Francine Shapiro Library - EMDR Bibliography Links
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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.
Language: English
Format: Conference
Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.
Keywords: Children Dissociation
Accuracy Verified: Yes
2. Knudsen, N. J. (2004, September). Accelerating differentiation of self: EMDR and Bowen theory. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
How does one create a Self that is both steady and solid enough to stay on course in the face of pressure to conform, yet capable of maintaining intimate connection with others over time? Bowen theory offers us a window into how this fundamental struggle plays out in each human life. Participants will develop a working knowledge of Bowenian concepts and how to use EMDR to help individuals clear away obstacles to healthy connection to Self and Other. This integrative approach then facilitates the re-working and repairing of significant relationships. The format will be lecture, case presentation, experiential exercise, and discussion.
Keywords: Bowen Theory
Accuracy Verified: Yes
3. Knudsen, N. J. (2003, September). Accelerating differentiation of self: EMDR and Bowen theory. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
How does one create a Self that is both steady and solid enought stay on course in the face of pressure to conform, yet capable of maintaining intimate connection with others over time. Bowen theory offers a window into how this fundamental struggle plays out in each human life. Participants will develop a working knowledge of key Bowenian concepts and how to use EMDR to help individuals clear away obstables to healthy connection to Self and Other. This integrative approach then facilitates the reworking and repairing of significant relationships. The format will be lecture, case presentation, experiential exercise, and discussion.
Keywords: Bowen Theory
Accuracy Verified: Yes
4. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.
Keywords: Model Poster Preverbal Trauma Theory
Accuracy Verified: Yes
5. Staff. (2002, November/December). Alternative treatments for anxiety disorders: EMDR. Triumph Newsletter.
Language: English
Format: Newsletter
Abstract: The alternative therapy addressed in this article is Eye Movement Desensitization and Reprocessing (EMDR) developed by Francine Shapiro, Ph.D. in 1987. One day, while walking in a park, Dr. Shapiro made a connection between her involuntary eye movements and the reduction of her negative thoughts. She decided to explore this link and began to study eye movements in relation to the symptoms of Posttraumatic Stress Disorder (PTSD). PTSD is an anxiety disorder that is characterized by the development of symptoms after exposure to a traumatic event. Symptoms can include re-experiencing the event - either in flashbacks or nightmares - avoidance of reminders of the event, feeling jumpy, having difficulty sleeping, having an exaggerated startle response, and experiencing feelings of detachment.
Keywords: Anxiety Disorders General Overview
Accuracy Verified: Yes
6. Stewart, K., & Bramson, T. (2001, June). Body journaling as an adjunct to EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract: I
n this workshop, participants will learn the model of Body Journaling, how it guides the process of mind and body connection, and methods of using Body Journaling with EMDR. This workshop will include an experiential component.
Keywords: Body Journaling
Accuracy Verified: Yes
7. Kok, W. (2009). Casus 23 – Op leeftijd: Een 70+-dame met gestagneerde rouw en een beroerte in de voorgeschiedenis [Case 23 - Elderly: A 70 + lady with complicated mourning and a stroke in her medical history], (pp 313-318. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 313-318). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_33 .
Language: Dutch
Format: Book Section
Abstract:
Mevrouw Akersloot is een vrouw van in de zeventig. Zij werd verwezen door haar neuroloog, in verband met slaapproblemen en irrationele angsten. De klachten hielden verband met traumatische gebeurtenissen. In 2004 was zij opgenomen op de afdeling Neurologie in verband met een CVA (cerebrovasculair accident; een beroerte). Zij herstelde daar goed van en er bleken geen tekenen van een beginnende dementie aanwezig te zijn. Ook de fysiotherapeutische behandeling die zij kreeg in verband met instabiliteit bij het staan en lopen, had goed geholpen.
Ms. Akersloot is a woman in her seventies. She was referred by her neurologist, because of sleeplessness and irrational fears. The complaints were related to traumatic events. In 2004 she was included in the Department of Neurology associated with a stroke (cerebrovascular accident, a stroke). She recovered well and there were no signs of an incipient dementia present. The physiotherapy treatment they received in connection with instability when standing and walking, had good help.
Keywords: Grief Complicated Mourning Old Age Elderly Stroke
Accuracy Verified: Yes
8. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (p 159) Palermo.
Language: English
Format: Other
Abstract:
EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.
Keywords: EEG Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
9. Yang, Y., & Wu, W. (2008, June). A Chinese way to use ‘safe place’ in grief work. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Every culture has its special way to deal with grief. In Chinese culture which is collectivism-oriented, people deal
with grief not only in a society context, but also have a lot of connection with the bereaved ones. We found that
it is hard to help the clients to be stabilized and work with EMDR on their grief before you help them to find a
“Safe place” to settle their bereaved ones down. Hence, we use a modified “safe place” technique to help the
clients to create a “heaven” for their loved ones, a “place” they can visit to say “hello” again to their bereaved
ones. Our presentation will how we did that in a case series of adults and children by using imaginary ways and
artistic ways. Using EMDR as standard protocol was effective to remove the symptoms and got the SUDs down.
Keywords: Chinese Grief Poster Safe Place
Accuracy Verified: Yes
10. Wizansky, B. (2007). A clinical vignette: Resource connection in EMDR work with children. Journal of EMDR Practice and Research, 1(1), 57-61. doi:10.1891/1933-3196.1.1.57 .
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes a procedure for drawing on and strengthening a child's resources in all phases of EMDR treatment. The procedure facilitates the connection to more authentic and meaningful inner resources that come directly from the child's world, thus strengthening the positive memory networks so that these are available for the child to access when processing his/her traumatic material. Three separate cases are described to illustrate the application. [Author Introduction]
Keywords: Israelis Psychotherapeutic Processes School Age Children Stressors Survivors
Accuracy Verified: Yes
11. Pace, P. (2003, September). Connecting ego states through time with EMDR and lifespan integration. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will be introduced to Lifespan Integration, an effective new technique, which connects dissociated ego states to one another, and eventually produces an integrated self. This technique brings up images related to the targeted trauma, and gives the client insights about the lifelong pattern of behaviors resultant from the trauma. External resources are rarely needed as clients spontaneously connect to internal resources. Participants will learn how Lifespan Integration can be used adjunctive to EMDR: 1) to quickly resolve feeder memories which are interfering with processing; 2) to help clients who are flooding with emotion regain connection to their cognitive capacities; and 3) to help clients access positive internal resources related to the targeted trauma.
Keywords: Ego States Lifespan Integration
Accuracy Verified: Yes
12. Vojtova, H., Bob, P., & Ptacek, R. (2012). Desenzitizace a zpracování pomocí očních pohybů (EMDR) - psychologické a neurobiologické souvislosti terapie posttraumatické stresové poruchy [Desensitization and processing using eye movements (EMDR) - A psychological therapy connection neurobiological posttraumatic stress disorder]. Československá psychologie, 56(5), 463-472.
Language: Czech
Format: Journal
Abstract:
Eye Movement Desenzibilizace a přepracování (EMDR) představuje slibný přístup k léčbě posttraumatické stresové poruchy. Empirické poznatky poskytují důkazy o vlivu EMDR na snížení subjektivně vnímané živostí a emocionální zátěž z autobiographic vzpomínek a na snížení vzrušení autonomního nervového systému přesouváním rovnováhy směrem aktivace parasympatiku. Poslední hypotézy naznačují, že účinky EMDR spoléhají na neurobiologických mechanismů pracujících v duálním zaměřit pozornost, orientující reflex a REM spánek. Toto přepracování se zdá vyvolat specifickou neurobiological odpověď, že dělá pro zpracování informací v centrálním nervovém systému efektivnější, zejména u jedinců s PTSD.
Eye Movement Desensitization and Reprocessing (EMDR) represents a promising approach to treatment of posttraumatic stress disorder. The empirical findings provide evidence for the effect of EMDR on decreasing of subjectively perceived vividness and emotional burden of autobiographic memories and on reducing arousal of the autonomic nervous system by shifting the balance towards parasympathetic activation. Recent hypotheses suggest that the effects of EMDR rely on neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. This reprocessing seems to provoke a specific neurobiological response that makes the information processing in central nervous system more efficient, particularly in individuals with PTSD [Author Abstract].
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
13. Valdez, D. W. (2006, September 10). Disasters, crime leave their marks on survivors. El Paso, TX: El Paso Times, Lifestyle.
Language: English
Format: Newspaper
Abstract:
"There are some new treatment approaches that can shorten the amount of time some of these people have to spend in therapy," Patterson said. "One of these is known as EMDR -- eye movement desensitization and reprocessing. It is effective."
The treatment, developed in the late 1980s, uses eye movement in connection with images or other reminders to help people to release a trauma.
Keywords: Crime El Paso Disasters
Accuracy Verified: Yes
14. 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
15. Manfield, P. (2013, May). Dyadic resourcing: Creating a foundation for treating early trauma [La dyade comme ressource: Créer une base solide pour traiter les traumas de la petite enfance]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing
of very early trauma with severely deprived clients, including those with attachment disorders. The goal of
this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child
relationship. This workshop will address the basic principles and processes central to this form of resourcing,
including each of the five steps involved in establishing this resource. The process will be illustrated using clinical
videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be
provided.
Learning Objectives:
• Explain why cognitive interweaves are often not helpful to clients with attachment disorders
• List 15 possible sources of resource figures a client might have that the client can feel a present affective
connection to.
• List 8 techniques that can be used to help a client feel more intensely connected to a resource.
• Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly
identifying with their child selves.
• Describe how the “morphing” process minimizes a client’s resistance to feeling nurtured.
Cet atelier présente la dyade comme ressource, une approche conçue pour faciliter le retraitement en EMDR pour
les traumas de la petite enfance chez des clients qui ont été sévèrement négligés dont ceux avec un trouble de
l’attachement. L’objectif de ce processus est d’aider le client à se connecter au niveau affectif à une expérience
intérieure d’être dans une relation nourrissante parent-enfant. Cet atelier portera sur les principes de base et
les processus centraux de cette forme de ressourcement incluant les 5 étapes pour établir cette ressource. Le
processus sera illustré à l’aide de vidéos de transcription sur les ressources et une démonstration en direct. Il
fournira aussi des ‘’liens’’ afin d’avoir accès gratuitement à des formations sur les ressources.
Objectifs d’apprentissage:
• Expliquer pourquoi les tissages cognitifs ne sont pas aidant pour les clients ayant un trouble de l’attachement
• Une liste de 15 figures ressourçantes pour le client et pour lesquelles il peut ressentir une connexion sur le
plan affectif.
• Une liste de 8 techniques qui peut être utiliser afin d’aider le client à se sentir de plus en plus connecter à une
ressource.
• Décrire 4 indications que le client n’adopte pas une position d’observateur mais plutôt qu’il soit vraiment
identifié avec leurs ‘’soi’’ d’enfant.
• Décrire comment le processus de ‘’morphing’’ peut diminuer la résistance au sentiment d’être nourrit
affectivement
Keywords: Dyadic Resourcing Morphing Resource Figures
Accuracy Verified: Yes
16. Parnell, L. (2001). EMDR - Der weg aus dem trauma: Über die heilung von traumata und emotionalen verletzungen [Transforming trauma: EMDR]. Paderborn: Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Menschen geholfen, die von schrecklichen Mißbrauchserlebnissen oder von Traumata verfolgt wurden. Die neue Methode vermag auch Patienten zu helfen, bei denen andere Therapieformen versagt haben, darunter Menschen, die an chronischen Problemen wie Eßstörungen, Angstzuständen, einem schwachen Selbstwertgefühl, Depressionen und Störungen ihrer Leistungsfähigkeit leiden. EMDR bringt Millionen von Menschen neue Hoffnung, denen gesagt wurde, ihre Genesung werde sich wohl über ihr ganzes weiteres Leben hinziehen.
Die EMDR-Therapie bettet die Technik der Augenbewegung in einen umfassenden Ansatz ein, durch den Informationen verarbeitet werden, die sich in unverarbeiteter Form in Körper und Geist des Patienten verkapselt haben. Dadurch werden die Betroffenen von belastenden Bildern und Körperempfindungen, bedrückenden Emotionen und Einschränkenden Überzeugungen befreit. Bei Anwendung dieser Methode tritt die Heilung nicht nur wesentlich schneller ein als in der traditionellen Therapie, sondern die Klienten erleben auch ein Gefühl der Freude, Offenheit und tiefen Verbundenheit mit anderen. Laurel Parnell veranschaulicht uns auf fesselnde Weise die Wirkung von EMDR. In ihren mutmachenden Heilungsberichten versetzt sie die Leser in die Psyche ihrer Klienten, wo die Traumata, die jene in der Vergangenheit erlebt haben, erstarrt sind. Die Autorin veranschaulicht auf sorgsame, persönliche und verständliche Weise, wie EMDR es Menschen ermöglicht, über das bloße Überleben eines traumatischen Erlebnisse hinaus zu einer Erfahrung des Wohlbefindens und der Ganzheit zu gelangen.
Ein allgemeinverständlich geschriebenes Buch, das allen, die sich erstmals mit dieser neuen revolutionären Therapieform beschäftigen wollen, einen umfassenden Einblick über die Methodik, den Ablauf, die vielfältigen Einsatzmöglichkeiten und die ungezählten erfolgreich durchgeführten Therapien vermittelt: Informativ. Fesselnd geschrieben. Hoffnung auf Heilung vermittelnd. Ein idealer Einstieg in EMDR.
EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of people who were haunted by terrible abuse experiences or trauma. The new method can also help patients who have not responded to other therapies, including people who suffer from chronic problems such as eating disorders, anxiety, a low self-esteem, depression and disturbances of their capabilities. EMDR brings new hope to millions of people who have been told, their recovery will probably drag on through its entire life. The EMDR therapy embeds the technique of eye movement in a comprehensive approach that will be processed by the information, which have encapsulated in the natural state of body and mind of the patient. Thus the person concerned of incriminating images and body sensations, emotions and limiting beliefs are oppressive, free. In applying this method, the healing occurs not only much faster than in a traditional therapy, but the clients also experience a feeling of joy, openness and deep connection with others. Laurel Parnell are illustrated with fascinating way, the effect of EMDR. In its encouragement healing reports, they leave readers into the psyche of their clients, where the traumas, the former have experienced in the past freezes are. The author demonstrates in careful, personal and understandable way, such as EMDR allows people to reach beyond the mere survival of a traumatic experience also an experience of wellness and wholeness. A book, written in generally understandable to all, who would first deal with this revolutionary new form of therapy, provides a comprehensive insight into the methodology, process, the various applications and successfully executed countless therapies: Informative. written captivating. Hope for healing mediator. An ideal introduction to EMDR.
Keywords: Trauma
Accuracy Verified: Yes
17. 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
18. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
19. Wildwind, L. (1995). EMDR and the “ADD” connection. EMDR Network Newsletter, 5(1), 9-11.
Language: English
Format: Newsletter
Abstract:
You or your clients may be coping
with Attention Deficit Disorder (ADD,
termed Attention Deficit Hyperactivity
Disorder in the DSM IV). For
reasons I will explain below, it is more
likely if you use EMDR that you will
encounter this condition
Keywords: ADD Attention Deficit Disorder
Accuracy Verified: Yes
20. Wipson, E. C. (2002, June). EMDR applications in addictive disorders. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Participants will be able to explain the addictive brain process in relationship to EMDR treatment goals, list client readiness safety factors, and list appropriate client resources for R.I. They will learn appropriate NC & PC for Addictive Illness treatment. Participants will learn a variety of Addictive Illness issues to be targeted with EMDR including the "initial connection." They will learn an EMDR Addictive Disease Treatment Model with accompanying flowchart.
Keywords: Addictions Addictive Disease Treatment Model
Accuracy Verified: Yes
21. Manfield, P. (2010, June). EMDR clinical skills: Dyadic resourcing. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This workshop introduces 'dyadic resourcing,' a form of
resourcing designed to facilitate the processing of very early trauma
with severely deprived clients, including those with attachment
disorders. The goal of this process is to help a client connect
affectively to the experience of being in a nurturing relationship
Through this process clients experience both roles, the role of the
adult who loves them and the role of the child who is lovable
and loved. These roles become increasingly real to them and clients
come away with access to a loving non-judgmental view of
themselves as a child. Clients whose original trauma was a result
of or exacerbated by a lack of a strong connection to a nurturing
caregiver will benefit from a variety of resources, but the resource
that is essential is access to a secure internal nurturing relationship,
which this process provides. This procedure is particularly
useful for clients who think they were bad or worthless as children,
who think the abuse or neglect they suffered chronically
was deserved, who are overwhelmed by the intensity of their
pain from early childhood experiences, or who cannot view their
child selves in an accepting nurturing way. In other words, this
type of resourcing is ideal for some of the most difficult EMDR
clients, and helps to prepare them for trauma processing.
Once developed, these resources allow the EMDR clinician to
utilize cognitive interweaves in which the adult client is able
to support the child self. Dyadic resourcing is typically a five step process: identifying a nurturing adult resource, make the
resource real for the client, formulating a parent-child relationship involving the resource, intensify the client's experience of
that relationship, and helping the client to have the experience
of both the child and adult in the resource dyad. This workshop
will address each of these steps, covering the basic principles
and processes central to this form of resourcing. The process
will be illustrated using clinical videos, transcripts, and a live
demonstration. Techniques borrowed from Eidetic Psychotherapy,
Neuro-Linguistic Programming, Gestalt Therapy, hypnotic
phrasing and other disciplines will be addressed Links to free
downloadable explanatory material from the presenter's book.
EMDR Clinical Skills: Case Conceptualization and Dyadic re^
sourcing will be offered for those interested in sharpening their
skills in this useful resourcing approach.
Learning objectives: Participants will be able to
- Explain why cognitive Interweaves are often not helpful to
clients with attachment disorders
-List 15 possible sources of resource figures
- List 8 techniques that can be used to help a client feel more
intensely connected to a resource.
- Describe 4 indications that clients are NOT assuming an outside
observer role and are instead overly identifying with their
child selves.
Keywords: Dyadic Resourcing Keynote
Accuracy Verified: Yes
22. 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
23. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..
Language: English
Format: Other
Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren
traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen
von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung
betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2
Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 -
6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig
häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter.
In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen
Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch
und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel,
2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer
komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).
The probability that we are in the course of our lives one or more
traumatic events are exposed, is relatively high: the lifetime prevalence
of traumatic events and posttraumatic stress disorder
be in international epidemiological studies for women from 17.7 to 74.2
Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 -
6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance
often violence and abuse experiences in childhood, adolescence and adulthood.
In many cases, a connection between the traumatic
Event, the development of post traumatic stress disorder and alcohol abuse
and are derived dependence (Perkonigg et al., 2000; Zobel,
2006). In the event of a PTSD is a risk of addiction or other
comorbid disorders at the 4-5-fold increased (Breslau, 2002).
Keywords: Addictions Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
24. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen [EMDR in child and adolescent psychotherapy]. Auflage: Seiten, Kartoniert .
Language: German
Format: Book
Abstract:
EMDR ist eine psychotherapeutische Methode zur Behandlung traumatischer Erinnerungen. In seinem sehr gut lesbaren und informativen Buch beschreibt Ricky Greenwald, ein Pionier in der Anwendung von EMDR und einer der aktivsten Erforscher dieser Methode, wie EMDR zur Behandlung von Verlusterfahrungen, Ängsten, somatischen Problemen, Depression und Verhaltensproblemen von Kindern und Jugendlichen angewendet werden kann. "Das vorliegende Buch konzentriert sich auf den Einsatz von EMDR bei Kindern und Jugendlichen. EMDR ist eine noch recht neue Methode, und die meisten bei Kindern und Jugendlichen benutzten Varianten dieser Methode sind noch jüngeren Ursprungs. Der größte Teil des methodischen Materials, das in diesem Buch beschrieben wird, wurde bisher noch nicht veröffentlicht. Ich habe das Buch für all jene geschrieben, die lernen wollen, therapeutisch mit Kindern und Jugendlichen zu arbeiten, oder die ihre diesbezüglichen Kenntnisse erweitern wollen. Aus der Trauma-Orientierung bei der Durchführung einer Therapie in Verbindung mit verschiedenen Anwendungsbereichen von EMDR sind einige innovative und effektive Ansätze zu gängigen Behandlungsbereichen entwickelt worden. Die Anwendung von EMDR in der Therapie erfordert eine formelle Ausbildung und Supervision, wie sie ein Buch allein niemals leisten kann. Doch können Leser, die bereits an einer EMDR-Ausbildung teilgenommen haben, dieses Buch auch als Leitfaden für die Anwendung von EMDR zur Behandlung von Kindern und Jugendlichen benutzen." - Ricky Greenwald
EMDR is a psychotherapeutic method for the treatment of traumatic memories. Describes in his very readable and informative book Ricky Greenwald, a pioneer in the use of EMDR and one of the most active explorers of this method, how EMDR for treatment of loss experience, anxiety, somatic problems, depression and behavior problems in children and adolescents are applied. "This book focuses on the use of EMDR in children and adolescents. EMDR is still a very new method, and most children and adolescents used variants of this method are even more recent origin. The bulk of the methodological material, which in this Paper describes has not yet been published. I wrote the book for those who want to learn therapeutically with children and young people to work, or want to extend their knowledge in this regard. From the trauma reference for the implementation of a therapy in connection with different applications of EMDR are some innovative and effective approaches to common treatment areas have been developed. The use of EMDR in the treatment requires a formal training and supervision as a book alone can never achieve. But to readers who are already suffering from EMDR have participated without training to use this book as a guide for the application of EMDR to treat children and adolescents. " - Ricky Greenwald
Keywords: Adolescents Children Psychotherapy
Accuracy Verified: Yes
25. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.
Language: German
Format: Journal
Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten
Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern
bzw. zu hemmen und somit auch die Symptomatik der
posttraumatischen Belastungsstörung abzubauen.
Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen
Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv,
verhaltenstherapeutischen Vorgehens das Modell
von Ehlers und Clark, ebenso das EMDR-Verfahren von
Shapiro. Das Biofeedbackverfahren nutzen die Autoren
als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches
Therapiekonzept und Behandlungsprotokoll vor.
Es wird eingehend auf die Diagnostik (psychologische
Testverfahren sowie Biofeedback eingegangen, ein wichtiger
Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt
die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten
zwischen den Sitzungen bekommen mit eingehenden
Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative
Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien.
Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll
für EMDR. Gegen Ende des Bandes schließen sich Fallstudien
aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen.
Im Anhang gibt es Adressenverzeichnisse über den
Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen.
Zusammenfassend kann man sagen, dass der Band
kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische
Praxis in Bezug auf Traumabehandlungen erscheint.
Das Buch richtet sich an Fachleute und ist für
Laien eher weniger geeignet.
In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy,
the EMDR method and biofeedback
combined to the fear reaction Framework to reduce traumatic memories
or to inhibit and thus the symptoms of
reduce post-traumatic stress disorder.
In the first part of the book, the authors detail
to the theoretical background (neurophysiology,
Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories.
Here, they argued that the neuronal
Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model
by Ehlers and Clark, as well as the method of EMDR
Shapiro. The biofeedback method, the authors use
as a diagnostic tool for the subjective evaluation
on the part of the patients also
making objectively verifiable by measuring
electrodermal activity (EDA).
In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at
all patients, and patients had a significant positive Detect symptom change the PTB have been.
In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis (
Test procedures and biofeedback received an important
Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises.
The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded.
The stabilization exercises are described practically
(Safe Place, Safe), as well as the practical
Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice.
In the appendix, there are records of the address
Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
26. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and family systems therapy]. EMDRIA Deutschland e.V. Rundbrief, 2, 14-17.
Language: German
Format: Newsletter
Abstract:
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf.
EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen).
In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16).
EMDR ist dementsprechend in der familientherapeutischen Literatur und den einschlägigen Fachzeitschriften bisher so gut wie nicht zur Kenntnis genommen worden. Eine Ausnahme bildet The Family Therapy Networker im Jahr 1993, der dem Thema EMDR ein Special Feature widmet (vgl. Butler (1993) und O'Brien (1993)).
Von Seiten der EMDR Praktizierenden gibt es durchaus Hinweise auf die Vereinbarkeit. Tinker & Wilson (2000, 229) verweisen auf die Nützlichkeit der Ergänzung der EMDR-Arbeit durch familientherapeutisches Vorgehen. Lempa (2000) beschreibt die Verbindung der EMDR-Einzelbehandlung mit familientherapeutischen Gesprächen innerhalb des stationären Settings und berichtet über positive Erfahrungen im Hinblick auf die Akzeptanz der Behandlung in den Familien.
Ich halte die wechselseitige Betrachtung der Ansätze für sehr fruchtbar und möchte hier einige Gedanken und Erfahrungen dazu darstellen.
In the common view of EMDR with family therapy approaches, first fall to the opposition.
EMDR is usually applied in individual settings. Treatment is usually in the context of specific disease diagnoses (typically from trauma-related - errors - but also others).
In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms in terms of their effect in the (family) system were investigated. For example, a patient is a "symptom carrier" within the family. Therefore, we look for the meaning or benefit that the symptoms for the family. In this respect it is quite far from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy not declared excluded (see, for example, Stierlin et al. 1977, 16).
EMDR has been accordingly in the family therapy literature and the relevant journals previously taken almost no notice. The Family Therapy Networker an exception is in 1993, the subject of EMDR devotes a special feature (see Butler (1993) and O'Brien (1993)).
Sides of the EMDR practitioner, there are indications of the compatibility. Tinker & Wilson (2000, 229) point to the usefulness of supplementing EMDR work with family therapeutic approach. Lempa (2000) describes the connection of individual EMDR treatment with family therapy calls within the inpatient setting and reported positive experiences with regard to the acceptance of the treatment in the home.
I think the mutual inspection of approaches for very fruitful and would like to present some thoughts and experience to do so.
Keywords: Family Systems Therapy
Accuracy Verified: Yes
27. Servan-Schreiber, D. (2007, June). EMDR with life-threatening medical illness. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The relation between mind and body is more clearly understood
than ever before. Stress reactions influence biological mechanisms
such as immunity and inflammation
that profoundly influence the course of medical conditions.
PTSD is a predictor of ill-health. Powerlessness is
associated with cancer progression. This presentation will
review the mind-body connection in relation to severe illness,
and the role of EMDR in helping patients facing lifethreatening
diseases.
Keywords: Keynote Medical Illness
Accuracy Verified: Yes
28. Mosconi, A., Pezzolo, M., & Trotta, B. (2012, June). EMDR y terapia sistemica - Puntos de conexión, relectura e integración en el proceso terapéutico [EMDR and systemic psychotherapy - Connection points, new interpretations and integrations in the therapeutic process]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: Spanish
Format: Conference
Abstract:
En el aproche sistémico-relacional del Milán Model, el primer paso para la introducción de un cambio sea al interno de un contexto de terapia individual sea de pareja y/o familiar, es la construcción junto al paciente/sistema familiar de una Hipótesis Sistémica relativo al problema llevado. Tal proceso proporziona
la exploración en profundidad sea sincrónica sea
diacrónica de los contextos relacionales generadores del problema.
La hipótesis con respecto al sistema Relacional coconstruida
en el proceso terapéutico, toca temas
específicos a través de el uso de precisas técnicas locuaces.
Los pilastros de la hipótesis cumplen las dimensiones descritas en el cuadrilátero sistémico en el cual el problema del paciente está conectado en un proceso recursivo a los aspectos interpersonales del contexto de pertenencia.
In the systemic-relational approach of Milan Model, the first step to the introduction of a change both within the context of individual therapy and couple/family one
consists of outlining a Systemic Hypothesis on the given problem together with the patient/family system. This
process involves both synchronic and diachronic indepth exploration of the relational contexts representing the problem generators.
The hypothesis referred to the relational system, outlined together during the therapeutic process, touches specific subjects through the use of specific conversational techniques.
The pillars of the hypothesis comply with the dimensions highlighted in the Systemic Quadrilateral where the problem of the patient is connected to a process related to the interpersonal aspects of his environment.
Keywords: Poster Systemic Psychotherapy
Accuracy Verified: Yes
29. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This case concerns a 4,5 year old girl with Selective Mutism.
In this particular case. I considered Selective Mutism a symptom
of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom
as a target. I applied EMDR within a phase model: the preparation
phase, confrontation phase and integration phase. During
these three phases I continuously worked with bilateral stimulation
It is my hypothesis that in this case the bilateral stimulation:
1. stimulated and strengthened positive links in the adaptive
network.
2 synchronized the activity of both cerebral hemispheres, resulting
in a connection between the primary emotions of traumatic
experiences and rational insights and language.
3. unblocked the traumatic information and reactivated the natural
healing process of the brain. I used several forms of bilateral
stimulation as visual stimulation, tactile stimulation and the butterfly
hug. Because of her lack of words, she wasn't able to tell me
anything. So through storytelling I offered her different themes to
which she could respond by making drawings, figures in clay, etc.
During the preparation phase, I focused on safety, ego strengthening
and affect management to reduce the fear to speak.
1. Working with safety : the eye movements were first accomplished
using a safe Image which brought up her own sense
of security. Then, after imagining this safe place, the child was
willing to play tapping games to strengthen feelings of safety.
2. Ego strengthening : to feel as strong as possible by installing
resources and positive cognitions, and guiding the child towards
acceptance and development of its unique being. Bilateral stimulation
was used to strengthen the positive experiences.
3. Affect management: in the process of strengthening affect
management, the child was given access to her anxiety by storytelling
linked to visualization, the use of images and bodywork.
Again, bilateral stimulation was used to strengthen the
positive experiences/skills. After a few sessions. I introduced
the use of language and stimulated her to make sounds, followed
by pronouncing places of words and finally the pronunciation
of complete words and sentences. Through this whole
process, 1 combined the specific exercises to learn how to speak
with bilateral stimulations. During the twelfth session, the child
started talking spontaneously Given the fact that there wasn't
any direct confrontation work during the sessions, we are left
to wonder whether there has or hasn't occurred any trauma
processing. The symptom came to a halt, together with the disappearance
of other symptoms that were Inked to the trauma.
The question is whether it is necessary to confront young children
with their trauma in order to heal. Nevertheless, it seems
like the combination of bilateral stimulation with storytelling,
art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.
Keywords: Experimental Use Selective Mutism
Accuracy Verified: Yes
30. Kreyer, A. K. (2008). Experimentelle Überprüfung psychophysiologischer prozesse im EMDR (eye movement desensitization and reprocessing) - Ein beitrag zur psychotherapeutischen grundlagenforschung [Experimental verification of psychophysiological processes in EMDR (Eye movement desensitization and reprocessing) - A contribution to psychotherapy research]. Köln, Universität, Internet-Ressource.
Language: German
Format: Dissertation/Thesis
Abstract:
Spätestens am Ende des 19. Jahrhunderts kam – damals in psychiatrischen Kreisen – die
Vermutung auf, dass starke seelische Verletzungen zu speziellen Symptomkomplexen führen,
welche zunächst unter der Kategorie Hysterie klassifiziert wurden (vgl. van der Kolk, Weisaeth
& van der Hart, 1996/2000). Ein Jahrhundert psychotherapeutischer Erfahrungen und
Forschungsbemühungen – sowohl im Zusammenhang mit den Folgen beider Weltkriege und
des Vietnamkrieges als auch mit der Frauenrechtsbewegung, welche auf Gewalt gegen Frauen
aufmerksam machte – verdichteten diese Vermutung. Aber es sollte noch bis 1980 dauern, bis
die Posttraumatische Belastungsstörung (PTBS) als offizielle Diagnose in der psychiatrischen
Nomenklatur anerkannt wurde (vgl. van der Kolk, McFarlane & Weisaeth, 1996/2000).
By the end of the 19th Century was - at that time in psychiatric circles - on the presumption that strong psychological injury on specific symptom complexes, which were initially classified under the category of hysteria (van der Kolk, Weisaeth & van der Hart, 1996/2000). A century of psychotherapy experience and research efforts - both in connection with the effects of both World Wars and the Vietnam War and with the women's rights movement, which called attention to violence against women compacted - this assumption. But it would take until 1980 until the post-traumatic stress disorder (PTSD) as an official diagnosis in the psychiatric nomenclature has been recognized (van der Kolk, McFarlane & Weisaeth, 1996/2000).
Keywords: Psychophysiological Processes
Accuracy Verified: Yes
31. Posterski, J. (2005, July 1). Eye movement desensitization and reprocessing. EAP News, 9(3), 1-2.
Language: English
Format: Newsletter
Abstract:
What is EMDR? EMDR (Eye Movement Desensitization
and Reprocessing) is a powerful and relatively new form of psychotherapy which has been very successful in helping people
who suffer from trauma, anxiety, panic, disturbing memories, post traumatic stress, and many other emotional challenges.
The EMDR therapy uses bilateral stimulation (eye movement, tactile stimulation, or acoustic stimulation) which repeatedly
activates the opposite sides of the brain, releasing emotional experiences that are Atrapped@ in the nervous system. This assists
the neuro‑physiological system, the basis of the mind/body connection, to free itself of blockages and reconnect itself.
Keywords: EAP Employee Assistance Program
Accuracy Verified: Yes
32. Rose, L. (2012). Eye movement desensitization and reprocessing: An exploration from science to soul. Pacifica Graduate Institute, Carpinteria, CA. 1507791.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a treatment for trauma that has been approached primarily from cognitive-behavioral and neurobiological perspectives. This thesis explores the notion that much of EMDR's effect in the way of transformation and healing trauma is due to its ability to provoke imagination. The possibility of EMDR's connection with the imaginal faculty of the psyche is investigated with an emphasis on the qualities of EMDR that are grounded in depth psychology principles. Trauma and the importance of imagination in the healing process are discussed from the approach of the analytical and archetypal schools of psychology in addition to current bioscience perspectives. The research methodology used is alchemical hermeneutics, which facilitates the mining of unconscious material through transference dialogues. The thesis demonstrates that EMDR, when practiced within the context of depth psychology, is one avenue for activating significant, transformative imagery and accessing the unconscious to facilitate healing.
Keywords: Archetype Biological Sciences Dream
Accuracy Verified: Yes
33. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.
Language: Spanish
Format: Conference
Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Keywords: Floatback Technique Float Foward Technique
Accuracy Verified: Yes
34. Shapiro, E. (2009). Four elements exercise for stress management. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 73-79). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The rationale behind the creation of "The Four Elements Exercise for Stress Management" is to address the cumulative effect of external and internal triggers that occur over the course of the day. Since we know that people cope better with stress when they stay within their arousal "window of tolerance," ways to lower stress—especially when under stress—are essential. The heart of the exercise consists of four, brief, self-calming and self-control activities. The sequence of the four elements—Earth-Air-Water-Fire—is designed to follow the body up from the feet to the stomach and chest, to the throat and mouth, and up through the head. It begins with the ground to signify safety in the present reality and moves up to the imagination of recalled safety. By checking in with stress levels at random times throughout the day and also when stressful events are occurring, the exercise can aid in preventing the accumulation of stress and enables clients to stay within their window of tolerance. The modest goal is to reduce the stress level by 1 or 2 units each time the exercise is performed. The original conceptualization of the Four Elements Exercise was that the first three elements could be a preparation for the Safe Place (or other resource exercise such as the Resource Connection), especially when there is an ongoing emergency situation or when it is difficult to find a Safe Place. Often, the fourth element is introduced at the following meeting, as the first three elements are enough to remember and practice in the beginning for clients. Working on the Safe Place separately during the following session gives it more space and impact. It is advisable to follow up on how the client practiced the four elements at the beginning of the next session and to ask them to show you how they do it. If necessary, demonstrate it again at the beginning of the first few sessions. This is a way of checking for compliance and readiness for EMDR as well as present level of stress and sense of safety with you in the room. [PsycINFO Database]
Keywords: Four Elements Exercise Protocol Stress Management
Accuracy Verified: Yes
35. Laub, B. (2003, May). The healing connections to resources within and without the EMDR standard protocol. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
RC originated when I perceived a need to complement the standard EMDR protocol by emphasizing resources. Coming from a dialectical perspective it appeared that RC may supply accessibility to resources in the same way in which the standard protocol achieves accessibility to the problem when inquiring at the beginning of the session about the Sensory (Picture),Cognitive (NC), Emotional (feelings and SUDs) and Somatic (sensation) aspects of the problem (SCES). The dialectical tension created between the accessible poles of both, the problem and the resource, enhances the healing process by aiming towards a new balance.
Keywords: Empowerment Resource Connection Symposium
Accuracy Verified: Yes
36. Laub, B. (2003, June). The healing power of resource connection (RC). Presentation at the annual meeting of the EMDR International Association, Rome Italy .
Language: English
Format: Conference
Abstract:
RC originated when I perceived a need to complement the standard EMDR protocol by emphasizing resources. Coming from a dialectical perspective it appeared that RC may supply accessibility to resources in the same way in which the standard protocol achieves accessibility to the problem when inquiring at the beginning of the session about the Sensory (Picture),Cognitive (NC), Emotional (feelings and SUDs) and Somatic (sensation) aspects of the problem (SCES). The dialectical tension created between the accessible poles of both, the problem and the resource, enhances the healing process by aiming towards a new balance.
The clinical experience accumulated in Israel by my collegues and myself in the last four years indicates that the procedure is working well for clients.
Keywords: Resource Connection
Accuracy Verified: Yes
37. Laub, B. (2002). The healing power of resource connection in the EMDR protocol. Presentation at the annual meeting of the EMDR Canada Association, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Keywords: Resource Connection
Accuracy Verified: No
38. Laub, B. (2001, December). The healing power of resource connection in the standard EMDR protocol. EMDRIA Newsletter, 6(Special Edition), 21-27.
Language: English
Format: Newsletter
Abstract:
In the EMDR standard protocol the problem becomes accessible by inquiring about its sensory, cognitive, emotional an somatic aspects. The RC procedure similarly focused on the accessibility of resources. My assumption is that the dialectical tension between the accessible poles of the problem and the resource enhances the healing process aiming towards a new balance.
Keywords: Resource Connection
Accuracy Verified: Yes
39. 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
40. Forgash, C. (2005, November). Healing the heart of trauma: Restoring connections and stability. Presentation at the International Society for the Study of Dissociation Fall Conference, Toronto, Ontario Canada.
Language: English
Format: Conference
Keywords: Connection Stability Trauma
Accuracy Verified: Yes
41. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
Keywords: Attachment Behavior Psychotherapy Stressors Survivors
Accuracy Verified: Yes
42. Ventouratou, D. (2012, June). Help the helpers with EMDR(For all EMDR professionals) [Ayudar a los formadores del EMDR (Especialmente para Supervisores)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Most
therapists
are
confronted
with
feelings
of
insufficiency,
helplessness
and
even
anger
if
a
therapy
is
not
successful.
Feelings
of
shame
often
prevent
the
therapist
to
come
in
contact
with
his
own
countertransference
during
a
supervision
session.
Supervisors
often
get
lost
in
analyzing
history
details
and
making
interpretations
or
offering
tools,
but
they
sometimes
fail
to
help
the
therapists
to
get
in
touch
with
their
own
feelings.
Therefore,
a
“stuck”
therapeutic
process
is
probably
followed
(or
actually
“mirrored”)
by
a
“stuck”
in
supervision
process.
In
this
workshop
we
will
demonstrate
how
we
can
utilize
the
EMDR-‐protocol
in
difficult
supervision
or
intervision
cases,
in
order
to
overcome
impasses
in
therapeutic
processes,
negative
emotions
or
beliefs,
matters
of
countertransference
and
secondary
traumatization
of
the
therapist.
Case
examples
will
show
how
utilizing
EMDR
in
supervision
can
lead
to
a
sudden
change
of
feelings
towards
the
client
and
to
a
deeper
understanding
of
his
attitude,
show
the
connection
to
the
therapists
blocking
issues,
and
therefore
re-‐enable
conscious
empathy.
The
presentation
of
a
specially
modified
EMDR
–
Supervision-‐
Protocol
and
case
examples
will
be
followed
by
a
live
demonstration.
The
workshop
is
addressed
to
all
clinicians
who
work
as
supervisors.
The
modified
EMDR-‐Supervision-‐Protocol
can
be
used
by
all
EMDR-‐Practitioners
(NOT
only
accredited
consultants!),
whereas
their
supervisors
do
not
necessarily
need
to
be
familiar
with
EMDR.
La
Mayoría
de
los
terapeutas
tienen
que
enfrentarse
con
sentimientos
de
insuficiencia,
frustración
e
incluso
ira
si
la
terapia
no
tiene
éxito.
Sentimientos
de
vergüenza
a
menudo
previenen
al
terapeuta
a
ponerse
en
contacto
con
su
propia
contratransferencia
durante
una
sesión
de
supervisión.
Los
supervisores
a
menudo
se
pierden
en
analizar
los
detalles
de
la
historia
y
hacer
sus
interpretaciones
u
ofrecer
herramientas
terapéuticas,
pero
en
muchos
casos,
fallan
en
ayudar
al
terapeuta
a
ponerse
en
contacto
con
sus
propios
sentimientos.
Por
eso
un
“atasco”
en
el
proceso
terapéutico
esta
probablemente
seguido
por
(o
“reflejado”)
por
un
“atasco”
en
el
proceso
de
supervisión.
En
este
taller
vamos
a
demostrar
cómo
podemos
utilizar
el
protocolo
EMDR
en
supervisiones
o
intervenciones
de
casos
difíciles,
con
el
fin
de
sobreponer
los
obstáculos
del
proceso
terapéutico,
las
emociones
negativas,
o
las
creencias
relacionadas
con
la
contratransferencia
y
secundariamente
la
traumatización
del
terapeuta
Casos
prácticos
mostrarán,
cómo
utilizando
el
EMDR,
en
la
supervisión
puede
promover
un
cambio
repentino
de
cara
al
cliente
y
de
un
más
profundo
entendimiento
de
sus
actitudes,
mostraremos
la
conexión
con
los
problemas
de
bloqueos
de
los
terapeutas,
y
por
tanto,
reactivar
la
empatía
consciente.
La
presentación
de
esta
modificación
especial
del
protocolo
EMDR
–
Supervisión-‐
Protocolo
y
ejemplos
de
casos
se
llevaran
a
cabo
con
demostraciones
en
directo.
Keywords: Burnout
Accuracy Verified: Yes
43. Yordy, J. (2010, April/May). Helping children shrink the worry monster utilizing EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
An increasing number of children are suffering from anxieties, stress and even obsessive and compulsive behaviors. Different EMDR approaches are helpful for children in facilitating the release of anxieties and altering primitive brain patterns. This workshop will briefly describe some of the causes of children’s anxieties, the brain/body connection to anxiety and some simple calming techniques for releasing stress. In addition, an in-depth introduction to three EMDR child-friendly techniques for working with anxiety and trauma will be described. Case examples for each technique will be utilized to enhance the understanding of the three therapy techniques.
Keywords: Children Worry Monster
Accuracy Verified: Yes
44. Plassmann, R. (2009). Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten [In our own rhythm, the connection allergy disorders EMDR treatment of eating disorders, pain, anxiety disorders, tinnitus and addictions]. Giessen, Deutschland:: Psychosozial-Verlag.
Language: German
Format: Book
Abstract:
Weil Emotionen direkt mit dem Körper in Verbindung stehen, treten bei starken
emotionalen Belastungen regelmäßig körperliche Störungen auf, beispielsweise
Magersucht, Bulimie, Allergien, Schmerzen, Tinnitus, Süchte und Kopfschmerzen.
Mit erstaunlichem Erfolg haben nun einzelne innovative Therapeutinnen und
Therapeuten begonnen, solche emotional bedingten Störungen mit EMDR zu
behandeln, und berichten in diesem Buch darüber. Bei der EMDR-Therapie regt
der Therapeut den Patienten nach strukturierter Vorbereitung zu bestimmten
Augenbewegungen an, wodurch belastende Gedanken besser verarbeitet werden
können.
Weitere Kapitel schildern die Behandlung von Angststörungen mit EMDR, das
seelische Auftanken (Ressourcenorganisation) und die Wirkmechanismen des
EMDR. In ihrem Kapitel über Bindungstherapie mit EMDR zeigt Marion Seidel, wie
sie mit Müttern und Kindern gemeinsam arbeitet und sich dabei die emotionalen
Blockierungen lösen können.
Das Buch gibt Behandelnden und Patienten einen sehr ermutigenden Einblick in
die neu entwickelten Behandlungsmöglichkeiten dieser Erkrankungen.
Because emotions directly with the body are connected to contact with strong
emotional stress regularly to physical disorders, such as
Anorexia, bulimia, allergies, pain, tinnitus, headaches and addictions.
With amazing success now have some innovative therapists and
Therapists begun such emotionally related disorders with EMDR to
treat, and report in this book about it. Excited at the EMDR therapy
the therapist to the patient according to certain structured preparation
Eye movements, thereby upsetting thoughts workable
can.
Other chapters describe the treatment of anxiety disorders with EMDR, the
emotional refueling (Resource Organization) and the mechanisms of action of
EMDR. In her chapter on bond with EMDR therapy Marion Seidel shows how
it together with mothers and children working and it's emotional
Can dissolve blockages.
The book gives a very encouraging patients administering treatment and insight into
The newly developed treatment of these diseases.
Keywords: Addictions Anxiety Disorders Eating Disorders Pain Tinnitus
Accuracy Verified: Yes
45. Daigger, M. (2007). Imaginative techniken in der psychotraumatherapie unter besonderer berücksichtigung des motivs "Die innerern helfer" [Imaginative techniques in the psychotrauma-therapy in special view of the motif "The inner helpers"]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 39-51.
Language: German
Format: Journal
Abstract:
In psychotraumatherapy den therapeutischen Prozess (Stabilisierung, Therapie mit dem inneren Kind, Trauma-Exposition) ist oft durch mehrere Probleme behindert. Dann das Motiv "Die Inneren Helfer" als eine phantasievolle Ressource im Zusammenhang mit der suggestiven Beeinflussung durch den Therapeuten kann gute Dienste leisten. Die Inneren Helfer symbolisieren unbewussten Teile des Selbst, die losgelöst haben und verdrängten durch das Mittel der Projektion im Sinne von Fähigkeiten, die der Patient hat (noch) keinen Zugang. Die Inneren Helfer nehmen eine repräsentative Funktion für den Patienten, bis er in der Lage, diese Teile des Selbst nach Gebrauch mit integrierten ihnen. Die Aktivierung dieser Ressourcen phantasievolle ermöglicht nicht nur ein Erfolg versprechende Stabilisierung und Therapie mit dem inneren Kind, sondern auch eine sanfte und wenig Anstrengung Trauma Exposition für Patient und therapist.In diesem Artikel möchte ich zunächst das Motiv einführen "Die Inneren Helfer" . Ich weiterhin durch den Nachweis wichtige Techniken der Psychotraumatologie, indem sie Beispiele für mögliche Anwendungen der das Motiv des Inneren Helfer in schwierigen Situationen des therapeutischen Prozesses. Alle Techniken ergänzen einander und können miteinander kombiniert werden. [Autor Zusammenfassung]
In psychotraumatherapy the therapeutic process (stabilization, therapy with the Inner Child, trauma exposure) is often hindered by multiple difficulties. Then the motif "The Inner Helpers" as an imaginative resource in connection with suggestive influencing by the therapist can serve well. The Inner Helpers symbolize unconscious parts of the self that have been dissociated and repressed by the means of projection in the sense of abilities to which the patient has (yet) no access. The Inner Helpers take a representative function for the patient until he is able to use these parts of the self after having integrated them. The activation of these imaginative resources not only makes possible a success promising stabilization and therapy with the Inner Child, but also a gentle and little straining trauma exposure for patient and therapist.In this article I first want to introduce the motif "The Inner Helpers". I continue by demonstrating important techniques of psychotraumatology by giving examples of possible applications of the motif of the Inner Helpers in difficult situations of the therapeutic process. All techniques complete each other and can be combined. [Author Summary]
Keywords: Psychotrauma
Accuracy Verified: Yes
46. Flemke, K., & Protinsky, H. (2001, December). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 12(4), 1-14. doi:10.1300/J085v12n04_01.
Language: English
Format: Journal
Abstract:
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-Dialogue and the Parent-Child Dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
Keywords: Childhood Childhood Development Conversation Couples-Dialogue Couples Relationships Couples Therapy Emotional Trauma Healing connection Imago Relationship Therapy Interventions Intimacy Marital Relations Parent Child Communication Parent-Child Dialogue Psychotherapeutic Techniques Relationship Therapy Trauma
Accuracy Verified: Yes
47. Flemke, K., & Protinsky, H. (2003). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 14(2), 31-45. doi:10.1300/J085v14n02_03 .
Language: English
Format: Journal
Abstract:
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-dialogue and the Parent-Child dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
Keywords: Child Dialogue Childhood Childhood Development Conversation Couples-Dialogue Couple Relationships Couples Therapy Emotional Trauma Healing Connection Imago Relationship Therapy Intimacy Marital Relations Parent Child Communication Parent-Child Interventions Psychotherapeutic Techniques Relationship Therapy Trauma
Accuracy Verified: Yes
48. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource,
because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing
environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and
construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients
to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the
EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a
little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel,
levels of integration that constitute mental health will be explored. It will become clear that the characteristics
that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai
Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The
experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will
learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most
populations, it is particularly helpful for people with chronic pain issues as well as an older population.
Learning Objectives:
• Come to a basic understanding of mental health from an interpersonal neurobiological point of view
• Learn about the practice of Ai Chi
• Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel
MD
• Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety
of mental health issues
• Experience Ai Chi and/or watch video demonstrating Ai Chi.
Keywords: Ai Chi Mind/Body Connection
Accuracy Verified: Yes
49. Servan-Schreiber, D. (2004). The instinct to heal: Curing stress, anxiety, and depression without drugs and without talk therapy - [Guérir le stress, l'anxiété et la dépression sans médicaments ni psychanalyse]. Emmaus, PA: Rodale.
Language: English
Format: Book
Abstract:
The seven natural treatment approaches that the author describes in this book all capitalize on the mind and brain's own healing mechanisms for recovering from depression, anxiety, and stress. All seven methods have been researched and studies documenting their benefits have been published in prestigious scientific journals. Because the mechanisms through which they operate remain poorly understood, these methods have remained largely excluded from the mainstream of medicine and psychiatry. The natural methods of treatment that are presented directly impact the emotional brain, almost entirely short-circuiting language. Although many such methods are being proposed today, in the author's clinical practice, and in this book, he has selected only those that have received enough scientific attention to make him comfortable in using them with patients and in recommending them to his colleagues. Each of the following chapters presents one of these approaches, illustrated by the stories of patients whose lives have been transformed by their experience. He also tries to show the degree to which each method has been scientifically evaluated. Some of the very recent methods include "eye movement desensitization and reprocessing" (better known as EMDR), or heart rate coherence training, or even the synchronization of chronobiological rhythms with artificial dawn (which should replace the alarm clock). Other approaches, like acupuncture, nutrition, exercise, emotional communication, and cultivating your connection to something larger than yourself, stem from age-old traditions, though new scientific data are giving them a renewed importance. (PsycINFO Database Record (c) 2008 APA, all rights reserved). Available in English and French.
Keywords: Anxiety Brain Depression Emotional Brain Emotions Heart Rate Heart Rate Coherence Training Major Depression Natural Treatment Approaches Neuropsychology Psychotherapeutic Techniques Stress
Accuracy Verified: Yes
50. Parnell, L. (2012, June). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma [EMDR centrado en el apego: Curar el trauma relacional]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Attachment-‐focused
EMDR
is
a
new
model
of
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
developed
over
a
period
of
nineteen
years
by
psychologist
and
EMDR
trainer
Dr.
Laurel
Parnell
that
adapts
this
powerful
and
effective
trauma
therapy
to
the
needs
of
clients
with
attachment
wounds.
In
this
workshop
you
will
learn
how
the
standard
EMDR
protocol
can
be
modified
so
that
it
flows
more
easily,
supports
client
safety,
maintains
the
therapeutic
connection
and
enhances
attunement.
Attachment-‐focused
EMDR
is
client-‐centered
and
emphasizes
a
reparative
therapeutic
relationship,
using
a
combination
of
Resource
Tapping
(Parnell,
2008)
to
strengthen
clients,
EMDR
to
process
traumas
and
talk
therapy
to
help
integrate
the
information
from
the
EMDR
sessions
and
to
provide
healing
from
therapist-‐client
interaction.
In
this
workshop
Dr.
Parnell
will
present
the
five
basic
principles
of
Attachment-‐
Focused
EMDR
and
how
they
are
implemented
in
the
treatment
of
traumatized
clients
with
attachment
wounds.
Case
material
and
video
clips
of
sessions
will
be
used
to
illustrate
key
points.
El
EMDR
centrado
en
el
apego
es
un
nuevo
modelo
de
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
desarrollado
a
lo
largo
de
diecinueve
años
por
la
psicóloga
y
formadora
de
EMDR
Dra.
Laurel
Parnell
y
que
adapta
esta
terapia
de
trauma
potente
y
efectiva
a
las
necesidades
de
clientes
que
sufren
heridas
de
apego.
En
este
taller,
se
aprenderá
cómo
se
puede
modificar
el
protocolo
de
EMDR
de
tal
forma
que
fluye
con
mayor
facilidad,
apoya
la
seguridad
del
cliente,
mantiene
la
conexión
terapéutica
y
mejora
la
sintonía
(attunement).
Attachment-‐focused
EMDR
se
centra
en
el
cliente
y
refuerza
una
relación
terapéutica
reparadora,
con
una
combinación
de
Recursos
de
Tapping
(Resource
Tapping)
(Parnell,
2008)
para
fortalecer
a
los
clientes,
EMDR
para
procesar
los
traumas
y
“talk
therapy”
(terapia
hablada)
para
contribuir
a
integrar
la
información
de
las
sesiones
de
EMDR
y
para
proporcionar
la
curación
derivada
de
la
interacción
entre
terapeuta
y
el
cliente.
En
este
taller,
la
Dra.
Parnell
presentará
los
cinco
principios
básicos
de
Attachment-‐Focused
EMDR
y
cómo
se
implementan
en
el
tratamiento
de
clientes
traumatizados
y
con
heridas
de
apego.
Se
presentará
material
sobre
los
casos
y
vídeos
de
las
sesiones
para
ilustrar
los
puntos
más
importantes.
Keywords: Attachment Repair Relational Trauma
Accuracy Verified: Yes
51. Talan, B. S. (2007). Integrating EMDR and imago relationship therapy in couple treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 187-201). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Imago Relationship Therapy (IRT; Hendrix, 1996, 2001) is designed to process negative experiences to heal early wounds of childhood, resolve marital conflict and criticism, and increase connection and intimacy. The goal of treatment is for the partners to become individually whole and conscious and an "intentional couple"; this concept emphasizes the importance of making conscious and deliberate choices rather than being reactive. Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) is a psychotherapy created to access and process the disturbing memories and deep wounds of childhood and bring them to adaptive resolution (Shapiro, 2001; Shapiro & Maxfield, 2002). In the integrative therapy approach described in this chapter, IRT is used to organize the approach to therapy, identify unprocessed targets for EMDR processing, facilitate communication between the partners, and help couples become less reactive and more intentional, separate and ultimately more connected. Advantages of integrating EMDR and IRT may include faster and deeper resolution of early childhood wounds and trauma and increased compassion and intimacy, enabling the couple to establish a healing connection, which breaks the symbiosis created in early childhood. Separation due to personal growth allows the couple to honor each other's differences and often results in greater connection. The integration of EMDR with IRT appears to provide more comprehensive desensitization, reprocessing, and healing than either of these therapies might provide individually. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Conflict Couples Couples Therapy Couple Treatment Imago Relationship Therapy Integrative Psychotherapy Integrative Therapy Approach Marriage Counseling
Accuracy Verified: Yes
52. 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 53. D'Antonio, M. D. (1999, March). Integrating EMDR into couples therapy. EMDRIA Newsletter, 4(1), 27-28. Language: English Format: Newsletter Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 54. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Sexual Abuse Survivors Accuracy Verified: Yes 55. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 56. 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 57. 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 58. Brewerton, T. D. (2008, May 1). The links between PTSD and eating disorders. Psychiatric Times, 25(6), 1-7. Language: English Format: Magazine Abstract: D Keywords: Eating Disorders Posttrauamtic Stress Disorder PTSD Accuracy Verified: Yes 59. Nickerson, M. (2009, April). Listening to the body: Enhancing body awareness in EMDR reprocessing. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA
. Language: English Format: Conference Abstract: Keywords: Body Awareness Accuracy Verified: Yes 60. Yordy, J. (2013, May). Making the brain/body connection: Using brain gym techniques to enhance child EMDR processing. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Accuracy Verified: Yes 61. Theall, M. (2005, December 2). The mind-body connection. Knight Ridder/Tribune News Service. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 62. Siegel, D. J. (2007, September). The mindful brain: Reflection and attunement in the cultivation of well-being. Plenary presented at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Brain Mindfulness Plenary Accuracy Verified: Yes 63. Paulsen, S., & Lanius, U. (2011, November). Neurobiology and dissocation: Information processing and the embodied self. 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: Dissociation Embodies Self Information Processing Neurobiology Accuracy Verified: Yes 64. Lanius, U. (2008, September). The neurobiology of dissociation: Current findings and treatment approaches. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Dissociation Neurobiology Accuracy Verified: Yes 65. Lipke, H. (2011, August). An overview of EMDR. Author. Language: English Format: Other Abstract: Accuracy Verified: Yes 66. Kravic, N., & Hasanovic, M. (2011, January). P02-377 - Moral conflict and first sexual experience - Case presentation. European Psychiatry, 26(Supplement 1), 973-973. doi:10.1016/S0924-9338(11)72678-5. Language: English Format: Journal Abstract: Keywords: Sexual Experience Accuracy Verified: Yes 67. Yordy, J. (2003, September). Playful approaches to using EMDR with children. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Children Energy Connection Game Monsters Positive Resources Storytelling Accuracy Verified: Yes 68. Porges, S. (2012, October). The polyvagal theory: A biobehavioral deconstruction of trauma-related experiences, vulnerabilities, resilience and treatment. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Polyvagal Theory Accuracy Verified: Yes 69. 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 70. Lindauer, R. J. L. (2011, April). Psychotraumagerelateerde stoornissen binnen de kinder-en jeugdpsychiatrie: Stand van zaken en implementatieperikelen [Psychotrauma-related disorders in child and adolescent psychiatry: Current situation and implementation troubles]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam. Language: Dutch Format: Conference Abstract: Keywords: Adolescents Children Psychiatry Symposium Trauma Accuracy Verified: Yes 71. Walter, U. M., & Petr, C. (2004, June). Report #11 Reactive attachment disorder:
Concepts, treatment and research. University of Kansas, School of Social Welfare and the Kansas Social Rehabilitation Services. Language: English Format: Publication Abstract: Keywords: Children Reactive Attachment Disorder Accuracy Verified: Yes 72. Laub, B. (2006, August). Resource connection (RC) protocol (group and individual). Author. Language: English Format: Other Abstract: Keywords: Resource Connection Protocol Accuracy Verified: Yes 73. Laub, B. (2006, June). Resource connection envelope (RCE) in the EMDR standard protocol. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Keywords: RCE Resource Connection Envelope Accuracy Verified: Yes 74. Laub, B. (2009). Resource connection envelope (RCE) in the EMDR standard protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 93-99). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: RCE Resource Connection Envelope Accuracy Verified: Yes 75. Wizansky, B. (2009). Resource connection for children. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 31-41). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Children Protocol Resource Connection Accuracy Verified: Yes 76. Wizansky, B. (2004, April). Resource connection in the EMDR work with children. EMDR Israel. Language: English Format: Other Keywords: Children Resource Connection Accuracy Verified: Yes 77. Laub, B. (2001, May). Resource installation (connection) in the standard EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, London, UK . Language: English Format: Conference Abstract: Keywords: Resource Installation Accuracy Verified: Yes 78. Shapiro, E. (2009). The resource map. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 101-104). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Protocol Resource Map Accuracy Verified: Yes 79. Wesselmann, D. (2006, September). Strengthening parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Attachment Storytelling Accuracy Verified: Yes 80. Patterson, G. T., & Chung, I. ([2010]). Stress management training and development programs for police officers and recruits. Oslo, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/10/2012. Language: English Format: Other Abstract: Keywords: Policemen Recruits Stress Management Accuracy Verified: Yes 81. Welling, H. (2012, June). Transformative emotional sequence: Towards a common principle of change. Journal of Psychotherapy Integration, 22(2), 109 -136. doi:10.1037/a0027786. Language: English Format: Journal Abstract: Keywords: Accelerated Experiential-Dynamic Psychotherapy AEDP Coherence Therapy CT EFT Emotopm-Focused Therapy TES Transformative Emotional Sequence Accuracy Verified: Yes 82. Graves, A. L. (1993). Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing (EMDR). Chicago School of Professional Psychology. AAT 9414735. Language: English Format: Dissertation/Thesis Abstract: Keywords: Case Report Empirical Study Intrusive Thoughts Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 83. Nijdam, M., Pol, M. V. D., Dekens, R., Olff, M., & Denys, D. (2013). Treatment of sexual trauma dissolves contamination fear. European Journal of Psychotraumatology, 3(0). doi:10.3402/ejpt.v4i0.19157. Language: English Format: Journal Abstract: Keywords: Combined Treatment Comorbidity Obsessive Compulsive Disorder OCD Pharmacological Treatment Posttraumatic Stress Disorder Psychotherapy PTSD Accuracy Verified: Yes 84. Holstein, B. (2001, June). The use of focusing with EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Accuracy Verified: Yes 85. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors Accuracy Verified: Yes 86. Keller, M. (2010, July). Using EMDR at each stage of the trauma recovery process. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Trauma Recovery Process Accuracy Verified: Yes 87. Protinsky, H., Sparks, J., & Flemke, K. (2001, April). Using eye movement desensitization and reprocessing to enhance treatment of couples. Journal of Marital & Family Therapy, 27(2), 157-164. doi:10.1111/j.1752-0606.2001.tb01153.x. Language: English Format: Journal Abstract: Keywords: Couples Therapy Clinical Case Study Empirical Study Spouses Accuracy Verified: Yes 88. Thatcher, P. (2013, May). Utilizing mind/body resources with EMDR in the treatment of complex trauma and dissociation. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA. Language: English Format: Conference Abstract: Keywords: Dissociation Mind/Body Connection Accuracy Verified: Yes 89. Laub, B. (2003, September). Various uses of connections to resources within and without the standard EMDR protocol. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Dialetical Movement Accuracy Verified: Yes 90. Rost, C. (2008). Verbindung von "innerer kindarbeit" und egostate-therapie mit EMDR connection of "inner child work" and ego state therapy with EMDR]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp. 53-67). Paderborn: Junfermann. Language: German Format: Book Section Keywords: Ego State Therapy Inner Child Accuracy Verified: Yes 91. Besser, L. (2005, June). The “Sarajevo-EMDR-protokoll” [The "Sarajevo EMDR protocol"]. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: Dutch Format: Conference Abstract: Accuracy Verified: Yes
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
This protocol (D’Antonio, 1997) integrates Bowen’s (1976) concept of differentiation with a trauma model of relationships. Differentiation refers to a quality of both individuals and relationships: non-defensiveness, responsiveness rather than reactivity, connection without fusion, centeredness without self-absorption, openness with clear boundaries. It might best be though of as a continuum from extremely undifferentiated to well differentiated. Individuals pair off with others as roughly the same level of differentiation.
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other
cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be
discussed.
1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized.
Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping
skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation,
assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift
negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are
examples of negative cognitions whlch interfere with first stage stabilization goals:
- I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better.
- If I take care of myself, no one will know I hurt. - I'm pathetic, a failure.
- I will die/go crazy fiom these feelings. - I can never do anything right.
- I can't stand this feeling. I must cut myself. - Don't trust anyone or anything.
Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be
encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc.
2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic
stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues:
- fear/terror and associated avoidance
- sense of powerlessnesshelplessness
- responsibility/accountability
- safety - self, others, environment
- self-esteem/self as bad, defective, unlovable
- lack of individuation
- dependency
- anger
- grief/mouming
- trust/mistrust
- fear of abandonment
- guilt/self-blame
- shame/self-loathing
With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for
supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be
discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing
assessment and data collection in making decisions about EMDR targets will be addressed.
3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and
issues addressed via EMDR include:
- Increasing intimacy and healthy connections - Increasing self-esteem
- Increasing self-efficacy and sense of mastery - Reclaiming sexuality
- Increasing self-efficacy and sense of mastery - Identity exploration and development
- Establishing goals, initiating new projects, and taking reasonable risks
At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and
increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid
in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive
and vital self-image.
The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying
EMDR at a specific stage of treatment.
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
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).
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.
espite an abundance of studies linking both traumatic experiences and anxiety disorders with eating disorders, relatively little has been reported on the prevalence of associated posttraumatic stress disorder (PTSD) or partial PTSD in patients with eating disorders. The National Women's Study, dating back more than 10 years, remains the only detailed study of crime victimization histories, resultant PTSD, and associated psychiatric comorbidity, including eating disorders, in a representative sample of women in the United States.1 This article presents the case for a link between PTSD and eating disorders. The prevalence of comorbid PTSD and eating disorders is discussed with an explanation of a mechanism that may explain the connection, followed by treatment options and reasons for caution.
Life experience can shape how a person carries oneself (e.g. slumped shoulders, chronic scowl, etc.). Client postures and gestures can be used effectively to assist recovery from trauma. This workshop will outline specific applications of this concept including using client gestures and postures as targets for reprocessing; to enhance the connection to the NC and/or PC, as part of resource development, and as interweaves. Video recorded case material will illuminate points. Participants will practice these techniques.
This workshop is a presentation which encompasses the Triune Brain Theory, Educational Kinesiology and recent
research on trauma and how it effects brain development and functioning. Information will be presented on the
Triune Brain Theory and how “bottom up” processing can block EMDR from working with traumatized children.
A description of the energy blockages in the brain and how they can be detected and then eliminated through
Brain Gym exercises will comprise the second part of this educational workshop. The difference between hyper
arousal and dissociative responses and which brain centers are involved will be explained in order to understand
the adaptive, evolutionary response of the brain when the child/adult is experiencing trauma. Throughout the
workshop will be experiential Brain Gym exercises. This format is designed to encourage greater understanding
of the whole brained effects of the exercises as participants learn these tools. Several other exercises which
reduce stress and connect the three levels of the brain for efficient, whole-brained processing will also be
incorporated. Several case examples will be shared to illustrate how the Brain Gym exercises become part of the
child’s coping resources and eventually facilitate the processing of his/her traumaLearning Objectives:
• The participants will be able to demonstrate and describe the benefits of a Brain Gym Warm Up to create full
brain activation and a relaxed processing state.
• Participants will be able to describe the Triune Brain Theory and how trauma creates “bottom up” processing
instead of “top down” processing.
• Participants will be able to demonstrate specific exercises for reducing stress/trauma within the Central
Nervous system thus enhancing a child’s sense of safety.
• Participants will be able to identify 5 brain/energy imbalances and how they block EMDR processing.
• Participants will be able to identify and explain the Brain Gym exercises which correct each of the 5 brain/
body/energy imbalances.
At 25, I found a great therapist and tried Eye Movement Desensitization and Reprocessing therapy, or EMDR, for the first time. What I learned through EMDR could fill an entire magazine of its own. So, for those of you dealing with the residual effects of traumatic situations, you may want to check out www.emdr.com. I've since emerged a healthy and happy individual.
Mindful awareness has been scientifically proven to promote social, emotional and physical well-being and is an effective part of psychotherapy practice. Research has demonstrated that mindful awareness is useful in the prevention of relapse of drug addiction and chronic depression, and in the treatment of anxiety and borderline personality disorder. This ancient practice of being fully aware in the present moment, without grasping onto judgments, has been found in cultures throughout the world. This lecture will explore the possible ways in which mindfulness may actually work to enrich our lives and be a part of EMDR and effective psychotherapy. The state of mindful awareness harnesses specific social and emotional circuits in the brain. With practice, this receptive state of mindfulness becomes a trait of resilience. The development of these “resonance circuits” creates an integrated brain state that creates the benefits of improved immune and cardiac function, enhanced empathy and self-understanding, and a deeper connection to oneself and others.
Neuroscience research can guide trauma treatment including EMDR, ego state, somatic, and attachment therapies (Lanius, Paulsen & Corrigan, in press). Traumatic memories tend to be encoded somatically and affectively in implicit memory. Lower brain structures, particularly basic affective circuits and the periaqueductal gray (PAG) (Panksepp, 1998), are essential to understanding of both traumatic memory and and dissociation. The polyvagal nervous system (Porges, 2001) is key to understanding the activation of different affective circuits, including the interplay between social engagement and connection, fight/flight and dissociation. A model is proposed that links alterations in consciousness to failure of integration and ultimately to structural dissociation (van der Hart et al., 2006). It is suggested that attachment trauma contributes to the failure of horizontal integration of the columnar organization of affective states, which, over time, become the foundation of discontinuous self-states: Discontinuity of self-states, amnesia barriers and dissociative state switching develop in lieu of smooth state transitions. Somatic interventions can enable sensory integration and personification (Janet, 1929), prior to trauma processing with EMDR that engages brain processing inter-hemispherically and across cortical and subcortical levels. The workshop will highlight implications of recent neurobiological findings for clinical practice.
Learning Objectives:
Articulate the role of the periaqueductal gray (PAG) in the expression and experience of emotion.
Identify two brain structures implicated in integrating affective and sensory information.
Name three branches of the polyvagal nervous systems described by Porges.
Current research in neuroscience and the neurobiology of dissociation is discussed and its connection to a wide variety of traumatic stress syndromes and attachment related disorders. Dissociation is a normal and adaptive response to overwhelming experience. At the same time, dissociative symptoms interfere with mindfulness and the continuity of self. Moreover, information processing becomes compromised or shut down, thus barring the integration and resolution of the traumatic experience. Thus, dissociation interferes with effective psychotherapeutic intervention. Therefore, addressing dissociative symptoms is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Participants will become familiar with interventions that reduce dissociative symptoms, as well as when and how to use them to maximize treatment effects.
Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy developed by psychologist Francine Shapiro as a treatment for psychological distress associated with trauma, when she chanced to notice a connection between a decrease in her own emotional distress over a personal concern after having spontaneously moved her eyes back and forth. Integrating her eye movement (em) observation with aspects of, at least, imaginal exposure, cognitive therapy, psychodynamic therapy, and mindfulness teachings, and adding an early positive psychology idea, Shapiro developed a treatment, which she informally tested. Shapiro (1989a) first systematically tested her work in a wait list control study of 21 subjects recruited from local mental health centers, including a DVA veteran readjustment center. Remarkably, all of her first 21 subjects showed profound single session desensitization effects. In addition, Shapiro (1989b) published a case study in a journal edited by Joseph Wolpe, an originator of behavior therapy, in which Wolpe, in an editorial footnote, endorsed Shapiro’s rapid effects from his own informal replication. [Excerpt]
Objectives: In our mind as well as in our body and nature nothing is happened accidentally, we can often see that there is mutual connection between them. There is a case presentation of young man age 29 with obsessive thoughts for getting fatal disease if step on junky needles which he had seen in his neighbor. It thoughts influence his all life he is avoiding to go out of his apartment, poorly sleep, he insisted to be admitted to in patient treatment because he „would probably kill himself if he had to stay there jet…” His first difficulties appeared when he was 20, after his first sexual experience which he has had with prostitute, after his friend’s birthday party. Then he obsessively started to think about getting AIDS, getting died… Four years ago he really have got malignant testicular tumor and in his 24he had passed through exhausting surgery and chemotherapy. As a child he was growing up during the war time, experienced snake bite, often tonsil infections.Now he has no job, live with parents and one year older brother, no girlfriend or other relationship. Treated with antidepressant venlafaxin, and atypical narcoleptic risperidon, with additionally used EMDR, he showed good recovery and getting into every day activities.
Expand your ability to conduct EMDR with Children by learning how to playfully incorporate a variety of techniques. Learn easy ways to: set up
five different types of positive resources, adapt the basic protocol, incorporate therapeutic storytelling effectively, or "externalize the
problem" through creating monsters! Discover the fun of playing the "Energy Connection" game to build positive coping strategies and work
at emotional stuck points. Whether you enhance your ability to utilize the EMDR protocol or increase your skill at evaluating which EMDR
technique to use, you can count on acquiring fresh ideas for improving your EMDR therapy with children.
The Polyvagal Theory is an innovative theory that links the evolution of the autonomic nervous system to affective experience, emotional expression, facial gestures, vocal communication and contingent social behavior. The theory describes how, via evolution, a connection emerged in the brain between the nerves that control the heart and the face. The workshop has three objectives: 1) to provide an explicit statement of the theory, 2) to illustrate how a Polyvagal perspective provides insights into the clinical assessment and treatment of several clinical conditions, and 3) to describe a face-heart connection that defines a social engagement system that links our bodily feelings with facial expression, vocal intonation, and gesture.
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
Achtergrond: Meer dan 50% van de
kinderen maakt een of meerdere ingrijpende
gebeurtenissen mee voor het 18e jaar, ongeveer
20% ontwikkelt traumagerelateerde psychopathologie
en in 45% van de gevallen is er een verband
tussen het meemaken van een ingrijpende gebeurtenis en de start van een kinder- en jeugdpsychiatrische diagnose. Kennis over traumadiagnostiek
en behandeling is dan ook niet alleen voorbehouden
aan gespecialiseerde centra. Implementatie
van deze kennis is belangrijk en gaat zeker niet
zonder slag of stoot. Doel: Het geven van een update rond traumadiagnostiek en behandeling. Tevens het bespreken van implementatieperikelen binnen de
eigen instelling en hoe hiermee om te gaan.
Methoden: Onderzoek van wetenschappelijke
literatuur en raadpleging van verschillende
richtlijnen, en casuïstiek betreffende implementatie.
Resultaten: De laatste jaren is er toenemend
onderzoek gedaan naar diagnostiek en
behandeling van psychotrauma bij kinderen en
adolescenten. Het gaat daarbij om het ontwikkelen
van screenings- en diagnostische instrumenten
en onderzoek naar effecten van behandeling.
Traumagericht cognitieve gedragtherapie en eye
movement desensitisation and reprocessing (EMDR)
zijn effectieve behandelvormen. Implementatie
van deze kennis in de klinische praktijk verloopt
moeizaam en vraagt naast een andere manier van werken van de behandelaren ook een organisatiestructuur die hierin faciliterend werkt. Conclusie: Evidence-based traumadiagnostiek
en behandeling is voorhanden. Implementatie
van deze kennis in de klinische praktijk
is belangrijk en vraagt een andere expertise. Weten is nog niet kunnen toepassen.
Background: More than 50% of the
children makes one or more major
events count for the 18th year, approximately
20% develop trauma related psychopathology
and 45% of cases there is a connection
between experiencing a traumatic event and the start of a child and adolescent psychiatric diagnosis. Knowledge about trauma assessment
and treatment is not only reserved
to specialized centers. Implementation
this knowledge is important and is certainly not
without a struggle. Purpose: To give an update on trauma assessment and treatment. Also discuss implementation turmoil within
own institution and how to deal with.
Methods: Analysis of scientific
literature and consultation with various
guidelines, and case studies on implementation.
Results: In recent years there is increasing
research into diagnostics and
psychotrauma treatment in children and
adolescents. This involves developing
of screening and diagnostic tools
and research into effects of treatment.
Trauma-focused cognitive behavioral therapy and eye Movement Desensitisation and Reprocessing (EMDR) are effective forms of treatment. Implementation this knowledge in clinical practice runs difficult and requires a different way of working alongside the clinicians also an organizational structure facilitating this work. Conclusion: Evidence-based trauma assessment
and treatment is available. Implementation
this knowledge in clinical practice
is important and requires a different expertise. Knowing is not to apply.
Reactive Attachment Disorder (RAD) is a disorder characterized by controversy,
both with respect to its definition and its treatment. By definition, the RAD diagnosis
attempts to characterize and explain the origin of certain troubling behaviors in children.
The RAD diagnosis presumes that “pathogenic care” of a young child can result in an
array of markedly disturbed behaviors in social interactions and poor attachments to
caregivers and others. (See full definition in the body of this report). The RAD diagnosis
derives from the attachment theories of John Bowlby and Mary Ainsworth. Several
authors question whether RAD is a valid diagnostic category, citing the overlap of
symptoms with Pervasive Developmental Disorder and other disorders, the inconsistent
connection to attachment theory, and the lack of empirical validation.
Compact Focusing (on the sensual, emotional, cognitive and somatic aspects)
The client is asked to close her eyes , focus on one picture of the positive memory and enter it anew. While tapping the therapist says: “Take all the time necessary to relive it… with all your senses...notice what you hear, smell and see...allow your feelings, sensations and thoughts to emerge...breathe into it...let yourself be there for a few moments.“ The therapist gives short tapping (up to 14 taps) The therapist inquires about the feelings, thoughts, and sensations and writes them down. ((If the partially positive past resource includes negative elements, suggest focusing on the positive aspects. If the client doesn’t succeed she should find another positive memory).
Proceed until there is no change. [Excerpt]
The Resource Connection Envelope (RCE) derives from the assumption that the dialectical healing movement between negative stored memories or problems and positive stored memories or resources is crucial for adaptive processing. The dialectical movement is enhanced when the dialectical poles are made more accessible. The Assessment Phase in the Standard EMDR Protocol makes the problem, which is represented by the traumatic image or picture, more accessible for processing. The RCE aims to complement it by making the resource pole accessible as well. The Resource Connection Script: Past, Present, and Future is provided. [PsycINFO Database]
Resource Installation (RDI) is presented as an option for use in the standard protocol of
EMDR. Consistent with the self healing aspect of the EMDR model, it allows the creation of
an authentic resource sequence which is unique to the client, precisely matching her need or
problem. The resource connection can also serve as a centre of inner strength in the solution
of future problems. This work draws upon three conceptual frameworks in addition to Dr
Shapiro's innate information processing model; (1) the assumption of an unconscious
connection to resources as a source of healing (Erickson and Rossi 1976); (2) Narrative
Therapy approaches of White and Epston (1990) and de Shazer (Focused Solution Therapy
1985); (3) the Jungian assumption of a need to reach a balance between the dialectical
opposites of the psyche (Jung 1963). An appreciation of this dialectic can explain the
unconscious matching between the problem and the resource.
Three types of Resource connections (RC) will be presented:
I. Past resource Connection, or PRC, which is carried out in the beginning of therapy
after identification of the target and before specifying the picture. This is an image of
a memory when the client felt at his best. There is an unconscious match between this
resource and the problem.
2. Present resource connection, or PR. RC. This is a positive image which appears
spontaneously during the processing, or induced by Cognitive Interweave.
3. Future Resource Connection, or FRC, which is an image of the way the client would
like to see himself in a few months or in the more distant future. The use of this chain
of resources during the sessions and outside the therapy room has been found 16 be
very effective.
I will give several examples to demonstrate different possibilities of using RC.
The rationale for creating the Resource Map consists of the following: (1) A structured format and record of the resources that have been identified and installed that can be collected and used again in the future; (2) Multiple resources that empower the client; (3) Level of Connection (LoC) scale, which is designed to overcome the limitations of trying to guess if the installation is working from qualitative signals. It is inspired by the validity of cognition (VoC) and attempts to better gauge progress in nonverbal domains; and (4) Extension of the Absorption Technique—which itself is basically an expanded Resource Installation—with some other additions. [PsycINFO Database]
Although professionals and parents are often challenged by the provocative behaviors exhibited
by children who have a history of pathogenic care
and a diagnosis of reactive attachment disorder,
children who-have attachment issues related to
more subtle problems in parenting may be equally
challenging. Negative family patterns related to
poor attachments, once established, can create a
negative feedback loop that is extremely difficult
to change. EMDR offers a method for resolving trauma and loss and changing beliefs, feelings, and responses that may interfere with trust and
the development of affectional bonds. Workshop
participants will learn to identify significant
precursors to attachment problems for EMDR
reprocessing with parents and with children. They
will learn methods to engage parents to do their
own atttachement work and to change their
automatic negative responses to their child's
behaviors. Participants will learn methods of
bilateral stimulation to strengthen feelings of
closeness and connection between parents and
children prior to EMDR reprocessing, and
methods for effectively utilizing parents during
EMDR with children in the treatment of
attachment problems. Workshop participants will
also learn how storytelling can be integrated into
treatment as a method to help solidify new
cognitions and develop a positive sense of self.
Background and objective of this review (briefly describe the problem and the
intervention): A body of knowledge exists that identifies sources of police stress, categories of
stress, and the strategies officers and recruits use to cope with stress. It is generally agreed upon
that stressful work and life events can have a negative impact on police officers and recruits that
can be quite pervasive. Consequently, law enforcement organizations provide a wide variety of
interventions to help officers manage stress. The most common intervention is training to help
officers recognize the warning signs of stress, and to use individual coping strategies. However,
little is known about the efficacy of the wide range of interventions given to police officers and
recruits. The objectives of this systematic review are to: assess how stress management and
officer development programs are evaluated; examine conceptual differences in interventions;
explain variations in interventions; build the connection between the body of knowledge that
describes sources and types of police and recruit stress, and interventions; discover reasons for
conflicting training effects; and synthesize what is known and not known about the impact of
different study designs, research methods, interventions, and data analysis procedures on
outcomes.
Transformative emotional sequence (TES) is proposed as a common principle of therapeutic change underlying a number of therapies: Emotion-focused therapy (EFT), coherence therapy (CT), accelerated experiential-dynamic psychotherapy (AEDP), and eye movement desensitization and reprocessing (EMDR). TES consists of emotional activation of a problematic emotional state followed by the activation of adaptive emotional state(s) within a short window of time. The resulting change is the creation of a permanent connection between previously unintegrated maladaptive emotional memory networks and adaptive emotional networks. Memory reconsolidation provides a plausible explanation for the mechanism underlying the effectiveness of TES. I compare TES to exposure, and argue that it is the intervention of choice for transforming maladaptive emotions, whereas exposure is most appropriate for accessing disowned and avoided experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
This work examines the effect of Eye Movement Desensitization and Reprocessing (EMDR) on a 51-year-old PTSD patient. Using a multiple baseline design, the author compared EMDR with supportive therapy and a distraction technique. The author used the Impact of Events Scale (IES), the State-Trait Anxiety Inventory (STAI), and electromyograph (EMG) readings as treatment measures. The study specifically addresses the eye movement component of EMDR as the crucial element of the intervention.The literature review includes the etiology and treatment of PTSD, an overview of EMDR, and case studies of EMDR in the treatment of PTSD. Along with these topics, the author also examines Rapid Eye Movement (REM) sleep and its possible connection to EMDR. The results of this work indicate that, when compared to expressive interventions and eye fixation, EMDR made the greatest changes in the subject's PTSD symptoms, particularly in the area of intrusive thoughts. The author concludes this work with recommendations pertaining to EMDR and its impact on the future of PTSD treatment. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 55(2-B), 1994, pp. 592.
Background: In patients with co-morbid obsessive−compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.
Objective: In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.
Methods: Case Report. A 49-year-old Dutch man was treated for severe PTSD and moderately severe OCD resulting from anal rape in his youth by an unknown adult man.
Results: The patient was treated with paroxetine (60 mg), followed by nine psychotherapy sessions in which eye movement desensitization and reprocessing (EMDR) and exposure and response prevention (ERP) techniques were applied. During psychotherapy, remission of the PTSD symptoms preceded remission of the OCD symptoms.
Conclusions: This study supports the idea of a functional connection between PTSD and OCD. Successfully processing the trauma results in diminished anxiety associated with trauma reminders and subsequently decreases the need for obsessive−compulsive symptoms.
Gene Gendlin, noted Philosopher and Psychologist, did extensive research regarding exactly when deep "change" occurred in clients during therapeutic sessions. Based on the assumption of an integral mind-body connection, he developed specific steps to help the client "listen to and dialogue with" the body, including both the boldily-held trauma, as well as the body without trauma (state of fullest potential). Participants of this workshop will: 1)learn a cognitive understanding of the focusing approach; 2) experience, through exercises, the power of focusing; and 3) learn a practical format of an integration of focusing and EMDR for work with clients.
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of
sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use
in the beginning, middle and end of EMDR sessions.
In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their
treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and
image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity
and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response.
Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and
want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something
happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered
flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another
reason but uncover what they believe to be sexual abuse memories with EMDR.
There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment
of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of
traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been
uncovered and preparation for life outside of therapy.
Interweaves can be utilized in the beginning, middle and end of EMDR sessions.
In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week.
What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets
for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing).
A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the
safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the
client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork.
Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can
stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established
along with the EMDR protocol.
In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur
frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time
lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator
can hurt me), look for blocking images, and talking to the child part (what does he/she need?).
Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these
include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a
powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can
helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc.
It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the
adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger
to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling
too overwhelmed.
There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic
memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these
cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the .
safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave
it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult
can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by
protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the
session, installing their response with eye movements.
It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work,
exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for
teaching self soothihg to adult survivors of sexual abuse.
“Using EMDR at Each Stage of the Trauma Recovery Process”
1) Introduction and overview of general principles of traumatology.
2) The stages of trauma recovery:
a) Safety,
b) Self-regulation capacity,
c) Social connection,
d) Reprocessing traumatic memories,
e) Rebuilding a life worth living.
3) Safety:
a) Calm/safe place-indications and contraindications,
b) EMD,
c) RTEP,
d) Coping with current lack of safety.
4) Self-Regulation:
a) EMDR self-regulation interventions with the whole brain in mind.
5) Social connection:
a) Interventions based on client attachment style,
b) Enhancing memories of positive relationships,
c) Building layers of connection—intimacy, family, community, religious,
6) Reprocessing traumatic memories:
a) Considerations for selecting appropriate memory targets,
b) A continuum of reprocessing approaches-EMD through EMDR,
c) Recent event and more distant past event issues,
d) Cultural considerations.
7) Rebuilding a life worth living:
a) The positive future template,
8) Conclusion.
The presentation will include video examples of interventions at each stage of the trauma recovery process. Audience
questions and interactions will be encouraged.
Eye Movement Desensitization and Reprocessing (EMDR) as a clinical technique may enhance treatment effectiveness when applied within a couple therapy approach that is emotionally and experientially oriented. Clinical experience indicates that EMDR-based interventions are useful for accessing, activating, tolerating, and reprocessing the intense emotions that often fuel dysfunctional couple interactions. Using EMDR within conjoint sessions to reprocess negative emotions can amplify intimacy, increase connection, and subsequently lead to a change in problematic relationship patterns.
This workshop offers an overview in the etiology
and diagnosis of complex PTSD and dissociative
disorders from a developmental perspective; how to
develop resources including strengthening positive
qualities of Self, relaxation techniques and selfadministered
acupressure to reduce stress and stabilize
the client in preparation for and during EMDR
processing.
In the workshop I will present a procedure of "connecting to resources" which is based on my conception of the therapeutic benefits of utilizing the dialetical movement between the problem and the natural trend towards a healing resolution. The connection to resources in the standard EMDR protocol creates an effective container for the processing of the traumatic material. Other variations of connection to resources without the standard protocol are aimed at empowering and strengthening the client. A video and live demonstration will expose the participants to the clinical use of the procedure and the small groups experience will enable
them to practice it an apply it in their work.
Resource-georiënteerde groep EMDR in een Trauma-en EMDR-opleiding groep van inheemse helpers, die zelf te lijden van de oorlog in Bosnië-trauma-Herzigowina. De presentatie toont een succesvolle en indrukwekkende experiment van de EMDR-groep behandeling (22 volwassen helpers) na een nieuwe installatie ontwikkeld ressource protocoll door Lutz-Ulrich Besser, EMDRIA Trainer voor EMDR met kinderen, in verband met de EMDR-trauma-expositie en "4 vierkante verf -techniek ". Het experiment is reeds uitgevoerd in het jaar 2000 als een onderzoeks-en project te helpen door Robert H. Tinker Wilson en Sandra met de oorlog getraumatiseerde kinderen uit Kosovo wonen in een vluchtelingenkamp in Duitsland. Het zal niet alleen de techniek aan te tonen met foto's en "SUC-Werten" (subjectieve eenheden van comfort), maar toont ook de processieweg zoals de zaken er van negatieve naar positieve ontwikkeling in beelden, cognities, emoties en lichamelijke gevoelens. De "Sarajevo-Protocoll" en dat de mogelijkheid van EMDR behandeling in groepen zal zeer binnenkort het voorwerp uitmaken van een wetenschappelijke studie, georganiseerd door de ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr von Haunerschen Kinderspital en de stichting "Wings of Hope" Deutschland.
Resource oriented group-EMDR in a Trauma- and EMDR-Training group of native helpers who suffered themselves from war-trauma in Bosnia-Herzigowina. The presentation shows a successful and impressive experiment of EMDR group treatment (22 adult helpers) after a new developed ressource installation protocoll by Lutz-Ulrich Besser, EMDRIA Trainer for EMDR with children, in connection with EMDR-Trauma-Exposition and “4 square paint-technique”. The experiment has already been carried out in the year 2000 as a research- and help project by Robert H. Tinker and Sandra Wilson with war traumatised children from Kosovo living in a refugee camp in Germany. It will not only demonstrate the technique with pictures and “SUC-Werten”(subjective units of comfort) but also show the processional way as things develop from negative to positive in pictures, cognitions, emotions and physical feelings. The “Sarajevo-Protocoll” and with that the possibility of EMDR treatment in groups will be very shortly the subject of a scientific study organised by the ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr. von Haunerschen Kinderspital and the foundation “Wings of Hope” Deutschland.