Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword DESNOS 17 Results

1. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo de la información (AIP). Además de desensibilizar, se trata de transformar la memoria afectada por el trauma, en la que las experiencias disfuncionales queden definitivamente en el pasado e integrarlas al presente de una forma adaptativa. En el trastorno de estrés postraumático y en el DESNOS, encontramos una memoria fragmentada, con un alto nivel de activación psicofisiológica, una dificultad en regular los afectos y con los síntomas intrusivos y evitativos vinculados a las experiencias. El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación en la presentación de un caso clínico de Trastorno de Estrés Postraumático.

EMDR therapy is a model that is based on adaptive processing information (AIP). Desensitize addition, it is transformed memory affected by trauma, which experiences dysfunctional are definitely in the past to the present and integrate adaptive way. In posttraumatic stress disorder and in the DESNOS, found a fragmented memory, with a high level of activation psychophysiological a difficulty in regulating emotions and intrusive and avoidant symptoms linked to experiences. The EMDR procedure consists of eight phases and show its application in presenting a case of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

2. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

3. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy

Accuracy Verified: Yes

4. Zucker, M., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2006). Dissociative symptomatology in posttraumatic stress disorder and disorders of extreme stress. Journal of Trauma and Dissociation, 7(1), 19-32. doi:10.1300/J229v07n01_03.

Language: English

Format: Journal

Abstract:
The present study was designed to assess differences in dissociative symptoms in adults with Posttraumatic Stress Disorder (PTSD) vs. PTSD plus Disorders of Extreme Stress Not Otherwise Specified (DESNOS). This study was done for two reasons: (1) to better understand the clinical profile of DESNOS clients in order to inform more effective treatment, and (2) to further empirical research on the validity of the DESNOS construct. To assess severity of dissociative symptoms, the authors administered the Dissociative Experiences Scale (DES) to 155 participants with PTSD. Using the Structured Interview for Disorders of Extreme Stress (SIDES), participants were divided into two groups: those who also met criteria for DESNOS and those who did not. DES means are provided for the two groups. Participants with PTSD plus DESNOS scored higher than participants with only PTSD on the measure of dissociative symptomatology, particularly on the DES scales that tap absorption/fantasy and depersonalization/derealization. The two groups did not differ on the amnesia subscale of the DES. Findings support the construct validity of the DESNOS concept and further delineate the clinical profiles of community-based PTSD with and without DESNOS, thus contributing to the knowledge base on the assessment of complex adaptations to trauma. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website: © 2006 by The Haworth Press, Inc. All rights reserved.]

Keywords: DES DESNOS Dissociation Dissociative Experiences Scale Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

5. Gonzalez, A., & Mosquera, D. (2012, June). EMDR and dissociation: The progressive approach. A. I. [Amazon.co.uk].

Language: English

Format: Book

Abstract:
After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.

Keywords: Dissociation

Accuracy Verified: Yes

6. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.

Language: English

Format: Journal

Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more complex cases has been less widely studied. This article examines the body of literature on the treatment of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research. Despite a still limited number of randomized controlled studies of any treatment for complex PTSD, trauma treatment experts have come to a general consensus that work with survivors of childhood abuse and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented EMDR model for working with these patients is presented, highlighting the role of resource development and installation (RDI) and other strategies that address the needs of patients with compromised affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD are offered along with suggestions for future investigations.

Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review

Accuracy Verified: Yes

7. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.

EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.

Keywords: Personality Disorders

Accuracy Verified: Yes

8. Gonzalez, A., Mosquera, D., & Seijo, N. (2011, November). EMDR in dissociative disorders: The progressive approach. Presentation at the 26th Annual International Society for the Study of Trauma and Dissociation Conference, Montreal, QE .

Language: English

Format: Conference

Abstract: Abstract: After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

9. Lanius, U. F. (2005). EMDR processing with dissociative clients: Adjunctive use of opioid antagonists. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 121-146). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Dissociative symptoms are common in traumatic stress syndromes (e.g., complex PTSD, disorder of extreme stress not otherwise specified [DESNOS], borderline personality disorder, and dissociative disorders). They commonly interfere with psychotherapy including EMDR treatment. It appears that the adaptive information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience and thus precluding positive treatment outcomes. A series of case studies by Ferrie and Lanius found that the administration of an opioid antagonist prior to EMDR treatment significantly reduced dissociative symptoms, somatization, and numbing, as well as aiding trauma processing. The present chapter describes the relevant scientific research, as well as a theoretical rationale and a protocol, for the use of opioid antagonists in trauma processing with EMDR. [Text, p. 121]

Keywords: Analgesic Drugs Dissociative Symptoms Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes

10. あなたの白川、あずさ清水、智久Gojyo＆アル [Shirakawa Miyako, Shimizu Azusa, Gojyo Tomohisa et al]. (2008年6月). EMDRと自我状態療法［重度の解離を伴う複雑性PTSD（DESNOS）症例への適用 [Application of EMDR and ego state therapy to complex PTSD associating with severe dissociation (DESNOS) cases]. こころのりんしょう第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 253-261].

Language: Japanese

Format: Journal

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Ego State Therapy

Accuracy Verified: Yes

11. 市井雅哉 [Ichii Masaya]. (2008年6月). EMDR…トラウマ治療の新常識 [EMDR ... a new common sense of trauma treatment]. こころの臨床ア・ラカルト, 29(2), 163-344 [Clinical Psychology: Various Aspects], 27(2), 163-344.

Language: Japanese

Format: Journal

Abstract:
《今回の特集：EMDR…トラウマ治療の新常識》本誌でEMDR（眼球運動による脱感作と再処理法）を，「これは奇跡だろうか！」と紹介してから10年。今やPTSDのみならず，ボーダーラインや発達障害の領域でもめざましい治療効果を発揮し，心理療法のあり方そのものをダイナミックに変革しようとしています。本特集ではさまざまな疑問に答える50のQ&Aや座談会など多方面から，「奇跡を確実に，安全に起こす治療法」として，再びEMDRの魅力と可能性に迫ります。

"The topic of today: EMDR ... a new sense of trauma treatment" The publication EMDR (and re-treatment of eye movement desensitization), and "Will this be a miracle!" From 10 years to introduce. Now not only PTSD, but demonstrated a remarkable therapeutic effect and developmental disabilities borderline area, trying to transform itself into a dynamic way of psychotherapy. In this special issue is to answer 50 questions from various fields, various Q & A and roundtable discussion, "Surely a miracle cure for lead safe" as the possibility looms again appeal and EMDR.

Keywords: Autism Spectrum Children Crime Victims DESNOS Gender Identification Disorders Hypnotism Loss of Coordination Disorder Parents Phobias Sexual Abuse Victims Traumatic Bereavement Truancy

Accuracy Verified: Yes

12. Forgash, C. A. (2005, September). Healing the heart of complex trauma through EMDR, ego state and somatosensory work. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR is increasingly being utilized to treat highly challenging clients with a variety of diagnoses including complex PTSD, DESNOS, and a range of dissociative disorders. The dissociative processes commonly described as part of the PTSD spectrum, are also predicted by early attachment difficulties and losses. These clients may present with elements of several disorders (i.e., Borderline PD). Without considerable stabilization work, they may be unable to process information safely. This presentation, through lecture, experiential work and case presentation, will provide clinicians with a model that enables them to provide EMDR treatment effectively with this population. Participants will become familiar with specialized treatment planning that begins with detailed and complex history taking and pays particular attention to an extensive individualized preparation phase. They will learn how and when to integrate ego state work, somatosensory work and disociative treatment strategies in this phase and throughout EMDR protocol work. This systemic work will be understood to help patients resolve internal conflicts, deal with stabilization, affect regulation, triggering, overwhelm, dissociation, and resistance.

Keywords: Challenging Clients Dissociation Ego State Therapy Master Series Somatosensory Therapy

Accuracy Verified: Yes

13. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099.

Language: English

Format: Journal

Abstract:
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]

Keywords: Adults Child Abuse Clinical Case Study Complex Empirical Study Females Neglect Postt traumatic Stress Disorder Psychotherapeutic Processes PTSD Review Survivors Treatment Effectiveness

Accuracy Verified: Yes

14. Leeds, A. M. (2001, December). Principals and procedures for enhancing current functioning in complex posttraumatic stress disorder with EMDR resource development and installation. EMDRIA Newsletter, 6(Special Edition), 4-11 .

Language: English

Format: Newsletter

Abstract:
When developing a treatment plan, clinicians need to be able to recognize not only the specific effects of trauma but to consider symptoms reflecting limited capacities for emotional self regulation. Such problems are often found when client histories included significant childhood neglect or other disruptions of each childhood attachment (Damasio, 1999; Schore, 2000; Sigel, 1999). Clients with a history of secure attachment appear to be more vulnerable to PTSD (Alexander, et al., 1998; Muller, Sicoli, & Kemieux, 2000) and initially need to be addressed with procedures different from those for trauma specific symptoms. Therefore in the consensus model of posttraumatic treatment (Browm Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999) clinicians are urged to focus on clients’ personal safety, stabilization, and the development of client capacities for tolerating and modulating strong affect in the early phases of treatment.

Keywords: DESNOS RDI Resource Development and Installation Posttraumatic Stress Disorder PTSD Stabalization

Accuracy Verified: Yes

15. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x.

Language: English

Format: Journal

Abstract:
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]

Keywords: Adaptive Information Processing AIP Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Cognitive Therapy Disorders of Extreme Stress (DESNOS) Healing Trauma Nursing Posttraumatic Stress DIsorder PTSD

Accuracy Verified: Yes

16. Lopez, G. (2007, Juin). Stress vs trauma/Stress vs trauma [Stress vs. trauma / stress vs. srauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
La notion de Stress figure en tant qu’Etat de stress post-traumatique (F43-1) et Réaction aiguë (F43-0) dans la nomenclatures diagnostiques internationales des troubles mentaux, comme le DMS IV ou la CIM-10. Pourtant, l’expérience clinique indique que la pathologie psychotraumatique ne peut se limiter à un Etat de stress post-traumatique (ESPT) avec ou sans Trouble dissociatif (F44), ni méme à un ESPT complexe ou DESNOS (Disorder of Extreme Stress Not Otherwise Specified).
Le rôle de l’impact tramatique discrimine la pathologie consécutive au stress et la pathologie psychotruamatique qui est << une réponse differée our prolongée a une situation ou à un evénemént stressant (de courte ou de longue durée) exceptionnellement menaçant ou catastrophique et qui provoquerait des symptômes évidents de détresse chez la plupart des individus […]>> selon la CIM-10.
Cette intervention fait le point des recherches, sur la fonctionnement du systéme limbique notamment, et des connaissances cliniques recéntes concernant le rôle del la dissociation périttraumatique et des troubles dissociatifs ultérieurs dans la pérnnisation des troubles psychotraumatiques.

The concept of stress is as a state of posttraumatic stress disorder (F43-1) and acute reaction (F43-0) in the international diagnostic classifications of mental disorders, such as the DMS-IV or ICD 10. However, clinical experience indicates that the pathology psychotraumatic can not be limited to a Posttraumatic Stress Disorder (PTSD) with or without dissociative disorder (F44), or even a complex PTSD or DESNOS (Disorder of Extreme Stress Not Otherwise Specified). The role of impact tramatique discriminates consecutive stress pathology and pathology psychotruamatique is "a delayed response o prolonged a situation or a stressful event (short or long term) of an exceptionally threatening or catastrophic nature and cause of obvious symptoms of distress in most people [...]>> ICD-10. This intervention provides an update on research on the functioning of the system including limbic, and recent clinical knowledge regarding the role périttraumatique del dissociation and dissociative disorders later in pérnnisation psychotraumatic disorders.

Keywords: Stress Trauma

Accuracy Verified: Yes

17. Kim, D., & Choi, J. (2003, October). A successful EMDR (eye movement and desensitization and reprocessing) treatment for DESNOS (disorder of extreme stress NOS). Poster presented at the annual meeting of the Korean Neuropsychiatric Association, Seoul, Korea.

Language: Korean

Format: Conference

Keywords: DESNOS Disorder of Extreme Stress NOS Poster

Accuracy Verified: Yes