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Your Results - you searched for the keyword Delusional Dysmorphobia 6 Results
1. Shapiro, F. (2009, August). A 20 year update of EMDR clinical applications: What is the depth and scope of treatment?. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
In 1989, the seminal randomized controlled study on EMD appeared in the Journal of Traumatic Stress. However, by the time the first trainings began in the US in 1990, the principles now known as the Adaptive Information Processing model were guiding the development of the procedures and protocols, which in 1991, were officially renamed EMDR. All participants in these early trainings and in the years following were introduced to the hypothesis that most pathology emerges from unprocessed memories of earlier life experiences (AKA “small t trauma”) and that targeting and processing these experiences could provide the basis of efficient and effective treatment outcomes. These predictions have been supported in the widespread use of EMDR. Consequently, we have much to learn from examining these treatment effects, starting with the first published report in 1991 of the elimination of a delusional state, through the myriad applications that have been reported to date. This presentation will review a variety of these clinical reports and explore their implications for current and future EMDR practice.
Keywords: Plenary
Accuracy Verified: Yes
2. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.
Keywords: Delusional Dysmorphobia Depression Personality Disorders Phobias Psychosis Schizophrenia
Accuracy Verified: Yes
3. McGoldrick, T., Begum, M., & Brown, K. W. (2008). EMDR and olfactory feference syndrome: A case series. Journal of EMDR Practice and Research, 2(1), 63-68. doi:10.1891/1933-3196.2.1.63.
Language: English
Format: Journal
Abstract:
Olfactory reference syndrome (ORS) is an illness currently considered a delusional disorder under the DSM-IV criteria. Patients believe that they emit a foul odor, causing them great emotional distress and negative social consequences. Its etiology is inadequately understood, and there is generally a poor response to pharmacological and psychotherapeutic interventions. This article describes the treatment of four consecutive cases of ORS whose pathological symptoms had endured for 8-48 years. The administration of EMDR consisted of processing the various life experiences that appeared to cause and/or trigger the pathology. The EMDR sessions resulted in a complete resolution of symptoms in all four cases, which was maintained at follow-up. Given the rapid and sustained results, we offer a hypothesis based on the Adaptive Information Processing (AIP) model to explain the etiopathology and remission. [Author Abstract]
Keywords: Adaptive Information Processing Model Adults AIP Case Report Delusional Disorder Females Olfactory Reference Symptoms ORS Shame Stressors Survivors Trauma Treatment Effectiveness
Accuracy Verified: Yes
4. McGoldrick, T. (2001, May). EMDR treatment of body dysmorphobia". Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Body Dysmorphic Disorder presents a preoccupation with imagined ugliness, typically
involving facial flaws, such as spots or wrinkles, or the shape of the face, nose, mouth or jaw.
More rarely the complain involves the appearance of the feet, hands, breasts or genitalia. It is
frequently chronic and may lead to marked disruption of the patients social, marital and
occupational life (Phillips, 1991).
The disorder is fairly unremitting with few symptom-free periods, although the body part
focused upon may change over time. It is generally regarded as a condition that is difficult to
treat (Phillips, 1991). A variety of cognitive and behavioural techniques have been described
to have some effect but all tend to be lengthy. To the author's knowledge here are no reports
on the use of Eye Movement Desensitisation and Reprocessing (EMDR) in its treatment.
Here we describe our use of EMDR in fourteen consecutive patients with body dysmorphic
disorder. Outcome data is presented.
The treatment time is much less than the combination of treatment and homework used in
imaginal exposure (Vaughan et al, 1994). Such homework was not given to our patients.
Furthermore, as EMD leads to involuntary changing images throughout a session, the
exposure element is further reduced. In contrast to exposure, EMDR does not involve
exacerbating or increasing the patients level of anxiety and, whilst patients experience a rapid
positive shift in cognitions during EMDR, this has not been found in treatments with
exposure only (Kilpatrick, Veronen & Resnick, 1982).
Keywords: Body Dysmorphic Disorder
Accuracy Verified: Yes
5. McGoldrick, T., Begum, M., & Brown, K. E. (2010). L’EMDR et l’autodysosmophobie. Journal of EMDR Practice and Research, 4(4), E63-E67. doi:10.1891/1933-3196.4.4.E63.
Language: French
Format: Journal
Abstract:
L’autodysosmophobie est une maladie actuellement considérée comme un trouble délirant selon les critères
DSM-IV. Les patients sont convaincus de produire une mauvaise odeur, ce qui provoque une détresse
émotionnelle importante et des conséquences sociales négatives. Son étiologie n’est pas entièrement
comprise ; les interventions pharmacologiques et psychothérapeutiques obtiennent généralement peu
de résultats. Cet article décrit le traitement de quatre cas consécutifs d’autodysosmophobie dont les
symptômes pathologiques avaient persisté depuis 8 à 48 ans. L’administration de l’EMDR se traduisait
par le traitement de diverses expériences de vie qui semblaient causer ou déclencher la pathologie. Les
séances EMDR ont entraîné la résolution complète des symptômes dans les quatre cas et ce résultat était
maintenu lors du suivi. En considération des résultats rapides et durables, nous proposons une hypothèse
basée sur le modèle du Traitement Adaptatif de l’Information (TAI) afi n d’expliquer l’étiopathologie et la
rémission.
Cet article a paru que McGoldrick T., Begum, M., Brown, KW (2008). EMDR et de référence olfactive
Syndrome: Une série de cas. Journal de pratique EMDR et de la recherche, 2 (1), 63-68. Traduction française par Jenny Ann Rydberg.
Olfactory Reference Syndrome is a disease currently considered a delusional disorder according to the criteria
DSM-IV. Patients are confident of producing a bad smell, which causes distress
important emotional and negative social consequences. Its etiology is not fully
understood, pharmacological and psychotherapeutic interventions generally achieve little
results. This article describes the treatment of four consecutive cases of autodysosmophobie whose
pathological symptoms had persisted for 8 to 48 years. The administration of EMDR resulted
the treatment of various life experiences that seemed to cause or trigger the disease. The
EMDR sessions resulted in complete resolution of symptoms in four cases and this result was
maintained at follow-up. In consideration of the rapid and lasting results, we propose a hypothesis
based on the model of Adaptive Information Processing (ADP) afi nd'expliquer the etiopathogenesis and
remission.
This article originally appeared as McGoldrick T., Begum, M., Brown, K. W. (2008). EMDR and Olfactory Reference
Syndrome: A Case Series. Journal of EMDR Practice and Research, 2 (1) , 63–68. French translation by Jenny Ann Rydberg.
Keywords: Adaptive Information Processing AIP Olfactory Reference Syndrome Trauma
Accuracy Verified: Yes
6. Bodill, B. (2009, September). Patterns of reduction of distress in clinical conditions using eye movement desensitisation and reprocessing (EMDR). University of University of Kwa Zulu Natal.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated the patterns of reduction of distress in clinical personality
patterns, severe personality patterns, depressive constructs, other clinical syndromes, severe
clinical syndromes and dissociation following EMDR treatment. Thirty-two people, ranging
from 23 to 65 years old, underwent the full EMDR protocol treatment for up to three traumas.
The findings regarding clinical personality patterns revealed that EMDR is most
effective in reducing the symptoms of dependent personality pattern because 76% of
participants with clinically significant dependent personality pattern before EMDR treatment
no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR
treatment; compared to 75% with masochistic personality pattern, 77% with negativistic
personality pattern, 69% with avoidant personality pattern, 40% with depressive personality
pattern and 29% with schizoid personality pattern. These gains were maintained on the
MCMI-III at follow-up by 76% with dependent personality pattern, 64% with masochistic
personality pattern, 46% with negativistic personality pattern, 38% with avoidant personality
pattern, 30% with depressive personality pattern and 29% with schizoid personality pattern.
The analysis of the severe personality patterns at the end of EMDR treatment revealed
that the scores on the MCMI-III reduced from within one standard deviation above the mean
(60-74) to below the mean (<60) for 84% of participants with borderline personality pattern,
compared to 68% with paranoid personality pattern and 52% with schizotypal personality
pattern. These gains were maintained on the MCMI-III at follow-up by 84% with borderline
personality pattern, 68% with paranoid personality pattern and 48% with schizotypal
personality pattern.
The analysis of the depressive constructs revealed that EMDR is most effective in
reducing symptoms of major depression as 86% of participants with clinically significant
major depression before EMDR treatment no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment; compared to 73% with dysthymia and 40%
with depressive personality pattern. These gains were maintained on the MCMI-III at followup
by 86% with major depression, 58% with dysthymia, and 33% with depressive personality
pattern.
The findings regarding the other clinical syndromes revealed that 91% of participants
with clinically significant post traumatic stress before EMDR treatment, no longer had a
clinically significant score (>75) on the MCMI-III at the end of EMDR treatment, compared
to 75% of participants with anxiety. These gains were maintained on the MCMI-III at followup
by 91% of participants with post traumatic stress and 69% of participants with anxiety.
The analysis of the severe clinical syndromes at the end of EMDR treatment revealed
that the scores on the MCMI-III reduced from within one standard deviation above the mean
(60-74) to below the mean (<60) for 78% of participants with delusional disorder, compared
to 67% with thought disorder, 32% with bipolar (manic), 28% with alcohol dependence and
28% with drug dependence. These gains were maintained on the MCMI-III at follow-up by
67% of participants with delusional disorder, compared to 63% with thought disorder, 53%
with bipolar (manic), 48% with alcohol dependence and 57% with drug dependence.
The analysis of the effects of EMDR on dissociation revealed that there was a
significant decrease in symptoms of dissociation on the DES at the end of EMDR treatment
and these gains were maintained at the follow-up measurement at the end of the study.
Whilst the findings of the present study cannot be generalised due to the small sample
size, the findings do suggest that EMDR is successful in the treatment of a number of clinical
conditions in addition to post traumatic stress; with further research being strongly indicated
in order to further explicate the efficacy of EMDR across different psychiatric conditions.
Keywords: Reduction of Distress
Accuracy Verified: Yes


