking for a quick fix.
Posttraumatic stress disorder (PTSD) is an anxiety disorder that occurs after severe psychological stress,
e. g., assault, combat, natural disasters, terrorism, or other stressors. The stressor induces intense fear or
helplessness in the patient. Three symptom clusters are included in DSM-IV criteria for PTSD:
re-experiencing the traumatic event, avoidance of reminders of the event and psychological numbing,
and hyperarousal symptoms.
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.
In this article, the authors review the current empiric literature on early interventions. Findings on the effects, course, help-seeking, and recovery from disasters are first reviewed, with recommendations given that are pertinent to intervention following mass casualties. In reviewing the most commonly used interventions, it is clear that evidence from well-controlled studies showing that early intervention can help prevent longer-term problems is limited. The authors discuss the approaches that have received the most attention or empiric support as early interventions following trauma, which include psychologic debriefing, cognitive-behavioral interventions, eye movement desensitization and processing (EMDR) and other neoteric approaches, and psychopharmacology. At this time, the most promising results for prevention of psychopathology have been achieved with brief four- or five-session cognitive-behavioral therapy. In contrast, randomized clinical trials on psychologic debriefing currently suggest that this approach is either ineffective at preventing psychopathology, or contributive to PTSD symptoms. Research support is currently lacking for EMDR and pharmacotherapy as early interventions. A major challenge to the field is to integrate the practical experience and knowledge of professional responders with well-controlled, timely intervention research, and to effectively disseminate these findings to practitioners in the field. [Author Abstract]
Trauma
Aid
is
a
non-‐profit
association
whose
major
aim
is
to
improve
the
quality
of
trauma
treatment
of
people
who
have
been
exposed
to
violence
and
other
forms
of
extreme
psychological
distress.
Project
Mekong
was
established
in
response
to
the
living
circumstances
of
the
target
region
populations
of
Thailand,
Cambodia,
Myanmar
and
Indonesia
whose
experiences
have
been
shaped
by
natural
disasters,
military
conflicts
and
acts
of
interpersonal
violence.
The
main
objective
of
this
EMDR
Humanitarian
Assistance
Programme
(EMDR
HAP)
project
is
to
establish
an
integrated
training
program
for
the
treatment
of
PTSD
for
therapists
in
the
Mekong
region
and
Indonesia.
The
project
commenced
in
early
2011
and
offers
a
unique
layered
approach
by
offering
five
different
training
levels,
training
participants,
EMDR
facilitators
in
training,
EMDR
supervisors
in
training,
EMDR
trainers
in
training,
and
continuous
professional
development
of
existing
EMDR
trainers.
Within
the
training
program
there
are
over
60
participants
from
eleven
different
countries.
This
culturally
rich
component
of
the
project
allows
the
bringing
together
of
personal
resources,
creativity
and
a
wealth
of
experiences
between
the
project
participants
and
the
training
team.
The
purpose
of
this
presentation
is
to
outline
some
of
the
audit
data
being
collected
by
training
participants
with
the
clinical
work
with
clients
and
provides
an
insight
into
how
EMDR
is
being
successfully
applied
with
trauma
populations
within
the
Mekong
region.
Trauma
Aid
es
una
asociación
sin
ánimo
de
lucro
cuyo
objetivo
principal
es
el
de
mejorar
la
calidad
del
tratamiento
para
trauma
de
personas
expuestas
a
violencia,
así
como
a
otras
formas
de
angustia
psicológico
extremo.
El
Proyecto
Mekong
se
estableció
como
respuesta
a
las
circunstancias
de
vida
de
las
poblaciones
de
la
región
diana
en
Tailandia,
Camboya,
Birmania
e
Indonesia,
cuyas
experiencias
han
sido
conformadas
por
las
catástrofes
naturales,
conflictos
militares
y
actos
de
violencia
interpersonal.
El
objetivo
fundamental
de
este
proyecto
del
Programa
de
Ayuda
Humanitaria
de
EMDR
(EMDR
HAP,
por
sus
siglas
en
inglés)
consta
de
implantar
un
programa
de
formación
integral
para
el
tratamiento
de
TEPT
para
los
terapeutas
en
la
región
del
Mekong
e
Indonesia.
El
proyecto
tuvo
su
comienzo
a
principios
del
año
2011
y
ofrece
un
planteamiento
singular
por
capas
al
proporcionar
cinco
niveles
distintos
de
formación:
la
formación
de
participantes,
facilitadores
de
EMDR
en
formación,
supervisores
de
EMDR
en
formación,
formadores
de
EMDR
en
formación
y
desarrollo
profesional
de
los
formadores
de
EMDR
ya
existentes.
Dentro
del
programa
de
formación,
existen
más
de
60
participantes
de
once
países
diferentes.
Este
componente
del
proyecto
tan
rico
en
cultura
permite
aunar
recursos
personales,
creatividad,
así
como
una
plétora
de
experiencias
entre
los
participantes
en
el
proyecto
y
el
equipo
a
cargo
de
la
formación.
El
propósito
de
esta
presentación
es
el
de
esbozar
algunos
de
los
datos
de
auditoría
que
se
están
recabando
por
parte
de
los
participantes
en
formación
con
el
trabajo
clínico
con
clientes
y
dar
mayor
conocimiento
y
perspectiva
acerca
de
cómo
se
está
aplicando
EMDR
con
éxito
en
poblaciones
traumatizadas
dentro
de
la
región
del
Mekong.
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.
Objective: The authors present a multidimensional meta-analysis of studies published between 1980 and 2003 on psychotherapy for PTSD. Method: Data on variables not previously meta-analyzed such as inclusion and exclusion criteria and rates, recovery and improvement rates, and follow-up data were examined. Results: Results suggest that psychotherapy for PTSD leads to a large initial improvement from baseline. More than half of patients who complete treatment with various forms of cognitive behavior therapy or eye movement desensitization and reprocessing improve. Reporting of metrics other than effect size provides a somewhat more nuanced account of outcome and generalizability. Conclusions: The majority of patients treated with psychotherapy for PTSD in randomized trials recover or improve, rendering these approaches some of the most effective psychosocial treatments devised to date. Several caveats, however, are important in applying these findings to patients treated in the community. Exclusion criteria and failure to address polysymptomatic presentations render generalizability to the population of PTSD patients indeterminate. The majority of patients posttreatment continue to have substantial residual symptoms, and follow-up data beyond very brief intervals have been largely absent. Future research intended to generalize to patients in practice should avoid exclusion criteria other than those a sensible clinician would impose in practice (e.g., schizophrenia), should avoid wait-list and other relatively inert control conditions, and should follow patients through at least 2 years. [Author Abstract]
Erratum in American Journal of Psychiatry 2005, Apr, 162(4), 832 and 2006, Feb, 163(2), 330
Working with trauma, therapists must be aware of different community fabrics, support systems, cultural metaphors, and belief systems that may
be different from their own. Participants will be able to identify Why, How and When combinations of modalities, including EMDR can be tailored for maximum effectiveness to specific populations. Illustrations include Latin American, European and American populations living with trauma as a result of terrorism. Additional vulnerabilities of the therapist who share past trauma histories or work in the same current environment
under the threat of terrorism will be addressed.
Narrative family therapy is the study of individuals, systems and the research on origins, development and
transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could
symbolically represent an entity, both individual and collective, and express a personal identification, a family tie,
a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is
a process to “get out” from the person any element or quality that is transformed in some with entity. In
psychotherapy, externalising is the use of language to convert problems that affect person or family on to
independent entity. This transformation allows people to fight against them or to view them from a new
perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family
entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create
a link between the child history and the family history in order to cope with difficulties that children and families
find after adoption. We use tales inside the symbolic techniques that permits families work together with
meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases
with families that have adopted a child. During the treatment we have combined EMDR and narrative family
therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and
benefices of EMDR and narrative therapy in these family processes.
The trauma field can be proud of having evidence-based effective
psychotherapy protocols for PTSD. Especially CBT and EMDR have
been recognized as first choice treatments (NICE Guidelines 2005).
However, having these protocols available new questions that need
to be answered are emerging. There is no large scale evidence yet on
phase 4 implementation showing its effectiveness. Too many patients
drop out of treatment. Many patients suffer from comorbid conditions.
The question on how research outcomes on the biology of
PTSD should be translated into different psychotherapeutic
approaches is a rather new one. Especially, is habituation still the
correct fundament of exposure in PTSD, or should it be replaced by
the concept of extinction? A third question is the mixed feeling in
many societies about the concept of PTSD and it´s consequences in
the need for treatment. Especially after disasters, but also after
domestic violence, treatment can be seen as the avoidance of society
to punish the responsible ones or to ask for material compensation.
These questions will lead to find new directions for the psychotherapy
protocols, for the combination with biological routes of intervention
and for the societal acceptance of treatment for PTSD.
After the publication of the preceding article, "What is EMDR?", the editors
of the Harvard Mental Health Newsletter were deluged with letters of protest.
They wrote back to one correspondent, "We have received so many thoughthful
criticisms of the Herbert and Meuser piece that we now believe we made a
mistake in publishing it. Somehow, nobody on our Editorial Board knew
enough about this to scotch their piece." Therefore, the editors chose one of
the letters (shown below) to help set the record straight. Clearly, however,
the article caused an unwarranted dissemination of misinformation among
the Lay and professional community.
Resiliência é um conceito que se utiliza para explicar fenômenos psicossociais referidos a indivíduos e grupos que superam ou transcendem situações adversas. O EMDR estimula o sistema de informações disfuncionais. Assim, acelera o processamento de informações traumáticas e possibilita que se manifestem emoções e insights apropriados e saudáveis, ou seja: resilientes. Pretendo compartilhar minha experiência em dois casos distintos: com desabrigados das catástrofes naturais em Nova Friburgo, que ocorreu em janeiro de 2011, e com funcionários da Escola Municipal Tasso da Silveira/RJ, onde um atirador matou 11 crianças. Apresento o EMDR como pedra angular de uma psicoterapia que pode ajudar a identificar aspectos resilientes, que permitam a integração dos elementos cognitivos, emocionais e traumáticos, favorecendo o enfrentamento das perdas, rupturas e situações de extrema tensão, características das pessoas que vivenciam situações de grandes choques emocionais e enorme sofrimento. O EMDR, nesses casos, tem se mostrado de grande ajuda para que o indivíduo encontre o elo de ligação entre a vida “até ontem” e a vida “de amanhã”, resignificando o momento atual, fortalecendo a possibilidade de alteração dos rumos de sua vida e prevenindo os TEPTs.
Resilience is a concept that is used to explain psychosocial phenomena referred to individuals and groups that transcend or overcome adverse situations. EMDR stimulates the information system dysfunctional. Thus, speeds processing of traumatic information and makes it possible to express emotions and insights appropriate and healthy, ie: resilient. I intend to share my experience in two different cases: with homeless natural disasters in New Freiburg, which occurred in January 2011, and with officials of the Municipal School Tasso da Silveira / RJ, where a gunman killed 11 children. I offer EMDR as a cornerstone of a psychotherapy that can help identify aspects resilient, allowing the integration of cognitive, emotional and traumatic, favoring coping with loss, breakage and situations of extreme stress, characteristics of people experiencing situations of great emotional shock and immense suffering. EMDR in such cases has proved of great help for the individual to find the link between life "until yesterday" and life "tomorrow", redefining the present time, strengthening the possibility of changing the course of his life and preventing TEPTs.
Trauma-generated OCD repeats the trauma through its own ritual behavior patterns. This altered state re-traumatizes the core personality through the repetition of rituals similar to the original trauma. The presenters hypothesize that trauma-based OCD is an altered state not co-morbid with diagnosis for dissociative disorders. This OCD persona served the dissociative adult cope with traumatic memories changing and influencing reactions to ongoing trauma, life choices, and other behavior patterns.
This aim of this workshop is to focus on the development of trauma-based, anxiety-motivated dissociative states. Life in the shadow of chronic anxiety stemming from living under constant and consistent life-threatening conditions produces a (sub)-population of persons suffering from PTS/D. The anxiety and fear from elements of unprocessed traumatic events are retained and embedded in the body and are repeatedly triggered in daily life. This PTSD population dissociates into anxiety-based altered states ranging along a continuum from mild tension to phobias, panic attacks, denial, PCD, aggression, indifference and apathy and finally full blown trauma generated OCD.
The presenters provide cross-cultural examples demonstrating how ongoing threat of man-made or natural disasters often leads to a dissociative OCD state. Case examples are explored which demonstrate how processing with EMDR effectively enables resolution and change. EMDR is particularly useful in processing the “anxiety” via current behavior patterns.
Objectives: 1) to examine the co-morbidity aspects of trauma-based OCD and dissociation 2) to present the parallel continuums of types of stress and anxiety (on the intensity and severity axis 3) to compare the differences and similarities in behavioral patterns in different cultures under the stress of constant threat of annihilation (man-made vs. natural threats) 4) to demonstrate the effectiveness of EMDR on trauma induced OCD, through case illustration and discussion.
In the letter to the editor titled “On Science, Orthodoxy,
EMDR, and the AIP,” the writer criticizes the
EMDRIA’s defi nition of eye movement desensitization
and reprocessing (EMDR). This defi nition affects
EMDR training requirements, EMDRIA continuing
education credits, the programs selected for the annual
conference, and the work of the Journal for EMDR
Practice and Research. The defi nition was put into place
in 2003 in order to set the professional standard for
the community. It has been revised once and, like all
policies, is subject to further revision based on new
information.
Post-traumatic stress disorder (PTSD) is a disorder which can develop following exposure to one or more severely traumatic events. Symptoms experienced by PTSD suffers include re-experiencing the trauma through intrusive ‘flashbacks’ and recurrent dreams or nightmares, distress when exposed to reminders of the trauma, hyperarousal and emotional blunting. These symptoms can cause significant impairment of function and reduction in quality of life for suffers. Both psychotherapies, including cognitive behavioural therapies (CBTs) and eye movement desensitisation and reprocessing (EMDR), and pharmacotherapy are used in the treatment of PTSD.
Method
We audited patients with PTSD in Bedford East performed in November 2008. A re-audit was performed using data from August 2010 patient database. Demographic information, risk factors, co-morbidities, psychological therapy and pharmacotherapy were compared between these audit and re-audit.
Results
There is increased use of antidepressant augmentation between 2008 and 2010. While no patients in 2008 were on antidepressant augmentations, by 2010, 9 patients were. All 25 patients on anti-psychotics have important identified risk factors. There is no evidence of Psychosis in our PTSD patients except in two cases. There is an increase in Anti-psychotic use in our PTSD Patients. There is an increased use of Mood Stabilisers in our patients with PTSD.
Discussion
PTSD is being identified more frequently in our patients, probably because of greater awareness and more accurate identification.
Conclusion
New patients being identified represent a group of more difficult to treat patients who represent severe risks. Present psychotherapies offered are not all recommended in present guidelines.
El panel hablará de las distintas intervenciones
con EMDR usadas en situaciones de catástrofe
alrededor del mundo.
The panel will discuss the various interventions
EMDR used in disaster situations
around the world.
This report describes the results of a long term (3 years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting.
Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to pedophilia and a detailed report of one case study.
In this case study we describe the nature of the crime, the evolution of the offender’s pathology and cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions.
To overcome any difficulties that a prison setting imposes on the treatment process we have thought to make this treatment option entirely voluntary, with the subject beeing offered not other‚ incentive‚ than a free choice to have the opportunity to ‚looking into himself‘.
In this report we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison only two years ago compaired to the four years of follow up in the case study; each of these four subjects appears to be doing well in living a fully integrated life outside of prison.
It is ous view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected with sexual deviance.
This report describes the results of a long term (three years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting.
Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to the pedophilia, and a detailed report of one case study.
In this case study, we describe the nature of the crime, the evolution of the offender’s pathology, and the cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions and EMDR treatment.
To overcome any difficulties that a prison setting imposes on the treatment process, we have sought to make this treatment option entirely voluntary nature with the subject being offered no other “’incentive’ than a free choice to have the opportunity to “looking into himself.’
In this report, we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison but have a shorter follow up period. Each of these four subjects has now completed their prison sentence and appears to be doing well in living a fully integrated life outside of prison.
It is our view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected to sexual deviance.
EMDR is one of only three methods recommended for treatment of terror victims.
“Post traumatic stress” contains all the features required to mark an epoch. To start with, it has a long prehistory under the name of traumatic neurosis, which includes all the debates about trauma and its etiological value, a “narrative” (here’s another one) that began with Freud and have still not finished.
As a coined label (post traumatic stress disorder, PTSD) is fairly recent, appears about the 80ties in the DSM-III, ranged in the chapter on Anxiety Disorders, although some doubts have later been raised about this classification, since PSTD could also be included under Major Depression or also Dissociation. Finally, PSTD has triggered a proliferation of methods to treat it, based on advances in general psychology and neuroscience.
Suffering PTSD means that the person affected has experienced, witnessed, imagined or listened about one or more events entailing deaths or threats to his or another one’s safety, and has reacted with fear, helplessness and horror leaving intense negative feelings warded off into his emotional memory, stored in the limbic system. Traumatic scenes may come from either natural disasters, or caused by terrorist acts, of being involved in violent situations, such as war veterans or out of having suffered physical and sexual violence, such as abused children or women
This presentation provides a collective body of
knowledge helpful for EMDR clinicians in
understanding disaster response at sites both in
post-Katrina operations in Louisiana and 911 operations in New York City. The presentation will
include information learned by EMDR
Humanitarian Assistance Program (HAP)
volunteers in establishing an on-site network for trauma recovery clinicians serving in Louisiana.
Lessons learned include establishing initial onsite networks, noting key contact persons, and
networking with local agencies in providing
EMDR services. EMDR Consultation and the
importance of daily debriefings of the clinical
work will be discussed. Differences in protocols
such as EMD, Recent Events Protocol, and
EMDR, as they relate to the timing of the trauma
will be outlined. The importance of practicing
healthy self-care and avoiding burnout will be
noted. A summation will include the similarities
and differences between the EMDR community-based
intervention project in New York City with
responders and civilian following 9/11 and the
post-Katrina HAP project with first responders in
Louisiana.
This book, written by contributors from the Institute of Psychiatry in London, represents the fruits of ten years of working with survivors of accidents and disasters. It contains a coherent approach to the psychology underpinning their stress reactions, and places these disorders within a broad social psychological perspective. It applies many of the latest insights from experimental cognitive psychology to the experiences of the survivors. [Adapted from Preface]
To investigate the posttraumatic growth and its impact factors in victims having experienced Wenchuan earthquake and
living in community in one of the most severe disaster area. With the Impact of Event Scale- Revised (IES-R), Posttraumatic
Growth Inventory (PTGI) and questions about the objective and subjective influences (e.g. economic loss, personal feelings)
of the earthquake to the subjects, data were collected from 2403 victims living in a temporary community of Pengzhou,
a severe disaster impacted area. 2106 valid questionnaire were analyzed for the related factors influencing posttraumatic
growth.
The age of subjects and PTSD symptoms could predict posttraumatic growth significantly. Both objective and subjective
influence of the earthquake on victims contributed significantly to posttraumatic growth, whereas they became less or not
significant when PTSD symptoms were accounted into the regression model. PTSD symptoms were the most important factor
to predict posttraumatic growth; economic loss for individual experiencing the earthquake could also predict posttraumatic
growth stably.
The occurrence and impact of terrorist attacks can be dramatic and long lasting. Cognitivebehavioral
interventions are effective in alleviating posttraumatic stress disorder (PTSD) in
survivors of rape, wartime combat, automobile accidents, and natural disasters. Effectiveness
of such interventions on victims of terrorist attacks is in the early stages of research. On
September 11, 2001, two hijacked planes crashed into the twin towers in New York City,
killing approximately 2,750 people and emotionally and physically affecting thousands who
witnessed or escaped the attack. This case study illustrates a course of 12 active prolonged
exposure (PE) sessions for PTSD with a female survivor. After 15 sessions (3 of which were
preparatory), the client improved 75%, as measured by a composite score of measures. Her
reported quality of life had improved dramatically posttreatment and remained stable at 6-month
follow-up. This cognitive-behavioral therapy intervention, with 15 office sessions and homework
assignments for decreasing avoidances, is described and discussed.
O EMDR-IGTP tem sido usada em seu formato original ou com adaptações para atender às circunstâncias em ambientes ao redor do mundo. Relatos de casos de DST e estudos de campo documentada eficácia com crianças e adultos após catástrofes naturais ou provocadas pelo homem e de guerra durante o trauma contínuo. Este protocolo pode ser utilizado efetivamente como adultos com uma intervenção precoce na fase aguda da resposta pós-traumático por redução de sintomas de estresse pós-traumático e auto-relato de sofrimento e poderia ser aplicado com sucesso em uma situação de curso crises geopolíticas e da violência, mantida com os efeitos durante toda a crise.
IGTP-EMDR has been used in its original format or with adaptations to meet the circumstances in environments around the world . Reports of cases of STD and field studies documented effectiveness with children and adults after natural disasters or man during the war and ongoing trauma. This protocol can be used effectively as adults with early intervention in the acute phase response by reducing post-traumatic symptoms of post-traumatic stress and self-reported distress and could be successfully applied in a situation of ongoing geopolitical crises and violence, with the effect maintained throughout the crisis.
Objetivos de aprendizaje:
• Este Protocolo fue creado para responder a las
enormes necesidades de atención en salud
mental que siguieron al huracán Paulina en
1997. Desde esa fecha hasta la actualidad, se
ha aplicado tanto en desastres naturales como
provocados por el hombre en México,
Centroamérica, Sudamérica, Italia, Alemania,
Turquía, Sri Lanka, Tailandia, la India, Sumatra,
Israel, Territorios Palestinos y Uganda
Learning Objectives:
• This protocol was created to meet the
huge health care needs
mental that followed Hurricane Pauline
1997. From that date until present,
applied both in natural disasters
man-made in Mexico,
Central and South America, Italy, Germany,
Turkey, Sri Lanka, Thailand, India, Sumatra,
Israel, Palestinian Territories and Uganda.
El Reprocesamiento y Desensibilización a través del Movimiento Ocular (EMDR) por sus siglas en inglés, es reconocido como un tratamiento efectivo y eficiente para tratar asuntos relacionados con trauma. Este artículo describe la aplicación de una intervención grupal con EMDR para niños y adultos traumatizados por desastres naturales en varios países de Latinoamérica. Para ejemplificar la aplicación del modelo, se describe un estudio de campo medido formalmente y nueve proyectos piloto. Los prometedores resultados de esta intervención grupal sugieren que el EMDR es un medio efectivo para dar tratamiento a grandes grupos de personas afectadas por eventos traumáticos en gran escala (desastres naturales, terrorismo). Es necesaria más investigación controlada sobre este tema.
EMDR has been accepted as an effective and efficient approach in the treatment of trauma related issues. A model is described for using an EMDR group intervention for children and adults traumatized by natural disasters in several Latin American countries. To exemplify the application of the model, one formally measured field study and nine pilot projects are described. The promising outcomes of this intervention suggest that EMDR is an effective means for providing treatment to large groups of survivors affected by large scale traumatic events (natural disasters, terrorism, etc.). Anyway, more controlled research about this issue is needed. [Author Abstract]
The EMDR-IGTP has been used in its original format or with adaptations to meet the circumstances in numerous settings around
the world. Case reports and field studies documented its effectiveness with children and adults after natural or man-made disasters and
during ongoing war trauma. This protocol can be used effectively with adults as an early intervention in the acute phase of posttraumatic
response by reducing symptoms of posttraumatic stress and self-reported distress and it could be applied successfully in a situation of ongoing
geopolitical crisis and violence, with the effects maintained throughout the crisis.
El Protocolo Grupal e Integrativo con EMDR ha sido usado en su formato original o con adaptaciones para adecuarlo a las
circunstancias en numerosos sitios alrededor del mundo. Reporte de casos y estudios de campo han demostrado su efectividad con niños y
adultos sobrevivientes de desastres naturales o provocados por el hombre y durante trauma de guerra continuado. También ha demostrado
su efectividad con adultos como intervención temprana en la fase aguda de una respuesta postraumática reduciendo síntomas de estrés
postraumático. Ha sido aplicado exitosamente en situación de crisis y violencia geopolítica continuada, con los efectos benéficos
manteniéndose a lo largo de la crisis.
O assunto “trauma” vem adquirindo novos significados, considerando principalmente
acontecimentos sociais recentes, sejam eventos adversos, catástrofes, desastres,
sejam as situações-limite vividas pelas pessoas no cotidiano urbano. A psicologia
das emergências estuda o comportamento das pessoas nos acidentes e desastres
desde uma ação preventiva até o pós-trauma e, se for o caso, subsidia intervenções
de compreensão, apoio e superação do trauma às vítimas e profissionais do SAMU.
O assunto se estende às questões que vão desde a experiência pessoal do trauma
até os eventos adversos provocados por calamidades, sejam estas naturais e/ou
provocadas pelo homem. A psicologia das emergências é um tema de angústia
pública, sentimento difuso de mal-estar que se origina dos acontecimentos públicos
traumáticos, chamados estressores, tais como os acidentes de trânsito com vítima,
assim como os provenientes das demais situações limites de toda a violência
urbana. O trauma é uma experiência que explode a capacidade de suportar um
revés, traz a perda de sentido, desorganização corporal e paralisação da
consciência temporal, pode deixar marcas que influenciam a criatividade e a
motivação para a vida. Os objetivos nos primeiros auxílios psicológicos são de aliviar
as manifestações sintomáticas e o sofrimento, reduzindo os sentimentos de
anormalidade e de enfermidade. Um dos objetivos é a familiarização com temas
considerados complexos e muitas vezes distantes das discussões sobre trauma
psicológico, sendo que o problema da pesquisa é a compreensão da psicologia das
emergências e como colocá-la em prática. Os autores mais utilizados são Edgar
Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze e Michel Foucault, dentre
outros. São abordados os temas do não-reducionismo, da epistemologia de si
mesmo e da relação da Teoria das Representações Sociais com o EMDR
(dessensibilização e reprocessamento através de movimentos oculares). O método
desta pesquisa, com suporte na observação participante refere às questões da
complexidade, análise multirreferencial e de implicação. As técnicas mais utilizadas
foram entrevistas, grupos focais-“histórias significativas” e análise documental. É
indicado, como atitudes favoráveis pensar não a partir de algo, mas, sobretudo sobre
algo e que para mudar o modo de agir torna-se necessário modificar a imagem que
uma pessoa tenha de si próprio. Como conclusões da pesquisa, observou-se: que
as pessoas acidentadas trazem outros acontecimentos considerados difíceis junto
com o depoimento sobre o acidente, como situações de luto e de sofrimento com
familiares; que o estresse pós-traumático não é uma conseqüência inevitável do
trauma; que não há nenhuma orientação, ou rotina, nas missões de socorros e nos
documentos oficiais do SAMU sobre o tema psicologia das emergências. Também
são indicadas considerações finais sobre os temas da Síndrome de Burnout, sobre a
influência da instituição no cotidiano dos atendimentos, sobre a relação da clínica
com a psicologia social.
The subject of "trauma" has acquired new meanings, especially considering
recent social events, are adverse events, catastrophes, disasters,
are the extreme situations experienced by people in urban daily life. Psychology
emergencies studies the behavior of people in accidents and disasters
from preventive action to post-trauma and, if necessary, subsidize interventions
understanding, support and overcoming the trauma victim and professional SAMU.
The subject extends to issues ranging from the personal experience of trauma
to adverse events caused by disasters, whether natural and / or
manmade. The psychology of emergencies is a topic of anguish
public diffuse feeling of uneasiness that stems from public events
traumatic, called stressors, such as traffic accidents with victims,
as well as from the other extreme edge of all violence
urban. Trauma is an experience that explodes the ability to support a
setback, brings loss of meaning, and paralysis of body clutter
temporal awareness, can leave marks that influence creativity and
motivation for life. The goals in psychological first aid are to relieve
symptomatic manifestations and suffering, reducing feelings of
abnormality and disease. One goal is to become familiar with issues
as complex and often distant from the discussions on trauma
psychological, and the research problem is understanding the psychology of
emergencies and how to put it into practice. The authors are more used Edgar
Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze and Michel Foucault, among
others. Issues are addressed in the non-reductionism, the epistemology of self
and even the relationship of the Theory of Representations to EMDR
(Desensitization and reprocessing through eye movements). The method
this research, supported in participant observation matters relating to
complex, multi-referential analysis and implication. The most used techniques
were interviews, focus groups, "meaningful stories and documentary analysis. It
indicated as positive attitudes to think not from something, but mainly on
something and to change the mode of action becomes necessary to modify the image
a person has of himself. As the survey findings revealed the following: that
rugged people bring other events to be difficult with
with testimony about the accident, as situations of grief and suffering with
family, whereas the post-traumatic stress is not an inevitable consequence of
trauma, there is no guidance, or routine tasks in the relief and
SAMU official documents on the subject of psychology emergencies. Also
concluding remarks are given on the topics of the Burnout on the
influence the institution in the routine of care, about the relationship of clinical
with social psychology.
Negli ultimi 30 anni abbiamo assistito ad un crescente interesse e sviluppo della Psicologia dell’Emergenza. Nel 1983 Mitchell e collaboratori hanno strutturato un programma sistematico e globale di gestione della crisi (Critical Incident Stress Management). L’EMDR integra, orienta e aumenta l’efficacia degli interventi psicologici nei contesti d’emergenza. All’interno di questo quadro teorico di riferimento è stato progettato e implementato l’intervento di supporto psico-sociale a seguito dell’incidente stradale del 20 gennaio 2008 avvenuto a Viggiù (VA). L’incidente Critico, avvenuto durante il rientro da una festa di paese sotto gli occhi di centinaia di persone, ha comportato 13 feriti con ospedalizzazioni e conseguenze mediche di differenti livelli di gravità e il decesso di una ragazza di 14 anni. I destinatari di tale intervento, commissionato e concordato con l’amministrazione comunale di Viggiù, sono stati: le vittime primarie dell’incidente, i loro familiari, gli operatori dell’emergenza e tutta la comunità coinvolta nel tragico evento. In base al livello di traumatizzazione delle vittime (Taylor et al.) e al timing dell’intervento sono state utilizzate diverse tecniche d’intervento quali: EMDR, primo soccorso psicologico, incontri psico-educazionali e Critical Incident Stress Debriefing. Le sessioni EMDR hanno rappresentato il cuore dell’intervento con le vittime primarie e i loro familiari. Il timing seguito per tali sessioni è stato il seguente:
1. due settimane dall’Incidente Critico: Valutazione testistica Psicodiagnostica (SCID I e IES-R) Posto al Sicuro, psicoeducazione;
2. un mese: 2-3 sessioni EMDR sul target più disturbante rispetto all’Incidente; Valutazione testistica;
3. 3 mesi: 2-3 sessioni EMDR sui trigger presenti e sul futuro; valutazione testistica.
Over the past 30 years we have witnessed a growing interest and development of Psychology emergency. In 1983, Mitchell and colleagues have a structured and systematic program
Comprehensive Crisis Management (Critical Incident Stress Management). EMDR integrates, directs and increases the effectiveness of psychological interventions in emergency contexts. Within this theoretical framework has been designed and implemented the intervention of psychosocial support Social following the road January 20, 2008 occurred in Viggiù (VA). The incident Critically, during the return from a village festival in the sight of hundreds of people, resulted in 13 hospitalizations and injuries with medical consequences of different levels of severity and
death of a girl of 14 years. The recipients of the action commissioned and agreed with the municipal administration of Viggiù, were: the primary victims of the accident, their family members, emergency workers and the whole community involved in the tragic event. Based the level of trauma victims (Taylor et al.) and the timing of the intervention were used different techniques
intervention such as EMDR, psychological first aid, psycho-educational meetings and Critical Incident Stress Debriefing. EMDR sessions have represented the heart surgery with the primary victims and their families. The timing for follow these sessions was as follows: 1. two weeks of the Accident Critical: Guest testistica Psicodiagnostica (SCID I and IES-R) safe place, psychoeducation; 2. month: 2-3 EMDR sessions on the target more disturbing than the accident; Guest testistica; 3. 3 months: 2-3 sessions EMDR triggers present and future; evaluation testistica.
Since there were only a very few specialised trauma therapists in the region in the beginning of the "PTSD-Unit", we had to treat all kinds of type-I and type-II trauma around, that is:
victims of technical or natural disasters, of car accidents and accidents at work, especially the victims of bank robberies whose number has risen enormously in the area since the political change in 1989. Beside that we treated clients after they had learned the diagnosis of a life-threatening disease, for example a cancer - diagnosis, and people who were suffering from traumatic grief, because they were bereaved of their loved ones under particularly traumatic circumstances, for example after the explosion at Djerba last year.
Called Eye Movement Desensitization and Reprocessing (EMDR), the technique is a psychological method for treating emotional problems ranging from traumatic events such as combat stress, assaults and natural disasters, to upsetting childhood events and anxiety disorders.
Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims: Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method: The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results: The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions: Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions (BJPsych).
Poster outlines the work accomplished by the Brazilian Association of Psycholgical Humanitarian Aid Program
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]
The effort to categorize psychotherapeutic treatments according to their efficacy has in the past decade led to a number of lists of empirically supported treatments (ESTs; Chambless and Ollendick 2001). With regard to trauma, the primary treatments that have undergone the rigorous empirical testing necessary to be included in lists of ESTs (e.g., Nathan and Gorman 1998; Roth and Fonagy 2005) are largely cognitive—behavioral treatments and eye movement desensitization and reprocessing (EMDR; Shapiro 1995). Nevertheless, there are many indications that clinicians in the community use psychodynamic psychotherapy for treating trauma. A recent guideline for psychiatrists on the treatment of PTSD notes clinical consensus on the usefulness of psychodynamic psychotherapy in treating certain types of trauma, particularly in cases where interpersonal functioning is substantially impacted (APA 2004). Empirical research reveals that many clinicians in the community employ psychodyna
Mental trauma refers to mental damnification made by some direct extra force(living event)or strong emotion hurt, especially the strong affective reaction induced by natural and man-made disasters related to these living events.The assessment of trauma, at present,just uses questionnaire or scale, like Traumatic Stress Schedule, Traumatic Events Questionnaire, etc. This article introduces some psychotherapy models and theories about trauma, such as dynamic psychology psychotherapy, Eye-Movement Desensitization and Reprocessing (EMDR),integration and development treatment model, virtual reality technique,as well as drawing therapy, dancing therapy, reading and creating therapy.
The question of how early to intervene with EMDR in the face of natural and manmade disasters has been an important part of the dialogue of those working in this field. Early EMDR intervention, before consolidation of the memory has taken place, may influence adaptive integration (e.g., process sticking points), promote positive coping (especially if this is not occurring spontaneously), and contribute to the development of resilience. Informed by the work of Francine Shapiro, Roger Solomon, and all of the friends and colleagues in the field who have contributed to the evolution of their thinking and practice and following clinical and empirical experience with early EMDR intervention (EEI) in the wake of the 2006 Lebanon war, the authors have observed that the existing EEI protocols appear to focus on certain aspects or parts of the traumatic episode along an approximate time line continuum following a trauma, in accordance with the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (APA, 2000). They concluded that the unfinished processing of recent traumatic events may require a broader focus than existing EEI protocols provided. They propose a new protocol called the Recent- Traumatic Episode Protocol (R-TEP), which incorporates and extends the existing EEI protocols by providing a new comprehensive, integrative protocol. The R-TEP thus bridges the gaps left by previous protocols and facilitates a transition from the EMD and RE protocols to the Standard EMDR Protocol. The R-TEP takes the wisdom of the Standard EMDR Protocol (Shapiro, 1995, 2001), and applies it in adapted form for recent events to provide a comprehensive approach to Early EMDR Intervention. After describing the main issues in early EMDR intervention, the authors present the Recent-Traumatic Episode Protocol and the Episode Narrative and Initial Goodle Search Script. The EMD Protocol for R-TEP Script adapted from the EMD Protocol by Shapiro (1995) is also presented, as is the Standard EMDR Protocol Script (Adapted from the Standard EMDR Protocol for R-TEP, Shapiro, 2001). [PsycINFO Database]
Objectives: Following road traffic accidents (RTAs) psychological problems are common and can cause long-term disability. Whilst both trauma-focused cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have proved successful in treating such problems there is currently no clear evidence supporting one treatment over the other. Previous comparisons of these treatments have been based on small samples. The present research aimed to explore the relative efficacy of CBT and EMDR in treating psychological trauma resulting from RTAs in a large sample.
Design: Patients who had previously been involved in an RTA were referred to a psychological rehabilitation provider and received treatment with either CBT or EMDR by accredited therapists. The treatments were compared on drop-out rate number of sessions required for completion of treatment therapist rating of success and a number of widely used psychometric measures which were administered at assessment and again at the end of treatment.
Methods: A total of 1179 referrals were made of which 435 met the inclusion criteria and proceeded to treatment. These patients presented with a range of psychological trauma symptoms resulting from RTAs which had occurred an average of 21 months previously. Posttraumatic stress disorder (PTSD) was diagnosed in 51 per cent of patients with the remaining patients presenting with travel anxiety depression general anxiety and other psychological conditions. Outcomes were assessed in the whole sample and separately for those with a diagnosis of PTSD.
Results: No differences emerged between the treatments on any outcome measure both for patients diagnosed with PTSD and for those with other trauma-related symptoms. Both CBT and EMDR resulted in large improvements in self-rated symptoms as assessed using the psychometric measures and in both groups over 80 per cent of cases were rated by the therapist as successful or having made good progress by the end of treatment. The CBT group required an average of 9.1 sessions and the EMDR group required an average of 9.9 sessions. Reliable change indices showed that over 80 per cent of patients made clinically significant improvements in both treatment groups.
Conclusions: In conclusion both CBT and EMDR proved to be effective treatments for psychological trauma resulting from RTAs but no differences emerged between them in terms of efficacy patient compliance and number of sessions required. Psychological trauma following RTAs is eminently treatable in the community when treatment is offered by trained CBT or EMDR therapists.
This is an open meeting to: 1) facilitate networking among EMDR Researchers; and 2) generate ideas on how EMDRlA might best be able to
support the needs of the EMDR research community. All EMDR researchers and those interested in doing EMDR research in the future (eg., students, clinicians, aspiring to do research, academics training future EMDR researchers) are encouraged to attend.
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].
Lo status attuale dell’EMDR nel mondo della psicoterapia è sempre in evoluzione, nonostante gli sviluppi positivi degli ultimi 10 anni. Le sfide arrivano dal campo del trattamento del trauma sia nell’ambito dell’EMDR che dal mondo accademico della Psicologia e della Psicoterapia. Queste sfide potrebbero aiutare a cambiare il corso del-l’EMDR e a portarlo a svilupparsi con modalità nuove ed entusiasmanti.
La presentazione si focalizzerà sulle grandi possibilità che la comunità EMDR possiede per far diventare l’EMDR il metodo multidisciplinario di cambiamento del 21° secolo, sia nell’ambito della psicoterapia tradizionale (Salute Mentale) che in altri campi come la Medicina, l’Educazione, lo Sport e il Lavoro.
Altri aspetti che verranno affrontati sono quelli della formazione e accreditamento dei professionisti che applicano l’EMDR in Europa e a livello internazionale.
Durante la presentazione si analizzeranno le modalità con cui il terapeuta EMDR così come il ricercatore possono lavorare per far realizzare la visione non solo del ruolo, ma anche del contributo che può dare in futuro l’EMDR alla psicoterapia.
The present status in the world of psychotherapy, EMDR is always evolving, despite the positive developments of the last 10 years. The challenges come from the field of treatment of trauma is
EMDR in which the academic world of psychology and psychotherapy. These challenges could help change the course of l'EMDR-and help them develop ways new and exciting.
The presentation will focus on the great opportunities that the community has to EMDR become the EMDR method multidisciplinary change in the 21st century, both within the
traditional psychotherapy (mental health) than in other fields such as medicine, education, the Sport and Work. Other issues to be addressed are those of training and accreditation of professionals
applying EMDR in Europe and internationally. During the presentation will analyze the ways in which the therapist as well as EMDR Researchers can work to achieve the vision not only of the role, but also the contribution that can give in the future EMDR psychotherapy.
This thesis attempts to provide an up-to-date overview of school-based intervention programs for symptoms of traumatic stress. The objectives were: 1) to identify school-based intervention programs for preventing or reducing symptoms of traumatic stress, 2) to examine the effectiveness of the intervention programs, and 3) to identify the accordance of the intervention programs with three current theories of posttraumatic stress disorder (PTSD). The three main academic databases used to locate the studies for this thesis were ERIC, PsycINFO, and MEDLINE. Inclusionary/exclusionary criteria included: 1) use of a control group, 2) use of randomized/quasi-experimental design, 3) school setting, 4) participant exposure to a traumatic event, 5) targeted at the prevention/ reduction of symptoms of traumatic stress, 6) use of standardized instruments, and 7) not targeted Type II trauma. Using these criteria, 19 studies conducted in 11 different countries were selected. Unfortunately, school-based studies conducted in Norway were not located. The selected studies dealt with various types of trauma exposure such as natural disasters, community violence, and war. Fourteen of the studies used cognitive-behavioral therapy (CBT) methods as the main treatment approach. Other treatment approaches used included Eye Movement Desensitization and Reprocessing (EMDR), mind-body techniques (e.g., guided imagery, relaxation techniques, and meditation), play therapy, art therapy, and drama. The findings of this thesis suggest that intervention provided within the school setting can be effective in helping children and adolescents following a variety of traumatic events. The majority of the studies had good results in relation to reducing symptoms of PTSD. Of the 19 studies, 14 had effect sizes in the medium to large range. Most of the intervention programs were found to be in accordance with the treatment recommendations of the three theories presented; however, none appeared to be explicitly based on the theories.
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).
The time of an expert “treating” a passive victim has passed, and people are searching for ways that they can influence their own path to recovery following traumatic events. There is a general move towards empowerment for individuals and groups within modern health care. This workshop will provide examples of self-help methods that can be used in the wake of disaster and reduce the need for psychotherapeutic assistance. The methods will add to the ‘”toolbox” for the helper that can be taught to individuals or groups to reduce the untoward effects of trauma. Following disasters there will be many who need more than self-help methods and the workshop will provide a variety of examples of how the use of trauma and grief-specific methods, including EMDR, can be applied.
Firstly, the perceived needs of
victim/survivors are identified. Secondly, literature
on the existing interventions that are perceived to
address these needs, and data on their effectiveness
are reviewed. Currently, most of these interventions
are therapeutic or counselling interventions. Finally,
data on the services that currently provide these
interventions, with patterns of service usage, barriers
to using these services, and the characteristics of these
services that victim/survivors find particularly valuable
are identified. The paper will end by making some
recommendations for primary health care providers
working with victim/survivors of sexual assault.
The paper employs a gendered, health and human
rights perspective and an ‘ecological framework’
to inform the overall aim of investigating current
intervention programs for victim/survivors of sexual
assault. A multilevel ecological perspective informed
This paper begins to address this gap by providing a summary of the international
and national literature that exists on sexual assault services. The paper focuses by a gender and human rights perspective is considered
the most appropriate model for understanding
interpersonal violence including sexual violence
(Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002). The
ecological framework recognises the multifaceted
nature of sexual violence and encourages exploration
of the relationship between individual and contextual
factors. Sexual violence is seen as the product of
multiple levels of influence on behaviour from the
level of the individual, to relationships, community
and society.
Foreword: Posttraumatic Stress Disorder (PTSD) which is an abnormal response to extremely stressful event is becoming increasingly common in Sri Lanka. The reason for this increase can be attributed to various social upheavals that we have experienced in the past three decades in our country. The War in the North, the two insurrections in the South of the Country, the increase in violence in households and in the community have all contributed to the increase of PTSD in our society. In addition to man made trauma, we have experienced an immense natural disaster of 2004 Tsunami.
This book on PTSD – Shell Shock to Palali Syndrome, PTSD Sri Lankan Experience gives an outline on the development of the concept and discuss in detail the clinical presentation illustrated with many case studies. This book also presents the different methods of management used in PTSD.
The author with his clinical experience in medicine and psychology has documented his thoughts about the subject in a simple and reader friendly manner.
Dr Neil Fernando MBBS MD
Consultant Psychiatrist of the Sri Lanka Army
Former (Act) Director Mental Health
Government of Sri Lanka
The presentation describes post-traumatic stress reactions in children victims of mass
disasters and the application of EMDR as an early trauma-focused treatment with them.
Different kind of disasters (natural disasters, accidents and intentionally provoked) in the
last years have involved specific populations of children in Italy and results from
epidemiological studies and clinical interventions will be analyzed during the presentation.
EMDR treatment was part of a comprehensive treatment with the population and was the
elective treatment for the children of elementary schools which were the most exposed to
the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one
month, three months and a year from the critical events.
Individual sessions were used for the school children due to the serious exposure to trauma
and grief including: threat to life, loss of friends and sibling.
Psychological support and EMDR treatment were provided to parents and school personnel
and this aspect has been considered in the last interventions fundamental to enhance
treatment results in children.
Results of questionnaires and clinical interviews to assess post-traumatic symptomatology
before and after treatment will be shown, along with follow up data. Treatment group show
a significant improvement after EMDR treatment. Statistical analysis of results will be
discussed.
The author will highlight clinical aspects of using EMDR with children following recent
trauma of great magnitude. Guidelines and indications for structured interventions coming
from our field studies will be presented.
We know from research that since neurobiology is the same for humans, then the reaction to stress is the same for all human
beings in the world. That is why EMDR works so well with victims of natural disasters and of adverse childhood experiences,
including sexual and physical violence and emotional neglect.
Because of cognitive functioning, e.g., creating metaphors and images for self-soothing, establishing social contact and/
or personal interpretation, or assigning meaning to stressful experiences, we have to emphasize the importance of cultural
influences.
We want to invite people from different cultures to join this open meeting to present, share, and discuss their experiences
and perhaps difficulties with cultural adaptation of trauma-therapy techniques, including EMDR. For example, we may need
to examine where and how the wording of the EMDR-protocol needs to be adapted to recognize and accommodate cultural
differences; perhaps we need to look at the language structure and its accessibility. Let us share our ideas and experiences
so that we may get new insights on how to more effectively implement our trauma-therapy techniques and spread our
knowledge about neurobiology to various cultural backgrounds.
EMDR (Eye Movement Desensitization and Reprocessing) has been mired in intense controversy since its inception. Initial claims of its efficacy were probably exaggerated, but many researchers continue to outright dismiss its positive outcome data. Indeed, the ongoing debate over the effectiveness of EMDR recapitulates the developmental history of validating many psychotherapy systems. This presentation reviews sociopolitical considerations in interpreting and acknowledging the outcome research on EMDR. These considerations include paradigm strain, early restrictions on EMDR training, the timing of controlled research vis a vis clinical applications, initial failure to place EMDR into existing theories, its application to disorders beyond trauma, and the use of ?eye movements? in its title. Dispassionate reviews generally find the clinical results of EMDR with PTSD to be equivalent to exposure methods in fewer sessions, but the research community has failed to embrace these conclusions. Needed are critical openness to new psychotherapies, familiarity with the published data, and a responsibility to evaluate the effectiveness of any therapeutic innovation.
EMDR (Eye Movement Desensitization and Reprocessing) has been mired in intense controversy since its inception. Initial claims of its efficacy were probably exaggerated, but many researchers continue to outright dismiss its positive outcome data. Indeed, the ongoing debate over the effectiveness of EMDR recapitulates the developmental history of validating many psychotherapy systems.
This presentation reviews sociopolitical considerations in interpreting and disseminating the burgeoning outcome research (16 plus controlled studies, several meta-analyses) on EMDR. These include paradigm strain, the initial restrictions on training in EMDR, the timing of controlled research vis a vis clinical applications, its application to disorders beyond trauma, and the unfortunate use of “eye movements" in its title. Dispassionate reviews generally find the clinical results of EMDR with PTSD to be equivalent to exposure methods in fewer sessions, but the psychotherapy research community has failed to embrace these conclusions.
Mental health professionals have been trained in using EMDR with trauma victims throughout the world. However, the EMDR-Humanitarian Assistance Program (EMDR-HAP) was formed in 1995 as a nonprofit organization to provide assistance and training to local mental health professionals/psychotherapists within the United States and internationally who are managing the nearly overwhelming task of providing psychotherapy to the victims of large scale traumatic events. This includes natural disasters, e.g.: earthquakes, floods, firestorms, hurricanes; military personnel and civilians in war zones; victims of large scale accidents, e.g.: the family members of the victims of TWA flight #800; and victims of sexual assault and terrorist acts, e.g.: the Oklahoma City bombing. The EMDR-HAP personnel have been trainers and group facilitators from the EMDR Institute who have volunteered their time and expertise to provide treatment and to train local mental health professionals in EMDR.
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the individual's life. The psychobiological interrelationships of affect, attachment, and memory offer a perspective regarding the etiology and treatment of clinical disturbances of affect. Analogies between brain physiology and modes of psychotherapy provide the foundation for a review of psychiatric disorders involving the inability to control fear, obsessions, compulsions, and delusions, all of which respond to psychotherapeutic interventions.
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.
An EMDR-HAP team provided three EMDR sessions to 21 Gulf State clinicians 2½ to 3 years after Hurricane Katrina. This presentation investigates the impact of treatment on clinicians’ suffering from the stress of disaster on their emotional health. The hypotheses that clinicians receiving EMDR treatment would show statistically significant reductions in depression, anxiety, and trauma symptoms at one week post-treatment were supported. Implications of results include adding a treatment component to EMDR-HAP trainings for clinicians in disaster stricken areas. Clinicians’ trauma resolution could lead to improved learning of EMDR, greater immunity to compassion fatigue, and hence have EMDR reach exponentially into the community and the public practice domain.
The therapy, called Eye Movement Desensitization and Reprocessing (EMDR), is used to ease the psychological impacts of experiences such as combat, violence or natural disasters. The Colorado Springs Police Department participated in an 18-month study of EMDR, the results of which were announced last month.
Following the attacks on the New York World Trade Center on September 11, 2001, the EMDR Humanitarian Assistance Program initiated a response establishing the New York City Disaster Mental Health Recovery Network. The network provided coordination and assistance to local psychotherapists who volunteered to provide treatment to individuals directly affected by the tragedy. The psychotherapists utilized both the EMDR standard protocol and the EMDR Recent Events protocol during the initial aftermath and ongoing recovery at the World Trade Center site. The development of the network is reviewed, and detailed descriptions are provided regarding three cases to illustrate the use of the EMDR Recent Events protocol. The research findings reported by Silver, Rogers, Knipe, and Colelli that demonstrated support for EMDR as a postdisaster treatment are summarized. Further research is recommended. [Author Abstract]
EMDR has been slow to be implemented within non-profit agencies and the community mental health system in the United States. Dixwell Newhallville Community Mental Health Services in New Haven, CT. has seen explosive growth of EMDR services and programs in one year. A "tipping point" (from the work of author Malcolm Gladwell) is in operation at the clinic, in which the momentum for change and EMDR has generated expotential growth and positive program development. A particular focus will be to share innovative ideas in New Haven that foster interagency cooperation, building a diversity-oriented movement, with special attention to inclusion and successful community organizing tools.
EMDR Training Following a Disaster
Aims
• To identify some of the vital components of a
successful EMDR training to take place in a
cultural milieu other than that of the presenting
team
• The differences between EMDR training designed
to provide intervention relief following a disaster
and regular EMDR training
• To develop an EMDR training program sensitive
to local culture with support from abroad both in
times of emergency and calm [Excerpt]
Francine Shapiro's eye movement desensitization and reprocessing (EMDR) treatment and training manual (1995, 2001) was translated into Persian and reviewed for cross-cultural adaptation. The EMDR Persian translated edition was clinically tested in the earthquake stricken regions of Bam and Zarand in southern Iran. Therapists using this manual provided feedback in the form of an email questionnaire. According to this feedback, the manual was useful for training therapists to administer EMDR therapy in Iran. A more recent proposal for the neurobiological basis of EMDR therapy, which I have co-authored, is presented in this dissertation project. It addresses EMDR as a physical healing process that will have further acceptance by Iranians and the Iranian medical community. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(12-B), 2008, pp. 8409.
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.
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.
Quando la violenza incontrollabile della natura o degli uomini si abbatte sulle persone, ci si trova sconcertati, costernati e spesso impreparati ad affrontare l'insieme dei disturbi post-traumatici originati da questi disastri.
- La gestione dell'emergenza psicologica delle vittime
- Le metodologie e tecniche per trattamenti immediati di sostegno specifico sono descritti per orientare i formatori del volontariato istituzionale e i professionisti del settore ad intervenire con maggiore efficacia ed efficienza.
When the uncontrollable violence of nature or human inflicted on people, you are shocked, dismayed and often unprepared to deal with all post-traumatic stress disorder stemming from these disasters.
- The management of the emergency psychological victims
- The methodologies and techniques for immediate treatment of specific support are described to guide the trainers in the voluntary institutions and professionals to intervene more effectively and efficiently.
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes
and the German Official Development Assistance more than 3200 adult and child clients were treated
for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/
Indonesia.
An accompanying monitoring and research component provided detailed diagnostic data before and after therapy.
This guided both the therapeutic process, and the training process in psychotraumatology. Also with this
component the long term effectiveness of the interventions was assessed. In turn these findings were related to
various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy
outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as
EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research
and future intervention strategies will be addressed.
Disasters, both natural and "man-made", affect a large portion of the Earth's population and can be expected to increase in intensity over the coming decades. The impact of disasters on mental health of affected populations is substantial and likely to be insufficiently addressed in the overall context of disaster response. While successful mental health intervention has been demonstrated in a variety of cases, including through the use of EMDR treatment, this problem needs more attention. Effective mental health response will be greatly supported by increased research on questions related to the incidence, form, and prognosis of disaster-generated traumatic stress, as these are affected by type of disaster, culture of affected population, sociological conditions, and neuropsychological factors, and the interactions among these. A brief summary of desirable research is presented that could help responders meet these challenges. [Author Abstract]
Since the 9/11 attack, EMDR clinicians have been treating hypertraumatized clients aided by the Natural Flow EMDR model. This resourcing approach uses dilution of SUDS with positive body sensations, modified eye movements, continuous auditory BLS, and self-administered tactile processing. This model draws from the creative flow of EMDR processing with "essential listening" and "no assumptions" leading to the clients' "essential truths" and healing resolution.
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.
The consistent findings on the adverse psychological effects of war and terror on
children have led to a recognized need for suitable early intervention in the immediate,
midterm and post term, of mass crisis situation. This presentation will try to overview
the clinical and empirically supported interventions operating in the last two years in
Israel, with children and families living in a constant threat of bombardment and
shelling of populated areas on both sides. This presentation will focus on the war related
stress reactions of young Israeli children exposed to these experiences and
present some creative interventions done to foster resilience and coping, as well as the
treatment of PTSD reactions.
It was estimated that during this war, 4,000 Katyusha rockets and missiles hit the
northern parts of Israel. More then 1 million people were at the danger zone for a
potential direct hit. More then 500,000 Israelis relocated during the war to live in safer
areas out of the range of the rockets. The children in the war zones experienced
sounds of sirens' explosions and sound of artillery. They spent considerable time in
bomb shelters and were exposed to sights (directly or through the media of damaged
houses and casualties). This situation continues now in the southern part of the
country along the Gaza Strip were children on both sides live under the daily reality of
bombardment, casualties and death.
Many programs and individual treatments were and are still operating as the
professionals are trying to meet the needs of communities and individuals under this
chronic ongoing stress situation. A community project is operating in the southern part
of the country, where mothers and toddlers as well as the staff members of the
kindergartens, are being supported by dyadic trauma focused play therapy and
enrolled in stress managements programs. Findings on the interrelation between the
degree of the parent's PTSD on the child's aversive symptomology,and the follow up of
dyadic treatment data, will be presented.
Another program the "Huggy Puppy", exemplifies the implementation of a
developmental appropriate intervention with children in the midst of the crisis, and
the effects of building a sense of self efficacy and relatedness. This will be illustrated in
the study done by Prof. Avi Sadhe from Tel Aviv University on the effects of the "Huggy
Puppy".
The use of the modified EMDR Group Protocol for children during the war and the
efficacy of the EMDR individual treatment in the post war situation as compared to
CBT and SE FAR will be examined in the research done by Dr. Moshe Farchi of the Tel
Chai College.
These diverse interventions and treatments represent the wide range of theoretical
and practical thinking which are necessary in order to create a comprehensive holistic
model which will serve as a guideline for interventions with children in crisis.
Participants will: 1) learn about unique applications of EMDR already in use: 2) be able to identify their practice interests, existing skills and resources; and areas of growth necessary to implement a new practice specialty; and 3) learn systematic ways in which community-based speaking and teaching activities can general referrals.
Since its debut in the late 1980s, Eye Movement Desensitization and Reprocessing, EMDR, has divided mental health experts. Some say it's a painless therapy for the treatment of single-incident traumas, such as natural disasters, rape or combat. Others dismiss a main component eye movements or other bilateral stimulation as unnecessary to recovery.
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.
In this chapter, the use of the genogram is highlighted as a tool for couple or family assessment, to determine therapeutic options, and to intervene. Typical symbols used and questions asked for the purpose of building the genogram are described. Several cases are presented, the first of which illustrates the intertwining of assessment and intervention in couple's therapy. The second case presents the challenge of interviewing and drawing a genogram of a family where there are multiple partners, children by different partners, and complex relationship dynamics. The third case shows both the biological and adoptive families of one adult. In the portrayal of the cases, points of referral for Eye Movement Desensitization and Reprocessing (EMDR) therapy are noted. Adaptations of the traditional genogram, including socially constructed genograms, projective genograms, and community genograms, are discussed along with limitations of the genogram technique. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
“Using EMDR at Each Stage of the Trauma Recovery Process”
1) Introduction and overview of general principles of traumatology.
2) The stages of trauma recovery:
a) Safety,
b) Self-regulation capacity,
c) Social connection,
d) Reprocessing traumatic memories,
e) Rebuilding a life worth living.
3) Safety:
a) Calm/safe place-indications and contraindications,
b) EMD,
c) RTEP,
d) Coping with current lack of safety.
4) Self-Regulation:
a) EMDR self-regulation interventions with the whole brain in mind.
5) Social connection:
a) Interventions based on client attachment style,
b) Enhancing memories of positive relationships,
c) Building layers of connection—intimacy, family, community, religious,
6) Reprocessing traumatic memories:
a) Considerations for selecting appropriate memory targets,
b) A continuum of reprocessing approaches-EMD through EMDR,
c) Recent event and more distant past event issues,
d) Cultural considerations.
7) Rebuilding a life worth living:
a) The positive future template,
8) Conclusion.
The presentation will include video examples of interventions at each stage of the trauma recovery process. Audience
questions and interactions will be encouraged.
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.
This article describes the treatment of a young man who developed PTSD following the sudden unexpected miscarriage of his unborn child. He was diagnosed with this anxiety disorder while serving a term of imprisonment. He was treated with a controversial psychological treatment for PTSD, eye movement desensitisation reprocessing (EMDR) therapy, during one, 1-hour session. After this session, his progress was monitored by a further three follow-up appointments at 1 week, 1 month, and 3 months, where the self-report questionnaires were repeated and compared with pre-treatment scores. These demonstrated improvement post-treatment and at a 3-month follow-up session. The discussion arising from the treatment will concentrate on EMDR as an effective treatment for PTSD, particularly within a prison setting. Data from recent research highlight the potential risks of PTSD within a community population and the implications for midwives and nurses who treat and care for traumatized patients are discussed. [Author Abstract]
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.
Concurrent psychotherapy is valuable by providing timely interventions to patients with specialized needs. Clinicians refer patients for psychiatric consultations group work and to therapists who specialize in problem areas such as panic disorder, trauma, child abuse issues and substance abuse. Such traumas as child sexual abuse, family violence and disasters result in a large population suffering from Post Traumatic Stress Disorder and other Dissociative Disorders. Other patients have long-standing depressions, panic and psychosomatic disorders, performance anxiety and phobias stemming from traumas which do not resolve in traditional psychotherapy.
Toelichting: Hoe vanzelfsprekend is
het om even na te slaan wat het onderzoek over
discriminatie oplevert (Brondolo 2009), wat de
gegevens over uitsluiting toevoegen, wat de ervaring
van community health bijdraagt aan de psychiatrische
behandeling van een geïmmigreerd persoon
of diens nageslacht (De Jong 2010)? Waar
vindt de medicus practicus theoretische steun als
een patiënt bij hem komt voor een nieuw huis
omdat het oude behekst is, wat hij afleidt uit vreemd gedrag van zijn kind dat de arts herkent
als paniekstoornis? Hoe kan de psychiater wiens
eye movement desensitisation and reprocessing (EMDR)
vastloopt, profiteren van de kennis over cultuurverschillen
bij emoties? (Mesquita 2003). Hoe
helpt het cultureel identiteitsconcept, waarin
identiteit wordt gezien als de resultante van een
altijd doorgaande onderhandeling, de aanpak van
de depressieve oudere die levenslang gezorgd heeft
en nu steun van de kinderen moet ontberen? (Wei-
Chin Hwang 2010). Vertrekkend vanuit de casus
bespreken wij literatuur en keren terug naar de
casus.
Leerdoel: Aan het einde van de sessie
kan de deelnemer sleutelwoorden herkennen die
helpen om de verwarring op te heffen van niet
overeenkomende appraisal en attributie tussen
behandelaar en patiënt. Vervolgens herkent hij
hoe deze sleutelwoorden de weg wijzen naar relevant
onderzoek en vertaalt hij dat terug naar de
behandelpraktijk.
Explanation: How obvious
it just to save some research on
discriminatory (Brondolo 2009), which
Add information about exclusion, what the experience
community mental health contributes to
treatment of a person immigrated
or its progeny (De Jong 2010)? Where
medical practitioner finds theoretical support as
a patient comes to him for a new home
because the old bewitched, he infers the strange behavior of his child that the doctor recognizes
as panic disorder? How can the psychiatrist whose
Eye Movement Desensitisation and Reprocessing (EMDR)
freezes, benefit from the knowledge of cultural differences
with emotions? (Mesquita 2003). How
helps the cultural identity concept, which
identity is seen as the result of a
unceasing negotiation, addressing
the depressed older person who has brought life
and now must do without the support of the children? (Wei-
Chin Hwang 2010). Starting from the case
we discuss literature and return to the
case.
Objective: At the end of the session
The participant can recognize keywords
help to eliminate the confusion of not
matching between appraisal and attribution
practitioner and patient. Then it recognizes
how these keywords are relevant to the way
research and translates it back to that
treatment practices.
Many veterans never dreamed of needing help coping with life following combat deployments. While the impact of surviving in a combat zone has left many veterans seeking help in overcoming posttraumatic stress disorder (PTSD), there have been significant advances in treatment. An overview of available therapy approaches for PTSD can enhance a veteran's treatment options. There are three evidenced-based psychotherapies researched with veterans and recognized to be effective in the treatment of combat-related PTSD. Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), and Eye Movement Desensitization and Reprocessing (EMDR) are all accepted as being effective treatment approaches. Each form of therapy has the potential to make a positive difference in the lives of veterans who are treated. Since each therapy addresses specific treatment issues, veterans should know that if one treatment has not worked well for them, other options are available in your ]community. [Excerpt]
Traumatic events can occur and adversely affect people during their lifetime. Natural disasters such as the earthquake in Pakistan in 2005 or the Tsunami in Asia in 2004, terrorist atrocities around the world, or personal events such as physical or sexual assault, can result in psychological difficulties for those people directly affected by these events. The diagnostic term PTSD is generally used to explain the often-severe psychological sequelae that people may exhibit when directly affected by trauma. However, what of those people not directly involved in the trauma, but those who have borne witness to it, either by listening to the stories of survivors, or in the case of the helping professionals (such as police officers, nurses, doctors, psychotherapists, fire-fighters), actively working with survivors in psychological distress? This paper examines the potential psychological consequences for those in helping professions who are working with traumatized clients. This paper then focuses on a specific treatment intervention, EMDR, utilizing a case study by way of explanation. [Author Abstract]
Although there is emerging literature on training clinicians in principles of trauma (Black, 2008; Greenwald, Maguin, Smyth, Greenwald, Johnston, & Weiss, 2008), there is a lack of systematized research on the teaching of EMDR, formation of EMDR therapists, and the role of the therapeutic alliance in EMDR treatment. Despite the numerous changes in approved training models since the creation of EMDR, all the EMDR community has gathered is commentary and hypotheses on what works in terms of training therapists. Greenwald (2006) asserted that studying the clients of EMDR trainees would be “an impossibly resource-intensive endeavor,” (51), yet principles of phenomenology (Crotty, 1998) suggest that using clients as primary sources could yield the best possible information about what constitutes an effective EMDR therapist.
In crisis situations, hysterical and / or consultation with those working were traumatized, you have only 90 minutes and effectively EMDR should enhance the planning and conceptual. As a learned response to trauma Kuşaksal given to remove a short focused genogram format using EMDR / R will receive severe stress can increase the effectiveness in reducing. This is the case in the study group recommended the use of genogram format and now also the origin of the reaction can be, as concerns of hereditary small t traumas are revealed to the process, advice from the deeper and faster healing is to live. Case examples of different crisis situations (natural disasters, tsunami, a terrorist incident in Israel after a Greek and dysfunctional family) were taken and learned from family members kuşaksal genogram how to influence behavior patterns has been shown to occur. This systemic approach, an improved formulation suggests EMDR cases. This formulation, NC and the PC more effectively as components of EMDR are provided in the determination.
There is considerable controversy about Eye Movement Desensitisation and Reprocessing (EMDR) and publications, even the esteemed 'The Psychologist’ have shed very little light on EMDR or the political and professional jealousies surrounding it. Rather than debate the technicalities of the studies purporting to indicate effectiveness of EMDR, this paper will illustrate with practical examples how one obtains miserable failures and spectacular successes in everyday clinical practice.
It will contrast this by describing international work with survivors of tragedies and disasters including the Dunblane shooting, the Turkish Earthquakes in 1999 and the devastation of a community after the demolition of a school in San Giuliano di Puglia, Italy, during an earthquake.
It will ask why we measure disaster in terms of deaths, not survivors, noting reports from 9-11 and asking what we might do for Beslan and the Russian survivors and future disasters.
Dixwell Newhallville Community Mental Health Services in New Haven, CT, is pioneering an EMDR program to provide treatment for individuals who have survived the recent or past homicide of a loved one. The Recent Event Protocol can be used in the treatment of homicide survivors and offers a structured way for clients to desensitize and recover from the trauma of murder. This workshop will include a review of the protocol and effective use of a time-limited, ten- session model of treatment. A case study will be presented, including the use of a simple visual tool to support treatment.
Early group EMDR intervention following trauma may facilitate adaptive processing of traumatic event (s) and help prevent consolidation of traumatic memories following large-scale natural or man-made disaster. Group EMDR may also be usefully applied with homogenous groups, and where professionals are exposed to high levels of work-related stress. Writing is a useful clinical tool in narrative therapy, bibliotherapy and writing therapy. Written journaling to monitor behavior is commonly practiced between sessions of cognitive behavioral therapy. In EMDR, clients are instructed to keep a log between sessions. Writing during group EMDR has been employed with survivors of the East Asia Tsunami of 2004, and with Israeli civilian refugees and military casualty notification officers in the Lebanese War of 2006. This chapter focuses on the Group EMDR Workbook protocol. [PsycINFO Database]