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1. Popky, A. J. (2009). The desensitization of triggers and urge reprocessing (DeTUR) protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 489-511). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Addiction  Protocol  Substance Abuse  Triggers  Urge  

Accuracy Verified: Yes

2. Bae, H., & Daeho, K. (2012). Desensitization of triggers and urge reprocessing for an adolescent with internet addiction disorder. Journal of EMDR Practice and Research, 6(2), 73-81. DOI: 10.1891/1933-3196.6.2.73.

Language: English

Format: Journal

Abstract:
This case study reports the successful treatment of Internet addiction in a 13- year-old male using four 45-minute sessions of the desensitization of triggers and urge reprocessing (DeTUR) protocol—an addiction protocol of eye movement desensitization and reprocessing (EMDR; Popky, 2005). This protocol uses EMDR procedures to process current triggers and positive future templates, but it does not identify or directly address any past trauma. At baseline, the participant showed a moderate level of Internet addiction (scoring 75 on Young’s Internet Addiction Test [IAT]) and moderate depression (26 on the Beck Depression Inventory [BDI]). During assessment, he identified 7 triggers for Internet gaming and rated the associated urge to engage in the activity with scores of 3–9 on the level of urge scale (0 5 lowest, 10 5 strongest). Using the DeTUR protocol, the level of urge for each trigger was reduced to 2, which the participants defined as “not being able to think about or crave for the game.” After treatment, his symptoms had declined to nonclinical levels (38 on IAT and 6 on BDI) and he was able to restrict his time on the Internet to an hour per day. These therapeutic gains were maintained at 6- and 12-month follow-up. The DeTUR may be a good treatment option for Internet addiction and further controlled studies are needed.

Keywords: Adolescents  DeTUR  Game Addiction    Internet Addiction  

Accuracy Verified: Yes

3. Popky, A. J. (2003, May). DeTUR (Desensitization of triggers and urge reprocessing). Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: DeTUR  

Accuracy Verified: Yes

4. Popky, A. J. (1999). DeTUR (desensitization of triggers and urge reprocessing):  A new approach to working with addictions. Los Gatos, CA.

Language: English

Format: Other

Keywords: DeTUR  Triggers  Urges  

Accuracy Verified: Yes

5. Popky, A. J. (2009). DeTUR (Desensitization of Triggers and Urges), A. J. Popky (2005). A. J. Popky, PhD.

Language: English

Format: Other

Abstract:
Summary of A. J. Popky's standard DeTUR (Desensitization of Triggers and Urges) protocol by Susan Brown.

Keywords: Addiction  DeTUR  Protocol  

Accuracy Verified: Yes

6. Popky, A. J. (2002, June). DeTur a new way to address addictions and dysfunctional behaviors. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This prootcol has been used effectively by EMDR therapists over the years in dealing with a wide range of addictions and behaviors, including substances, eating, gambling, sex, etc. This presentation will consist of didactic, visuals, demonstrations of various phases with case examples from the author and other therapiess and case examples. Also addressed will be some of the many different pitfalls in dealing with this population and methods to deal with the problems.

Keywords: Addictions  DeTur  

Accuracy Verified: Yes

7. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]

Keywords: Addiction  Addictions  Behavior Problems  Behavior Therapy  Bilateral Stimulation  Compulsions  Craving  Desensitization of Triggers  Dysfunctional Behaviors  Information Processing Model  Psychotherapeutic Techniques  Urge Reduction Protocol  

Accuracy Verified: Yes

8. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The purpose of this study is to assess the effectiveness of a treatment model in cigarette cessation. Among the volunteers who enrolled to participate in the study, 15 participants were selected as our subject group in terms of their scores in Fagerstrom Test for Nicotine Dependence (middle or upper level of dependency). The participants of this study attended 9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4 group sessions (once every two weeks). The 5 follow up sessions (15-day, a month, 3 month. 6 month. 1 year foilow-up) are included in the study to evaluate the efficacy of the model and the relapse rate of the subjects. EMDR (Eye Movement Desensitization and Reprocessing) DeTUR Protocol (Popky, 1993) and a support group format is used as treatment methods. Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine Dependence is the instruments of this study.

Keywords: Group Treatment  Smoking Cessation  Symposium  

Accuracy Verified: Yes

9. Institut für Traumatherapie (2007). EMDR in der suchtbehandlung, der teufelskreis von trauma und sucht [EMDR in the treatment of addiction, the vicious cycle of trauma and addiction]. Institut für Traumatherapie.

Language: German

Format: Other

Keywords: Addiction  Alcoholism  DETUR  Drug Abuse  Treatment  

Accuracy Verified: Yes

10. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co.

Language: English

Format: Book

Abstract:
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]

Keywords: Anxiety Disorders  Psychotherapeutic Processes  Stressors  Survivors  

Accuracy Verified: Yes

11. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses the recovery process as follows: At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR). Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to working with their core addiction issues, which have now become easier to treat by especially using Desensitization and Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions. Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction and can easily be integrated into existing EMDR treatment strategies.

Keywords: Addiction  Addictive Behavior  Resourcefulness  Resilience  

Accuracy Verified: Yes

12. Hase, M. H., Popky, A. J., & Woffgramm, J. (2007, June). Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
A randomized pilot study demonstrated the efficacy of EMDR to reduce the craving in alcohol addicted in-patients (Hase, 2006). The rationale of this EMDR approach is based on the concept of the addiction memory (Woffgramm and Heyne, 1995; Heyne, May et al, 2000; Wolffgramm, Galli et al, 2000). The addiction memory qualifies as a maladaptive memory regarding to the Adaptive Information Processing Model. The DeTUR approach was introduced to reprocess triggers for abuse and to reduce the user to use a drug in 1998 (Popky, 1998; Popky, 2005). If differs slightly in it rationale. J. Wolffgramm established an animal model of addiction providing data to move towards the concept of memory of addiction (Wolffgramm, Galli et al, 200). A. J. Popky established the DeTUR approach. M. Hase conducted the randomized pilot study demonstrating the efficacy of EMDR in the treatment of alcohol addicts. Wolffgramm, Popky, and Hase will discuss research, theory, and practice of EMDR in the treatment of addictions representing the state of the art of EMDR addiction treatment.
Hase, M. (2006, September) EMDR applied to reprocess the addiction memory in alcohol addicted in-patients. Outcome and follow-up data of a clinical study, 2006 EMDRIA Conference, Philadelphia, PA.
Heyne, A., May, T. et al. (2000). "Persisting consequences of drug intake toward a memory of addiction," J. Neural Transm, 107(6), 613-638.
Popky, A. J. (1998). DeTUR, (Desensitization triggers and urge reprocessing). Monte Sereno, CA.
Popky, A. J. (2005). "DeTUR, an urge reduction. protocol for addictions and dysfunctional behaviors," in EMDR Solutions. R. Shapiro. New York: W. W. Norton, pp. 167-188.
Wolffgramm, J. G., Galli, G. et al. (2000). "Animal models of addiction: Models for therapeutic strategies." J. Neural Transm, 107(6), 649-668. Wolffgramm, J., & Heyne, A. (1995). "From controlled drug intake to loss of control: The irreversible development of drug addiction in the rat." Behav Brain Res, 70(1), 77-94.

Keywords: Addiction  

Accuracy Verified: Yes

13. Dohrmann, M. (2009). Treatment effects of EMDR on risk to re-offend by sexual offenders traumatized as children. Colorado School of Professional Psychology, The University of the Rockies, Colorado Springs. AAT 3344547.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the effects of EMDR (Shapiro, 2002) and DeTUR (Popky, 2005) on three sexual offenders' risk to re-offend. Participants were given pretests and treatment outcomes were measured post treatment and 90 days thereafter using the IES-R (Weiss & Marmar, 1997), the TSI (Briere, 1995), the SOI (Kafka, 1997), the ACUTE 2007 (Hanson, Harris, Scott, & Helmus, 2007), and the Monarch 21 PPG Assessment (Byrne, 2006). The Reliable Change Index (RCI; Jacobson, Follette, & Revenstorf, 1984; as cited by Wise, 2004) was used to measure reliable differences. The results suggest there was no significant change in the level of trauma symptoms; however there was significant change in deviant arousal which lowered the risk level of two offenders. One offender experienced an increase in his risk level due to an increase in trauma symptoms. [Author abstract]

Keywords: Good Lives Model  Recidivism  Sex Offenders  Sexual Deviance  Trauma  Treatment  

Accuracy Verified: Yes

14. Spence, A. (2003, September). The treatment of the sexually addicted client using DeTUR and EMDR. Poster presented at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: DeTUR  Poster  Sexual Addiction  

Accuracy Verified: Yes

15. Popky, A. J. (2011, October). An urge reduction protocol as a new way to address addictions and dysfunctional behaviors based on the AIP model of EMDR. Presentation for Care For the Troops, Marietta, Ohio.

Language: English

Format: Other

Abstract:
The purpose of this document is to act as a training manual for those clinicians that work with addictive populations and that have completed already completed EMDR level 1 and 2 trainings. Previous research on EMDR has focused on its usefulness for treating trauma-related symptoms in a diverse sample of subjects. This protocol deals with targeting triggers that bring up urges rather than traumas. It is the authors beliefs that the targeting of triggers is a gentler way of dealing with this addictive population and that as triggers are reprocessed ego strength grows until the thread to the trauma or core issues are ready to emerge to be reprocessed. Background This treatment model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to, cognitive-behavioral, solution focused, Ericksonian, narrative, object relations, EFT, TFT, to name a few. The bi-lateral stimulation from the accelerated information processing model (EMDR) seems to form the catalyst for rapid processing and change, the turbo-charger that speeds the healing process. Successful results have been reported across the wide spectrum of addictions and dysfunctional behaviors: chemical substances (nicotine, marijuana, alcohol, methamphetamine, cocaine, crack, heroin/methadone, etc.), eating disorders such as compulsive overeating, anorexia and bulimia, along with other behaviors such as sex, gambling, shoplifting, anger outbursts, OCD and trichotillomania, etc. Since this is an urge reduction protocol the scope of applications can include a wide variety of applications.

Keywords: Adaptive Information Processing  Addictions  AIP  Desensitization of Triggers and Urge Reprocessing  DeTUR  Dysfunctional Behaviors  

Accuracy Verified: Yes

16. Brown, S., Gilman, S., & Popky, A. J. (2009, August). Using the DeTUR™ model and EMDR to treat addictions and impulse control disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Effective treatment of trauma and addiction is a serious clinical challenge. The purpose of this workshop is to educate clinicians about the similarities between chemical and behavioral addictions, the negative consequences of leaving trauma untreated, and the expected benefits of using an integrated model of DeTUR™ (Desensitization of Triggers and Urges; Popky, A.J., 2001) and EMDR for the treatment of addictions. Participants will be able to describe the steps of DeTUR™ through lecture and demonstration. Participants will be shown how DeTUR™ can be integrated into the standard EMDR protocol, focusing on desensitizing triggers and urges, leading to identification of core traumas to be reprocessed.

Keywords: Addictions  DeTUR Model  Impulse Control Disorders  

Accuracy Verified: Yes