Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Containment 40 Results

1. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.

Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation

Accuracy Verified: Yes

2. Solomon, R., Watkins, J., & Paulsen, S. L. (2004, September). Art of EMDR: Use of therapeutic self, resonance and managing effect at the optimal level. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The therapist's ability to continually assess and detect client response to EMDR is crucial in order to: 1) provide safely and containment; 2) titrate the level of client arousal; 3) enhance ego strength: and 4) facilitate optimal movement. Detecting subtle client movement and shifts enables the therapist to: a) optimize the tempo and rhythm of bilateral stimulation; b) assess if the material is moving: c) detect state changes that can potentially block processing; and d) point to cognitive interweaves for blocked processing. This workshop will teach participants how to utilize their therapeutic presence to provide containment, enhance the client’s ability to process through intense emotions, and adapt to continual changing states in the client.

Keywords: Managing Affect Resonance Therapeutic Self

Accuracy Verified: Yes

3. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety) procedure, which is a method of slowing down processing, and carefully containing and controlling the emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video segments of a therapy session.

Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

4. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD (C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do not feel competent to treat the more complex presentations many clients exhibit when they come for help. The presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization, learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives: • Identify the three stages of C-PTSD recovery • Identify 6 core components of C-PTSD treatment • Apply the AIP model to C-PTSD and case conceptualization • Learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment • Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients

Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

5. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

6. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach to assist children in identifying EMDR targets as well as to provide an opportunity for containment. Safe place, as well as other types of resource development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By using stones and metaphors, children can also maintain emotional distance from their own struggles. One of the main goals of this workshop is to help clinicians learn to communicate more effectively with children by using metaphors, stones and play. How to talk to children about EMDR and how to prepare children for the outcome of EMDR will be addressed. By making the process more predictable, the likelihood of children stopping the process when they experience the difficult feelings associated with the trauma might be minimized. Participants will also learn to use creative, fun and playful ways to assist children in understanding and using the measure scales of the EMDR protocol (SUDS and VOC).

Keywords: Children Metaphors Play Therapy Storytelling Targets

Accuracy Verified: Yes

7. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives: Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general. Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP); Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention; Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.

Keywords: Early Intervention Theory EEI Mass Disaster

Accuracy Verified: Yes

8. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.

Keywords: Affect Centered Therapy Affect Theory

Accuracy Verified: Yes

9. Paulsen, S. L. (2003, September). EMDR and ego state therapy: Energizing disowned aspects of self with dissociative table technique interwoven with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Ego State Therapy is a tool for EMDR practitioners seeking to resolve looping, identify early childhood targets, enhance containment, and more. Dissociative Table is an ego state approach that enables rapid visualization of disowned ego states without formal trance induction. It energizes and egotizes aspects of self so that resistance can reduced through internal education and mediation. EMDR and ego state therapy can be interwoven to manage the level of affective arousal by creating closeness to or distance from disturbing material. The workshop will also present ACT-AS-IF, a step-by-step approach to preparing dissociative clients for EMDR processing.

Keywords: Act-As-If Dissociative Table Technique Ego State Therapy

Accuracy Verified: Yes

10. Inobe, S. P. (2000, September). EMDR and ego state therapy: Practical implications for the desensitization and reprocessing of EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will learn to: 1) employ ego state therapy techniques and language to use with clients during desensitization and reprocessing phases of treatment; 2) work with and strengthen a self-system's internal strengths and weaknesses during processing, installation, and integration; 3) name specific techniques to ensure safety and containment; and 4) identify ways to recover from mid-EMDR processing failure.

Keywords: Ego State Therapy Processing Failure

Accuracy Verified: Yes

11. 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

12. Hartung, J. (2007, Novembero). EMDR e Psicologia de la Energía [EMDR and the psychology of energy]. Pós-Conferência presentación en el Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
John Hartung, Psy.D. tem trabalhado há mais de dez anos em 25 países como clínico e treinador de EMDR. Defende o uso do EMDR para eliminação de sintomas assim como para o aprimoramento do pensamento, emoções e comportamentos positivos. John tem observado que a aplicação do EMDR pode avançar se outras estratégias forem utilizadas em conjunto com EMDR, tais como aquelas idealizadas para a contenção de emoções intensas (“ab-reações”), que ocorrem freqüentemente no EMDR. Com o aumento da contenção emocional, certos riscos vinculados ao emprego do EMDR por profissionais também são reduzidos: 1) EMDR pode ser utilizado com populações mais vulneráveis e que tradicionalmente tem sido excluídas do tratamento com esta abordagem, e 2) os terapeutas têm menor relutância em expandir o seu alcance. Entre as estratégias e táticas a serem discutidas e apresentadas neste workshop estão: respiração terapêutica e parassimpática, treinamento em coerência cardíaca da tradição Heartmath, métodos baseados na medicina chinesa, e métodos especiais para o uso de estimulação bilateral do EMDR de forma mais lenta e menos intensa.

John Hartung, Psy.D. has worked for more ten years in 25 countries as an EMDR clinician and trainer. Advocates the use of EMDR for disposal of symptoms as well as for the improvement of thought, emotions and behaviors positive. John has observed that the application EMDR can move forward if other strategies are used in conjunction with EMDR, such as those envisioned for the containment of emotions intense ("ab-reactions") that occur frequently in EMDR. With increasing emotional restraint, certain risks linked to use of EMDR professionals are also reduced: 1) EMDR can be used with vulnerable populations and has traditionally been excluded from treatment with this approach, and 2) the therapists are less reluctant to expand their reach. Among the strategies and tactics to be discussed and presented in this workshop are: breathing therapy and parasympathetic training in cardiac coherence of tradition HeartMath, methods based in medicine Chinese, and special methods for the use of bilateral stimulation of EMDR more slow and less intense.

Keywords: Energy Psychology

Accuracy Verified: Yes

13. Eckers, D. (2010, June). EMDR in difficult circumstances - Working with a complex traumatized boy in Thailand. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2009 a training in psychotraumatology and EMDR was conducted in Thailand with participants from Thailand, Indonesia, Burma, Kambodscha and other countries. During that training of 8 days a 9-years-old boy was treated after some stabilization with 'safe place' and special containment - with EMDR. He was diagnosed with Asperger-syndrome (a form of autism), was traumatized by the loss of a near relative, the burning of his home, a car accident and by Tsunami. Time was limited, the boy wasn't acquainted with the therapist, didn't speak much English, needed his aunt to translate and was first time in his life away from his home. But even in these conditions treatment was possible in 1 session stabilization and 3 sessions of EMDR The case will be demonstrated with the boy's drawings and video clips of the stabilization phase and of the EMDR session about Tsunami. Learning objectives: 1. Understanding a client-adapted way to applicate EMDR in children. 2. Creative working with children in their cultural and individual context, What is essential in EMDR even with child-adapted and creative modifications?

Keywords: Adolescent Male Thailand Trauma

Accuracy Verified: Yes

14. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.

Keywords: Attachment Disorders Emotional Identification Poster

Accuracy Verified: Yes

15. Galvin, M. (2007, June). EMDR treatment tactics: Using the accelerating-decelerating model and energy psychology to enhance interventions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR therapists are frequently faced with two situations where treatment must be adjusted: blocked processing and incomplete sessions. The first is address in the Part I Training Manual under Facilitating Black Processing in Phase Four. That secion describes three situations: Where processing proceeds “favorably,” where the client over-responds, and where the client under-responds. The manual then describes decelerating tactics for addressing the second situation and accelerating strategies for addressing the third situation. We will use a format introducing an expansion of the TICES (Trigger, Image, Cognition, Emotion, Sensation) model for improves pacing of treatment. The expanded model draws on Multimodal Therapy and adds the modalities of Behavior, Interpersonal Aspects, and Drugs (actually all areas of health including diet, mediation, exercise, and the like). Clinicians can utilize the concepts to recognize when therapy has stalled (or is about to stall) because of client’s under responding and over responding in the sesson, and then apply appropriate interventions. The interventions are from EMDR, from other methods, and from Energy Psychology (EP). Increasingly, EMDR therapists are also practitioners of EP. The second challenging situation faced by EMDR therapists us when time is running out, yet the level of disturbance is still elevated. The Training Manual describes a procedure for closing such a session in Phase Seven, including a containment exercise. This workshop will show how EP techniques are an additional resource to bring to bear when dealing with incomplete sessions. There will be a description and demonstration of a couple of simple but powerful EP techniques. Participants can quickly learn these methods and will be able to immediately incorporate them into their practices. Handouts on the TICES/BID/Acceleration-Decelerating model and on the Energy Psychology techniques will be distributed.

Keywords: Energy Psychology Treatment Tactics

Accuracy Verified: Yes

16. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming the client’s capacity and resources. Practitioners must screen for dissociation and use special procedures to safely use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot EMDR with dissociative clients within the phased treatment model, for clients ranging from DDNOS to DID. Assessment and stabilization are key to preparing clients for trauma work. The workshop offers methods to increase affect tolerance, establish a two-step containment habit, and orient personalities to person place and time. Other topics include: increasing tolerance of body sensation and affect, and enhancing compassion for self and others, directly working with introjects or other “monstrous” shame-laden parts, essential to reducing internal conflict and resistance to therapy. The workshop instructs in specific ego state strategies and imagery to provide sufficient resources, maintain an observing ego. Rooted in the hypnotic tradition, stabilization methods to pace and fractionate the work within EMDR while interspersing trauma work with sessions that consolidate gains. The workshop also describes the conference room method and means to trouble-shoot stuck processing. Finally, the workshop describes the final phases of therapy, skills building, integration and fusion.
Participants will be able to : ♦♦ explain why and when to assess every client for degree of dissociation and choose an appropriate protocol. ♦♦ list six tactics for stabilizing clients, prior to doing EMDR for dissociative clients, to increase rapport, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources. ♦♦ structure EMDR sessions using imagery and ego state interventions for pacing, fractionating and trouble-shooting the work.

Keywords: Dissociation

Accuracy Verified: Yes

17. Horne, B. (2010, April/May). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
This workshop will focus on the importance of containment in EMDR and its role in helping clients with affect regulation. It will look at containment in EMDR’s Phases 2 (Preparation) and 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to properly close incomplete EMDR sessions. Experiential exercises will enable participants to practice new methods before using them with clients.

Keywords: Closure Containment

Accuracy Verified: Yes

18. Horne, B. (2012, April). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract: Containment involves a great deal more than pretty little exercises that help the client drive home safely. This workshop will focus on the importance of containment in EMDR and its role in helping clients with the affect regulation that is necessary for trauma reprocessing. Containment work in Phase 2 can help the client develop this necessary dual attention skill (proof of requisite affect regulation). We will also look at containment in EMDR’s Phase 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to both prepare clients for 11-step protocols and properly close incomplete. Experiential exercises will enable participants to practice at least one new method for use with clients.
Learning Objectives: 1. Participants will identify the importance of containment in EMDR and its implications with respect to dual attention and trauma reprocessing 2. Participants will identify some key strategies for completing Phase 2 (Preparation) with respect to building the affect regulation skill necessary for maintaining dual awareness during trauma reprocessing (Phases 3-7) 3. Participants will be able to define and describe the essentials of Phase 7 (Closure) of the EMDR protocol, in particular, the need to ensure containment of remaining negative affect in the case of incomplete protocols. 4. Participants will develop knowledge of several effective closure methods 5. Participants will acquire mastery of at least one new closure method through practicum experience

Keywords: Closure Containment

Accuracy Verified: Yes

19. Shusta-Hochberg, S. (2011, November). Fairy tales and singing bowls: Creatively augmenting adult trauma treatment. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec .

Language: English

Format: Conference

Abstract:
Trauma work requires intense and often protracted effort for therapists and patients alike. While talk therapy to address trauma, empower patients and reduce maladaptive behaviors is a cornerstone of trauma therapy, sometimes it is insufficient. If a patient becomes destabilized during a session, we will need to employ containment or grounding techniques. When the work hits an impasse, we may spark new energy and momentum by introducing an adjunctive technique. Hypnosis and EMDR can be used in various effective ways, and there are many other interventions worth considering. Some adult trauma survivors find that symbolic play with toys or games enables them to work better in session. Several of my patients have found comfort from interventions such as sharing and discussing classic fairy tales and other readings or ringing a Tibetan singing bowl in session. While some interventions are stabilizing, others are perturbing or instigating, bringing up new material to explore. This paper will discuss varying interventions the therapist can utilize that can calm, energize, contain or provoke insights, or provide access to deeper material needed for therapeutic healing. Judicious use of adjunctive alternative referrals such as craniosacral or chiropractic treatment, music and art therapy will be discussed as well. Learning Objectives: 1) Participants will be able to assess skills and/or materials they have now that could be utilized in this supplemental way: art skills, musical skills or aids such as Tibetan singing bowls, aromatherapy aids such as candles, essential oils or incense; or consider techniques they might like to employ in therapy. 2)Participants will be able to determine which of their current trauma patients might benefit from the addition of supplemental techniques in treatment or from referrals to outside professionals for adjunctive treatment such as art or music therapy, or for bodywork such as craniosacral treatment. 3) Participants will be able to identify opportunities to utilize new interventions in a treatment such as impasses, stalemates, prolonged repeat of narratives without progress, and helping an unstable patient contain affect, achieve relief from agitation or move from a highly dysphoric state.

Accuracy Verified: Yes

20. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.

Keywords: Affect Theory

Accuracy Verified: Yes

21. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual functioning concerns. EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills, and modifying the physical aspects associated with the technique. There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse. EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions. Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the techniques.

Keywords: Sexual Abuse Sexual Issues

Accuracy Verified: Yes

22. Cherem, E. H. (2010, Octubre/Noviembre). La terapia de contención y la técnica de EMDR [Containment therapy and EMDR technique]. Taller presentada en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador .

Language: Spanish

Format: Conference

Keywords: Containment

Accuracy Verified: Yes

23. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa.

Language: English

Format: Conference

Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods. [The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.] This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy

Accuracy Verified: Yes

24. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington .

Language: English

Format: Other

Abstract:
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing

Accuracy Verified: Yes

25. Plagaro-Neill, I. (2011, October). Managing dissociation in EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
In EMDR we are assisting the client to be simultaneously aware of disturbance and the relative safety of the current moment. However, for clients with high levels of dissociation it is often more difficult for him/her to maintain this delicate balance so if we are to use EMDR it is necessary to proceed with caution. I will therefore demonstrate techniques, largely based on the work of Jim Knipe, which can help clients reverse dissociation and provide safety and containment. (Author abstract)

Keywords: Dissociation

Accuracy Verified: Yes

26. Lanius, U., & Paulsen, S. L. (2010, September/October). Part II - Towards an embodied self: The treatment of traumatic dissociation. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop synthesizes neurobiology, EMDR, and elements from ego state, somatic, and attachment therapies. 1) Prior to EMDR: a) somatic interventions for affect and soma tolerance, b) hypnotic containment, c) ego state maneuvers to decrease, d) resetting affective circuits, and e) planning fractionation. 2) During EMDR: a) temporal integrationism or fractionating by time segments from conception to repair attachment b) accelerating processing with somatic, ego state, imaginal, and information channel interweaves, and c) decelerating processing by further fractionating by channel. Please note: Part I (Session 332) and Part II (Session 432) each stand alone without prerequisite and are designed to complement each other. You do NOT have to take Part I to take Part II.

Keywords: Embodied Self Traumatic Dissociation

Accuracy Verified: Yes

27. Gerge, A. (2008, April). Phase I Preparations of severely traumatized women for exposure by extended EMDR-protocols in phase II treatment. Presentation at the 1st Bi-Annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands .

Language: English

Format: Conference

Abstract:
This presentation offers a description of an integrative approach of group treatment within phase I treatment leaning on psychodynamic theory, a clear psycho-educative approach that uses methods as hypnosis/relaxation training/mindfulness training, aims for enhanced relational capacity and self-regulation by using hypnotic techniques aiming at enhanced containment capacity (Brown & Fromm, 1986; Kluft, 1993, 1999; Phillips & Fredericks 1995; Chu 1998; Cardeña et al., 2000). The treatment aims at enhanced capacity to mentalize, i.e., using the reflective functions in self-organization (Fonagy, 1997). This is considered to offer the participants an enhanced ”self soothing capacity” (Krystal 1988a,1988b), i. e., the capacity to calm and soothe the self by enhanced self regulation and capacity to rest, by helping the participants to reach experiential states where they can contain their own reactions, as well as offering training in order to tolerate and understand the signals of the body, i. e. the “felt sense” (Gendlin, 1978; Ogden, Minton, & Pain 2006). The trauma therapy within phase II-work by extended EMDRprotocols is exemplified with special focus on the restoration of the capacity for adequate self-care as well as care-giving functions. Learning Objectives: 1. To show how an integrative group treatment in phase I treatment can be used in trauma therapy for stabilization with patients with complex PTSD and high levels of dissociation (psychoform and/or somatoform co-morbidity). 2. Exemplify trauma-therapy within phase II work by extended EMDR-protocols addressing the special needs of continuous reinforcement of stabilization for the same population. 3. Focus on restoration of the capacity for adequate self-care as well as care giving functions.

Keywords: Trauma Women

Accuracy Verified: Yes

28. Shapiro, E., & Laub, B. (2008, May). Recent - traumatic episode protocol (R-TEP). EMDR Israel, Telaviv.

Language: English

Format: Other

Abstract:
Main Features of the R-TEP
Target selection: 1) Episode wide focus = period from the traumatic event to the present 2) Use of "Google Search" (G-Search) metaphor to identify multiple targets within the episode (sensory images/ events/ other experiences) Containment (safety): 1) 8 Phase structure parallel to Standard Protocol 2) Episode Narrative with DAS for grounding 3) Option of using distancing metaphor of TV screen 4) Option of regulation of associations by limiting associations to the image/event/ episode

Keywords: Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

29. Shapiro, E. & Laub, B. (2010, September/October). The recent traumatic episode protocol (R-TEP) for early EMDR intervention. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-TEP may reduce the sensitization and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early Intervention Recent Events Recent Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

30. Shapiro, E., & Laub, B. (2010, June). The recent-traumatic episode protocol (R-TEP) a comprehensive approach for early EMDR intervention. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
As part of a comprehensive approach to Early EMDR Intervention (EEI), thls workshop, presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The workshop will include video case illustrations. Participant will learn about the issues involved with EEI, the rationale of the developmen: of the R-TEP, 4 key conceptual procedures & their application. EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also be a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications& strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive information Processing (AIP) and don't necessarily show up on the DSM radar, the R-TEP may reduce the sensitisation and accumulation of trauma memories.

Keywords: Early Intervention Recent Events Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

31. Shapiro, E., & Laub, B. (2009, August). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI). Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations and a practicum.

Keywords: Early EMDR Intervention EEI Recent Events Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

32. Shapiro, E., & Laub, B. (2011, June). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI) [Das recent-traumatic episode protocol (R-TEP): Ein umfassender ansatz für den einsatz von EMDR als frühe intervention]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Early EMDR Intervention (EEI), while trauma memories are still consolidating, is perceived as a window of opportunity for adaptive processing of trauma memories. It may be used not only to treat acute distress but also to prevent complications by checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, thereby reducing the sensitization and accumulation of trauma memories. Learning objectives: As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early EMDR Intervention EEI Recent Events

Accuracy Verified: Yes

33. Shapiro, E. (2012, June). The recent-traumatic episode protocol. A comprehensive approach for early EMDR intervention (EEI) [Protocolo del Trauma Reciente Un planteamiento integral para la intervención precoz con EMDR (EEI)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, may prevent complications & strengthen resilience. Checking for sub-‐clinical sticking points, which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-‐TEP may reduce the sensitisation and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-‐TEP), which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. An introduction to the R-‐TEP will be presented with video case illustrations.

EMDR ha demostrado su eficacia en el tratamiento de TEPT crónico, al igual que para los recuerdos traumáticos antiguos; no obstante, los protocolos para la intervención precoz con EMDR (EEI) no han recibido mucha atención ni por parte de los que investigan en el campo de EMDR ni por parte de los clínicos. Se propone que la EEI, durante el período en el cual aún no han sido integrados los recuerdos traumáticos, puede emplearse no solo para tratar el estrés agudo, sino que también es posible que ofrezca una ventana de oportunidades durante la cual una intervención breve, posiblemente en días sucesivos, puede prevenir las complicaciones y fortalecer la resiliencia. Al comprobar [posibles] puntos de fricción subclínicos que pueden impedir el procesamiento adaptativo de la información (AIP) y que no siempre se manifiestan en el radar del DSM, el R-‐TEP puede reducir la sensibilización y acumulación de recuerdos del trauma. Como parte del planteamiento integral a la EEI, este taller presenta el protocolo para episodios traumáticos recientes (R-‐TEP), un protocolo integrador que incorpora y extiende los protocolos existentes dentro de un nuevo marco conceptual, junto con medidas adicionales para la contención y seguridad. Se presentará una introducción al R-‐TEP junto con casos que sirvan de ejemplos.

Keywords: Early EMDR Intervention EEI Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

34. Lansing, K. (2013, September). The rite of return: Coming back from duty-induced PTSD. High Ground Press.

Language: English

Format: Book

Abstract:
The Rite of Return: Coming Back from Duty-Induced PTSD is written for men and women in law enforcement, first response, and the military who are struggling with duty-induced PTSD. In a field-guide format, it presents an overview of a proven treatment approach adapted specifically for this population. The book offers clear teaching on PTSD and its effects on the brain. It also provides practical training in containment techniques for increased control of symptoms and motivation for battling the tendency to isolate. The successful case outcomes described throughout the book give substantive hope for recovery from PTSD. The message throughout is that duty-induced PTSD cannot be resolved in isolation or by reading self-help books. The author’s depth of knowledge and scope of experience evident in every chapter draws the reader confidently into places where the clinical generalist cannot tread. Karen Lansing’s understanding of duty-induced PTSD goes beyond a simply clinical perspective. She has been trained in public order, ridden extensively on patrol, done 48-hour tours of duty with firefighters, and has resided and trained alongside special weapons teams on military bases. She has “kitted up” and been stuck into flashpoint sectors in “exotic places” with tactical advisors in troubled regions. The benefits emerging from that cross-pollination of disciplines are apparent in the author’s respect and understanding of the specific clinical needs of Warriors and Rescuers. It's seen in her identification of and clinical protocol for the treatment of a rare but deadly post-shooting symptom that she refers to as transitory shooter's apraxia. The benefits are also clearly seen in the clinical outcomes of those featured in this book. The Rite of Return presents a powerful argument that PTSD need not lead to an end of mission or tour of duty, or to a lifelong injury. Instead, case account after case account indicates that Lansing's treatment approach leads to quite the opposite: officers consistently emerging stronger. These outcomes are confirmed throughout the book by the testimony of SPECT brain images before and after treatment. Accompanying them are accounts of subjects after treatment responding successfully to incidents very similar to those that had culminated in their PTSD. These unsung heroes recovered, becoming more competent, more tactically skilled and more mentally resilient than they had been prior to its time-limited, but significant, intrusion into their lives. Reading between the lines of this book, it's apparent that careers and lives have been saved because of the author’s innovative approach. Her only regret is that so many have been lost to the devastation of untreated or ill-treated, duty-induced PTSD. The publication of The Rite of Return couldn’t be better timed.

Keywords: Containment Techniques Duty-Induced PTSD Military Posttraumatic Stress Disorder PTSD Transitory Shooter's Apraxia

Accuracy Verified: Yes

35. Calof, D. (1995, June). The self of the therapist: An experiential clinic for clinicians working with abuse recovery issues. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Working with survivors of trauma and abuse can challenge or shatter therapists' basic beliefs about safety, goodness, and meaning, leaving one anxious, vulnerable, uncertain and prone to countertransference act-out. Through discussion and structured experiences that allow for individual pacing, participants in this experiential clinic will have an opportunity to identify, transform, and work through issues of the self of the therapist including countertransferences, parallel process, secondary traumatization, and the intense and sometime immobilizing existential crises that may result from this work. The leader will endeavor to create an enjoyable playful climate of mutual respect, trust, confidentiality and containment throughout the day. Educational objectives: A. Participants will engage in group and individual exercises designed to break with injunctions, scripts and internalizations left over from the family of origin that have prohibited personal authority and experimentation. B. Through lecture/discussion and exercises, participants will explore countertransference issues, secondary PTSD, and common therapeutic impasses and the existential crises they evoke in the self of the therapist. C. Participants will engage in group and individual exercises designed to assist in the resolution of on-going countertransference issues growing out of their current clinical practice. Bibliography: (1) Benedeck, E.P. (1984). The silent scream; Countertransference reactions to victims. American Journal Of Social Psychiatry, IV, 3:49-52. (2) Camstock, C.M. (1991). Countertransference and the suicidal MPD patient. Dissociation, Vol. IV, No. 1;25-35.

Keywords: Abuse Recovery Survivors Trauma

Accuracy Verified: Yes

36. Paulsen, S. L., & Golston, J. (2005, September). Taming the storm: 43 secrets to successful stabilization. Presentation at the annual meeting of the EMDR Interational Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Clients with complex and severe trauma histories require stabilization of symptoms, and containment of affect before ever beginning EMDR. A wealth of stabilization tools helps mitigate the impact of dysregulated affect and physiology. The tools reduce risk of retraumatization, client loss of hope, and abandonment of treatment. They also protect practitioners from reenacting unprocessed client material, ethical and clinical error, and therapist overwhelm. The presenters will identify risks and manifestations of client affect dysregulation, bridging theory and practice, and equipping participants with both a rich toolkit of specific tactics, as well as a decision process for matching tool and circumstance.

Keywords: Affect Dysregulation Bridging Theory Stabilization

Accuracy Verified: Yes

37. 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:
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.

Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors

Accuracy Verified: Yes

38. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations. Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first session will be shown to be of use specifically with this population. This population needs special attention regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks. They will also learn to use the relationship as an additional resource for containment with appropriate boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self Awareness Questionnaire will be taught and used to

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Therapeutic Relationship

Accuracy Verified: Yes

39. Calof, D., Maltz, W., Shapiro, F., & Young, W. (1995, June). What can we learn from the “false/delayed memory” controversy?. Evening symposium and town meeting conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Working with survivors of trauma and abuse can challenge or shatter therapists' basic beliefs about safety, goodness, and meaning, leaving one anxious, vulnerable, uncertain and prone to countertmnsference act-out. Through discussion and structured ewences that allow for individual pacing, participants in this experiential clinic will have an opportunity to identify, transform, and work through issues of the self of the therapist including countertransferences, parallel process, secondary traumatization, and the intense and sometime immobilizing existential crises that may result from this work. The leader will endeavor to create an enjoyable playful climate of mutual respect, trust, confidentiality and containment throughout the day. Educational objectives: A. Participants will engage in group and individual exercises designed to break with injunctions, scripts and internalizations left over from the family of origin that have prohibited personal authority and experimentation. B. Through lecture/discussion and exercises, participants will explore countextramference issues, secondary PTSD, and common therapeutic impasses and the existential crises they evoke in the self of the therapist. C. Participants will engage in group and individual exercises designed to assist in the resolution of on-going countertransference issues growing out of their current clinical practice. Bibliography: (1)Benedeck, E.P. (1984). The silent scream; Countertransference reactions to victims. American Journal of Social Psychiatry, IV, 3:49-52. (2)Camstock, C.M. (1991). Countertransference and the suicidal MPD patient. Dissociation, Vol. IV, No. 1;25-35

Keywords: False Memory

Accuracy Verified: Yes

40. Paulsen, S. (2009, November). Working under the floorboards: Resetting affective circuits in preparation for clearing very early trauma with EMDR. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: EMDR is known for its use in treatment of PTSD and, when the appropriate protocol is used, dissociative disorders. The standard protocol of EMDR is limited when applied to repairing early trauma because 1) it relies upon targeting an explicit memory but early trauma is stored in implicit memory, and 2) when early trauma is accessed it can be overwhelming to clients, because early experience is accessed with the limited containment, safety and affect regulation capacity of the child´s age at the time of trauma. Katie O´Shea developed a four step protocol for the safe treatment of early trauma using EMDR, and it is based upon an ego state approach (O´Shea & Paulsen, 2007). The protocol is based upon the standard EMDR protocol with critical modifications. There are three preparation steps: 1) containment, 2) safe state, and 3) resetting affective circuits. Step three is hypothesized to clear the affective circuits that conduct emotional information processing. The fourth step corresponds to Phases III and IV in the EMDR standard protocol. That fourth step articulates the target and desensitizes it, but the latter is conducted by time frame rather than by explicit memory.

Keywords: Early Trauma

Accuracy Verified: Yes