Francine Shapiro Library - EMDR Bibliography Links
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1. Everly, G. S. Jr., & Lating, J. M. (2002). A clinical guide to the treatment of the human stress response, 2nd ed. Springer Publishing Company.
Language: English
Format: Book
Abstract:
This updated edition of A Clinical Guide to the Treatment of the Human Stress Response reflects the dramatic changes in this field over the past decade. This edition covers a range of new topics, including stress and the immune system, post-traumatic stress and crisis intervention, Eye Movement Desensitization and Reprocessing (EMDR), Critical Incident Stress Debriefing (CISD), Crisis Management Briefings in response to mass disasters and terrorism, Critical Incident Stress Management (CISM), spirituality and religion as stress management tools, dietary factors and stress, and updated information on psychopharmacologic intervention in the human stress response. As with the previous edition, this volume is designed as a comprehensive and accessible guide to both the clinically relevant physiology and treatment of the human stress response. Discussion of treatment protocols, using selected behavioral treatment strategies, is purposefully brief and clinically targeted. Supplemental information for practitioners includes a flow chart on the nature of stress physiology, a relaxation report form, specific protocols for teaching the relaxation response, a self-report checklist designed for health education purposes, and over 700 references. [Springer]
Springer Series on Stress and Coping
Keywords: Human Stress Response
Accuracy Verified: Yes
2. Solomon, R. M. (1998, July). The application of EMDR to critical incident trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand what a critical incident is, and learn about the phases of the emotional aftermath; 2) learn about the application of EMDR to critical incident trauma; 3) learn about patterns of resolution that involves responsibility, present safety, and empowerment and self-efficacy; 4) learn what a Critical Incident Stress Debriefing (CISD) is, and its utilization after a critical incident; 5) learn how EMDR and CISD can be utilized together; 6) learn about integrating EMDR and CISD within an overall treatment approach.
Keywords: CISD, Critical Incident Critical Incident Stress Debriefing Recent Events
Accuracy Verified: Yes
3. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.
Language: English
Format: Journal
Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment
Accuracy Verified: Yes
4. Australian Centre for Posttraumatic Mental Health (2007, February). Australian Guidelines for the treatment of Adults with Acute Stress disorder and posttraumatic stress disorder. Melbourne, Victoria: ACPMH.
Language: English
Format: Other
Abstract:
The Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: Treatment Guidelines
Accuracy Verified: Yes
5. Wesselmann, D., & Potter, A. E. (2009). Change in adult attachment status following treatment with EMDR: Three case dtudies. Journal of EMDR Practice and Research, 3(3),178-191. doi:10.1891/1933-3196.3.3.178.
Language: English
Format: Journal
Abstract:
Three case studies illustrate pre- and post-eye movement desensitization and reprocessing (EMDR) adult attachment status as measured by the Adult Attachment Interview (AAI). Two adult males and one adult female presented for outpatient therapy; all of them were categorized with an insecure or disorganized attachment status at pretreatment. All presented with symptoms of depression and anxiety and complaints regarding problems in their current marital and family relationships. The three patients received 10 to 15 EMDR sessions over the course of approximately 1 year, interspersed with talk therapy sessions for the purpose of debriefing and psychoeducation. The EMDR approach utilized all eight phases of treatment within the three-pronged approach. Following EMDR therapy, all three patients made positive changes in attachment status as measured by the AAI, and all three reported positive changes in emotions and relationships. This article provides an overview of the literature related to adult attachment categories and summarizes the effect of adult attachment status on emotional and social functioning. The rationale and scoring procedures for the AAI are explained.
Keywords: Adult Attachment Interview Attachment Outcome Trauma
Accuracy Verified: Yes
6. Greenwald, R. (1997). Children's mental health care in the 21st century: Eliminating the trauma burden. Child and Adolescent Psychiatry On-Line.
Language: English
Format: Journal
Abstract:
Contemporary child mental health care is compared unfavorably to its medical
counterpart, which offers prevention and early intervention in addition to treatment of
symptoms. Child trauma, broadly defined., is characterized as a ubiquitous, under-treated,
primary source of psychopathology. Traumatic experiences which remain unintegrated
accumulate as a trauma burden, leading to reactivity and impairment. Two recently
developed trauma-focused interventions atre described: critical incident stress debriefing
(CISD) and eye movement desensitization and reprocessing (EMDR). Combined with
screening and early identification of traumatized children, CISD and EMDR can be used
economically for widespread elimination of the trauma burden.
Keywords: Children Mental Health Care Trauma
Accuracy Verified: Yes
7. Munker-Kramer, E. (2007, June). CISD and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Both EMDR and CISD have their positions in the treatment of PTSD and Acute Stress Disorders. They are parts of clear concepts of best practice in crisis and disaster and psychology (e.g., as one focused part CISD) in the immediate care and evaluated trauma therapy methods (with EMDR as a crucial example of well researched trauma therapy) for aftercare. It is very important for the best support of concerned persons and survivors to have good and vice versa supporting management of the interfaces on this continuum.
This lecture will emphasize the author’s opinion on the best possibilities to combine both parts and positions. This will be underlined by some actual research findings on the needs of concerned person and their perception on what they get.
The way of combining both specialized methods will be discussed out of a practitioner’s (in both methods) point of view and will be illustrated by some concrete cases. A senseful combination of EMDR and CISD and a precise consideration and screening for genuine and known risk factors and leading symptoms (e.g., hyperarousal) seem to be a good practice for those starting to suffer from stress disorders.
Keywords: CISD Critical Incident Stress Debriefing
Accuracy Verified: Yes
8. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .
Language: Farsi (Iran)
Format: Journal
Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients.
Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests.
Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up.
Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months.
Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.
Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD
Accuracy Verified: Yes
9. Khosropour, F., Ebrahiminejad, G. H. Baniasadi, H., & Faryabi, M. (2012, Spring). Comparison of false memory among patients with post traumatic stress disorders (PTSD) based on the received psychological treatment. Journal of Kerman University of Medical Sciences and Health Services, 17(2),154-160.
Language: Persian
Format: Journal
Abstract:
Background & Aims: False memory is more prevalent among PTSD patients. This memory can be affected by group and intensifies the symptoms of the disorder. Psychological Debriefing (PD) and Eye Movement Desensitization and Reprocessing (EMDR) are widely used for the treatment of PTSD patients. The efficacy of these treatments is controversial. Method: A total of 219 PTSD patients were randomly selected and divided into three groups based on the received treatment type (EMDR, PD, control group). All groups were evaluated and compared by using Rodiger & McDremott False Memory Scale.
Results: The EMDR group in comparison to the PD and control groups and the control group in comparison to the PD group showed lower rates of false memory (PConclusion: Considering lower level of false memory in EMDR group compared with other groups and the negative effects of false memory in identification of PTSD, EMDR is better than PD in the treatment of PTSD patients.
Keywords: False Memory Treatment Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
10. Garsen, B. (2005). A comparison of post traumatic stress disorder treatment modalities for adolescents. California State University, Long Beach, CA. AAT 1426939.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this study was to explore treatment modalities for Post Traumatic Stress Disorder (PTSD) for adolescents. This study examined current research on the treatment of PTSD by analyzing the content of books and articles written within the past 10 years.
The study was a descriptive content analysis of currently used treatment modalities for PTSD. Data analysis involved a recursive process in which themes were identified and developed over numerous readings.
The findings of this study indicated that PTSD symptomology was significantly reduced when adolescents were treated with cognitive behavioral methods. Controlled studies were located only for cognitive behavioral interventions. Pharmacological interventions were widely used to treat PTSD symptoms. However, there have been neither controlled nor open-label drug studies conducted regarding this population. Eye Movement Desensitization and Reprocessing (EMDR) is a promising new form of treatment that has yet to be examined in a rigorous manner. Critical Incident Stress Debriefing (CISD) sometimes exacerbated PTSD symptoms in this population.
The results of the study indicated that more controlled research needs to be generated targeting adolescents with PTSD.
Keywords: Adolescents Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
11. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.
Language: English
Format: Book
Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention.
Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]
Keywords: Crisis Intervention Trauma
Accuracy Verified: Yes
12. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
13. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]
Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization
Accuracy Verified: Yes
14. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
15. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
On successful completion of the workshop, participants will be able to:
· Describe the commonly used approaches to early intervention following
traumatic events and the rationale behind them including blanket
intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing,
psychological debriefing, psychological first aid, critical incident stress
management, trauma risk management, supportive counselling and trauma
focused cognitive behavioural therapy.
Discuss the current evidence base for the effectiveness of early interventions
following traumatic events.
Keywords: Early Intervention
Accuracy Verified: Yes
16. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
Although most human service professionals believe in the utility of early intervention
post-trauma to prevent development of chronic psychological problems, there is little
agreement as to the appropriate forms of care. A range of psychological interventions
has been advocated for use with various traumatized populations within days or weeks
of their trauma exposure, including education about trauma and stress reactions,
critical incident stress debriefing (CISD), cognitive-behavioral brief intervention
packages, EMDR, and psychopharmacological interventions. Currently, prospective
research studying response to trauma and beginning within hours or days of the
traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing
development of PTSD. Recent support for such interventions is developing at the same
time that the evidence for the most popular early intervention, debriefing, is being
called into question. In this panel discussion, four members of the recently initiated
ISTSS “Early Interventions” Special Interest Group will describe their personal views as
to what the next generation of early intervention services will look like, how existing
models of early intervention should be improved based on current research and theory,
and how improved services can be implemented in real-world settings.
Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
17. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Keywords: CISM Critical Incidence Stress Management Recent Events
Accuracy Verified: Yes
18. Sterpone, R., & Paiuzzi, E. (2008, Novembre). EMDR come momento di ulteriore integrazione professionale tra differenti operatori di cura di un ospedale infantile [EMDR as a moment of further integration between vocational different operators care children's hospital]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La presentazione si propone di “raccontare” come l’EMDR sia diventata, in un ospedale infantile, strumento di ulteriore integrazione professionale tra i differenti operatori di cura.
L’EMDR viene utilizzata, infatti, non solo con bambini e adolescenti che giungono nella Struttura Operativa di Psicologia, ma viene richiesta dai medici dei vari reparti per i pazienti, ed eventualmente per i loro familiari, ricoverati in seguito ad esposizione ad eventi critici. L’intervento con EMDR viene, inoltre, effettuato con alcuni genitori i cui figli sono ricoverati in merito a malattie gravi o croniche. Gli stessi operatori di cura, in seguito ad eventi potenzialmente traumatici in ambito lavorativo, vengono aiutati con gruppi di debriefing, e, se necessario, con l’EMDR per riprocessare situazioni dolorose, ritrovare benessere e funzionalità lavorativa. Operatori di cura differenti, sistemi conoscitivi$differenti, ma insieme… insieme per cocostruire con il paziente e la sua famiglia una nuova narrativa ed aiutarli ad attribuire nuovi significati ad esperienze dolorose o fallimentari.
The presentation aims to "tell" how EMDR has become, in a children's hospital, tool for further integration between the different operators of professional care. EMDR is used, in fact, not only with children and adolescents who come in the Structure Works on psychology, but is required by doctors of various departments for patients, and possibly for their families, hospitalized after exposure to critical events. Intervention with EMDR is also made with some parents whose children are hospitalized on serious or chronic illnesses. Operators themselves to care, in the aftermath of potentially traumatic in employment, are helped with groups of debriefing, and, if necessary, with EMDR for reprocess painful situations, to find wellness and functionality work. Operators care
ifferent cognitive systems different, but together ... together with the patient and cocostruire its family a new narrative and help to give new meaning to experiences painful or unsuccessful.
Keywords: Children
Accuracy Verified: Yes
19. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The present study is carried out within a psychological
counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects
of EMDR Integrated Group Treatment Protocol (EMDR-ICTP:
on the child victims of a terrorist bombing in Gun Goren, Istanbul.
In this study the EMDR-IGTP was used with 60 children
who are in 5th, 3rd and 4th grade and effected by the event
(exposed, witnessed or their relatives harmed, etc.) with high
scores on the Turkish version of 'Impact of Event Scale' (IES).
Before the group session. Child Report of Post-Traumatic Symptoms
(CROPS) and a survey asking 5 stress-related symptoms
of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma,
psychological debriefing, EMDR (Installing the safe place, assessment,
drawing the first picture, drawing the second and the
third picture, tapping, relaxation), healing story and art therapy.
Participants completed another survey about what they have
realized during and after their group experience.
The study is completed with a re-evaluation of one and three
months follow-up. Analyses of the data collected from the participants
will demonstrate the effectiveness of EMDR in group
setting with children for reducing traumatic symptoms and developing
new resources to handle problems. In this study the
effectiveness of EMDR is examined according to the difference
between the ages of children, and the level of exposure (witnessing,
watching on TV etc.) to the traumatic event.
Keywords: Acute Stress Children Group Therapy Symposium Terrorism Victims
Accuracy Verified: Yes
20. Jarero, I., Artigas, L., & Luber, M. (2011). The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context. Journal of EMDR Practice and Research, 5(3), 82-94. doi:10.1891/1933-3196.5.3.82.
Language: English
Format: Journal
Abstract:
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events
Accuracy Verified: Yes
21. Boèl, J. (1997). EMDR with trauma survivors in Mexico: In the aftermath of Hurricane Paulina with the Mexican Association for crisis therapy in Acapulco. EMDR Humanitarian Assistance Programs.
Language: English
Format: Other
Abstract:
Hurricane Paulina ravaged Acapulco, Mexico, in October of 1997. Two weeks of
torrential rains, floods and landslides followed. At least 2500 people died. In one poor
neighbourhood on the banks of what had been an almost dry riverbed, 400 people were
buried alive before they could escape or be rescued. Despite acts of incredible heroism
which occurred during the hurricane and floods and in the following days, the initial
rescue efforts were hampered by the lack of infrastructure for emergencies of such scale.
The firemen worked alongside volunteers for 15 days taking only 'cat naps' in their
trucks. They received no psychological debriefing from the horrors they witnessed until
three months later, when Dr. Ignacio Jarero and I (as members of the Mexican
Association for Crisis Therapy core team met to debrief with them. Some of the most
stalwart rescuers with whom we spoke still had recurring images of partial corpses of
children stuck in trees and bodies of pregnant women floating along the main streets of
old Acapulco.
Keywords: Acapulco Butterfly Hug Children: Hurricane Pauline Mexico Recent Events
Accuracy Verified: Yes
22. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that
PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been
used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent
terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance
Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within
hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the
immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the
event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR.
Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress
during initial treatment by first responders at the scene of an accident or in ambulances en route to medical
facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD)
with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in
Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying
the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be
presented and followed by a practicum. [There are 2 PDF files.]
Keywords: Emergency Response Procedure ERP
Accuracy Verified: Yes
23. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland.
Language: English
Format: Conference
Abstract:
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami
Accuracy Verified: Yes
24. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR is a well-established theory for Post Traumatic Stress Disorder (PTSD). EMDR has also been used effectively in the immediate period following trauma. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual and developed to deal with victims of terror within hours of exposure to trauma, will be discussed and taught. Participants will learn how to respond to clients in the immediate aftermath of trauma utilizing Debriefing and ERP. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) and PTSD with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror in Jerusalem and those in bomb shelters during the last Lebanon war. In this presentation, the Recent Events Protocol will be reexamined with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol, used with large numbers of disaster victims needing simultaneous treatment, will be presented and followed by a practicum.
Keywords: Emergency EMDR Man-Made Disasters Natural Disasters
Accuracy Verified: Yes
25. deGraffenreid, D., & Page, R. (2009, April 18). The enhanced safe place: A practitioners guide to using multi sensory imaging to strengthen the safe place. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
Enhanced Safe Place (ESP) builds comfort and trust early in treatment. EP is especially effective in community MH settings. ESP contains preparatory information, multi sensory imaging, progressive relaxation and simple hypnotherapy techniques. Participants will practice the three stages (preparation, beginning, debriefing) and 10 specific techniques to help create highly effective body-oriented ESP experiences.
Keywords: Enhanced Safe Place
Accuracy Verified: Yes
26. Kroon, N., & Berendsen, S. (2005, November). Ervaringen met EMDR bij de opvang van humanitaire hulpverleners [Experiences in receiving with EMDR humanitarian aid workers]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Werken in het veld voor Artsen zonder Grenzen (AzG) is niet zonder risico. Hulpverleners kunnen geconfronteerd worden met aangrijpende situaties waneer zij met de noodlijdende bevolking werken, maar zij kunnen ook zelf traumatische situaties meemaken, bijv. wanneer een team onderweg wordt aangehouden door een gewapende bende.
Deze lezing gaat over de bruikbaarheid van EMDR als methodiek in de opvang van humanitaire hulpverleners. Bij AzG worden hulpverleners in het veld opgevangen door de Psycho Social Care Unit (PSCU). De PSCU verzorgt de debriefing van de hulpverleners bij terugkeer in Nederland, maar ook in het veld wanneer hulpverleners betrokken zijn geweest bij een traumatische gebeurtenis.
Deze lezing behandelt de mogelijkheden en beperkingen van EMDR binnen de methodiek van debriefing. Aan de hand van 4 casussen wordt ingegaan op de volgende vragen: In welke situaties is er aanleiding om EMDR toe te passen? Welke alternatieven zijn er? Wat levert het op en wat zijn de beperkingen? Tot slot wordt aandacht besteed aan de vraag in hoeverre EMDR past in de doelstellingen en werkwijze van debriefing.
This lecture is about the usefulness of EMDR as a methodology in the care of Humanitarian workers. By MSF aid workers in the field are captured by the Psychosocial Care Unit (PSCU). The PSCU Provides the debriefing of relief workers to return to the Netherlands, but also in the field where clause relief workers have been involved in a traumatic event.
This lecture discusses the Possibilities and limitations of the methodology of EMDR Within debriefing. Based on four case studies examinées the following questions: In what is there reason to apply "Situations EMDR? What alternatives are there? What benefits and what are ITS Limitations? Finally, attention is paid to the question how EMDR fits the Objectives and methods of debriefing.
Keywords: Humanitarian Aird Workers Relief Workers
Accuracy Verified: Yes
27. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.
Language: French
Format: Dissertation/Thesis
Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale
(TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble.
Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants
n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.
This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy
(CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder.
The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants
who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.
Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
28. Gold, S. N., & Faust, J. (2002, January). The future of trauma practice: Visions and aspirations. Journal of Trauma Practice, 1(1), 1-15. doi:10.1300/J189v01n01_01.
Language: English
Format: Journal
Abstract:
In the new and evolving field of traumatology, the need to keep practitioners apprised of emerging developments is acute. While many journals about trauma exist, most of them focus primarily on publication of empirical research studies. Applied professionals rarely read these journals because they see empirical investigations as having very little relevance to their daily practice. Regrettably, these circumstances foster divisiveness between traumatologists who identify themselves mainly as researchers and those who consider themselves chiefly practitioners. Providing an avenue for bridging and integrating the sub-cultures of trauma research and practice is one of the primary aims of the Journal of Trauma Practice (JTP). JTP also seeks to unite the diverse professions that routinely work with traumatized populations, such as emergency room personnel and other medical practitioners, attorneys and forensic specialists, law enforcement personnel, and emergency service workers. Accomplishing these objectives will require openness to innovation while maintaining high standards of scholarship.
Keywords: Critical Incident Stress Debriefing CISD Posttraumatic Stress Disorder PTSD Trauma Trauma Practice Trauma Research Traumatic Memory Traumatology
Accuracy Verified: Yes
29. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .
Language: English
Format: Conference
Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management
Accuracy Verified: Yes
30. Wells, B. (2007, June 15). Innovative therapy helps people move beyond the disturbing effects of trauma. Amherst Bulletin. Retrieved December 27, 2008, from http://www.amherstbulletin.com/story/id/46203/.
Language: English
Format: Newsletter
Abstract:
When Army Major Kyle Head returned from duty in Iraq in 2004, he watched a debriefing slide show on post-traumatic stress disorder and thought, as each symptom was described, "That's not me ... not me ... not me."
Keywords: Trauma
Accuracy Verified: Yes
31. Schrage, J. (2012). Law enforcement and trauma: Psychological intervention strategy, methodology, and techniques. Alliant International University, Los Angeles. 3502349.
Language: English
Format: Dissertation/Thesis
Abstract:
This doctoral project and brochure is meant to provide an understanding of the effects of trauma on law enforcement officers in order to provide insight and treatment strategies for this population. Effects of culture and diversity within the law enforcement community are discussed. The following chapters review various aspects impacting the research such as a brief history of trauma, Posttraumatic stress disorder within the law enforcement community, officer resiliency, coping, cognitive behavioral treatment strategies, EMDR, positive psychology, community psychology, critical incident stress debriefing as well as biological-based treatments. Treatment modalities and research for mental health professionals working with law enforcement are discussed. Evidenced-Based treatment methods are reviewed as well. The implications of this project are reviewed, as well as the limitation and further suggestions for future research.
Keywords: Law Enforcement Trauma
Accuracy Verified: Yes
32. Jarero, I., Artigas, L., & Luber, M. (2012). Le protocole EMDR pour les incidents critiques récents: Application à un contexte de continuum de soins en santé mentale après une catastrophe [The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context]. Journal of EMDR Practice and Research, 6(2), E12-E25. doi:10.1891/1933-3196.6.2.E12.
Language: French
Format: Journal
Abstract:
Cette étude de terrain randomisée et contrôlée a été réalisée après un séisme de 7,2 en Basse-Californie
au Mexique. Le traitement a été offert selon les principes du continuum de soins. Un briefing de gestion
de crise a été proposé à 53 individus Ensuite, les 18 individus qui avaient obtenu des scores élevés
sur l’échelle IES (Impact of Event Scale : échelle d’impact des événements) ont bénéficié du protocole
EMDR pour les incidents critiques récents (EMDR-PRECI: EMDR Protocol for Recent Critical Events), un
protocole EMDR modifié à séance unique qui a été élaboré pour le traitement des traumatismes récents.
Les participants ont été assignés de manière aléatoire à deux groupes : le groupe de traitement immédiat
et le groupe de de traitement retardé/liste d’attente. Il n’y a pas eu d’amélioration dans le groupe de liste
d’attente ; les scores des participants du groupe de traitement immédiat se sont significativement améliorés
en comparaison avec les participants du groupe de liste d’attente. Une séance de EMDR-PRECI
a produit une amélioration significative des symptômes de stress post-traumatique tant pour le groupe
de traitement immédiat que pour le groupe de traitement retardé/de liste d’attente, avec des résultats
maintenus lors du suivi après 12 semaines, alors que des séismes d’après-choc effrayants continuaient
à survenir fréquemment. Cette étude apporte des preuves préliminaires en faveur de l’efficacité
de ce protocole dans un contexte de continuum de soins en santé mentale après une catastrophe. Des
études contrôlées supplémentaires sont souhaitées afin d’approfondir l’évaluation de l’efficacité de cette
intervention.
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events
Accuracy Verified: Yes
33. Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010, September). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics & Gynecology, 31(3), 113-122. doi:10.3109/0167482X.2010.503330.
Language: English
Format: Journal
Abstract:
Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
34. Watson, P. J., Friedman, M. J., Ruzek, J. I., & Norris, F. (2002, August). Managing acute stress response to major trauma. Current Psychiatry Reports, 4(4), 247-253. doi:10.1007/s11920-996-0043-x.
Language: English
Format: Journal
Abstract:
In this article, the authors review the current empiric literature on early interventions. Findings on the effects, course, help-seeking, and recovery from disasters are first reviewed, with recommendations given that are pertinent to intervention following mass casualties. In reviewing the most commonly used interventions, it is clear that evidence from well-controlled studies showing that early intervention can help prevent longer-term problems is limited. The authors discuss the approaches that have received the most attention or empiric support as early interventions following trauma, which include psychologic debriefing, cognitive-behavioral interventions, eye movement desensitization and processing (EMDR) and other neoteric approaches, and psychopharmacology. At this time, the most promising results for prevention of psychopathology have been achieved with brief four- or five-session cognitive-behavioral therapy. In contrast, randomized clinical trials on psychologic debriefing currently suggest that this approach is either ineffective at preventing psychopathology, or contributive to PTSD symptoms. Research support is currently lacking for EMDR and pharmacotherapy as early interventions. A major challenge to the field is to integrate the practical experience and knowledge of professional responders with well-controlled, timely intervention research, and to effectively disseminate these findings to practitioners in the field. [Author Abstract]
Keywords: Critical Incident Stress Debriefing Effects Literature Review Negative Research Needs Review Posttraumatic Stress Diorder Psychological Debriefing PTSD Stressors Survivors Therapeutic Reaction Treatment Effectiveness
Accuracy Verified: Yes
35. Foster, S., & Werk, K. (2001, June). Mutual aid: EMDR as a follow-up intervention to debriefing with and for emergency personnel. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) understand, describe, and express appreciation for the unique culture of emergency personnel; 2) understand what works well as a mental health practitioner member of a debriefing (CISM) team; and 3) substaniate the value of EMDR for emergency personnel affected by a critical incident.
Keywords: CISM Team Critical Incident Critical Incident Stress Management Debriefing Emergency Personnel
Accuracy Verified: Yes
36. Lohr, J. M., Hooke, W., Gist, R., & Tolin, D. F. (2003). Novel and controversial treatments for trauma-related stress disorders. In S. O Lilienfeld, S. J. Lynn, J. M. Lohr, (Eds.), Science and pseudoscience in clinical psychology (pp. 243-272). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
The purpose of this chapter is to critically examine novel or controversial interventions for psychological trauma and its sequelae. Because the field of trauma treatment has recently witnessed a substantial increase in unusual treatments with questionable claims of efficacy, careful scrutiny of these treatments is warranted. We begin by discussing psychological trauma and its prevalence. We next describe the symptoms of PTSD, and discuss data concerning the risk of developing this disorder following a trauma. We outline current cognitive-behavioral theories of PTSD, and describe empirically supported treatments based on such theories. Finally, we describe a number of novel and controversial trauma interventions, including eye movement desensitization and reprocessing (EMDR), thought field therapy (TFT), and critical incident stress debriefing (CISD). We examine the theoretical and empirical bases of these three treatments and discuss the implications of their promotion for the field of clinical psychology. [Text, p. 243]
Keywords: Critical Incident Stress Debriefing Posttraumatic Stress Disorder PTSD Stressors Survivors TFT Thought Field Therapy Treatment Effectiveness
Accuracy Verified: Yes
37. Solomon, R. M., & Kaufman, T. E. (2002, Fall/Winter). A peer support workshop for the treatment of traumatic stress of railroad personnel: Contributions of eye movement desensitization and reprocessing (EMDR). Journal of Brief Therapy, 2(1), 27-33.
Language: English
Format: Journal
Abstract:
This study evaluated the therapeutic efficacy of a 3-day peer support workshop for 60 railroad employees who had experienced fatal grade crossing accidents. Participants received training on trauma and coping strategies, peer support strategies, and peer debriefing. Half the group also receive Eye Movement Desensitization and Reprocessing (EMDR). The Impact of Event Scale was administered at the workshop, a post-treatment followed 2 months later, and finally a 10-month follow-up. There was a significant decrease in scores at post-treatment and follow-up was conducted. The addition of EMDR led to significantly lower scores than having only the workshop. The workshop appeared successful in decreasing the effects of long-term trauma. [Author Abstract]
Keywords: Adults Critical Incident Stress Debriefing Longitudinal Study Males Non-Randomized Study Posttraumatic Stress Disorder PTSD Railroad Accident Survivors Transport Workers Treatment Effectiveness
Accuracy Verified: Yes
38. Tarquinio. C., Brennstuhl, M. J., Reichenbach, S., Rydberg, J. A., & Tarquinio, P. (2012, July-September). Prise en charge précoce de victimes de viols et présentation d’un protocole d’urgence de thérapie EMDR [Early treatment of rape victims: Presentation of an emergency EMDR protocol]. Sexologies, 21(3), 147-156 doi:10.1016/j.sexol.2011.11.013.
Language: French
Format: Journal
Abstract:
L’objectif de cette contribution sera de tester l’efficacité d’une nouvelle forme de prise en charge précoce des conséquences de viol. Issue d’une intégration de plusieurs protocoles EMDR d’urgence comme le R-TEP (Recent Traumatic Episode Protocol) de Shapiro (2009), et Modifed Abridged EMDR Protocol de Kutz, Risnik et Dekel (2008), et inspiré par la pratique du débriefing psychologique nous avons pris en charge sur la base d’une seule séance 17 femmes victimes de viols et prises en charge dans les 24 à 78h après leur agression. Suivies après 4 semaines, puis après 6 mois, nous avons mesuré les effets de ce suivi psychologique sur la symptomatologie post-traumatique, la détresse psychologique, ainsi que sur certains indicateurs de la sexualité de ces femmes victimes, en référence à leur sexualité antérieure. Les résultats obtenus montrent qu’en une séance on assiste à une réduction intéressante des différentes mesures qui se révèle stable 4 semaines et 6 mois après la prise en charge, de la même manière que la sexualité semble réinvesti par les victimes. Si ce type d’intervention d’urgence ne se substitue en rien à une psychothérapie plus approfondie, sa contribution et sa pertinence dans le cadre d’une prise en charge immédiate ouvre des perspectives intéressantes pour la prise en charge des victimes d’agressions sexuelles.
The aim of this contribution is to test the effectiveness of a new form of early management of the consequences of rape. After an integration of several protocols EMDR emergency such as R-PET (Recent Traumatic Episode Protocol) Shapiro (2009), and modifed Abridged EMDR Protocol of Kutz, Risnik and Dekel (2008), and inspired by the practice of psychological debriefing we supported on the basis of a single session 17 women victims of rape and supported in the 24 to 78 hours after the assault. Followed after 4 weeks, then after six months, we measured the effects of psychological symptoms on post-traumatic psychological distress, as well as some indicators of sexuality of these women who, in reference to their sexuality earlier. The results show that a session there is an interesting reduction of the various measures that proves stable 4 weeks and 6 months after treatment, the same way that sexuality seems reinvested by the victims. If this type of emergency is not a substitute for psychotherapy in no further, its contribution and its relevance in the context of an immediate management opens interesting perspectives for the treatment of victims of sexual assault.
Keywords: Emergency Protocol Rape
Accuracy Verified: Yes
39. Maslovaric, G., & Formenti, L. (2008, Novembre). Psicologia dell’Emergenza e EMDR: sinergia ed integrazione. Un’esperienza sul campo, il caso di Viggiù [Psychology of the emergency and EMDR: Synergy and integration. Experience in the field, the case of Viggiù]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Negli ultimi 30 anni abbiamo assistito ad un crescente interesse e sviluppo della Psicologia dell’Emergenza. Nel 1983 Mitchell e collaboratori hanno strutturato un programma sistematico e globale di gestione della crisi (Critical Incident Stress Management). L’EMDR integra, orienta e aumenta l’efficacia degli interventi psicologici nei contesti d’emergenza. All’interno di questo quadro teorico di riferimento è stato progettato e implementato l’intervento di supporto psico-sociale a seguito dell’incidente stradale del 20 gennaio 2008 avvenuto a Viggiù (VA). L’incidente Critico, avvenuto durante il rientro da una festa di paese sotto gli occhi di centinaia di persone, ha comportato 13 feriti con ospedalizzazioni e conseguenze mediche di differenti livelli di gravità e il decesso di una ragazza di 14 anni. I destinatari di tale intervento, commissionato e concordato con l’amministrazione comunale di Viggiù, sono stati: le vittime primarie dell’incidente, i loro familiari, gli operatori dell’emergenza e tutta la comunità coinvolta nel tragico evento. In base al livello di traumatizzazione delle vittime (Taylor et al.) e al timing dell’intervento sono state utilizzate diverse tecniche d’intervento quali: EMDR, primo soccorso psicologico, incontri psico-educazionali e Critical Incident Stress Debriefing. Le sessioni EMDR hanno rappresentato il cuore dell’intervento con le vittime primarie e i loro familiari. Il timing seguito per tali sessioni è stato il seguente:
1. due settimane dall’Incidente Critico: Valutazione testistica Psicodiagnostica (SCID I e IES-R) Posto al Sicuro, psicoeducazione;
2. un mese: 2-3 sessioni EMDR sul target più disturbante rispetto all’Incidente; Valutazione testistica;
3. 3 mesi: 2-3 sessioni EMDR sui trigger presenti e sul futuro; valutazione testistica.
Over the past 30 years we have witnessed a growing interest and development of Psychology emergency. In 1983, Mitchell and colleagues have a structured and systematic program
Comprehensive Crisis Management (Critical Incident Stress Management). EMDR integrates, directs and increases the effectiveness of psychological interventions in emergency contexts. Within this theoretical framework has been designed and implemented the intervention of psychosocial support Social following the road January 20, 2008 occurred in Viggiù (VA). The incident Critically, during the return from a village festival in the sight of hundreds of people, resulted in 13 hospitalizations and injuries with medical consequences of different levels of severity and
death of a girl of 14 years. The recipients of the action commissioned and agreed with the municipal administration of Viggiù, were: the primary victims of the accident, their family members, emergency workers and the whole community involved in the tragic event. Based the level of trauma victims (Taylor et al.) and the timing of the intervention were used different techniques
intervention such as EMDR, psychological first aid, psycho-educational meetings and Critical Incident Stress Debriefing. EMDR sessions have represented the heart surgery with the primary victims and their families. The timing for follow these sessions was as follows: 1. two weeks of the Accident Critical: Guest testistica Psicodiagnostica (SCID I and IES-R) safe place, psychoeducation; 2. month: 2-3 EMDR sessions on the target more disturbing than the accident; Guest testistica; 3. 3 months: 2-3 sessions EMDR triggers present and future; evaluation testistica.
Keywords: Emergency Intervention
Accuracy Verified: Yes
40. Bryant, R. A. (1997, February). Psychological treatments of post-traumatic stress disorder. Psychotherapy in Australia, 3(2), 58-62.
Language: English
Format: Journal
Abstract:
We do not yet know the best way to treat post-traumatic stress disorder. Bryant, a psychiatrist, summarises the current research, and strategies - then argues for a matching approach, given the strengths and limits of the various approaches. Cognitive-behavioural therapy is the most researched, and used, approach - and currently the method of choice. But we have a long way to go.
Keywords: Crisis Counselling Critical Incident Debriefing Disaster Recovery Psychotherapy Trauma
Accuracy Verified: Yes
41. Goode, E. (2004, March 9). Psychology police challenge theories. Torrance, CA: Daily Breeze, A7.
Language: English
Format: Newspaper
Abstract:
The challengers have also criticized a number of fashionable therapies, including "critical incident" psychological debriefing for trauma victims, eye-movement desensitization and reprocessing, or EMDR, and other techniques.
"These guys are sort of the Ralph Naders of psychology," said David Barlow, director of the Center for Anxiety and Related Disorders at Boston University.
Keywords: General Overview Torrance, CA
Accuracy Verified: Yes
42. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.
Language: English
Format: Journal
Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]
Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment
Accuracy Verified: Yes
43. Arendt, M., & Rosenberg, R. (2009, February). Psykologisk krisebehandling [Psychological debriefing]. Ugeskrift for Laeger, 171(8), 607-610.
Language: Swedish
Format: Magazine
Abstract:
Diagnostiske kriterier for stressreaktioner og justering lidelser er sammenfattet. Eksisterende psykologiske behandlinger er beskrevet med fokus på evidensbaserede metoder, og anbefalinger til behandling er beskrevet. Konklusionen er, at der ikke er dokumentation for effekten af psykologisk debriefing eller anden professionel behandling i umiddelbar forlængelse af traumatiske begivenheder. På den anden side, kan kognitiv adfærdsterapi, EMDR og lignende metoder med fokus på eksponering anbefales, både som en forebyggende strategi, og for patienter med post-traumatisk stress-syndrom. [PubMed Abstract]
Diagnostic criteria for stress reactions and adjustment disorders are summarized. Existing psychological treatments are outlined with a focus on evidence-based methods, and recommendations for treatment are described. The conclusion is that there is no evidence for the effect of psychological debriefing or other professional treatment in the immediate aftermath of traumatic events. On the other hand, cognitive behavioural therapy, EMDR and similar methods with focus on exposure can be recommended, both as a preventive strategy and for patients with post-traumatic stress disorder.[PubMed Abstract]
Keywords: Debriefing
Accuracy Verified: Yes
44. Friedman, M. J. (2000). PTSD diagnosis and treatment for mental health clinicians. In M. J. Scott & S. Palmer (Eds.), Trauma and post-traumatic stress disorder (pp. 1-14) New York: Cassell Books.
Language: English
Format: Book Section
Abstract:
This chapter focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, co-morbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioural, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy versus therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity. [Author Abstract]
Keywords: Diagnosis Posttraumatic Stress Disorder PTSD Treatment Vicarious Traumatization
Accuracy Verified: Yes
45. Friedman, M. J. (1996, April). PTSD diagnosis and treatment for mental health clinicians...including commentary by Rosenheck, R. and Fontana, A. Community Mental Health Journal, 32(2), 173-189 [Discussion 191-193]. doi:10.1007/BF02249755.
Language: English
Format: Journal
Abstract:
This article focuses on four issues: PTSD assessment, treatment approaches, therapist issues, and current controversies. Important assessment issues include the trauma history, comorbid disorders, and chronicity of PTSD. Effective intervention for acute trauma usually requires a variant of critical incident stress debriefing. Available treatments for chronic PTSD include group, cognitive-behavioral, psychodynamic, and pharmacological therapy. Therapist self-care is essential when working with PTSD patients since this work may be functionally disruptive and psychologically destabilizing. Current controversies include advocacy vs. therapeutic neutrality, eye movement desensitization and reprocessing (EMDR), the so-called false memory syndrome, and the legitimacy of complex PTSD as a unique diagnostic entity.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
46. Spokes, T., Hofmeyr, M., & Hopkinson, P. (2011, August). Reducing distress following assault in the workplace. Nursing Times, 107, Online Issue 9; Nursing Times.Net. Retrieved from http://www.nursingtimes.net/reducing-distress-following-assault-in-the-workplace/5033506.article on August 9, 2011.
Language: English
Format: Journal
Abstract:
Background: Nurses working in inpatient mental health settings report high rates of assault and psychological morbidity. Psychological debriefing is the main form of post-incident support, yet its efficacy has been widely questioned.
Aim: To determine whether eye-movement desensitisation and reprocessing (EMDR) therapy is effective in reducing the psychological distress experienced by nurses after an assault at work.
Method: Four participants experiencing post-traumatic stress symptoms following a workplace assault completed between three and five sessions of EMDR. A multiple-baseline, case series design was used, and quantitative and qualitative outcome data were collected.
Results: The results showed a clinically significant reduction in the level of emotional distress associated with traumatic memories, avoidance and intrusion symptoms between the pre and post-treatment data collection points for all participants. There was also an increase in the strength of belief in positive coping cognitions concerning the event following EMDR therapy in all participants. These improvements were maintained at one-month follow-up for three of the four participants. The study results did not show a reduction in general psychological distress.
Conclusion: The value of EMDR as a form of post-incident support lies in its alleviation of specific post-traumatic stress symptoms, rather than in improving general psychological wellbeing. The data must be interpreted with caution, but the positive outcomes suggest the need for further case series research, or a more controlled design with a larger sample.
Keywords: Mental Health Post-Incident Support Workplace Assault
Accuracy Verified: Yes
47. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made
to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.
Keywords: Debriefing Research, Symposium Workplace Accidents
Accuracy Verified: Yes
48. Koedam, W. S. (2007). Sexual tauma in dsfunctional marriages: Integrating structural therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.223-242). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Sexual abuse survivor couples who choose to engage in marital therapy often present with problems around attachment, intimacy, infidelity, rage, a sense of entrapment, feelings of betrayal, low self-esteem, powerlessness, codependency, and a need to control or have power. Their individual histories become critical to understanding what type of interventions to implement as these individuals continue to respond to one another in an almost stylized and predictable manner. This chapter describes a treatment approach that combines Structural Family Therapy (SFT) and Eye Movement Desensitization and Reprocessing (EMDR) in marital therapy when one or both partners have a history of childhood sexual abuse. In this approach, the therapist begins with SFT and then shifts to EMDR treatment of the traumatized partner. This shift is to process the survivor's abuse experience so that he or she can come to an adaptive resolution. This sets the stage for the survivor to respond differently to the possible triggers in his or her life as well as in the relationship. Once the EMDR process is complete and the couple participates in joint debriefing of the EMDR intervention, they reengage in the SFT marital sessions while integrating insights and adaptations the trauma survivor has gained from the EMDR work. This approach involves the applications of the EMDR standard protocol. It also uses the core elements of SFT, such as joining, restructuring diffuse and rigid boundaries, relabeling, and enactments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dysfunctional Marriages Emotional Trauma Integrative Psychotherapy Marriage Counseling. Sexual Abuse Sexual Trauma Structural Family Therapy
Accuracy Verified: Yes
49. Taylor, R. J. (1998, December). Sharing Space I: Reduction of anxiety and pain in labor and delivery using an EMDR model: A single case study. Journal of Prenatal & Perinatal Psychology & Health, 13(2), 149-153.
Language: English
Format: Journal
Abstract:
A single case study in the treatment of anxiety and pain associated with labor and childbirth using an Eye Movement Desensitization model in 5 sessions. The client ultimately delivered a baby via Cesarean Section with a spinal block, but reported that the therapeutic procedure aided in reduction of medication and anxiety during the experience. In the debriefing session, she reported that the process allowed her to maintain a sense of calm and control.
Keywords: Anxiety Management Birth Childbirth Childbirth Training Labor Labor (Childbirth) Pain Management Treatment Effectiveness Evaluation Treatment Efficacy
Accuracy Verified: Yes
50. Kapfhammer, H.-P. (2008, December). Therapeutische möglichkeiten nach traumatischen erlebnissen [Therapeutic possibilities after traumatic experiences]. Psychiatria Danubina, 20(4), 532-545.
Language: German
Format: Journal
Abstract:
Acute Belastungsstörung (ASD) und Posttraumatische Belastungsstörung (PTSD) sind häufige, aber nicht zwingend psychologische Folgeerscheinungen nach einem Trauma. Eine wichtige Untergruppe der Patienten vor einer chronischen Verlauf der Erkrankung mit einem erhöhten psychiatrischen Komorbidität und erhebliche Beeinträchtigungen in psychosozialen Anpassung assoziiert. Der typische psychopathologische Symptome von ASD und PTSD werden am besten in einem multifaktoriellen Modell der Integration sowohl neurobiologische und psychosoziale Einflüsse beschrieben. Die komplexen Ätiopathogenese von akuten und posttraumatischen Belastungsstörung begünstigt multimodalen Ansätzen in der Behandlung. Differential psychotherapeutische und pharmakologische Strategien zur Verfügung stehen. In einer kritischen Studie über empirische Studien, können psychologische Debriefing nicht als einen positiven Ansatz betrachtet werden, als allgemeine vorbeugende Maßnahme in der unmittelbaren posttraumatischen Phase empfohlen werden. Positive Auswirkungen der kognitiv-verhaltenstherapeutischen Interventionen kann für ASD eingerichtet werden. Psychodynamische Psychotherapie, kognitive Verhaltenstherapie und EMDR zeigen viel versprechende Ergebnisse bei der Behandlung von PTSD. Wesentliche klinische Einschränkungen der Patienten innerhalb von speziellen Probenahmen Forschungseinrichtungen, jedoch nicht gestatten, eine bedingungslose Verallgemeinerung dieser Daten zu psychiatrischen Routineversorgung. In einer empirischen Analyse der SSRIs sind die meisten und am besten untersuchten Medikamente für ASD und PTSD. Im Vergleich zu trizyklischen Antidepressiva SSRIs zeigen ein breiteres Spektrum an therapeutischen Wirkungen und sind besser verträglich. Die Substanzklassen der SNRI, DAS, SARI und NaSSA sind als Medikamente der zweiten Wahl angesehen werden. Sie versprechen eine therapeutische Wirksamkeit der SSRI gleichwertig, wobei bisher nur in offenen Studien untersucht. MAO-Hemmer können eine positive therapeutische Potenzial verfügen, müssen ihr Profil der Nebenwirkungen geachtet, jedoch werden. Mood-Stabilisatoren und atypische Neuroleptika können in Anspruch genommen werden und vor allem im Add-On-Strategien. Benzodiazepine sollten nur mit Vorsicht erhöht für eine kurze Zeit in den Staaten der akuten Krise eingesetzt werden. In frühen Interventionen, die blockierende Substanzen norepinephric Hyperaktivität scheinen vielversprechende Alternativen. Stress Dosen von Hydrocortison kann als experimentelle pharmakologische Strategie betrachtet so weit sein. [PubMed]
Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are frequent, but not obligatory psychological sequelae following trauma. A major subgroup of patients face a chronic course of illness associated with an increased psychiatric comorbidity and significant impairments in psychosocial adaptation. The typical psychopathological symptoms of ASD and PTSD are best described within a multifactorial model integrating both neurobiological and psychosocial influences. The complex etiopathogenesis of acute and posttraumatic stress disorder favours multimodal approaches in the treatment. Differential psychotherapeutic and pharmacological strategies are available. In a critical survey on empirical studies, psychological debriefing cannot be considered as a positive approach to be recommended as general preventive measure during the immediate posttraumatic phase. Positive effects of cognitive-behavioral interventions can be established for ASD. Psychodynamic psychotherapy, cognitive-behavioral therapy and EMDR show promising results in the treatment of PTSD. Major clinical restrictions of patient sampling within special research facilities, however, do not allow an unconditional generalization of these data to psychiatric routine care. In an empirical analysis the SSRIs are the most and best studied medications for ASD and PTSD. In comparison to tricyclic antidepressants SSRIs demonstrate a broader spectrum of therapeutic effects and are better tolerated. The substance classes of SSNRI, DAS, SARI and NaSSA are to be considered as drugs of second choice. They promise a therapeutic efficacy equivalent to the SSRIs, being investigated so far only in open studies. MAO-inhibitors may dispose of a positive therapeutic potential, their profile of side effects must be respected, however. Mood stabilizers and atypical neuroleptics may be used first and foremost in add-on strategies. Benzodiazepines should be used only with increased caution for a short time in states of acute crisis. In early interventions, substances blocking the norepinephric hyperactivity seem to be promising alternatives. Stress doses of hydrocortisone may be considered as an experimental pharmacological strategy so far.[PUBMED]
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
51. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.
Language: Italian
Format: Journal
Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi
di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica
Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top
e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri
approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione
(EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel
ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche
trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio
fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è
importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.
Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms
of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic
Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing
and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other
approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing
(EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the
last years, many data from the research give strong advice for starting CBT and pharmacological
treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk
factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s
important to consider comorbidity with other axis I and II disorders and with substance abuse.
Keywords: Acute Stress Disorder ASD Cognitive-Behavioral Therapy Comorbidity Hypnosis Peritraumatic Dissociation Psychological Debriefing Trauma
Accuracy Verified: Yes
52. Rauch, S., & Cahill, S. (2003, August). Treatment and prevention of posttraumatic stress disorder. Primary Psychiatry, 10(8), 60-65.
Language: English
Format: Journal
Abstract:
What treatments are effective for chronic posttraumatic stress disorder (PTSD) and the prevention of PTSD following trauma? The current review illustrates the basic efficacy of several psychosocial treatments for PTSD (ie, exposure, stress inoculation training, eye movement desensitization and reprocessing, cognitive therapy); discusses comparative studies of these treatments; examines two preventive interventions for trauma survivors (i.e., psychological debriefing, cognitive behavioral programs); and suggests future research directions. Several psychosocial treatments for chronic PTSD have been proven effective. The few randomized, comparative studies do not provide strong evidence for the superiority of one intervention over another. Further, these studies do not support an additive benefit for combined treatments. While evidence does not support the efficacy of psychological debriefing in preventing PTSD following trauma, studies do suggest that brief cognitive-behavioral programs may accelerate recovery and prevent the development of chronic PTSD following trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Therapy Emotional Trauma Posttraumatic Stress Disorder Prevention Psychosocial Treatments Psychotherapeutic Techniques PTSD PTSD Treatment Survivors Stress Management Trauma
Accuracy Verified: Yes
53. Lebow, J. (2006). War of the worlds: Researchers and practitioners collide on eye movement desensitization and reprocessing (EMDR) and critical incident stress debriefing (CISD). In Jay Lebow (Ed.), Research for the psychotherapist: From Practice to Science (pp. 105-114). New York: Routledge.
Language: English
Format: Book Section
Abstract:
No abstract available.
Keywords: CISD Critical Incident Stress Debriefing Recent Events
Accuracy Verified: Yes
54. Lebow, J. (2003). War of the worlds; Researchers and practitioners collide on EMDR and CISD. Psychotherapy Networker, 27(Part 5), 79-86.
Language: English
Format: Magazine
Abstract:
Proponents of EMDR point to a growing body of empirical support for its clinical effectiveness. For example, in the January 2002 Journal of Clinical Psychology, devoted to research about EMDR, Shapiro asserts that 13 randomized clinical trials have demonstrated its efficacy.
Keywords: CISD Critical Incident Stress Debriefing Therapeutic Effectiveness
Accuracy Verified: Yes