Francine Shapiro Library - EMDR Bibliography Links
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Your Results - you searched for the keyword Complex Bereavement 556 Results
1. マーフィ重松, 村川 治彦 [Shigematsu Mafi, and Murakawa Haruhiko]. (2001年12月). 第4巻 トラウマ治療のためのＥＭＤＲ [EMDR treatment for trauma, Volume 3]. 心理療法のための日本語研究所：東京 [Japanese Institute for Psychotherapy: Tokyo].
Language: Japanese
Format: Video
Abstract:
ＥＭＤＲ（眼球運動による脱感作と再処理法）は認知的、行動的、精神力動的、生理学的、相互作用的といった主要な心理療法の様々な要素を含む複雑な治療的アプローチである。 これまで眼球運動の刺激の面だけが注目を集めてきたが、ＥＭＤＲには８つの段階の介入法があり、クライアントが比較的落ち着いた状態のままできるだけ短い期間で深く総合的な治療の効果をあげることを目指している。
EMDR (and re-treatment of eye movement desensitization) is a cognitive, behavioral, psychodynamic, physiological, and therapeutic approaches for a complex variety of elements such as the main interactive psychotherapy. The plane had just paid attention to this eye movement stimulation, EMDR has a eight-step interventions, the overall effect of treatment remains deeply as possible in a short period comparatively calm clients It aims to give.
Accuracy Verified: Yes
2. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.
Language: Chinese
Format: Conference
Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)
Keywords: Complication Grief Personality Theory
Accuracy Verified: Yes
3. 陈维樑 [Chen Wei-Liang] (2008,年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论(英文)[Complex Bereavement, EMDR and the Theory of “Structural Dissociation of the Personality”]. 第五届世界心理治疗大会论文摘要 [Symposium presented at the 5th World Congress for Psychotherapy, Beijing, China].
Language: Chinese
Format: Conference
Keywords: Complex Bereavement Structural Dissociation Theory
Accuracy Verified: Yes
4. 太田茂行 [Ota Shigeyuki]. (2008年6月). 外傷的死別体験への支援 太田茂行 [Support for traumatic bereavement]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 241-246].
Language: Japanese
Format: Journal
Keywords: Bereavement
Accuracy Verified: Yes
5. Koshal, A. (2010, June). The 4-fields-technic in the traumatherapy of complex traumatized and drug-addicted people (in methadone-treatment). In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Nowadays several international studies demonstrate
that the problem of drug-addiction is very often found in combination
with complex traumatization in early childhood and
youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006;
Schmidt, 2000 etc.)
As we all know PTSD and the other trauma symptoms cause a
lot of psychophysical dysregulation. So the psychiatrist Khantrian
postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called
this assumed combination of trauma-consequences and drug-addiction,
"compensatory strategies aimed at self-regulation"
In many years of working with drug-addicted people it became
very obvious that a high percentage of this people are using drugs,
for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without
nightmares, to alleviate the feeling of helplessness and fear etc.
Drugs and alcohol do reduce all the mentioned symptoms for
a while. To learn to cope in another, more adaptive way, the
addicted people need to learn alternatives strategies for a good
functioning self-regulation.
After stabilization, the trauma therapy can start, so the patient
can reduce some of the sources of psychophysiological dysregulation.
Even when the addicted people still get methadone psychotherapy
is possible. Practical experience over a long time.
started 1990, did show a lot of successful treatments and that
methadone does not interfere a traumatherapy.
The 4-Fields-Technic is a special method of EMDR that was
developed by Jarero et al. 1997 in Mexico after a hurricane
disaster. Dorothee Lansch modified the group method into a
therapy-setting for single persons.
For complex traumatized and drug-addicted people this technic
is very helpful. The focus is more easy to keep in mind, - in
front of the eyes. In the 4-Fields-Technic the patient focuses
on a self-painted picture, that represents the worst part of a
trauma experience.
The patient keeps his focus on this picture, combined with bilateral
stimulation, till he feels the picture should be changed.
And so the process is going on till finished.
The participant will be able to learn:
- about the correlation between complex trauma and drug-addiction
- that drug-addicted people who get methadone are able to do
trauma therapy
-the 4-Fieids-Technic as a method to create resources.
Psychotherapy and specially psychotraumatherapy with drug-addicted
people who are as well in a methadone-treatment is for
many therapists still controversial. This presentation will give you
an idea how good it can work, based on various case series.
Keywords: 4-Fields-Technic Complex Trauma Drug Addiciton Methodone Treatment Symposium
Accuracy Verified: Yes
6. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
will
employ
lecture
and
demonstration
of
several
case
studies.
The
4-‐Field-‐Technique
is
a
special
method
of
EMDR
that
was
developed
by
Jarero
et
al.
1997
in
Mexico.
For
complex
traumatized
and
drug
addicted
people
this
method
is
very
helpful.
The
risk
to
trigger
other
trauma
clusters
is
quite
minor,
because
the
patient’s
concentration
is
focused
on
his
specific
picture
and
situation.
Several
international
studies
demonstrate
that
addicted
people
are
very
often
complex
traumatized.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
PTSD
and
other
trauma
symptoms
cause
a
lot
of
psychophysical
deregulation.
The
psychiatrist
Khantzian
realized
1985,
that
addicted
people
suffer
a
lot
from
different
symptoms
and
try
to
reduce
the
unbearable
inner
tension
in
using
drugs.
So
Khantzian
postulated
the
“self-‐medication
hypothesis
of
addictive
disorders”.
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpreted
the
correlation
of
early
traumatization
and
drug-‐addiction
as
“compensatory
strategies
aimed
at
self-‐
regulation”.
20
years
of
psychotherapeutic
work
revealed,
a
high
percentage
of
addicted
patients
use
drugs
to
influence
their
emotional
states.
Drugs
and
alcohol
do
short
term
reduce
the
mentioned
symptoms.
Addicted
patients
need
to
learn
to
cope
in
another,
more
adaptive
way
to
get
a
better
functioning
self-‐regulation.
After
stabilization,
trauma-‐therapy
can
start.
So
the
patient
can
reduce
his
psycho-‐
physiological
deregulation.
Even
when
addicted
patients
are
still
in
a
methadone-‐
treatment
trauma-‐therapy
is
effective.
Practical
experiences
show
a
lot
of
successful
treatments.
Este
taller
empleará
la
presentación
y
demostración
de
muchos
estudios
de
caso.
La
técnica
de
4
campos
es
un
método
especial
de
EMDR
que
fue
desarrollado
por
Jarero
et
al.
1997
en
Méjico.
Para
gente
con
traumas
complejos
y
adictos
este
método
resulta
ser
muy
adecuado.
El
riesgo
de
disparar
grupos
de
traumas
es
menor,
debido
a
que
la
concentración
del
paciente
está
centrada
en
una
sola
imagen
y
situación.
Muchos
estudios
demuestran
que
los
adictos
son
muy
a
menudo
traumatizados
de
manera
compleja.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
El
TEPT
y
otros
síntomas
del
trauma
causan
muchas
desregulaciones
psicofisiológicas.
El
psiquiatra
Khantzian
se
dio
cuenta
en
1985,
que
la
gente
que
sufre
de
adicción
sufren
también
muchos
otros
síntomas
diferentes
e
intentan
reducir
su
tensión
interna
a
través
del
uso
de
sustancias.
Por
ello
Khantzian
postuló
“
La
hipótesis
de
la
automedicación
en
trastornos
adictivos”
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpretó
la
correlación
de
la
traumatización
temprana
y
la
adicción
a
la
drogas
como
“
Estrategias
compensatorias
dirigidas
a
la
autorregulación”.
20
años
de
trabajo
psicoterapéutico
muestran
que
un
gran
porcentaje
de
pacientes
adictos
usan
drogas
para
modificar
sus
estados
emocionales.
Las
drogas
y
el
alcohol
reducen
a
corto
plazo
los
síntomas
mencionados.
Los
pacientes
adictos
necesitan
aprender
a
afrontar
de
manera
más
adaptativa
su
autorregulación.
Después
de
la
estabilización,
la
terapia
del
trauma
puede
empezar.
Por
ello
el
paciente
puede
reducir
su
desregulación
psicofisiológica.
Incluso
cuando
aún
están
sometidos
a
un
tratamiento
de
metadona
la
terapia
del
trauma
es
efectiva.
Las
experiencias
en
la
práctica
muestran
una
gran
cantidad
de
tratamientos
exitosos.
Keywords: 4-Fields-Technique Addiction
Accuracy Verified: Yes
7. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case
conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation.
Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay
implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and
their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey
through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows
adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma,
and provides a dynamic and adaptive tool to navigate through therapy.
Keywords: 6 Gear Mechanics Complex Trauma
Accuracy Verified: Yes
8. Spuijbroek, P. (2013, April). A(S/l)S het samen kan: EMDR in de systeemtherapie [A (S / L) S together can: EMDR in the treatment system]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Bij het behandelen van kinderen met autisme wordt steeds meer een systemische aanpak gehanteerd. Daar waar het in de ouderbegeleiding vooral over psycho educatie en rouwverwerking gaat rond het autisme, staat in de gezinstherapie het systeem centraal en de samenwerking tussen de gezinsleden, rekening houdend met overeenkomsten en verschillen. Bij het gebruik van de EMDR binnen de gezinstherapie levert dit soms verrassende situaties op die op eigen wijze bijdragen aan veranderingen welke van te voren niet werden te voorzien.
In deze workshop worden een drietal casussen besproken waarbij (delen van) het gezin betrokken zijn. De aangemelde casussen zijn een jongen met laag zelfbeeld, een preverbaal trauma bij een geadopteerd meisje en een meisje dat dreigt zichzelf te beschadigen. Alle drie de kinderen zijn kinderen met ASS. Maar wat gebeurt er tijdens gecombineerde systeem-EMDR sessie?
In de presentatie neem ik deelnemers mee in woord en beeld en ga in gesprek.
When treating children with autism is becoming a systemic approach. Where in the parent guidance particularly on psychoeducation and bereavement goes around autism, family therapy is in the central system and the cooperation between family members, taking into account similarities and differences. With the use of EMDR in family therapy yields some surprising situations which in their own way contribute to changes which in advance were not providing.
In this workshop, three cases are discussed in which (parts of) the family involved. The notified cases are a boy with low self-esteem, a preverbal trauma in an adopted girl and a girl who threatens to harm himself. All three children are children with ASD. But what happens when combined system EMDR session?
In the presentation I take Participants in words and pictures and talk to them.
Keywords: Family Systems Therapy
Accuracy Verified: Yes
9. Madoun, S., & Dumonteil, D. (2005). ABC de l'EMDR: La thérapie des émotions [ABC of EMDR: Therapy emotions]. Paris: Grancher.
Language: French
Format: Book
Abstract:
Tout au longe de notre vie, nous subissons des événements traumatisants : maladie, deuil, accident... S'en suivent stress, angoisse, dépression. Une nouvelle thérapie d'origine américaine vient de voir le jour : l'EMDR (Eyes Movement Desensitization and Reprocessing), ce qui signifie : mouvement oculaires de désenbilisation et de retraitement des informations négatives. Validée par un bon nombre d'études dont celle de l'Inserm, l'EMDR nous permet d'éliminer les effets néfastes des chocs émotionnels en favorisant l'apparition des émotions ainsi que leur évacuation. Au travers de récits étonnants, ce livre de référence nous fait comprendre les mécanismes de nos traumatismes, le dérèglement de notre cerveau émotionnel et les moyens de retrouver une vie sereine.
Throughout our lives, we experience traumatic events: illness, bereavement, accident ... Ensuing stress, anxiety, depression. A new therapy from the U.S. just to see the day: EMDR (Eyes Movement Desensitizer and Reprocessing), which means eye movement désenbilisation and reprocessing of negative information. Validated by many studies including that of Inserm, EMDR allows us to eliminate the adverse effects of emotional distress by encouraging the emergence of emotions and their evacuation. Through amazing stories, this reference book helps us understand the workings of our trauma, disruption of our emotional brain and the means to find a peaceful life.
Keywords: Anxiety Depression Stress
Accuracy Verified: Yes
10. Bergmann, U. (2011, August). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
What exactly happens on a neuroendocrine level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical disorders of unknown origin which, often, do not respond to traditional symptomatic medical treatment? This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Anomalous conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, and Rheumatoid Arthritis will be examined. This presentation will illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders. Accordingly, the implications for treatment will be examined.
Keywords: Acute PTSD Chronic PTSD Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Medically-Unexplained Sysmptoms Neuroendocrinology
Accuracy Verified: Yes
11. Bergmann, U. (2012, October). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
What exactly happens on a neuroendocrine level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical disorders of unknown origin which, often, do not respond to traditional symptomatic medical treatment? This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Anomalous conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, and Rheumatoid Arthritis will be examined. This presentation will illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders. Accordingly, the implications for EMDR treatment will be examined, as well as referrals for medical treatment.
Keywords: Acute PTSD Chronic PTSD Complex PTSD Medically Unexplained Symptoms Neuroendocrinology
Accuracy Verified: Yes
12. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
13. Shapiro, F. (2005, June). Adaptive information processing and case conceptualization. Keynote presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
EMDR is guided by the Adaptive Information Processing paradigm, which
differentiates it from other forms of psychotherapy. The model was
formulated to describe clinical phenomena observed in EMDR, successfully
predict treatment effects, and guide clinical practice. These principles,
along with EMDR protocols and procedures will be used to discuss a wide
range of clinical applications, ranging from acute through chronic and
complex conditions.
Keywords: Adaptive Information Processing Model Adolescents AIP Cognitive Processes Family Systems Therapy Females Integrative Psychotherapy Keynote Memories Psychotherapeutic Processes Self Concept
Accuracy Verified: Yes
14. Leeds, A. (2008, September). Adaptive information processing, attachment theory and EMDR case conceptualization. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
With complex cases many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.
Keywords: AIP Attachment Theory Case Conceptualization
Accuracy Verified: Yes
15. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
16. Forgash, F., & Litt, B. (2008, September). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR is an important therapy in the treatment of complex PTSD, including dissociative disorders and certain personality disorders. This presentation will provide solutions to problems within the 8 phases of EMDR. Objectives include managing triggers and dealing with reactions such as avoidance, freeze, and hyperarousal. Techniques include ego state work and somatic interweaves. Therapists will learn readiness criteria for trauma processing (phase 4-7) and how to avoid premature interventions. In phase 4, therapists will learn about the zone of optimal arousal and a sequence of techniques to maintain client stability and to identify when and why a patient has stopped processing.
Keywords: Complex Trauma Treatment
Accuracy Verified: Yes
17. Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.
Learning Objectives:
Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four.
Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile.
Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.
Keywords: Advanced Techniques Complex Trauma
Accuracy Verified: Yes
18. Litt, B. (2008). Advanced techniques in the use of EMDR to treat complex trauma. www.barrylittmft.com.
Language: English
Format: Other
Abstract:
Summary
• Pathogenic family dynamics (relational
configurations) are internalized as ego state
conflicts
• The resulting ego state system is a structured
complementation of the loyalty system
• The subjective sense of Self (and corresponding
relational attitude) is adaptive to the original,
formative context[Excerpt]
Keywords: Complex Trauma
Accuracy Verified: Yes
19. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.
Language: English
Format: Dissertation/Thesis
Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.
Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress
Accuracy Verified: Yes
20. Leeds, A. (2010, July). AIP case forumation and treatment planning. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing
Model with adult attachment classification as a model for case formulation that can assist in predicting
responses to EMDR reprocessing. Clinical case examples illustrate practical clinical strategies for
assessing attachment classification as a foundation for case formulation. With multiple, divergent
models for treatment planning in the standard EMDR text (Shapiro, 2001), this presentation offers a
symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004),
Leeds (2004) and de Jongh, et al., (2010). Case example treatment plans will be presented in a visual
format to illustrate how this model can be applied to simple and complex cases.
Keywords: Adaptive Information Processing AIP Treatment Planning
Accuracy Verified: Yes
21. Leeds, A. M. (2009, August). AIP, attachment theory and EMDR Case conceptualization. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
With complex cases, many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.
Keywords: Adaptive Information Processing AIP Attachment Theory
Accuracy Verified: Yes
22. Leeds, A. (2010, June). AIP, attachment theory and EMDR case conceptualization. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
With complex cases, many clinicians struggle with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the Adaptive Information Processing Model with adult attachment classification. Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation. With conflicting models for treatment planning in the standard EMDR text, this presentation offers a symptom informed approach, incorporating elements of the parallel models of Korn (Korn, et al., 2004) and Leeds (2004, 2009). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.
Keywords: Adaptive Information Processing AIP Attachment Theory Case Conceptualization
Accuracy Verified: Yes
23. Descilo, T. (1999). Amelioration of death-related trauma with traumatic incident reduction (TIR) and eye movement desensitization and reprocessing (EMDR). In C. R. Figley (Ed.), Traumatology of grieving: conceptual, theoretical, and treatment foundations (pp. 153-182). Philadelphia: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Assessment Bereavement Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors TIR Traumatic Incident Reduction
Accuracy Verified: Yes
24. Lanius, U. F. (2004, September). Apego y disociacion, El papel de los opioides endógenos [Attachment and dissociation: The role of endogenous opioids]. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: Spanish
Format: Conference
Abstract:
Endogenous opiates play a major role in attachment and they are also involved in dissociative processes and somatoform dissociation. The presentation discusses the adjunctive use of opoid antagonists both during stabilization and trauma processing with EMDR and the neurobiology of opiate with regard to attachment and dissociation. It delineates the effects of effects on learning including support for a differential mechanism for EMDR as compared to Exposure treatment. It describes how to integrate EMDR processing and the use of opioid antagonists in the treatment of Complex PTSD.
Opiáceos endógenos juegan un papel importante en la adhesión y que también están involucrados en los procesos disociativos y somatomorfos disociación. La presentación trata sobre el uso complementario de los antagonistas de opoides tanto durante la estabilización y el procesamiento del trauma con EMDR y la neurobiología de los opiáceos, con lo que se refiere a la unión y la disociación. Se exponen los efectos de los efectos en el aprendizaje incluido el apoyo a un mecanismo diferencial para EMDR, en comparación con el tratamiento de la exposición. En él se describe la forma de integrar el procesamiento EMDR y el uso de antagonistas de los opioides en el tratamiento del trastorno de estrés postraumático complejo.
Keywords: Attachment Dissociation Endogenous Opioids
Accuracy Verified: Yes
25. Mosquera, D. (2012, April). Aplicaciones clínicas de la terapia EMDR.: Trastornos de la personalidad y trauma complejo [Clinical applications of EMDR therapy Personality disorders and complex trauma]. Presentación en el Colexio Oficial de Psicoloxía de Galicia. Santiago de Compostela, Spain.
Language: Spanish
Format: Conference
Keywords: Complex Trauma Personality Disorders
Accuracy Verified: Yes
26. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
27. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.
Language: French
Format: Journal
Abstract:
L'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé
The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]
Keywords: Brief Therapy Clinical Case Study Sexotherapy Sexual Trauma
Accuracy Verified: Yes
28. Lansch, D. (2010, June). Application of the Four-Fields-Technique in treatment of a patient with dissociative disorder (case report). In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The treatment of complex traumatized patients is difficult.
Especially during long term treatments it is not easy for
the chronically traumatized individuals to tolerate the exhausting
confrontation with the trauma during the EMDR standard
procedure. On the other hand they have often problems to
recognize the severity of what happened to them. Many have
problems with their compromised feelings of self-worth. Those
and other clinical problems are the reason to look for alternative
EMDR techniques. The Four-Field-Technique. one of the techniques of EMDR.
could be a good approach to solve some of these problems.
It was developed by Jarero et al, as a group protocol which
followed the 8 phases of the standard EMDR protocol (STDP).
Different from the STDP is that the moment of greatest distress
is drawn on a sheet of paper (after drawing a resource image
before and installing it with (bilateral: butterfly hugs. Different
from the group protocol patients some benefit greatly from the
individual application of the technique.
In this lecture the long term treatment of a patient with a dissociative
disorder is reported. Thereby the different phases of trauma
treatment will be demonstrated via spates of pictures. The four field-
technique itself will be explained as well as the difference to
the standard protocol of EMDR as the patient experienced.
Keywords: Case Report Dissociative Disorder Four-Fields-Technique Symposium
Accuracy Verified: Yes
29. De Marco, A. (2008, Novembre). Applicazione dell’EMDR nel lutto complicate-resoconto di un caso clinico [Application EMDR in complicated grief-reporting of clinical case]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’articolo si propone di evidenziare l’efficacia dell’EMDR nei casi di lutto, in particolare quando questo evento implica un trauma psicologico, che interferisce con il normale processo di elaborazione della perdita. Si delinea allora una situazione definita “lutto complicato o traumatico”, che determina una elaborazione complessa dell’evento luttuoso bloccandone la sua risoluzione.
Una perdita traumatica sconvolge le capacità di coping della persona e pregiudica le sue facoltà di adattamento, aumentando il disagio e complicando l’elaborazione dell’evento.
Laddove il lutto acuto è dominato dal trauma, l’impiego dell’EMDR facilita il passaggio il passaggio attraverso le varie fasi dell’elaborazione del lutto e favorisce l’assimilazione e l’adattamento alla perdita.
Ad illustrare quanto enunciato dal punto di vista teorico viene presentato un caso clinico, nel quale un lutto complicato, strettamente connesso a sintomi depressivi, viene sbloccato e ricondotto ad un normale processo di elaborazione grazie all’applicazione dell’EMDR su un solo targhet specifico.
La paziente, una giovane donna di 24 anni, presentava un disturbo distimico di gravità moderata, con spunti ansiosi. Non prendeva psicofarmaci. Qualche anno prima le era stato diagnosticato un disturbo di panico con agorafobia e aveva assunto Lexotan per un certo periodo.
Sono stati somministrati appositi test psicologici, all’inizio e al termine della terapia finalizzata all’elaborazione del lutto. Un altro re-test è stato fatto a distanza di un anno circa.
The article aims to highlight the effectiveness of EMDR in cases of bereavement, particularly when this event involves a psychological trauma, which interferes with the normal process of elaboration of the loss. It then outlines a situation as "complicated grief or traumatic, determines a complex event processing mournful blocking its resolution. A traumatic loss upsets the coping skills of the person and impairs his ability to adaptation, increasing the discomfort and complicating the development of the event.
where the mourning is dominated by acute trauma, the use EMDR facilitates the passage through the various stages of mourning and promotes assimilation and adaptation to loss.
Illustrate what is stated by the theoretical point of view is presented a clinical case in which a complicated grief, which is closely linked to depressive symptoms, is unlocked and returned to a normal process by applying EMDR on one target specific. The patient, a young woman of 24 years, had a dysthymic disorder of moderate severity, with ideas anxious. Not taking psychotropic drugs. A few years earlier had been diagnosed with panic disorder with agoraphobia and had taken Lexotan for a certain period. Appropriate psychological tests were administered at the beginning and end of therapy aimed elaboration of mourning. Another re-test was done at a distance of about one year.
Keywords: Complicated Grief Poster
Accuracy Verified: Yes
30. 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
31. de Jongh, A., ten Broeke, E., & Meijer, S. (2011). Approche des deux méthodes: Un modèle de conceptualisation de cas dans le contexte de l’EMDR. Journal of EMDR Practice and Research, 4(1), 12–21. doi:10.1891/1933-3196.5.1.E12.
Language: French
Format: Journal
Abstract:
Cet article décrit un modèle complet qui permet d’identifier des souvenirs cibles essentiels pour le traitement
EMDR. L’“Approche des deux méthodes” peut s’appliquer à la conceptualisation et à la réalisation
du traitement pour une large gamme de symptômes et de problèmes autres que ceux qui sont directement
en lien avec l’ESPT. Le modèle se compose de deux types de conceptualisation de cas. La Première
méthode s’applique aux symptômes permettant de préciser de manière significative les événements
étiologiques ou aggravants sur une ligne du temps. Elle est principalement destinée à la conceptualisation
et au traitement de troubles de l’Axe I du DSM-IV-TR. La Seconde méthode est utilisée pour identifier
les souvenirs qui sous-tendent les croyances fondamentales dysfonctionnelles. Cette méthode est
principalement destinée à traiter les formes plus graves de psychopathologie, comme la phobie sociale
sévère, l’ESPT complexe ou les troubles de la personnalité. Les deux méthodes de conceptualisation de
cas sont expliquées point par point, en détail, et sont illustrées par des exemples de cas.
This article describes a comprehensive model that identifies key target of memories for the treatment
EMDR. The "approach of the two methods " can be applied to the conceptualization and implementation
treatment for a wide range of symptoms and problems other than those directly
related PTSD. The model consists of two types of case conceptualization. First
method applies to specific symptoms for significantly Events
causative or aggravating on a timeline. It is mainly intended for the conceptualization
and treatment of disorders of Axis I DSM-IV-TR. The second method is used to identify
memories that underlie dysfunctional core beliefs. This method is
primarily intended to address the more serious forms of psychopathology such as social phobia
severe complex PTSD or personality disorders. Both methods of conceptualizing
cases are explained point by point in detail and are illustrated by case examples.
Keywords: Case Conceptualization Model
Accuracy Verified: Yes
32. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.
Language: English
Format: Other
Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages.
Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light.
This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level.
The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks.
The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.
Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors
Accuracy Verified: Yes
33. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).
Keywords: Abreactions Intense Affect
Accuracy Verified: Yes
34. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An
inherent value of EMDR is to facilitate natural
processing and the client's natural patterns. Assuming client readiness and
preparation to deal with emotional material, an
interweave (which elicits other neural networks),
or resource installation (which initiates a state
change) or prolonged talking (which initiates an
interpersonal process) - though often useful - can
interfere with the client's own internal processing and take the client away from their natural and
unique resolution and integration. The therapist
can enable the client to process intense material
utilizing a) strong attunement skills to hold the
client in one's therapeutic presence, b) recognition
of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally
intervene and when to "stay out of the way". Hence,
more important than the mechanics of bilateral
stimulation is the way EMDR is delivered. EMDR
is a "dance" between client and therapist with the
therapist interacting through bi-lateral stimulation
even more than through verbal communication.
This workshop will focus on dealing with intense
affect with EMDR (the dance) and include
discussjon of 1) How to assess client readiness for
dealing with intense material, both before and during
EMDR processing. 2) Therapist clinical presence
and attunement skills. 3) Detecting behavioral
manifestations of processing and calibrating bilateral
stimulation to the client in order to maximize
processing, and control intensity of processing. 4)
Therapeutic choice points concerning verbal
interventions and "staying out of the way". Demonstration and video tapes will be used to
illustrate teaching points. (Participants should be
aware that the videos have intense emotional content).
Keywords: Abreactions
Accuracy Verified: Yes
35. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This paper presents the assessment and four year
psychotherapy of a Hispanic man with Complex PTSD
and Dissociative Disorder NOS. The patient’s history of
childhood sexual abuse caused significant disruptions
in normative developmental processes causing what
van der Kolk (2005) posits as a Developmental Trauma
Disorder. Based on Shapiro’s (2001) adaptive information
processing paradigm, the patient’s memories of extensive
childhood sexual victimization became blocked from
resolution from adaptive memory networks, becoming
embedded in the emotional brain and activated by the 9/11
tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled
his experiences of 9/11 and memories of severe childhood
sexual abuse, establishing a narrative of victimization,
helplessness, and confusion about his sexual orientation
(Gardner, 1999). Furthermore, there were episodes of
dissociation revealing the possibility of alters. Attempts
to access adaptive networks using EMDR protocols were
thwarted by intractable defenses. The patient’s desire
to return to work was offset by his entitlement to Social
Security Disability that was initially denied. Working through
my concordant countertransference (Racker, 1968), I
ultimately accepted his wish for SSD, which he obtained
on appeal based upon my symptom-specific evaluation.
The patient transferred to a clinic that accepted SSD.
Participants will be able to :
♦♦ identify the developmental derailing
effects of childhood sexual abuse on
normative developmental processes.
♦♦ assess how childhood trauma(s) that are
repressed or dissociated are invoked by
trauma(s) in adulthood through associative
memory networks causing Complex PTSD.
♦♦ apply methods of working with patients
dissociative defenses in psychotherapy.
Keywords: Case Study Developmental Trauma Disorder
Accuracy Verified: Yes
36. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
37. 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
38. Infield, T. (2006, Mar 7). At 61, answering Uncle Sam's call: A Vietnam veteran hopes to help with war's psychic wounds. Philadelphia, PA: The Philadelphia Inquirer, National, A01.
Language: English
Format: Newspaper
Abstract:
He established the program and is a recognized expert in a form of stress therapy with a long, complex name known by its initials, EMDR (eye movement desensitization and reprocessing).
Keywords: Phildelphia Steve Silver Veterans
Accuracy Verified: Yes
39. Lanius, U. F. (2004, September). Attachment and dissociation: The role of endogenous opoids. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Endogenous opiates play a major role in attachment and they are also involved in dissociative processes and somatoform dissociation. The presentation discusses the adjunctive use of opoid antagonists both during stabilization and trauma processing with EMDR and the neurobiology of opiate with regard to attachment and dissociation. It delineates the effects of effects on learning including support for a differential mechanism for EMDR as compared to Exposure treatment. It describes how to integrate EMDR processing and the use of opioid antagonists in the treatment of Complex PTSD.
Keywords: Attachment Dissociation Endogenousopoids
Accuracy Verified: Yes
40. Farma, T. (2003, May). Attachment, trauma and EMDR. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Attachment Theory Complex PTSD Symposium
Accuracy Verified: Yes
41. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
42. Fisher, J. A., Fay, D., & van der Kolk, B. A. (2001, December). Becoming safely embodied: Body-mind approaches to working with complex post-traumatic stress. Presentation at the International Society for the Study of Dissociation, Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Keywords: Complex PTSD Mind/Body
Accuracy Verified: No
43. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.
Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.
Keywords: Complex Trauma
Accuracy Verified: Yes
44. Mevissen, L., & Lievegoed, R. (2011, April). Behandeling van tandartsfobie bij een niet sprekend kind met pre-verbaal medisch trauma [Treatment of dental phobia in a non-speaking child with pre-verbal trauma medical]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop staat de behandeling van een 5-jarig jongetje met extreme tandartsangst centraal. Er is sprake van een genetisch bepaalde overgevoeligheid van het mondgebied. Het patientje krijgt zijn dagelijkse voeding voornamelijk via een sonde. De oorsprong van de angst wordt toegeschreven aan pré-verbaal medisch trauma. Aan de hand van videobeelden worden zowel casusconceptualisatie, verloop van de behandeling als de effecten in de tandartskamer geïllustreerd. De complexe gehechtheidsrelatie is in de problematiek verweven; de behandeling daarvan wordt eveneens belicht.
In this workshop the treatment of a 5-year-old boy with extreme dental fear central. There is a genetically determined hypersensitivity of the mouth area. The young patient gets his daily diet primarily through a tube. The origin of fear is attributed to pre-verbal medical trauma. Using both video conceptualization, course of treatment if the effects illustrated in the dental room. The complex is in the attachment relationship issues intertwined their treatment is also highlighted.
Keywords: Dental Phobia Mutism Pre-Verbal Trauma
Accuracy Verified: Yes
45. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized
history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the
“Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each
other in working with complex bereavement. The Presentation outlines the conceptualization of the case based
on this theory, the working process and milestones. As the individual grieves, various levels of structural
dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts
of the Personality”. The working procedures within the EMDR framework involve processing materials from
different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia,
anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment,
traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]
Keywords: Dissociation Personality Theory Poster
Accuracy Verified: Yes
46. Kuiken, D., Chudleigh, M., & Racher, D. (2010, December). Bilateral eye movements, attentional flexibility and metaphor comprehension: The substrate of REM dreaming?. Dreaming, 20(4), 227-247. doi:10.1037/a0020841.
Language: English
Format: Journal
Abstract:
Explanations for the effects of the rapid eye movements induced during Eye Movement Desensitization Reprocessing (EMDR; Shapiro, 2001) have drawn upon an analogy with the eye movements of REM sleep (Kuiken, Bears, Miall, and Smith, 2002). An extension of that analogy posits two orienting systems, one involving threat-fear related mnemonic contextualization and another involving loss-pain related monitoring of conflicting response alternatives. In a study involving individuals who had recently experienced significant loss or trauma, we found that experimentally induced saccadic eye movements decreased reaction times to unexpected stimuli among those reporting traumatic distress (characterized by hyperarousal and intrusive thoughts) and increased reaction times among those reporting separation distress (characterized by vivid reminiscences and the sense of a foreshortened future). Also, we found that saccadic eye movements increased the perceived strikingness of metaphoric sentence endings among those reporting amnesia for events related to either loss or trauma. The eye movements of both EMDR and REM sleep may differently affect the attentional and cognitive reorienting activity of those living with the consequences of loss or trauma. These differences may be evident in their waking reflections and in their dreams.
Keywords: Attention Bereavement Dreams Eye Movements Metaphors REM Sleep Trauma
Accuracy Verified: Yes
47. Rothschild, B. (2003). The body remembers casebook: Unifying methods and models in the treatment of trauma and PTSD (1st ed). New York: W.W. Norton.
Language: English
Format: Book
Abstract:
This is the first book of its kind to advocate utilizing and combining an assortment of trauma treatment models. Based on ideas put forward in the bestselling The Body Remembers, Babette Rothschild emphasizes the importance of tailoring every trauma therapy to the particular needs of each individual client. A breath of fresh air in the competitive "mine is best" atmosphere currently so divisive in the field of trauma therapy, each varied and complex case (presented in a variety of writing styles: case reports, session-by-session narratives, single session transcripts) is approached with a combination of methods ranging from traditional psychodynamic approaches and applications of attachment theory to innovative trauma methods including EMDR and Levine's SIBAM model. Read on its own on or in conjunction with The Body Remembers, clinicians from all disciplines will discover new strategies and gain insight into how to combine various treatment models for increased success with traumatized clients.
Keywords: Body Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
48. Herbert, C. (2009, June). Body staging as a method for safely assessing and working with dissociated material in severe complex trauma and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Body Staging Complex Trauma DID Dissociative Identity Disorder
Accuracy Verified: Yes
49. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.
Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation
Accuracy Verified: Yes
50. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.
Keywords: Children Family Systems Approach
Accuracy Verified: Yes
51. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
52. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.
Keywords: Body Resource CIPOS Position of Power Power Animal
Accuracy Verified: Yes
53. Holm, O. (2009, June). Broad spectrum psychotherapy with EMDR for survivors of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Broad Spectrum Psychotherapy Complex PTSD Survivors
Accuracy Verified: Yes
54. Meignant, I., & Meignant, C. (2008, May). Buddy the dog's E.M.D.R. EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
The Buddy's Extroadinary Momentum for Discovery and Reconciliation is made to help kids from 0 to 99 deal with the abreaction through the story of a traumatized dog.
It allows us to understand the internal process which takes place during the acceptance creation of a trauma, a process caused by eye movements, as during the therapy EMDR.
It's also a magnificent tool for understanding the neuro emotional integration processing which takes place during the bilateral stimulation, for all those suffering traumatism in the broad sense of the term: simple or complex, unique or multiple, the traumatic disorders of development and generally the memories of the past staying emotionally in the present. These events of the past of which we say "it's as if, it was yesterday" which do not become memories which we consult and which do not hurt any more. This book shows an example of the internal process of EMDR which will allow Buddy the dog to become reconciled with himself and to be able to live WITH the memories and not IN the memories.
Keywords: Children
Accuracy Verified: Yes
55. Gauvreau, P. (2012, April). Ça bloque! Ça boucle! (looping)! Que faire? [It freezes! This loop! (looping)! What to do?]. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: French
Format: Conference
Abstract:
S’inspirant à la fois du modèle de traitement adaptatif de l’information/protocole EMDR et de notions en dissociation structurelle, des stratégies pour gérer les blocages au retraitement et les boucles seront présentées. Nous aborderons les stratégies avec ou sans tissage cognitif à l’aide d’exemples cliniques. Également, des stratégies faisant appel aux états du moi seront abordées dans des cas plus complexes de blocages au retraitement.
Objectifs d’apprentissage:
1. Identifier les clients qui sous ou sur-accèdent au matériel et les stratégies à mettre en place
2. Reconnaître quand le retraitement est bloqué ou quand il y a présence de boucles et choisir des stratégies à mettre en place
3.Connaître des stratégies sans tissage
4.Connaître des stratégies avec tissage
5.Connaître quelques stratégies faisant appel aux états du moi – dissociation structurelle.
Inspired by both the model adaptive processing of information / EMDR protocol and concepts in structural dissociation, strategies to handle deadlocks reprocessing and loops will be presented. We will discuss strategies with or without cognitive weaving using clinical examples. Also, strategies involving the ego states will be addressed in more complex cases of blockages reprocessing.
Learning Objectives: 1. Identify customers who underexposed or access the materials and strategies to implement 2. Recognize when the restatement is blocked or when there is presence of loops and choose strategies to implement strategies without 3.Connaître 4.Connaître weaving weaving 5.Connaître strategies with some strategies to use ego states - structural dissociation.
Keywords: Interweaves Looping
Accuracy Verified: Yes
56. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a
Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly
process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred
(non-directive) Play Therapy model is now well recognised as a way of helping children and
adolescents who have experienced psychological trauma to work through their experiences in
a way that is both empowering and non-threatening. It is based on Rogerian principles
(Rogers 1951), with the philosophy that given the right therapeutic conditions the children,
like adults, have an innate drive towards health. The child leads the way, and the therapist
follows. I have struggled to see how EMDR can fit comfortably within a client-centered play
therapy model, although I recognise that Shapiro describes the model as client-centred.
To test a hypothesis that EMDR could be integrated into a client-centred play therapy
approach, three children were identified. All 3 were waiting for some regular weekly client-centred
play therapy sessions, within the Child and Adolescent Mental Health Service, in
West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other
aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had
experienced complex psychological trauma including sexual abuse.
My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and
if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The
sessions were set up introducing the EMDR protocol alongside setting up the client-centred
play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I
will summarise my findings and hope to show how possible ways the two approaches can be
integrated.
Keywords: Children Play Therapy Poster
Accuracy Verified: Yes
57. Jongedijk, R., Freeman, C., Stofsel, M., Johannesson, K. B., Groenenberg, M., & Nerad, M. (2005, October). Can evidence based trauma treatment like CGT and EMDR be used for patients with complex traumatisation and/or complex PTSD?. Presentation at the First Annual European Workshops on Traumatic and Stress, Academic Medical Center, The Netherlands .
Language: English
Format: Conference
Abstract:
CGT and EMDR are well documented treatment programmes for PTSD. Most published studies concern “simple PTSD”, in this workshop
presentations and discussions are focussed on the treatment principles and possible adjustments in techniques of CGT and EMDR for
complex PTSD patients.
Keywords: CGT Complex Posttraumatic Stress Disorder Complex PTSD Complex Trauma C-PTSD
Accuracy Verified: Yes
58. Adler-Tapia, R., & Settle, C. (2009, August). Case conceptualization: Decision points in EMDR with children for attachment, dissociation, and concurrent diagnosis including OCD, ADHD, and PTSD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This presentation will focus on illustrating decision points in EMDR in case conceptualization with children involving complex diagnoses. Videotapes will include sessions with young children diagnosed with post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), attachment traumas, Traumatic Brain Injury (TBI), dissociation and other diagnoses. This is an interactive workshop where participants are encouraged to bring questions about the protocol and challenging issues in practice. Areas to be discussed: how attachment affects the progression of EMDR, at what point does dissociation impact the protocol, and at what point does the therapist consider installing mastery, resource development, or the Inverse Protocol.
Keywords: ADHD Attachment Disorders Attention Deficity Hyperactivity Disorder Case Conceptualization Children Dissociation Inverse Protocol Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
59. Leeds, A. M. (1995, October). Case formulation: Strategies and criteria for selection of negative and positive cognitions in EMDR, adapted and updated. Author.
Language: English
Format: Other
Abstract:
Originally a paper entitled "Case formulation: selecting positive and negative cognitions" at the Annual meeting of the EMDR Conference, Sunnyvale, CA March 1994, presented at the The process of selecting appropriate negative and positive cognitions can be a smoothly flowing preamble to an EMDR treatment session or it can be a complex search for an elusive quarry. In this paper, I will review the principles and rationale underlying the selection of cognitions in EMDR and will consider procedures to guide us safely past common problems. Most importantly, I will introduce the idea that the process of selecting cognitions can be greatly simplified and enriched when it is integrated into a case formulation approach.[1][Author abstract]
Keywords: Cognitions
Accuracy Verified: Yes
60. Miller, P. (2005, April). A case study of complex PTSD exploring the use of EMDR and medication: The psychobiology of a traumatic incident. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Keywords: Mediction Posttraumatic Stress Disoder PTSD: Psychobiology Trauma
Accuracy Verified: Yes
61. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.
Language: Spanish
Format: Other
Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico.
El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia.
Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Chronic Posttraumatic Stress Disorder Chronic PTSD
Accuracy Verified: Yes
62. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.
Language: English
Format: Journal
Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.
Keywords: CBT Cognitive Behavioral Therapy Countertransference Distress Phenomenology Physical Manifestations Psychoanalysis Psychotherapy Psychoanalytic Psychotherapy Psychological Distress Psychosomatic Phenomena Self Destructive Behavior Self Harm Somatoform Disorders Thinking Trauma Therapy
Accuracy Verified: Yes
63. Herbert, C. (2002, May). A CBT-based therapeutic alternative to working with complex client problems. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract: This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.[Taylor-Francis]
Keywords: CBT Cognitive Behavioral Therapy Counseling Psychotherapy
Accuracy Verified: Yes
64. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.
Language: English
Format: Journal
Abstract:
Treating women suffering from trauma poses significant
challenges. The diagnostic prototype of post-traumatic stress
disorder (PTSD) is based on single-event trauma, such as
sexual assault in adulthood. Several effective cognitivebehavioral
treatments for such traumas have been developed,
although many treated patients continue to experience
residual symptoms. Even more problematic is the complex
developmental psychopathology stemming from a lifetime
history of multiple traumas, often beginning with maltreatment
in early attachment relationships. A history of attachment
trauma undermines the development of capacities to
regulate emotional distress and thereby complicates the
treatment of acute trauma in adulthood. Such complex
trauma requires a multifaceted treatment approach that
must balance processing of traumatic memories with
strategies to contain the intense emotions this processing
evokes. Moreover, conducting such treatment places
therapists at risk for secondary trauma such that trauma
therapists also must process this stressful experience
and implement strategies to regulate their own distress.
Keywords: Attachment Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
65. van Hoof, E. (2005, June). Chronic fatigue syndrome and EMDR, a favourable combination. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Chronic fatigue syndrome (CFS) is a complex, sometimes controversial and
often confusing condition characterized principally by persistent,
unexplained physical and mental fatigue. Researchers and clinicians
continue to debate many aspects of CFS. The influence of stress, in
conjunction with infection, was introduced early on as a possible cause of
chronic illnesses such as CFS.
Patients themselves often report that a virus combined with stress were the
triggers of their illness. The etiology and pathophysiology of CFS will be clear to all attending the presentation as well as where and when EMDR should
be applied in CFS.
Keywords: Chronic Fatigue Syndrome CFS Peak Performance Symposium
Accuracy Verified: Yes
66. Rost, C., & Eckers, D. (2009, June). CIPOS: A bridge between stabilization and trauma confrontation with simple and complex traums in adults and children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Adults Children Complex Trauma CIPOS Simple Trauma
Accuracy Verified: Yes
67. Korn, D. (2001, June). Clinical applications of EMDR in treating adult survivors of childhood abuse and neglect. Preconference presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will focus on integrating EMDR into a phase-oriented recovery plan in treating adult survivors of childhood abuse and neglect. EMDR applications with the full range of trauma-related syndromes, including simple and complex PTSD, Borderline Personality Disorder and Dissociative Disorders, will be addressed. Treatment planning and pacing will be discussed in view of presenting problem, attachment style, defenses, and self-capacities. In recognition of clients' rigid, maladaptive schemas, poor impulse control, dissociative tendencies and limited affect tolerance, strategies for modifying and supplementing standard EMDR protocols will be explored, Significant attention will be devoted to integratring EMDR ego strengthening and resource development protocols into all phases of treatment.
Keywords: Borderline Personality Disorder Child Abuse Dissociative Disorders Ego Strengthening Neglect Posttraumatic Stress Disorder PSTD Resource Development
Accuracy Verified: Yes
68. Maxfield, L. (2003). Clinical implications and recommendations arising from EMDR research findings. Journal of Trauma Practice, 2(1), 61-81. doi:10.1300/J189v02n01_04.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a treatment approach found to be efficacious for trauma-related disorders. This article provides an overview of the EMDR treatment process and briefly describes treatment components. It reviews the current research investigating EMDR treatment of PTSD and research investigating the role of eye movements. The practical clinical implications arising from the findings are discussed. These include factors related to treatment provision, such as treatment fidelity, length of treatment, homework, and the use of eye movements. Also highlighted are client-related factors such as population, type of trauma, multiple traumas, symptom severity, comorbid disorders, and complex PTSD. Where possible, recommendations are made for clinical practice and comparisons are made with other types of treatments. [Author Abstract]
Keywords: Clinical Implications Compelx Posttraumatic Stress Disorder Complex PTSD C-PTSD Literature Review Posttraumatic Stress Disorder PTSD Research Stressors Survivors Treatment
Accuracy Verified: Yes
69. 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
70. Marich, J. (2009, Summer). Clinically significant trauma: Insights from the adaptive information processing model on grief and loss. The American Academy of Bereavement Newsletter, 1, 5, 10.
Language: English
Format: Newsletter
Abstract:
The adaptive information processing (AIP) model, the theoretical model
developed by Dr. Francine Shapiro to explain why psychopathology develops
and why EMDR works to resolve it, can often be usefully applied for case
conceptualization by non-EMDR therapists. In this article, the author
explains how the AIP model can be used to better understand a case of
complicated bereavement in a 27-year-old client, and how a treatment plan
can be more sensitively developed.
Accuracy Verified: Yes
71. Cervera, M., & Acinas, P. (2012, June). Como puede la combinacion entre el EMDR y la imaginacion tartar casos con sept complejo, problemas de apego y disociacion? [How can EMDR and imagination combined, treat cases with complex PTSD, attachment and dissociative symptoms?]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: Spanish
Format: Conference
Abstract: ABSTRACT:
La integración del EMDR con el uso de la imaginación
(See Far CBT, Lahad) como un abordaje para
el tratamiento de SEPT Complejo.
El uso de la imaginación con cartas terapéuticas
dentro de la Realidad Fantástica es una estrategia
poderosa para estos pacientes. El EMDR ha sido
ampliamente investigado y aprobado como una de
las terapias más efectivas en este campo.
ABSTRACT:
Integrate EMDR with the use of Imagination (See
Far CBT, Lahad) as an approach to treat Complex
Trauma with PTSD.
The use of Imagination with therapeutic cards
within the world of Fantastic Reality is a new powerful
coping strategy for these patients. EMDR has
been widely researched in this area.
Keywords: Attachment Dissociation Poster
Accuracy Verified: Yes
72. Chen, L. (2008, April). Complex bereavement, EMDR & “structural dissociation of the personality” theory. Presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Ireland.
Language: English
Format: Conference
Keywords: Bereavement Personality Structural Dissociation
Accuracy Verified: No
73. Busuttil, W. (2009, August). Complex post-traumatic stress disorder: A useful diagnostic framework?. Psychiatry, 8(8), 310-314. doi:10.1016/j.mppsy.2009.04.014.
Language: English
Format: Journal
Abstract:
The Diagnostic and Statistical Manual and the International Statistical Classification of Diseases do not distinguish clearly between the clinical presentations resulting from exposure to single as opposed to multiple trauma. The developmental age of the victim is similarly not emphasized in symptom development and clinical presentation. Developmental trauma disorder and complex post-traumatic stress disorder (PTSD) are emerging as useful diagnostic frameworks in children and adults. This article reviews the literature and highlights conceptual evolution and differences from simple PTSD, as well as discussing differential diagnoses and clinical management.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
74. Korn, D. (2006, September). Complex PTSD. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Know the Why and How to Choose Your What:
Some Essentials of EMDR Model and
Methodology: Part 2 of 2
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
75. van der Kolk, B. (2000). Complex PTSD in children II: Therapeutic interventions. Cavalcade Productions, Inc., Nevada City, CA.
Language: English
Format: Video
Abstract:
In this video series, Bessel van der Kolk and other clinicians from The Trauma Center, along with therapists Joyanna Silberg and Frances Waters, describe the assessment tools and therapeutic approaches that they have found most useful in working the severely traumatized in children. The clinician's role in such cases often includes working with parents or guardians as well as children, and can extend far beyond the therapy room to encompass psychoeducation and advocacy. For children with complex PTSD, safety must be established both externally and internally. Maintaining internal safety can be an especially difficult task when the child is highly dissociative. The presenters discuss ground techniques that can help a child to stay safe and stable, and describe the therapeutic modalities "play, talk, art, and group therapy" that they have found useful. Topics include controlling aggression, accessing emotions, changing the trauma story, and using EMDR.
Keywords: Children Clinical Judgment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Intervention Posttraumatic Stress Disorder PTSD Therapeutic Processes Treatment
Accuracy Verified: Yes
76. Gauvry, S., Lesta, P., Gueudet, A., Larrarte, A. A., & Pallia, R. (2012, June). Complex regional pain syndrome (CRPS), Sudeck dystrophy: EMDR reprocessing therapy applied to the psychotherapy strategy. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Abstract: Description of the application of EMDR Psychotherapeutic Model, in a child with uncontrolled pain due to CRPS.
Keywords: Complex Regional Pain Syndrome CRSP Poster Sudeck Dystrophy
Accuracy Verified: Yes
77. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Family Relations Family Systems Therapy Family Systems Theory Family Therapy Individuation Integrative Psychotherapy Separation Anxiety Separation Individuation Separation Problems Separation Reactions Structural Family Therapy Young Adulthood
Accuracy Verified: Yes
78. Spannocchi, P. (2012, June). The complex space time function (fSPTC). Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Keywords: fSPTC Poster Space Time Function
Accuracy Verified: Yes
79. Onofri, A., & Hummel, H. (2003, June). Complex trauma and attachment. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Attachment Theory Complex PTSD Symposium
Accuracy Verified: Yes
80. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
81. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
82. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
It will be shown how to get into touch and how to work with traumatic and
somatic ego-states by simultaneously activating resourceful ego-states in mind and
body. The work will be resource integrating from top to bottom. In the body it will be
from bottom to top.
Two different experiential protocols will be given and respective videos will be shown:
the resource integrating protocol and the bottom-up protocol
The neurological background of balancing work with traumatic memories and
resources will be discussed. It lies in promoting effective and permanent links
between the neuronal trauma network and one or more corresponding resource
networks. The integration of resources can greatly accelerate processing. It is
imperative, however, that the use of these resources is not random, rather orients
itself to the specific needs of the client at that specific point in time with attention
given to how much resource or trauma is activated.
Participants will be informed about the impact of complex trauma in mind and body.
They will learn how to apply EMDR combined with Claire Frederick's and Maggie
Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic
Experiencing. By those means complex traumatized clients are enabled to broaden
their windows of tolerance.
Participants will be able to supply their clients with a powerful tool for self healing.
Se mostrará cómo ponerse en contacto y trabajar con los estados del yo
traumático y somático mediante la activación simultánea de estados del yo
recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde
arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba.
Se darán dos protocolos experienciales distintos y se presentarán vídeos
pertinentes de los protocolos respectivos: el protocolo de la integración de
recursos y el protocolo desde abajo hacia arriba.
Se hablará de los antecedentes neurológicos del trabajo de equilibrio con
recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y
permanentes entre la red neuronal del trauma y una o más de las redes de
recursos correspondientes. La integración de recursos puede acelerar en gran
medida el procesamiento. Sin embargo, es imperativo que el empleo de estos
recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del
cliente en ese momento concreto con atención prestada a la cantidad de recursos o
el trauma activado.
Se les informará a los participantes sobre el impacto que tiene el trauma complejo
en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la
“imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al
“Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos
medios los clientes con trauma complejo son capaces de ampliar sus ventanas de
tolerancia.
Los participantes podrán ofrecer a sus clientes con una herramienta potente para
la auto-curación.
Accuracy Verified: Yes
83. Herbert, C. (2012, October). Complex trauma: Road to psychiatric dysfunction or path toward posttrauma growth?. Keynote at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.
Keywords: Complex Trauma Posttraumatic Growth
Accuracy Verified: Yes
84. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces.
De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.
"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process.
The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
85. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex PTSD Complex Posttraumatic Stress Disorder C-PSTD Consensus Model Resource Development & Installation RDI Treatment Criteria
Accuracy Verified: Yes
86. Maxfield, L. (2008). Considering mechanisms of action in EMDR. Journal of EMDR Practice and Research, 2(4), 234-238. doi:10.1891/1933-3196.2.4.234.
Language: English
Format: Journal
Abstract:
This special issue of the Journal of EMDR Practice
and Research contains a number of articles that address
preliminary issues related to these complex
questions. There are two research studies: a study
investigating the physiological effects of EM (Sack
et al.) and a study evaluating the effect of EM on the
components of autobiographical memory (Maxfi eld
et al.) . There are several articles by researchers who
have summarized their fi ndings and provided a theoretical
perspective on related issues (Lee; Propper &
Christman; Sondergaard & Elofsson; Stickgold). Two
theoretical articles propose neurobiological and other
mechanisms of action (Bergmann; Solomon & Shapiro
). All these articles make a real contribution to our
conceptualizations of EMDR mechanisms. It is our
hope and intention that this issue will stimulate thinking,
and provide ideas and models for future research,
with the expectation that fi ndings will help to guide
and direct clinical practice. (Excerpt)
Keywords: Editorial Mechanism of Action
Accuracy Verified: Yes
87. Greenwald, R., McClintock, S. D., & Bailey, T. D. (2012, October). A controlled comparison of eye movement desensitization & reprocessing (EMDR) and progressive counting (PC). Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR is the most effctive (Ho & Lee, 2012) and efficient (Greenwald et al, 2012) of the established trauma treatments and it is well tolerated by clients. However, EMDR is complex, making dissemination challenging and expensive (Greenwald, 2066a). PC is simplet, more qickly learned, and had shown promise in case stuidies (Greenwald, 2008a, 2008b) and open trials (Greenwald & Schmidt, 2010). If PC is comprable to EMDR, then dissemination of top-tier trauma treatment can be more economical.
Keywords: Poster Progressive Counting
Accuracy Verified: Yes
88. van den Hout, M. A., Engelhard, I. M., Smeets, M. A. M., Hornsveld, H., Hoogeveen, E., de Heer, E., Toffolo, M. B. J., & Rijkeboer, M. (2010, April). Counting during recall: Taxing of working memory and reduced vividness and emotionality of negative memories. Applied Cognitive Psychology, 24(3), 303-311. doi:10.1002/acp.1677.
Language: English
Format: Journal
Abstract:
While initially subject to debate, meta-analyses have shown that eye movement desensitization and
reprocessing (EMDR) is effective in the treatment of posttraumatic stress disorder (PTSD). Earlier
studies showed that eye movements during retrieval of emotional memories reduce their vividness and emotionality, which may be due to both tasks competing for limited working memory (WM)resources. This study examined whether another secondary task that taxes WM has beneficial effects, and whether the stronger the taxing, the stronger the reductions in vividness/adversity. A reaction time (RT) paradigm showed that counting backwards requiresWMresources, and that more complex
counting is more demanding than simple counting. Relative to a retrieval-only condition, counting
during retrieval of emotional memories reduced vividness and emotionality during later recall of
these memories. However, the counting conditions did not differ in the magnitude of this reduction,
and did not show the predicted dose-response relationship. Implications for a working-memory
explanation of EMDR and for clinical practice are discussed. Copyright#2010 JohnWiley & Sons, Ltd.
Keywords: Counting Reaction Time Paradigm Working Memory
Accuracy Verified: Yes
89. Johnson, D. R., & Lubin, H. (2006). The counting method: Applying the rule of parsimony to the treatment of posttraumatic stress disorder. Traumatology, 12(1), 83-99. doi:10.1177/153476560601200106.
Language: English
Format: Journal
Abstract:
A study is described comparing Prolonged Exposure, Eye Movement Desensitization and Reprocessing, and the Counting Method with 51 multiply-traumatized women. Measures of PTSD were significantly reduced by all three methods, but differences among the methods were negligible. Because the Counting Method utilizes only imaginal exposure as a therapeutic element, support is given to the more parsimonious conclusion that imaginal exposure may be both the necessary and sufficient factor in therapeutic effect, countering a trend in the field toward more complex, multi-faceted treatment packages. [Author Abstract]
Keywords: Adults Counting Method Exposure Therapy Females Imaginal Exposure Multiple Traumatic Events Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Survivors Treatment Effectiveness Women
Accuracy Verified: Yes
90. Leeds, A. (2006, September). Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes
emphasizes assuring adequate stabilization before
and during uncovering and resolving of traumatic memories. Resource Development and Installation
(RDI) has been reported to be a potentially
effective intervention for enhancing patient & stabilization. There are now several published
descriptions and case reports of RDI including a
summary in the standard reference text on EMDR.
The growing use of RDI by EMDR trained
clinicians has been followed by reports indicating
that a significant number of patients with
posttraumatic stress syndromes who meet
standard EMDR readiness criteria for ego strength
and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical
situations the use of RDI is indicated; for which
patients and clinical situations RDI should be
offered cautiously, if at all, but alternate
stabilization methods should be considered; and
for which patients RDI should not be offered but
where standard EMDR reprocessing should be
offered without delay. An overview of RDI
procedural steps will be presented to clarify its
use. Strategies will be offered to address technical,
clinical and countertransference issues that may
be associated with misuse of RDI. Clinical
vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria
Accuracy Verified: Yes
91. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation
Accuracy Verified: Yes
92. Leeds, A. (2010, July). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate
stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation
(RDI) has been reported to be a potentially effective intervention for enhancing patient stabilization. There are now several
published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing
use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with
posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered
RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for
which patients (1) and clinical situations (3) the use of RDI is indicated; for which patients and clinical situations (4) RDI should
be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients (2) RDI should
not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps
will be presented (5) to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues
that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical
cautions and misuse of RDI.
Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation
Accuracy Verified: Yes
93. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
94. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.
Language: German
Format: Conference
Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und
emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese
richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3,
und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen.
Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen
Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender,
emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese
Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung
für die erfolgreiche und effiziente Anwendung von EMDR dar.
Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr
häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen,
dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a.
durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann.
In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen
EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner
Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August
2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht.
Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals
klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und
den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das
Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt.
Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die
TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐
Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen.
Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit
EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden.
Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop
soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven
eröffnen helfen.
Experience shows that successful work often with EMDR significantly taken from and
emotionally meaningful choice of cognition depends. But experience shows also that these
Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3,
and not only for beginners but also for experienced EMDR therapists.
This especially when the focus of the work of non-traumatic on clearly defined classical
Individual events, but on complex, early-life subjects. Working out of profound,
emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This
Situation often creates uncertainty among clients and therapists and offers a challenge
represents for the successful and efficient use of EMDR
Meanwhile, it has been worked into the binding and trauma research that very early interference
often have a dissociative structure among those affected the result. We must therefore assume
that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3
may be manifested by problems with the development of cognition.
In recent years I have developed the dialogue EMDR protocol, how to deal with such complex
EMDR situations in phase 3 easier. In October 2009, a short version of my
Work on this specific EMDR protocol in German newsletter published EMDR and in August
2011 an English translation of the EMDR Journal for Research & Practice is published.
The workshop on the one hand the importance of cognition in the successful EMDR should work again
and clarify the related theoretical principles from neurobiology, attachment theory and
summarize the theories of Structural Dissociation and ego state theory. Then, the
Dialog protocol described in detail and illustrated using case studies in practical applications.
A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The
By means of concrete examples to own participants, phase 3 of the dialogue with application-
Exercise protocol in order for the practice to bring a hands-on experience based on personal experience.
This involves having to capturing phase 3 to the VOC, not a complete self-awareness
EMDR. It is the emotional relevance of coherent and profound cognition can be experienced.
If it is the time frame allowed to own cases are presented for discussion. The workshop
should enable a collegial discussion of issues in application of EMDR and new perspectives
help open up.
Keywords: Cognitions Dialogue Protocol
Accuracy Verified: Yes
95. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, April). De behandeling van complexe PTSS-patiënten [The treatment of complex PTSD patients]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Vooral bij de behandeling van de complexere
patiënten met een posttraumatische stressstoornis
(PTTS) worden niet altijd de evidence-based
behandelvormen toegepast zoals die zijn beschreven
in de richtlijnen. Vaak worden slecht gedefinieerde
stabilisatietechnieken toegepast, veelal
gecombineerd met farmacotherapie.
In deze bijblijfsessie zullen een drietal traumagerichte
psychotherapeutische behandelvormen
worden gepresenteerd, met speciale aandacht
voor complexe ptss-patiënten. Dit zijn de narratieve
exposure therapy (NET), het Kort Eclectisch
Protocol voor PTSS (KEP) en eye movement desensitisation
and reprocessing (EMDR).
Betoogd zal worden, dat ook bij complex
getraumatiseerde patiënten heel goed met net,
kep of emdr traumagerichte behandeling kan
plaatsvinden en dat dit doorgaans de voorkeur
verdient boven andere behandelmethoden. Wel
zijn soms aanpassingen in de therapievorm noodzakelijk.
Bij deze aanpassingen zal worden stilgestaan.
leerdoel Aan het einde van de sessie
wordt de deelnemer geacht goed op de hoogte te
zijn van drie evidence-based behandelvormen voor
ptss; en kennis te hebben van de mogelijkheden
om ook bij complexere patiënten deze traumagerichte
behandelingen uit te voeren.
Especially in the treatment of complex
patients with post-traumatic stress disorder
(PTTS) are not always evidence-based
forms of treatment applied as described
in the guidelines. Often poorly defined
stabilization techniques, often
combined with pharmacotherapy.
This will bijblijfsessie three trauma-focused
psychotherapeutic treatment modalities
are presented, with special attention
Complex PTSD patients. These are the narrative
exposure therapy (NET), the Short Eclectic
Protocol for PTSD (SEP) and Eye Movement Desensitisation
and reprocessing (EMDR).
Will be argued that, even in complex
traumatized patients with very good network,
kep or EMDR trauma-focused treatment
place and that it is generally preferred
appropriate than other treatments. Or
adjustments are sometimes necessary in the form of therapy.
Such adjustments will be considered.
Learning Objectives At the end of the session
the participant is deemed to be well informed
of three evidence-based treatments for
PTSD, and be aware of the possibilities
even under these complex patients, trauma-focused
treatments prior to arrival.
Keywords: Narrative Exposure Therapy NET SEP Short Eclectic Protocol
Accuracy Verified: Yes
96. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van
complexe ptss-patiënten wordt niet altijd de evidence-
based behandeling toegepast, zoals die wordt
beschreven in de richtlijnen. Doorgaans is de
mening, dat stabilisatie het enige mogelijke is
vanwege gevaar voor psychische decompensatie.
Inmiddels is voldoende evidentie, dat traumagerichte
therapieën ook bij complexe ptsspatiënten
mogelijk en effectief zijn.
Doel: In deze bijblijfsessie zal worden
betoogd, dat evidence-based traumagerichte behandeling
bij complexe ptss-patiënten mogelijk en
wenselijk is. Aandacht zal worden besteed aan
moeilijkheden en mogelijkheden bij deze groep
patiënten.
Methoden: Na een algemene inleiding
over de richtlijnen voor psychotherapeutische
behandeling van ptss en over complexe ptss (R.
Jongedijk), zullen vervolgens presentaties worden
gegeven over drie evidence-based behandelvormen
voor ptss, te weten het Kort Eclectisch Protocol
voor ptss (kep; B. Gersons), narratieve exposure
therapy (net; R. Jongedijk) en eye movement desensitisation
and reprocessing (emdr; J. ter Heide).
Expliciet zal worden ingegaan op de moeilijkheden
en mogelijkheden van deze therapievormen
bij complexe ptss-patiënten. De aanpassingen in
de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen
en discussie.
Resultaten: Er is een duidelijk overzicht
gegeven van drie evidence-based psychotherapievormen
voor ptss. Voor de complexe groep
ptss-patiënten zijn de eventuele aanpassingen
aan de standaardprocedures van de behandeling
aan bod gekomen.
Aangetoond is dat deze behandelvormen
goed toepasbaar zijn bij complexe ptss-patiënten.
Conclusie: Evidence-based behandeling
van complexe ptss-patiënten door middel van
traumagerichte psychotherapie heeft doorgaans
de voorkeur. De deelnemer van de bijblijfsessie
heeft kennis genomen van drie evidence-based
behandelvormen voor ptss en kent de moeilijkheden
en mogelijkheden om deze toe te passen bij
complexe ptss-patiënten.
In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
97. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.
Language: Dutch
Format: Journal
Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast.
Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma.
Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr).
Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens.
Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.
Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used.
This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma.
Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR).
The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research.
Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.
Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
98. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op.
EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie.
Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken.
Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.
People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD.
EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population.
In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate.
Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.
Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
99. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
100. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
101. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.
Language: English
Format: Newsletter
Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of
working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation
stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but
do not have a dissociative disorder
Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as
symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people
with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual
abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as
earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the
dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life.
The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily
triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and
place, and so forth.)
Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find
stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated
trauma memories and the PTSD symptoms.
We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a
major survival strategy, but to help the client utilize it with conscious control.
It is important to note that attachment issues are an aspect of development that are especially impacted by trauma.
The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the
client's resources and responses to trauma.
One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These
approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating
these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure
to the trauma processing experiences for these clients.
Keywords: Ego State Therapy
Accuracy Verified: Yes
102. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.
Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma
Accuracy Verified: Yes
103. Hase, M. [2003]. Die "wenig belastende beispielerinnerung“: Ein beitrag zur EMDR-behandlungsplanung [The "little stress as memory": A contribution to EMDR treatment planning]. Biespielerinnerung, Michael Hase.
Language: German
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) ist eine sehr wirksame
Therapiemethode in der Behandlung der Posttraumatischen Belastungsstörung, assozierter
Störungen und anderer psychischer Störungen. Das Modell der adaptiven
Informationsverarbeitung stellt einen theoretischen Rahmen bereit, um die Wirkung des EMDR
zu erklären und bietet im Sinne eines Krankheitsmodells Anleitung zur Diagnostik und
Behandlungsplanung. EMDR ist ein manualisiertes Verfahren und die Berücksichtung der
vorgeschlagenen Protokolle und Prozeduren ist für einen Behandlungserfolg essentiell. Die
phasenorientierte Behandlungsplanung nimmt in der Therapie traumatisierter Menschen generell
einen hohen Stellenwert ein und ist auch für eine EMDR-Therapie sehr wichtig. Die Bearbeitung
einer „wenig belastenden Beispielerinnerung“ in der Frühphase einer EMDR-Therapie bietet
einen guten Einstieg in die sich anschließende Traumabearbeitung und ist besonders in der Arbeit
mit akut Traumatisierten und komplexen Störungsbildern hilfreich.
Summary:
Eye Movement Desensitization and Reprocessing (EMDR) is a very effective
Method of therapy in the treatment of post-traumatic stress disorder, an associate
Disorders and other mental disorders. The model of adaptive
Information processing provides a theoretical framework to evaluate the effect of EMDR
explain and offer guidance in terms of a disease model for the diagnosis and
Treatment planning. EMDR is a manualized procedures and the consideration of the
proposed protocols and procedures is essential for a successful treatment. The
phase-oriented treatment planning in general it will in the treatment of traumatized people
of great value and is also responsible for EMDR therapy is very important. The processing
a "little strain as memory" in the early stages of an EMDR therapy offers
a good introduction to the subsequent trauma and is particularly in the work
helpful with acute and complex trauma disorders.
Keywords: Treatment Planning
Accuracy Verified: Yes
104. Lansch, D. (2008, Januar-März). Die arbeit mit der vier-felder-technik mit komplex traumatisierten menschen [Four-fields technique with people with complex trauma]. EMDRIA Deutschland e.V. Rundbrief, 14, 14-34.
Language: German
Format: Newsletter
Abstract:
Nachfolgend zur Vorstellung der Vier-Felder-Technik im EMDRIA
Rundbrief 8 (2006) soll an Hand von Bilderserien die Anwendung der Vier-Felder-Technik bei
komplex traumatisierten Patientinnen vorgestellt werden. Insbesondere wird die Arbeit mit
unterschiedlichem Ausgangsmaterial als auch der Einsatz dieser Technik in verschiedenen
Phasen der Behandlung erläutert. Abschließend zeigen neun Bilderserien, dass auch die
Anwendung der Vier-Felder-Technik bei einer dissoziativen Patientin möglich und erfolgreich
ist. Dieser Artikel basiert und erweitert die auf den EMDRIA-Tagen 2006 + 2007 gehaltenen
Vorträge.
Following the presentation of the four-field technique in EMDRIA
Rundbrief 8 (2006) is on the basis of series of images the application of the four-field technique for
complex trauma patients are presented. In particular, working with
different source material and the use of this technology in various
Phases of treatment explained. Finally, nine images show series that also the
Application of the four-field technique with a dissociative patient possible and successful
is. This article is based and extends the hold on the EMDRIA-days 2006 + 2007
Lectures.
Keywords: Comlex Trauma Four-Fields Technique
Accuracy Verified: Yes
105. Forgash, C. (2010, September/October). Dissociation in the dental chair: Implications for the EMDR treatment of health issues. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR treatment is effective in dealing with many health problems (exacerbated by dissociation)encountered by many complex trauma clients. The negative sequelae of abuse on the physical and mental health of these clients includes flashbacks and dissociative episodes. They are frequently avoidant of health care, which can lead to further consequences. This presentation will focus on expanding the EMDR Preparation Phase; presenting strategies to deal with dissociation, emotional issues, and PTSD symptoms. The Desensitization and Reprocessing Phase will deal with earlier traumatic events, health issues and current and past dissociative events which are frequently at the root of these problems.
Keywords: Dissociation Health Issues
Accuracy Verified: Yes
106. van der Hart, O., Groenendijk, M., Gonzalez, A., Mosquera, D., & Solomon, R. (2013). Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase. Journal of EMDR Practice and Research, 7(2), 81-94. doi:10.1891/1933-3196.7.2.81.
Language: English
Format: Journal
Abstract:
As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing
Keywords: Dissociation Dissociative Disorders Structural Dissociation of the Personality Phase-Oriented Treatment Stabilization Phase
Accuracy Verified: Yes
107. van der Hart, O., Nijenhuis, E. R. S., & Solomon, R. (2010). Dissociation of the personality in complex trauma-related disorders and EMDR: Theoretical considerations. Journal of EMDR Practice and Research, 4(2), 76-92. doi:10.1891/1933-3196.4.2.76.
Language: English
Format: Journal
Abstract:
As eye movement desensitization and reprocessing (EMDR) has been increasingly applied in complex trauma-related disorders, including complex dissociative disorders, and trauma-related borderline personality disorder, EMDR practice may benefit from theories developed to account for the dissociative nature of these disorders, such as the theory of structural dissociation of the personality (TSDP). TSDP postulates that the personality of traumatized individuals is unduly divided in two basic types of dissociative subsystems or parts. One type involves dissociative parts primarily mediated by daily life action systems or motivational systems. The other type involves dissociative parts, fixated in traumatic memories, primarily mediated by the defense action system. The more severe and chronic the traumatization, the more dissociative parts can be expected to exist. This article presents the basics of TSDP, and a second article will provide guidelines for the treatment of complex trauma-related disorders based on this theory.
Keywords: Complex Trauma Dissociation Dissociation of the Personality Dissociative Disorders Integration Ohase-Oriented Treatment Structural Dissociation
Accuracy Verified: Yes
108. van der Hart, O. (2011, March). Dissociation of the personality: The key to understanding chronic traumatisation and a guide to EMDR treatment. Preconference presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
There is currently consensus that the EMDR standard protocol needs to be modified
for chronically traumatized clients, such as clients with complex dissociative disorders, as it may
destabilize them. Therefore, therapists need to have a good understanding of the dissociative
personality structure that exists in these clients. Dissociation is an undue division of the personality
among two or more biopsychosocial systems or “dissociative parts” that comprise the survivor’s
personality. One or more of them function in daily life; others are fixated in traumatic experiences,
are living in trauma-time. The more severe the traumatisation, the more dissociative parts,
involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have
psychobiological boundaries that are maintained, to a large degree, by different trauma-related
phobias, which are systematically resolved in phase-oriented treatment. Indeed, participants will
be able to describe structural dissociation of the personality as a specific form of integrative failure
that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative
symptoms to the underlying dissociation of the personality, and identify targets such as the
dissociation-maintaining phobias, for EMDR interventions in the respective treatment phases. The
emphasis will be on the preparatory work, including how to work with dissociative parts living in
trauma-time and those perceived as being malevolent, necessary before focusing on the integration
of traumatic memories.
Keywords: Dissocation
Accuracy Verified: Yes
109. van der Hart, O. (2010, September/October). Dissociation of the personality: The key to understanding chronic traumatization and its treatment. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR treatment of complex trauma-related disorders may benefit from a clear understanding of the dissociative nature of these disorders. Dissociation is an undue division of the personality among two or more psychobiological systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences. The more severe the traumatization, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which should be systematically resolved in phase-oriented treatment. Participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets for EMDR interventions in each of the three treatment phases in terms of overcoming specific phobias.
Keywords: Chronic Traumatization Plenary
Accuracy Verified: Yes
110. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
A precise understanding of trauma-related dissociation is
essential for clinical practice, including the use of EMDR
with traumatized patients. The existence of many conflicting
and vague definitions of dissociation that include a
mixture of constructs has obscured understanding of the
nature of dissociation. Thus, it is viewed alternately as a
process, a structure, a defense mechanism, a deficit, and
as various symptoms. Most contemporary clinicians and
researchers working with traumatized people have lost a
connection with the unifying and comprehensive theory
of trauma-related dissociation already outlined over the
course of the history of psychiatry. Thus, a return to the
original major studies on trauma-related dissociation is
essential in clarifying the concept of dissociation, in reconciling
it with contemporary science, and in realizing
its importance in treatment. The works of two Masters
will be used to highlight this basic concept: Pierre Janet
(1859-1947) and Charles Myers (1873-1947). The theory
of structural dissociation of the personality integrates
their original views on dissociation with modern findings
from clinical practice and research and developments in
the neurosciences. It emphasizes that the personality system
of the trauma survivor becomes structurally divided
into two or more self-conscious psychobiological subsystems.
Some of these subsystems, which we have called
“dissociative parts of the personality”, are engaged in
daily living and avoidance of traumatic memories, other
parts are fixated in traumatic experiences and essentially
engaged in animal defensive actions toward perceived
danger. More severe chronic traumatization leads to more
complex structural dissociation, and thus to more complex
trauma-related disorders. Although short-term, intensive
treatments such as prolonged exposure and EMDR
are appropriate for simple trauma-related disorders, a
phase-oriented treatment is the standard of care formore
complex disorders. Regardless of treatment modalities
employed, be it EMDR or other approaches, therapists
need to be skilled in the recognition of symptoms of dissociation
and in special treatment approaches that support
personality integration among dissociative parts,
particularly in working with traumatic memories.
Keywords: Dissociation Keynote
Accuracy Verified: Yes
111. 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
112. Mosquera, D., & González-Vázquez, A. (2012, March-April). Disturbo borderline di personalità, trauma e EMDR [Borderline personality disorder, trauma and EMDR]. Rivista di Psichiatria, 47(2 Suppl. 1):26S-32S. doi: 10.1708/1071.11736. .
Language: Italian
Format: Journal
Abstract:
Gli autoriesaminano i diversi criteri diagnostici per il disturbo borderline di personalità, leggendoli secondo la prospettiva del modello dell’elaborazione adattiva dell’informazione e indicandoli come guida all’esplorazione e ricerca di ricordi traumatici di natura relazionale, che hanno a che fare con la storia di attaccamento e che possono essere affrontati grazie al lavoro terapeutico con l’EMDR.
The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.
Keywords: Attachment Borderline Personality Disorder Complex PTSD C-PTSD Trauma
Accuracy Verified: Yes
113. Krafona, K. (2010). Does eye movement desensitization and reprocessing (EMDR) have any utility in intellectual disabilities? Two bereavement case reports. The Ghana International Journal of Mental Health, 2(1).
Language: English
Format: Journal
Abstract:
Individuals with intellectual disabilities (ID) are to some extent discriminated against when it comes to the psychotherapies. The long held belief that individuals with ID do not benefit from such interventions has been attributed in part to communication difficulties, lack of insight and lack of language
sophistication. Yet, it is well known that these individuals are about four-fold at risk of developing mental health problems. Cognitive behavior therapies (CBT) and other related therapies are becoming more recognized in the field of intellectual disabilities. Loss and bereavement is common among people with ID but their exposure to interventions such as Eye Movement Desensitization and Reprocessing
(EMDR) has been limited. EMDR is a psychological intervention that encompasses many aspects of
traditional therapies such as CBT and psychodynamic therapies. There is little research in this area for people with ID. This paper reports two cases in individuals with intellectual disabilities who were
struggling with bereavement. They appear to have benefited from EMDR sessions and there may be
scope for research to establish its efficacy in this field.
Keywords: Intellectual Disabilities
Accuracy Verified: Yes
114. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.
Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse
Accuracy Verified: Yes
115. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with traumatized clients can be overwhelming
for the therapist, especially when the trauma is complex, involves
dissociative symptoms or different personality states, fragmented
memories or client affect is intense and poorly regulated. My
experience as a supervisor of EMDR practitioners has shown that
it is not uncommon for therapists, in an attempt to be helpful to
the traumatized clients, to unintentionally use strategies, which
are experienced as re-traumatizing or which lead to an increase
in their clients’' survival based coping strategies, including the
further strengthening of the ANP (Apparently Normal Personal-
~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop
highlights different therapeutic challenges, which often arise
for therapists when working with trauma and introduce strategies
that EMDR practitioners can use in their work with such
clients. This workshop embeds the principles of Positive Growth
Therapy (PGT - Herbert, 20071, which encompasses combined
knowledge from a variety of disciplines, including positive psychology,
information-processing theory, neurobiology, somatic
psychology, developmental psychology and attachment theory,
mindfulness and others. These strategies, designed to nurture
growth rather than dysfunction, are linked to specific therapeutic
factors relevant to the work with trauma, such as different types
of trauma, the nature of dissociation, the therapeutic pathway
toward integration. the concept of safety, the importance of resource
installation, individual pacing of therapy and the window
of tolerance, different types of processing, and the integration of
rational and experiential processing systems and others, which
will be explored in the course of this workshop
This workshop offers opportunities for both, EMDR therapists,
who are fairly new to the trauma field and would like to enhance
and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop
as an opportunity to re-view, further refine or validate
their current ways of working.
The specific learning objectives for this workshop are:
1. To find out about specific therapeutic factors that is relevant
to the work with trauma.
2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity.
This workshop is unique in the way in which it transcends specific
(and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to
EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.
Accuracy Verified: Yes
116. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Journal
Abstract:
From my clinical work over the past 4 years a case series of 15 women patients, all detained in a secure hospital for
periods of up to 30 years discharged after EMDR therapy. Some cases discussed in depth, others factor analysed as
case series. Drug modulation permitted intensive therapy. The factors of complex stress disorder are beeing
discussed and its simlarity to borderline personality disorder. The effects of long term instititutionalisation after
detention in security. The responsible clinician as ‘‘goaler and therapist’’ as well as therapeutic pitfalls are being
explored. The psychopathology of the flashback is contrasted with the psychpathology of the alter (dissociative
identity). Prognostic factors and outcomes are being presented. The implications for personality disorder as a
diagnosis contrasted with complex PTSD will be evaluated.
Keywords: Borderline Personality Disorder BPD Drug Modulation
Accuracy Verified: Yes
117. Bisson, J. (2006, June). Early intervention method as an EMDR method. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Recommendation
• All chronic PTSD sufferers should be
offered a course of trauma-focused CBT
or EMDR, normally on an individual OP
basis, regardless of time since trauma.
• Usually 8-12 sessions, some at 90
minutes.
• May need to be longer than 12 sessions if
multiple trauma, co-morbidity, traumatic
bereavement…
• Training and competence essential.[Excerpt]
Keywords: Recents Events Protocol
Accuracy Verified: Yes
118. Bar-Sade, E. (2003, May). Early trauma: Revisited and revised through EMDR, the narrative story and the implementation of attachment theory concepts. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
If we regard adult psychotherapy as the basis for a kind of attachment relationship in which the client seeks proximity by having a physical and emotional closeness with the therapist through which the client tries to create a”safe haven” soothing him or her when upset while providing a sense of security, child therapists often regard child-psychotherapy as a means to develop an attachment relationship between child and caregiver, whenever possible. It is a common assumption, that in child-psychotherapy, especially while dealing with trauma, the therapist must stress the importance of empowering the parental figure as an attachment figure and as a “secure base”.
Keywords: Attachment Theory Complex Trauma
Accuracy Verified: Yes
119. 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
120. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Treatment
of
chronic
pain
stays
problematic.
The
complex
part
of
cognitive,
behavioral
and
emotional
in
chronic
pain
makes
treatment
complicated.
Since
few
years,
many
authors
have
argued
on
a
traumatic
symptomatology,
which
is
responsible
of
chronic
pain
(reactive
symptom
of
PTSD)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010),
or
that
chronic
pain
may
induce
a
trauma
(Burloux,
2004).
This
argumentation
brought
to
us
to
envisage
the
EMDR
therapy
for
the
treatment
of
chronic
pain.
This
research
aims
to
test
the
effectiveness
of
treatment
of
chronic
pain.
We
have
elaborated
a
new
protocol,
which
focuses
on
specificities
on
chronic
pain
problematic.
This
protocol
focuses
on
pain
and
physical
sensation.
Inspiration
on
Mark
Grant
Protocol
(Grant,
2009),
R-‐Tep
and
Google
research
(Shapiro
&
Laub,
2009)
isn’t
unnoticed.
Chronic
pain
can
be
approached
like
an
elaborated
trauma,
because
it’s
always
happening.
So,
as
with
recent
event
trauma,
we
can
find
the
most
difficult
moment.
It’s
why
we
proposing
a
protocol
based
on
focusing
symptom:
pain.
Ten
patients
were
treated
with
this
new
EMDR
protocol,
specific
on
chronic
pain.
After
every
session,
and
at
the
end
of
the
treatment,
the
effects
of
this
protocol
on
chronic
pain
and
traumatic
symptomatology
were
evaluated
and
show
significant
improvement.
The
objective
is
double:
a
significant
improvement
was
made
reducing
chronic
pain
and
associated
symptoms
(depression,
anxiety...),
and
also
use
this
protocol
in
a
prevention
move
and
stop
chronicity
of
pain
in
the
beginning.
El
tratamiento
del
dolor
crónico
sigue
siendo
problemático.
Los
elementos
cognitivos,
conductuales
y
emocionales
complejos
dificultan
su
tratamiento.
Desde
hace
algunos
años,
muchos
autores
han
debatido
sobre
una
sintomatología
traumática
que
sería
la
responsable
del
dolor
crónico
(síntoma
reactivo
del
TEPT)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010)
o
que
el
dolor
crónico
puede
inducir
trauma
(Burloux,
2004).
Esta
controversia
nos
ha
llevado
a
contemplar
el
empleo
de
EMDR
para
el
tratamiento
del
dolor
crónico.
Esta
investigación
pretende
comprobar
la
efectividad
[de
EMDR]
del
tratamiento
del
dolor
crónico.
Hemos
elaborado
un
protocolo
nuevo
que
se
centra
en
las
especificidades
del
dolor
crónico
problemático.
Este
protocolo
se
centra
en
el
dolor
y
la
sensación
física.
No
pasa
desapercibida
la
inspiración
del
protocolo
de
Mark
Grant
(Grant,
2009),
R-‐Tep
e
investigación
en
Google
(Shapiro
&
Laub,
2009).
Se
puede
abordar
el
dolor
crónico
del
mismo
modo
que
el
trauma
elaborado,
dado
que
es
constante.
Por
lo
tanto,
al
igual
que
un
evento
reciente,
podemos
identificar
el
momento
más
difícil.
Por
eso
proponemos
un
protocolo
que
se
basa
en
centrarnos
en
el
síntoma:
el
dolor.
Diez
pacientes
fueron
tratados
con
este
nuevo
protocolo
de
EMDR,
específico
para
el
dolor
crónico.
Tras
cada
sesión
y
al
finalizar
el
tratamiento,
se
evaluaron
los
efectos
de
este
protocolo
sobre
el
dolor
crónico
y
la
sintomatología
traumática;
los
resultados
han
mostrado
una
mejoría
significativa.
El
objetivo
es
doble:
por
un
lado,
lograr
una
mejora
significativa
y
reducir
el
dolor
crónico,
así
como
los
síntomas
asociados
(la
depresión,
ansiedad...),
y
por
el
otro
lado,
usar
este
protocolo
como
estrategia
preventiva
y
poner
fin
a
la
cronificación
del
dolor
desde
un
principio.
Keywords: Chronic Pain
Accuracy Verified: Yes
121. Swiney, U. M. (2004). The efficacy of EMDR for survivors of a natural disaster: Intervention after Hurricane Floyd. University of North Carolina at Chapel Hill. AAT 3129821.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing (EMDR) is considered effective for civilian PTSD, but no controlled evaluation of EMDR, or any other treatment for PTSD, has been conducted with adults in a natural disaster context. Following Hurricane Floyd, 8 individuals from disaster-torn North Carolina communities were randomly assigned to 6 sessions of EMDR or a 1-month waiting list followed by treatment. All of the predominantly Caucasian, female participants met DSM-IV criteria for PTSD, and half reported moderate to severe levels of depression. Participants completed standardized self-report measures of PTSD, depression, and anxiety before and after the waiting period, or before, during (Session 4), and after the 6-week intervention. The principal investigator (PI) and blind assistants conducted a PTSD symptom interview before and after treatment and waiting period. Weekly progress was monitored with additional PTSD and depression self-report measures. The PI, a Level II-trained EMDR therapist, provided treatment. Treatment integrity, assessed by undergraduate assistants following an established checklist, was good.Compared to the untreated control condition, EMDR produced significantly larger decreases in self-reported PTSD and depression symptoms, and tended to promote greater improvement in observer-rated PTSD. However, random effects regression analyses of the secondary PTSD measure failed to detect a significant difference between the two groups. In contrast, random regression analyses confirmed a significant decrease in depression during treatment compared to the control condition. Controlled effect sizes for PTSD symptoms were large and compared favorably to research with other trauma populations. Nevertheless, despite sizeable reductions in symptoms, many clients continued to report elevated levels of PTSD even after treatment. In addition, despite random assignment, the average age of the two groups differed, and age was non-significantly but negatively associated with change in PTSD symptoms. This association, and the small size of this sample, limit the interpretation and generalizability of these findings. Thus, while results tentatively support extending EMDR to disaster survivors with depression and PTSD, this work is best considered as preliminary data. Research with a larger sample remains necessary to better evaluate both the impact of treatment and the potentially more complex treatment needs of this population. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(4-B), 2004, pp. 2116.
Keywords: Adults Americans Depressive Disorders Females Hurricane Floyd Hurricanes Posttraumatic Stress Disorders PTSD Random Clinical Trial RCT Recent Events Survivors Treatment Effectiveness
Accuracy Verified: Yes
122. Niroomandi, R. (2012). Efficacy of eye movement desensitization and reprocessing (EMDR) in the Iranian veterans with chronic post-traumatic stress disorder (PTSD) after Iran-Iraq War. Presentation at the International Conference on Psychological Sciences and Behaviors (ICPSB), Hong Kong.
Language: English
Format: Conference
Abstract:
To explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) to treat Iranian Veterans who have experienced Post-Traumatic Stress Disorder (PTSD) after Iran-Iraq war, a pilot study was designed with pre-test, post-test and control group. First through clinical interview (psychiatrist and clinical psychologist views) and PTSD scale of Mississipi, 30 people of the war Veterans suffering from chronic PTSD were chosen. Then the patients were placed in two different experimental and control groups randomly. Only experimental group were treated with EMDR for four-session in four weeks. After treatment, both groups were assessed with PTSD scale of Mississipi. The obtained results were analyzed with ANCOVA and the results showed that the difference between the experimental and control groups were statistically significant (f=5.501, p=0.027). With regard to results, it can be stated that this difference was created by EMDR treatment.
Keywords: Complext Posttraumatic Stress Disorder Complex PTSD C-PTSD Iran Iran-Iraq War Veterans
Accuracy Verified: Yes
123. Paulsen, S. L. (1994, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
Conceptual Framework. In Ego State Disorders, moderate levels of dissociation
are present for the purpose of isolating overwhelming affect or untenable conflict from
conscious awareness. There are parts of the self'which are experienced by the host, -upon
discovery, and who experience themselves, as separate. These parts,however, do no have
the ability to take complete executive control of the body, or are not as complex and
elaborated as in Multiple Personality Disorder, which is called Dissociative Identity
Disorder in DSM-N. The closest diagnosis for describing Ego State Disorders in DSA4lV
is DDNOS, or Dissociative Disorder Not Otherwise Specified, a miscellaneous category.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
124. 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:
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).
Keywords: Complex Trauma Disaster, Management of Critical Incident Stress
Accuracy Verified: Yes
125. Molero-Zafra, M., & Perez-Marin, M. (2010, Abril). El EMDR aplicado al trastorno de duelo patológico. Presentacion de un caso [EMDR applied to pathological grief disorderm Presentaton of a case]. Presentación en el Congreso Internacional Sobre los avances psicológicos, Asociación Española de Piscología Conductual, Granada, Espagna.
Language: Spanish
Format: Conference
Keywords: Bereavement Grief
Accuracy Verified: Yes
126. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Espagna.
Language: Spanish
Format: Conference
Abstract:
La pérdida de un ser querido es un evento de gran impacto emocional
que afectando a todo el sistema familiar, puede ser muy diferente en el modo
en que cada uno de sus miembros perciba, interprete, afronte y se adapte
a la nueva situación tras la pérdida y las demandas por ella creadas. Es
frecuente que una pérdida no elaborada de forma adecuada dé paso a problemas
emocionales e incluso trastornos psicopatológicos al cabo de meses
o incluso años; sin embargo, un duelo adecuadamente elaborado mejora las
capacidades futuras para enfrentarse a las situaciones de pérdida, frustración
o sufrimiento.
La premisa fundamental del modelo de procesamiento adaptativo de información
(PAI) en la que se basa la terapéutica de EMDR sería: la perturbación
que la persona sufre en la actualidad es el resultado de un almacenamiento
disfuncional de la información (Shapiro, 2001). El procesamiento
implica el forjar nuevas asociaciones con información adaptativa proveniente
de otras redes de memoria disponibles para vincularse en la red de memoria
restaurando la información disfuncional almacenada. Desde este modelo, el
duelo complicado se desarrolla cuando los componentes individuales son
tan dolorosos, que se desarrolla una alta sensibilidad cada vez que se reactiva
un fragmento del recuerdo y no se logra la integración. Los fragmentos
activados pueden competir por la atención en la mente, haciendo que ésta
vaya de atrás para adelante entre dos o más aspectos de la muerte. Esta
falta de foco impide el procesamiento de los fragmentos individuales, como
cuando el procesamiento de la pérdida en si misma se desvía por el recuerdo
de los detalles de cómo la persona murió.
En esta comunicación, presentamos el protocolo de EMDR aplicado al
duelo complicado a través del análisis de un caso clínico.
The loss of a loved one is an event of great emotional impact
that affect the entire family system, may be very different in the way
in that each of its members perceive, interpret, and adapt confronts
to the new situation after the loss and the demands created by it. this is
loss often not adequately prepared to give way to problems
psychopathology emotional and even after months
or even years, but properly prepared duel improves
future capabilities to face situations of loss, frustration
or suffering.
The fundamental premise model adaptive information processing
(AIP) which is based on EMDR therapy would be: the disturbance
the person is currently suffering is the result of a storage
Dysfunctional information (Shapiro, 2001). processing
involves forging new partnerships with adaptive information from
other networks available memory on the network to link memory
restoring the dysfunctional information stored. From this model,
Complicated grief occurs when the individual components are
so painful that develops high sensitivity reactive whenever
a fragment of memory and integration is not achieved. fragments
activated can compete for attention in the mind, causing it
go back and forth between two or more aspects of death. this
lack of focus prevents processing of the individual fragments, as
when processing the loss itself is diverted by the memory
the details of how the person died.
In this paper, we present the EMDR protocol applied to
Complicated grief through the analysis of a clinical case.
Keywords: Bereavement Case Study Grief Symposium
Accuracy Verified: Yes
127. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
"The
Body
Keeps
the
Score"
(B.
v.d.
Kolk,
1996)
Clients
who
suffer
from
traumatic
stress
are
often
afraid
about
disturbing
and
painful
somatic
symptoms.
Structural
dissociation
alienates
from
body
reactions.
Nevertheless
it
is
the
body
that
"holds"
the
discomfort
and
painful
memory
of
neglect
and
violence.
Trauma
Survivors
tend
to
perceive
their
body
as
hostile.
They
suffer
from
Alexithymia
deficiency
of
interpreting
the
meaning
of
body
reactions
and
muscle
activation.
Trauma
Survivors
are
easily
irritated
and
tend
to
react
with
rage
on
very
slight
provocations
and
freeze
when
they
are
frustrated.
Even
minor
problems
cause
fear
and
helplessness.
The
Polyvagal
Theory
(S.
Porges
2010)
proves
the
neurological
aspect
of
behavioral
patterns.
Neurozeption
describes
how
we
perceive
others
in
a
neurological
way.
Certain
behavioral
patterns
are
established
through
life
experiences.
This
research
underlines
Francine
Shapiros
AIP
model
and
confirms
the
importance
of
a
body
orientated
approach.
We
know
that
experiencing
the
effect
of
eye
movement
-‐
and
other
bilateral
stimulation,
is
a
gentle
and
powerful
way
to
bring
the
voice
of
the
body
into
the
therapeutic
space.
EMDR
helps
to
integrate
cognitive,
emotional
and
body
sensations.
Using
movement
and
body
orientated
skills
in
difficult
processes
f.e.
with
severely
and/or
early
traumatised
clients,
even
enhances
the
effect
of
EMDR.
Content
of
the
Workshop:
Short
theoretical
implications:
Polyvagal
Theory
and
AIP
Model.
Stabilisation
and
Movement
-‐
creating
a
„Moving
Container“:
How
to
create
a
safe
place
of
relationship
and
attachment
between
the
client
and
the
therapist
by
using
movement
and
bodywork?
The
body
is
the
most
powerful
resource:
How
to
use
movement
to
access
this
power.
How
to
recognize
and
dissolve
dissociation
by
body
and
movement
awareness.
EMDR
Process
and
Movement
:
How
to
widen
the
„window
of
tolerance“
by
using
movement
and
deeper
levels
of
body
consciousness.
Adding
a
fourth
level
of
attention
to
the
EMDR
process:
cognition
-‐
emotion
-‐
body
scan
-‐
movement.
Movement
and
reflex
feedback
as
interweave
technique
in
difficult
processes.
Methods
used
in
the
Workshop:
Lecture
and
Video
Presentation.
Practical
demonstration
of
some
movement
orientated
techniques.
Discussion.
“El
cuerpo
lleva
la
cuenta”
(B.
v.d.
Kolk,
1996),
los
clientes
que
sufren
de
estrés
traumático
tienen
a
menudo
miedo
sobre
sus
síntomas
somáticos
preocupantes
y
dolorosos.
La
disociación
estructural
aliena
las
reacciones
del
cuerpo,
sin
embargo
es
el
cuerpo
el
que
“mantiene”
el
disconfort
y
el
recuerdo
doloroso
de
negligencia
y
violencia.
Los
supervivientes
a
un
trauma
suelen
tender
a
percibir
su
propio
cuerpo
como
hostil.
Sufren
de
Alexitimia,
deficiencias
para
interpretar
las
señales
corporales
y
la
activación
muscular.
Son
fácilmente
irritables
y
tienden
a
reaccionar
con
ira,
con
leves
provocaciones
y
se
“congelan”
cuando
están
frustrados.
Incluso
problemas
de
fuerza
menor
causan
miedo
y
desesperanza.
La
teoría
polivagal
(S.
Porges
2010)
prueba
el
aspecto
neurológico
de
los
patrones
de
comportamiento.
La
neurocepción
describe
cómo
percibimos
a
los
otros
desde
un
punto
de
vista
neurológico.
Ciertos
patrones
de
comportamiento
están
establecidos
a
través
de
las
experiencias
vitales.
Esta
investigación
se
basa
en
el
modelo
SPIA
de
Francine
Shapiro
y
confirma
la
importancia
del
enfoque
orientado
al
cuerpo.
Sabemos
que
al
experimentar
el
efecto
de
la
estimulación
ocular,
y
otras
estimulaciones
bilaterales,
es
un
camino
poderoso
y
suave
para
traer
la
voz
del
cuerpo
dentro
del
espacio
terapéutico.
EMDR
facilita
la
integración
cognitiva
emocional
y
corporal.
Usar
el
movimiento
y
las
habilidades
orientadas
al
cuerpo
en
los
procesos
difíciles
con
clientes
traumatizados,
severamente
o
tempranamente,
incluso
amplifica
el
efecto
terapéutico
del
EMDR
Contenido
del
taller:
Implicaciones
teóricas:
Teoría
Polivagal
y
modelo
SPIA
Estabilización
y
movimiento
–
Crear
un
“recipiente
de
movimiento”
Cómo
crear
un
lugar
seguro
en
relación
al
apego
entre
el
cliente
y
el
terapeuta
usando
movimiento
y
trabajo
corporal.
El
cuerpo
es
el
recurso
más
poderoso:
Cómo
usar
el
movimiento
para
acceder
a
este
poder.
Cómo
reconocer
y
disolver
la
disociación
en
el
cuerpo
y
la
atención
al
movimiento.
Procesamiento
EMDR
y
movimiento:
Cómo
ampliar
la
"ventana
de
tolerancia"
mediante
el
uso
de
movimientos
y
niveles
más
profundos
de
la
conciencia
del
cuerpo.
Añadir
un
4
nivel
de
atención
al
procesamiento
de
EMDR:
Cognición-‐Emoción-‐
Escáner
corporal-‐movimiento.
Keywords: Body Oriented Therapeutic Interweaves
Accuracy Verified: Yes
128. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Complex
Post
Traumatic
Stress
Disorder
(C-‐PTSD)
is
a
psychological
injury
that
results
from
protracted
and
repeated
exposure
to
traumatic
stressor.
Though
the
literature
in
recent
years
presented
and
published
papers
on
C-‐PTSD,
the
category
is
under
consideration
for
inclusion
in
DSM
or
ICD.
PTSD
descriptions
fail
to
capture
some
of
the
core
elements
of
C-‐PTSD.
Such
elements
include
captivity,
psychological
fragmentation,
the
loss
of
a
sense
of
safety,
trust,
and
self-‐
worth,
as
well
as
the
tendency
to
be
re-‐victimized,
and
the
loss
of
a
coherent
sense
of
self.
It
is
this
loss
of
a
coherent
sense
of
self,
and
the
ensuing
symptom
profile,
that
most
pointedly
differentiates
C-‐PTSD
from
PTSD.
Six
clusters
of
symptom
have
been
suggested
for
diagnosis
of
C-‐PTSD.
These
are;
1. Alterations
in
regulation
of
affect
and
impulses
2. Alterations
in
attention
or
consciousness
3. Alterations
in
self-‐perception
4. Alterations
in
relations
with
others
5. Somatization
6. Alterations
in
systems
of
meaning
The
aim
of
this
workshop
is
to
present
C-‐PTSD
and
the
use
of
EMDR
treatment
of
a
severely
disturbed
young
woman
with
unfinished
bereavement
for
her
mother
lost
10
years
ago,
series
of
sexual
abuse
by
12
persons,
rejection
and
emotional
abuse
by
close
family
members.
The
case
will
be
presented
via
DVD
recordings
of
sessions.
El
trastorno
por
estrés
post-‐traumático
complejo
(C-‐TEPT)
es
una
lesión
psicológica
consecuencia
de
una
exposición
prolongada
y
repetida
a
un
estresor
traumático.
Si
bien
la
literatura
ha
presentado
y
publicado
trabajos
sobre
C-‐TEPT
en
los
últimos
años,
la
categoría
se
encuentra
sometida
a
debate
para
su
inclusión
en
el
DSM
o
CIE.
Las
descripciones
de
TEPT
no
captan
algunos
de
los
elementos
esenciales
de
C-‐
TEPT.
Dichos
elementos
incluyen
la
fragmentación
psicológica,
la
pérdida
de
una
sensación
de
seguridad,
confianza
y
valor
propio
de
la
persona,
así
como
la
tendencia
a
sufrir
nuevas
victimizaciones
y
la
pérdida
de
un
sentido
coherente
del
yo.
Es
precisamente
esta
pérdida
un
sentido
coherente
del
yo
y
el
perfil
sintomatológico
consecuente,
lo
que
diferencia
más
marcadamente
el
C-‐TEPT
del
TEPT.
Se
han
planteado
los
siguientes
seis
grupos
(“clusters”)
de
síntomas
para
el
diagnóstico
de
C-‐TEPT:
1. Alteraciones
de
la
regulación
del
afecto
e
impulsos
2. Alteraciones
de
la
atención
o
conocimiento
3. Alteraciones
de
la
auto-‐percepción
4. Alteraciones
de
las
relaciones
con
terceros
5. Somatización
Alteraciones
de
los
sistemas
de
significado
El
objetivo
que
persigue
este
taller
es
el
de
presentar
el
C-‐TEPT
y
el
empleo
del
tratamiento
con
EMDR
de
una
joven
gravemente
perturbada
con
duelo
incompleto
por
la
pérdida
de
su
madre
hacía
10
años,
una
serie
de
abusos
sexuales
por
parte
de
12
personas,
el
rechazo
y
abuso
emocional
por
parte
de
familiares
cercanos.
Se
presentará
el
caso
mediante
las
grabaciones
en
DVD
de
las
sesiones.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD
Accuracy Verified: Yes
129. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze.
Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden.
In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.
When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice.
This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed.
The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.
Keywords: Abuse Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Neglect
Accuracy Verified: Yes
130. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Accuracy Verified: Yes
131. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Keywords: Trauma-Based Disorders
Accuracy Verified: Yes
132. Roques, J. (2008, Mai). EMDR - Une révolution et un changement de paradigme thérapeutiques [EMDR – A therapeutic revolution and paradigm shift]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
La présentation comporte trois volets. Le premier volet présente le fondement neurologique de l’EMDR qui est centré sur les réseaux neuronaux de la mémoire - ce qui permet une compréhension nouvelle des phénomènes dissociatifs et qui fait ressortir le potentiel du traitement en EMDR. Le deuxième volet aborde les applications de ce cadre théorique à l’ensemble des manifestations pathologiques : traumatismes simples et
complexes, intoxications psychiques, épisodes psychotiques brefs et même certains cas de début de schizophrénie. Le troisième volet démontre à quel point l’EMDR bouleverse notre compréhension de la pathologie et de son traitement et de ce fait, constitue un véritable changement de paradigme thérapeutique. Cette compréhension nouvelle des phénomènes neuropsychologiques sous-jacents, telle que soulevée par l’EMDR, permet de distinguer ce qui est utile de ce qui ne l’est pas dans la plupart des psychothérapies.
This opening workshop will focus on three axes :
1) The neurological basis of EMDR that focuses on the memory’s neural networks – which in turn allow a fresh understanding of dissociative phenomena and shows the potential of EMDR treatment.
2) The application of this theoretical understanding to the various expressions of psychopathology: simple versus complex PTSD – psychic poisoning – brief psychotic episodes- even certain cases of early schizophrenia.
3) As a conclusion, how EMDR shook up our understanding of pathology and its treatment, and how it provided the impetus toward a genuine paradigm shift. This new understanding of the underlying psychoneurologic phenomena brought on by EMDR helps us to determine what may be useful or not in the various psychotherapies.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
133. McDonnell, F. (2009, October). EMDR and bereavement. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
The use of EMDR to facilitate the healthy and complicated mourning process; how EMDR can be combined with traditional approaches, such as creative work.
Keywords: Bereavement Complicated Mourning Grief
Accuracy Verified: Yes
134. Black, A. (2010, March). EMDR and CBT - Burt and Ernie or Punch and Judy? - a joint treatment approach with complex children and adolescent trauma. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Are EMDR and CBT sworn enemies or best friends? This
workshop will through teaching, case presentation and small group exercises explore how
Cognitive Behavioural Therapy (CBT) and EMDR can function as a seamless therapeutic
treatment model with children and adolescents of all ages.
Participants will:
• Develop an understanding of what factors constitute complex trauma in children
and adolescents and the hurdles it presents to effective treatment in EMDR.
• Discover what strategies the CBT model can offer in relation to engagement, goal
setting and relapse prevention as part of EMDR treatment.
• Practise designing behavioural experiments for children and adolescents to equip
them to test and apply their new learning following EMDR reprocessing.
• Learn how to utilise the CBT cycle model in providing a rationale for EMDR
treatment for children, adolescents and parents and post EMDR treatment
understanding and consolidation of change.
Keywords: CBT Cognitive Behavior Therapy Joint Treatment Approach Adolescents Children Cognitive Behaviorial Theapy Trauma Treatment Approach
Accuracy Verified: Yes
135. Herbert, C. (2001, May). EMDR and CBT interweave. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Cognitive interweaves are strategic interventions, whose utilisation relies upon therapist
recognition of their necessity at given times during the EMDR procedure, and their effective
use requires skilled therapeutic judgement and the introduction of the appropriate clinicianled
cognitive material in order to counteract the blocked processing. The use of cognitive
interweaves therefore diverges from the established EMDR protocol by introducing therapist generated
material rather than just following the clients spontaneously processed material. It will be argued in this presentation that, due to the divergence from the established EMDR
protocol, the effective implementation of cognitive interweaves, requires the knowledge of
additional therapeutic strategies, predominantly those used in Cognitive Behaviour
Therapeutic (CBT) approaches, which may not be readily accessible to EMDR practitioners
not trained in this approach. This presentation aims to bridge the gap between the
traditionally 'too-heavily protected' territories of CBT and EMDR, by introducing some CBT
strategies, such as 'Socratic Questioning (Padesky, 1993)' or the Cognitive 'Separation of the
Past from the Present (Herbert & Wetrnore, 1999'), which might be usefully drawn on, in
order to generate effective cognitive interweaves during the use of EMDR. Clinical examples from the presenter's work, as an UKCP Accredited Cognitive Behavioural Therapist and a
Level 2 trained EMDR Practitioner, with clients suffering from complex PTSD, will be
explored.
Keywords: CBT CBT Interweave Cognitive Behavioral Therapy Cognitive Interweave
Accuracy Verified: Yes
136. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives:
1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS
2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera)
3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.
Keywords: Chronic Illnesses
Accuracy Verified: Yes
137. Gerge, A. (2009, June). EMDR and clinical hypnosis for enhanced healing of patients with complex PTSD and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DID Dissociative Identity Disorder Hypnosis
Accuracy Verified: Yes
138. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.
Language: English
Format: Conference
Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult.
“By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308).
Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR?
Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering?
Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why?
This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings.
The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.
Keywords: Complex Trauma
Accuracy Verified: Yes
139. Hofmann, A. (2001, May). EMDR and dissociation. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Patients with dissociative disorders usually are a complex traumatised population that has an
increased risk of complications during their treatment course. In treating these patients
EMDR can be one of the key treatment approaches in a therapy setting that usually needs to
include a number of other treatment modalities and an overall comprehensive treatment plan.
The objective of this presentation is to give an overview of the opportunities that EMDR
offers and to reduce risks in the course of treatment.
Keywords: Dissociation
Accuracy Verified: Yes
140. Ostacoli, L. & Bertino, G. (2010, June). EMDR and drawing: A tool to integrate post-traumatic dissociation and overwhelming emotions. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The difficulty of the management of overwhelming
emotions aid dissociative reactions are challenging for any EMUR
therapist dealing with complex traumas. As a complement
to the strategies already used in EMDR, drawing gives form to
The inner representations of the trauma, objectivizing it Thus the
person no longer relates only to something inside him/her, but
rather to something he/she can see and can concretely represent
and modify In the act of drawing, the patient makes an initial
reorganisation of the form of the trauma, and begins to differentiate
the adaptive ego, which has the tools and the ability to restructure
the experiences, and the traumatic emotional part that
suffers those experiences in a condition of Impotence and passivity
The person may rapidly access preverbal and motor-sensory
language, activating inborn creative skills. The use of this tool
enables us t0 access the traumatic material gently, limiting dissociative
reactions, bypassing avoidance and flight behaviour and
setting a distance from pan by objectivizing . A protective space
is created between the self and the part that holds the suffering.
p i n g a voice to the inner child. The patient is offered the possibility
of drawing what is occurring in the self's here and now, and given a choice of different graphic materials. At the end of the
drawing and assessment phase the person is asked to note what
has emerged, and a brief space of time may be allowed for description
without interpretation. The represented Image is treated
as the inner image in the classic protocol. To start, the patent is
asked to focus on the drawing, on the negative cognition and
on the bodily location of the emotional disorder, while bilateral
stimulation is applied. At the end of each set, the patient is asked
what he/she has noticed and the therapist verifies where the person
now is in the re-elaboration. If there is a change the person
may either work on the drawing, modifying it, or, if the change of
image is radical, may produce another drawing. After several sets,
an adaptive drawing emerge5 that may be installed as a resource.
The report presents the use of the tool in various psychopathological
conditions, with the support of video and graphic materials,
particularly focusing on how to manage dissociation.
Learning objectives:
1.To learn the use of drawing as a supplementary tool, through
graphic and video material of clinical cases.
2. To recognise the indications in which it provides added value
to the classical protocol.
3. to learn its use in various psychopathological conditions,
with particular emphasis on dissociative states.
The use of drawing as a supplementary tool within the EMDR
protocol gives form to the inner representation of the trauma, objectivising
it, and creates a bridge of communication between the
self and the blocked parts, after which it will be possible to return
to desensitizing and re-elaboration with the standard protocol.
Keywords: Dissociation Drawing Emotion
Accuracy Verified: Yes
141. Virdi, P., Plassmann, R., Seidel, M., & Konuk, E. (2010, June). EMDR and eating disorders. In Eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Frequently for clients with eating disorders their complex histories contain many trauma experiences suggesting the potential illustration of EMDR as an adjunctive psychological treatment intervention. Although the amount of evidence based practice is presently not strong in supporting EMDR with this client group there is increasing practice based evidence outlining its potential usefulness with this client group. This symposium will outline the utilization of EMDR in various eating disorders clinical services in the United Kingdom, Germany and Turkey outlining how utilizing the AiP model end how EMDR was effectively integrated into the overall treatment pathway of care for children, adolescents, and adults.
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
142. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation.
The transition is usually seamless in well-adjusted people, but where there has been
disrupted attachment or sustained early life trauma the result is often the formation of
particular ego states, also known as alters, parts, or schema modes. These states perform
roles usually geared towards survival, but in adulthood they can be dysfunctional.
Depending upon a client’s early life experiences some ego states can be malevolent, wanting
bad things for the client such as willing them to suffer in some way.
It is necessary for clients to remain safe during EMDR sessions and contained between
sessions. There is a need, therefore, to learn techniques to work with more difficult clients
so they too can benefit from EMDR. It is also helpful to know how to deal with blocked
processing due to the interference of an ego-state.
This workshop provides an overview of dissociation and a review of models to explain it.
There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical
case material is used to illustrate learning points. Through demonstration and practice
participants will learn how to access ego states in a controlled way and effect therapeutic
change. In the latter part of the day, participants will see a video of a live case where EST is
used effectively to moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand the forms of dissociation
Understand the concept of ego state therapy.
Learn how to access ego states in a controlled way and effect therapeutic change.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy Trauma
Accuracy Verified: Yes
143. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders.
It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state.
This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand how complex trauma and dissociative disorders impact EMDR processing
Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol.
Learn how to access ego states in a controlled way and effect therapeutic change and stability.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
144. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.
Keywords: Complex Trauma Dissociation Ego State Therapy
Accuracy Verified: Yes
145. Twombly, J. (2008, April). EMDR and EMDR adaptions in the treatment of dissociative disorders. Presentation at the 1st Bi-Annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.
Language: English
Format: Conference
Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and
Reprocessing in the treatment of clients with Dissociative Identity Disorder, Dissociative
Disorder Not Otherwise Specified and ego state work. Used carefully, EMDR and EMDR
adaptations can accelerate the treatment process. A liability is that its incorrect use can
accelerate decompensation in clients with complex trauma and attachment disordered
histories. This workshop offers suggested uses of EMDR and EMDR adaptations to
facilitate stabilization, orientation to the present, decrease some negative transferences
and to provide a protective format for processing traumatic material.
Learning objectives:
1. Participant is able to identify stages of treatment of dissociative disordered clients
where EMDR and EMDR adaptations can be used.
2. Participant is able to use EMDR adaptations to orient dissociated parts of the mind
to present time.
3. Participant has knowledge of how to develop a controlled process of using EMDR
for trauma processing.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
146. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples
Accuracy Verified: Yes
147. Silvestre, M., & Morris-Smith, J. (2010, June). EMDR and family therapy around the issue of domestic violence. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
During this pre-conference, we will discuss the integration of EMDR and family therapy through the work done with domestic violence cases. In these particular situations, the therapist is faced with complex clinical issues that require one to think and intervene at different levels: the victim, the children's victim, the perpetrator, the family dynamics. This complex clinical situation is challenging us to develop a multilevel way of thinking and working; it is a good example of integration between personal and interrelation issues. Such an integration proves to be a necessary process when faced with the trauma consequences of domestic violence, which we all know impact each family member greatly. We will look into attachment disorder, problems with affect regulation, safety issues and the transmission of perturbed family dynamics.
We will also discuss treatment planning and how to articulate work with one person and work with a family with regard to the therapist's affiliation.
Keywords: Domestic Violence Family Therapy
Accuracy Verified: Yes
148. Ostacoli, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
149. Standart, S., & Wood, C. (2011, October). EMDR and mindfullness. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
A presentation of on a case series of complex Type II PTSD for early childhood and adult trauma with scores of 50+ on the Dissociative Experiences Scale (DES) and using a phased approach to EMDR with mindfulness practice prior to EMDR. Descriptions of mindfulness practice and EMDR protocol use with outcome measure on the DES, Impact of Events Scale score (IES-R) and a depression Inventory will be presented Global outcomes such as occupational and social functioning will also be described for these clients.
Working with clients with complex trauma and marked dissociation and how to develop a timely phased protocol for these difficult to engage clients. (Author abstract)
Keywords: Mindfulness
Accuracy Verified: Yes
150. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..
Language: English
Format: Book Section
Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]
Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
Accuracy Verified: Yes
151. Engl, V. (2002, May). EMDR and stabilisation in the treatment of severely traumatized clients. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Keywords: Complex Trauma
Accuracy Verified: Yes
152. Grey, E. (2009, April). EMDR and the brain: Importance of body sensation. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .
Language: English
Format: Conference
Abstract:
This Workshop will provide an explanation of the neuro-physiological underpinnings of the AIP model, and how memory networks are stored in the body. Educating practitioners about the neurological journey of information and the links to body sensations increases their ability to describe EDMR and how it works. A complex case of childhood ritual abuse will be presented for illustration. Participants will practice applying this understanding to cases.
Keywords: Body Sensation
Accuracy Verified: Yes
153. Gelinas, D. J. (2011, August). EMDR and the phobias of structural dissociation in treating complex traumatization. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Managing dissociative interference when treating individuals with early repetitive traumatization requires recognition, then direct intervention. The “phobias of structural dissociation” are especially helpful in recognizing the less readily apparent dissociative interferences. These refer to the individual’s fear and avoidance of their own internal experiencing, (e.g., thoughts, parts, memories) rather than the traditional fear of external objects or processes. They can be responsible for failures to establish the therapy or Safe Place, refusal of EMDR, looping, “stuck” NCs, etc. This presentation describes the phobias (with clinical illustrations), recognition markers, and a stepped hierarchy of EMDR interventions to manage dissociative interferences.
Keywords: Complex Trauma Phobias Structual Dissociation
Accuracy Verified: Yes
154. Carvalho, E. R. (2009, August). EMDR and the pillars of life: Celebrating what works. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This presentation will highlight the Pillars of Life, a resourcing technique adapted from the work of Dr. Carlos Raimundo, an Argentine-Australian psychodramatist. Utilized in the preparation phase, it targets resources through the use of the positive cognitions and the VoC scale. The Pillars of Life can be used at the onset as a diagnostic tool, assessing the patient’s inner resources, as well as to augment the necessary resources required during therapeutic work. Oftentimes, it can be utilized as an interweave in cases of complex PTSD when resource pendulation is required during phase 4.
Keywords: Pillars of Life
Accuracy Verified: Yes
155. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
156. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.
Keywords: Adults Childhood Sexual Abuse Keynote Neglect Survivors
Accuracy Verified: Yes
157. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.
Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD
Accuracy Verified: Yes
158. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.
Language: English
Format: Journal
Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients
suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization
and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been
proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more
complex cases has been less widely studied. This article examines the body of literature on the treatment
of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research.
Despite a still limited number of randomized controlled studies of any treatment for complex PTSD,
trauma treatment experts have come to a general consensus that work with survivors of childhood abuse
and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented
EMDR model for working with these patients is presented, highlighting the role of resource development
and installation (RDI) and other strategies that address the needs of patients with compromised
affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the
various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are
reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD
are offered along with suggestions for future investigations.
Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review
Accuracy Verified: Yes
159. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
160. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The aim of these exploratory study is to test the application
of therapy EMDR in case of traumatic bereavement. The
traumatic bereavement, which corresponds to the brutal loss of
"other significant", answers a precise clinical picture whose principal
characteristics are the intrusive thoughts concerning the
late one and of the difficulties of adjustment to the loss (feeling
of vacuum, difficulties of recognizing the death, irritability, lack
of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years ( S D = l I . l ) and including 75% women,
followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering
protocol EMDR The effectiveness of the therapy was
evaluated starting from several criteria including traumatic bereavement,
anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (TO), after six
meetings (TI), at the end of the therapy (T2), then in three
months (T3) and twelve months (T4) after the end of the therapy.
The principal results seem to indicate an effectiveness of the
therapy EMDR. Indeed, we observe a reduction in all the indicators
between the beginning (TO) and the end of the therapy
(TI). Moreover, when this reduction does not continue to three
and twelve months, it remains, at least, stable at one year. These
observations are very encouraging especially when it is known
that 10 to 15% of the patients develop a chronic depression.
Keywords: Accident Victims Symposium Train Accident Traumatic Bereavement
Accuracy Verified: Yes
161. Forester, D. (2012, October). EMDR as a treatment for bulimia nervosa in a clinical practice setting. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This study examined the possibility of treating the underlying complex trauma symptoms associated with Bulimia Nervosa using EMDR in a private practice setting.
Keywords: Bulimia Nervosa Poster
Accuracy Verified: Yes
162. Giannantonio, M. (2003, May). EMDR as an assessment tool in complex models of post-traumatic states. In Dissociation and theoretical models. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
Though EMDR is normally conceived as a psychotherapeutical approach or, at least, as a clinical method with psychotherapeutical aims, any EMDR practitioner also knows it’s a useful means to make subtle diagnostic remarks on the client.
Despite its importance, this matter has never been methodically studied in depth, but it’s informally discussed among clinicians when exchanging subtle pieces of information on micro-interventions and strategies employed in everyday practice.
My purpose is therefore to make a report on EMDR as an assessment tool. Some cases will show how a full comprehension of EMDR as an assessment tool requires much more complex etiological and maintenance models of post-traumatic disorders than usually seen in part of the literature.[Author abstract]
Keywords: Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
163. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Keywords: HAP Project Q-Methodology Pakistan Poster
Accuracy Verified: No
164. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied.
Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend.
Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.
Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area.
From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized.
When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
165. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie.
In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige
(hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt.
Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c.
te integreren
When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation .
In this lecture primarily an approach is presented that the therapist and patient can come to such a
(Hierarchical) organization of the traumatic events that a phased and orderly treatment possible.
Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
166. Hofmann, A. (2006, November). EMDR bij de behandeling van complexe PTSS patiënten [EMDR in the treatment of complex PTSD patients]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: English
Format: Conference
Abstract:
Patiënten met complexe PTSS en dissociatieve symptomen zijn een uitdagende patiëntenpopulatie. Concepten zoals de stoornis van extreme stress (Herman et al..) En het geheugen van het onderzoek naar netwerken en vooral structurele dissociatie (Nijenhuis et al..) Helpt om dit te begrijpen patiënten beter. Bij de behandeling van deze patiënten EMDR kan een van de belangrijkste benaderingen in de behandeling een therapie instelling die gewoonlijk moet ook bijvoegen andere modaliteiten naast de EMDR EMDR standaardprotocol. Nieuwe ontwikkelingen in EMDR en een decission helpen wanneer ze toe te passen kan pacing de therapie van deze patiënten te helpen en maakt het succesvol.
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) help to understand these patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD
Accuracy Verified: Yes
167. ten Broeke, A., & de Jongh, A. (1997). EMDR bij debehandeling van Type II psychotrauma: Een casus [EMDR in the treatment of Type II psychotrauma: A case-study]. Tijdschrift voor Psychiatrie, 39(3), 249-255.
Language: Dutch
Format: Journal
Abstract:
Deze casus beschrijft de toepassing van EMDR bij de behandeling van ernstige en herhaalde seksueel misbruik. Tijdens een patiënt in de psychiatrische behandeling EMDR werd gebruikt om ongevoelig en "opwerken" de traumatische herinneringen. Zoals blijkt uit eigenbelang van de cliënt-verslag en gestandaardiseerde psychologische vragenlijsten, EMDR was succesvol in het verlichten van diverse ptss-symptomen en daarmee samenhangende klachten. De resultaten werden gehandhaafd op negen maanden follow-up. Zaak verslagen als deze kunnen stimuleren gecontroleerde outcome research over de toepassing van EMDR bij complexe (Type II) vormen van PTSS.
This case history describes the application of EMDR in the treatment of severe and repeated sexual abuse. During an in-patient psychiatric treatment EMDR was used to desensitize and 'reprocess' the traumatic memories. As is evident from the client's selfreport and standardized psychological questionnaires, EMDR was successful in alleviating various PTSD symptoms and associated complaints. The results were maintained at nine months follow-up. Case-reports like these may stimulate controlled outcomeresearch on the applications of EMDR with complex (Type II) forms of PTSD.
Keywords: Case Report Clinical Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Young Adults
Accuracy Verified: Yes
168. van Nijnatten, A. (2012). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Verschil in effectiviteit tussen visuele en auditieve stimulatie [EMDR with traumatized asylum seekers and refugees: difference in effectiveness between visual and auditory stimulation]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Objective: Recent studies suggest that eye movements are the most effective form of stimulation in
EMDR, but this assertion is based primarily on studies using the general population. This study
evaluated whether tones and eye movements in EMDR are equally effective in reducing symptoms of
trauma, anxiety and depression among asylum seekers and refugees, who are diagnosed with PTSD.
As a control the entire EMDR condition was compared with a waiting list condition, who received no
treatment.
Method: In the present study 43 asylum seekers and refugees in the age of 20 to 73 years, who were
indicated for treatment at Stichting Centrum ’45, participated. They were assigned to three different
conditions: EMDR with eye movements, EMDR with tones or no treatment. The patients were not
randomly assigned to the three conditions. Trauma symptoms were measured with the CAPS and HTQ
and anxiety and depression symptoms with the HSCL-25.
Results: Both tones and eye movements in EMDR lead to a reduction in symptoms of trauma,
according to the HTQ. When trauma symptoms are reported according to the CAPS both conditions do
not lead to a significant reduction in complaints. Concerning symptoms of anxiety and depression both
conditions lead to a reduction in symptoms. Again there is no difference between tones and eye
movements. It appears that EMDR is not significantly better in reducing symptoms of trauma,
compared to the waiting list condition. Both EMDR and no treatment do not lead to a significant
reduction in symptoms of anxiety and depression and there is no distinction between the conditions.
Conclusion: Eye movements and tones lead to a significant reduction in symptoms of trauma, anxiety and depression, but this reduction is insufficient compared to the control condition. This is probably
due to the small sample size of the present study. The present study implies that the theory that eye
movements are more effective than tones in EMDR may not be generalizable to a complex group of
patients, namely asylum seekers and refugees diagnosed with PTSD.
Keywords: Asylum Seekers Auditory Stimulation Refugees Visual Stimulation
Accuracy Verified: Yes
169. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze lezing gaat over het implementeren van EMDR
in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep:
• Meervoudige persoonlijkheidsstoornissen
• Meervoudig ernstig getraumatiseerd
• Verslavingsproblematiek
• Specifieke psychiatrische problematiek
• Forensische problematiek
• Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren.
Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.
This lecture is about the implementation of EMDR
In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target:
• Multiple personality disorder
• Multiple severely traumatized
• Addiction Problems
• Specific psychiatric problems
• Forensic issues
• Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors.
Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.
Keywords: TBS System of Treatment
Accuracy Verified: Yes
170. ten Broeke, E. (2005, November). EMDR bij zelfbeeldbeschadigingen [EMDR and negative self-image]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
(Een) negatief zelfbeeld is geen aparte DSM-IV classificatie. Niettemin zal er weinig discussie bestaan ten aanzien van de veronderstelling dat (een) negatief zelfbeeld een wezenlijke rol speelt bij veel psychopathologie.
Voorbeelden zijn: depressie, PTSS, complexe PTSS, eetstoornissen, sociale angst, persoonlijkheidspathologie. In deze voordracht zal worden besproken hoe EMDR een rol kan spelen bij het 'repareren' van een beschadigd zelfbeeld. Hiertoe wordt geschetst hoe een negatief zelfbeeld kan worden geconceptualiseerd, hoe dit past in het EMDR-model (men
spreekt momenteel van 'rechtsom') en op welke wijze EMDR concreet kan worden ingezet bij zelfbeeld-reparatie. Tot slot komen eventuele complicaties en oplossingen aan bod, alsmede voorzorgsmaatregelen om deze complicaties te voorkomen. Dit alles wordt geïllustreerd aan de hand van één of meer specifieke stoornissen.
Er wordt naar gestreefd dat (enige) tijd overblijft voor vragen en korte (eigen) casuïstiek.
(A) negative self-image is not a separate DSM-IV classification. Nevertheless, there is little discussion regarding the assumption that (a) negative self-image an essential role in psychopathology.
Examples include: depression, PTSD, complex PTSD, eating disorders, social anxiety, personality pathology. In this lecture will discuss how EMDR can play a role in the "repair" a damaged self-image. End outlines how self-esteem can be conceptualized, how it fits into the EMDR model (one
speaks now of 'right') and how EMDR can actually be used for self-repair. Lastly, complications and solutions to bid and precautions to prevent complications. All this is illustrated by one or more specific disorders.
It aims to (some) time for questions and short (own) casuistry.
Keywords: Self-Esteem
Accuracy Verified: Yes
171. Leeds, A. (2011, August). EMDR Case Conceptualization and Treatment Planning: How AIP leads to divergent strategies in different cases. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Many clinicians seek guidance with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the AIP Model with adult attachment classification. Case examples illustrate clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation proposes a symptom informed approach for cases with an Axis I focus – PTSD, depression, specific phobias and panic – from parallel models of de Jongh (2010), Korn (2004) and Leeds (2004, 2009). Criteria from Korn (2004, 2009), Leeds (2009) and Hofmann (2004, 2005) indicate when to consider containing and deferring reprocessing early life experiences in complex cases – personality disorders and complex PTSD.
Keywords: Adult Attachment
Accuracy Verified: Yes
172. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases.
The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of
protocols, targets and cognitions. Time will be allowed to discuss problem cases.
The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated
information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning
indicators fiom cognitions and the history taking of potential blocked responses.
A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and
cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma
with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of
the early environment to provide healthy models of self-other interaction.
Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources
present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies.
Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting
disturbing memories.
Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the
Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the
biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect
theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and
emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization
and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts
is a central problem in PTSD and other pervasive traumageric disorders.
Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry
Wildwind's speciality and conference presentations on working with chronic depression and personal communications with
Marguerite McCorkle.
Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental
issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to
a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.
Keywords: Case Formulations
Accuracy Verified: Yes
173. Manfield, P. (2003). EMDR casebook: Expanded (2nd Ed.). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book picks up where formal EMDR training leaves off. Research has now shown that EMDR is powerfully effective in the treatment of residual psychological effects of a single-incident trauma. Through case studies, this book explores other areas where EMDR may be helpful, including long-term childhood abuse and complex PTSD. The eleven case reports illustrate the application of EMDR to a broad range of cases. The many clinical transcripts will help newly trained EMDR clinicians fell comfortable using EMDR with their clients and provide models for experienced EMDR clinicians to broaden their use of EMDR. The clear explanations of the treatment processes will demystify EMDR for both clinicians and clients.
The introduction includes basic descriptions of EMDR and the accelerated information processing model, as well as definitions of its terminology. Each of the following chapters begins with a discussion of the contributors background, the principles of the traditional treatment approach used before incorporating EMDR, and the ways he or she has integrated EMDR into that approach. The contributors, who represent various orientations, including psychodynamic, behavioral, cognitive, and systems, demonstrate the importance of procedural fidelity while extending EMDR protocols.
Keywords: Miscellanous
Accuracy Verified: Yes
174. Grégoire, P. A. (2010, Avril/Mai). EMDR dans les cas de deuil et de dépression [EMDR in bereavement and depression]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le deuil et la dépression sont des expériences de vie qui présentent un défi pour les mécanismes d’adaptation et remettent en question les états d’équilibre déjà établis. Les liens qui deviennent de plus en plus évidents entre ces états expérientiels et la présence de mécanismes défectueux de traitement de l’information soulignent l’importance d’offrir des services psychothérapeutiques, telle l’approche EMDR qui tient compte de ces besoins et de ces processus spécifiques. Notre présentation veut souligner : 1) l’importance des protocoles et des principes de base de l’approche EMDR comme modèle d’intégration des processus de psychothérapie 2) les recherches qui explorent les mécanismes dysfonctionnels des réseaux de mémoire impliqués lors du travail du deuil et 3) les applications de protocoles spécifiques EMDR pour les diverses étapes du deuil. La partie expérientielle de cette présentation explorera certains des facteurs adaptatifs permettant le renouvellement de cet équilibre perdu et la consolidation de mécanismes reliés à la résilience. (Tous les niveaux)
Grief and depression are life experiences that are challenging for coping and challenge the already established equilibrium states. The links are becoming increasingly evident between these experiential states and the presence of defective mechanisms of information processing emphasize the importance of providing psychotherapeutic services, such as the EMDR approach that addresses these needs and these specific processes. Our presentation will highlight: 1) the importance of protocols and basic principles of the EMDR approach as a model for the integration of psychotherapy process 2) research that explores the dysfunctional mechanisms of memory networks involved in the work of mourning and 3) applications of EMDR protocols specific for the various stages of grief. The experiential part of this presentation will explore some of the factors adaptive to the renewal of this lost balance and strengthening mechanisms associated with resilience. (All levels)
Keywords: Bereavement Depression: Grief
Accuracy Verified: Yes
175. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
176. Broeke, E., Oppenheim, H.-J., & de Jongh, A. (2009). EMDR en de behandeling van complexe PTSS [EMDR and the treatment of complex PTSD]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 139-175). Amsterdam: Pearson.
Language: Dutch
Format: Book Section
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
177. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .
Language: Spanish
Format: Journal
Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.
The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.
Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma
Accuracy Verified: Yes
178. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut.
Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig
getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.
During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist.
Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe
traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
179. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het
vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van
de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model
zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd.
De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek.
De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo.
Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.
This presentation will be presented a conceptual model for
Finding the key traumatic experiences (targets) that form the basis of
the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model
will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment.
The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues.
The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination.
This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.
Keywords: Schema Focused Therapy
Accuracy Verified: Yes
180. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .
Language: English
Format: Conference
Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process
Keywords: Case Conceptualization Children Dissociation Stabilization Trauma
Accuracy Verified: Yes
181. Twombly, J. H. (2005). EMDR for clients with dissociative identity disorder, DDNOS, and ego states. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 88-120). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract: U
sing EMDR with clients with dissociative identity disorder (DID) and other dissociative disorders (DDs) requires careful adaptation to allow the unique benefits of EMDR to be used productively, without risking unleashing a flood of traumatic material and destabilizing the client. In this chapter I will discuss adaptations for each stage of treatment for dissociative clients. While I'll focus on work with DID (formerly multiple personality disorder) and dissociative disorder not otherwise specified (DDNOS), the EMDR adaptations and protocols taught in this chapter can be used with people with other DDs and complex PTSD, and in ego-state work. This chapter is divided into three sections, summarizing the treatment of DDs within the three stages of standard phase-oriented trauma treatment. [Text, pp. 88, 90]
Keywords: Adults Child Abuse DID Dissociative Identity Disorder Hypnotherapy Psychotherapeutic Processes Survivors
Accuracy Verified: Yes
182. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.
Language: English
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?
Keywords: Client Francine Shapiro Male
Accuracy Verified: Yes
183. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
184. Gonzalez, A., Seijo, N., & Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.
Keywords: Complex Trauma Dissociative Disorders
Accuracy Verified: Yes
185. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
186. Hofmann, A. (2005, September). EMDR in der behandlung komplexer traumafolgestörungen [EMDR in the treatment of complex trauma disorder]. Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden.
Language: German
Format: Conference
Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer Störungen sind auch neuere erfolgreiche Zugänge wie die EMDR-Methode entwickelt und anerkannt worden.
Die von Dr. Francine Shapiro entwickelte und in ihrer Effektivität gut belegte EMDR-Methode kann hierbei in vielen Behandlungen psychisch traumatisierter Patienten einen wichtigen Beitrag leisten. Der diagnostische und behandlungstechnisch integrative Ansatz der EMDR-Methode wird im in seinen Forschungsergebnissen und klinischen Anwendungen im einzelnen diskutiert werden. Fragen zu eigenen Patienten sind willkommen.
With increasing research in the field of psycho-traumatic disorders including recent additions such as the successful EMDR method has been developed and approved.
By Dr. Francine Shapiro developed EMDR and in their well-documented effectiveness of this method can provide many treatments mentally traumatized patients an important contribution. The diagnostic and treatment technique integrative approach of the EMDR method will be discussed in the in its research and clinical applications in detail. Questions about their own patients are welcome.
Keywords: Complex Trauma Treatment
Accuracy Verified: Yes
187. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen. Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen. Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders. The importance and difficulty of choosing good cognition in these treatments. Dialog protocol] . Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: German
Format: Conference
Abstract:
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.
[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered.
During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]
Keywords: Attachment Disorders Cognitions Dissociation
Accuracy Verified: Yes
188. Hofmann, A., & Sack, M. (2006). EMDR in der behandlung von patienten mit chronish komplexer PTBS und schweren dissoziativen storungen [EMDR in the treatment of patients with complex PTSD and severe dissociative disorders]. In: F. Lamprecht (Hrsg.), Praxisbuch EMDR: modifizierungen für spezielle anwendungsgebiete [EMDR practice book: modifications for special areas of application] (pp. 172-194). Stuttgart: Klett-Cotta.
Language: German
Format: Book Section
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders
Accuracy Verified: Yes
189. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.
Language: German
Format: Journal
Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.
EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders
Accuracy Verified: Yes
190. Hofmann, A., Fischer, G., Galley, N., & Solomon, R. (1999). EMDR in der therapie psychotraumatischer belastungssyndrome [EMDR in the treatment of posttraumatic stress disorder]. Stuttgart, Germany: Thieme Verlag.
Language: German
Format: Book
Abstract:
EMDR ist eine der effektivsten und verträglichsten Behandlungsmethoden für Menschen, die an den komplexen Folgen seelischer Traumatisierung leiden.Das bewährte Konzept der bisherigen Auflagen: ausführliche Darstellung des psychodynamischen Hintergrundes von Traumatisierungen
Überblick über den großen Bereich der Traumafolgestörungen
praxisnahe Erläuterung der einzelnen Phasen der EMDR-Behandlung
Neu in der vorliegenden 3. Auflage: Nachweis der Wirksamkeit durch neue neurobiologische Erkenntnisse
Erweiterung des Behandlungsspektrums durch Studien aus angrenzenden Bereichen
Kriterien zur Qualitätskontrolle
Das Buch wendet sich an Psychiater, Psychotherapeuten und psychotherapeutisch tätige Ärzte.EMDR ist eine der effektivsten und verträglichsten Behandlungsmethoden für Menschen, die an den komplexen Folgen seelischer Traumatisierung leiden.Das bewährte Konzept der bisherigen Auflagen: ausführliche Darstellung des psychodynamischen Hintergrundes von Traumatisierungen
Überblick über den großen Bereich der Traumafolgestörungen
praxisnahe Erläuterung der einzelnen Phasen der EMDR-Behandlung
Neu in der vorliegenden 3. Auflage: Nachweis der Wirksamkeit durch neue neurobiologische Erkenntnisse
Erweiterung des Behandlungsspektrums durch Studien aus angrenzenden Bereichen
Kriterien zur Qualitätskontrolle
Das Buch wendet sich an Psychiater, Psychotherapeuten und psychotherapeutisch tätige Ärzte.
EMDR is one of the most effective and tolerable treatments for people at the complex consequences of mental trauma leiden.Das proven concept of the previous editions: detailed description of the psychodynamic background of trauma
Overview of the major field of trauma disorders
practical explanation of the various phases of EMDR treatment
New in this 3rd Reprint demonstrating the effectiveness of new neurobiological findings
Extension of the range of treatments offered by studies from adjacent areas
Criteria for quality control
The book is intended for psychiatrists, psychotherapists and psychotherapy active Ärzte.EMDR is one of the most effective and tolerable treatments for people who have complex effects on the psychological trauma leiden.Das proven concept of previous editions: a detailed description of the psychodynamic background of trauma
Overview of the major field of trauma disorders
practical explanation of the various phases of EMDR treatment
New in this 3rd Reprint demonstrating the effectiveness of new neurobiological findings
Extension of the range of treatments offered by studies from adjacent areas
Criteria for quality control
The book is intended for psychiatrists, psychotherapists and psychotherapy employed physicians.
Keywords: Trauma
Accuracy Verified: Yes
191. Eckers, D. (2010, June). EMDR in difficult circumstances - Working with a complex traumatized boy in Thailand. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In 2009 a training in psychotraumatology and EMDR
was conducted in Thailand with participants from Thailand, Indonesia, Burma, Kambodscha and other countries. During that
training of 8 days a 9-years-old boy was treated after some
stabilization with 'safe place' and special containment - with
EMDR. He was diagnosed with Asperger-syndrome (a form
of autism), was traumatized by the loss of a near relative, the
burning of his home, a car accident and by Tsunami. Time was
limited, the boy wasn't acquainted with the therapist, didn't
speak much English, needed his aunt to translate and was first
time in his life away from his home. But even in these conditions treatment was possible in 1 session stabilization and 3 sessions of EMDR The case will be demonstrated with the boy's
drawings and video clips of the stabilization phase and of the
EMDR session about Tsunami.
Learning objectives: 1. Understanding a client-adapted way to applicate EMDR in children. 2. Creative working with children in their cultural and individual context, What is essential in EMDR even with child-adapted and creative modifications?
Keywords: Adolescent Male Thailand Trauma
Accuracy Verified: Yes
192. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.
Language: English
Format: Journal
Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.
Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing
Accuracy Verified: Yes
193. Tripolt, R. (2010, June). EMDR in motion: Enhancing the effect of EMDR by using elements of movement therapy, dance and body orientated therapeutic interweave techniques. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
'The Body Keeps the Score' (Bessel van der. Kolk 1996).
Clients who suffer from traumatic stress are often afraid of disturbing
and painful symptoms. Structural Dissociation alienates
from the body reactions. Clients tend to perceive the body as
hostile.
As we know from eye movement and other bilateral stimulations,
using movement is a gentle and powerful way, to bring
the voice of the body into the therapeutic space. To expand the
movement and body orientated skills either in difficult processes
for example in the therapeutic work with complex traumatised
clients enhances the effect of EMDR.
Content of the Workshop:
How to install the body as resource where the EMDR process
can 'take place'.
How to dissolve dissociation by associating body and movement
awareness.
How to accelerate the desensitization process by leading into
deeper levels of body consciousness.
How to help the client to stay within the "window of tolerance"
of vegetative arousal by using elements of movement
and dance therapy.
Keywords: Body Dance Therapy Experimental Use Movement Therapy Symposium
Accuracy Verified: Yes
194. Onofri, A. (2012, March-April). EMDR in psichiatria. Introduzione al supplemento [EMDR in psychiatry. Introduction to the supplement]. Rivista di Pschiatria, 47(Supplement 1), 1S-3S. doi:10.1078/1071.11730.
Language: Italian
Format: Journal
Abstract:
L’Autore, dopo aver sintetizzato in che cosa consiste l’EMDR, ricorda i riconoscimenti internazionali ricevuti da questa innovativa tecnica psicoterapeutica e riassume le principali ipotesi di funzionamento e gli studi di neurofisiologia. Specifica infine come, da tecnica terapeutica e metodo clinico, l’EMDR sia divenuto un approccio globale applicabile a molti campi della psicopatologia, fino alle situazioni post-traumatiche più complesse.
The Author, after having summarized what EMDR is, remebers the international aknowledgements it has received and points out the main hypothesis of functioning and the studies of neurophysiology. He specifies how EMDR, from an initial step of therapeutic technique and clinical method, has become a global approach useful from many fields of the psychopathology, till to the most complex post-traumatic situations.
Keywords: Psychiatry
Accuracy Verified: Yes
195. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Interactions between trauma and biology, dissociation and psychosis are
complex. Some cases could be more biologically based, and traumatic events may
trigger a psychotic episode or contribute to the low-response to usual
interventions. But traumatic experiences could also influence neurodevelopment
and brain structure. In some cases past adverse events may be a main factor in the
development of psychotic psychopathology. The treatment of psychotic disorders
with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the
relative contribution of these different factors from clinical results. The empirical
research about the application of EMDR will be also reviewed.
A relevant point for EMDR therapy in psychotic disorders is the complex
relationship between dissociation and psychosis. Patients presenting with the
belief of being controlled by an external force, intrusive thoughts and hallucinatory
voices that comment on one's thoughts or actions or that have a conversation with
other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but
can often be best understood and approached as dissociative symptoms. These
patients can be treated with EMDR, but the procedures present relevant
modifications in relation with the standard EMDR procedure for PTSD.
In this workshop we will briefly describe how EMDR can be applied in different
examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.
Las
interacciones
entre
trauma
y
biología,
disociación
y
psicosis
son
complejas.
Algunos
casos
pueden
estar
más
basados
en
el
ámbito
biológico,
y
los
eventos
traumáticos
pueden
ser
disparadores
de
un
episodio
psicótico
o
contribuir
a
la
baja
respuesta
ante
las
intervenciones
usuales.
Pero
las
experiencias
traumáticas
pueden
también
influenciar
el
neurodesarrollo
y
la
estructura
cerebral.
En
Algunos
casos
eventos
adversos
del
pasado
pueden
ser
el
principal
factor
para
desarrollar
psicosis
o
una
psicopatología.
El
tratamiento
de
los
trastornos
psicóticos
con
un
terapia
orientada
al
trauma
como
el
EMDR
nos
ayudan
a
evaluar
la
contribución
relativa
de
distintos
factores
a
los
resultados
clínicos.
La
investigación
empírica
acerca
de
la
aplicación
del
EMDR
también
será
revisada.
Un
punto
relevante
de
la
Terapia
EMDR
en
trastornos
psicóticos
es
el
resultado
complejo
de
la
relación
entre
disociación
y
psicosis.
Los
pacientes
que
presentan
creencias
de
control
por
fuerzas
externas,
pensamientos
intrusivos
y
voces
alucinatorias
que
comentan
las
acciones
o
pensamientos
o
tienen
una
conversación
con
otras
voces
alucinatorias,
normalmente
son
diagnosticadas
como
esquizofrenia
y
psicosis
pero
en
algunas
ocasiones
estarían
mejor
entendidas
desde
un
enfoque
que
las
considerara
síntomas
disociativos.
Estos
pacientes
pueden
ser
tratados
con
EMDR,
pero
los
procedimientos
presentan
modificaciones
referentes
al
procedimiento
estándar
de
EMDR
para
el
TEPT.
Keywords: Psychosis Severe Mental Disorders
Accuracy Verified: Yes
196. Silver, S. (2012, October). EMDR in the military: Trauma, attachment and families. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This workshop provides participants with information on the unique nature of military service, including sources of stress and trauma not commonly found in the civilian sector. The current operational environment of the Global War on Terror as well as experiences and issues of veterans of other eras are covered. Military-based trauma can be complex and therapeutic approaches often need to take this into account as well as the value systems of military personnel. While EMDR is highly effective with service members, “fine tuning” of the protocol is often useful. Family problems in attachment are addressed.
Keywords: Attachment Families, Military Trauma
Accuracy Verified: Yes
197. Hofmann, A. (2005, June). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Patients with complex PTSD are a challenging patient population. Even if
concepts like the Disorder of Extreme Stress (Herman et 01.1 and the new
research on structural dissociation (Nijenhuis et al.) helps to understand these
patients better, their treatment course is often complicated. In the
treatment of these patients EMDR can be one of the key treatments
approaches in a therapy setting that usually needs to also enclose other
treatment modalities and the overall treatment plan.
The objective of this course is to help therapists use the opportunities that the
8 phase EMDR treatment plan offers and to reduce the risks for their
treatment course. Also the implications of the use of the standard protocol
for EMDR and the inverted standard protocol are discussed.
Depending on the size of the group, time for discussion about clinical cases
of participants is welcome.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
198. Hofmann, A. (2004, September). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et al.) and the new research on structural dissociation (Nijenhuis et al.) help to understand these patients better, their treatment course is often complicated. In the treatment of these patients, EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also include other treatment modalities and the overall treatment plan.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
199. Hofmann, A. (2007, May). EMDR in the treatment of complex PTSD with personal changes. Symposium conducted at the Chinese–German Congress on Psychotherapy, Shanghai, China.
Language: English
Format: Conference
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Symposium Treatment of Psychotrauma
Accuracy Verified: Yes
200. Hofmann, A. (2000, May 6). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
Patients with dissociative disorders are a complex patient population in which EMDR can be one of the key treatment approaches in a therapy setting that usually needs to enclose a number of other treatment modalities and an overall comprehensive treatment plan. If undiagnosed, dissociative patients are, on the other hand, at increased risk of developing complications during the treatment with EMDR. In this workshop, participants will learn how to: (1) develop a comprehensive treatment plan that includes trauma work with EMDR, (2) integrate the 8 phases of EMDR with the three general phases of trauma treatment according to Janet (stabilization, trauma work, integration), (3) find a good balance to interchange in therapy between stabilization phases, trauma work with EMDR and work within the therapeutic relationship, and (4) recognize and possibly counter treatment complications.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
201. Richman, S, (2009, June). EMDR in the treatment of survivors of torture. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Complex Trauma Torture Victim
Accuracy Verified: Yes
202. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
203. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.
Keywords: Attachment Disorders Emotional Identification Poster
Accuracy Verified: Yes
204. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress.
As a pilot experience, we have been able to use this EMDRIT framework with 64 clients.
Their complex disorders included, for each of them, at least 3 of the following symptoms:
Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions.
For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis:
•Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN).
•The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN).
•The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system.
•Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent.
•Need to standardize appropriate scale for database, in order to foster international research and results sharing.
We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.
Keywords: EMDR Intensive Therapy EMDRIT
Accuracy Verified: Yes
205. Hofmann, A. (2006, September). EMDR Master Series – I. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
EMDR is a method that has a number of
interesting possibilities that are needed to work
with some of the more challenging complex PTSD
patients. Concepts like the Disorder of Extreme
Stress (Herman et al.) and the concept of structural
dissociation (Nijenhuis et al.) help to understand
the patient better. The treatment course, also with
the use of EMDR, is often complicated. EMDR
can be one of the key treatment approaches in a
therapy setting for those patients, however, it
usually needs also to enclose other treatment
modalities in an overall treatment plan. The
objective of this presentation is to help therapists
use the opportunities that EMDR offers and to
reduce the risks for their treatment course.
Depending in the size of the group, time for
discussion about clinical cases of participants is
welcome.
Keywords: Disorder of Extreme Stress Master Series Structural Dissociation
Accuracy Verified: Yes
206. 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:
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.
Keywords: CISM Critical Incident Stress Management Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
207. Lanius, U. F. (2005). EMDR processing with dissociative clients: Adjunctive use of opioid antagonists. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 121-146). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
Dissociative symptoms are common in traumatic stress syndromes (e.g., complex PTSD, disorder of extreme stress not otherwise specified [DESNOS], borderline personality disorder, and dissociative disorders). They commonly interfere with psychotherapy including EMDR treatment. It appears that the adaptive information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience and thus precluding positive treatment outcomes. A series of case studies by Ferrie and Lanius found that the administration of an opioid antagonist prior to EMDR treatment significantly reduced dissociative symptoms, somatization, and numbing, as well as aiding trauma processing. The present chapter describes the relevant scientific research, as well as a theoretical rationale and a protocol, for the use of opioid antagonists in trauma processing with EMDR. [Text, p. 121]
Keywords: Analgesic Drugs Dissociative Symptoms Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
208. Ross, C. (2012). EMDR se basa en un modelo trauma-disociacion de trastornos mentales [EMDR is based on a trauma-dissociation model of mental disorders]. Revista Iberoamericana de Psicotraumatología y Disociación, 3(Edicion Especial Sobre Disociacion).
Language: Spanish
Format: Other
Abstract:
El autor presenta una serie de argumentos del porque el reprocesamiento y desensibilización a través del movimiento ocular (EMDR por sus siglas en inglés: Eye Movement Desenstization and Reprocessing) se basa en un modelo trauma-disociación de trastornos mentales. El modelo de EMDR es consistente con las teorías trauma-disociación de Pierre Janet, el modelo BASK de disociación de Braun y la teoría de disociación estructural, la cual es una elaboración reciente de las ideas de Janet. Los procedimientos terapéuticos del EMDR son consistentes con los modelos de tres etapas de psicoterapia para trauma, y EMDR puede utilizarse en el tratamiento de trastornos disociativos complejos sin modificaciones significativas. El autor sugiere que la literatura con los resultados del tratamiento con EMDR puede considerarse como literatura sobre el tratamiento de la disociación inducida por trauma.
The author presents a series of arguments for why desensitization and reprocessing through eye movement (EMDR for short English: Desenstization and Reprocessing Eye Movement) is based on a trauma-dissociation model of mental disorders. The model is consistent with EMDR trauma-dissociation theory of Pierre Janet, the BASK model of dissociation of Braun and the theory of structural dissociation, which is a recent development ideas Janet. EMDR therapeutic procedures are consistent with models of three stages of psychotherapy for trauma, EMDR can be used in the treatment of complex dissociative disorders without significant modifications. The author suggests that literature with the results of EMDR therapy can be considered as literature on the treatment of trauma-induced dissociation
Keywords: Trauma-Dissociation Model
Accuracy Verified: Yes
209. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co.
Language: English
Format: Book
Abstract:
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
Keywords: Depression, Eating Disorders, Performance
Accuracy Verified: Yes
210. Morrow, R. D. (2008). EMDR target tracking. Journal of EMDR Practice and Research, 2(1), 69-72. doi:10.1891/1933-3196.2.1.69.
Language: English
Format: Journal
Abstract:
This question is often asked by clinicians who are motivated
to do a comprehensive job. It can be an organizational
nightmare to keep track of the targets that require
reprocessing in a longer, more complex case. It is a common
experience that the best-laid treatment plans begin to
get fuzzy after several reprocessing sessions, as it is impossible
to predict each and every target prior to the onset of
reprocessing.
Accuracy Verified: Yes
211. Grey, E. (2008, September). EMDR theory exists: An explanation of neuro-physiological underpinnings. Presentation at the annual meeting of EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR Theory Exists is designed to provide a peer reviewed explanation of the neuro-physiological underpinnings of the AIP model. Through educating practitioners on the links between bilateral stimulation and the brain one’s ability to describe EMDR to consumers increases. The brain mechanisms impacted by bilateral stimulation move memories into a stage in which a human naturally heals. These neuro-physiological underpinnings are illustrated through synthesis with a complex case of childhood ritual abuse. Participants will be furnished the opportunity to practice applying these underpinnings to cases and improve their ability to explain EMDR’s potential impact on a consumer.
Keywords: Theory
Accuracy Verified: Yes
212. Grey, E. (2009, May). EMDR theory exists: An explanation of neurophysiological underpinnings. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
EMDR Theory Exists is designed to provide a peer reviewed explanation of the neurophysiological underpinnings of
the AIP model. Through educating practitioners on the links between the AIP and the brain, one’s ability to describe
EDMR to consumers increases. The brain mechanisms impacted by EMDR moves memories into a stage in which
a human naturally heals. These neurophysiological underpinnings are illustrated through synthesis with a complex
case of childhood ritual abuse. Participants will be furnished the opportunity to practice applying these
underpinnings to cases and improve their ability to explain EMDR’s potential impact on a consumer.
Keywords: Neurophysiological Underpinnings Ritual Abuse Theory
Accuracy Verified: Yes
213. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.
Language: English
Format: Book
Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features:
•Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field
•Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio
•Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology
•Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities
Keywords: Adjunct Approaches Attachment Children Dissociation Trauma
Accuracy Verified: Yes
214. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam, Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems,
among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events
have generated a widespread impact on the lives of the communities. One of the most crucial issues to be
addressed aside from legal, security, social and economic problems is the matter of health, including mental
health. In regards to mental health issues, comprehensive steps have been formulated into various mental health
care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia
for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the
implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support
from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been
developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be
addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of
trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also
arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts
for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam
including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being
stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation,
varieties of stabilization technique that have been used in this population will be addressed. More specifically, as
culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable
stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with
stabilization technique. These techniques might be useful for other population with similar culture and religion.
Keywords: Armed Conflicts Nanggroe Aceh Darussalam, Indonesia Poster Survivors Tsunami
Accuracy Verified: Yes
215. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence [Terapia con EMDR en varias enfermedades psiquiátricas: Una revisión de la evidencia científica]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Abstract: Scientific studies of EMDR have shown that it is one of the most effective
tools to treat posttraumatic stress disorder. One of the lesser known properties of
EMDR is that it also seems to be an effective psychotherapy method in a number of
disorders that have part of their origins in dysfunctional implicit memory
structures. Some of these disorders are complex trauma based disorders like
dissociative disorders and some patients with symptoms of borderline disorder
others are traumatized offenders, some forms of substance dependencies and
depressive disorders.
Many of these patients are challenging populations and some of the direct EMDR
approaches may only be partly successful.
In this workshop an overview of the new areas for the application of EMDR will be
given and participants will hear where and how EMDR can be used in a treatment
plan. Also the research status of these new approaches will be reported.
If time permits cases can be discussed too.
Los estudios científicos de EMDR han comprobado que es una de las
herramientas más efectivas en el tratamiento del trastorno por estrés
postraumático. Una de las propiedades menos conocidas de EMDR es que también
parece suponer un método de psicoterapia efectivo en varios trastornos que se
originan parcialmente en estructuras disfuncionales de la memoria implícita.
Algunos de estos trastornos son trastornos basados en el trauma complejo, como
los trastornos disociativos y algunos casos de trastorno límite de la personalidad;
también se pueden incluir agresores traumatizados, algunas formas de
dependencias de sustancias y trastornos depresivos.
Muchos de estos pacientes suponen poblaciones de especial dificultad y algunos de
los abordajes directos con EMDR pueden tener un éxito únicamente parcial.
Este taller ofrecerá una perspectiva global de las nuevas áreas de aplicación de
EMDR y se les explicará a los participantes en qué casos y cómo se puede utilizar
EMDR en un plan terapéutico. También se informará respecto al estado de la
investigación de estos nuevos planteamientos.
Si hay tiempo, también se podrán presentar algunos casos.
Keywords: Research
Accuracy Verified: Yes
216. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.
Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
217. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
has
had
a
profound
positive
impact
on
the
lives
of
many
clients
and
has
been
shown
in
more
than
seventeen
published
trials
to
be
effective
in
the
treatment
of
PTSD
(Maxfield
&
Hyer,
2002).
However,
the
DSM
IV
definition
of
PTSD
is
focused
on
the
single
traumatic
incident,
and
many
clients
seeking
relief
in
therapy
have
a
damaging
traumatic
history
that
extended
over
repeated
events
or
over
long
periods
of
time.
The
term,
Complex
PTSD
(Herman,
1992,
van
der
Kolk,
2005)
has
been
proposed
to
describe
a
pattern
of
negative
effects
of
prolonged
and
extreme
stress,
particularly
during
childhood.
The
focus
of
this
workshop
is
to
describe
a
theoretical
framework,
and
specific
therapy
“tools”
which
may
be
useful
in
providing
effective
therapy,
within
the
EMDR
Adaptive
Information
Processing
Model,
to
individuals
suffering
with
Complex
PTSD.
Important
concepts
and
particular
interventions
will
be
illustrated
through
video
examples
and
transcripts
from
therapy
sessions.
Dr.
Knipe
will
present
methods
for
identifying
and
treating
specific
dissociative
symptoms
with
accompanying
evidence
from
available
research
or
case
studies.
He
will
offer
EMDR
“tools”
that
can
be
used
to
make
the
healing
power
of
EMDR
more
available
to
clients
who
are
avoidant,
and/or
highly
vulnerable
to
dissociative
abreaction,
chronic
shame,
and
unrealistic
idealization
of
self
or
of
others.
He
will
discuss
the
primary
characteristics
of
clients
with
Complex
PTSD,
including
problems
with
disrupted
attachment
and
inappropriate
psychological
defenses.
He
will
illustrate
how
to
identify
various
Ego-‐States
and
work
with
these
within
the
Adaptive
Information
Processing
Therapy
Approach.
Time
will
be
available
for
participants
to
discuss
difficult
EMDR
cases.
EMDR
ha
tenido
un
profundo
efecto
sobre
la
vida
de
muchos
clientes
y
ha
demostrado
en
más
de
diecisiete
ensayos
publicados,
ser
eficaz
para
el
tratamiento
del
TEPT
(Maxfield
&
Hyer,
2002).
Sin
embargo,
la
definición
del
DSM
IV
del
TEPT
está
centrada
en
el
incidente
traumático
único,
mientras
que
en
muchos
de
los
clientes
que
buscan
el
alivio
a
través
de
la
terapia
su
historial
traumático
incluye
episodios
traumáticos
repetidos
o
que
se
extienden
a
lo
largo
de
períodos
prolongados
de
tiempo.
Se
ha
propuesto
el
término
TEPT
complejo
(Herman,
1992,
van
der
Kolk,
2005)
para
describir
un
patrón
de
efectos
negativos
derivados
una
situación
de
estrés
prolongado
e
intenso
que
ha
aparecido
principalmente
en
la
infancia.
Este
taller
estará
centrado
en
describir
el
marco
teórico
y
las
“herramientas”
terapéuticas
específicas
que
pueden
ser
necesarias
para
proporcionar
,
dentro
del
modelo
de
procesamiento
adaptativo
de
la
información
de
EMDR,
una
terapia
eficaz
a
los
individuos
que
sufran
de
un
cuadro
de
TEPT
complejo.
Los
conceptos
importantes
y
las
intervenciones
concretas
que
se
realizan
serán
ejemplificadas
mediante
ejemplos
en
vídeo
y
mediante
transcripciones
de
sesiones
de
terapia.
El
Dr.
Knipe
presentará
diversos
métodos
que
permitan
identificar
y
tratar
los
síntomas
disociativos
específicos,
los
cuales
irán
acompañado
de
la
evidencia
de
que
se
dispone
procedente
de
la
investigación
existente
o
de
los
estudios
de
casos.
Ofrecerá,
además,
aquellas
“herramientas”de
EMDR
que
pueden
ser
empleadas
para
que
el
poder
sanador
del
EMDR
esté
más
disponible
para
aquellos
clientes
con
comportamientos
evitativos
y/o
que
son
extremadamente
sensibles
a
experimentar
abreacciones
disociativas,
vergüenza
crónica
o
conceptos
idealizados
de
sí
mismos
o
de
los
demás
no
realistas.
Comentará
también
cuales
son
las
características
principales
de
los
pacientes
que
padecen
de
TEPT
complejo,
entre
los
que
se
incluyen
los
vínculos
afectivos
perturbados
y
los
mecanismos
de
defensa
psicológica
inadecuados.
Ilustrará,
igualmente,
cómo
poder
identificar
los
diversos
estados
del
ego
que
se
producen
y
cómo
trabajar
con
ellos
en
el
marco
del
procesamiento
adaptativo
de
la
información.
Se
dispondrá
de
un
tiempo
adicional
para
comentar
con
los
participantes
los
casos
difíciles
que
se
presenten
con
EMDR.
Keywords: EMDR Toolbox
Accuracy Verified: Yes
218. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.
Learning Objectives:
1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part.
2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client.
3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.
Keywords: Dissociative Abreaction Psychological Defenses Toolbox
Accuracy Verified: Yes
219. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than
twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV
definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy
have a damaging traumatic history that extended over repeated events or over many years. The term,
Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative
effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop
is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing
effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with
Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are
avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or
of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from
therapy sessions.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox
Accuracy Verified: Yes
220. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in
assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients
who enter therapy do not have a simple problem of a single disturbing memory, but a
complex history. Typically, clients come to therapy with a mixed presentation, of not
only emotional disturbance, but also mental structures and actions which function to
soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial
presentation of most clients is complex and often ambivalent. In this workshop,
examples will illustrate Adaptive Information Processing methods of targeting and
resolving psychological defenses, such as avoidance, ambivalence, and idealization.
Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present
Orientation and Safety) method will be described. This method is a set of procedures
that can be used during the EMDR Desensitization Phase to therapeutically reverse
dissociative processes while preserving emotional safety. Video segments from therapy
sessions will be shown to illustrate each of these methods.
Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
221. Forgash, C. (2009, August). An EMDR treatment approach to addressing health problems of complex trauma survivors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: In this workshop, the EMDR clinician will learn how to deal with the effects of trauma, PTSD, illness, and chronic pain often suffered by complex trauma clients. Participants will understand how these issues interfere with access to healthcare and successful treatment. This workshop will demonstrate how to help the client avoid retraumatization in healthcare settings, by teaching interventions within the preparation phase for management of dissociation and affective problems, as well as PTSD symptoms. Clinicians will learn how to develop connections between present health problems (chronic illness, pain) and earlier trauma, to develop specific EMDR targets for reprocessing. This workshop will emphasize skills development and future template work.
Keywords: Health Problems Trauma Survivors
Accuracy Verified: Yes
222. Walker, N. (2005, April). EMDR treatment of complex PTSD and dissociative disorders considered in the light of the theory of structural dissociation of personality. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders Structural Dissociation Theory of Personality
Accuracy Verified: Yes
223. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.
Keywords: Agoraphobia Panic Disorder
Accuracy Verified: Yes
224. Forgash, C. (2006, April). EMDR treatment with PTSD and complex PTSD: Clinical and practical guide. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.
Language: English
Format: Conference
Keywords: Guidelines C-PTSD Complex Posttraumatic Stress Disorder Complex PSTD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
225. Korn, D. L. (2008, May). EMDR treatment with survivors of chronic abuse and neglect: Repairing developmental deficits and shattered selves - [Utilisation d’EMDR dans le traitement des survivants d’abus ou négligence chroniques: Réparer les déficits développementaux et les sois éclatés]. Presentation at an annual meeting of EMDR Canada, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Cet atelier d’une journée met l’accent sur l’intégration de l’EMDR à l’intérieur d’un plan thérapeutique. Nous aborderons l’utilisation d’EMDR pour traiter le Stress post-traumatique complexe, de même que d’autres syndromes cliniques d’origine traumatique, tels que le Trouble de personnalité limite et les Troubles
dissociatifs. Des modifications et/ou additions au protocole EMDR seront proposées afin de tenir compte des capacités limitées à tolérer les affects, des défenses rigides, de la sur-utilisation des stratégies d’évitement, des conflits entre les états du moi, des tendances à la dissociation ou des dérégulations émotionnelles
importantes.
Nous aborderons l’évaluation des aspects développementaux et des besoins d’attachement du client, l’établissement d’une bonne compréhension de la situation clinique et le développement d’un plan de traitement intégré avec des objectifs atteignables et réalisables. On portera plus particulièrement notre attention sur l’intégration de l’EMDR comme moyen de renforcer l’Ego et le développement des ressources au
cours des différentes étapes du traitement.
This full-day workshop will focus on integrating EMDR into an overall recovery plan. The use of EMDR in treating complex PTSD as well as other trauma-related syndromes such as borderline personality disorder and dissociative disorders will be addressed. In recognition of clients’ limited affect tolerance, rigid defenses,
overdeveloped avoidance patterns, ego state conflicts, dissociative tendencies, and extreme emotional dysregulation, strategies for modifying and supplementing standard EMDR protocols will be explored.
Assessing the developmental and attachment needs of the client, establishing a useful case conceptualization, and developing an integrated treatment plan with achievable goals will be discussed. Considerable attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment.
Keywords: Complex PTSD Dissociative Disorders
Accuracy Verified: Yes
226. Gimm, E. (2010, June). EMDR treatment with very young children. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The use of EMDR is extremely helpful especially in the
treatment of very young children. The presentation will demonstrate
the work with both an acute and a complex traumatized
child of the age under 4 years. The acute traumatized child (6
month old) was traumatized by medical treatment that was vitally
necessary. After the stay in the clinic the child expressed symptoms
of PTSD. The child was treated in 4 sessions: in 2 of these
sessions the baby got EMDR treatment with trauma narratives.
The complex traumatized child is a boy now 4 years old. The
EMDR treatment started when he was 2,7 years. As a baby he
was physically extremely abused and showed strong symptoms.
The participants will see that even in such a young child affect
bridges turn up during the EMDR-Treatment. Memories which
were dissociated till that moment came back and could be processed.
Work with a continuous trauma narrative that is illustrated
by the therapist will be presented and later work with the child
adapted EMDR standard protocol. 8y these two cases participants
will learn more about trauma focused diagnostics, treatment
possibilities and treatment course in very young children and babies;
the presentation will be illustrated by video clips.
Accuracy Verified: Yes
227. Bambach, S. (1994). EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen [EMDR and active future orientation in the treatment of complex trauma human]. Author.
Language: English
Format: Other
Abstract:
Die Ausbildung in EMDR (Eye Movement
Desensitization and Reprocessing) führte
mich über längere Zeit zu einer intensiven
Auseinandersetzung über die Vereinbarkeit
von EMDR mit meiner bisherigen traumatherapeutischen
Arbeit. Diese war und ist
stark geprägt durch die lösungs- und ressourcenorientierte
Therapie, wie ich sie
von Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan und später in anderer Form
von Gunther Schmidt erlernt habe. Zentrale
Elemente der Arbeit mit traumatisierten
Menschen nach lösungsorientierten Konzepten
sind u. a. die aktive Unterstützung
der Klienten1 bei der Entwicklung einer
positiven Zukunftsvision, bei der Identifikation
der individuellen Kriterien für Therapieerfolg
und der kleinstmöglichen, aktiv
zu unternehmenden Schritte in diese Richtung.
Diese konsequent ressourcen- und
lösungsorientierte Arbeitsweise schien im
Widerspruch zur Traumafokussierung als
zentralem Moment von EMDR zu stehen.
The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.
Keywords: Complex Trauma Future Orientation
Accuracy Verified: Yes
228. Engl, V. (2002, Mai). EMDR und stabilisierung in der behandlung von schwer traumatisierten klienten [EMDR and stabilisation in the treatment of severely traumatized clients]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.
Language: German
Format: Conference
Keywords: Complex Trauma
Accuracy Verified: Yes
229. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .
Language: English
Format: Conference
Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization;
speed 1 deals with desensitizing future fears;
speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients
Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation.
If they slow down, it is because they have good enough reasons, whether conscious or not.
What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”
Keywords: Gearbox
Accuracy Verified: Yes
230. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands.
Language: Dutch
Format: Publication
Abstract:
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatised asylum seekers and refugees. Because they regard the traumatisation of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilisation techniques. This research project focuses on the efficacy of EMDR versus stabilisation in traumatised asylum seekers and refugees. The aim is to improve the treatment of this target group. (Doctoral research project of Jackie June ter Heijde, clinical psychologist, with the cooperation of Dr Trudy Mooren, Dr Jeroen Knipscheer and Prof. Dr Rolf Kleber)
Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees
Accuracy Verified: Yes
231. ter Heide, J. J. (2013, April). EMDR versus stabilisatie bij getraumatiseerde vluchtelingen: Uitkomsten van een gerandomiseerde studie [EMDR versus stabilization in traumatized refugees: Results of a randomized study]. In Research track 2. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: English
Format: Conference
Abstract:
De traumatische ervaringen en psychosociale gevolgen daarvan bij vluchtelingen worden vaak gezien als complex. Er bestaat dan ook discussie of deze patiëntenpopulatie baat kan hebben bij een traumagerichte behandeling als EMDR, of dat de behandeling zich beter kan richten op psychosociale stabilisatie. Ook over de toepasbaarheid van EMDR bij asielzoekers en bij patiënten die een tolk nodig hebben, bestaat klinisch twijfel.
In een gerandomiseerd onderzoek bij 108 volwassen asielzoekers en vluchtelingen met PTSS vergeleken wij de effectiviteit van 9 sessies EMDR met die van 12 sessies stabilisatie ‘as usual’ en wachtlijst. Primaire uitkomstmaat was PTSS, gemeten met de CAPS (een klinisch interview) en de HTQ (een vragenlijst). Daarnaast keken we naar het effect op angst en depressie (HSCL) en kwaliteit van leven (WHOQOL). In deze presentatie worden de bevindingen van dit onderzoek en de klinische implicaties ervan besproken.
The traumatic experiences and psychosocial consequences are often seen as complex. Among refugees, therefore, there is debate whether this patient population can benefit from a trauma-focused EMDR treatment, or that the treatment can better focus on psychosocial stabilization. Also on the applicability of EMDR in asylum seekers and in patients who require language translation, clinical doubt exists.
In a randomized trial in 108 adult asylum seekers and refugees with PTSD, we compared the effectiveness of 9 EMDR sessions with 12 sessions of stabilization 'as usual' and waiting list. Primary outcome measure was PTSD, as measured by the CAPS (a clinical interview) and HTQ (a questionnaire). We also looked at the effect on anxiety and depression (HSCL) and quality of life (WHOQOL). In this presentation, the findings of this study and the clinical implications are discussed.
Keywords: Asylum Seekers Refugees Research
Accuracy Verified: No
232. ter Heide, F. J. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011, August). EMDR versus stabilisation in traumatised asylum seekers and refugees: Results of a pilot study. European Journal of Psychotraumatology, 2, 5881. doi:10.3402/ejpt.v2i0.5881.
Language: English
Format: Journal
Abstract:
Background: Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD) should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) or Eye Movement Desensitisation and Reprocessing (EMDR) should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet. Objective: In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR. Design: Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ), depression and anxiety (HSCL-25), and quality of life (WHOQOL-BREF) were assessed at pre- and post-treatment and 3-month follow-up. Results: Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct of a full trial. Conclusion: With some adaptations in study design, inclusion of a greater sample is justifiable to determine which treatment is more suitable for this complex population.
Keywords: Asylum Seekers Refugees Posttraumatic Stress Disoder PTSD TF-CBT Trauma-Focused Cognitive-Behavioural Therapy
Accuracy Verified: Yes
233. Tinker, R. H. (2007, June). EMDR with children of all ages: Theoretical possibilities. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR has been applied successfully to traumatized children
even younger than two years of age. Such application
allows us to formulate theories about what the essential
ingredients in EMDR are, in a way that is not possible
with adults, where the situation is more complex, and
more complicated theories are frequently offered. These
essential elements appear to be the pairing of the traumatic
memory with bilateral stimulation in a safe environment.
Video clips will be shown illustrating how such
pairing, on both an individual and group basis, can be
accomplished and how results can be documented.While
EMDR with children offers the possibility of parsimony in
theory construction, such theory needs to encompass all
phenomena that appear in EMDR sessions, such as elimination
of phantom limb pain and the appearance of stigmata
during and after EMDR sessions. Video clips will be
shown documenting the elimination of phantom limb
pain, and photos of stigmata from EMDR sessions. Theoretical
possibilities will be presented to account for these
phenomena in a way that is both parsimonious and encompassing.
Accuracy Verified: Yes
234. Tinker, R. H. (2008, September). EMDR with children of all ages: Theoretical possibilities. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR has been applied successfully to traumatized children even younger than two years of age. Such application allows us to formulate theories about what the essential ingredients in EMDR are, in a way that is not possible with adults, where the situation is more complex, and more complicated theories are frequently offered. These essential elements appear to be the pairing of the traumatic memory with bilateral stimulation in a safe environment. Video clips will be shown illustrating how such pairing, on both an individual and group basis, can be accomplished and how results can be documented. While EMDR with children offers the possibility of parsimony in theory construction, such theory needs to encompass all phenomena that appear in EMDR sessions, such as elimination of phantom limb pain and the appearance of stigmata during and after EMDR sessions. Video clips will be shown documenting the elimination of phantom limb pain, and photos of stigmata from EMDR sessions. Theoretical possibilities will be presented to account for these phenomena in a way that is both parsimonious and encompassing.
Keywords: Children
Accuracy Verified: Yes
235. Solomon, R. M. (2008, June). EMDR with grief and mourning. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The death of a loved one confronts people with particularly complicated challenges at
a time of often unparalleled distress. This workshop will focus on integrating EMDR
into the treatment of grief and mourning. Understanding grief and mourning in terms
of the Adaptive Information Processing model will be presented and illustrated by case
presentations and videos of EMDR sessions. EMDR does not shorten the phases the
mourner has to go through for adaptive assimilation and accommodation of the loss,
but processes the factors that can complicate the mourning. The processes the
mourner has to go through for assimilation and accommodation of the loss, and how
EMDR facilitates movement through them, will be presented. Particular attention will
be paid to how EMDR facilitates the emergence of adaptive inner representations. We
do not lose attachments to loved ones that die, they are transformed. We move from
loving in presence to loving in absence. Memories of the deceased often emerge
during EMDR treatment. It is the emergence of memories of the deceased that let us
know and acknowledge the meaning of the relationship, the person’s role in our lives
and identity, and enable us to carry the basic security of having loved and been loved
into the future. We can go forward in a world without the deceased, because we have
an adaptive inner representation to take with us.
Content includes:
· Overview of AIP model and how it applies to grief and mourning
· Acute grief as a form of traumatic stress
· Common responses to loss
· The six “R” processes of mourning
· High-risk factors predisposing to complicated mourning
· General principles of EMDR treatment in grief and mourning
Keywords: Bereavement Grief Mourning Psychotherapeutic Processes Survivors
Accuracy Verified: Yes
236. Friberg, M. (2004, June). EMDR with two adolescents suffering from dissociative symptoms after sexual abuse: both with considerable weight-loss during treatment. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Clinical case-presentation of EMDR-treatment of a boy and a girl, sixteen and eighteen years of age respectively, both with a history of different dissociative symptoms. Both were sexually abuse and both had a considerable weight-loss during EMDR-treatment. Symptoms prior to my contact with the body was pseudo-epileptic fits with shaking, cramps, eyes turning “inside out” and sometimes turning quite blue. After he could be spoken to, he could drink and seemed oriented in time and space, but later had total amnesia of the dissociative episode that could last for several hours. He also had pain in one leg and got the diagnosis “Sympatic Dystrophia” and “Complex Regional Pain Syndrome.” Memory of the sexual abuse was completely hidden behind a screen memory of being abuse physically by a schoolmate until very late in EMDR-treatment. The girl had family relations problems, eating disturbance, suicidal behavior and intense sways in temper and server conflicts with her mother. The sexual abuse by a relative was known and the dissociation was not diagnosed before screening with DES>
Both had different kinds of somatic and/or psychological long treatment, with little success, before entering EMDR-treatment. Both had an EMDR-treatment period of almost one-year and both were given the Putnam DES-scale before, during, and eight months after treatment.
In both cases, there was decline from very high Putnam DES scores to normal. At the eight month follow-up, the boy’s results persisted and weight was regained. The girl us just about to end treatment so there are no follow-up results. However, her weight is back to normal.
Is weight loss during EMDR-treatment noticed by other EMDR-therapists?
Keywords: Children Dissociation Sexual Abuse Symposium
Accuracy Verified: Yes
237. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive
training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills.
It is uncertain what percentage follow through in this regard.
Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys).
Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR
has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With
correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and
awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and
treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the
mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of
what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive
way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals.
Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those
professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they
work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree
that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the
challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a
successful course of therapy and a disaster.
Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many
therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1
responses which arise and how they are communicated to the patient.
In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with
victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and
what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate
certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will
engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e.,
countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or
less effective usage of EMDR.
Keywords: Trauma
Accuracy Verified: Yes
238. Gorrini, Z. & Maquieira, S. (2007, Novembero). EMDR y duelo: Conceptualización, planificación y procedimientos del tratamiento [EMDR and grief: Conceptualization, planning and procedures treatment. Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizaje del trabajo:
- Revisar la conceptualización de Duelo para
EMDR
- Identificar los blancos sobre los que planificar
los procedimientos, especialmente en TEPT
complejo
- Ampliar recursos en los tratamientos de duelo,
en sus dos presentaciones, duelo congelado y
duelo reciente.
- Compartir las experiencias del trabajo en
duelos.
Learning Objectives of work:
- Check the conceptualization of mourning for
EMDR - Identify the targets on which to plan
procedures, especially in PTSD
complex - Increase resources in the treatment of grief,
in his two presentations, frozen grief
recent bereavement.
- Share experiences of working in
duels.
Keywords: Grief
Accuracy Verified: Yes
239. Aduriz, M. E., Balsamo, S., Moreno, P., & Baita, S. (2010, Octubre/Noviembre). EMDR y trauma complejo en población infantil: Cómo intervenir con niños severamente traumatizados y sus familias [EMDR and complex trauma in children: How to intervene with children with severe traumatized and their families]. Mini curso en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Keywords: Children Complex Trauma Families
Accuracy Verified: Yes
240. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
Accuracy Verified: Yes
241. あなたの白川、あずさ清水、智久Gojyo＆アル [Shirakawa Miyako, Shimizu Azusa, Gojyo Tomohisa et al]. (2008年6月). EMDRと自我状態療法［重度の解離を伴う複雑性PTSD（DESNOS）症例への適用 [Application of EMDR and ego state therapy to complex PTSD associating with severe dissociation (DESNOS) cases]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 253-261].
Language: Japanese
Format: Journal
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Ego State Therapy
Accuracy Verified: Yes
242. Mevissen, L., & Lievegoed, L. (2012, June). EMDR, a healing pathway also for people with Autism? [Mevissen]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Autism
is
characterized
by
impairment
in
information
processing,
with
direct
consequences
for
the
AIP
in
EMDR
as
a
result.
This
core
impairment
in
autism
strongly
influences
attachment
development,
relation
to
and
communication
with
others,
sense
of
self,
relation
to
the
own
body
and
thus
to
bodily
senses,
functioning
of
the
sensory
system
(hypo
or
hyper),
view
on
the
world,
development
of
cognitive
schemata
and
development
of
the
stress
system.
People
with
autism
are
easily
traumatized,
even
by
'small-‐small-‐t
events'.
Often
a
single
trauma
leads
to
complex
traumatization.
Because
PTSD
symptoms
mimic
symptoms
of
autism,
'diagnostic
overshadowing'
is
a
frequently
seen
phenomenon.
This
is
even
more
the
case
in
clients
with
some
form
of
intellectual
disability.
In
this
workshop
several
cases
of
people
with
autism
treated
with
EMDR
will
be
presented
and
discussed,
with
the
use
of
abundant
video
material:
cases
in
which
treatment
is
influenced
by
the
autism,
as
well
as
cases
in
which
the
diagnosis
'autism'
no
longer
fits
after
treatment
of
PTSD
symptoms,
or
the
other
way
round
when
a
client
referred
for
PTSD
shows
up
in
the
course
of
treatment
as
having
an
autism
spectrum
disorder.
Autism
has
consequences
for
all
phases
of
the
8
phase
3
pronged
therapy
model
of
EMDR.
This
workshop
emphasizes
on
the
creative
implementation
of
the
core
principles
of
EMDR
in
the
treatment
of
people
with
various
autism
spectrum
disorders.
El
autismo
se
caracteriza
por
un
impedimento
del
procesamiento
de
la
información
y,
por
tanto,
con
consecuencias
directas
para
el
SPIA
en
EMDR.
Este
impedimento
fundamental
en
el
autismo
incide
fuertemente
en
el
desarrollo
del
apego,
las
relaciones
y
la
comunicación
con
terceros,
sentido
del
yo,
la
relación
para
con
el
propio
cuerpo
y,
por
ende,
con
los
sentidos
corporales,
el
funcionamiento
del
sistema
sensorial
(hipo
o
hiper),
con
su
visión
del
mundo,
el
desarrollo
de
esquemas
cognitivos
y
con
el
desarrollo
del
sistema
del
estrés.
Las
personas
con
autismo
sufren
traumatización
con
facilidad,
incluido
como
consecuencia
de
'sucesos
con
t
minúscula'.
A
menudo,
un
único
trauma
conduce
a
una
traumatización
compleja.
Dado
que
los
síntomas
de
TEPT
imitan
los
síntomas
del
autismo,
'el
eclipse
diagnóstico'
es
un
fenómeno
frecuente,
aún
más
entre
clientes
que
sufren
algún
tipo
de
discapacidad
intelectual.
En
este
taller,
se
presentará
y
se
hablara
de
varios
casos
de
personas
con
autismo
que
han
sido
tratados
con
EMDR,
sirviéndose
de
mucho
material
en
vídeo:
aquellos
casos
en
los
que
el
tratamiento
se
ve
afectado
por
el
autismo,
así
como
aquellos
en
los
que
el
diagnóstico
de
'autismo'
deja
de
ser
apropiado
tras
el
tratamiento
de
los
síntomas
de
TEPT
o
viceversa
cuando
en
el
transcurso
del
tratamiento,
resulta
que
un
cliente
derivado
por
TEPT
presenta
un
trastorno
del
espectro
autista.
El
autismo
tiene
consecuencias
en
todas
las
fases
del
modelo
terapéutico
de
EMDR
que
consta
de
8
fases
que
trabajan
en
tres
contextos.
Este
taller
resalta
la
implantación
creativa
de
los
principios
fundamentales
del
EMDR
en
el
tratamiento
de
personas
que
sufren
trastornos
del
espectro
autista.
Keywords: Autism
Accuracy Verified: Yes
243. Holm, O. (2009, November). An EMDR-based tactical and strategic integrational approach combined with IFS personality scale in survivors of severe abuse and neglect with complex trauma and comorbid cluster C personality traits. About 5 clinical cases. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .
Language: English
Format: Conference
Keywords: Cluster C Personality Traits IFS Personality Scale
Accuracy Verified: Yes
244. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering.
The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource.
The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique
Learning objectives:
To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases.
To recognise the indications in which it provides added value to the classical protocol.
To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases.
The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.
Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD
Accuracy Verified: Yes
245. Vojtova, H. (2005, June). EMDR-therapy with a patient traumatized during her three marriages – A case study. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The case study presents EMDR-psychotherapy on a female patient,
physically and emotionolly abused by her partners during the course of
three marriages. EMDR-therapy was the second part of the therapeutic
process; the first part successfully treated PTSD (the patient was violently
raped by a stranger) using imaginative stabilisation techniques a half a year
ago. Complex PTSD symptoms in the patient (constant tension, sleep
disorder, anxiety, anhedonia] surfaced during a new relationship. Therapy
took 6 sessions in 8 weeks, in 3 of which the EMDR-technique was used. At
the end of therapy all symptoms decreased and feelings of inferiority were
transformed into increased self-worth, self-confidence, inner satisfaction and
new autonomy.
The participants will obtain encouraging information about successful shortterm
EMDR therapy of chronic PTS
Accuracy Verified: Yes
246. Dyregrov, A. (1993, Oktober). EMDR: Ny metode for traumebehandling [EMDR: A new method in the treatment of trauma]. Tidsskrift for Norsk Psykologforening, 30(10), 975-981.
Language: Norwegian
Format: Journal
Abstract:
Francine Shapiro 'metoden av "Eye Movement desensitivisering og gjenvinning" er beskrevet, illustrert med vellykket behandling av tre saker etter væpnet ran (to) og plutselig død. Rask reduksjon av påtrengende bilder fulgte behandlingen. En kritisk gjennomgang av litteraturen er foretatt, og ulike metodiske begrensninger i de eksisterende studiene er noted.Although det teoretiske grunnlaget er tvilsomt, og det er alvorlige metodologiske begrensninger i studiene som finnes, kliniske erfaringer med metoden viser svært gode resultater. Klinikere oppfordres til å oppsøke mer kunnskap om metoden, så vel som bruk systematiske metoder for å studere resultatene. [Forfatter sammendrag]
Francine Shapiro's method of "Eye Movement Desensitization and Reprocessing" is described, illustrated with the successful treatment of three cases following armed robbery (two) and sudden death. Rapid reduction of intrusive images followed the treatment. A critical review of the literature is undertaken, and different methodological limitations in the existing studies are noted.Although the theoretical foundation is questionable, and there are serious methodological limitations in the studies that exist, clinical experiences with the method indicate very favourable results. Clinicians are encouraged to seek out more knowledge about the method, as well as use systematic methods to study its results. [Author abstract]
Keywords: Bereavement Empirical Study Eye Movements Posttraumatic Stress Disorder PTSD Robbery Survivors Systematic Desensitization
Accuracy Verified: Yes
247. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children
of different ages, including single traumas, multiple traumas, complex
disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop,
participants will be able to discuss and understand the above topics.
Keywords: Children War Refugees
Accuracy Verified: Yes
248. Timoshchuk, I. G. (1997, January). EMDR: Functions providing the dynamics of transformation. EMDRIA Newsletter, 2(3), 15-16.
Language: English
Format: Newsletter
Abstract:
In psychotherapy, the solving of a client’s problems is usually connected with the transformation of his or her personal features or some aspects of his or her experience. These could be changes in his or her systems of values, personal meanings and rules, habitual behavioral patterns, etc. These changes derive from the complex of deep transformations involving while systems of psychics. The system analysis of the multilevel hierarchical; structure formed by connections between the conscious and unconscious allows us to detest both the changing mechanisms and main functions providing the transformation, e.g., to solve a problem.
Keywords: Transformation
Accuracy Verified: Yes
249. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11.
Language: English
Format: Newsletter
Abstract:
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
Keywords: Training
Accuracy Verified: Yes
250. Hofmann, A., Fischer, G., Galley, N., & Shapiro, F. (1998). EMDR: Memory reprocessing and accelerated emotional learning. European Journal of Clinical Hypnosis, 4, 206-213.
Language: English
Format: Journal
Abstract:
A number of recent controlled studies has shown that EMDR (Eye Movement Desensitization and Reprocessing) can reprocess disturbing memories and bring them to therapeutic resolution whether or not patients fulfil the DSM (or ICD)- criteria of post-traumatic stress disorder (PTSD). The method can be integrated into treatment plans of different therapeutic approaches and integrates aspects of a number of the major treatment orientations. Clinical experience and EEG research show that the reprocessing in EMDR is not a trance-related phenomenon (Nicosia, 1995). However, EMDR blends well with hypnotic techniques in specific cases, especially with severe complex traumatised and dissociative patients. In addition, EMDR seems to help stabilise and generalise positive self-referencing beliefs as well as positive images, such as "a safe place", and accelerates future projectionsof new orientations and behaviours. In this sense, EMDR can be viewed not only as a method for the treatment of traumatic memories, but as a method of accelerated emotional learning.
Keywords: Accelerated Emotional Learning Therapeutic Integation
Accuracy Verified: Yes
251. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 .
Language: English
Format: Journal
Abstract:
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Keywords: Lohr Point/Counterpoint
Accuracy Verified: Yes
252. 市井雅哉 [Ichii Masaya]. (2008年6月). EMDR…トラウマ治療の新常識 [EMDR ... a new common sense of trauma treatment]. こころの臨床ア・ラカルト, 29(2), 163-344 [Clinical Psychology: Various Aspects], 27(2), 163-344.
Language: Japanese
Format: Journal
Abstract:
《今回の特集：EMDR…トラウマ治療の新常識》
本誌でEMDR（眼球運動による脱感作と再処理法）を，「これは奇跡だろうか！」と紹介してから10年。今やPTSDのみならず，ボーダーラインや発達障害の領域でもめざましい治療効果を発揮し，心理療法のあり方そのものをダイナミックに変革しようとしています。本特集ではさまざまな疑問に答える50のQ&Aや座談会など多方面から，「奇跡を確実に，安全に起こす治療法」として，再びEMDRの魅力と可能性に迫ります。
"The topic of today: EMDR ... a new sense of trauma treatment"
The publication EMDR (and re-treatment of eye movement desensitization), and "Will this be a miracle!" From 10 years to introduce. Now not only PTSD, but demonstrated a remarkable therapeutic effect and developmental disabilities borderline area, trying to transform itself into a dynamic way of psychotherapy. In this special issue is to answer 50 questions from various fields, various Q & A and roundtable discussion, "Surely a miracle cure for lead safe" as the possibility looms again appeal and EMDR.
Keywords: Autism Spectrum Children Crime Victims DESNOS Gender Identification Disorders Hypnotism Loss of Coordination Disorder Parents Phobias Sexual Abuse Victims Traumatic Bereavement Truancy
Accuracy Verified: Yes
253. Lanius, R. A. (2010, June). Emotion regulation and the self in complex PTSD. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The lecture will focus on the core problems in PTSD related to early life trauma, including emotion dysregulation and fragmentation of the self. The neural correlates of emotional awareness, social emotion processing and self-monitoring will be described. Implications for stage oriented trauma treatment and early intervention will be discussed.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
254. Stofsel, M. (2005, November). Ervaringen met EMDR bij complex trauma [Experience with complex trauma and EMDR]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Binnen de instelling waar ik werk, het SinaiCentrum (gespecialiseerd in de behandeling van de psychische gevolgen van structureel geweld bij slachtoffers van de tweede wereldoorlog (concentratiekampoverlevende, jappenkampoverlevenden, verzetsmensen, burgeroorlogsgetroffenen), de tweede generatie, vluchtelingen, asielzoekers en veteranen uit recente oorlogsgebieden treffen wij vooral type 2 trauma/complex trauma aan. De afgelopen drie jaar heb ik een ruime ervaring opgegaan met de toepassing van EMDR bij deze doelgroepen.
De toepassing van EMDR bij type 2 trauma is een nog relatief nieuw gebeid. In deze lezing wil ik stilstaan bij de ervaringen met betrekking tot
- de indicatiestelling en diagnostiek,
- stabilisatiefase, therapeutische relatie en de organisatorische inbedding hiervan,
- keuzes met betrekking tot de te bewerken situaties en hoe beelden van mekaar te onderscheiden,
- abrecations,
- aantal sessies,
- de taaiheid en soms moeizame vooruitgang,
- verwevenheid met andere problematiek,
- de fouten die gemaakt kunnen worden.
Ik zal een ander illustreren met enig video-materiaal
Daarna gelegenheid tot diskussie.
Within the institution where I work, the Sinai Center specializing in the treatment of psychological consequences of structural violence in victims of WWII (concentration camp survivor, Japanese camp survivors, resisters, civil war victims), second generation refugees, asylum seekers and veterans of recent war zones we especially take Type 2 trauma / complex trauma. In the last three years I have extensive experience in applying EMDR absorbed by these groups.
The application of EMDR in type 2 trauma is a relatively new gebeid. In this lecture, I want to experience on
- The indication and diagnostics,
- Stabilization phase, therapeutic relationship and the organizational embedding of this,
- Choices about the situations and how to edit images of each to distinguish
- Abrecations,
- Number of sessions,
- The toughness and sometimes painful progress
- Integration with other problems,
- The mistakes that can be made.
I will illustrate with some video material with the opportunity for discussion afterwards.
Keywords: Complex Trauma
Accuracy Verified: Yes
255. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.
Keywords: Ethics Risk Management
Accuracy Verified: Yes
256. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved.
Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma
Keywords: Art Therapy Treatment
Accuracy Verified: Yes
257. ter Heide, J. J., Mooren, T., & Kleber, R. (2009, November). Evidence-based vs. good practice: The treatment of traumatized refugees with EMDR. In M. Olff, J. J. Ter Heide, M. J. Nijdam, & S. Guay (Chairs), Advances in evidence-based treatment for PTSD. Symposium conducted at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Despite the scientific evidence concerning the efficacy of EMDR
in the treatment of PTSD, in clinical practice many clinicians
are reluctant to apply EMDR to traumatized asylum seekers
and refugees. Because they regard the traumatization of
this population as too complex, and for fear of psychological
decompensation, they tend to avoid confrontation with traumatic
memories and stick to stabilization techniques. In a pilot study
with 20 traumatized asylum seekers and refugees, we tested
the hypothesis that, in accordance with treatment guidelines,
EMDR would be more effective than stabilization in asylum
seekers and refugees. Adult asylum seekers and refugees who
applied for treatment at Centrum ’45, a Dutch national centre for
psychological treatment of victims of war and organized violence,
were randomly allocated to either 11 sessions of EMDR or 11
sessions of stabilization. PTSD and comorbid symptomatology
and quality of life were assessed at pre- and post-treatment and
three-month follow-up. In this presentation, the results of this
pilot RCT will be discussed. Significant differences favouring
EMDR over stabilization were found. Despite several drawbacks including a high drop-out and limited clinical improvement,
study design seems feasible with this population.
Keywords: Evidence-Based Good Practice Refugees Symposium Trauma
Accuracy Verified: Yes
258. Griffith, H. (2009, July). Evoking the embodied image with EMDR: Jung in the age of the brain. Presentation at the International Association for Jungian Studies Conference, Wales, Scotland.
Language: English
Format: Conference
Abstract:
A new paradigm for understanding psychopathology is emerging out of the convergence of research in formerly disparate domains such as neurobiology, attachment theory, and the effects of trauma. At the same time, unorthodox treatment modalities such as EMDR (Eye Movement Desensitization and Reprocessing) and the Energy therapies are beginning to gain favour in mainstream psychotherapy, not only because they seem to be supported by findings in fields such as neurobiology, but because they are so effective. As Jungians, I believe that our challenge is to revisit our work in the light of these latest scientific discoveries.
In this paper, I first outline what brain imaging techniques are revealing about the importance of the dance between mother and infant in the actual hard-wiring of the babys developing brain. I then focus on trauma research, which shows how the release of stress induced hormones can result in the disorganization of the brain and the consequent shut down of integrative neuronal pathways. If we bring these two streams of research together we can see how early trauma within the parent infant bond, in which there is no adequate container to prevent the baby from falling into unbearable anxiety and terror, can initiate the hard-wiring of dysfunctional attitudes and behaviours that become reinforced throughout the childs development.
I then briefly describe the EMDR protocol, which is proving to be a very effective technique in helping adult patients work through some of these dysfunctional patterns internalized in that very early parental dyad. This protocol uses a bilateral stimulation of the brain to engage a wider network of neuronal pathways to help process the painful psychological material, or complex, with which the patient is struggling. Facilitating a successful EMDR session is a little like witnessing a spontaneous active imagination as the patient weaves together the threads of a multitude of images, sensations, emotions, and cognitions into the fabric of a fuller, more nuanced, healing story of the self.
The purpose of my paper is to demonstrate how these recent theoretical insights and treatment protocols can illuminate and enhance a Jungian approach to conducting psychotherapy. What I find remarkable is the compatibility between much of the contemporary research on the brain and many of Jungs ideas about the psyche.
In this paper, however, I focus primarily on what we can learn about the complex. Drawing on numerous examples from case histories, I illustrate the effectiveness of the EMDR protocol in evoking the affect and embodied image at the core of the complex. I also demonstrate how the bilateral stimulation of the brain not only helps facilitate change but also, through the material which is engendered, gives us a window into how the complex was constructed in the first place.
Accuracy Verified: No
259. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]
Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
260. Samec, J. R. (2007, Maj). Externalisering med EMDR för behandlingen av svår enkopres och traumatiserade barn med aggressivt beteende [Externalisation with EMDR for treatment of severe elimination and traumatized children with aggressive behavior]. Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(1), 7-9.
Language: Swedish
Format: Newsletter
Abstract:
Enligt min erfarenhet, är Michael Whites
(1991) externaliserings metod för behandling
av enkopres (se bilagan för en beskrivning)
effektiv. Men med en mer komplicerad form av
enkopres, t.ex. långvarig enkopres hos äldre
barn, räcker externalisering inte alltid till.
Genom att kombinera externalisering med Eye
Movement Desensitization and Reprocessing
(EMDR), kan svårigheterna bearbetas snabbt
och effektivt med bestående resultat. Metoden
förutsätter att barnet har undersökts av en
läkare. Terapeuten bör vara uppmärksam på
eventuella trauman eller andra stressfaktorer
under anamnestagning. Metoden ger också bra
resultat med traumatiserade barn med
aggressivt beteende.
In my experience, Michael White
(1991) externalizing adjustment method for treatment
of enkopres (see annex for a description)
effective. However, a more complex form of
enkopres, e.g. prolonged enkopres elderly
children, enough externalization not always.
By combining outsourcing with Eye
Movement desensitization and Reprocessing
(EMDR), the difficulties can be processed quickly
and effectively with lasting results. The method
assumes that the child has been examined by a
doctor. The therapist should be aware of
any trauma or other stress factors
during history taking. The method also gives good
results with traumatized children
aggressive behavior.
Keywords: Aggression Children
Accuracy Verified: Yes
261. Brown, S. H., Stowasser, J. E., & Shapiro, F. (2011). Eye movement desensitisation and reprocessing (EMDR): Mental health-substance use. In D. B. Cooper (Ed.), Intervention in Mental Health-Substance Use (pp. 165-193) United Kingdom: Radcliffe Publishing Ltd .
Language: English
Format: Book Section
Abstract:
Substance use disorders remain a persistent social and medical problem. According to a
recent report,1 addiction is the number one health problem in the United States. The report
notes that when one considers the direct costs of drug-induced health problems, deaths due
to accidents, Human immunodeficiency virus (HIV), or drug-related acts of violent crime,
there are ‘more deaths, illnesses and disabilities from substance abuse than from any other
preventable health condition’.1
Most experts today agree that substance use disorders are a complex interaction
between genetics, environment, and experience. ‘Substance dependence is not a failure of
will or of strength of character, but a medical disorder that could affect any human being.
Dependence is a chronic and relapsing disorder, often co-occurring with other physical
and mental conditions’.2
The question remains - Why has it been that over the course of human history,
where people and cultures have had access to alcohol and potent mind-altering substances,
that only some become addicted while the rest are able to regulate their use?
The drugs that people experiencing substance use disorders select are not chosen
randomly, but are a result of an interaction between the psychopharmacologic action of the
drug and the dominant painful feelings with which they struggle. Edward Khantzian,
observed that opiates are often preferred because of their powerful numbing action on the
affects of rage and aggression. Cocaine has its appeal because of its ability to relieve
distress associated with depression. Although ill-fated, ‘addicts discover that the short-term
effects of their drugs of choice help them cope with distressful subjective states and an
external reality otherwise experienced as unmanageable or overwhelming’. Thus emerges a compelling hypothesis, which proposes that people use psychoactive substances in an
attempt to control painful symptoms resulting from psychological trauma. This is referred
to as ‘self-medication’.
Some studies in the United States show that more than 50% of people with mental
disorders also suffer from substance dependence compared to 6% of the general
population.2 It is from our interest in providing integrated treatment for the complex
interaction of genes, environment, trauma, and psychological pain as a driving force behind
mental health-substance use disorders, that this chapter is written.
Keywords: Substance Abuse
Accuracy Verified: Yes
262. Bruzzese, D., & Moore, M. (2006, April). Eye movement desensitization and reprocessing. Southwest Regional Behavioral Health Conference, Albuquerque, NM.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a complex, highly specialized therapy that combines several therapeutic methods—
psychodynamic, cognitive, behavioral, etc.—with eye movements or other forms of rhythmical stimulation, such as hand taps or sounds. It involves recalling a stressful past event and “reprogramming” the memory in the light of a positive, self-chosen belief. EMDR has been shown to be effective in the treatment and relief of Post Traumatic Stress Disorder as well as trauma, depression, anxiety, grief, and other types of disorders listed in the DSM IV. Theories as to why EMDR works are still evolving. Learn about
the EMDR treatment method, the benefits, drawbacks and research results.
Accuracy Verified: Yes
263. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.
Language: English
Format: Journal
Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
Accuracy Verified: Yes
264. Parnell, L. (1996). Eye movement desensitization and reprocessing (EMDR) and spiritual unfolding. Journal of Transpersonal Psychology, 28(2), 129-153.
Language: English
Format: Journal
Abstract:
The purpose of this article is to desctibe how EMDR functions therapeutically and explore some of the psychospiritual potentials that may have been associated with its use. EHtically, only licensed mental health professionals and interns who are supervised by EMDR-trained clinicians may practice EMDR. Once such professionals have completed such training, they will also need to apply all of their clinical skils to help their clients safely experience the deep and complex transformations that come about in the intensive sessions. For these reasons, non-therapists and therapist not formoally trained in EMDR should not attempt to use the eye movements of this procedure on themselves and others. (Author purpose]
Keywords: Psychospirituality
Accuracy Verified: Yes
265. Shapiro, F. (2001, April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Psicoterapia Cognitiva e Comportamentale, 7(1), 43-75.
Language: English
Format: Journal
Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single trauma victims no longer maintain the posttraumatic stress disorder (PTSD) diagnosis after the equivalent of 3 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. This article describes the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs Review
Accuracy Verified: Yes
266. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3.
Language: English
Format: Journal
Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]
[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]
Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs
Accuracy Verified: Yes
267. ten Broeke, E., & de Jongh, A. (2007). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR) in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (2druk.), (pp. 231-252). Houten/Diegem: Bohn Stafleu van Loghum.
Language: Dutch
Format: Book Section
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren
tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als
een nieuwe methode voor de behandeling van PTSS en andere aan trauma
gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de
procedure is dat de patiënt wordt gevraagd de traumatische herinnering in
gedachten op te roepen en zich te concentreren op (1) het meest akelige
beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de
somatische reacties, waarna een afleidende stimulus wordt aangeboden.
Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts
alternerende handtaps. Maar de meest bekende en meeste gebruikte
methode – EMDR ontleent hieraan immers haar naam –is de patiënt te
vragen met de ogen de hand van de therapeut te volgen, terwijl deze een
aantal snelle bewegingen in het horizontale vlak maakt.
Eye Movement Desensitization and Reprocessing (EMDR) was introduced in the late
eighties by the American psychologist Shapiro (1989a) as
a new method for the treatment of PTSD and other trauma
related mental disorders. Distinctive aspect of
procedure is that the patient is asked the traumatic memory in
mind to recall and concentrate on (1) the most dismal
image, (2) the associated significance, (3) affect the current and (4) the
somatic responses, after which a distracting stimulus is presented.
Examples of such incentives are rhythmic, bilateral left and right show
alternating hand taps. But the most famous and most used
method - this is EMDR derives its name, the patient
questions through the eyes of the therapist to follow, while a
number of rapid movements in the horizontal plane makes
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
268. ten Broeke, E., & de Jongh, A. (1999). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR)in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (pp. 321-338). Houten/Diegem: Bohn Stafleu van Loghum.
Language: German
Format: Book Section
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren
tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als
een nieuwe methode voor de behandeling van PTSS en andere aan trauma
gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de
procedure is dat de patiënt wordt gevraagd de traumatische herinnering in
gedachten op te roepen en zich te concentreren op (1) het meest akelige
beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de
somatische reacties, waarna een afleidende stimulus wordt aangeboden.
Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts
alternerende handtaps. Maar de meest bekende en meeste gebruikte
methode – EMDR ontleent hieraan immers haar naam –is de patiënt te
vragen met de ogen de hand van de therapeut te volgen, terwijl deze een
aantal snelle bewegingen in het horizontale vlak maakt.
Eye Movement Desensitization and Reprocessing (EMDR) was late
eighty introduced by the American psychologist Shapiro (1989a) as
a new method for the treatment of PTSD and other trauma
related mental disorders. Distinctive aspect of
procedure is that the patient is asked the traumatic memory in
mind to recall and concentrate on (1) the most dismal
image, (2) the associated significance, (3) affect the current and (4) the
somatic responses, after which a distracting stimulus is presented.
Examples of such incentives are rhythmic, bilateral left and right show
alternating hand taps. But the most famous and most used
method - this is EMDR derives its name, the patient
questions with the eyes by the therapist to follow, while a
number of rapid movements in the horizontal plane makes.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
269. Luber, M. (2012). Eye movement desensitization and reprocessing (EMDR) scripted protocols with summary sheets CD-ROM version: Basic and special situations. New York, NY: Springer Publishing, ISBN-13:9780826193414.
Language: English
Format: Book
Abstract:
These scripted protocols and summary sheets in a fill-in PDF format offer the EMDR practitioner an adjunct to the chapters of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. The excerpted digitalized scripts give the clinician a unique opportunity to record data on the computer or as a hard copy. In addition, there are new summary sheets for each chapter to condense the data collected, allowing for quick retrieval. These digital scripts and summary sheets assist in protocol information retrieval for different populations, and facilitate the gathering and organization of important client data, as well as case conceptualization. These forms are available as a digital download or on a CD-ROM and are compatible with any computer or device that supports PDF.
Special populations addressed include children, adolescents, couples, and clients suffering from complex posttraumatic stress disorder, dissociative disorders, anxiety, addictive behaviors, and severe pain.
Key Features:
•Available in an expandable and editable digital format for easy access and customized tailoring
•Provides concise summary sheets for quick information retrieval and case conceptualization
•Facilitates gathering and organization of protocol and client data
•Assists in the formulation of concise and clear treatment plans
•Offers select scripts and summary sheets customized for client populations
•Includes templates for repeat use
Keywords: Scripted Protocols Special Populations Summary Sheets
Accuracy Verified: Yes
270. Aetna, Inc. 2008). Eye movement desensitization and reprocessing (EMDR) therapy. Aetna Clinical Policy Bulletins.
Language: English
Format: Publication
Abstract:
Policy: Aetna considers eye movement desensitization and reprocessing (EMDR) therapy medically necessary for the treatment of post-traumatic stress disorder (PTSD).
Eye movement desensitization and reprocessing (EMDR) therapy is a complex method of psychotherapy that combines a range of therapeutic approaches with eye movements or other forms of rhythmical stimulation (e.g., sound and touch) in ways that stimulate the brain's information processing system. Eye movement desensitization and reprocessing was introduced in 1989 as a treatment for post-traumatic stress disorder (PTSD). Since then, it has been proposed as a treatment of various psychiatric and behavioral disorders including phobias, panic and anxiety disorders, as well as eating disorders.
Keywords: Practice Guidelines
Accuracy Verified: Yes
271. Shapiro, F. (1998). Eye movement desensitization and reprocessing (EMDR): Accelerated information processing and affect-driven constructions. Crisis Intervention and Time-Limited Treatment, 4(2-3), 145-157 .
Language: English
Format: Journal
Abstract:
Serves as an introduction to the primary concepts and procedures of eye movement desensitization and reprocessing (EMDR), as well as briefly reviews the present state of research on its efficacy in the area of posttraumatic stress disorder (PTSD). EMDR is a complex method that incorporates salient aspects of many of the major therapeutic modalities. The basic underlying principles are elucidated in the Accelerated Information Processing model which posits the ability to directly access and process dysfunctional perceptions that were stored at the time of the traumatic event. These state-dependent perceptions are considered the primary cause of posttraumatic stress symptomatology. Additionally, rigid and maladaptive schemata are assumed to be caused by earlier life experiences that are dysfunctionally stored. The primary goal of EMDR is to release clients from the non-adaptive bonds of the past, thereby providing them with the ability to make positive and flexible choices in the present. Current research on EMDR substantiates its ability to rapidly and effectively process the targeted event and attendant traumata. The eight phases of treatment are considered necessary to resolve the somatically-based pathologies. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Primary Concepts and Procedures
Accuracy Verified: Yes
272. ten Broeke, E., & de Jongh, A. (1995, November). Eye movement desensitization and reprocessing (EMDR): 'Gewoon' imaginaire exposure? [Eye movement desensitization and reprocessing: Just imaginal exposure?]. Tijdschrift de Psycholoog, 30(11), 459-464.
Language: Dutch
Format: Magazine
Abstract:
Oogbeweging desensibilisatie and Reprocessing (EMDR) is een relatief nieuwe methode voor de behandeling van PTSS. Sinds de eerste studie meer dan 10.000 artsen zijn opgeleid hele wereld en de positieve resultaten met EMDR zijn gemeld met een groot aantal van de bevolking. Er is gesuggereerd dat EMDR is niets meer dan een complexe vorm van de blootstelling. Het doel van dit artikel is om deze bewering te kritisch aan te pakken. Een korte schets van exposure in vivo behandeling, de EMDR-behandeling protocol, EMDR en een case-studie worden gepresenteerd. Geconcludeerd wordt dat de waargenomen procedurele en theoretische verschillen tussen blootstelling en EMDR leiden tot de conclusie dat de effectiviteit van EMDR, meest waarschijnlijk is, niet kan worden verklaard door de effecten van imaginaire exposure alleen. [Samenvatting Auteur] [Loodsen]
Eye movement desensitization and reprocessing (EMDR) is a relatively new treatment method for PTSD. Since the initial study over 10,000 clinicians have been trained world-wide and positive results with EMDR have been reported with a wide number of populations. It has been suggested that EMDR is nothing more than a complex form of exposure. The aim of the present article is to address this claim critically. A brief outline of exposure in vivo treatment, the EMDR treatment protocol, and an EMDR case-study are presented. It is concluded that observed procedural and theoretical differences between exposure and EMDR lead to the conclusion that the effectiveness of EMDR, most likely, cannot be explained by the effects of imaginal exposure only. [Author Summary] [Pilots]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
Accuracy Verified: Yes
273. Karlsson, A. (2002). Eye movement desensitization and reprocessing (EMDR): En presentation och analys av metoden, samt redogörelse för svenska utövares upplevelser [Eye Movement desensitization and processing (EMDR): A presentation and analysis of the method, and explanation of Swedish practitioners' experiences]. Psykologexamensarbete, Stockholms Universersit Psyckologiska Institutionen. .
Language: Swedish
Format: Other
Abstract:
Posttraumatiskt stressyndrom är en komplex och mångdimensionell störning.
Lyckligtvis finns det effektiva behandlingsmetoder. 1989 utvecklade
Francine Shapiro metoden, sedermera namngiven, Eye Movement Desensitization
and Reprocessing (EMDR), för behandling av traumatiska minnen.
Det hävdas att mellan 84 – 100% som behandlats med EMDR inte längre
uppfyller diagnoskriterierna för PTSD. Uppsatsens huvudsyfte är att göra en
grundläggande granskning av EMDR och metodtillämpningen i Sverige.
Datainsamling skedde genom litteraturgranskning, enkätundersökning samt
intervjuer med EMDR-utbildade kliniker. Resultatet visar att EMDR är effektivare
än ingen behandling alls eller icke-validerade behandlingsmetoder,
såsom aktivt lyssnande. Det är däremot inte styrkt att EMDR är effektivare
än KBT. Vidare antyder komponentstudier att ögonrörelsestimulering, eller
alternativ bilateral stimulering, inte är nödvändig för att uppnå behandlingsframgångar.
Samtliga intervjuade utövare upplever EMDR som ett värdefullt
och verksamt verktyg i behandlingsarbetet. Diskussion förs kring resultaten
från effektstudierna och nödvändigheten av fortsatt forskning.
Post-traumatic stress disorder is a complex, multidimensional disorder.
Fortunately there are effective treatments. 1989 Developed
Francine Shapiro method, later named, eye movement desensitization
and Reprocessing (EMDR), for the treatment of traumatic memories.
It is alleged that between 84 - 100% treated with EMDR are no longer
meet diagnostic criteria for PTSD. The main purpose is to make a
fundamental review of the EMDR method and application in Sweden.
Using data obtained from literature review, survey and
interviews with EMDR-trained clinicians. The results show that EMDR is more effective
than no treatment or non-validated therapies,
such as active listening. It is however not shown that EMDR is more effective
than CBT. Further studies suggest component of eye movement stimulation, or
alternative bilateral stimulation, it is not necessary to achieve treatment success.
All interviewees experienced EMDR practitioners as a valuable
and effective tool in the treatment process. Talk out of the result,
from efficacy trials and the need for further research.
Keywords: Component Studies Impact Studies Posttraumatic Stress Disorder PTSD Swedish Practice Travel Experiences
Accuracy Verified: Yes
274. Richards, D. (1999, January). The eye movement desensitization and reprocessing debate: Commentary on Rosen et al. and Poole et al. Behavioural and Cognitive Psychotherapy, 27(1), 13-17. doi:10.1017/S1352465899271044.
Language: English
Format: Journal
Abstract:
The debate conducted in this journal and elsewhere on the effectiveness of eye movement desensitization and reprocessing (EMDR) is characterized by incredulity, fervent belief and emotion. Theorists and clinical pragmatists, not to mention the “discovers” of EMDR, have often taken up oppositional stances that impede rationale debate. Whilst some may be offended by the overt commercialism and messianic fervour of the EMDR lobby, the best response is to engage in dialogue, collaboration and scientific experiment. These experiments should combine the best randomized clinical trial methods with experimental deconstruction of the complex mix that now comprises EMDR. Those who have developed EMDR should cease the commercial and empirical protectionism that has characterized the EMDR movement and open their methods to such investigation by the healthily sceptical.
Keywords: Outcome Research Posttraumatic Stress Disorder PTSD Treatment Effectiveness.
Accuracy Verified: Yes
275. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320.
Language: English
Format: Journal
Abstract:
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author Abstract]
Keywords: Brief Psychotherapy Clinical Case Study Energy Psychotherapy Posttraumatic Stress DIsorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
276. Tye, J. A. (2001, August). Eye movement desensitization and reprocessing treatment for posttraumatic stress disorder and other psychological traumas: A decade of research in review. United States International University, San Diego, CA. AAT 3006172.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new complex treatment method that incorporates salient aspects of many of the major therapeutic modalities as a treatment for PTSD and other psychological trauma in a civilian population. One of the basic underlying principles is elucidated in the Accelerated Processing Model which posits the ability to access and process dysfunctional perceptions that were stored at the time of the traumatic event. These state-dependent perceptions are considered the primary cause of posttraumatic stress symptomatology.The purpose of this review was to investigate whether the EMDR method is an efficacious treatment for individuals diagnosed with PTSD, as reflected in a critical review of the literature from the initial study conducted in 1989 through 2000. The review included the history and background, development, and research to date of EMDR as a method of treatment for PTSD. A description was provided of the psychometric instruments utilized in the assessment; diagnosis; and measurement of the presence, absence, and level of severity of PTSD symptomatology, as described in the research literature of EMDR. Of special concern was the discrepancy between the diagnostic criteria and the presence, absence, and level of severity of PTSD symptomology as described in the treatment outcomes presented in the literature. Included were criteria for assessment instrument comparison, as well as the current limitations in assessment conformity and methodology which restrict the generalizability and assumptions about the way in which traumatic experiences manifest and influence treatment outcomes. [Author Abstract]
Keywords: Empirical Study Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
277. Fensterheim, H. (1996, March). Eye movement desensitization and reprocessing with complex personality pathology: An integrative therapy. Journal of Psychotherapy Integration, 6(1), 27-38.
Language: English
Format: Journal
Abstract:
Among the explorations of psychotherapy integration, attempts to integrate the cognitive behavioral and psychodynamic approaches are receiving much attention. Eye movement desensitization and reprocessing (EMDR) is one newly developed method that appears to have successfully achieved such integration. The author presents cases of 2 patients with complex personality problems to illustrate how EMDR does achieve this integration. The cases demonstrate the formulation of dynamic hypotheses based first on a thoughtful clinical understanding of the patient and then reformulated as new information emerges from the free associations elicited by this method. Treatment based on these formulations is through the cognitive and behavioral aspects of the EMDR procedures. Unlike many other integrative methods that have been proposed, the different aspects of this method are not applied separately but form a cohesive whole. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Empirical Study Multimodal Treatment Approach Nonclinical Case Study Personality Disorders Psychotherapeutic Techniques
Accuracy Verified: Yes
278. Greenwald, R. (2006). Eye movement desensitization and reprocessing with traumatized youth. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 246-264). New York: Guilford Press. xx, 316 pp.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of how eye movement desensitization and reprocessing (EMDR) may be used to treat trauma/loss memories and related symptoms in children and adolescents. The literature on EMDR indicates not only that it works well, but that it may be more efficient than other methods. The reasons for its effect are unclear. Several cases are presented. It is important that clinicians receive formal training to use EMDR, and that it is integrated into a comprehensive trauma-informed treatment approach. [Text, p. 246]
Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors
Accuracy Verified: Yes
279. Paulsen, S. L. (1993, October). Eye movement desensitization and reprocessing: Its role in the treatment of dissociative disorder. Multiple personality/dissociative states: Dissociation: the next ten years. International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.
Language: English
Format: Conference
Abstract:
Eye Movement Desenitization and Reprocessing (EMDR) is a procedure which uses saccadic eye movements as part of a protrocol to detoxify disturbing memories. EMDR has attracted significant attention because of its claims to facilitate recall of repressed material and to relieve the anxiety rapidly. Some patients are able to recall and resolve a disturbing memory during a single session of EMDR, although complex memories require longer. Shapiro (1989, 1991) first described the use of EMDR in patients with Post Traumatic Stress Disorder, and other case studies have described similar results (Wolpe and Abrams, 1991; Kleinknecht & Morgan, 1992). Prelimary studies in larger groups have been reported (Solomon, 1993; Daniels, 1993; Wilson, 1993). This session will discuss the use of EMDR in patients with dissociative disorders.
This session will present the use of EMDR in three areas of the treatment of dissociative disorders: 1) accessing dissociated BASK elements, 2) crisis management, and 3) abreaction. This will be followed by a discussion involving two senior clinicians, Dr. Walter Young, MD, and Richard Lowenstein, MD. A general question and answer will follow.
1. Sandra Paulsen, PhD., will open the session with a general introduction to EMDR and an overview of the general principles of treatment. Following this, she will present a conceptual framework for understanding the use of EMDR insociative disorders using Braun's BASK model. A videotape will be presented which demonstrates the reassociation, one at a time, of BASK elements.
2) Silke Vogelmann-Sine, PhD, will present cases illustrating the use of EMDR in the management of patients in crisis. It will be suggested that the relief provided by EMDR is long-lasting and that EMDR is a cost-effective way to prevent hospitalizations.
3) Steven Lazrove, MD, will discuss the use of EMDR in abreaction. It is proposed that EMDR allows the abreactive work to progress quiickly without traumatizing the patient. This hyposesis will be supported by the presentation of a case including a videotape of the patient's initial EMDR session.
The purpose of this symposium is to expose clinicians to the use of EMDR in dissociative disorders, only. It is not intended to substitute for formal training in use of EMDR.
Keywords: Dissociative Disorder
Accuracy Verified: Yes
280. Solomon, R. M., & Shapiro, F. (1997). Eye movement desensitization and reprocessing: A therapeutic tool for trauma and grief. In C. R. Figley; B. E. Bride; & N. Mazza (Eds.), Death and trauma: The traumatology of grieving (pp. 231-247). Washington, DC: Taylor and Francis.
Language: English
Format: Book Section
Abstract:
Eye movement desensitization and reprocessing (EMDR) is an integrative client-centered approach that is presently widely used in the treatment of trauma. Use of this method within a comprehensive treatment plan can significantly accelerate recovery from a recent traumatic event, hasten the working through of unresolved past events, and facilitate the client's incorporation of adaptive beliefs, emotions, and behaviors. Furthermore, treatment effects appear to be stable over time. [Text, p. 231]
Keywords: Bereavement Efficacy Emotional Trauma Guilt Grief Posttraumatic Stress Disorder PTSD Survivors Trauma Contagion Treatment Effectiveness
Accuracy Verified: Yes
281. Puk, G. (1991, November). Eye movement desensitization and reprocessing: Treatment of a more complex case, borderline personality disorder. Presentation at the annual meeting of the Association for the Advancement of Behavior Therapy, New York, NY.
Language: English
Format: Conference
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
282. Young, W. (1995, Spring). Eye movement desensitization/reprocessing: Its use in resolving the trauma caused by the loss of a war buddy. American Journal of Psychotherapy, 49(2), 282-291.
Language: English
Format: Journal
Abstract:
A case of refractory PTSD was treated with Eye Movement Desensitization/Reprocessing (EMDR). Within one 60-minute session there was a dramatic resolution of two traumatic memories that persisted at nine-month follow-up. Long-standing personality factors did not appear to change during this single-session intervention. This report supports the need for good controlled clinical studies on EMDR. [Author Abstract]
Keywords: Americans Bereavement Case Report Males Middle Aged Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
283. Spates, C. R., & Burnette, M. M. (1995, March). Eye movement desensitization: Three unusual cases. Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 51-55. doi:10.1016/0005-7916(95)00001-G.
Language: English
Format: Journal
Abstract:
Three complex cases are presented to document further the broad applicability of eye movement desensitization (EMD) for PTSD. In the first subject this disorder was combined with panic attacks; in the second, sexual dysfunction was an additional consequence of childhood sexual abuse; and in the third the causative situation directly resulted in profound impairment of occupational and social function. In all three cases treatment produced rapid resolution of symptoms and functional recovery. [Author Summary]
Keywords: Adults Case Report Child Abuse Females Incest Males Multiple Traumatic Events Panic Disorder Police Personnel Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Survivors Treatment Effectiveness Wounds
Accuracy Verified: Yes
284. Lansch, D. (2006). Fallbericht zur arbeit mit der vier-felder-technik mit erwachsenen [Case report to work with the four-field technique with adult]. EMDRIA Deutschland e.V. Rundbrief, 8, 20-27.
Language: German
Format: Newsletter
Abstract:
In der nachfolgenden Arbeit möchte ich Ihnen die Vier Felder-Technik an Hand der Bilderserie
einer komplex traumatisierten Patientin vorstellen.
Ich schildere Ihnen zunächst kurz wesentliche Aspekte in der Biografie der Patientin, sowie
Auszüge aus dem Behandlungsverlauf und komme dann schließlich zur Vier-Felder-Technik
und der Bilderserie.
In the following work, I would like the four-field technique with reference to the series of images
a complex trauma patient present.
I will first briefly describe key aspects of the biography of the patient, and
Excerpts from the course of treatment and then come finally to the four-field technique
and the series of pictures.
Keywords: Adult Case Report Four-Fields Technique
Accuracy Verified: Yes
285. Vanhoeck, K., & Gykiere, K. (2010). Fantasiemanagement bij seksuele delinquenten [Fantasy management in sexual offenders]. Tijdschrift voor Seksuologie, 34, 224-235.
Language: Dutch
Format: Journal
Abstract:
Fantasy management for sex offenders
Sexual fantasies of sex offenders are a complex therapeutic issue. First, there is not so much we know yet for sure
about sexual fantasies. Secondly, the question is what role
sexual fantasies play as a risk factor for sexual abuse. And
third, therapists see themselves confronted with the difficult task how to affect the sexual fantasies of their client (if
they are willing to do this at all). In part 1 of this article, we
briefly go through the scientific knowledge about sexual
fantasies of sex offenders and will primarily have to find
out that we do not know much. In part 2 we present four
ethical statements as a therapeutic framework for fantasy
management. Finally we describe six steps to make it practical to get started.
Keywords: Fantasy Management Sex Offenders
Accuracy Verified: Yes
286. Stofsel, M., & Mooren, T. (2010, Oktobre). Fase 2 – Globale traumaverwerkingstechnieken [Phase 2 - Global trauma technique]. In M. Stöfsel and T. Moreen, Complex Trauma, Deel 3(pp. 131-135). Bohn Stafleu van Loghum. doi:10.1007/978-90-313-8553-9_11 .
Language: Dutch
Format: Book Section
Abstract:
Het komt nogal eens voor dat een behandelaar besluit een methode in te zetten die gericht is op afgebakende traumatische ervaringen, terwijl de cliënt eigenlijk zijn hele verhaal wil vertellen en behoefte heeft over al zijn ervaringen te getuigen. Deze behoefte van een cliënt kan conflicteren met de focus die gevraagd wordt bij een gedetailleerde procedure zoals exposure of EMDR. Daarom is het in sommige gevallen goed om een gedetailleerde traumabehandeling vooraf te laten gaan door een globalere methode. Soms blijkt dat zo’n globale methode al voldoende effectief is. Als dat niet het geval is, kan daarna alsnog een gedetailleerde behandeling zoals EMDR of exposure worden toegepast.
It sometimes happens that a practitioner decides to deploy a methodology aimed at defined traumatic experiences, while the customer really wants to tell his whole story and needs to testify about his experiences. These needs may conflict with a client focus that is asked by a detailed procedure as EMDR or exposure. Therefore, in some cases a good detailed trauma treatment preceding it by a more global approach. Occasionally, a global method is effective enough. If this is not the case, then still a detailed treatment such as EMDR or exposure are used.
Keywords: Complex Trauma
Accuracy Verified: Yes
287. Ardino, V. (2010, June). Forensic aspects of trauma. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
On successful completion of the workshop, students will be able to:
1) Describe standardised assessment of trauma and post-traumatic reactions (PTSD, complex PTSD, and dissociation) and their implications for practitioners in criminal justice and social care.
2) Describe the assessment and treatment of PTSD in offender populations
3) Describe PTSD malingering in court and implications for criminal
responsibility
Keywords: Forensics
Accuracy Verified: Yes
288. Martin, K. (2010, September/October). Fraser's dissociative table technique: A phase 2 strategy. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract: Accessing, identifying, and communicating with internal ego states are necessary for effective treatment of complex trauma and dissociation. To facilitate this, clinicians establish an imaginary internal meeting place where all parts of the client’s personality can gather. This gathering place provides a means to identify, stabilize, negotiate with, and prepare ego states for trauma reprocessing. In this workshop, Fraser’s Dissociative Table Technique will be taught and demonstrated as a Phase 2 strategy for stabilization and preparationfor Phase 4 trauma reprocessing. Using Fraser’s Dissociative Table Technique when Phase 4 reprocessing is stopped due to dissociation will also be demonstrated.
Keywords: Fraser's Dissociative Table Technique
Accuracy Verified: Yes
289. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
with
people
suffering
from
complex
trauma
often
leads
to
difficulties
regarding
the
treatment
plan,
but
also
during
desensitization,
reprocessing,
with
a
risk
of
major
destabilization,
and
treatment
drop
outs.
Often,
many
targets,
especially
those
coming
from
early
childhood,
are
pre-‐verbal
in
nature
and
stay
therefore
implicit.
Should
we
then
renounce
in
doing
EMDR
with
these
people?
Is
it
possible
to
apply
EMDR
safely
and
without
getting
lost,
adjusting
to
each
person,
so
different
from
another,
and
their
life
events
somewhat
chaotic?
The
gearbox,
through
the
metaphor
of
a
journey
by
car,
suggests
a
hierarchical
processing
structure
to
navigate
through
therapy
with
people
suffering
from
complex
trauma,
which
allows
the
therapist
to
adapt
to
the
client,
his/her
life
context,
knowing
what
to
do,
and
why.
The
result
is
a
more
self-‐confident
therapist,
who
is
able
to
adapt
to
the
client,
being
so
more
flexible
and
safe
while
doing
EMDR.
By
integrating
the
current
knowledge
of
EMDR
for
complex
trauma,
the
gearbox
is
a
dynamic
and
adaptive
tool.
EMDR
en
personas
que
sufren
trauma
complejo
a
menudo
conlleva
dificultades
respecto
al
plan
terapéutico
y
también
durante
la
desensibilización
y
reprocesamiento,
con
el
riesgo
de
una
desestabilización
mayor
y
el
abandono
del
tratamiento.
Con
frecuencia,
muchos
de
los
objetivos
y,
muy
especialmente
los
que
tienen
su
origen
en
la
primera
infancia,
son
preverbales
y,
por
lo
tanto,
permanecen
implícitos.
¿Deberíamos
renunciar
al
uso
de
EMDR
con
estas
personas?
¿Es
posible
aplicar
EMDR
de
forma
segura
y
sin
perderse,
adaptándose
a
cada
persona,
tan
distintas
unas
de
otras,
así
como
a
sus
eventos
de
vida,
algo
caóticos?
“Gearbox”,
a
través
de
una
metáfora
de
un
viaje
en
coche,
sugiere
una
estructura
jerárquica
de
procesamiento
para
navegar
por
la
terapia
con
personas
que
sufre
trauma
complejo,
lo
que
permite
al
terapeuta
a
adaptarse
al
cliente,
el
contexto
de
su
vida,
sabiendo
qué
hacer
y
por
qué.
El
resultado
es
un
terapeuta
con
más
confianza
en
sí
mismo,
capaz
de
adaptarse
al
cliente,
con
mucho
más
flexibilidad
y
seguridad
mientras
utiliza
EMDR.
Al
integrar
los
conocimientos
actuales
de
EMDR
en
casos
de
trauma
complejo,
“la
caja
de
cambios”
es
una
herramienta
dinámica
y
adaptativa.
Keywords: Gear Box
Accuracy Verified: Yes
290. Eckers, D. (2006). Gegenwarts- und ressourcenorientierung (GRO) in der behandlung und dosierte EMDR-behandlungsschritte [Present-and resource-orientation (GRO) in the treatment and dose EMDR treatment steps]. EMDRIA Deutschland e.V. Rundbrief, 8, 28-29.
Language: German
Format: Newsletter
Abstract:
Die grundsätzliche Wahrnehmung, dass die Gegenwart sicherer und stabiler ist als die
traumatische Situation, ist die Voraussetzung dafür, eine Traumabearbeitung überhaupt in
Erwägung zu ziehen. Je komplexer, anhaltender und früher die Traumatisierung war, desto
mehr Sorgfalt muss auf eine stabile Gegenwarts- und Ressourcenorientierung (GRO)
verwendet werden.
The general perception that the present is more secure and stable than the
traumatic situation is the prerequisite for a trauma in general
Whereas draw. The more complex, persistent and once the trauma was, the
more attention is needed for a stable present and resource orientation (GRO)
be used.
Keywords: GRO Present-and-Resource Orientation
Accuracy Verified: Yes
291. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy.
Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used.
NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere.
To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment.
The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.
Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium
Accuracy Verified: Yes
292. Delisco. T., Volkman, M., Peacock, S. A., Frater, A. (2004). Grief and Loss. In V. R. Volkman (Ed). Beyond conversations on traumatic incident reduction. (pp. 58-73). Ann Arbor, MI, US: Loving Healing Press.
Language: English
Format: Book Section
Abstract:
In this section, Teresa Descilo takes a fascinating look at grief and loss in the context of Western culture. Marian Volkman explains how a special application of TIR called "Future TIR" can be used in cases of bereavement. Sharie Peacock brings us a very moving account of a TIR session that brought about resolution of the loss of a child. And finally, Alex Prater shares some stories from his practice. /// "Relieving the Traumatic Aspects of Death with TIR and EMDR" / Teresa Descilo /// "Future TIR: A Conversation with Marian Volkman" / Marian Volkman /// "Loss of a Child - Session Notes" / Sharie Ann Peacock /// "TIR and Grief: A Brief Conversation with Alex Frater" / Alex Frater (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Accuracy Verified: Yes
293. Roques, J. (2007). Guérir avec l 'EMDR: Traitement, théorie, témoignages [Healing with EMDR: Treatment, theory, evidence]. Paris: Seuil.
Language: French
Format: Book
Abstract:
Oui, on peut guérir définitivement, et dans certains cas très rapidement, d'un problème psychologique grave. Beaucoup de gens ont eu leur vie transformée grâce à cette thérapie inventée en 1987 aux Etats-Unis par Francine Shapiro. L'EMDR n'est pas un effet de mode passager, mais l'expression d'une découverte majeure : notre cerveau est naturellement équipé pour guérir de ses blessures psychiques. Il peut cicatriser. L'EMDR n'est que le moyen qui permet de remettre en route le processus de retraitement de l'information bloquée au jour de l'événement traumatique. Jacques Roques veut éclairer ce mécanisme. Il donne de nombreux exemples de pathologies : traumatismes simples, traumatismes complexes et aussi empoisonnements psychiques, quand le traumatisme, distillé à petite dose comme un venin, ne se révèle qu'au cours de la thérapie. S'appuyant sur la clinique et sur ce qu'on sait aujourd'hui du fonctionnement cérébral, Jacques Roques développe des hypothèses nouvelles permettant de comprendre ces pathologies, ainsi que le fonctionnement de l'EMDR, pour améliorer la prise en charge des malades et leur permettre de recouvrer encore plus vite la santé. Ecrit dans un langage simple, donnant la parole à ses patients aussi bien qu'à ses collègues, Jacques Roques cherche surtout à diffuser un savoir utile. Comment accepter qu'aujourd'hui tant de gens continuent à souffrir alors qu'ils pourraient être définitivement guéris?
Yes, you can be cured permanently, and in some cases very rapidly, a serious psychological problem. Many people have had their lives transformed thanks to this therapy was invented in 1987 in the United States by Francine Shapiro. EMDR is not a fashion effect, but the expression of a major discovery: Our brains are naturally equipped to heal his psychological wounds. He can heal. EMDR is the means by which to reactivate the process of reprocessing the information secure on the day of the traumatic event. Jacques Roques wants to clarify this mechanism. It gives many examples of pathologies: trauma simple, complex trauma and poisoning as psychological trauma when, distilled in small doses as a poison, is revealed that during therapy. Based on clinical and what is known about the brain function, Jacques Roques develops new hypotheses for understanding these diseases, and the operation of EMDR, to improve care for patients and enable them to recover faster health. Written in simple language, giving voice to his patients as well as his colleagues, especially Jacques Roques seeks to disseminate useful knowledge. How can we accept that today many people continue to suffer while they could be permanently cured?
Accuracy Verified: Yes
294. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.
Keywords: Posttraumatic Stress Disorder Psychotherapy Treatment
Accuracy Verified: Yes
295. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The integration of Ego state and Somatosensory work and EMDR will be
shown to help patients with Complex PTSD repair fragmentation.
disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and
anxiety, additional trauma responses may lead them to encounter difficulty
in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated
"parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the
history taking about inability to love. fragmentation, and alienation; defining
and selecting the appropriate ego state/somatosensory/affect
management strategies to help challenging clients.
Keywords: Complex Trauma Ego State Therapy Somasensory
Accuracy Verified: Yes
296. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex
trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the
emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol.
Learning Objectives:
• Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality
• Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while
• Keeping them stable• Describe a way to identify Emotional Parts of the Personality
• Describe 3 clinical markers for client readiness for trauma reprocessing in complex trauma cases
Keywords: Structural Dissociation Theory
Accuracy Verified: Yes
297. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex
trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the
emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol. (All Levels –
50% EMDR)
Learning Objectives:
• Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality
• Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while
• Keeping them stable
Keywords: Structural Dissociation Theory
Accuracy Verified: Yes
298. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136.
Language: English
Format: Journal
Abstract:
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.
Keywords: Caregiving System Connection: Contingecy Differentiation Mentalization Regulation
Accuracy Verified: Yes
299. Forgash, C. A. (2005, September). Healing the heart of complex trauma through EMDR, ego state and somatosensory work. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR is increasingly being utilized to treat highly challenging clients with a
variety of diagnoses including complex PTSD, DESNOS, and a range of
dissociative disorders. The dissociative processes commonly described as
part of the PTSD spectrum, are also predicted by early attachment difficulties
and losses. These clients may present with elements of several disorders (i.e.,
Borderline PD). Without considerable stabilization work, they may be unable
to process information safely. This presentation, through lecture, experiential
work and case presentation, will provide clinicians with a model that enables
them to provide EMDR treatment effectively with this population.
Participants will become familiar with specialized treatment planning that begins with detailed and complex history taking and pays particular attention to an extensive individualized preparation phase. They will learn how and when to integrate ego state work, somatosensory work and disociative treatment strategies in this phase and throughout EMDR protocol work. This systemic work will be understood to help patients resolve internal conflicts, deal with stabilization, affect regulation, triggering, overwhelm, dissociation, and resistance.
Keywords: Challenging Clients Dissociation Ego State Therapy Master Series Somatosensory Therapy
Accuracy Verified: Yes
300. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy
"This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center
"Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma
The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
301. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.
Keywords: Complex Trauma Personality Disorders Re-Scripting
Accuracy Verified: Yes
302. Herbert, C. (2003, May). Healing the “inner child” – EMDR imagery rescripting techniques with complex trauma clients. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
EMDR-based imagery re-scripting techniques with a modified concept of Cognitive Schema Modes (Young, 1999). Based on clinical case examples, the use of imagery techniques, which draw on all sensory modalities (involving cognitive, emotional and somatic systems) during the auditory application of EMDR will be described, to help complex trauma clients firstly approach and recognize and subsequently attach to and nurture the image of their own “inner child”. Rather than establishing a sense of unrealistic dependency on the therapist by integrating him or her as the sole nurturer, clients are encouraged to develop an image of their own ‘healthy adult’, who can learn to take on the role of internal re-nurturing, protection and healing of the ‘inner child’. Techniques for overcoming blockages between a client’s ‘healthy adult’ and their ‘inner child’ representations are described. It is proposed that differentiating between ‘child’ and ‘adult’ modes and tuning into these through deep-level EMDR processing, allows clients to re-connect to feelings associated with their earlier experiences of helplessness and dependency during childhood, which can now be re-experienced within a safe and nurturing context. It is suggested that this will allow higher order brain systems, such as the hippocampus, to remain active and therefore enable cognitive and structural re-organization of the stored material in the brain and body cells. Once a positive attachment bond between a client’s internalised ‘inner child’ and ‘healthy adult’ modes has been achieved this can then be utilized further during direct trauma processing work. It is argued that healing of the ‘inner child’ enables healing of the adult client so that a more positive and secure sense of self can be achieved.
Keywords: Attachment Theory Complex PTSD Imagery Inner Child Rescripting Symposium
Accuracy Verified: Yes
303. van der Does, W. (2006, December). Heeft iedereen gewonnen, en moeten allen prijzen hebben? [Has everyone won, and must all have prizes?]. De Psycholoog, 41(12), 650-657.
Language: Dutch
Format: Magazine
Abstract:
De 'Dodo bird verdict' is al lang de uitkomst van psychotherapie-onderzoek: geen tekort aan behandelingen, maar geen verschillen in effectiviteit. Tegenwoordig (cognitieve) gedragstherapie (CGT) is de behandeling van keuze voor steeds meer en steeds complexere problemen. Van tijd tot tijd, nieuwe oppervlaktebehandeling die claim betere of snellere resultaten. De meeste van deze claims zijn ongegrond en hebben korte halflifes. Echter, EMDR, een behandeling voor Psychotrauma, heeft bereikt mainstream psychologie. Na McNally (1999), een vergelijking is gemaakt met een miraculeuze behandeling die Europa veroverde meer dan twee eeuwen geleden. Geconcludeerd wordt dat EMDR is minder effectief dan wordt beweerd, en dat de effectiviteit ervan is te wijten aan de opname van CBT elementen en de grote rol van placebo factoren in nieuwe behandelingen. (PsycINFO Database Record (c) 2008 APA, alle rechten voorbehouden)
The 'Dodo bird verdict' has long been the outcome of psychotherapy research: no shortage of treatments, but no differences in effectiveness. Nowadays (cognitive) behavior therapy (CBT) is the treatment of choice for increasingly more and increasingly complex problems. From time to time, new treatments surface that claim better or faster results. Most of these claims are unfounded and have short halflifes. However, EMDR, a treatment for psychotrauma, has reached mainstream psychology. Following McNally (1999), a comparison is made with a miraculous treatment that conquered Europe more than two centuries ago. It is concluded that EMDR is less effective than has been claimed, and that its effectiveness is due to the incorporation of CBT elements and to the large role of placebo factors in new treatments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dodo Bird Verdit
Accuracy Verified: Yes
304. Brown, A. (2007, December 6). Helping kids cope with bereavement. Glasgow, England: Daily Record, Featurse, 24.
Language: English
Format: Newspaper
Abstract:
The service also uses Eye Movement Desensitisation and Reprocessing (EMDR) on victims of Post Traumatic Stress Disorder. It is a psychotherapy method which features the child focussing on a disturbing memory image while moving the eyes from side to side.
Keywords: Bereavement London
Accuracy Verified: Yes
305. Vermetten, E. (2013, April). Het effect van Militaire Motion-assisted Memory Desensitization en Reprocessing bij de behandeling van uitzendingsgerelateerde Posttraumatische Stress Stoornis; eerste voorlopige resultaten [The effect of military motion-assisted memory desensitization and reprocessing in the treatment of deployment-related post traumatic stress disorder; preliminary results]. In Research track 2. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: English
Format: Conference
Abstract:
Inleiding: Hoewel de symptomen van de Post-Traumatische Stress Stoornis (PTSS) in de algemene en militaire setting erg op elkaar lijken, is de behandeling van uitzendingsgerelateerde PTSS vaak complex, in bijzonder in relatie tot de militaire context en herhaalde en langdurige blootstelling aan potentieel traumatische gebeurtenissen. Therapeutische compliance kan een probleem zijn in militaire populaties waardoor militairen niet optimaal gebruik maken van de werkzaamheid van de behandeling. Om hieraan tegemoet te komen is een nieuwe mogelijke aanvullende behandeling voor militairen en veteranen met uitzendingsgerelateerde PTSS ontworpen, Militaire Motion-assisted Desensitization and Reprocessing (3MDR). De behandeling omvat belangrijkste elementen van succesvolle behandelingen als Virtual Reality Exposure (VRE) en Eye Movement Desensitization Reprocessing (EMDR) en voegt beweging toe aan de therapeutische conditie. Hierbij zijn we gericht op het ontwerpen van een behandeling procedure die ‘dual task processing’ behoudt maar waarbij betrokkenheid vergroot wordt door de procedure uit te voren door beweging te vragen via het lopen op een loopband. Bovendien worden persoonlijke geselecteerde foto’s aangeboden van uitzendingsgerelateerde high-impact scenarios. Deelnemers lopen een zich herhalende cyclus door. Er is contact met de therapeut tijdens de high arousal. Duas task processing wordt gerealiseerd door een oscillerende bal op een scherm. Aspecten van ‘presence’ worden gemaximaliseerd, zoals muziek en cognitieve enhancement mbt de foto’s. Methode: Twee veteranen met chronische PTSS, ondergingen vier wekelijkse sessies van de 3MDR therapie. Als indicatie voor werkzaamheid was CAPS als uitkomstmaat gekozen. De behandeling was uitgevoerd op de Computer Assisted Rehabilitation Environment (CAREN) omgeving van het MRC in Doorn. Resultaten: De 3MDR behandeling liet een daling zien van PTSS-symptomen. Deelnemende patiënten zijn erg tevreden over de behandeling en er was geen aanleiding tot drop-out. Conclusie: De eerste resultaten van twee casus suggereren dat de 3MDR behandeling succesvol lijkt, en mogelijk kan gezien worden als een aanvullende behandeling, wanneer andere behandelingen niet verder evolueren of er kan is op drop out. De ‘presence’ werd zeer gewaardeerd. Verder onderzoek met meer patiënten moet worden uitgevoerd om meer betrouwbare resultaten te verkrijgen en gedifferentieerde beoordeling van de werkzame ingrediënten.
Eric VERMETTEN, 1; Lydia MEIJER 1, 3, Peter van der WURFF 2; Agali MERT 2
1 Militaire Geestelijke Gezondheid – Onderzoek, Ministerie van Defensie, Nederland 2 Universitair Medisch Centrum Utrecht, Nederland 3 Militair Revalidatiecentrum Aardenburg, Ministerie van Defensie, Nederland
Introduction: Although the symptoms of Post-Traumatic Stress Disorder (PTSD) in the general and military setting are very similar, the treatment of deployment-related PTSD often complex, in particular in relation to the military context and repeated and prolonged exposure to potentially traumatic events. Therapeutic compliance can be a problem in military populations which soldiers can not take full advantage of the efficacy of the treatment. To meet this requirement, a new potential additional treatment for soldiers and veterans designed with deployment-related PTSD, Military Motion-assisted Desensitization and Reprocessing (3MDR). The treatment includes key elements of successful treatments as Virtual Reality Exposure (VRE) and Eye Movement Desensitization Reprocessing (EMDR) and adds movement to the therapeutic condition. Here we focus on designing a treatment procedure that dual-task processing 'reserves but which enhance ownership to advance the process by asking via walking on a treadmill movement. Moreover, personal selected photos provided by deployment-related high-impact scenarios. Participants walk a repeating cycle. There is contact with the therapist during the high arousal. Duas task processing is realized by an oscillating ball on a screen. Aspects of 'presence' be maximized, such as music and cognitive enhancement regarding the photos. Method: Two veterans with chronic PTSD, underwent four weekly sessions of 3MDR therapy. As an indication of effectiveness was CAPS chosen as an outcome measure. The treatment was carried out at the Computer Assisted Rehabilitation Environment (CAREN) environment of the MRC in Doorn. Results: The 3MDR treatment showed a decrease in PTSD symptoms. Participating patients are very satisfied with the treatment and there was no reason to drop out. Conclusion: The results of the first two cases 3MDR suggest that the treatment seems to be successful, and possibly can be seen as an additional treatment when other treatments fail or there may be further evolve to drop out. The 'presence' was much appreciated. Further research on more patients to be carried out in order to obtain more reliable results and differentiated assessment of the active ingredients.
Eric Vermetten, 1; Lydia MEIJER 1, 3, Peter van der Wurff 2; Agali MEST 2
1 Military Mental Health - Research, Ministry of Defence, Netherlands 2 University Medical Center Utrecht, Netherlands 3 Aardenburg Military Rehabilitation, Ministry of Defence, Netherlands
Keywords: Deployment Military Posttraumatic Stress Disorder PTSD
Accuracy Verified: No
306. Martin, K. M. (2012). How to use Fraser's Dissociative Table Technique to access and work with emotional parts of the personality. Journal of EMDR Practice and Research, 6(4), 179-186. doi:10.1891/1933-3196.6.4.179.
Language: English
Format: Journal
Abstract:
This Clinical Q&A article responds to a question about what process to use to access and identify ego states when working with complex trauma. The procedure for implementing Fraser's Dissociative Table Technique is explained and detailed in 8 clearly defined steps. The author builds on Fraser's original instructions and adds several innovations for use by EMDR therapists. Tips on implementing this technique are given. The article then concludes with a session transcript to illustrate the use of this powerful tool.
Keywords: ANP Apparently Normal Part of the Personality EMD Dissociative Table Emotional Part of the Personality EP Eye Movement Desensitization Meeting Place
Accuracy Verified: Yes
307. Solomon, R. M. (1993-1994, Winter). ICISF suggests EMDR training for clinicians. LifeNet, 4(4).
Language: English
Format: Magazine
Abstract:
Eye Movement Desensitization and
Reprocessing (EMDR) is an exciting
new therapeutic process for the treatment
of anxiety, panic disorders and
traumatic stress (see the article on
EMDR by Dr. Roger Solomon in this
issue). It is only for trained mental
health clinicians since it is far more
complex than is suggested when one
first hears about it in casual conversations
or in newspaper reports.
Accuracy Verified: Yes
308. Forgash, C. (2012, October). The impact of complex PTSD and attachment issues on personal health: An EMDR treatment approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR treatment will be presented as a successful model for dealing with the attachment deficits and health problems of trauma survivors. The development of an EMDR Treatment Plan to treat both health and attachment problems with a focus on a Health History and specific target selection is highlighted. Specialized techniques will be utilized in phases 1-3 to help the patient experience self soothing, develop emotional regulation, and to avoid re-traumatization in the health care setting. Phases 4-7 will emphasize specific work on past attachment ruptures as well as specific health issues. Skills development such as rehearsal will also be presented.
Keywords: Attachment Issues Complex Posttraumatic Stress Disorder Complex-PTSD C-PSTD Personal Health
Accuracy Verified: Yes
309. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.
Language: Italian
Format: Conference
Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD).
L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia.
Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali.
Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia.
L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4).
Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso).
Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene.
Bibliografia:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532.
2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
4. Lindauer et al. (2005). Psychol Med ; 35 :1-11.
5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61.
6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]
Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD).
The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy.
The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data.
The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment.
The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4).
Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted).
Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders.
Bibliography:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532.
2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476.
4. Lindauer et al. (2005). Psychol Med, 35 :1-11.
5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61.
6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]
Keywords: Brain Functions Neurobiology
Accuracy Verified: Yes
310. Forgash, C. A. (2003, May). Improving child sexual abuse survivor’s health with integrated EMDR & ego state treatment. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Attachment Theory Complex PTSD, Ego State Therapy Symposium
Accuracy Verified: Yes
311. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
Keywords: Affect Tolerance Poster Self-Regulation Social Functioning
Accuracy Verified: Yes
312. Forgash, C. A. (2003, September). Improving survivor’s health with integrated EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop will present an EMDR and Ego State integrated approach dealing with the health problems of child sexual abuse survivors (CSAS). These problems are exacerbated by dissociative and PTSD symptoms and may have affected clients accessing health care. These complex clients require tri-phased treatment approach which includes an extended preparation phase (to help CSAS manage triggers and avoid retraumatization in the healthcare setting) desensitization and reprocessing of earlier trauma, including both sexual abuse and medical situations, and the future template phase where consumer skills development will be planned, rehearsed and installed. The workshop will include handouts, bibliography, and a slide presentation.
Keywords: Ego State Therapy
Accuracy Verified: Yes
313. Leeds, A. M. (1997, July). In the eye of the beholder: Reflections on shame, dissociation, and transference in complex post-traumatic stress and attachment disorders. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
This paper covered material on how affect theory, attachment theory and EMDR theory can help with case formulation and treatment planning. This paper provided the first in depth presentation on Resource Development and Resource Installation which previously had been presented only at EMDR Institute trainings at speciality presentations. [Author abstract]
Keywords: Neurobiological Correlates RDI Resource Development and Installation Shame
Accuracy Verified: Yes
314. Lazrove, S. (1995, June). An inconclusive look and the complex interplay between trauma and substance abuse. Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The idea of using EMDR to treat substance abusers is attractive. However,
EMDR is most effective when the target is identified precisely. Two related, but
distinct, targets are presumed to exist in substance abusers: 1. The drug abuse
behavior, and 2. The psychological underpining which, presumably, drive the
substance abuse. Depending upon which is selected, two different approaches
to treatment are possible.
Keywords: Substance Abuse
Accuracy Verified: Yes
315. Twombly, J. H. (2000). Incorporating EMDR and EMDR adaptations into the treatment of clients with dissociative identity disorder. Journal of Trauma and Dissociation, 1(2), 61-81. doi:10.1300/J229v01n02_05.
Language: English
Format: Journal
Abstract:
This paper offers ways to incorporate Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of clients with Dissociative Identity Disorder (DID). Uses of EMDR detailed can be applied to Dissociative Disorder, Not Otherwise Specified (DDNOS) and ego state work. EMDR is a therapeutic method using alternating bilateral stimulation (ABS) that integrates traumatic memories with adaptive reasoning and the patient's own resources, resulting in accelerated information processing and healing. DID is a complex disorder suffered by clients who have often experienced multiple childhood traumas. They live with what Kluft terms a "multiple reality disorder," and describes as living in "...several parallel but incompletely over-lapping constructions of the world and of life experience." An asset with EMDR is that it can accelerate the treatment process. A liability is that its incorrect use can accelerate decompensation for fragile clients, e.g., those with complex trauma histories or DID. This paper offers suggested uses of EMDR and EMDR adaptations to facilitate learning, intervene in multiple reality disorder, decrease some negative transferences, and to provide a protective format for processing traumatic material. [Author Abstract]
Keywords: Dissociative Identity Disorder Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
316. Twombly, J. (2004, September). Incorporating EMDR and EMDR adaptations into the treatment of dissociative disorders. Presentation at the annual mmeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and Reprocessing in the treatment of clients with Dissociative Identity Disorder (DID). Dissociative Disorder Not Otherwise Specified (DDNOS) and ego state work. DID and DDNOS are complex disorders suffered by clients who have often experienced multiple childhood traumas. Used carefully. EMDR and EMDR adaptations can accelerate the treatment process. A liability is that its introject use can accelerate decompensation. This workshop offers suggested uses of EMDR and EMDR adaptations to facilitate Stabilization, orientation to the present, decrease some negative transferences and to provide a protective format far processing traumatic material.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
317. Manfield, P. (2000). Innovative EMDR-Ansätze: Die Anwendungsfelder von EMDR [Innovative approaches to EMDR]. Paderborn: Junfermann.
Language: German
Format: Book
Abstract:
EMDR wurde von Francine Shapiro infolge einer zufälligen Entdeckung, die sie im Jahre 1987 machte, entwickelt. Wie sie selbst in ihrem Vorwort zu diesem Buch schreibt, ist "EMDR ... mittlerweile zu einer Methodologie geworden, die Aspekte aller wichtigen psychotherapeutischen Methoden zu einem fokussierten Ansatz für die Behandlung eines großen Spektrums von Pathologien vereint."
Das vorliegende Buch setzt an, wo die formelle EMDR-Ausbildung endet. Mittlerweile wurde mit Hilfe wissenschaftlicher Untersuchungen nachgewiesen, daß EMDR die psychologischen Nachwirkungen traumatischer Erinnerungen ungeheuer erfolgreich zu behandeln vermag. Anhand von Fallstudien wird im vorliegenden Buch untersucht, in welchen anderen Bereichen EMDR nützliche Dienste leisten könnte. Unter diesen befinden sich so schwierig zu behandelnde Probleme wie längerfristiger Kindesmißbrauch und komplexe Fälle von posttraumatischer Belastungsstörung. Die wiedergegebenen elf Fallberichte veranschaulichen die Anwendung von EMDR auf ein großes Spektrum von Fällen.
Die zahlreichen klinischen Beispiele werden angehenden EMDR-Therapeuten helfen, die neu erlernte Methode bei ihren Klienten anzuwenden, und sie liefern erfahrenen EMDR-Praktikern Modelle zur Erweiterung der Anwendung dieser Methode. Durch die gut verständlichen Erklärungen des Behandlungsprozesses wird EMDR sowohl für Kliniker als auch für Klienten entmystifiziert. Die Autoren der Einzelbeiträge sind Vertreter unterschiedlicher psychotherapeutischer Ansätze, unter anderem des psychodynamischen, des behavioristischen, des kognitiven und des systemischen.
EMDR was developed by Francine Shapiro as a result of an accidental discovery she made in 1987. As she writes in her foreword to this book, "EMDR is ... now become a methodology that combines aspects of all major psychotherapeutic methods into a focused approach to the treatment of a wide spectrum of pathologies." This book is at, where the formal EMDR training ends. Now been shown through scientific studies that EMDR can handle the psychological aftermath of traumatic memories enormously successful. Through case studies is examined in this book could make in what other areas EMDR useful services. Among these are so difficult to treat problems such as longer-term complex cases of child abuse and post traumatic stress disorder. The reproduced eleven case reports illustrate the application of EMDR to a wide range of cases. The numerous clinical examples will help prospective EMDR therapists who learned new method for their clients to apply and provide experienced EMDR practitioners to increase their use of this method. Due to the easily understandable explanations of the treatment process is demystified both EMDR for clinicians and for clients. The authors of individual contributions are representatives of different psychotherapeutic approaches, including the psychodynamic, the behavioral, cognitive, and systemic.
Keywords: Innovations
Accuracy Verified: Yes
318. Leeds, A. (2006, September). Installation when treating complex posttraumatic stress syndromes. In Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes (A. Leeds. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD Consensus Model C-PTSD RDI Resource Development and Installation Treatment Criteria
Accuracy Verified: Yes
319. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Egp State Therapy Dissociative Disorders Trauma
Accuracy Verified: Yes
320. Forgash, C., & Knipe J. (2012). Integrating EMDR and ego state treatment for clients with trauma disorders. Journal of EMDR Practice and Research, 6(3), 120-128. doi:10.1891/1933-3196.6.3.120.
Language: English
Format: Journal
Abstract:
This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.
Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD Dissociative Disorders Ego State Therapy
Accuracy Verified: Yes
321. Munnukka-Dahlqvist, M. (2004, June). Integrating EMDR in psychotherapy treating complex trauma in a client with previous long-term psychotherapies. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract: Keywords: Complex Trauma Symposium Accuracy Verified: Yes 322. Darker-Smith, S. (2008, June). Integrating emotion for attached-disordered and dissociated children. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Dissociation Children Accuracy Verified: Yes 323. 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 324. Forgash, C. A. (2006, June). The integration of EMDR and ego state. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Accuracy Verified: Yes 325. Rouanzoin, C. (2007, September). The integration of EMDR in the treatment of
dissociative clients. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Dissociation Dissociative Disorders Accuracy Verified: Yes 326. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy Accuracy Verified: Yes 327. Harford, P. M. (2010). The integrative use of EMDR and clinical hypnosis in the treatment of adults abused as children. Journal of EMDR Practice and Research, 4(2), 60-75. doi:10.1891/1933-3196.4.2.60. Language: English Format: Journal Abstract: Keywords: Abuse ACC Adolescents Children Clinical Hypnosis Complex PTSD Complex Posttraumatic Strress Disorder C-PTSD Integrative Use VMPFC Accuracy Verified: Yes 328. Affonso, S. D. S. (2012, Novembro). Intervenção do EMDR em uma situação de luto traumático infantil: Vivência de uma criança de seis anos no adoecimento e morte de sua irmã de dois anos vítima de leucemia [EMDR intervention in a situation of childhood traumatic grief: Experiences of a child of six years in the illness and death of her sister two years of leukemia victim]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Childhood Trauma Family Grief Process Accuracy Verified: Yes 329. Pereira, I. (2012, Novembro). Intervenção psicoterapêutica no tratamento de paciente com a síndrome de fibromialgia [Psychotherapeutic intervention in the treatment of patients with fibromyalgia syndrome]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Comorbidity Fibromyalgia Accuracy Verified: Yes 330. Farrell, D. (2009, October 16). Interweaves. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK. Language: English Format: Conference Abstract: Keywords: Interweaves Accuracy Verified: Yes 331. Miller, K. (2013, May). The intricacies of time orientation: Going beyond “What year is this?
. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Orientation Interventions Time Orientation Skills Accuracy Verified: Yes 332. Karim, S. F. (2002-2003). Introducing EMDR: Its implications for clinical practice and research. Journal of the Faculty of Arts, The Dhaka University Studies, 59(1), 50 (2), & 60(1), 201-206. Language: English Format: Journal Abstract: Accuracy Verified: Yes 333. Herbert, C. (2004, June). Introduction to a safe place installation protocol for use with clients who have no pre-existing concepts or feelings of safety. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Complex Trauma EMDR Resource Installation Protocol Safe Place Accuracy Verified: Yes 334. Hofmann, A. (2009). The inverted EMDR standard protocol for unstable complex post-traumatic stress disorder. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 313-328). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Inverted EMDR Standard Protocol Post-Traumatic Stress Disorder Protocol PTSD Accuracy Verified: Yes 335. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Personality Disorders Symposium Trauma Accuracy Verified: Yes 336. Lustig, S., Smrz, A., Sladen, P., Sellers, T. D., & Hellman, S. (2000, January-February). It takes a village: Caring for a traumatized art student. Harvard Review of Psychiatry, 7(5), 290-298. doi:10.3109/hrp.7.5.290. Language: English Format: Journal Abstract: Keywords: Borderline Personality Disorder Case Report Child Abuse Cognitive Therapy College Students Drug Therapy European Americans Females Incest Individual Psychotherapy Partial Hospitalization Psychotherapeutic Processes PTSD Rape Survivors Young Adults Accuracy Verified: Yes 337. Knipe, J. (1998). It was a golden time...: Treating narcissistic vulnerability. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 232-255), New York: Norton. Language: English Format: Book Section Abstract: Keywords: Adults Americans Case Report Defense Mechanisms Life Experiences Males Posttraumatic Stress Disorder PTSD Self Concept Survivors Treatment Effectiveness Accuracy Verified: Yes 338. Fine, C.& Berkowitz, A. (2008, April). The joint use of EMDR and hypnosis in the treatment of DID, DDNOS and complex
PTSD. Presentation at the 1st bi-annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands. Language: English Format: Conference Abstract: Keywords: Complex PTSD DDNOS DID Dissociative Identity Disorder Dissociative Disorder Not Otherwise Specified Hypnosis Accuracy Verified: Yes 339. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir
psikoterapotik yaklaþým: Göz hareketleri ile
duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41. Language: Turkish Format: Journal Abstract: Keywords: Chronic Pain Pain Disorders Pain Psychotherapy Accuracy Verified: Yes 340. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana.. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy Accuracy Verified: Yes 341. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Body-Mind Interaction PNEI Accuracy Verified: Yes 342. Gambuzza, C. (2008, Novembre). L'EMDR in un trauma complesso di PN-PTSD e abuso [EMDR in a complex PN-PTSD trauma and abuse]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Complex PTSD Poster Accuracy Verified: Yes 343. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques. Language: French Format: Other Abstract: Keywords: Gearbox Accuracy Verified: Yes 344. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España. Language: Spanish Format: Conference Abstract: Keywords: Eating Disorders Symposium Accuracy Verified: Yes 345. Miti, G., & Onofri, A.
(2011, Guigno). La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR [Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach]. Cognitivismo Clinico, 8(1), 73-91 . Language: Italian Format: Journal Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 346. Zillhardt, P. (2007, Juin). La thérapie EMDR avec les troubles des comportements alimentaires [EMDR therapy with eating disorders]. Document présenté lors de la réunion de l'Institut Français d'EMDR, Paris, France. Language: French Format: Conference Abstract: Keywords: Eating Disorders Accuracy Verified: Yes 347. Merlis, D. (1998, June 2). Letters. Washington, DC: The Washington Post. Language: English Format: Newspaper Abstract: Keywords: Letter Accuracy Verified: No 348. Merlis, D. (1998, June 2). Letters: The wave of a hand. Washington, DC: The Washington Post, Health, Z04. Language: English Format: Newspaper Abstract: Keywords: Letter Washington, DC Accuracy Verified: Yes 349. Hingorany, S. (2010, July). Long-term treatment effect for pain disorder and eating disorder by using EMDR: A case report. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Case Report Eating Disorders Pain Disorders Accuracy Verified: Yes 350. Kim , N. H. (2010, July). Long-term treatment effect of complex PTSD by using eye movement desensitization and reprocessing: A case report. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Case Report Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Poster Accuracy Verified: Yes 351. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa. Language: English Format: Conference Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods.
[The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.]
This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon.
Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.
Keywords: Dissociative Continuum Ego State Therapy Accuracy Verified: Yes 352. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington
. Language: English Format: Other Abstract: Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing Accuracy Verified: Yes 353. 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 354. Gauvreau, P. (2013, Mai). L’utilisation de la table dissociative dans la Phase 2 préparation [The use of the dissociative table in preparation for Phase 2]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: French Format: Conference Abstract: n Keywords: Dissociation Table Structural Dissociatio Accuracy Verified: Yes 355. Genest, S. (2013, May). Making the complex simple: A hands on workshop to learn a simple and efficient way to organize EMDR client files. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Mind Mapping Techniques Mind Map Process Targeting Accuracy Verified: Yes 356. Knipe, J. (2007, September). Master Series - II. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 357. de Jongh, A., & ten Broeke, E. (2006, November). Masterclass EMDR. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands. Language: Dutch Format: Conference Abstract: Accuracy Verified: Yes 358. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"]
. EMDR Deutschland e.V. Rundbrief, 19, 20-34. Language: German Format: Newsletter Abstract: Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders Accuracy Verified: Yes 359. Kannan, L. (2008, September). Meditation integrated EMDR as an effective technique for post trauma stress: An empirical study. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Meditation Post Traumatic Stress Accuracy Verified: Yes 360. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have
experienced complex trauma. University of St. Thomas. Language: English Format: Dissertation/Thesis Abstract: Keywords: Best Practice Children Trauma Accuracy Verified: Yes 361. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland . Language: Dutch Format: Conference Abstract: Keywords: Borderline Personality Disorder Accuracy Verified: Yes 362. Sultan, K. (2012, October). My mission to Turkey & Libya. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 363. Forgash, C. (2007, September). The negative impact of complex PTSD on health:
an EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Integrated Treatment Phased Treatment Plan Accuracy Verified: Yes 364. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Accuracy Verified: Yes 365. Herbert, C. (2005, June). Neither good nor bad, just perfect as you are! Facilitating emergence of the self. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Emergence of Self Accuracy Verified: Yes 366. Bergmann, U. (2012). Neurobiological foundations for EMDR practice. New York, NY: Springer Publishing Company. Language: English Format: Book Abstract: Keywords: Neurobiology Accuracy Verified: Yes 367. Paterson, M. (2011, March). The neurobiology of EMDR. Presentation at the annual meeting of the EMDR Association of UK & Ireland, Bristol. Language: English Format: Conference Abstract: Keywords: Neurobiology Accuracy Verified: Yes 368. Bergmann, U. (2008, June). The neurobiology of EMDR: Recent findings and insights. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Neurobiology Accuracy Verified: Yes 369. Bergmann, U. (2003, September). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Denver, CO. ;. Language: English Format: Conference Abstract: Keywords: Alan Schore Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurobiology Dissociation Accuracy Verified: Yes 370. Bergmann, U. (2002, June). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Allan Schore Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Neurobiology Steven Porge Accuracy Verified: Yes 371. Hofmann, A. (2009, June 15). New developments in research and application of EMDR. Presentation at the Pre Conference of the 11th European Conference on Traumatic Stress, Olso, Norway. Language: English Format: Conference Abstract: Keywords: Developments Accuracy Verified: Yes 372. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Head Injury Traumatic Brain Injury Posttraumatic Stress DIsorder PTSD Accuracy Verified: Yes 373. Litt, B. (2009, August). Node isolation theory: The eye-zone differential technique. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Eye-Zone Differential Technique Node Isolation Theory Accuracy Verified: Yes 374. Dias, A. N. A. (2012, Novembro). O corpo que adoece x o corpo que sara e EMDR [The body that gets sick and the body that get well with EMDR]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Ankylosing Spondylitis Arterial Hypertension Ménière's Syndrome Accuracy Verified: Yes 375. Hummel, H., & Hase, M. (2013, June). On the road to inner peace - getting past
transgenerational trauma. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Transgenerational Trauma Accuracy Verified: Yes 376. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Personality Disorders Accuracy Verified: Yes 377. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden
. Language: English Format: Conference Abstract: Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 378. Gerge, A. (2008, April). Phase I Preparations of severely traumatized women for exposure by extended
EMDR-protocols in phase II treatment. Presentation at the 1st Bi-Annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 379. Potter, A., & Wesselmann, D. (2009, August). Phase-based trauma treatment of adults with problems of trauma and attachment: DBT and EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: DBT Dialectical Behavior Therapy Accuracy Verified: Yes 380. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: DBT Dialectical Behavior Therapy Stair Accuracy Verified: Yes 381. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: DBT Dialectical Behavior Therapy Stair Accuracy Verified: Yes 382. Park, S.-C., Park, Y.-C., Lee, M.-S., & Chang, H. S. (2012, March). Plasma brain-derived neurotrophic factor level may contribute to the therapeutic response to eye movement desensitisation and reprocessing in complex post-traumatic stress disorder: A pilot study. Acta Neuropsychiatrica. doi:10.1111/j.1601-5215.2011.00623.x. Language: English Format: Journal Abstract: Keywords: Pilot Study Plasma Brain-Derived Neurotrophic Factor Level Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 383. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing
in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels Accuracy Verified: Yes 384. van der Kolk, B. A. (2000). Posttraumatic stress disorder and the nature of trauma. Dialogues in Clinical Neuroscience, 2(1), 7-22. Language: English Format: Journal Abstract: Keywords: Etiology Historical Account Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 385. Melbeck, H. H. (2004, Juni). Posttraumatische belastungsstörung, stressphysiologie station und psychotherapie und itinerant behandlungsansätze [Posttraumatic stress disorder, stress physiology and psychotherapy: Trauma-therapy with in-and out-patients]. Analytische Psychologie, 35 (136) 144-181. Language: German Format: Journal Abstract: Keywords: Emotional Trauma Multimodal Treatment Approach Neurophysiology, Physiology, Posttraumatic Stress Disorder, Psychological Stress PSTD Accuracy Verified: Yes 386. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280. Language: English Format: Journal Abstract: Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness Accuracy Verified: Yes 387. Spierings, J. (2010, June). Power-interweaves: (Non-)cognitive interweaves
for persistent guilt and other
tenacious problems. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Persistent Guilt Power Interweave Accuracy Verified: Yes 388. Aasen, B. (2010, July). Practical work with dissociated parts with EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 389. ten Broeke, E., de Jongh, A., & Oppenheim, H.-J. (2009). Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen [EMDR practice book: Conceptualization and specific patient groups]. Amsterdam, Nederland: Pearson Assessment en Informatie. Language: Dutch Format: Book Abstract: Keywords: Text Book Practice Theory Accuracy Verified: Yes 390. Yoeli, F. R., & Prattos-Spongalides, T.-A. (2003, November). Pre-war anxiety, embedded traumata, dissociative behavior and proactive treatment with EMDR to prevent complex PTSD. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL. Language: English Format: Conference Keywords: Anxiety Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Accuracy Verified: Yes 391. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099. Language: English Format: Journal Abstract: Keywords: Adults Child Abuse Clinical Case Study Complex Empirical Study Females Neglect Postt traumatic Stress Disorder Psychotherapeutic Processes PTSD Review Survivors Treatment Effectiveness Accuracy Verified: Yes 392. Leeds, A. M. (2001, December). Principals and procedures for enhancing current functioning in complex posttraumatic stress disorder with EMDR resource development and installation. EMDRIA Newsletter, 6(Special Edition), 4-11 . Language: English Format: Newsletter Abstract: Keywords: DESNOS RDI Resource Development and Installation Posttraumatic Stress Disorder PTSD Stabalization Accuracy Verified: Yes 393. Fletcher, K. (2000). Pro and con -- Eye movement desensitization and reprocessing. The Child Survivor of Traumatic Stress. Language: English Format: Other Abstract: Keywords: Children Commentary Trauma Treatment Accuracy Verified: Yes 394. Heitzler, M. (2008, June). The processing body: Integrating EMDR & body psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Body Psychotherapy Accuracy Verified: Yes 395. Gonzalez, A., Mosquera, D., & Seijo, N. (2010, April). Processing dissociative phobias with EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: The standard EMDR protocol (SP) was designed for the treatment of simple PTSD, and when it´s used on this cases, EMDR is a very powerful therapy. But when SP is applied on complex trauma and dissociative disorders 20% of patients may become de-compensated. The importance of the stabilization phase has been remarked by different authors. The existent proposals are to use interventions coming from different approaches sometimes enhanced with bilateral stimulation. Standard procedures used for simple PTSD must be adapted and modified for working with dissociative disorders. To do this is important to understand from recent research work what we know about the effects of EMDR therapy. We will try to dynamically integrate these features with conceptualizations coming from the EMDR Adaptive Information Processing Model (AIP) and the Theory of the Structural Dissociation of the Personality (TSDP) TSDP emphasizes the importance of working with dissociative phobias prior to trauma work. In the stabilization phase the work on the phobia of dissociative parts and of attachment (and the attachment with the therapist) is the most important one. We will show with clinic cases the effect of this intervention on improving internal communication and collaboration and overcoming therapist-patient relationship problems. Keywords: Phobias Accuracy Verified: Yes 396. Matthess, H. (2007, June). Profits from the benefit of structural dissociation on the application with EMDR for
complex-traumatized clients. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Complex Trauma Dissociation Accuracy Verified: Yes 397. Gelinas, D. (2009). Protocol for releasing stuck negative cognitions in childhood-onset complex post-traumatic stress disorder (C-PTSD). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 427-446). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Complex Posttraumatic Stress Disorder C-PTSD Negative Cognition Protocol Stuckness Accuracy Verified: Yes 398. Solomon, R., & McGoldrick, T. (2002, June). Protocol for the utilization of EMDR with grief and mourning. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Keywords: Bereavement Grief Mourning Psychotherapeutic Processes Survivors Accuracy Verified: Yes 399. Solomon, R. M., & McGoldrick, T. (2002, June). Protocol for the utilization of EMDR with grief and mourning. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Bereavement Children Murder Grief Mourning Psychotherapeutic Processes Survivors Accuracy Verified: Yes 400. Jarero, I., Roque-López, S., & Gomez, J. (2013). The provision of an EMDR-based multicomponent trauma treatment with child victims of severe interpersonal trauma. Journal of EMDR Practice and Research, 7(1), 17-28. doi:10.1891/1933-3196.7.1.17. Language: English Format: Journal Abstract: Keywords: Children Complex Trauma Integrative Group Treatment Protocol Interpersonal Trauma Multicomponent-Phased Therapy Accuracy Verified: Yes 401. 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 402. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Attachment Posttraumatic Stress Accuracy Verified: Yes 403. Crnobaric, C. O., Milovanovic, S., & Simic, S. (2002 ). Psihoterapija post-traumatskog stresnog poremećaja [Psychotherapy of post traumatic stress disorders]. Engrami - časopis za kliničku psihijatriju, psihologiju i granične discipline, 24(3-4), 123-133. Language: Croatian Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Accuracy Verified: Yes 404. Freeman, C. (2006, July). Psychological and drug therapies for post-traumatic stress disorder. Psychiatry, 5(7), 231-237. doi:10.1016/j.mppsy.2009.06.001. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Drug Treatment Exposure Posttraumatic Stress Disorder PTSD SSRIs Stress-related Disorders Trauma Trauma Psychotherapy Accuracy Verified: Yes 405. Qian, M. (2005, June). Psychological intervention on SARS influence in Mainland China in 2003. 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 SARS Symposium Accuracy Verified: Yes 406. 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 407. Rivas, C. (2013, May). Psychosomatic conditions and EMDR: Applying the basic protocol to complex situations. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Mind-Body Connection Structural Interventions Accuracy Verified: Yes 408. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Cognitive Therapy Disorders of Extreme Stress (DESNOS) Healing Trauma Nursing Posttraumatic Stress DIsorder PTSD Accuracy Verified: Yes 409. Teegen, F. (2000). Psychotherapie der posttraumatischen belastungsstörung [Psychotherapy of post-traumatic stress disorder]. Psychotherapeut, 45(6), 341-349. doi:10.1007/PL00006723. Language: German Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 410. Calero, M., & Cutinella, L. (2012, June). Psychotraumatologic hospitalary unit for severe psychiatric patients and EMDR [Una
unidad
de
psicotraumatología
para
el
tratamiento
con
EMDR
de
pacientes
psiquiátricos
graves
en
un
hospital
público]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Psychotraumatologic Hospitalary Unit Severe Mental Disorders Accuracy Verified: Yes 411. Calero, M. (2011, November). Psychotraumatologic unit for the treatment of severe psychiatric patients in a public hospital in Uruguay. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec. Language: English Format: Conference Abstract: Keywords: Psychotraumatologic Unit Posttraumatic Stress Disorder PTSD Public Hospitals Uruguay Accuracy Verified: Yes 412. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 413. Friedman, M. J. (2000). PTSD diagnosis and treatment for mental health clinicians. In M. J. Scott & S. Palmer (Eds.), Trauma and post-traumatic stress disorder (pp. 1-14) New York: Cassell Books. Language: English Format: Book Section Abstract: Keywords: Diagnosis Posttraumatic Stress Disorder PTSD Treatment Vicarious Traumatization Accuracy Verified: Yes 414. Friedman, M. J. (1996, April). PTSD diagnosis and treatment for mental health clinicians...including commentary by Rosenheck, R. and Fontana, A. Community Mental Health Journal, 32(2), 173-189 [Discussion 191-193]. doi:10.1007/BF02249755. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 415. Tal, K. (2013, February 26). PTSD: The futile search for the “Quick Fix”. Scientific American. Retrieved from http://blogs.scientificamerican.com/guest-blog/2013/02/26/ptsd-the-futile-search-for-the-quick-fix/ on 2/26/2013. Language: English Format: Magazine Abstract: Keywords: Blog Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 416. Farrell, D. (2010, March). A Q-methodology evaluation of EMDR HAP facilitators training
in Pakistan. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Earthquake Europe HAP Q-Methodology Evaluation Pakistan Poster Research Training Accuracy Verified: Yes 417. Soares, C. (2001). Quick cures for trauma memories?. Discovery Health Channel. Language: English Format: Other Abstract: Accuracy Verified: Yes 418. Denicola, J. A. (1993, September). Quick fixes for complex problems?. the Behavior Therapist, 16(8), 218. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 419. Arditi, I. (2009, May). Rafael de Morra: Performance anxiety due to inferiority and cultural difference in "The Bewitched". York University, Toronto, Canada. AAT MR51500. Language: English Format: Dissertation/Thesis Abstract: Keywords: Cultural Differences Performance Anxiety Accuracy Verified: Yes 420. Goransson, I. (2010 ). Rapporter från regionerna, södra,
nya behandlingsmetoder [Reports from the regions, southern, new treatments]. Senior Psykologen, 12(1), 14-15. Language: Swedish Format: Magazine Abstract: Keywords: History Accuracy Verified: Yes 421. Dameshek, L. A. (2008). A recommended process for developing a prototype of a software tool incorporating dual focus of attention with bilateral stimulation to enhance academic outcomes. Prescott College, AZ. AAT 1457010. Language: English Format: Dissertation/Thesis Abstract: Keywords: Dual Focus Eye Movement Software Accuracy Verified: Yes 422. Goldberg, A. (2010, October). Relational affect regulation: An integrative protocol for complex trauma surviviors. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Complex Trauma Relational Affect Regulation Accuracy Verified: Yes 423. Nathanson, D., & Leeds, A. (1998, July). Reprocessing affect: A conversation on convergence in EMDR and affect theory. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Affect Theory Script Theory Accuracy Verified: Yes 424. Hogan, R. C. (2012, April). The resolution of grief by guided afterlife connections. Journal of Spirituality & Paranormal Studies, 35(2), 74-80. Language: English Format: Journal Abstract: Keywords: Afterlife Bereavement Death Grief Therapy Memory Accuracy Verified: Yes 425. Sachsse, U., Vogel, C., & Leichsenring, F. (2002, May). Results of a successful inpatients treatment programme for chronified complex PTSD patients (Predominantly BPD with self-mutilating behaviour SMB). In complex trauma (W. Wöller & M. Jakobsen, Chairs ). Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany. Language: English Format: Conference Abstract: Keywords: Borderline Personality Disorder BPD Complex Posttraumatic Stress Disorder Complex PTSD Inpatient Treatment SMB Self-Mutilating Behaviour Accuracy Verified: Yes 426. Carlson, J., & Chemtob, C. (1997, Spring). The role of "resolute perception" in EMDR: Reply to Linda Waters. Psychotherapy: Theory, Research, Practice, Training, 34(1), 100. doi:10.1037/h0087719
. Language: English Format: Journal Abstract: Keywords: Combat Experience Commentary Letter Military Posttraumatic Stress Disorder PTSD Rapid Reply Veterans Vietnam War Veterans Accuracy Verified: Yes 427. Twombly, J. H. (2001, December). Safe place imagery: Handling intrusive thoughts and feelings. EMDRIA Newsletter, 6(Special Edition), 35-38. Language: English Format: Newsletter Abstract: Keywords: Dissociative Disorders Safe Place Imagery SPI Accuracy Verified: Yes 428. Young, J. E., Klosko, J. S., & Weishaar, M. E.
(2003). Schema therapy: A practitioner's guide. New York: The Guilford Press
. Language: English Format: Book Abstract: Keywords: Schema-Focused Therapy Accuracy Verified: Yes 429. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 430. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 431. Schubbe, O. (2011, June). Self care during the EMDR session: The application of the standard protocol for working with counter-transference. Presention presented at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Countertransference Self-Care Accuracy Verified: Yes 432. Smyth, N.,(Chair), Bath, K., de Jongh, A., Greenwald, R., Lee, C., & Maxfield, L. (2002, June). Setting guidelines for EMDR research: A roundtable discussion EMDRIA research committee. Roundtable discussion at the annual meeting of EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Guidelines Research Accuracy Verified: Yes 433. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders
[Siete
maneras
de
extender
el
protocolo
EMDR
basadas
en
hipnosis
clínica
para
pacientes
con
trastornos
disociativos
complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Hypnosis Accuracy Verified: Yes 434. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Hypnosis Accuracy Verified: Yes 435. Gerge, A. (2012, March). Seven ways to extend the EMDR-protocol from the tradition of clinical hypnosis for clients with complex dissociative disorders. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany
. Language: English Format: Conference Keywords: Dissociative Disorders Hynopisis Accuracy Verified: Yes 436. Taylor, S., Adminson, G., Gordon, J. G., & Carolton, R. N. (2006). Simple versus complex PTSD: A cluster analytic investigation. Journal of Anxiety Disorders, 20(4), 459-472. doi:10.1016/j.janxdis.2005.04.003. Language: English Format: Journal Abstract: Keywords: Adults Canadians Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Symptoms Exposure Therapy Nosology Personality Disorders Random Clinical Trial RCT Relaxation Therapy Somatic Symptoms Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 437. Struik, A. (2011, Févrieri). Sleeping dogs: Stabilisation et EMDR pour enfants et adolescents avec traumatismes complexes
[Sleeping dogs: Stabilizing and EMDR for children and adolescents with complex trauma]. Avc de l' UPC KULeuven, Campus Kortenberg, Belgium. Language: Dutch Format: Other Abstract: Keywords: Adults Children Complex Trauma Accuracy Verified: Yes 438. Taboada, M. J., & Baragaña, M. (2010, April). Some tecniques for emotional regulation with EMDR. Poster presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: The poster will present in graphic vignetes diferent tecnics which will described several intervention with EMDR usig instalation and procesing elements.
Learning Outcomes Keywords: Emotional Regulation Poster Accuracy Verified: Yes 439. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy. Language: English Format: Conference Abstract: Keywords: Refugees Stablilization Accuracy Verified: Yes 440. Neuner, F. (2008, Juli). Stabilisierung vor konfrontation in der traumatherapie -- Grundregel oder mythos? [Stabilization before confrontation in trauma treatment -- Elementary rule or myth?]. Verhaltenstherapie, 18(2), 109-118. doi:10.1159/000134006. Language: German Format: Journal Abstract: Keywords: Confrontation Exposure Posttraumatic Stress Disorder PTSD Stabilization Trauma Accuracy Verified: Yes 441. Vojtova, H. & Hasto, J. (2005). Stabilizačné techniky a EMDR v psychoterapii posttraumatickej stresovej poruchy [Stabilization techniques and EMDR psychotherapy in posttraumatic stress disorder]. Psychiatrie Pro Praxi, 4, 198-200. Language: Slovak Format: Magazine Abstract: Keywords: Eye Movements Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Accuracy Verified: Yes 442. Vojtova, H. (2007, June). Stabilization techniques and EMDR - Two case illustrations. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Case Study Poster Stabilization Accuracy Verified: Yes 443. Saverio, L. I. (2008, June). State of consciousness & paradigm: A comparison between two descriptions of the
processes of change observed in a psychotherapy integrated with EMDR and some contributions
on a unified theory of psychotherapy. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK. Language: English Format: Conference Abstract: Keywords: Poster Unified Theory of Psychotherapy Accuracy Verified: Yes 444. Lopez, G. (2007, Juin). Stress vs trauma/Stress vs trauma [Stress vs. trauma / stress vs. srauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France. Language: French Format: Conference Abstract: Accuracy Verified: Yes 445. Herbert, C. (2002, May). Tales from clinical practice: The treatment of complex trauma using EMDR in conjunction with schema-focused cognitive behavioural therapy approaches. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany. Language: English Format: Conference Keywords: Complex Trauma Schema-Focused Therapy Accuracy Verified: Yes 446. Paulsen, S. L., & Golston, J. (2005, September). Taming the storm: 43 secrets to successful stabilization. Presentation at the annual meeting of the EMDR Interational Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Affect Dysregulation Bridging Theory Stabilization Accuracy Verified: Yes 447. Lovett, J. (2012, October). Targeting confusion to facilitate trauma resolution and promote attachment. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Confusion Accuracy Verified: Yes 448. Engelhard, I. M., van den Hout, M. A., & Smeets, M. A. (2011, March). Taxing working memory reduces vividness and emotional intensity of images about the queen's day tragedy. Journal of Behavior Therapy and Experimental Psychiatry, 42(1), 32-37. doi:10.1016/j.jbtep.2010.09.004. Language: English Format: Journal Abstract:
The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context?
Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion.
It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. E
The accessibility of emotions in children with attachment disorders is known to be complex at best. This
presentation looks at a new method of enabling children disassociating from emotions with severe attachment
disorder and complex, traumatic histories to access emotions using the installation phase of EMDR. For teaching
purposes, this presentation will use real-life cases of 4 attachment disordered children where none of the
children were able to access emotions and were attachment disordered. The children were aged between 12 to
13 years of age and all had a diagnosis of attachment disorder, co-morbid with post traumatic stress disorder.
Most of the children did not experience emotions directly. Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focus on a particular emotion and focus on
where in their body they experienced any feelings, which may be associated to that emotion. The children began
to describe complex emotions, which they had never previously expressed, prior to this. An example of one
child�s experience follows: �I feel sad in my heart. It feels cold � as if someone has smashed it into a thousand
bits��. Following on this, all the children were also encouraged to sit with their new emotions and not to be
afraid of them. One child stated: �It feels good to be sad. When I cry � that stops my heart hurting so much and
the tears make the glue to fix my broken heart.� So far, we have not experienced an unsuccessful outcome;
however, this method is still in the early stages of being developed.
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]
This workshop, heterogeneous and complex disorders, including PTSD, is a highly complex set of diagnostics was traumatized patients focuses on integrating identity status and EMDR. These problems are usually the people who lived and stabilization to establish a therapeutic relationship to work with, management, heterogeneous resistance to influence symptoms and the need for large-scale preparation.
Availability to work with this self EMDR to integrate in the extended protocol, only the heterogeneous symptoms of PTSD and reach can be disposed much more comprehensive results.
Trauma, loss and the related disorders of the effects of empathy and understanding by working with an approach that meets with the patient and help resolve critical issues of our life plan and create.
Workshops open and clear theoretical base, technical innovation and EMDR and ego state work in the field of practical strategies and case presentations will take place.
With these workshops, participants will understand the following topics
1. Self status of the theory of information processing model can be associated with Apate
2. Foundations of the theory of self status
3. EMDR and the status of all Self reasons
4. Separation and stabilization strategies for specific disorders help to manage
5. Processing phase to be resolved in EMDR trauma provider of advanced techniques assemblies
This workshop will focus on the use of EMDR in the treatment of patients who span the dissociative spectrum. The participants will learn how to understand dissociative process from simple to complex dissociation and how to utilize EMDR in their treatment. This presentation will discuss dissociative process from the Adaptive Information Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the ‘Red Flags’ of treatment concerns; the differential diagnoses of dissociation – from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; and therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this highly traumatized population of individuals.
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.
The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.
The potential benefits of the use of a permissive style of clinical hypnosis as a therapeutic medium to enhance eye movement desensitization and reprocessing (EMDR) trauma treatment are explored. A comparative review of hypnosis and EMDR is provided, including putative psychophysiological mechanisms for both. A rationale for integrating clinical hypnosis with EMDR treatment is presented. It is suggested that hypnosis primarily enhances the accessibility of traumatic information while EMDR primarily enhances the reprocessing of traumatic information and that accessibility and reprocessing are reciprocal features. The relative and combined merits of hypnosis and EMDR for resource development are discussed. The author proposes that clinical hypnosis may be incorporated into EMDR without necessarily modifying the eight-stage EMDR protocol apart from modifications that are indicated for special conditions. Three case vignettes are used to illustrate the integrative use of clinical hypnosis and EMDR in the treatment of adults who experienced childhood abuse.
Em uma família com estrutura complexa: a mãe vive há 14 anos durante o dia com o companheiro que é casado com outra mulher (com quem passa as noites) e teve dois filhos desse relacionamento. Importante ressaltar que a mãe vivia nas ruas e teve uma nova chance ao ser acolhida por uma madrinha. A menina, de dois anos, adoeceu e faleceu vítima de leucemia. O menino, de seis anos, passou a apresentar comportamento agressivo na escola, dificuldade de aprendizagem, dispersão e insônia. A madrinha foi quem procurou o EMDR por telefone. Com seis sessões, intercalando atendimentos à mãe e à criança, com uso de EBs auditivos para a mãe e EBs visuais para o segundo, desenhos para ambos, relato de sonhos, e na última sessão com mãe e filho, com o uso de um ritual de despedida com a linha do tempo. Nesta última, contaram sobre as melhoras do menino em dormir e em seu aproveitamento escolar. Aproveitaram para dizer que os sonhos continuavam encaminhados e estavam finalmente começando a dar certo.
In a family with complex structure: the mother lives 14 years ago during the day with a partner who is married to another woman (who spends his nights) and had two children from that relationship. Importantly, the mother lived on the streets and had another chance to be accepted by a sponsor. The girl, two years old, fell ill and died of leukemia. The boy, six years old, began to show aggressive behavior in school, learning difficulties, insomnia and dispersion. The godmother was the one who tried EMDR by phone. With six sessions, alternating visits to the mother and child, using EBs hearing for the mother and for the second visual EBs, drawings for both reporting of dreams, and last sessions with mother and child, with the use of a ritual farewell to the timeline. In the latter, told the boy about the improvements in sleep and in their school. Took the opportunity to say that dreams were still underway and finally starting to go right.
Objetivo: Compartilhar a remissão dos sintomas da Síndrome da Fibriomialgia, com a Intervenção Psicoterapêutica EMDR – Dessensibilização e Reprocessamento através de movimentos oculares. R.M.S. iniciou seu tratamento psicoterapêutico em Outubro de 2010, na Abordagem Cognitiva Comportamental. R.M.S. nasceu em 23/06/1957, estava com 53 anos, viúva, tem duas filhas, uma solteira a outra casada. Sofria um luto há mais de três anos porque não aceitava a morte do marido. Apresentava Depressão e Ansiedade, e outras comorbidades: Anorexia Nervosa, Lúpus, Síndrome de Fibriomialgia. De Outubro de 2010 a Dezembro de 2011, a Intervenção Psicoterapêutica em TCC foi associada à medicação psicotrópica com a qual conseguiu redução dos sintomas depressivos. Fazia uso de outros medicamentos para a Síndrome da Fibriomialgia, Lúpus, assim como recorrentes internações em hospital de Clinica Médica Geral para a realização de procedimentos para a redução da dor intensa no corpo (Síndrome da Fibriomialgia) e de intervenção aos sintomas da Anorexia. Após um período de férias, entraram em contato comigo informando que a paciente estava hospitalizada permanecendo duas semanas com a hipótese diagnóstica de câncer, o que na sequência não foi confirmado, tendo recebido alta hospitalar. A dor intensa no corpo, a dificuldade para respirar permaneciam iguais. Solicitou o retorno para a psicoterapia, quando foi sugerido sobre a Intervenção Psicoterapêutica EMDR. As sessões foram realizadas conforme protocolo do EMDR. Para o Planejamento das Sessões o foco incial era a Síndrome de Fibriomialgia. Foi pedido à paciente para definir onde ela sentia mais dor no corpo, e de imediato mencionou a dificuldade para respirar, com a queixa de dor no peito. Nesta primeira sessão, ocorreram dessensibilização e reprocessamento rapidamente, tendo a mesma solicitado para trabalhar os braços. As sessões foram realizadas duas a três vezes na semana, e ao longo deste processo podem ser ouvidas frases tais quais: “Como pode passei por tantos médicos e estou sendo curada com por uma psicóloga” (sic); “Gastei com tanto medicamento, aqui com você não tomo remédio e não estou sentindo mais dor no meu corpo” (sic). A terapia prossegue a Intervenção Psicoterapêutica EMDR.
Objective: Share remission Syndrome Fibriomialgia, Psychotherapeutic Intervention with EMDR - Desensitization and Reprocessing through eye movements. R.M.S. began her psychotherapeutic treatment in October 2010, Cognitive Behavioral Approach. R.M.S. born on 06.23.1957, he was 53 years old, a widow, has two daughters, one married another maiden. He suffered a bereavement for over three years because they did not accept her husband's death. Presented Depression and Anxiety, and other comorbidities: Anorexia Nervosa, Lupus, Fibriomialgia Syndrome. From October 2010 to December 2011, Psychotherapeutic Intervention in CBT was associated with psychotropic medication which could reduce depressive symptoms. Made use of other medications for Fibriomialgia Syndrome, Lupus, as well as recurrent hospital admissions in Medical Clinic General to carry out procedures for the reduction of pain in the body (Fibriomialgia Syndrome) and intervention for symptoms of Anorexia. After a vacation, contacted me stating that the patient was hospitalized two weeks remaining in the diagnosis of cancer, which as a result was not confirmed, having been discharged. Severe pain in the body, difficulty breathing remained the same. Requested the return for psychotherapy, when it was suggested on EMDR Psychotherapeutic Intervention. The sessions were performed according to the protocol of EMDR. Planning sessions for the initial focus was Fibriomialgia Syndrome. The patient was asked to define where she felt more pain in the body, and immediately mentioned the difficulty breathing, complaining of chest pain. In this first session, desensitization and reprocessing occurred rapidly, with the same request to work the arms. The sessions were held two to three times a week, and during this process can be heard phrases such as: "How can so many doctors and I'm being healed by a psychologist with" (sic), "I spent with both medicine here I do not take medication with you and I'm not feeling more pain in my body "(sic). The therapy continues Psychotherapeutic Intervention EMDR.
This workshop will review the significance of using cognitive interweaves within EMDR and underline why they are an essential part of the EMDR clinician's psychotherapeutic repertoire. However In complex trauma cases often process cognitive interweaves are insufficient and therefore more elaborate ones are needed in the form of content interweaves and relational interweaves. Consequently this workshop will revisit the utilisation and elaboration of using cognitive interweaves in EMDR.
Dual attention is necessary for successful EMDR trauma reprocessing. This implies the client has sufficient time
orientation, knowing the feelings are from a memory and the event is not happening now. Complex trauma and
PTSD’s component of flashbacks and reliving requires that clinicians have a myriad of time orientation skills
readily available when needed. EMDR therapists need to be especially attentive to this issue because of the
high intensity of affect EMDR can stimulate. This 90 minute workshop will teach the art and intricacies of time
orientation within an EMDR framework. Lecture, case transcripts and video clips will show the power, depth and
art of time orientation skills. Learning Objectives:
• Describe the theoretical reason why time orientation skills are
• Necessary when using EMDR with PTSD and complex trauma
• Describe the EMDR Standard Protocol Phase where the majority of time orientation interventions are used.
• Describe 5 ways to time orient a client
• Understand the power of time orientation to stabilize a client when using EMDR.
EMDR is a complex, time efficient and powerful method of psychotherapy that integrates many of the most successful elements of a wide range of therapeutic approaches, even long-term Freudian analysis. The procedure involves having the client focus intensively on the traumatic memory while moving the eyes rapidly from side to side, by visually tracking the therapist's moving hand. This seems to render the traumatic memory accessible to the healing resources of the rest of the personality, where it may be worked through and integrated. In addition, it uses eye movements or other forms of rhythmical stimulation. such as taps or tones, in a way that seems to assist the brain's information-processing system to processed at a rapid rate. Special protocols may be used for a single traumatic event, current anxiety and behaviour, recent traumatic events, phobias, excessive grief, illness and somatic disorders and different forms of addictions. Protocols include the sequence of progressing on a particular target. EMDR as an integrative
approach starts from the moment the client enters through the door. Although
called Eye Movement Desensitisation and Reprocessing, directed eye
movements (where the eye movement is given a direction by tracking with
two fingers) is only one form of stimulation used as a part of its complete methodology. Other forms of stimulation include bilateral auditory stimulation and alternate hand tapping. It is an innovative clinical treatment for victims of trauma. Francine Shapiro introduced it in 1989 and a large number of clinicians worldwide have been trained in the method. Francine Shapiro defines "the goal of EMDR is to achieve the most profound and comprehensive treatment effects possible in the shortest period of time, while maintaining client stability with a balanced system" (Shapiro, 2001).
Theoretical background: The teaching of a “safe place installation protocol” forms part of the standard EMDR training and for my EMDR practitioners and consultants alike it belongs to their repertoire of EMDR treatment techniques. Such a protocol requires clients to access and identify with an experienced place of safety in their lives. Complex (i.e., Type II) trauma clients, as well as other clients which have not been able to build a secure, positive sense of inner self, as a result of their unsafe experiences during most of all of their life, however, may find it very difficult to access and identify a safe place, which they can draw on during the use of EMDR safe place installation protocol. The standard safe pace installation protocol therefore frequently does not work for these clients. Yet, it is suggested in this presentation that access to the inner ‘safe place’ resource can be of particular therapeutic benefit for this client group. In recognition of the need for such a resource, Dr. Herbert has developed an alternative version of an EMDR-based safe place installation protocol, which draws on all sensory modalities (involving, cognitive, emotional and somatic systems) that will work with clients who have no known prior access to a place of safety in their lives.
Aim of presentation: The conference audience will have the unique opportunity to experience Dr. Herbert’s safe place installation protocol’ during an in-vivo EMDR demonstration session. Suggested variations of the protocol tailored to individual client differences and clinical applications for the use of such a resource with this client group will also be explored. The latter will include use of the protocol as an inner anchoring point that clients can access and connect to in situations of crisis in their daily life and as an aid to facilitate the rebalancing of nervous system functioning.
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
One of the fascinating developments in mental health care in the last decade has been the appearance of specific psychotherapies for various psychiatric illnesses. Perhaps the best known of these is dialetical behavior therapy (DBT), pioneered by Linehan and colleagues for borderline personality disorder and consisting of rigorous group and individual cognitive-behavioral therapy within an empathetic and validating psychotherapy setting. Another is eye-movement desensitization and reprocessing (EMDR), described by Shapiro and coworkers as a treatment for PTSD and other anxiety disorders.The following case study involves a patient in a team-treatment setting who benefitted significantly from the use of DBT and EMDR, as well as a complex psychopharmacology regimen, after receiving an extensive battery of psychological tests. The clinicians who were involved with the patient will discuss the aspects of her care for which they were responsible. We do not endeavor to isolate which modality was the "right" one; rather, we are looking at the manner in which each potentiated the others. [Introduction] [Pilots]
This chapter focuses on EMDR-enhanced therapeutic protocols to treat individuals whose painful life experience is separated from consciousness by complex defensive structures, particularly those associated with narcissistic and avoidance defenses.In many of the clients I have worked with, the healing power of EMDR is prevented or impaired by unresolved positive feelings that block the client's full awareness of the negative experience associated with trauma. This can occur when the overall complex of posttraumatic images, self-defeating cognitions, unpleasant feelings and sensations (what Francine Shapiro calls the unprocessed "memory network") contains embedded strong positive affect that is highly valued by the client. In the case of a person with narcissistic defenses, the positive material may block awareness of negative memories, especially if the positive experience occurred in the larger context of trauma and neglect. In such instances the positive part of the experience is idealized through selective memory and strengthened in intensity, because it serves as a defense against the core PTSD. The negative part of the memory is partially or wholly dissociated and is thus less accessible to processing. [Adapted from Text, pp. 232, 233-234]
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress
disorder (PTSD), is currently recognized as a treatable condition. It is considered the
paradigmatic dissociative disorder and carries with it extreme posttraumatic
symptomatology which lends itself to be an apt target for treatment combining the use of
EMDR and hypnosis. Therapists skilled in the treatment of DID and Dissociative Disorder
Not otherwise specified (DDNos) have augmented their therapeutic arsenal with the fluent
uses of hypnosis for stabilization, affect management, building a safe place and
grounding. EMDR, which has come to the forefront of clinical awareness in the last fifteen
years, seems well suited for the treatment of trauma, but can be destabilizing. The
presenters recommend a protocol, called Wreathing Protocol, for the imbricated use of
EMDR and hypnosis in the treatment of not only DID, but also DDNOS and complex
chronic PTSD. The Wreathing Protocol is useful to advanced clinicians skilled in both
modalities independently. This workshop will explain and illustrate with a clinical vignette
the sequential steps of the Wreathing Protocol; it will describe the required contextual
treatment frame for its safe use. The presenters will explore the consequences of the
premature uses of EMDR and offer planful structured responses to a disequilibrated
treatment and a destabilized patient. The clinical implications of the use of the Wreathing
Protocol will be discussed.
Learning objectives:
1. Name three prohibitions to the use of EMDR in the treatment of dissociative
disorders.
2. Exemplify one target symptom of the BASK model of dissociation in the clinical
example presented and relate a different one in one of your own patients.
3. Describe a potential multistep Wreathing Protocol sequence from selection of
target to resolution of at least one microsymptom in a patient of your choice.
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.
Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi.
“E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929).
Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6
consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche.
Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione.
Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione.
Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza.
L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD.
7
Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali.
Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto.
Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti.
Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto.
Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.
In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute.
Tre gli elementi salienti offerti dalla ricerca:
1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni.
2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari.
3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente.
Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce.
Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle
interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico).
A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali.
Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa.
Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione.
Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio.
E questo è un punto di forza notevole per l’EMDR.
I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008).
L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).
In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems
complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment
able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that --
relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a
"Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of
neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008).
EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).
Propongo il caso di S. perché il PN-PTSD è poco diagnosticato e perché, attraverso una variante tecnica al floatback, il floatback-floatforward sulla timeline, sono riuscita ad aggirare la dissociazione post traumatica, a identificare i vari alter dissociati e a integrarli nella persona con l’uso del protocollo standard dell’EMDR.
A sedici anni S. fu portata in studio dai genitori che l’avevano sorpresa a inalare i fumi dell’eroina; oggi ha diciotto anni e non si droga più da quel giorno.
Guardandole le braccia piene di cicatrici mi resi conto che S. ricorreva alla pratica dell’autolesionismo, ma i genitori non se ne accorgevano.
Qual era il segreto custodito gelosamente dalla famiglia?
La storia di S. si articola intorno a due traumi: il PN-PTSD e l’abuso.
Dal trauma perinatale e dalla percezione in utero degli stati emotivi depressivi della madre sono scaturiti disturbi nell’attaccamento e, per la mancanza di mirroring e di sintonizzazione affettiva, sono falliti i processi d’internalizzazione che portano all’identità.
S. era consapevole del trauma dell’abbandono ma non dell’abuso, che definiva come un “pozzo nero impenetrabile”.
Per affrontare il trauma che minacciava la sopravvivenza, S. faceva ricorso in maniera invasiva a un meccanismo di coping: la dissociazione dell’oggetto e del Sé. Mettere in un alter l’abuso consentiva a S. di mantenere l’attaccamento ai membri della propria famiglia che avevano abusato di lei o attivamente, o passivamente con la complicità del silenzio.
Usando la scala Des non ho riscontrato risultati significativi sulla dissociazione, invece con la SCID-LIST ho rilevato valori alti.
L’autolesionismo può rappresentare l’odio per il corpo che ha subito l’abuso senza ribellarsi, o, come dice S., “un modo per punirsi della colpa di esistere o di infliggersi una sofferenza fisica per coprire l’angoscia di morte”.
L’EMDR ha rappresentato la sfida.
Propose the case of S. because the PN-PTSD is poorly diagnosed and because, through a variant technique to floatback the floatback-floatforward on the timeline, I managed to circumvent the Post traumatic dissociation, to identify the various alter-differentiated and integrate them in person using the standard EMDR protocol. At sixteen, S. was brought to the study by parents who had found to inhale the fumes of heroin; Today is eighteen years and not more drugs that day. Looking at the arms full of scars I realized that St. resorted to the practice of self, but the parents did not noticed. What was the secret guarded jealously by the family? The story of St. focuses on two traumas: the PN-PTSD and abuse. Since perinatal trauma and perception of emotional states of depression in the uterus of the mother are resulting in attachment disorders and the lack of mirroring and affective attunement, failed processes of internalization that lead to identity. S. was aware of the trauma of abandonment but not the abuse, which defined as a "well
impenetrable black. To deal with the trauma that threatened the survival, S. was used in an invasive manner coping mechanism: the dissociation of object and self. Putting an alter abuse allowed S. to maintain the attachment to family members who had abused her or actively, or passively with the complicity of silence. Using the scale Des I have not found significant results on the dissociation, but with the SCID-LIST I observed high values. The SIB may represent the hatred of the body that has suffered abuse without rebelling, or, as Saint, "a way to punish a fault to exist or to inflict physical pain
cover the anguish of death." EMDR has been the challenge.
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une
rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite
enfance sont de nature préverbale et restent de ce fait implicites. Devons-‐nous pour autant renoncer à travailler en EMDR ? Est-‐il possible de travailler en
EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie
avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.
EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major
termination of treatment. Often, many targets, especially those of small
preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work
EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy
with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la
bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte
impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y
multifactorial que exige una atención y actuación que incluya los aspectos clínicos,
familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato
físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009).
Los profesionales que trabajan con TCA disponen en el EMDR de un modelo
psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta
comunicación es el explicar como se puede trabajar con EMDR para poder tomar
conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.
The feeding behavior disorders (ED), one of which is anorexia and
bulimia nervosa, are an emerging health problem that has a strong
impact on our society. The problem of these disorders is as varied and
multifactorial requiring attention and action, including the clinical,
family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse
physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009).
Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this
communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.
Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.
The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.
Si les troubles des comportements alimentaires
(TCA) sont considérés par de nombreux auteurs
comme une pathologie addictive du fait de schémas
comportementaux et d’un support neurobiologique
comparables aux autres dépendances (substances
ou comportements), l’accord paraît unanime pour
y voir une réponse spécifique à un modèle biopsychosocial.
Un tel modèle implique : des facteurs inducteurs
et déclencheurs, et des facteurs facilitants
et de pérennisation.
Par exemple, des travaux récents mettent l’accent
sur la prépondérance de facteurs socio-culturels indissociables
des forces médiatiques actuelles. L’importance
de ces derniers facteurs se fait particulièrement
ressentir depuis la seconde moitié du 20ème
siècle et pourrait aller « crescendo ».
En outre, la problématique des TCA est rendue plus
complexe par l’existence d’une lourde comorbidité
dont les éléments pathologiques sont autant causes
que conséquences. Notons que 40% des patients
souffrant de TCA ont eu, à un moment de leur vie,
un PTSD. Nous, praticiens, ne sommes pas étonnés
de constater que bon nombre de ces patients souffrent
d’une altération notable de leur identité.
Le caractère dit « synclétique » de la thérapie EMDR
permet une approche intégrative dans le traitement
des TCA : un aspect cognitif indéniable, le processus
associatif induit par les stimulations alternées
met souvent en lumière des matériaux reflétant des
conflits intrapsychiques plus ou moins archaïques.
Le travail portant sur l’imagerie mentale ou les états
dissociés du moi peut aussi être associé dans les cas
difficiles de patients souffrant de TCA.
Le travail d’anamnèse et l’approche phénoménologique
jouent un rôle primordial dans l’approche
EMDR des TCA.
L’un des aspects forts de la thérapie EMDR est
l’identification de « clusters possibles » représentatifs
des thématiques inductrices des souffrances et
des symptômes inhérents à l’expérience de vie tragique
de ces patients. Le plan de la thérapie est bien sûr personnalisé pour chaque patient.
If the eating disorders
(TCA) are considered by many authors
pathology as a result of addictive patterns
behavioral and neurobiological support
comparable to other addictions (substances
or behavior), the agreement seems unanimous
see a specific response to a biopsychosocial model.
Such a model implies: inducing factors
and triggers, and facilitating factors
and sustainability.
For example, recent studies emphasize
on the balance of socio-cultural factors inseparable
forces current media. The importance
of these factors is particularly
experience since the second half of the 20th
century and could go "crescendo".
In addition, the problem of TCA is made more
complex by the existence of a heavy comorbidity
whose elements are all pathological causes
the consequences. Note that 40% of patients
with TCA had, at some point in their lives,
PTSD. We practitioners are not surprised
to note that many of these patients suffer
a significant change of their identity.
The character says "Syncletica" of EMDR
provides an integrative approach in the treatment
CAW: a cognitive undeniable, the process
associative stimulation induced by alternating
often sheds light reflecting materials
intrapsychic conflicts more or less archaic.
The work on mental imagery or statements
dissociated ego can also be associated in the case
difficult patients with TCA.
Work history and the phenomenological approach
play an important role in the approach
EMDR CAW.
One of the strengths of EMDR is
identifying "clusters possible" representative
inducing themes of suffering and
symptoms inherent in the tragic experience of life
of these patients. The plan of therapy is of course customized for each patient.
The Wave of a Hand "Can Trauma Be Relieved By the Wave of a Hand" {Cover Story, April 21} was a disappointment in that it failed to inform the reader about many important developments taking place not only related to Eye Movement Desensitization and Reprocessing (EMDR) therapy but in the neurosciences in general. Many leading traumatologists are using EMDR and endorse it as an important part of the multi-modal treatment of complex traumatic stress disorders. The article included a statement, "desperate people believe in desperate things," that is very disrespectful of the many thousands of trauma victims who have suffered and found relief with EMDR treatment. EMDR is not a magical and painless process. The individuals who have used EMDR to recover have worked very hard in their treatment. They should be acknowledged for their courage and determination. And far from being member of a "charismatic cult," as the story suggested, clinicians who use EMDR care are considerably diverse in terms of their theoretical orientation and world views.
"Can Trauma Be Relieved By the Wave of a Hand" {Cover Story, April 21} was a disappointment in that it failed to inform the reader about many important developments taking place not only related to Eye Movement Desensitization and Reprocessing (EMDR) therapy but in the neurosciences in general. Many leading traumatologists are using EMDR and endorse it as an important part of the multi-modal treatment of complex traumatic stress disorders.
This case received an integrated approach treatment mainly composed of eye movement desensitization and reprocessing
(EMDR) and Resource Development. The patient did not respond to the previous treatment with psychotropic medications
and supportive psychotherapy.
Thirty sessions of EMDR treatment were done for the patient. Psychological assessments were conducted before starting
the treatment, after 5 months of treatment (mainly using EMDR ), the pain had disappeared completely. Binging Episodes
had reduced to nil. The antidepressant medication had been maintained through the treatment. After the treatment, the
patient improved on all the psychological scales and behavioural measures. This case suggests that the integrated approach
treatment using EMDR may be effective for complex Pain Disorders and Eating Disorders
People who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological
disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complex
PTSD). The author reports a case of the successful sequential integrative treatment mainly composed of eye movement
desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment
with psychotropic medications and supportive psychotherapy. Nineteen sessions of EMDR treatment were done for the
patient. Psychological assessments and behavioral measures were performed before starting the treatment, after 4 months of
treatment (mainly EMDR treatment), after 17 months of treatment (mainly supportive psychotherapy integrated with EMDR
treatment for 13 months) and after 32 months of treatment (supportive psychotherapy for 15 months). The antidepressant
medication had been maintained through the treatment. After the treatment, the patient improved on all the psychological
scales and behavioral measures. This case suggests that the sequential integrative treatment using EMDR may be effective
for complex PTSD patients.
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon.
Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.
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.
Lorsque nous travaillons avec des clients souffrant de TSPT Complexe, il est souvent fort utile des les aider à
accéder et identifier les différents états du moi, ces parties émotionnelles qui portent les réseaux de mémoires
contenant les souvenirs traumatiques/matériel dysfonctionnel. Cet atelier vise à présenter la Table dissociative
de Fraser comme outil de travail. Ce “lieu de rencontre interne” devient un endroit sécuritaire où les états du moi/
parties émotionnelles peuvent communiquer entre elles, facilitant la stabilisation, le renforcement de l’égo et la
préparation au travail de retraitement EMDR. Cette présentation se fera par le biais de matériel didactique et de
démonstrations video.
Objectifs d’apprentissage:
• Introduction aux principes généraux de la dissociation structurelle dans les cas de traumas complexes
• Apprendre un scripte afin de mettre en pratique la table dissociative
• Apprendre à mettre en place des stratégies de préparation et stabilisation via la table dissociative
When we work with clients with complex PTSD, it is often useful to help
access and identify the different ego states, those parts that carry the emotional memory arrays
containing traumatic memories / equipment dysfunctional. This workshop aims to present the dissociative Table
Fraser as a working tool. This "internal meeting place" becomes a safe place for ego states /
emotional parts can communicate with each other, facilitating stabilization, strengthening the ego and the
job readiness EMDR reprocessing. This presentation will be through educational materials and
video demonstrations.
Learning Objectives:
• Introduction to general principles of structural dissociation in the case of complex trauma
• Learn a script to put into practice the dissociative table
• Learn to develop preparedness strategies and stabilization via the dissociative table
This workshop will teach you a simple and efficient way to organize any EMDR client file no matter how complex.
Mind mapping can lower overwhelming complexity of case files. This process was developed to help me with
efficient case planning. I will teach you how to keep track of targets, client resources, themes, connections
between targets, etc. while also providing a quick reference guide and way to plan sessions. Additionally, it
provides clients with feedback on what has been accomplished and is yet to complete. Clients have commented
that these maps have encouraged them as they can see clearly what they have completed, their strengths and
resources, and themes in their life. They also understand that as their therapist, I have a thorough understanding.
It also provides the therapist with a process to clarify where consultation is needed. Please bring a client file in
which you have permission to receive colleague consultation. A real client file will be provided for those who wish
not to bring a client file. Learning objectives:
• To learn an efficient and simple way to organize client files with mind mapping techniques
• To enhance case planning by identifying areas to be addressed through the re-organization of a file
• To review the EMDR protocol through the mind map process
Often a client’s clinical picture includes somatic symptoms that are part of the sequelea of traumatic experience, but which are regarded by the client as outside the domain of psychotherapy. Examples would include physical pain, difficulty in breathing, and odd, atypical physical sensations. There are times when these types of symptoms provide the best point of access to memory networks holding unresolved traumatic material. In this presentation, video segments will illustrate the case conceptualization, treatment planning and course of treatment for several clients with complex Post-Traumatic Stress Disorder.
De uitvoering van EMDR kent zo zijn lastige kanten, bijvoorbeeld omdat het proces niet op gang lijkt te komen, of omdat het scherpstellen niet gemakkelijk gaat. In veel gevallen heeft dat te maken met een gebrek aan ervaring met de unieke dynamiek van EMDR als informatie-verwerkingsmethode, maar vaak ook ligt de oorzaak in het niet optimaal toepassen van het protocol.
In deze bijeenkomst wordt een overzicht gegeven van - en uitleg gegeven over - veelvoorkomende EMDR ‘fouten’ en moeilijkheden. De deelnemers krijgen tips en instructies om geblokkeerd gewaande processen weer op te starten, ook bij complexe patiëntenpopulaties. Uitgebreid wordt ingegaan op het conceptualiseren van casus voor de toepassing van EMDR, onder andere aan de hand van video-opnamen. Van de deelnemers wordt gevraagd hun eigen vragen en problemen met de EMDR procedure in te brengen om van deze masterclass een levendige bijeenkomst te maken.
The implementation of EMDR knows its tough edges, such process will not start because it seems to be, or because the focus is not easy. In many cases, this has to do with a lack of experience with the unique dynamics of EMDR as an information processing method, but often the reason lies in not fully implement the protocol.
In this session gives an overview of - and explanations are given - EMDR common 'mistakes' and difficulties. Participants receive tips and instructions for processes blocked supposed to restart, even in complex patient populations. Extensively discusses the conceptualization of case for the application of EMDR, including using video recordings. Participants are asked their own questions and problems with the EMDR procedure to bring this master of making a lively meeting.
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung.
Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)
Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment.
In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).
It is essential to adapt EMDR to the culture specific complex demands of family trauma among Asian Indians. This presentation highlights empirical data on the effectiveness of an innovative technique i.e. Meditation Integrated EMDR (MIE) (Vipassana Mindfulness meditation + pranayama + EMDR) with those undergoing post trauma disorders after a family trauma. It introduces the participants to the theoretical basis and techniques of both MIE and EMDR, its adaptations and trains participants to apply to clients. The impact of therapy on SE, LOC, coping styles and overall QOL and their role as predictors of recovery is emphasized. Thus, participants gain a powerful strategy for the holistic treatment of familial trauma like divorce, infidelity, grief, domestic violence.
Complex trauma in early childhood has the ability to impact a child’s development in
multiple domains, thus influencing development throughout the rest of their life. The
purpose of this study was to explore best practices with children who have experienced
complex trauma from the perspective of mental health professionals, with a focus on
children between the ages of three and five. Qualitative interviews were conducted with
six mental health professionals who were asked to discuss the presentation, interventions,
and outcomes of a case where the child experienced complex trauma. Consistent with
previous literature, all participants in this study reported self-regulation deficits and
relational impairments for the case they discussed. Additionally, all six participants
utilized play therapy and expressed the importance of collaboration with other adults and
systems in the child’s life in order for treatment to be successful, exemplifying the need
to utilize an ecological approach. Other practices used by professionals included
Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational
interventions such as including the parents/caregivers in treatment, addressing the
attachment needs, and coaching parents. Overall, participants utilize a combination of
approaches and interventions in order to provide best practices, always emphasizing
safety, attachment, and development.
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS.
De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.
Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD.
The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
This presentation covers my mission to Turkey during February 2012, and Libya during April 2012. I am a Psychiatrist practising EMDR and living in Yorkshire and originating from Syria. My mission to Turkey resulted in diagnosing and successfully treating fifteen cases of PTSD with EMDR treatment as well as an additional seven cases of clinical depression. In addition I was able to review clients with several other psychiatric disorders. My mission to Libya resulted in assessing and treating around forty patients with PTSD with or without depression, Psychotic illnesses, autistic spectrum disorder, learning disability, phobias, and depression with bereavement. I can report that 32 of the 40 cases resulted in significant improvement.
EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with
current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma
survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative
disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of
adult CTS. Second, there are specific health problems predominant in this population which often are untreated,
misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health
needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good
health care may be minimal for this population. This presentation will focus on the development of an EMDR
treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized
Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage
triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze,
hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these
problems, (these may include iatrogenic events and specific physical problems seemingly related to current
health problems, which actually result from early trauma); and become assertive health consumers. Skills
development needed by the CTS to become empowered and competent health consumers, such as rehearsal,
identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]
Clients with traumatic childhood experiences and subsequent diagnoses of
Personality Disorder, hold self-identities that may have had adaptive, survival
enhancing functions during their upbringing, but may now be hindering and
even damaging. As babies their needs for secure attachment and nurturing
may have been compromised and as children they may not have
experienced unconditional love and acceptance of themselves. As adults,
they may carry internalized self-images about either being intrinsically 'bad'
or having to be especially 'good' in order to be accepted, valued and
loved by others. Subsequently, their Behaviour and their relationships with
others are determined by a distorted view of themselves, often causing
them to lead lives that involve great compromise and further suffering. They
may struggle with their capacity to regulate affect (Siegel, 1999: Shore, 1994,
1996). experiencing little self-control over their various fluctuating mood
states. The aim of this workshop is to introduce clinical techniques, involving
the interweave between EMDR and Schema-focused, cognitive
approaches, which help clients build a more secure and 6nctionally
positive sense of Self with healthy mechanisms of affect regulation. Based on current research, clinical practice and Herbert's (2002, 2003) therapeutic
framework for working with complex trauma, this workshop will focus
especially on two therapeutic ingredients for this work. One is the quality of
the therapeutic relationship as a necessary transitory phase for healthy
dependency in the client and the second is 'inner child' work as a method to
help clients modify and re-script their distorted images of self and repair
ruptures in their attachment relationships.
This volume introduces the most current research about the neural underpinnings of consciousness and EMDR (eye movement desensitization and reprocessing) in regard to attachment traumatic stress and dissociation. It is the first book to comprehensively integrate new findings in information processing, consciousness, traumatic disorders of information processing, chronic trauma and autoimmune compromises, and EMDR's underlying mechanisms of action.
The text examines online/wakeful information processing, including sensation, perception, somatosensory integration, cognition, memory, language and motricity, and off-line/sleep information processing, such as slow wave sleep and cognitive memorial processing, as well as REM/dream sleep and its function in emotional memory processing. The volume also addresses disorders of consciousness, including coma, anesthesia, and other neurological disorders, particularly disorders of Type 1 PTSD, complex PTSD/dissociative disorders, and personality disorders. It delves into chronic trauma and autoimmune function, especially in regard to diseases of unknown origin, and examines them from the perspective of autoimmune compromises resulting from the unusual neuroendocrine profile of PTSD sufferers. The final section integrates all material to illustrate the ability of EMDR's bilateral neural stimulation to impact, mediate, and change the functioning of neural circuitry, thereby facilitating repair in the linking and binding of neural networks.
The study of traumatology is increasingly more reliant on an understanding of the neurological
and biological mechanisms involved. It is a complex area for many people working with trauma
who have not had a background in human biology. So often presentations on neurobiology and
trauma are complex and focus on a specific topic thus never giving the overall picture.
This presentation will take delegates through the field of trauma, initially giving a good
understanding of how we acquire traumatic memories. It will go on to explain what the body does
to compensate for hyperarousal, and will outline the impact on brain development of early life
trauma and neglect. The paper will conclude with a description of the neurobiology of dissociation.
There will be an opportunity for questions and discussion.
Prior presentations focused on EMDR’s ability to activate REM-sleep systems and to mediate frontal lobe
activation. New research on the Thalamus and thalamo-cortical-temporal-binding and Somato-sensory
integration will be introduced. Accordingly, new speculations will be offered regarding EMDR’s ability to
reset/repair the impairment in thalamic functioning that is inherent in PTSD. This presentation will, also,
introduce more recent research, contrasting thalamic impairment in Type 1 PTSD vs. Complex PTSD. In addition,
new findings regarding the formation, content and storage of memory and its impairment, in PTSD, will be
explored vis-à-vis EMDR's ability to make repairs, in this area.
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects, with an emphasis on cerebellar mechanisms, and their direct relations to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porge's work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment
effects; with an emphasis on cerebellar mechanisms, and their direct relation to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and
Steven Porges' work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate
EMDR processing.
EMDR is one of the traumaspecific treatment methods that have shown to
be effective in the treatment of PTSD. Even if studies and metaanalysis of EMDR have shown
that EMDR is one of the most effective tools to treat traumabased disorders and it is
recommended in all relevant international therapy guidelines on the subject, the mechanism of
EMDR is still not fully understood.
Recent studies have shown that the EMDR method is also effective in cases that go beyond
the field of PTSD. Studies have shown that EMDR seems to be effective in complex PTSD,
in the treatment of traumatized sex offenders, in certain pain disorders (like phantom limb
pain) and may also be usefull in the treatment of alcohol abuse.
These results, their possible basis as well as some useful EMDR interventions will be
discussed.
The presenter uses EMDR since 1991 and will report on the current research data and his
experience with the method.
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.
Clients with complex PTSD, dissociation, and attachment issues are easily hyper – or hypo-aroused and may dissociate or abreact. Moreover, many clients report complex or “undifferentiated” responses to targets, including multiple affects and negative cognitions, confusion, or ego-state conflict in which processing loops, is blocked, or is inefficient. Possibly, multiple nodes are being activated in the setup phase simultaneously. The proposed remedy is to isolate the node at the epicenter of the target trauma for a more focused desensitization experience. A series of “Node Isolation Strategies” are described that lead to safe, efficient processing of difficult material, while maintaining inter-session stability.
Em sua prática clínica, a autora tem se deparado com pacientes que apresentavam um quadro clínico onde prevalecia um diagnóstico ligado a doenças físicas. Por meio deste trabalho, pretende-se mostrar a história de vida desses pacientes, as crenças negativas que os levaram a adoecer e a eliminação dos sintomas dos referidos pacientes, por intermédio da abordagem EMDR, com diagnósticos característicos de três dessas doenças: síndrome de Ménière (complexo de sintomas de etiologia desconhecida que podem afetar a audição e o equilíbrio), espondilite anquilosante (tipo de inflamação dos tecidos conectivos, que por sua vez é responsável por uma inflamação das articulações da coluna e grandes articulações, como os quadris, ombros e outras regiões) e hipertensão arterial (conhecida popularmente como pressão alta, é uma das doenças com maior prevalência no mundo moderno, tendo como causas a hereditariedade, a obesidade, o sedentarismo, o alcoolismo, o estresse, o fumo e outras causas).
In his clinical practice, the author has encountered patients who had a clinical diagnosis which prevailed linked to physical ailments. Through this work, we intend to show the history of life of these patients, the negative beliefs that led them to get sick and the elimination of the symptoms of these patients through the EMDR approach with diagnostic characteristic of these three diseases: Meniere's syndrome (symptom complex of unknown etiology that can affect hearing and balance), ankylosing spondylitis (type of inflammation of connective tissue, which in turn is responsible for an inflammation of the spinal joints and large joints such as the hips, shoulders and other regions ) and hypertension (commonly known as high blood pressure, is one of the most prevalent diseases in the modern world, with the causes heredity, obesity, physical inactivity, alcoholism, stress, smoking and other causes).
Unresolved traumatic memories not only lead to ptsd or complex ptsd but even have their impact on the following generations. Our workshop focusses on the EMDR treatment of PTSD and other related disorders relating to war exposure and the processing of traumatic memories in the second and following generations which were transmitted by transgenerational mechanisms. The AIP-model ist the ideal background to understand the rapid resolution which can be achieved by EMDR targetting secondary material in the following generation. Treatment is essential to interrupt a circle of traumatization and achieve inner peace in the individual and society.
EMDR is an evidenced based treatment for the individual suffering from PTSD and other trauma related disorders. Though this is important the impact is limited considering the amount of traumatized individuals in current conflicts. We will discuss implications on the development of EMDR protocols and research.
Learning objectives:
Understand mechanism of transgenerational transmission of trauma;
Be aware of transgenerational trauma in client history; and
Learn to keep transgenerational traumatic material in the EMDR process
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.
Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
This presentation offers a description of an integrative approach of group treatment within
phase I treatment leaning on psychodynamic theory, a clear psycho-educative approach
that uses methods as hypnosis/relaxation training/mindfulness training, aims for
enhanced relational capacity and self-regulation by using hypnotic techniques aiming at
enhanced containment capacity (Brown & Fromm, 1986; Kluft, 1993, 1999; Phillips &
Fredericks 1995; Chu 1998; Cardeña et al., 2000). The treatment aims at enhanced
capacity to mentalize, i.e., using the reflective functions in self-organization (Fonagy,
1997). This is considered to offer the participants an enhanced ”self soothing capacity”
(Krystal 1988a,1988b), i. e., the capacity to calm and soothe the self by enhanced self
regulation and capacity to rest, by helping the participants to reach experiential states
where they can contain their own reactions, as well as offering training in order to tolerate
and understand the signals of the body, i. e. the “felt sense” (Gendlin, 1978; Ogden,
Minton, & Pain 2006). The trauma therapy within phase II-work by extended EMDRprotocols
is exemplified with special focus on the restoration of the capacity for adequate
self-care as well as care-giving functions.
Learning Objectives:
1. To show how an integrative group treatment in phase I treatment can be used in
trauma therapy for stabilization with patients with complex PTSD and high levels of
dissociation (psychoform and/or somatoform co-morbidity).
2. Exemplify trauma-therapy within phase II work by extended EMDR-protocols
addressing the special needs of continuous reinforcement of stabilization for the
same population.
3. Focus on restoration of the capacity for adequate self-care as well as care giving
functions.
Clients who have experienced traumatic events, as well as other complex psychiatric issues, have significant skill deficits in the area of emotion regulation and attachments. Phase-based trauma treatment (DBT followed by EMDR) assists clients in developing adequate emotion regulation skills and developing healthy interpersonal relationships during a preliminary phase of therapy prior to trauma processing. This presentation offers rationale and instruction for phase-based treatment with complex client populations. Case and video examples and the results of a small pilot project are utilized to illustrate topics presented.
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
We investigated the relationship between plasma levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) and responses to eye movement desensitisation and reprocessing (EMDR) in complex PTSD. Before and after EMDR, plasma levels of neurotrophic factors and scores in the indices of self-questionnaires were obtained for 8 men with complex PTSD. Baseline plasma levels of BDNF and NGF of responders and of non-responders were compared. The plasma BDNF levels of responders were higher than those of non-responders. However, plasma NGF levels did not differ in two groups. Plasma BDNF level might contribute to the therapeutic response to EMDR in trauma-related psychiatric disorders, such as complex PTSD. [Text]
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors.
Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.
The role of psychological trauma (e.g., rape, physical assaults, torture, motor vehicle accidents) as an etiological factor in mental disorders, anticipated as early as the 19th century by Janet, Freud, and Breuer, and more specifically during World War I and II by Kardiner, was "rediscovered" some 20 years ago in the wake of the psychlogical traumas inflicted by the Vietnam war and the discussion "in the open" of sexual abuse and rape by the women's liberation movement. 1980 marked a major turning point, with the incorporation of the diagnostic construct of PTSD into DSM-III and the definition of its main diagnostic criteria (reexperiencing of the traumatic event, avoidance of stimuli associated with the trauma, and symptoms of increased arousal). Initially described as resulting from a onetime severe traumatic incident, PTSD has now been shown to be triggered by chronic multiple traumas as well. This "state-of-the-art" article discusses past and current understanding of the disorder, with particular emphasis on the recent explosive developments in neuroimaging and other fields of the neurosciences that have highlighted the complex interrelationships between psychological, psychiatric, biological, and neuroanatomical components of the disorder, and opened up entirely new therapeutic perspectives on how to help the victims of trauma overcome their past. [Author Abstract]
Der Artikel gibt einen Überblick über die Folgen psychischen seelischer Belastungen oder durch aktuelle high Trauma. Nach einem historischen Abriss werden die posttraumatische Belastungsstörung (PTBS) und andere Traumafolgestörungen Symptomatik in Diagnostik und dargestellt. Dabei findet auch die Berücksichtigung Stress-und Neurophysiologie. Es folgt die Darstellung eines integrativen Behandlungskonzeptes in dem Analytische Aspekte, körpertherapeutische Neuere Entwicklungen sowie Behandlungsansätze gestaltungstherapeutische und wie sind verknüpft EMDR. Zum Schluss wird versucht, den Bogen von den modernen Vorstellungen zum neurophysiologischen Traumabegriff bei C. G. Jung und zu seiner Komplextheorie zu schlagen.
The article gives an overview of the Psychological Effects of emotional distress by recent or old traumas. After a historical outline the posttraumatic stress disorder (PTSD) and other trauma-related disorders, Their symptomatology and diagnostics are presented. The stress-and neurophysiology Will Be Taken Into Account. This is Followed by the description of an integrative therapy concept, Analytical Aspects That merges with body therapy and art therapy as well as newer Developments as EMDR. At the end it will be tried to the modern neurophysiologically shaped Paradigms Relate to the ideas of trauma at C. G. Jung, Especially to His complex theory.
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]
Working with severely damaged clients, the clinician
many times is faced with complex and challenging problems.
and staying out of the way during the desensitization phase
definitely not enough to get the SUD's down.
In this workshop a number of new types of interweaves will be
presented, developed to deal with clients who get severely stuck
during the desensitization phase, mostly in complex guilt-issues.
Many times standard cognitive interweaves are not enough to
unblock the EMDR processing, and the clinician has to be creative in order to help clients with these difficult issues. The more damaged the client, the more powerful interweaves are needed.
In this presentation new types of high-impact interweaves are introduced, involving non-cognitive aspects, e.g. visual, sensorimotor, symbolic, spiritual. Learning objectives:
1. Participants develop sensitivity to the dynamics underlying complex guilt-related problems.
2. Participants learn about the characteristics of high-impact interventions.
3. Participants learn to use their own creativity in developing new interweaves.
4. Participants add several powerful new interweaves to their of existing repertoire.
New in this presentation: These interweaves have not been described or presented before. They are applied within the standard EMDR-protocol, so they are an extension of existing principles and techniques.
When working with complex trauma, where there is secondary or tertiary or dissociation, the EMDR therapist must be
cautious or emotional parts that are overwhelming to the client can be evoked. Care must be taken to provide sufficient
assessment and stabilization and knowledge of the personality system or there is the risk of opening Pandora’s box and
overwhelming the client. However, there are ways to safely work with emotional parts of the personality. If the ANP is able to
stay present, the client has sufficient emotional stabilization and strategies to lower emotional arousal, then integration can
place. This workshop will provide guidelines on assessment and stabilization, and then discuss strategies to work with EPs.
Video tapes of client sessions will illustrate teaching points.
Het Handboek EMDR is het leerboek bij de EMDR basistrainingen die door de Vereniging EMDR Nederland worden erkend. Wat in het handboek ontbreekt, is informatie over de behandeling van lastige problematiek en ernstig beschadigde patiënten. Het Praktijkboek EMDR voorziet in deze lacune. Het is daarmee het boek waarmee de vele toepassingsmogelijkheden van deze methode op heldere wijze worden beschreven. Een aantal experts is gevraagd hun ervaringen met EMDR bij een specifieke doelgroep of stoornis (onder anderen kinderen, patiënten met eetstoornissen, complexe traumagerelateerde stoornissen of ernstige persoonlijkheidspathologie) te beschrijven. De nadruk ligt daarbij op de praktijk. Om deze bijdragen van een kader te voorzien wordt allereerst uitgebreid stilgestaan bij de voor EMDR kenmerkende wijze van conceptualiseren van klachten, het identificeren van de juiste targets en de daaruit voortvloeiende behandeling. Daaropvolgend wordt uitgelegd op welke wijze specifieke en specialistische interventies kunnen worden ingezet. Dit wordt geïllustreerd aan de hand van heldere protocollen, opmerkelijke casuïstiek en verduidelijkende stukjes dialoog. Het boek is daarmee een must voor iedere behandelaar in de GGZ die de volledige reikwijdte van EMDR wil leren gebruiken. De derde druk is sterk gewijzigd ten opzichte van de vorige druk.
The Handbook is the textbook at the EMDR EMDR basic training recognized by the Association. EMDR Netherlands What is missing in the handbook, information on the treatment of difficult problems and severely damaged patients. The EMDR Practice Book provides this gap. This makes the book that the many applications of this method are described. Clear way A number of experts were asked to a specific audience or disorder to describe their experiences. EMDR (among others children, patients with eating disorders, complex trauma-related disorders or severe personality disorders) The emphasis is on practice. To provide these contributions a framework is first elaborated on the EMDR typically of conceptualizing complaints, identifying the right targets and the resulting treatment. Subsequently explains how specific and specialized interventions can be deployed. This is illustrated on the basis of clear protocols, noteworthy cases and clarifying pieces of dialogue. The book is therefore a must for every practitioner in mental health that the full scope of EMDR wants to learn. The third edition has changed compared to the previous edition.
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]
When developing a treatment plan, clinicians need to be able to recognize not only the specific effects of trauma but to consider symptoms reflecting limited capacities for emotional self regulation. Such problems are often found when client histories included significant childhood neglect or other disruptions of each childhood attachment (Damasio, 1999; Schore, 2000; Sigel, 1999). Clients with a history of secure attachment appear to be more vulnerable to PTSD (Alexander, et al., 1998; Muller, Sicoli, & Kemieux, 2000) and initially need to be addressed with procedures different from those for trauma specific symptoms. Therefore in the consensus model of posttraumatic treatment (Browm Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999) clinicians are urged to focus on clients’ personal safety, stabilization, and the development of client capacities for tolerating and modulating strong affect in the early phases of treatment.
Eye movement desensitization and reprocessing (EMDR) is a complex method which combines elements of behavioral and client- centered approaches. Briefly, the procedure involves having the client concentrate intensely on the most distressing segment of a traumatic memory while moving the eyes rapidly from side to side (by following the therapist's fingers moving across the visual field). Following the initial focus on the memory segment, after each "set" of eye movements (of about 30 seconds), the client is asked to report anything that "came up," whether an image, thought, emotion, or physical sensation (all are common). The focus of the next set is determined by the client's changing status. For example, if the client reports, "Now I'm feeling more anger," the therapist may suggest concentrating on the anger in the next set. The procedure is repeated until the client reports no further distress and can fully embrace a positive reframe. [Abstract]
My paper presents a model for integrating EMDR with Body Psychotherapy principles and techniques. The model
will be illustrated by clinical material from my work with a patient who suffers from complex PTSD as a result of a
recent traumatic event which evoked her early developmental trauma. My model of integration is based on
what both disciplines share in common: understanding the centrality of the body as the carrier of the trauma and
its symptoms, as well as its potential for healing and recovery. At the same time, Body psychotherapy and EMDR
offer different ways of utilising the body during the processing phase of the work. My paper will explore some of
the similarities and differences of the two approaches. This may shed some light on situations where patients
show blocks or resistance to EMDR, and offer complementary ways of working with the EMDR protocol. The
paper draws on recent neuro-biological research presented by A. Schore, Bessel v. d. Kolk and others, to highlight
the changes that take place in brain function during and after the traumatic event. It will also offer insight into
the work of some of the leading experts in the field of body psychotherapy and approaches to trauma work (Pat
Ogden’s sensori-motor approach, Babette Rothschild’s Somatic Trauma Therapy, Peter Levine’s traumawork with
the body). The clinical material is designed to make the theory accessible and illustrate its relevance.
Learning Outcomes For those who are not EMDR therapists this workshop will help to understand how EMDR conceptualizes the work in structural dissociation from the Adaptive Information Processing Model (AIP). For people who are not expertise on Theory of Structural Dissociation of the Personality (TSDP) a brief description of dissociative phobias and their importance in the work with dissociative disorders will be put forward. The assistants will watch videos of therapies with different patients, in which EMDR is applied using dissociative phobias as targets. Differences with ego states therapy without introducing bilateral stimulation and with standard EMDR protocol will be observable in the case-examples and will be explained in detail. This work represents a different way of using EMDR to stabilize the patient and prepare her/him for future traumatic memory processing.
Clients with chronic and complex Posttraumatic Stress
Disorder (PTSD) caused by severe traumata in childhood,
are often still treated inadequately, especially when they
developed additional dissociative symptoms or a Dissociative
Disorder.
There is a current consensus about the need tomodify the
EMDR standard protocol in the treatment of complex
traumatized and dissociative clients. From the theoretical
background of structural dissociation theory and Janet’s
system of action systems, the therapist has not only to recognize
clients’ deficits but also to address action tendencies
in the client’s inner system that could ameliorate
coping strategies in solving problems in daily life.
With the help of bilateral stimulation, blending of parts
of the personality containing different information can
be promoted often resulting in remarkable changes in the
behavior and resource activation. The main principles
that need to be regarded treating complex and dissociative
clients with bilateral stimulation will be explained
and basic rules for treatment plans including the use of
EMDR will be developed.
English subtitled video examples demonstrate the proposed modification
of the EMDR standard protocol and will
be discussed in detail. I will present shortly recent research
findings on autonomic nervous system alterations
during EMDR. These results help to define special
working mechanisms of our modified EMDR protocol in
clients with dissociative disorders.
EMDR can be utilized within an overall framework for treatment of grief
and mourning. Processes that mourners go through to accommodate and
assimilate the loss, and how EMDR can be utilized for each process, will
be discussed. EMDR can also be utilized in the safe development of an
adaptive "inner representation" that enables the mourner to move from
"loving in presence" to "loving in absence." A protocol for the utilization
of EMDR in dealing traumatic grief will be discussed. Data from s study
involving parents of murdered children, where EMDR was utilized, wlll he
presented.
This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.
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.
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta
portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo
campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo
raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la
più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con
successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse
una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta.
Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita
delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di
continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno
portato definitivamente al centro dell’attenzione la presenza di esperienze reali come
implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto
“modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi
secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti
essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata
dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi
Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la
concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso
delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi
post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995,
2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più
vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001),
pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici,
genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda,
1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2
traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente
sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le
ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi
totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione,
evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia
costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie
interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).
The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).
Tokom prethodne dve decenije dolazi do novih podataka u vezi efikasnosti psihoterapijskih tehnika u tretmani posttraumatskog stresnog poremećaja. Najveći broj ispitivanja na ovu temu se bavi kognitivno bihejvioralnim tehnikama kao i metodom desenzitizacije i reprocesiranja pokretima očiju, dok je manji broj psihodinamskih i psihoanalitičkih ispitivanja. Aktuelne studije se razlikuju po metodologiji (nedostatak kontrolne grupe, nejasno definisanje simptomatologije i nepouzdani dijagnostički instrumenti, mali uzorak, itd). U radu se diskutuje o kompleksnosti kako pristupa tako i primena terapijskih tehnika.
The past two decades have produced increased knowledge about the efficacy of psychological treatment for post-traumatic stress disorder (PTSD). The majority of existing studies examined the usefulness of cognitive-behavioural treatments and eye-movement desensitization and reprocessing, whereas the efficacy of psychodynamic treatments has been the object of only few studies. Existing studies vary considerably in methodology and often are present with methodological limitations (e.g. lack of control group, of clear description of the participants' symptoms, and reliable diagnostic instruments, use of mixture of therapeutic approaches, small sample size, etc) that preclude definitive conclusions. Benefits from cognitive and behavior therapies have been reported in many studies, but methodological shortcomings in some of these studies pose problems in drawing conclusions. Treatments such as SIT EMDR and CBT have several therapeutic components, and it is difficult to tell which elements led to improvement and which are redundant. Another matter of concern is the ease of dissemination of treatment among nonexpert clinicians. Some treatments (psychodynamic psychotherapy, cognitive therapy and SIT) are relatively complex, as they comprise multiple components. Other treatments (exposure) may be less complex and more easily accessible to clinicians outsized of specialized settings. Such treatments may be more useful both in routine clinical practice and in emergency situations where larger number of trauma-survivors require help (e.g. in the aftermath of natural disaster or in war torn countries).[Author abstract]
There is an impressive evidence base for the psychological treatment of post-traumatic stress disorder (PTSD). The strongest evidence is for trauma-focused cognitive therapy and eye movement desensitization and reprocessing (EMDR) but brief eclectic psychotherapy is a promising alternative. As well as this strong evidence for efficacy there is emerging evidence for effectiveness, using these treatments in routine clinical practice without highly trained specialized staff. The treatment of PTSD is more than the use of structured psychotherapy packages – it involves careful assessment and attention to safety, boundary and termination issues. We know much less about how to deal with treatment resistance or complex trauma. Drug treatment is well evaluated with large trials, and has statistical but not clinical efficacy.
Severe acute respiratory syndrome (SARS) was the first severe and readily
transmissible new disease to emerge in the 21st century (WHO, May, 2003).
Mainland China was one of the SARS prevailing countries during April to
June in 2003. In confront this severe situation, psychologists and professionals
working in the mental health area showed soon reactions on it. The paper
will introduce their work in the following aspects: (1) Psychological
education. (2) Mental assistance hotlines. (3) Psychological intervention: The
work has been done in three aspects, one was to help medical doctors,
nurses and other staff who worked in the SARS wards. The second was to
encourage the SARS patients facing the disease and fighting with it. The
third was that giving bereavement counselling for the people who lost their
relatives and friends for SARS.
Except the above reactions, professionals have also taken a serious
consideration on the disaster intervention system in mainland China. Several
suggestions have been raised and they are devoting a great effort to
promote new program for setting up the system.
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).
During this workshop, participants will be introduced to different models explaining how the mind can express
some issues through the body, and how the Adaptive Information Processing (AIP) model can be used as a
common ground to understand psychosomatic disorders. Using this rational, EMDR clinicians will learn how
to structure an intervention using the 8 steps of the basic protocol to address the seven common causes of
psychosomatic disorders. Clinical cases of angina, epilepsy, heartburn, irritable bowel and some skin conditions
will be presented as illustration.
Learning objectives:
• Describe 4 main models to understand the body-mind connection in psychotherapy
• Utilize the Adaptive Information Processing (AIP) model as a meta-model to compare specific models on the
body-mind connection
• Use the EMDR basic protocol to organize structured interventions to address the different layers regarding
psychosomatic conditions
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]
Die Posttraumatische Belastungsstörung (PTBS) ist ein häufiges Krankheitsbild und mit einer Standardtherapie, die die spezifische Problematik der Störung unberücksichtigt lässt, nur eingeschränkt behandelbar. Der Beitrag geht auf aktuelle diagnostische Kriterien sowie spezifische Risikofaktoren für die Ausbildung chronischer und komplexer PTBS-Symptome ein. Verschiedene Behandlungsansätze – Konfrontationstherapie, Kognitive Restrukturierung, EMDR, psychodynamische Therapie, angeleitetes Schreiben – werden auf der Basis validierter Therapiestudien vorgestellt. Ausführlicher berücksichtigt werden Behandlungsmöglichkeiten für sexuell traumatisierte Frauen mit chronischer PTBS und komorbiden Beschwerden.
Post-traumatic stress disorder (PTSD) is a frequent disorder. But standard treatments which neglect the specific characteristics of the symptomatology are only of limited outcome. The paper focuses on recent diagnostic criteria and specific risk factors that are likely to influence the development of chronic and complex PTSD symptoms. Different treatment programmes and techniques are presented on the basis of validated therapy studies: prolonged exposure, cognitive restructuring, EMDR, psychodynamic therapy and writing assignments. Particular attention is payed to the psychotherapy of sexually traumatised women who suffer from chronic PTSD and comorbid disorders.
Psichotraumatology
is
a
discipline
that
has
had
a
rapid
development
in
recent
years
and
their
knowledge
has
become
indispensable
for
the
treatment
of
severe
psychiatric
illness.
In
our
country,
Uruguay,
South
America,
in
a
public
psychiatric
hospital
unit,
is
being
developed
a
clinic
for
treatment
of
patients
with
simple
and
complex
PTSD
with
EMDR
with
promising
results.
We
serve
a
population
of
very
low-‐income
patients.
Some
of
them
are
hospitalized
for
crimes
committed
during
psychiatric
decompensation
(theft,
murder,
violation)
We
will
present
the
basics
for
creating
such
unit
in
a
psychiatric
treatment
setting
as
well
as
our
work
with
hospital
inpatients
and
outpatients
.
EMDR
turns
out
to
be
a
first
line
psychotherapeutic
approach
for
these
patients.
La
psicotraumatología
es
una
disciplina
que
ha
experimentado
un
desarrollo
muy
rápidos
en
los
últimos
años
hasta
el
punto
de
que
se
ha
hecho
indispensable
contar
con
conocimientos
al
respecto
para
el
tratamiento
de
las
enfermedades
psiquiátricos
graves.
En
nuestro
país,
Uruguay,
Sudamérica
se
está
desarrollando
una
clínica
dentro
de
una
unidad
de
psiquiatría
perteneciente
a
un
hospital
público
para
el
tratamiento
de
pacientes
con
TEPT
simple
y
complejo
con
EMDR
y
con
resultados
prometedores.
Servimos
a
una
población
de
pacientes
de
rentas
muy
bajas.
Algunos
están
hospitalizados
por
crímenes
cometidos
durante
un
episodio
de
descompensación
psiquiátrica
(robo,
asesinato,
violación).
Presentaremos
las
consideraciones
básicas
para
crear
una
unidad
de
estas
características
en
el
entorno
terapéutico
psiquiátrico
junto
con
nuestro
trabajo
con
pacientes
ingresados
y
ambulatorios.
Resulta
que
EMDR
es
un
planteamiento
psicoterapéutico
de
primera
línea
para
estos
pacientes.
In Uruguay, South America, in a public psychiatric hospital unit, a clinic has been developed for the treatment of patients with simple and complex PTSD with promising results. As an example, we can mention a patient with a diagnosis of brain injury with a poor outcome who turned out to have a severe dissociative disorder, and who had a favorable evolution with the right treatment. The population treated is very poor and heterogeneous. Some patients are hospitalized for crimes commited during psychiatric decompensation (theft, murder, rape). This paper will present the basics for creating such unit in a psychiatric treatment setting and describe the work with such difficult hospital inpatients and outpatients. In South American countries it is very hard to develop specific psychiatric care units in public hospitals because patients psychological problems also have serious social and economic problems. The theorical approach in the clinic is cognitive behavioral and EMDR, based on the fact that psychotraumatology is a discipline that has had a rapid development in recent years and its knowledge has become indispensable for the treatment of severe psychiatric illness.
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.
This chapter focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, co-morbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioural, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy versus therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity. [Author Abstract]
This article focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, comorbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioral, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy vs. therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity.
A few weeks ago an article in the Scientific American Twitter stream caught my eye. EMDR (Eye Movement Desensitization and Reprocessing) once again debuted as a “promising new treatment” for PTSD. EMDR, which has been repeatedly called “promising” over the last two decades, works only about as well for PTSD as other psychological treatment modalities with which it competes, primarily cognitive behavioral therapy (CBT) and exposure therapy. These so-called trauma focused treatments (TFT) all garner similar results. TFT have large effects in clinical trials, with two important caveats: 1) the enthusiasm of their various advocates bias the study results towards the treatment the researchers prefer; and, 2) they are effective for a significant number of carefully selected PTSD patients. The sad truth, however, is that current short-term treatments are not the solution for most patients with PTSD. Trial criteria often exclude those with comorbid disorders, multiple traumas, complex PTSD, and suicidal ideation, among others. Even when they are included, comorbid patients drop out of treatment studies at a much higher rate than those with simple PTSD, a problem that has implications for clinical practice. [Excerpt]
In March 2007 an EMDR Europe HAP project, in conjunction with the University of
Birmingham, commenced in Northern Pakistan in the aftermath of the earthquake that
occurred in the region October 2005.
Presently over 75 mental health workers have now been trained in EMDR. In August 2009
six of these Pakistani mental health workers had successfully completed their EMDR
Facilitator training. As a means of evaluating their EMDR training a Q Methodology was
utilised.
Q-Methodology allows a researcher to explore a complex phenomena from a subject´s
point of view by using a distinct approach which rates the value of 25 statements in order
from least to most desirable. These statements related to EMDR clinical practice, cultural
application of EMDR, EMDR research development, and their experiences of their EMDR
training.
Results highlighted important issues around their training experience, how cultural
sensitivities play an important part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
The treatment, called eye movement desensitization and reprocessing (EMDR), actually involves a
complex combination of traditional psychotherapy approaches, but its distinctive central feature is
the be!ief that rapid eye movenlents durina the recollection of a traumatic event can somehow
defuse the memories
I have followed with interest the
ongoing debate in the Behuvior Therapist
regarding the practice and dissemination
of the eye movement desensitization
and reprocessing (EMDR)
technique. I am most struck, however,
by the willingness of behavior therapists
to enthusiastically embrace and
practice this technique despite "the
paucity of data with regard to its effectiveness"
(Boudewyns, Stwertka, Hver, Albrecht, & Sperr, 1993).
This thesis is about my primary artistic challenge and how it was addressed in my thesis role, the character Rafael De Morra (the court jester to Carlos II the King of Spain) in the play The Bewitched by Peter Barnes. My artistic challenge was to overcome the performance anxiety and the fear of humiliation that had surfaced during training and performance work at York University.
I chose to address my performance anxiety by incorporating internal and external approaches simultaneously. The internal approach I developed to deal with my performance anxiety was a combination of different procedures: defining and analyzing it (and the inferiority complex behind it) through personal practices of psychoanalysis and EMDR Therapy (Eye Movement Desensitization and Reprocessing), examining the cultural factors that reinforce it, exploring it in other actors, observing it in my studio work, rehearsals and performance and investigating personal practice of Yoga, Feldenkrais and Craniosacral Therapy as tools to work on it.
To further prepare for my thesis role Rafael De Morra, I researched the historical period in Spain and Europe between 1600 and 1700, the years during which the play takes place and the origins and significance of court jester tradition at the time. Such research helped me to better understand my character, Rafael De Morra.
The external approach, on the other hand included confronting the anxiety by taking risks in my thesis role such as accentuating the more theatrical aspects of Rafael and creating an effective physicality for the character, both of which were difficult for me as an actor.
The internal approach and the research I've done about the time period, the playwright and the court jester tradition prepared me for my external approach: taking risks in performing my thesis role.
I can conclude that the methodology I devised to overcome my performance anxiety yielded favourable results as I didn't experience extreme versions of it in acting Rafael De Morra in the play The Bewitched by Peter Barnes. At the end of the process I also discovered some other actor challenges that I should be working on in the future.
Vid vårt novembermöte presenterade leg. psykolog Gunvor Ingemansson sin erfarenhet av behandling med EMDR-Eye Movement Desensitization and Reprocessing vid enstaka och komplexa traumatillstånd.
Under 90-talet arbetade Gunvor Ingemansson inom psykiatrin i Malmö med Rosengård som upptagningsområde. Där mötte hon många människor, som hade svåra och traumatiserande krigsupplevelser. Hon använde sig av krisbearbetande samtal och symboldramaterapi. Dessa arbetssätt hade hon lång erfarenhet av. Hon märkte emellertid att hon inte riktigt kom åt traumat i botten.
Pröva nytt
Detta ledde till att hon måste pröva något annat. 1994 hade metoden EMDR kommit till Sverige och introducerats av Roger Salomon. Han i sin tur hade en förstahandserfarenhet av metoden, eftersom han utbildats och samarbetar med Francine Shapiro, som skapat metoden. Hennes grundläggande bok är ”Eye Movement Desensitization and Reprocessing”, utgiven på Guilford förlag. Shapiro har senare benämnt metoden ”Adaptive Information Processing Model”. I vardagligt språk i Sverige benämns metoden ofta som ögonrörelseterapi.
Shapiro utvecklade ett sätt att arbeta med traumatiska erfarenheter till följd av egna upplevelser. Hon drabbades nämligen av en svårbotad cancer, som läkaren inte kunde ge besked om hur den skulle utvecklas. Hon lade märke till att när hon under sina promenader rörde ögonen på ett visst sätt hände någonting i hennes kropp. Hon undersökte detta vidare och successivt växte den behandlingsmetod fram som i dag spridit sig till många länder för att behandla bl a traumatillstånd.
Det finns på sina håll ett visst ifrågasättande av metoden, men de evidensbaserade studier som gjorts visar på effekt av behandlingen.
Nya behandlingsmetoder.
At our November meeting presented the leg. Psychologist Gunvor Ingemansson his experience with EMDR-Eye Movement desensitization and Reprocessing of single and complex trauma condition.
During the 90's worked Gunvor Ingemansson in psychiatry in Malmö with Rosengard that catchment area. There she met many people who had difficult and traumatic war experiences. She used the emergency call processing and symbolic drama therapy. These practices, she had extensive experience. She noticed that she does not really come to the trauma of the bottom.
Try again
This led her to try something else. 1994 Approach EMDR come to Sweden and introduced by Roger Solomon. He in turn had a first hand experience of the method, since he trained and working with Francine Shapiro, who created the method. Her basic book is "Eye Movement desensitization and Reprocessing", published by Guilford publishers. Shapiro was later called the method "Adaptive Information Processing Model". In everyday language in Sweden method is referred to often as eye movement therapy.
Shapiro developed a way to work with traumatic experiences resulting from their own experiences. She suffered from a severe namely cured cancer, the doctor could not provide information on how it would evolve. She noticed that when she walks in their eyes moved in a certain way something happened to her body. She investigated this further and gradually grew the treatment up to now spread to many countries to treat conditions including trauma.
There are some places a particular challenge to the method, but the evidence-based studies show the efficacy of treatment.
New treatments
Eye Movement Desensitization and Reprocessing (EMDR) is a psychological intervention that combines bilateral stimulation and dual focus of attention to help subjects with various emotional conditions restructure traumatic memories in a brief yet effective treatment. This technique has been employed to help individuals visualize new concepts for creative purposes when prior emotional experiences block the individual's ability to perform desired tasks. The current research hypothesizes that bilateral stimulation and dual focus of attention could be valuable in educational scenarios, and it explores the design and prototype of a computerized tool that includes a similar combination of practices within an automated training system to test whether this could be an efficient and effective tool for teaching individuals complex or troubling material.[Author Abstract]
Attachment theory and interpersonal neurobiology
demonstrate the importance of the therapeutic relationship as a primary change mechanism. With survivors of childhood relational trauma, betrayal of trust and attachment
issues create obstacles to developing a secure therapeutic alliance. Even when the therapeutic relationship feels more secure, these clients often experience separation between
sessions as attachment loss. This can feel burdensome to the therapist, who may receive multiple crisis phone calls throughout the week. In this presentation, the relational affect regulation protocol will be explained and case
examples will illustrate how it is put into practice. Drawing upon concepts from Stress Inoculation Training (SIT), Accelerated Experiential Dynamic Psychotherapy (AEDP)
and Eye Movement Desensitization and Reprocessing
(EMDR), the protocol helps facilitate dyadic affect regulation and object constancy during the stabilization phase of treatment with complex trauma survivors. The elements of an SIT script will be described and creative
adaptations will be proposed. AEDP microprocessing of the client’s experience of the therapist reading the script to the client will be explained and illustrated. The EMDR
procedure for installation of the therapist as a resource will be taught and strategies for utilizing this as a selfsoothing method between sessions will be delineated.
Participants will be able to:
discuss two problems clients ♦♦ with Complex PTSD
have with attachment and fear of attachment
loss in therapy, and will be able to identify
three strategies to address this issue.
♦♦ explain AEDP microprocessing of interactions
between client and therapist, and how this
technique can help survivors of childhood relational trauma to develop trust in the therapist.
♦♦ list the four essential elements of an SIT script and utilize the steps involved in the relational affect regulation protocol with their clients.
Participants will: 1) gain an understanding of specific ways affect and script theory can help guide the clinical application of EMDR; 2) gain an understanding of how treatment responses to EMDR can deepen our understanding of the human affect system; 3) be challenged to consider ways in which EMDR can be used to help develop research validation for central elements of affect theory; and 4) gain an understanding of how affect theory provides a powerful way of understanding healthy and disturbed patterns in human attachment and how this perspective can guide EMDR treatment strategies in more complex case presentations.
The article presents a study on the effectiveness of grief counseling and post-death experiences in helping the bereaved. It states that 45 clients who had Guided Afterlife Connections experiences were enrolled in the study and Subjective Units of Distress scale (SUDS) and EMDR psychotherapy are used. Results showed that a rate of 10 in the SUDS scale shows that the memory is disturbing and a rate of zero means no disturbing effect.
Replies to the comments by L. Waters (see record 84-36309) on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam combat veterans. The authors suggest that Waters' interest in considering curative elements in psychotherapy common to a number of methods is useful because it encourages clinicians to focus on EMDR as a complex of procedures. The EMDR method of psychotherapy purports to provide a mechanism to enable and accelerate the resolution of experiences that otherwise might remain in stasis indefinitely. Waters' thoughtful letter suggests to the authors that EMDR may be reaching a level of clinical acceptance that is provoking a careful examination beyond an exclusive focus on 1 component, the eye movements, to consideration of EMDR as a sophisticated method of brief psychotherapy. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
This paper will expand on the EMDR protocol of Safe Place Imagery (SPI) making it useful to a wider range of clients. Clients with overt and covert trauma histories will frequently experience traumatic intrusions in to the Safe Place or not be able to find one. Knowledge of trance both explains these phenomena and informs the process of teaching these clients to block out intrusions. Use of SPI with clients with complex ego states and Dissociative Disorders will also be discussed.
Designed to bring about lasting change in clients with personality disorders and other complex difficulties, schema therapy combines proven cognitive-behavioral techniques with elements of interpersonal, experiential, and psychodynamic therapies.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
Secondary traumatization and appropriate self care are relevant current topics for psychotherapists, especially when working with complex trauma. During the application of the standard protocol, EMDR therapists are often confronted with reports of severe traumatic incidents, strong emotions, and different forms of transference. In reaction, they experience post-traumatic counter-transference, and sometimes even secondary trauma. The EMDR standard protocol provides the opportunity for dual application - parallel for client and therapist. Through processing of the initial counter-transference, the therapist experiences a unique EMDR process. This process resolves any disturbance that might occur through counter-transference issues.
Learning objectives:
The therapist can better support the EMDR process of the client, e.g. through more creative ideas for cognitive interweaves. The indication and contra-indications for this procedure will be discussed.
Research on EMDR has reached the stage where it is now important to have recommended directions and strategies for research on specific
applications of EMDR. This session will be a working discussion of research committee members, and any other interested participants on this topic. The goal of this session is to develop guidelines for EMDR research on PTSD, phobias, complex trauma, and components analyses/dismantling studies.
Clients
with
complex
dissociative
disorders
usually
are
in
trauma-‐
induced
wake
trance-‐states.
Due
to
this,
they
might
thrive
from
treatment-‐
strategies,
where
skills
in
clinical
hypnosis,
from
the
side
of
the
therapists,
are
added
to
the
treatment
model.
Clinical
hypnosis
also
offers
excellent
tools
for
working
with
attachment
traumas
and
reinstalls
the
neuroception
of
safety.
This
workshop
highlights
seven
strategies
for
extending
the
EMDR
standard
protocol,
mainly
built
on
clinical
hypnosis.
They
consist
of:
(1)
Formal
hypnotic
induction
of
safe
place/safe
state
BEFORE
introducing
EMDR
under
phase
I
treatment
(2)
Informal
hypnotic
induction
for
ongoing
activation
of
the
social
engagement
system
when
clients
are
in
trance
(3)
Using
hyper-‐empirical
trance
inductions
under
exposure
phase
(ie
helping
the
clients
to
stay
present
with
dual
awareness
by
continuously
inducing
trance,
thus
helping
them
to
titrate
the
trauma-‐material
(4)
Addressing
ego-‐states
that
react
as
if
they
still
are
bound
in
trauma-‐time
(5)
Addressing
resource-‐rich
ego-‐states
and
parts
of
the
self,
f
ex
ISH
(internal
self-‐
helper),
thus
helping
the
client
to
begin
to
metabolize
the
trauma
material
(6)
Installation
of
hope
and
the
“memory
of
the
future”
(7)
Using
post-‐hypnotic
suggestions
for
enhancing
the
neuroception
of
safety
between
sessions.
Learning
objectives:
Demonstrate
how
to
use
EMDR
and
hypnosis
for
stabilization
and
work
with
parts
within
phase
II
work,
addressing
the
special
needs
of
continuous
stabilization
for
this
population.
Develop
an
understanding
of
how
to
enhance
the
integrative
capacity
during
trauma-‐work
with
DD-‐clients.
Apply
structured
techniques
and
rationales
for
calming
and
soothing
patients
related
to
their
integrative
capacity
during
extended
EMDR-‐work.
Los
clientes
con
trastornos
disociativos
complejos
normalmente
se
encuentran
en
estados
de
trance
despierto
inducido
por
el
trauma.
Debido
a
esto,
pueden
crecer
rápidamente
de
estrategias
de
tratamiento,
donde
estrategias
de
hipnosis
clínica
se
añaden
al
modelo
de
tratamiento
por
parte
del
terapeuta.
La
hipnosis
clínica
ofrece
también
excelentes
herramientas
para
trabajar
con
traumas
de
apego
y
reinstalar
la
neurocepción
de
seguridad.
Este
taller
subraya
siete
estrategias
para
extender
el
protocolo
estándar
de
EMDR,
principalmente
basadas
en
la
hipnosis
clínica.
Consisten
en:
(1) Inducción
hipnótica
formal
del
lugar
seguro/
estado
de
seguridad
ANTES
de
introducir
la
fase
I
de
tratamiento
de
EMDR
(2) Inducción
hipnótica
informal
para
la
activación
continuada
de
los
sistemas
de
compromiso
social
cuando
los
clientes
están
en
trance
(3) Uso
de
inducciones
al
trance
hiper-‐empíricas
en
la
fase
de
exposición
(ej,
ayudar
a
los
clientes
a
estar
presentes
con
conciencia
dual
mediante
la
inducción
continua
al
trance,
por
tanto
ayudándoles
a
valorar
el
material
traumático.
(4) Dirigirse
a
los
estados
del
ego
que
reaccionan
como
si
aún
estuviesen
atados
al
tiempo
traumático
(5) Dirigirse
a
estados
del
ego
ricos
en
recursos
y
a
partes
del
yo,
por
ejemplo,
al
ISH
(en
inglés
yo-‐interno
ayudante),
por
tanto
ayudando
al
cliente
a
empezar
a
metabolizar
el
material
traumático
(6) Instalación
de
esperanza
y
la
“memoria
de
futuro”
(7) Usando
sugestión
post-‐hipnótica
para
fomentar
la
neurocepción
de
seguridad
entre
sesiones.
Objetivos
de
aprendizaje:
Demostrar
cómo
usar
EMDR
e
hipnosis
para
estabilizar
y
trabajar
con
las
partes
en
el
trabajo
de
la
fase
II,
dirigiéndonos
a
las
necesidades
especiales
de
estabilización
continua
para
esta
población.
Desarrollar
un
entendimiento
de
cómo
fomentar
la
capacidad
integrativa
cuando
se
trabaja
el
trauma
con
clientes-‐DD.
Aplicación
de
técnicas
estructuradas
y
racionales
para
calmar
y
tranquilizar
a
los
pacientes
en
relación
con
su
capacidad
integrativa
durante
trabajo
extendido
con
EMDR.
Clients with complex dissociative disorders usually are in trauma-induced wake trance-states. Due to this, they might thrive from
treatment-strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also
offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety.
This workshop highlights seven strategies for extending the EMDR standard-protocol, mainly built on clinical hypnosis. They consist of:
1. Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment.
2. Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance.
3. Using hyper-empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by
continuously inducing trance, thus helping them to titrate the trauma-material.
4. Addressing ego-states that react as if they still are bound in trauma-time.
5. Addressing resource-rich ego-states and parts of the self, f ex ISH (internal self-helper), thus helping the client to begin to metabolize
the trauma material.
6. Installation of hope and the “memory of the future”.
7. Using post-hypnotic suggestions for enhancing the neuroception of safety between sessions.
Learning objectives:
Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of
continuous stabilization for this population.
Develop an understanding of how to enhance the integrative capacity during trauma-work with DD-clients. Apply structured techniques and
rationales for calming and soothing patients related to their integrative capacity during extended EMDR-work.
Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el
trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo
de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y
reinstalar la neurocepción de seguridad.
Este taller subraya siete estrategias para ampliar el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en:
1. Inducción hipnótica formal del lugar seguro / estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR.
2. Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance.
3. Uso de inducciones al trance hiper-empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual
mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático.
4. Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático.
5. Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-interno ayudante), por tanto
ayudando al cliente a empezar a metabolizar el material traumático.
6. Instalación de esperanza y la “memoria de futuro”.
7. Usando sugestión post-hipnótica para fomentar la neurocepción de seguridad entre sesiones.
Objetivos de aprendizaje:
Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades
especiales de estabilización continua para esta población.
Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-DD. Aplicación de técnicas
estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con
EMDR.
A cluster analytic investigation was conducted on measures of PTSD associated features (e.g., personality pathology, dissociative tendencies) to investigate whether empirically-defined clusters correspond to Herman's distinction between simple and complex PTSD. Results from a sample of 60 PTSD patients were broadly consistent with this distinction, although some inconsistencies were observed. Treatment outcome generally did not differ between the two clusters. Implications for classifying and treating PTSD are discussed. [Author Abstract]
Stabiliser et traiter les enfants traumatisés et souvent dissociés peut être compliqué. En apparence, ils peuvent sembler fonctionner relativement bien. Leurs stratégies d'évitement paraissent efficaces et ils refusent de parler du trauma ou disent qu'ils l'ont oublié. Cela ne les perturbe plus. Mais le désir du thérapeute de laisser les chiens dormir tranquillement est une stratégie dangereuse. Sous cette apparence de bon fonctionnement extérieur l'enfant est terrifié, constamment en alerte et seul, incapable de trouver le réconfort. Cet enfant ne peut s'attacher et ce manque d'attachement sécure peut dévaster son développement futur. Cependant, ce n'est que par une anamnèse détaillée réalisée par les soignants et les instituteurs que ces problèmes souvent cachés peuvent être révélés.
Arianne expliquera les principes de base de la dissociation et de la dissociation structurelle chez les enfants dans le but d'aider à les traiter.
Dans ce workshop, elle fera une démonstration du "6 tests", un nouveau modèle unique de stabilisation pour enfants. La stabilisation inclut la motivation, la psycho-éducation, la création d'un lieu sûr, l'activation du système d'attachement, des outils d'auto-régulation, des changements cognitifs, etc . Le "6 tests" aide le thérapeute à décider si l'enfant a besoin de stabilisation supplémentaire et comment l'établir avant de commencer l'EMDR.
Stabilize and treat traumatized children and often dissociated can be complicated. Outwardly, they may appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about the trauma or say they have forgotten. That does not disturb more. But the therapist's desire to let the dogs sleep in peace is a dangerous strategy. Under the appearance of functioning outside the child is terrified, alone and constantly alert, unable to find comfort. This child can not concentrate and lack of secure attachment can devastate its future development. However, it is only through a detailed history completed by caregivers and teachers that these often hidden problems can be revealed.
Arianne will explain the basic principles of unbundling and structural separation of children in order to help address them.
In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, the exchange
In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, cognitive changes, etc.. "6 test" helps the therapist to decide if the child requires additional stabilization and how to prepare before starting EMDR.
The aplications the EMDR in complex trauma cases needs a carefully planned stabilitation phase. Emotion des-regulations is a frequent problem in this clinical group. To improve self-regulation abilities is a very important aspect to develop before proceeding with trauma procesing. The
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions.
The workshop will promote an understanding of:
•Complex PTSD presentations in refugees and asylum seekers
•Stabilisation and symptom management in preparation for trauma focused interventions
•Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks
•Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work
•How best to work with trauma memories and when to use NET, CBT or EMDR
•Cultural considerations
•Managing vicarious traumatisation and self care
Psychotherapie der PTBS ist oft in die Phasen der Stabilisierung und Konfrontation unterteilt. In der Stabilisierungsphase lernt der Patient, Strategien zur Regulierung und Kontrolle beeinflussen Symptome. Danach kann die Erinnerungen an das traumatische Ereignis offen gelegt und verarbeitet werden in der Konfrontation Phase. Deutsch Behandlungsrichtlinien und etwas Text Pfund postulieren, dass eine Phase der Stabilisierung bedingungslos vor der Konfrontation mit dem Trauma Erinnerungen erforderlich stattfinden kann. Im Gegensatz zu dieser Aussage, Evidenz aus randomisierten, kontrollierten Studien zeigt, dass die sogenannten Trauma-Ansätze konzentrieren (Varianten der kognitiven Verhaltenstherapie, Exposition Therapie und EMDR) die erfolgreichsten Methoden für die Behandlung von PTBS sind. Als Konsequenz empfehlen mehreren internationalen Verbänden und Instituten diese Verfahren als Therapie der ersten Wahl. Alle Trauma-konzentrierte Ansätze umfassen irgendeine Art von Konfrontation mit nur rudimentären Stabilisierung oder ohne Stabilisierung bei allen. Darüber hinaus gibt es keine Hinweise, dass die Exposition Verfahren gefährlicher als Stabilisierung oder dass sie weniger gut toleriert und akzeptiert werden. Ebenso gibt es keinen Beweis, dass die Stabilisierung ist notwendig für Patienten mit komplexen Trauma-bedingten Erkrankungen wie bei erwachsenen Patienten mit einer Vorgeschichte von sexuellem Missbrauch. Entgegen der gängigen Lehre, eine Phase der Stabilisierung ist nicht notwendig, Trauma Behandlung und die Möglichkeit der negativen Auswirkungen der Stabilisierung kann nicht ausgeschlossen werden. [Abstract Autor]
Psychotherapy of PTSD is often divided into the phases of stabilization and confrontation. In the stabilization phase, the patient learns strategies to regulate affect and control symptoms. Thereafter, the memories of the traumatic event can be disclosed and processed in the confrontation phase. German treatment guidelines and some text books postulate that a phase of stabilization is unconditionally required before the confrontation with trauma memories can take place. In contrast to this statement, evidence from randomized controlled trials shows that the so-called trauma-focused approaches (variants of cognitive-behavioral therapy, exposure therapy, and EMDR) are the most successful methods for the treatment of PTSD. As a consequence, several international associations and institutes recommend these procedures as the treatment of first choice. All trauma-focused approaches include some type of confrontation with only rudimentary stabilization or with no stabilization at all. In addition, there is no evidence that exposure procedures are more dangerous than stabilization, or that they are less well tolerated and accepted. Likewise, there is no evidence that stabilization is necessary for patients with complex trauma-related disorders such as adult patients with a history of childhood sexual abuse. Contrary to the common doctrine, a stabilization phase is not necessary for trauma treatment and the possibility of negative effects of stabilization cannot be ruled out. [Author Abstract]
Kazuistika ilustruje využitie stabilizačných psychoterapeutických techník a EMDR (Eye Movement Desensitisation and Reprocessing) v terapii jednoduchej i subsyndromálnej komplexnej (3) posttraumatickej stresovej poruchy (PTSP) u tej istej pacientky. Stabilizačné techniky, ktoré využívajú špeciálne volené a štruktúrované imaginácie, pomáhajú pacientovi v prvej fáze terapie obnoviť schopnosť prežívať bezpečie, mobilizovať jeho vlastné zdroje uzdravenia a pomôcť mu získať kontrolu nad vlastným prežívaním. EMDR je psychoterapeutická metóda konfrontácie s traumou (expozície), ktorá vychádza z poznatkov o neurobiologickom spracovaní informácií. Jadrom metódy je zistenie, že bilaterálna stimulácia (zabezpečená najbežnejšie pohybom očí zo strany na stranu – odtiaľ názov metódy) umožňuje adaptívne spracovanie dysfunkčne uloženej informácie a uvoľňuje samoliečiaci proces v nervovej sústave pacienta (4). Stabilizačné techniky i EMDR patria ku komplexnej psychoterapii traumy.
The case report illustrates the use of psychotherapeutic techniques, stability and EMDR (Eye Movement Desensitisation and reprocessing) in the treatment of simple and complex subsyndromálnej (3) posttraumatic stress disorder (PTSD) in the same patient. Stabilization technique using specially chosen and structured imagination, assist the patient in the first phase of therapy to restore the ability to experience security, to mobilize its own healing resources to help him gain control of their own survival. EMDR is a psychotherapeutic method of confrontation with the trauma (exposure), based on knowledge of the neurobiological information processing. The core method is the finding that bilateral stimulation (eye movements commonly provided from side to side - hence the name of the method) allows for adaptive processing of dysfunctional information stored and released samoliečiaci process in the nervous system of patients (4). Stabilization techniques and EMDR psychotherapy include a comprehensive trauma.
Also puplished in Psychiatria Pre Prax, 6(4), 194-196.
The poster presents two short case studies – vignettes. Both represent an illustration of interactions between stabilization techniques and trauma confrontation using ERMDR in the psychotherapy of PTSD. The first case portrays a part of a longer and more complex psychotherapy of a woman violently raped by a strange man. The second one exemplifies a short-term psychotherapy of a young woman who developed PTSD after being repeatedly attacked by a dog from a neighbor’s house. Each case in its own way shows the need for both stabilization and trauma-reprocessing and the role of providing real safety in the environment is highlighted.
This presentation compares two different descriptions: Paradigm and State of Consciousness, of the changes,
observable in a psychotherapy integrated with EMDR, to establish which of the two descriptions is the most likely
and consistent. Applying the method of the double description it will seek to identify contributions that may be
25
useful for the construction of a Unified Theory of Psychotherapy. At first, attention is focused upon the necessity
to construct a bridge-language between the different dialects of psychotherapies. Short specialized definitions,
such as Paradigm and State of Conscience, could be examples of the complex concepts, here denominated
synthetic �t� metaphors, transtheorical or Tran disciplinal, to be researched for constructing a common language
between the plurality of psychotherapies. Some implications of the methodological innovation carried on by
EMDR in psychology, psychotherapy, and in other disciplines are then analysed and proposed. In particular, the
easy integration of traditional psychotherapeutic methodologies with EMDR and the discovery of new target of
psychotherapy, have led to looking at all psychological activities in terms of a spatial metaphor. On the basis of
this a general map of the psychological territories of �sapiens sapiens� has been drafted. This general map is
divided in two main areas: A -the psychological territories of the individual, B -the psychological territories of the
species, This species map has some specific characteristics; since �sapiens sapiens� are social animals, their
relations have clear functions of social and environmental group interface too. These maps will be illustrated. In
its original meaning, the definition of Paradigm will be found within the maps and consequently analysed in its
variations. The amplified theory of State of Conscience will be presented and analysis, similar to the previous
one, will be carried out. A description of EMDR, that may be useful for implementing its understanding, will be
proposed at the end.
The title link is to an Introduction in Italian.
La notion de Stress figure en tant qu’Etat de stress post-traumatique (F43-1) et Réaction aiguë (F43-0) dans la nomenclatures diagnostiques internationales des troubles mentaux, comme le DMS IV ou la CIM-10. Pourtant, l’expérience clinique indique que la pathologie psychotraumatique ne peut se limiter à un Etat de stress post-traumatique (ESPT) avec ou sans Trouble dissociatif (F44), ni méme à un ESPT complexe ou DESNOS (Disorder of Extreme Stress Not Otherwise Specified).
Le rôle de l’impact tramatique discrimine la pathologie consécutive au stress et la pathologie psychotruamatique qui est << une réponse differée our prolongée a une situation ou à un evénemént stressant (de courte ou de longue durée) exceptionnellement menaçant ou catastrophique et qui provoquerait des symptômes évidents de détresse chez la plupart des individus […]>> selon la CIM-10.
Cette intervention fait le point des recherches, sur la fonctionnement du systéme limbique notamment, et des connaissances cliniques recéntes concernant le rôle del la dissociation périttraumatique et des troubles dissociatifs ultérieurs dans la pérnnisation des troubles psychotraumatiques.
The concept of stress is as a state of posttraumatic stress disorder (F43-1) and acute reaction (F43-0) in the international diagnostic classifications of mental disorders, such as the DMS-IV or ICD 10. However, clinical experience indicates that the pathology psychotraumatic can not be limited to a Posttraumatic Stress Disorder (PTSD) with or without dissociative disorder (F44), or even a complex PTSD or DESNOS (Disorder of Extreme Stress Not Otherwise Specified).
The role of impact tramatique discriminates consecutive stress pathology and pathology psychotruamatique is "a delayed response o prolonged a situation or a stressful event (short or long term) of an exceptionally threatening or catastrophic nature and cause of obvious symptoms of distress in most people [...]>> ICD-10.
This intervention provides an update on research on the functioning of the system including limbic, and recent clinical knowledge regarding the role périttraumatique del dissociation and dissociative disorders later in pérnnisation psychotraumatic disorders.
Clients with complex and severe trauma histories require stabilization of
symptoms, and containment of affect before ever beginning EMDR. A wealth
of stabilization tools helps mitigate the impact of dysregulated affect and
physiology. The tools reduce risk of retraumatization, client loss of hope,
and abandonment of treatment. They also protect practitioners from
reenacting unprocessed client material, ethical and clinical error, and therapist
overwhelm. The presenters will identify risks and manifestations of client
affect dysregulation, bridging theory and practice, and equipping participants
with both a rich toolkit of specific tactics, as well as a decision process for
matching tool and circumstance.
This presentation will help clinicians recognize and address the confusing or inexplicable aspects of trauma as they follow standard EMDR protocol. Children who experienced complex trauma, adults who had childhood trauma and individuals who have had medical trauma may be at risk for confusion that interferes with executive functioning, learning and attachment. This workshop will present ways to address confusion through cognitive interweaves, developmentally appropriate explanations, cohesive narrative and specific targeting of physical sensations. The presentation will provide case studies accompanied by slides, videos, practicum and discussion.
Eye movements during exposure to distressing mental images reduce their vividness and emotional intensity, which may be due to both tasks competing for working memory (WM) resources. WM theory predicts an inverted U-shaped relationship between degree of taxing and beneficial effects: greater taxing of WM will more greatly reduce vividness/emotionality, but extremely taxing tasks prevent holding the image in mind, thereby reducing benefits. This study examined whether mental arithmetic (subtraction) tasks during visual imagery reduce image vividness/emotionality ratings, and taxing WM and reduced vividness/emotionality show the predicted quadratic relationship. A non-clinical sample retrieved a distressing image of the Queen's Day tragedy (which occurred 1-3 months earlier in the Netherlands), and rated it for vividness and emotionality. Participants were assigned to one of four conditions: exposure alone or exposure with concurrent 'simple' subtraction, 'intermediate' subtraction, or 'complex' subtraction. Afterwards, vividness and emotionality were rated again. A reaction time task showed that the subtraction tasks increasingly taxed WM. Consistent with WM theory, exposure with subtraction reduced image vividness and emotionality compared to exposure alone. The expected inverse U-curve relationship was found for emotionality, but not for vividness: simple or intermediate subtraction had more beneficial effects than no dual-task or complex subtraction. Clinical implications are di