Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Dissociation of the Personality 583 Results

1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.

Keywords: Children Dissociation

Accuracy Verified: Yes

2. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02.

Language: English

Format: Journal

Abstract:
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]

Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction

Accuracy Verified: No

3. 朱品潔 [Chu Pin-Chieh, & Zhu Pinjie]. (1999). 個人失落與EMDR之介入：個案研究 [EMDR of personal loss and intervention: A Case Study]Educational Psychology and Counseling]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究的目的是探索的眼動脫敏和再處理（EMDR）的干預治療結果與個人的損失。通過深入了解客戶的主觀經驗和在整個治療過程中不斷變化的課程，研究人員打算證明 EMDR的治療 efficaciously幫助客戶克服個人損失的創傷，重拾信心和活力。研究人員採訪了客戶端是誰願意分享他的生活和EMDR的治療經驗，通過一個半結構化的問卷。與客戶的許可，研究人員已經獲得了客戶的臨床記錄。有條不紊地綜合各種數據後，研究人員已開發出的情況下提出的生活經驗和客戶端的EMDR的治療干預的描述。研究者分析了廣義的數據，客戶端的適應性應對整個 EMDR的治療過程，並討論了從精神科醫生和其他輔導員干預的影響。（作者摘要）

The purpose of this study is to explore the treatment outcomes from the intervention of Eye Movement Desensitization and Reprocessing (EMDR) with personal loss. Through in-depth understanding of the client’s subjective experiences and changing courses throughout the entire therapeutic process, the researcher intends to prove that EMDR therapy has efficaciously helped the client overcome the trauma from personal loss and regain confidence and vitality. The researcher has interviewed a client who is willing to share his life and EMDR therapy experiences through a semi-structured questionnaire. With the client’s permission, the researcher has obtained the client’s clinical records. After methodically synthesizing the various data, the researcher has developed a case description presenting both the life experience and the intervention of EMDR therapy of the client. The researcher has analyzed the data, generalized the client’s adaptive coping processes throughout EMDR therapy and discussed the effects from the psychiatrist’s and other counselors’ interventions. (Author's abstract)

Keywords: Case Study Dissociation Personal Loss

Accuracy Verified: Yes

4. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.

Language: Chinese

Format: Conference

Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)

Keywords: Complication Grief Personality Theory

Accuracy Verified: Yes

5. 陈维樑 [Chen Wei-Liang] (2008,年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论(英文)[Complex Bereavement, EMDR and the Theory of “Structural Dissociation of the Personality”]. 第五届世界心理治疗大会论文摘要 [Symposium presented at the 5th World Congress for Psychotherapy, Beijing, China].

Language: Chinese

Format: Conference

Keywords: Complex Bereavement Structural Dissociation Theory

Accuracy Verified: Yes

6. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.

Keywords: Dissociation Dissociative Disorders

Accuracy Verified: Yes

7. Solvey, P. & Ferrazzano de Solvey, R. C. (2008). Abordajes en EMDR [Collisions in EMDR]. (1ra ed.) Series de Terapias de Avan Zada, Volume 5. Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
Nuevos protocolos de trabajo presentados por terapeutas expertos en el tema para: Trauma y Disociación / Niños y Adolescentes/ Psicoprofilaxis Quirúrgica/ Psicoprofilaxis Quirúrgica / Adicciones.

New working protocols submitted by experts therapists on the issue to: trauma and dissociation / children and adolescents / Surgical Psicoprofilaxis / Infertility / addiction.

Keywords: Addiction Adolescents Children Dissociation Infertility Surgical Psicoprofilaxis Trauma

Accuracy Verified: Yes

8. Sime, W., (2002). Absorption, concentration, dissociation, desensitization, flow and neurofeedback: The essence of Tiger Woods performing optimally focused "In the zone". Winter Brain Meeting.

Language: English

Format: Conference

Abstract:
The Absorption that allows an athlete, a surgeon, an astronaut or a musician to get into the Zone, i.e., to block out all distractions unrelated to performance has been assessed by Tellegen, Csikszentmihalyi and others in self-report measures. It occurs relatively rarely at the very highest levels and is very elusive to achieve. Qualitatively speaking, it is the phenomena of being totally immersed in the activity with time moving slowly, senses being sharpened, but pain not recognized. Thoughts and images are clear and controllable while physical performance seems effortless and automatic. To measure this phenomenon accurately and completely is not possible in a dynamic state, but to shape it's appearance and to extend duration is essential in finite psychomotor skills like golf. Physical preparation for performance is mentally grueling and fatiguing. If often results in trance-like, dis-associative and sometimes dissociative states where depersonalization is a valuable technique to block out the intense suffering and pain associated with running, swimming or bicycling. The difficulty in sport is being able to switch in and out of full alertness for some strategic tasks while remaining in the dissociative state for endurance. The experience of flow, absorption and being in the zone is to harness power and ultimately unleash explosive yet finely titrated effort. Concentration is the umbrella concept that also encompasses EMDR. The process of actively shifting eye focus from left to right while striving to hold an image or statement of emotionality is exceedingly difficult and ultimately beyond control. The combination of EMDR with neurofeedback is an innovative intervention that holds potential for greater impact in removing negative images of failed effort or in solidifying the recall of a successful effort. The neurofeedback serves to reinforce the development of greater mental stamina toward intensively focus comparable to zooming in a camera lens thus blocking out distractions and irrelevant stimuli. Enhanced quality of visualization is the desired outcome for the performance enhancement sport psychology consultant and his/her client.

Keywords: Absorption Concentration Dissociation Desensitization Flow Neurofeedback Performance Enhancement Tiger Woods The Zone

Accuracy Verified: No

9. Shapiro, F. (2000, September). Accommodation, assimilation and growth: Integrating the future, now. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the primary principles of personality developments from an information processing perspective; 2) be able to examine the integration and interface of affect and cognition; and 3) be able to examine parallels of personal and global development.

Keywords: Affect Cognition Information Processing

Accuracy Verified: Yes

10. Paulsen, S. L. (2006, November). ACT-AS-IF and ARCHITECTS approach to utilizing ego state therapy, somatic psychotherapy and EMDR with highly dissociative clients. Presentation at the annual meeting of the International Society for the Study of Trauma & Dissociation, Los Angeles, CA.

Language: English

Format: Conference

Keywords: Act-As-If Architects Dissociation Ego State Therapy Somatic Psychotherapy

Accuracy Verified: Yes

11. Fisher, J. A. (2000, November). Adapting EMDR techniques in the treatment of dysregulated or dissociative patients. Presentation at the International Society for the Study of Dissociation Annual Meeting, San Antonio, Texas.

Language: English

Format: Conference

Abstract:
Since its inception, EMDR [Eye Movement Desensitization and Reprocessing] has been understood by both clinicians and patients as a powerful vehicle for processing traumatic experience but one to be undertaken only when the patient has achieved some degree of stabilization (Shapiro, 1992). In DID and DDNOS patients, that baseline stability is also supposed to include a level of internal communication and consensus that would permit cooperation between parts of self about how to tolerate the memory processing and how to re-stabilize afterward. However, as any clinician who works with this population knows, some dissociative disorder patients never achieve that degree of internal coherence, and some have a long, rocky, tumultuous, exhausting road to travel before they get there. Faced with the DID or DDNOS patient who cannot tolerate affect or associations to traumatic memories; who cannot control switching, get grounded, or resolve internal struggles over power and control; who is unable to manage selfdestructive impulses; who cannot differentiate past and present experience; who is even unable to tolerate Resource Development (Korn & Leeds, 2002) or create a Safe Place inside—is there any way that EMDR can be helpful?

Keywords: Dissociation Dysregulation

Accuracy Verified: Yes

12. Forgash, C.A. (2002, November). Addressing dissociation and its negative impact on the physical health of the adult sexual abuse survivor: An integrated EMDR and ego state treatment approach. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Sexual Abuse Survivors

Accuracy Verified: Yes

13. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.

Keywords: Children

Accuracy Verified: Yes

14. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors needs to be carefully evaluated. A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented which take into consideration clients' readiness, as well as the need to accelerate the recovery process. EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as to how such core issues can be targeted to accelerate the recovery process. A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive behaviors. The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing negative cognitions associated with grief and trauma. Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse") because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate "ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use disorder (i.e., functional, autonomous, or both). Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR protocol were employed are presented in detail.

Keywords: Addictions Substance Abuse Symposium

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

16. Forgash, F., & Litt, B. (2008, September). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR is an important therapy in the treatment of complex PTSD, including dissociative disorders and certain personality disorders. This presentation will provide solutions to problems within the 8 phases of EMDR. Objectives include managing triggers and dealing with reactions such as avoidance, freeze, and hyperarousal. Techniques include ego state work and somatic interweaves. Therapists will learn readiness criteria for trauma processing (phase 4-7) and how to avoid premature interventions. In phase 4, therapists will learn about the zone of optimal arousal and a sequence of techniques to maintain client stability and to identify when and why a patient has stopped processing.

Keywords: Complex Trauma Treatment

Accuracy Verified: Yes

17. Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.

Learning Objectives: Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four. Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile. Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.

Keywords: Advanced Techniques Complex Trauma

Accuracy Verified: Yes

18. Forgash, C., & Knipe, J. (2007, April). Advanced treatment of dissociation, personality disorders, couple and disaster survivors. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.

Language: English

Format: Conference

Keywords: Couples Disasters Dissociation Personality Disorders

Accuracy Verified: Yes

19. Leeds, A. (2012, June). Affect phobias in EMDR therapy - developing affect tolerance capacities in client and clinician [Fobias afectivas en la terapia con EMDR -‐ El desarrollo de habilidades para la tolerancia afectiva en el cliente y el clínico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Affect phobias may also be described as psychodynamic or dissociative defenses or as ego state conflicts. When patients present with affect phobias and fail to progress with standard EMDR procedural interventions, EMDR therapy can still be effective when clinicians have the conceptual knowledge and perceptual skills to recognize these defenses, and when they can make use of a flexible set of advanced EMDR procedural stills for responding. EMDR trained clinicians must also confront their own affect phobias and psychodynamic conflicts as they experience a range of responses to their work with patients including countertransference and vicarious traumatization that can disrupt their ability to make use of their conceptual, perceptual and procedural knowledge and skills. This presentation provides an overview of concepts from Short-Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera and Gonzalez (2010), and Leeds (2001), which clinicians can employ with cases involving affect phobia. We will also consider how clinicians can be sensitive to and mitigate the potential impact of their own affect phobias in their clinical work.

Las fobias al afecto también se pueden describir como defensas psicodinámicas, disociativas ó como conflictos del estado del yo. Cuando los pacientes presentan fobias al afecto y no avanzan con las intervenciones siguiendo los procedimientos de EMDR habituales, EMDR aún puede ser efectivo cuando los clínicos gozan del conocimiento conceptual, así como las habilidades perceptivas para reconocer dichas defensas y cuándo puede servirse de un conjunto flexible de habilidades de procedimiento de EMDR para responder [ante ellas]. Los clínicos formados en el uso de EMDR también han de afrontar sus propias fobias y conflictos psicodinámicos a medida que pasen por una variedad de respuestas a su trabajo con pacientes, incluidas la contra-‐transferencia y la traumatización indirecta que pueden perturbar su capacidad para aprovechar sus conocimientos y habilidades conceptuales, perceptivos y habilidades. La presente ponencia ofrece una visión del conjunto de los conceptos de Short-‐Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) [psicoterapia dinámica breve] y de Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) [teoría de la disociación estructural de la personalidad] e identifica procedimientos de Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera y Gonzalez (2010) y Leeds (2001) que pueden aplicar los clínicos en casos de fobia al afecto. También se contemplará cómo los clínicos pueden estar sensibles ante el impacto potencial de sus propias fobias al afecto y cómo mitigarlo en su trabajo clínico.

Keywords: Affect Phobias

Accuracy Verified: Yes

20. Edalatian-McCain, N. (2008, September). AIP model and treatment of clients with dissociative symptoms or disorders. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Principles derived from Adaptive Information Processing, the theoretical basis of EMDR that are particularly relevant to working with clients with dissociation are discussed. These include principles that explain the development of dissociation, as well as those that inform treatment. Using case vignettes, these principles are applied to all phases of EMDR treatment, from case conceptualization to re-processing of traumas. It is shown how AIP informs the therapist of the prerequisites for successful trauma processing, needed resources, in-session tools, how to guide the client through reprocessing of the traumatic material in an adaptive way, and how to prevent re-traumatization.

Keywords: Adaptive Information Processing Model AIP Model Dissociative Disorders Dissociative Symptoms

Accuracy Verified: Yes

21. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.

Language: German

Format: Other

Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin, dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.

The EMDR treatment process (EMDR = eye movement desensitization and Reprocessing) was developed by psychologist Francine Shapiro of the American developed and since 1989 as a manualized therapies for the treatment of Patients with post-traumatic stress disorder (PTSD) and other traumabezogenen symptoms used. The basic approach is that the patient in the safety of a therapeutic relationship haltgebenden a confrontation with traumatic memories experienced. The aim of the Trauma treatment is the integration of cognitive, emotional and physical Reactions to the trauma memories revived by the perceived and processed. In other words, is induced by the trauma Dissociation rescinded. The interrupted in the traumatic situation Link between perceptions, thoughts, emotions and Reaction of the body is restored. This is followed by a treatment of dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding are from the classical behavioral trauma exposure in EMDR the phases of trauma exposure is relatively short (30-90 sec) and conducted by bilateral stimulation in the form of eye movements (the hand of the therapist follow with the eyes) or by alternative tactile stimuli on the left and right hand (so-called tapping) or alternatively Helping sounds triggered.

Keywords: Practice Theory

Accuracy Verified: Yes

22. Lawrence, M. A. (2004, November). Alternating bilateral stimulation as a treatment for dissociative phenomenology. Presentation at the annual meeting of the International Society for the Study of Dissociation, New Orleans, LA.

Language: English

Format: Conference

Keywords: Bilateral Stimulation BLS Dissociation

Accuracy Verified: No

23. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.

Language: English

Format: Book Section

Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]

Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness

Accuracy Verified: Yes

24. Lanius, U. F. (2004, September). Apego y disociacion, El papel de los opioides endógenos [Attachment and dissociation: The role of endogenous opioids]. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: Spanish

Format: Conference

Abstract:
Endogenous opiates play a major role in attachment and they are also involved in dissociative processes and somatoform dissociation. The presentation discusses the adjunctive use of opoid antagonists both during stabilization and trauma processing with EMDR and the neurobiology of opiate with regard to attachment and dissociation. It delineates the effects of effects on learning including support for a differential mechanism for EMDR as compared to Exposure treatment. It describes how to integrate EMDR processing and the use of opioid antagonists in the treatment of Complex PTSD.

Opiáceos endógenos juegan un papel importante en la adhesión y que también están involucrados en los procesos disociativos y somatomorfos disociación. La presentación trata sobre el uso complementario de los antagonistas de opoides tanto durante la estabilización y el procesamiento del trauma con EMDR y la neurobiología de los opiáceos, con lo que se refiere a la unión y la disociación. Se exponen los efectos de los efectos en el aprendizaje incluido el apoyo a un mecanismo diferencial para EMDR, en comparación con el tratamiento de la exposición. En él se describe la forma de integrar el procesamiento EMDR y el uso de antagonistas de los opioides en el tratamiento del trastorno de estrés postraumático complejo.

Keywords: Attachment Dissociation Endogenous Opioids

Accuracy Verified: Yes

25. Mosquera, D. (2012, April). Aplicaciones clínicas de la terapia EMDR.: Trastornos de la personalidad y trauma complejo [Clinical applications of EMDR therapy Personality disorders and complex trauma]. Presentación en el Colexio Oficial de Psicoloxía de Galicia. Santiago de Compostela, Spain.

Language: Spanish

Format: Conference

Keywords: Complex Trauma Personality Disorders

Accuracy Verified: Yes

26. Paulsen, S. L. (1993). Application of EMDR in MPD. Presentation at the annual meeting of the Hawaii Psychological Association, Honolulu, HI.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder MPD Multiple Personality Disorder

Accuracy Verified: Yes

27. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330). New York: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Personality Disorders Psychotherapeutic Processes Theories

Accuracy Verified: Yes

28. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.

Keywords: Impulse Control Mindfulness Poster Self Harm

Accuracy Verified: Yes

29. De Sensi Fontera, A. (2008, Novembre). Applicazione dell’EMDR i soggetto di 9 anni affetto da ADHD [Applying EMDR the subject of 9 years with ADHD]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’EMDR è stato applicato in un caso di una ragazza d’anni nove, Iris, affetta da ADHD (DSM – IV F90. 0). L’EMDR è stato integrato in un percorso di psicoterapia classica e con interventi sull’interazione dei sistemi Famiglia, Sanità, Scuola. L’EMDR è stato rivolto anche alle figure parentali per elaborare alcuni degli eventi traumatici che avevano contribuito allo sviluppo del disturbo nella bambina e, in particolare, per la madre sulla diagnosi. Il ruolo dell’EMDR è stato significativo nella risoluzione dei sintomi e ha contribuito all’efficacia dell’intervento complessivo. E’ stato particolarmente efficace per la risoluzione della “coazione a ripetere” e per l’integrazione intrapsichica della personalità d’Iris.

EMDR has been applied in a case of a girl of nine years, Iris, who suffers from ADHD (DSM -- IV F90. 0). EMDR has been integrated into a course of psychotherapy and classical interventions interaction of the family system, Health, School. EMDR has been addressed also to the figures parental to process some of the traumatic events that had contributed to the development of disorder in children and, in particular, for the mother on the diagnosis. The role of EMDR was significant in the resolution of symptoms and has contributed to the effectiveness of the intervention overall. It 'been particularly effective for the resolution of the "repetition compulsion" and Integration Intrapsychic personality of Iris.

Keywords: ADHD Attention Deficit Hyperactivity Disorder Children

Accuracy Verified: Yes

30. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Les techniques d’hypnose éricksonienne sont des outils très utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accès à la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix dernières années.
Dans cet atelier l’accent sera plus particulièrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire à une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <> des limitations du traumatisme?

Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces. However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality. The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD. Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years. In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination. Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?

Keywords: Erickson Trauma

Accuracy Verified: Yes

31. de Jongh, A., ten Broeke, E., & Meijer, S. (2011). Approche des deux méthodes: Un modèle de conceptualisation de cas dans le contexte de l’EMDR. Journal of EMDR Practice and Research, 4(1), 12–21. doi:10.1891/1933-3196.5.1.E12.

Language: French

Format: Journal

Abstract:
Cet article décrit un modèle complet qui permet d’identifier des souvenirs cibles essentiels pour le traitement EMDR. L’“Approche des deux méthodes” peut s’appliquer à la conceptualisation et à la réalisation du traitement pour une large gamme de symptômes et de problèmes autres que ceux qui sont directement en lien avec l’ESPT. Le modèle se compose de deux types de conceptualisation de cas. La Première méthode s’applique aux symptômes permettant de préciser de manière significative les événements étiologiques ou aggravants sur une ligne du temps. Elle est principalement destinée à la conceptualisation et au traitement de troubles de l’Axe I du DSM-IV-TR. La Seconde méthode est utilisée pour identifier les souvenirs qui sous-tendent les croyances fondamentales dysfonctionnelles. Cette méthode est principalement destinée à traiter les formes plus graves de psychopathologie, comme la phobie sociale sévère, l’ESPT complexe ou les troubles de la personnalité. Les deux méthodes de conceptualisation de cas sont expliquées point par point, en détail, et sont illustrées par des exemples de cas.

This article describes a comprehensive model that identifies key target of memories for the treatment EMDR. The "approach of the two methods " can be applied to the conceptualization and implementation treatment for a wide range of symptoms and problems other than those directly related PTSD. The model consists of two types of case conceptualization. First method applies to specific symptoms for significantly Events causative or aggravating on a timeline. It is mainly intended for the conceptualization and treatment of disorders of Axis I DSM-IV-TR. The second method is used to identify memories that underlie dysfunctional core beliefs. This method is primarily intended to address the more serious forms of psychopathology such as social phobia severe complex PTSD or personality disorders. Both methods of conceptualizing cases are explained point by point in detail and are illustrated by case examples.

Keywords: Case Conceptualization Model

Accuracy Verified: Yes

32. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions Intense Affect

Accuracy Verified: Yes

33. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client's natural patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) - though often useful - can interfere with the client's own internal processing and take the client away from their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client in one's therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally intervene and when to "stay out of the way". Hence, more important than the mechanics of bilateral stimulation is the way EMDR is delivered. EMDR is a "dance" between client and therapist with the therapist interacting through bi-lateral stimulation even more than through verbal communication. This workshop will focus on dealing with intense affect with EMDR (the dance) and include discussjon of 1) How to assess client readiness for dealing with intense material, both before and during EMDR processing. 2) Therapist clinical presence and attunement skills. 3) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing, and control intensity of processing. 4) Therapeutic choice points concerning verbal interventions and "staying out of the way". Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions

Accuracy Verified: Yes

34. O’Rawe, B. (2005, June). Assessing dissociation in the visually impaired. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This case discussion focuses on a traumatically blinded man. Treatment involved stabilisation using ego-state work with bilateral stimulation, followed by trauma processing work using EMDR. The aim of this paper is to assess his response to this approach, and to review the suitability of standard diagnostic tools used in screening: in porticular the applicability of Dissociation Scales -The Dissociative Experience Scale (DES) and The Dissociative Disorders Interview Schedule (DDIS], in people suffering from blindness

Keywords: Dissociation Poster Visual Impairment

Accuracy Verified: Yes

35. O'Rawe, B. (2005, June). Assessing dissociation in the visually impaired. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This case discussion focuses on a traumatically blinded man. Treatment involved stabilisation using ego-state work with bilateral stimulation, followed by trauma precessing using EMDR. The aim of this paper is to assess his response to this approach, and to review the stability of standard diagnostic tools used in screening; in particluar the applicability of Dissociation Scales - The Dissociative Experience Scale (DES) and the Dissociative Disorders Interview Schedule (DDIS), in people suffering from blindness.

Keywords: Dissociation Visually Impaired

Accuracy Verified: Yes

36. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This paper presents the assessment and four year psychotherapy of a Hispanic man with Complex PTSD and Dissociative Disorder NOS. The patient’s history of childhood sexual abuse caused significant disruptions in normative developmental processes causing what van der Kolk (2005) posits as a Developmental Trauma Disorder. Based on Shapiro’s (2001) adaptive information processing paradigm, the patient’s memories of extensive childhood sexual victimization became blocked from resolution from adaptive memory networks, becoming embedded in the emotional brain and activated by the 9/11 tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled his experiences of 9/11 and memories of severe childhood sexual abuse, establishing a narrative of victimization, helplessness, and confusion about his sexual orientation (Gardner, 1999). Furthermore, there were episodes of dissociation revealing the possibility of alters. Attempts to access adaptive networks using EMDR protocols were thwarted by intractable defenses. The patient’s desire to return to work was offset by his entitlement to Social Security Disability that was initially denied. Working through my concordant countertransference (Racker, 1968), I ultimately accepted his wish for SSD, which he obtained on appeal based upon my symptom-specific evaluation. The patient transferred to a clinic that accepted SSD.
Participants will be able to : ♦♦ identify the developmental derailing effects of childhood sexual abuse on normative developmental processes. ♦♦ assess how childhood trauma(s) that are repressed or dissociated are invoked by trauma(s) in adulthood through associative memory networks causing Complex PTSD. ♦♦ apply methods of working with patients dissociative defenses in psychotherapy.

Keywords: Case Study Developmental Trauma Disorder

Accuracy Verified: Yes

37. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
While most research on PTSD has studied subjects exposed to single trauma, in clinical practice the vast majority of treatment seeking patients have histories of multiple traumas, usually interpersonal, abuse. This gives rise to complex clinical pictures, of which PTSD is just one dimension. The Trauma Center in Boston is a large, multidisciplinary, developmentally focused Clinic which specializes in the treatment of traumatized children and adults. Our clinic uses a developmentally based assessment tool which helps in the staging of appropriate treatment interventions. Special emphasis is placed on providing patients with skills to deal with complex trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource installation, SIT, and body-oriented methods, in which patients are taught skills to increase their internal locus of control. We will review the rationale for various psychopharmacological interventions and the role of groups to enhance the capacity for mutual relationships. All treatment occurs on the foundation of continuity of care with one individual therapist who follows the patient’s progress,explores life issues, helps deal with re-enactment behaviors, and does trauma-specific treatment, such as EMDR or CBT for alleviation of trauma-specific symptoms. This conference will explore these issues in depth and discuss in detail the staging and applications of various treatment techniques in clinical practice.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD

Accuracy Verified: Yes

38. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.

Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders

Accuracy Verified: Yes

39. Lanius, U. F. (2004, September). Attachment and dissociation: The role of endogenous opoids. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Keywords: Attachment Dissociation Endogenousopoids

Accuracy Verified: Yes

40. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998). The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice Learning Objectives: Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps. Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp. Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.

Keywords: Attachment Repair Early Trauma Temporal Integration

Accuracy Verified: Yes

41. Shapiro, R. (2009). Attachment, affect tolerance, and avoidance targets in obsessive-compulsive personality disorder. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 403-411). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Affect Tolerance Attachment Avoidance Targets Obsessive-Compulsive Personality Disorder

Accuracy Verified: Yes

42. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
“Where I am? I am somewhere between heaven and earth, but I don't know where exactly." "My therapist waited for my anger, but it just isn't there...nowhere” – “I can't imagine anything helpful when I feel bad, I just don't have the energy... it's all too much for me." – “I just want to give up...” Reaction to traumatic events can vary a lot. This is true even when a PTSD has been diagnosed. Contrary to the 'classical' hyper-arousal response to traumatic memories there is also a different pattern of response that is characterized by a lack of an increase in heart rate, and very different pattern of neural activations, despite having a severe case of acute and subsequent PTSD'[l] and may go along with (peri- and posttraumatic) dissociation, emotional numbness, exhaustion, withdrawal and depression. The above statements belong to people with this pattern of response who have experienced subsequent difficulties already in the stabilization phase of their trauma-therapy. First, I will present an understanding of this symptomatology, the hypothesis being a predominance of the dorsal vagal system (see: Polyvagal Theory [2] and activation of the early withdrawal reflex (or: fear-paralysis reflex). This goes along with particular cognitive and especially emotional and physical features. Second, I will present a way to work with this condition, taking into account that the completion of "interrupted action." In this case does not imply an outward (fight or fight response) but an inward orientation withdrawal). EMDR with an adjusted protocol and tactile bilateral stimulation provides the way to process and pull through this interrupted (or unsatisfied) organismic withdrawal and the fear mostly associated with this process. Returning from this deep and primary withdrawal from life brings back the energy and the patient turns back towards life; vagal predominance subsides and the stuck impulse to withdraw releases. 1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual Differences in a Husband and Wife Who Developed PTSD After a Motor Vehicle Accident: A Functional MRI Case Study. Am J Psychiatry 160:4. April 2003, p. 668. 2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123-146. Learning objectives: 1. Recognize dorsal vagal predominance and primary withdrawal after trauma, 2. Understand the different orientation of interrupted action/ trauma scheme, 3. Know how to help withdrawal-patients to stabilize and process with adjusted EMDR-protocol and tactile or auditory bilateral stimulation. New and unique: Identifying this withdrawal-type of traumatic reaction and scheme, understanding it with the help of Polyvagal Theory and development of EMDR- adjusted protocol and way to process this.

Keywords: Primary Withdrawal Symposium

Accuracy Verified: Yes

43. Sachsse, U., & Tumani, V. (1999, November). Be borderline! A successful inpatients’ treatment program for (type II) traumatized female patients with PTSD/DES/BPD and the symptom of self-mutilation. Presentation at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Using therapeutic experiences from the USA (Herman, Putnam, Ross) and the Netherlands (Olthuis, van der Hart) Luise Reddemann (Bielefeld) and Ulrich Sachsse(Goettingen) developed an inpatients’ program for female and some male patients with symptoms, that result from type II traumata, fulfill the phenomenological criteria of BPD and are understood as chron. PTSD/DES. The program utilizes the coping strategies of the patients for stabilisation: splitting (building up an only good world of safety, support and shelter against the only bad, demonized world of trauma); derealisation, dissociation(imagery); depersonalisation (Qi Gong, Feldenkrais). We tell and teach our patients: Be Borderlines- but inside, not in your outer social life or your therapeutic relationship! Trauma-synthesis is done after stabilisation by trauma-exposition every two weeks (EMDR, screen-technique). The patients stay for 3-5 month, sometimes twice, with very good results.

Keywords: BPD Borderline Personality Disorder DES Females Inpatient Treatment Posttraumatic Stress Disorder PSTD Self-Mutiliation

Accuracy Verified: Yes

44. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the “Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various levels of structural dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts of the Personality”. The working procedures within the EMDR framework involve processing materials from different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]

Keywords: Dissociation Personality Theory Poster

Accuracy Verified: Yes

45. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used, the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach, Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework. Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a person has experienced and the way in which they have interpreted, experienced and stored them that is most important in determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's own idiosyncratic set of vulnerabilities, his/her schemas or life themes. One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press, Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives, Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are stored. (Use 'Types of Fruit' metaphor here.) Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and the client to be aware of these issues. Also, it can be very helpfull in your couples work. Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable. How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned once again. Might this interpretation allow both of them to respond in ways helpful to the relationship? With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the usefulness of the conceptualization you did or the problems you ran into when you didn't. Case # 1 Case discussion. Case presentations and discussion by participants.

Keywords: Conceptual Issues

Accuracy Verified: Yes

46. Spector. J. (2003, February). Blocked processing. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
When EMDR goes at it is suppose to, there is no psychotherapeutic procedure as remarkable, effective, and efficient for the treatment of trauma based disturbance and especially PTSD. However, as with all psychotherapy, things do not always go according to plan and as we might expect. Clients bring a whole range of personality and relationship issues into therapy that can make progress problematic as well, of course, as different degrees of disturbance and psychopathology with the most long standing difficulties and deeper disturbance causing the greatest problems.

Keywords: Blocked Processing

Accuracy Verified: Yes

47. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.

Language: English

Format: Conference

Abstract:
To stabilize overwhelming symptoms, integrate memories, and overcome the terror of intimacy, traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized by internal critics and terrified by the threats of hypervigilant internal protectors. Because the body is the container for all past and present experience and for all parts of the self, somatically oriented approaches can address the intense and often baffling reactions of these patients in a way that is both simple and effective. This workshop will demonstrate bodyoriented interventions for working with traumatized and dissociative patients drawn from Sensorimotor Psychotherapy and easily integrated into EMDR, IFS, and traditional talking therapies. Through the use of lecture, videotape, and demonstration, participants will have the opportunity to observe somatically informed solutions to a number of common clinical challenges encountered in trauma treatment. Capitalizing on recent advances in the research on attachment and trauma, the workshop will also provide a context for understanding how to use the therapeutic relationship to provide a safe “container” for both patient and therapist in the challenging work of trauma treatment.

Keywords: Dissociation Somatic Interventions Trauma

Accuracy Verified: Yes

48. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

49. Korn, D., Rozelle D., & Weir, J. (2005, June). Bringing EMDR research into practice. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Determining Readiness for EMDR Trauma Processing: • Neither diagnosis nor trauma history determine readiness for trauma processing or response to treatment • Though studies often exclude subjects with suicidal ideation, dissociation or substance abuse, EMDR may be used with these clients if other readiness criteria (e.g., affect tolerance, coping skills, safe embodiment) are met • Key point - Capacity to tolerate and modulate arousal v. absolute level of arousal [Excerpt]

Keywords: Practice Research

Accuracy Verified: Yes

50. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.

Keywords: Children Infants

Accuracy Verified: Yes

51. Gauvreau, P. (2012, April). Ça bloque! Ça boucle! (looping)! Que faire? [It freezes! This loop! (looping)! What to do?]. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: French

Format: Conference

Abstract:
S’inspirant à la fois du modèle de traitement adaptatif de l’information/protocole EMDR et de notions en dissociation structurelle, des stratégies pour gérer les blocages au retraitement et les boucles seront présentées. Nous aborderons les stratégies avec ou sans tissage cognitif à l’aide d’exemples cliniques. Également, des stratégies faisant appel aux états du moi seront abordées dans des cas plus complexes de blocages au retraitement.
Objectifs d’apprentissage: 1. Identifier les clients qui sous ou sur-accèdent au matériel et les stratégies à mettre en place 2. Reconnaître quand le retraitement est bloqué ou quand il y a présence de boucles et choisir des stratégies à mettre en place 3.Connaître des stratégies sans tissage 4.Connaître des stratégies avec tissage 5.Connaître quelques stratégies faisant appel aux états du moi – dissociation structurelle.

Inspired by both the model adaptive processing of information / EMDR protocol and concepts in structural dissociation, strategies to handle deadlocks reprocessing and loops will be presented. We will discuss strategies with or without cognitive weaving using clinical examples. Also, strategies involving the ego states will be addressed in more complex cases of blockages reprocessing.
Learning Objectives: 1. Identify customers who underexposed or access the materials and strategies to implement 2. Recognize when the restatement is blocked or when there is presence of loops and choose strategies to implement strategies without 3.Connaître 4.Connaître weaving weaving 5.Connaître strategies with some strategies to use ego states - structural dissociation.

Keywords: Interweaves Looping

Accuracy Verified: Yes

52. Dellucci, H. (2007, June). Can EMDR treat transgenerational transmitted trauma?. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In certain cases, we can be confronted to a need for retreatment of targets that the person in front of us cannot have experienced by herself: second war events, being in a prison or concentration camp…
But the person in therapy show real disorders, including dissociation which seems related to those targets.
How could be treat such transgenerational trauma with EMDR? With which results? Which hypotheses could we formulate out of this work? Which are the implications on the persons’ family environment?
Out of three clinical cases, I propose to share my experience and think together on transgenerational trauma transmission and its treatment, by using the concept of mirror neurons.

Keywords: Family Mirror Neurons Poster

Accuracy Verified: Yes

53. Adler-Tapia, R., & Settle, C. (2009, August). Case conceptualization: Decision points in EMDR with children for attachment, dissociation, and concurrent diagnosis including OCD, ADHD, and PTSD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This presentation will focus on illustrating decision points in EMDR in case conceptualization with children involving complex diagnoses. Videotapes will include sessions with young children diagnosed with post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), attachment traumas, Traumatic Brain Injury (TBI), dissociation and other diagnoses. This is an interactive workshop where participants are encouraged to bring questions about the protocol and challenging issues in practice. Areas to be discussed: how attachment affects the progression of EMDR, at what point does dissociation impact the protocol, and at what point does the therapist consider installing mastery, resource development, or the Inverse Protocol.

Keywords: ADHD Attachment Disorders Attention Deficity Hyperactivity Disorder Case Conceptualization Children Dissociation Inverse Protocol Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

54. Seubert, A. (2009, November). The case of mistaken identity: Ego states and EMDR in the treatment of eating disorders. Workshop presentation at the 19th annual Renfrew Center Foundation Conference, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
An eating disorder typically hides dissociated trauma, which can be a major obstacle to successful treatment. This workshop uses video clips and case reviews to illustrate an EMDR trauma-informed phase model and ego state therapy for the treatment of dissociation and trauma in eating disorder clients.

Keywords: Dissociation Eating Disorders Ego State Therapy Trauma

Accuracy Verified: No

55. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Attachment and Ego States in the treatment of eating disorders is a 120 minute program, which introduces participants to 1. the kind of history taking, medical attention and goal establishment unique to clients with eating disorders, 2, the extensive preparation, which includes emotional expertise and somatic awareness, 3. the inevitable presence of dissociation and the use of ego state therapy to access the source of the eating disordered addiction, 4, the need for attachment repair and 5, slight modifications to trauma processing given emotional fragility and the tendency to return to the disorder. even after extensive preparation. The modifications entail A. a return to attachment/reparenting work, even during phases 3-6, a5 a way to 'pendulate' between the traumata and resources, B. the use of dissociation strategies, e.g., having the eating disordered part look through the eyes with the client, and C. titrating the target memories. THE CASE OF MISTAKEN IDENTITY employs an EMDR phase model, which includes an evaluation phase, focusing on medical safety, case formulation and mutual goal creation. In the preparation phase, participants will learn a4-step method of teaching emotional competence, and the use of ego state therapy to free the self from identity with the disordered part&), and strategies for attachment repair. Preparation and Processing phases both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize (Re-evaluation) after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning. Learning objectives: 1 Participants will describe the trauma-based purpose for dissociation in eating disorders, 2 will describe the practice of awareness and four steps to emotional competence. 3. will name two ego-state strategies methods in identifying and collaborating with ego states, 4. two attachment repair methods, and 5. describe two minor adaptations to the processing phase. WHAT IS NEW: Eating disorder treatment often recognizes, but rarely offers treatment solutions, to the traumatic origins of an eating disorder. This fact, coupled with a lack of awareness of the role of attachment injury and dissociation, renders many of the contemporary approaches to eating disorder treatment incomplete and often ineffective.

Keywords: Attachment, Eating Disorders Ego States

Accuracy Verified: Yes

56. Seubert, A. (2010, April/May). The case of mistaken identity: EMDR, ego states and attachment in the treatment of eating disorders. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
In this workshop the presenter explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach described employs an EMDR phase model, with expanded evaluation and preparation phases. The extended preparation discussed includes a 4-step method of teaching emotional competence, an introduction to body awareness, and the use of ego state therapy with the disordered part(s). Processing typically requires attachment repair, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.

Keywords: Attachment Eating Disorders Ego States

Accuracy Verified: Yes

57. Seubert, A. (2009, August). The case of mistaken identity: EMDR, ego-states and eating disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, as well as the use of Ego-State Therapy with the disordered part(s). Processing requires body awareness, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.

Keywords: Eating Disorders Ego States

Accuracy Verified: Yes

58. 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

59. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.

Language: English

Format: Journal

Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.

Keywords: Korea Psychiatric Patients

Accuracy Verified: Yes

60. Loris, M., & Johnson, D. R. (2001, December). Case study: Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatment. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract: This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Counting Method Prolonged Exposure Poster

Accuracy Verified: Yes

61. Spierings, J. (2009). Casus 12 – Ik ben een vergissing: Uitgekotst door de hulpverlening en nu nog een laatste kans [Case 12 – I am a mistake: Puked out by mental health care and still one last chance]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 185-191). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_19.

Language: Dutch

Format: Book Section

Abstract:
Wanneer Eddie aangemeld wordt voor behandeling bij mij, heeft hij al een lang hulpverleningsverleden achter de rug. Riagg, Algemeen Maatschappelijk Werk, deeltijdbehandeling, klinische opname. Zo ongeveer alle persoonlijkheidsstoornissen worden in zijn dossier wel een of meer keren genoemd: schizotypisch, narcistisch, borderline, theatraal, ontwijkend, afhankelijk.

When Eddie is registered for treatment with me, he has a long history behind aid. Mental, General Social Work, part-time treatment, clinical admission. Just about all personality disorders in his file or one or more times called schizotypal, narcissistic, borderline, theatrical, evasive, depending.

Keywords: Practice Theory

Accuracy Verified: Yes

62. Meijer, S. (2000). Casus 13 – Zoals mijn leven nu gaat mag het altijd blijven: Een borderlinecliente met ernstige PTSS en terbeschikkingstelling [Case 13 - My life should stay as it is now. A woman with borderline personality disorder and severe PTSD who had a forensic psychiatric criminal justice sentence]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 193-204). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_20.

Language: Dutch

Format: Book Section

Abstract:
Marion is een 28-jarige vrouw die eind 2003 een tbs krijgt opgelegd vanwege een poging tot brandstichting. Haar zus doet aangifte. Er zijn geen eerdere veroordelingen geweest, maar Marion heeft wel eerder brand gesticht. In 1996 sticht zij voor het eerst brand en zij merkt dat dit haar spanningen vermindert; ze wordt er rustig en zelfs vrolijk van. Er is sprake van een borderline persoonlijkheidsstoornis; deze wordt in 2000 vastgesteld gedurende een behandeling in een psychotherapeutische gemeenschap. Marion verbetert niet tijdens deze opname en breekt de behandeling tegen advies in af. In die periode is er sprake van ernstige automutilatie en suïcidaliteit. Er zijn diverse suïcidepogingen en rond 2002 neemt Marion een grote hoeveelheid pillen in. Daaropvolgend wordt Marion opgenomen. Na vijf maanden wordt de klinische behandeling afgerond met de boodschap: ‘We kunnen niets meer doen.’ De aangeboden poliklinische behandeling kon door Marion niet worden gevolgd omdat zij toen reeds was opgepakt.

Marion is a 28-year-old woman in late 2003 a TBS is imposed for an attempted arson. Her sister does return. There have been no previous convictions, but Marion does have been arson. In 1996 she established the first fire and they find that it reduces her stress, she is calm and even cheerful. There is a borderline personality disorder, which is set in 2000 during a treatment in a psychotherapeutic community. Marion does not improve during this recording and breaks off the treatment against advice. During that time, there is serious self-harm and suicidality. There are several suicide attempts and Marion around 2002, a large quantity of pills. Subsequently, Marion recorded. After five months, the clinical treatment has been completed with the message: "We can not do anything." The outpatient treatment offered by Marion could not be followed because they had already been arrested.

Keywords: Borderline Personality Disorder BPD Posttraumatic Stress Disorder PTSD Women

Accuracy Verified: Yes

63. Groenendijk, M. (2009). Casus 14 – Ik! Ben! Goed!: Een cliënte van 55 jaar met een dissociatieve identiteitsstoornis (DIS) [Case 14 - I! Am! Good!: A woman of 55 years with a dissociative identity disorder (DIS)]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 205-222). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_21.

Language: Dutch

Format: Book Section

Abstract:
Miranda is 55 jaar en getrouwd met Peter, garagehouder. Zij hebben twee volwassen kinderen (een zoon en een dochter) en twee kleinkinderen. Miranda woont in een klein dorp in het noorden van het land. Tot acht jaar geleden werkte ze als administratief medewerkster op een kantoor, maar zij kwam in de ziektewet wegens problemen op het werk en in haar huwelijk. Ze meldde zich aan voor behandeling en bij haar werd als diagnose gesteld: reactieve depressie en sociale fobie bij een persoonlijkheid met ontwijkende trekken. Na een ambulante start werd ze aangemeld voor klinische psychotherapie en gedurende deze opname kwam voor het eerst haar geschiedenis met ernstig seksueel misbruik ter sprake. Op de deeltijdbehandeling die daarop volgde, kreeg ze steeds meer last van dissociatieve klachten. Ook thuis namen deze klachten toe en kreeg ze woedeaanvallen. Ze ging's nachts geregeld zwerven. Ze werd heropgenomen en nu werd de diagnose DIS gesteld. In de kliniek werden in het kader van traumaverwerking enkele EMDR-sessies gedaan, maar dit had weinig resultaat. Miranda herinnert zich er nauwelijks iets van.

Miranda is 55 years and married to Peter, mechanic. They have two grown children (a son and a daughter) and two grandchildren. Miranda lives in a small village in the north of the country. Until eight years ago she worked as an administrative assistant at an office, but she was on sick leave due to problems at work and in her marriage. She signed up for treatment and was considered its diagnosis: reactive depression and social phobia with avoidant personality in a draw. After a patient start, she was signed up for clinical psychotherapy and during this recording first came her history with sexual abuse seriously discussed. On the day hospital treatment that followed, she was increasingly suffering from dissociative symptoms. Also took home these complaints, and she rages. She went regularly roam at night. She was re-recorded and now the diagnosis was made DIS. In the clinic under some EMDR trauma processing sessions done, but this had little effect. Miranda remembers hardly anything.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

64. Miller, P., McGowan, I., McLaughlin, D., & Paterson, M. (2010, April). Cessation of symptoms associated with dissociative schizophrenia following EMDR. Presentation at 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: Background: Despite over a 100 years experience with schizophrenia it is still only a minority of individuals who make a full recovery. Schizophrenia is a severe enduring mental illness (SMI) and the weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide.
Aim: The aim of the presentation is to highlight the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia. Using a case study approach we will demonstrate the effectiveness of EMDR in relieving the symptoms of dissociative schizophrenia.
Case Study: In Patient ‘M’ using an EMDR paradigm integration was achieved using only outpatient therapy – 12 sessions, over the course of one year. Medication was used initially but made no impact on the psychotic phenomena; even when used within normally efficacious levels and duration. Naltrexone was used to help manage dissociation (Frewen & Lanius, 2006) and to facilitate Patient ‘M’ in engaging in EMDR. Patient ‘M’ is now nearly three years symptom free and medication free.
Conclusion: EMDR is effective in symptoms associated with dissociative symptoms.
Learning Outcomes By the end of the session participants will be able to; Gain an greater understanding of the clinical presentation of dissociative schizophrenia Discuss the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia

Keywords: Dissociative Schizophrenia

Accuracy Verified: Yes

65. Inoue, N., Nawa, J., Katoh, T., & Shirakawa, M. (2010, July). Changes in personality functioning over the course of eye movement desensitization and reprocessing trauma therapy: Findings on the early changes. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: Although eye movement desensitization and reprocessing (EMDR) is said not only to reduce trauma-related symptoms but also to enhance ability to function in life, its effectiveness in other than reducing trauma-related symptoms has yet to be verified. The objective of this study was to explore the broad range of effectiveness of EMDR, especially changes in the personality functioning during the early phase of treatment. Methods: Using the non-randomized design, we assessed and compared the treatment changes in subjects treated with EMDR and subjects who participated in the psycho-education course of trauma. Eligible subjects were adult women who experienced human-caused trauma such as domestic violence, rape, or childhood abuse. The Rorschach Comprehensive System (CS) was used as the first outcome measure to evaluate personality functioning, and self-report questionnaires and a clinical interview for trauma-related symptoms were used as the secondary outcome measures. Subjects of both groups were assessed at the time of enrollment in the study and 4 months after the enrollment. We completed the evaluation of 5 and 6 subjects in the EMDR and the control group, respectively. Results: The CS index for self-esteem and self-concern was improved in the EMDR sample compared with the controls. Women treated with EMDR showed increased openness to internal and external stimuli (assessed by CS F%), whereas some women in the control group even developed a tendency to avoid internal and external stimuli after 4 months. Conclusion: The differences of early changes in personality functioning between the EMDR group and the controls will be discussed in detail.

Keywords: Changes in Personality Functioning Poster

Accuracy Verified: Yes

66. Paterson, M. C. (2008). Changing cognitive schemas through EMDR and ego state therapy. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 121-139). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Often clients require extensive preparatory work to ensure that they have the ego strength to allow them to experience EMDR. Failure to do this may result in harm to the client and litigation against the therapist. Ego strengthening is required where the client's personality is less than totally integrated, usually indicated by the presence of enduring irrational beliefs and behavior. Such beliefs exist despite extensive evidence to the contrary; for example, a man may believe he is worthless and a failure despite being in a stable marriage and also holding a college degree. Similarly, irrational beliefs often prevent clients from progressing in therapy due to the blocking action they exert on cognitive processing. This chapter examines maintenance fo irrational beliefs and behaviors and a case study that looks at a former police officer in Northern Ireland. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Cognitive Schemas Ego State Therapy

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

68. Loris, M., & Johnson, D. R. (2001, December). Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatments. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

69. Korn, D. (2001, June). Clinical applications of EMDR in treating adult survivors of childhood abuse and neglect. Preconference presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into a phase-oriented recovery plan in treating adult survivors of childhood abuse and neglect. EMDR applications with the full range of trauma-related syndromes, including simple and complex PTSD, Borderline Personality Disorder and Dissociative Disorders, will be addressed. Treatment planning and pacing will be discussed in view of presenting problem, attachment style, defenses, and self-capacities. In recognition of clients' rigid, maladaptive schemas, poor impulse control, dissociative tendencies and limited affect tolerance, strategies for modifying and supplementing standard EMDR protocols will be explored, Significant attention will be devoted to integratring EMDR ego strengthening and resource development protocols into all phases of treatment.

Keywords: Borderline Personality Disorder Child Abuse Dissociative Disorders Ego Strengthening Neglect Posttraumatic Stress Disorder PSTD Resource Development

Accuracy Verified: Yes

70. Dean, G. L., Fenstermaker, D., & Anderson, K. J. (1991, November). Clinical use of eye movement desensitization/reprocessing (EMD/R) in recall and reprocessing of traumatic material in MPD patients PTSD treatments grow in evidence, effectiveness. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL and Monitor on Psychology, 39(1), 40-42.

Language: English

Format: Conference

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: No

71. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.

Language: English

Format: Book Section

Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]

Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy

Accuracy Verified: Yes

72. Cervera, M., & Acinas, P. (2012, June). Como puede la combinacion entre el EMDR y la imaginacion tartar casos con sept complejo, problemas de apego y disociacion? [How can EMDR and imagination combined, treat cases with complex PTSD, attachment and dissociative symptoms?]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: Spanish

Format: Conference

Abstract: ABSTRACT: La integración del EMDR con el uso de la imaginación (See Far CBT, Lahad) como un abordaje para el tratamiento de SEPT Complejo. El uso de la imaginación con cartas terapéuticas dentro de la Realidad Fantástica es una estrategia poderosa para estos pacientes. El EMDR ha sido ampliamente investigado y aprobado como una de las terapias más efectivas en este campo.

ABSTRACT: Integrate EMDR with the use of Imagination (See Far CBT, Lahad) as an approach to treat Complex Trauma with PTSD. The use of Imagination with therapeutic cards within the world of Fantastic Reality is a new powerful coping strategy for these patients. EMDR has been widely researched in this area.

Keywords: Attachment Dissociation Poster

Accuracy Verified: Yes

73. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed. • Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005) • Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005) • Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems • The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training

Keywords: DBT Dialectical Behavior Therapy Poster

Accuracy Verified: Yes

74. Chen, L. (2008, April). Complex bereavement, EMDR & “structural dissociation of the personality” theory. Presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Ireland.

Language: English

Format: Conference

Keywords: Bereavement Personality Structural Dissociation

Accuracy Verified: No

75. Herbert, C. (2012, October). Complex trauma: Road to psychiatric dysfunction or path toward posttrauma growth?. Keynote at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.

Keywords: Complex Trauma Posttraumatic Growth

Accuracy Verified: Yes

76. Kluft, R. P. (2003). Current issues in dissociative identity disorder. Bridging Eastern and Western Psychiatry, 1(1), 71-87.

Language: English

Format: Magazine

Abstract:
Dissociative Identity Disorder (DID), formerly Multiple Personality Disorder (MPD), remains among the most challenging of mental disorders. It is difficult to understand, to diagnose, to treat, to discuss objectively in the face of the many controversies that swirl around it. It remains a condition that requires intensive individual psychotherapy for its satisfactory resolution. The controversies that have surrounded DID have often obscured the progress that has been made. DID is emerging as a not uncommon consequence of overwhelming childhood events. The major challenges facing the treatment of DID are disentangling this condition and its therapy from the controversies that swirl about them, encouraging the more widespread use of specific diagnostic approaches, educating managed care organizations to accept standards of care for DID that are based upon those treatment approaches that are effective, making specific treatments for DID more available, and continuing to develop more successful approaches for the more difficult-to-treat DID subgroups of DID patients.

Keywords: Dissociative Identity Disorder DID MPD Multiple Personality Disorder

Accuracy Verified: Yes

77. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders. The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR therapist should be prepared to manage. Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves. A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the reduction of distress for events or experiences already known. Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions. The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between 50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and that as research in this population continues, strategies for overcoming problem areas can be developed.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

78. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years, it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive behaviors, problems with close relations and an impairment in the capacity to experience pleasure, satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social support received and the duration of the traumatic experience(s).

Keywords: Psychobiology

Accuracy Verified: Yes

79. Oppenheim, H.-J. (2010, June). The cutting must stop: A way out of the stabilisation versus reprocessing paradox with a DID-patient. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In this workshop I will discuss and illustrate by video fragments, the steps of trauma reprocessing with a very instable DID patient. The patient was suffering from sudden severe self-cutting that took place outside the patient's own consciousness. It was clear that an Emotional part of the Personality (EP) was tormented by a severe trauma, and in response, acted very aggressively. Because of the great danger of self-harm, which man could become life-threatening, the cutting had to be stopped as soon as possible. Therapist and patient were trapped in the well known paradox: to reprocess the trauma there had to be enough stability, but to create enough stability the trauma had to be solved. It was clear that in this period of her life the patient couldn't bear any trauma reprocessing. This workshop offers a way out of this paradox. I will show how to establish enough safety for all the parts of the personality who are involved, increasing two of the Apparently Normal parts of the Personality (ANP's). For one of the ANP's, safety meant that she didn't have to witness the story about the trauma, she still didn't know. The workshop will demonstrate how to establish a working alliance with the aggressive part (EP) who is indirectly responsible for the severe cutting. Finally, after all these preparations, the trauma reprocessing by using EMDR on this EP can be started. The participants will learn: a. How to work from a Structural Dissociation view. The importance of an active attitude for the therapist, like a film director, in getting in contact and working together with the different parts of the personality, to reach the necessary goal; c. That trauma processing is at least partly possible in absence of the 'main part' of the personality which can contribute to stabilization in order to reprocess the trauma completely. been This workshop provides an opportunity to escape from the ]paradox: reprocessing a trauma requires stability but stability ]requires a reprocessed trauma. It is always thought that for reprocessing a trauma the ONP('s) must be involved, This workshop will show that if only parts of the personality, without the ANP, undergo the reprocessing, it can lead to a remarkable reduction of dangerous symptoms. The completing of the trauma reprocessing with the ANP can be postponed to the moment that the patient feels sufficiently stable.

Keywords: DID Dissociatve Identity Disorder Stabilization

Accuracy Verified: Yes

80. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.

Language: German

Format: Conference

Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3, und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen. Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender, emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung für die erfolgreiche und effiziente Anwendung von EMDR dar. Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen, dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a. durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann. In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August 2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht. Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt. Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐ Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen. Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden. Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven eröffnen helfen.

Experience shows that successful work often with EMDR significantly taken from and emotionally meaningful choice of cognition depends. But experience shows also that these Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3, and not only for beginners but also for experienced EMDR therapists. This especially when the focus of the work of non-traumatic on clearly defined classical Individual events, but on complex, early-life subjects. Working out of profound, emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This Situation often creates uncertainty among clients and therapists and offers a challenge represents for the successful and efficient use of EMDR Meanwhile, it has been worked into the binding and trauma research that very early interference often have a dissociative structure among those affected the result. We must therefore assume that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3 may be manifested by problems with the development of cognition. In recent years I have developed the dialogue EMDR protocol, how to deal with such complex EMDR situations in phase 3 easier. In October 2009, a short version of my Work on this specific EMDR protocol in German newsletter published EMDR and in August 2011 an English translation of the EMDR Journal for Research & Practice is published. The workshop on the one hand the importance of cognition in the successful EMDR should work again and clarify the related theoretical principles from neurobiology, attachment theory and summarize the theories of Structural Dissociation and ego state theory. Then, the Dialog protocol described in detail and illustrated using case studies in practical applications. A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The By means of concrete examples to own participants, phase 3 of the dialogue with application- Exercise protocol in order for the practice to bring a hands-on experience based on personal experience. This involves having to capturing phase 3 to the VOC, not a complete self-awareness EMDR. It is the emotional relevance of coherent and profound cognition can be experienced. If it is the time frame allowed to own cases are presented for discussion. The workshop should enable a collegial discussion of issues in application of EMDR and new perspectives help open up.

Keywords: Cognitions Dialogue Protocol

Accuracy Verified: Yes

81. de Jongh, A. & ten Broeke, E. (2001). De behandeling van persoonlijkheidspathologie met behulp van EMDR [The treatment of personality pathology using EMDR]. In R.E. Abraham & J. Graste (Red.), Psychotherapie vanuit het deficitmodel [Psychotherapy from the deficit model] (pp. 140-150) Van Gorcum: Assen.

Language: Dutch

Format: Book Section

Keywords: Personality Disorders

Accuracy Verified: Yes

82. Struik, A. (2010, April). De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen [The six tests, a stabilization method for chronically traumatized children and dissociative]. Presentatie Aan de Vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen. De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken. In deze presentatie zal ik ‘De zes testen’ demonstreren, een stabilisatie methode voor kinderen en een bewerking van de drie testen (Spierings, 2008). De zes testen helpen de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Aan de hand van casuïstiek wordt dit proces en het gebruik van stabilisatietechnieken gedemonstreerd. De kinderen moeten technieken leren om emoties te reguleren en stress te verminderen. Dan wordt het hechtingssysteem geactiveerd, zodat ze stress kunnen reguleren door steun te zoeken. Zo vermindert de noodzaak tot dissociatie. Door problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd om naar de trauma’s te kijken en met EMDR te starten. Dan worden nog aanpassingen in het EMDR protocol besproken voor dissociatieve kinderen om ze in het desensitisatie proces te houden en wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling. Spierings, J. (2008). Stabilisatie, een gestructureerd programma voor taxatie en interventie. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. Praktijkboek EMDR. Amsterdam: Harcourt

The six tests, a stabilization method for chronically traumatized and dissociative children. The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seem to function properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they are forgotten. They have no more trouble. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For among these seemingly well-functioning exterior, is a constant alert, anxious and lonely child. This child can not attach and the lack of secure attachment is devastating for the development. This is often visible only by explicitly to search. In this presentation I will "The six tests" demonstrate a stabilization method for children and an adaptation of the three tests (Spierings, 2008). The six tests help the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. Using case studies this process and the use of stabilization techniques are demonstrated. The children must learn techniques to regulate emotions and reduce stress. Then the attachment system is activated, so they can be regulated by stress to seek support. Thus reduces the need for dissociation. Due to problems experienced by the child to link past experience the child is motivated to look at the trauma and EMDR to start. Then further adjustments to the EMDR protocol for dissociative children to discuss them in the desensitization process and discusses how to keep EMDR can be integrated into a phased treatment. Spierings J. (2008). Stabilization, a structured program of assessment and intervention. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. EMDR Practice Book. Amsterdam: Harcourt

Keywords: Children Dissociation Six Tests Stabilization

Accuracy Verified: Yes

83. Rana, M. (2010, July). Dealing with psychotrauma in war against terror: East meets West through EMDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The ‘War on Terror’ on the borders of Pakistan and Afghanistan has committed almost two hundred thousand troops on either side with more than five million civilians directly affected by terrorist acts, bombings, blasts, drone attacks, and air strife. Children, women, and men of all ages report to health facilities in hundreds with psycho trauma ranging from acute stress reactions, posttraumatic stress disorders, dissociation, depression, anxiety and Medically Unexplained Symptoms (MUS). The health professionals with hardly any training in handling of psycho trauma are clueless about how to deal with these cases. A handful of mental health professionals trained by EMDR UK and EMDR Europe experts, through a humanitarian assistance programme are the only trained human resource currently available to deal with these massive numbers of survivors. A strategic placement of this grossly limited number of trained EMDR human resource ( four females, six males), in the war zone has helped scores of soldiers to return to the battlefield, hundreds of children to return to their schools, dozens of families to return to normality and many adults to return to work. The elementary yet devoted and dedicated EMDR services in the war torn regions of Swat, Wazirastan, Kohat and tertiary care services at Rawalpindi are a result of a timely collaboration between EMDR trainers from West providing training in EMDR to psychiatrists, psychologists, nurses and social workers of Pakistan; indeed a fine example of ‘Building Bridges between East & West through EMDR’.

Keywords: Psychotrauma Symposium: Terror War

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Ego State Therapy

Accuracy Verified: Yes

85. Forgash, C. A., & Bergmann, U. (1999). Deepening EMDR treatment effects in the clinical treatment of dissociative disorders: Integrating EMDR techniques, ego-state therapy, and developmental blueprinting. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami FL.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

86. Bergmann, U., & Forgash, C. (2000, November). Deepening the EMDR treatment effects in the treatment of dissociative disorders: Integrating EMDR and ego state techniques. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, San Antonio, TX.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

87. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop is about the application of EMDR in the treatment of secondary and tertiary structural dissociation with survivors of early chronic traumatization. The succeeding of the EMDR sessions in the treatment of DID, depends mainly on the appropriate indication and a thorough preparation. How to do this in clinical practice, will be pointed out in this presentation. What follows is an explanation of the process (and the essential elements in it) of the integration of traumatic memories and this process will be demonstrated by a dvd of Maria, an woman with DID. We can select and analyze particular scenes, depending on the requests from the audience. For example scenes about confirming positions of ANP's and EP's at the beginning of the session, attacking the NC by the self-‐destructive part, guiding reliving experiences, presentification, coping with anger, differentiating between the past and the present, personification, preventing the flight-‐reaction, coping with transference and facilitate internal cooperation. After reporting on the outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing and preparation of the sessions, about adaptations in the EMDR-‐protocol and about integration of EMDR in the broader phase-‐oriented treatment of DID.

Este taller trata la aplicación de EMDR en el tratamiento de disociaciones estructurales secundarias y terciarias con supervivientes de la traumatización crónica temprana. El éxito de la sesiones de EMDR en el tratamiento de Trastornos de identidad disociativo, depende principalmente de unas instrucciones apropiadas y una dura preparación. Como hacer esto en la práctica clínica será el tema de esta presentación. Continuaremos con una explicación del proceso (y los elementos esenciales dentro de este) de la integración de los recuerdos traumáticos y este proceso será demostrado en el DVD de María, una mujer con trastorno de identidad disociativos. Podemos señalar y analizar escenas particulares, dependiendo de las peticiones que hagan los participantes a la presentación. Por ejemplo, escenas acerca de la confirmación de posiciones de ANP y EP al principio de la sesión, atacando al NC por la parte autodestructiva del yo, guiando y reviviendo experiencias, atención al presente, gestionar la ira, diferenciar entre pasado y presente, personificación, prevenir la evitación, afrontar la transferencia y facilitar la cooperación interna Después de informar acerca de los resultados de la terapia, la conclusión es que el EMDR puede ser efectivo para pacientes disociados si cumplen muchos requisitos previos. Este criterio es sobre la conceptualización de acuerdo con el modelo estructural de disociación, sobre la indicación, temporalización y preparación de las sesiones, sobre las adaptaciones del protocolo del EMDR y la integración del mismo en un tratamiento más amplio en fases del tratamiento del Trastorno de Identidad Disociativo.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

88. Eimer, B. N. (1993, Spring). Desensitization and reprocessing of chronic pain with EMDR. EMDR Network Newsletter, 3(1), 13-17.

Language: English

Format: Newsletter

Abstract:
There are two widely accepted assumptions about personality and psychopathology that influence the success of failure of our use of EMDR with patients. While the following notions have been restated in different ways by various schools of personality, the reader is referred to the work of George Kelly (1955) for the most complete elaboration of these assumptions.

Keywords: Chronic Pain Pain Pain Management Personality Psychopathology

Accuracy Verified: Yes

89. Schmidt, S. J. (2004). Developmental needs meeting strategy: A new treatment approach applied to dissociative identity disorder. Journal of Trauma and Dissociation, 5(4), 55-78. doi:10.1300/J229v05n04_04.

Language: English

Format: Journal

Abstract:
This article describes the use of the Developmental Needs Meeting Strategy (DNMS) for the treatment of dissociative identity disorder (DID). The DNMS is an ego state therapy which guides a client’s own internal resources to meet developmental needs that were not met in childhood. After 17 months of DNMS treatment a client with DID reported a near total elimination in frequency and severity of symptoms of depression, anxiety and suicidal thoughts, her Trauma Symptom Inventory scores indicated no trauma symptoms, and her Multidimensional Inventory of Dissociation scores indicated she no longer meets the diagnostic criteria for DID. She was functioning well without any medication. Further research is warranted.

Keywords: Developmental Needs Meeting Strategy

Accuracy Verified: Yes

90. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.

Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma

Accuracy Verified: Yes

91. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: Dissociatie en trauma zijn nauw met elkaar verbonden. Dissociatieve stoornissen worden toch vaak niet herkend en dissociatieve stoornissen bij kinderen gelden als controversieel. Kinder- en jeugdpsychiaters leren in de opleiding weinig over dissociatieve stoornissen. In de workshop wordt aandacht besteed aan het herkennen van dissociatieve stoornissen bij (seksueel) getraumatiseerde kinderen en aan de behandeling ervan, geïntegreerd in de traumabehandeling. Ernstig getraumatiseerde kinderen hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een goede traumabehandeling. We bespreken de internationale richtlijnen en recente literatuur over diagnostiek en behandeling van dissociatieve stoornissen bij kinderen. Neurobiologische aspecten van vroegkinderlijke traumatisering en de gevolgen hiervan voor het kind worden behandeld. Verschillende behandelmethoden zoals eye movement desensitisation and reprocessing (EMDR) en differentiatiefasetherapie worden besproken. Vorm: —— Aan de hand van presentaties worden de theorie en de praktijk van de diagnostiek en het behandelen van dissociatieve stoornissen bij kinderen en jeugdigen besproken. —— We tonen beeldmateriaal van diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen. —— Uitwisselen van ervaring en kennis, inbrengen van casuïstiek en discussie. Leerdoel: —— Aan het einde van de workshop erkent de deelnemer het belang van herkennen en behandelen van dissociatieve stoornissen bij getraumatiseerde kinderen en jeugdigen. —— De deelnemer vergroot zijn kennis van diagnostiek en behandeling van dissociatieve stoornissen van kinderen en jeugdigen, waarbij hij op de hoogte is van de recente literatuur. stressstoornis (PTSS) en hechtingsstoornis. Dissociatieve problematiek kan ook verward worden met onder meer obsessieve-compulsieve stoornissen (ODD), aandachtstekortstoornis met hyperactiviteit (ADHD) en vele andere kinderpsychiatrische stoornissen en zo het resultaat van therapieën bemoeilijken. Wij gaan er daarom vanuit dat herkennen en behandelen van dissociatieve.

Contents of the workshop: Dissociation and trauma are closely linked. Dissociative disorders are often not yet recognized and dissociative disorders in children construed as controversial. Child and adolescent psychiatrists learning in the training little dissociative disorders. The workshop focuses on recognition of dissociative disorders (Sexual) traumatized children and the its treatment, integrated into the trauma treatment. Severely traumatized children often have multiple diagnoses, such as post traumatic stress is essential for the success of a good trauma treatment. We discuss the International guidelines and recent literature about diagnosis and treatment of dissociative disorders in children. Neurobiological Aspects of early childhood trauma and consequences for the child to be treated. Various treatments such as eye Movement Desensitisation and Reprocessing (EMDR) and phase modulation therapy are discussed. Form: - Based on the theory presentations and practice of diagnosis and treatment of dissociative disorders in children and adolescents are discussed. - We show footage of diagnosis and treatment of dissociative disorders children and adolescents. - Share the experience and knowledge, contribute of cases and discussion. Objective: - At the end of the workshop, the participant acknowledges the importance of recognizing and treating of dissociative disorders among traumatized children and adolescents. - Participants increased their knowledge of diagnosis and treatment of dissociative disorders of children and youth, taking on the aware of the recent literature. stress disorder (PTSD) and attachment disorder. Dissociative problem can also confused are including obsessive-compulsive disorder (ODD), attention deficit hyperactivity disorder (ADHD) and many other children's psychiatric disorders and as a result of therapies difficult. We therefore assume that recognition and treatment of dissociative.

Keywords: Adolescents Children Dissociative Disorders Sexual Abuse

Accuracy Verified: Yes

92. Plassmann, R. (2007). Die kunst des lassens: Psychotherapie mit EMDR fur erwachsene und kinder [The art of giving. EMDR for adults and children]. Reihe: edition psychosozial, Giessen: Psychosozial-Verlag.

Language: German

Format: Book

Abstract:
Das Buch beschreibt auf sehr lebendige Weise, mit vielen Fallbeispielen, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt haben und uns Möglichkeiten an die Hand gegeben haben, die vorher nicht bestanden. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht.Wie fördert man seelische Heilungs- und Wachstumsprozesse? Vor dieser Herausforderung steht die wissenschaftliche Psychotherapie seit nunmehr 100 Jahren. Entscheidende Fortschritte sind in den letzten Jahren durch die neuen Methoden der modernen Traumatherapie möglich geworden. Gleichzeitig hat uns die moderne Hirnforschung Einblick gegeben, wie das Gehirn emotionale Belastungen verarbeitet. Die EMDR-Technik (Eye Movement Desensitization and Reprocessing) konzentriert sich der Patient auf ein belastendes Erlebnis während seine Augen gleichzeitig den Handbewegungen des Therapeuten folgen, wodurch eine entlastende Wirkung eintritt. Das Buch beschreibt mit vielen Fallbeispielen auf sehr lebendige Weise, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt und uns neue Möglichkeiten an die Hand gegeben haben. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht, bei Essstörungen, Borderlinestörungen, Traumafolgestörungen und bei allen durch emotionale Überlastung entstandenen Erkrankungen.

The book describes in lively fashion, with many case studies provided as EMDR and modern brain research and therapy in a completely new basis have and have given us opportunities to the hand that were not there before. It explains the workings of the expert and the scientific basis and potential patients, as its way through the healing process aussieht.Wie promotes spiritual healing and growth it processes? That is the challenge the scientific psychotherapy is now 100 years since. Decisive progress in recent years made possible by new methods of modern trauma therapy. At the same time our modern brain research has given insight into how the brain processes emotional stress. The EMDR technique (Eye Movement Desensitization and Reprocessing) focuses the patient on a stressful experience at the same time as his eyes follow the hand movements of the therapist, making an exculpatory effect occurs. The book describes many case studies have a very vivid way, as the modern brain research and the EMDR psychotherapy on an entirely new basis, and given us new opportunities to the hand. It explains the workings of the expert and the scientific basis and potential patients, as you look way through the healing process by eating disorders, borderline personality disorders, trauma disorders, and in all subsequent congestion caused by emotional disorders.

Keywords: Adults Children

Accuracy Verified: Yes

93. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological perspective. Furthermore, literature on attachment theory will explore the importance of contingent communication in the development of an integrated mind. The relevance of intersubjective experience in adaptive information processing will help participants learn to identify experiences of misattuned communication as relational trauma. Information processing will further be explored as related to self states. An emphasis on recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in this section will provide a context for considering dissociation from an attachment theory perspective. In addition the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma. Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan around negative cognitions, affects and behaviours reflected in the presenting problem and history.

Keywords: Adjustment Disorders

Accuracy Verified: Yes

94. Draijer, N. (1996, December). Dissociation in an international perspective: The 1995 Amsterdam Papers. Dissociation, 9(4), 219-220.

Language: English

Format: Journal

Abstract:
Lazrove and Fine describe both the use of and contraindications to EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of DID patients. This technique is an alternate method for managing the processing of trauma. It must be modified to conform to the principles of fractionated trauma work. Apparently such approaches are to be used only by clinicians highly-skilled in work with dissociative disorder patients who are also well-trained in EMDR.

Keywords: Editorial

Accuracy Verified: Yes

95. Omaha, J. (1999). Dissociation in nicotine addiction: A case study. Presentation at the International Society for the Study of Dissociation Fall Conference, Miami, FL.

Language: English

Format: Conference

Keywords: Case Study Dissociation Nicotine Addition

Accuracy Verified: No

96. Forgash, C. (2010, September/October). Dissociation in the dental chair: Implications for the EMDR treatment of health issues. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR treatment is effective in dealing with many health problems (exacerbated by dissociation)encountered by many complex trauma clients. The negative sequelae of abuse on the physical and mental health of these clients includes flashbacks and dissociative episodes. They are frequently avoidant of health care, which can lead to further consequences. This presentation will focus on expanding the EMDR Preparation Phase; presenting strategies to deal with dissociation, emotional issues, and PTSD symptoms. The Desensitization and Reprocessing Phase will deal with earlier traumatic events, health issues and current and past dissociative events which are frequently at the root of these problems.

Keywords: Dissociation Health Issues

Accuracy Verified: Yes

97. van der Hart, O., Groenendijk, M., Gonzalez, A., Mosquera, D., & Solomon, R. (2013). Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase. Journal of EMDR Practice and Research, 7(2), 81-94. doi:10.1891/1933-3196.7.2.81.

Language: English

Format: Journal

Abstract:
As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing

Keywords: Dissociation Dissociative Disorders Structural Dissociation of the Personality Phase-Oriented Treatment Stabilization Phase

Accuracy Verified: Yes

98. van der Hart, O., Nijenhuis, E. R. S., & Solomon, R. (2010). Dissociation of the personality in complex trauma-related disorders and EMDR: Theoretical considerations. Journal of EMDR Practice and Research, 4(2), 76-92. doi:10.1891/1933-3196.4.2.76.

Language: English

Format: Journal

Abstract:
As eye movement desensitization and reprocessing (EMDR) has been increasingly applied in complex trauma-related disorders, including complex dissociative disorders, and trauma-related borderline personality disorder, EMDR practice may benefit from theories developed to account for the dissociative nature of these disorders, such as the theory of structural dissociation of the personality (TSDP). TSDP postulates that the personality of traumatized individuals is unduly divided in two basic types of dissociative subsystems or parts. One type involves dissociative parts primarily mediated by daily life action systems or motivational systems. The other type involves dissociative parts, fixated in traumatic memories, primarily mediated by the defense action system. The more severe and chronic the traumatization, the more dissociative parts can be expected to exist. This article presents the basics of TSDP, and a second article will provide guidelines for the treatment of complex trauma-related disorders based on this theory.

Keywords: Complex Trauma Dissociation Dissociation of the Personality Dissociative Disorders Integration Ohase-Oriented Treatment Structural Dissociation

Accuracy Verified: Yes

99. van der Hart, O. (2011, March). Dissociation of the personality: The key to understanding chronic traumatisation and a guide to EMDR treatment. Preconference presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
There is currently consensus that the EMDR standard protocol needs to be modified for chronically traumatized clients, such as clients with complex dissociative disorders, as it may destabilize them. Therefore, therapists need to have a good understanding of the dissociative personality structure that exists in these clients. Dissociation is an undue division of the personality among two or more biopsychosocial systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences, are living in trauma-time. The more severe the traumatisation, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which are systematically resolved in phase-oriented treatment. Indeed, participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets such as the dissociation-maintaining phobias, for EMDR interventions in the respective treatment phases. The emphasis will be on the preparatory work, including how to work with dissociative parts living in trauma-time and those perceived as being malevolent, necessary before focusing on the integration of traumatic memories.

Keywords: Dissocation

Accuracy Verified: Yes

100. van der Hart, O. (2010, September/October). Dissociation of the personality: The key to understanding chronic traumatization and its treatment. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR treatment of complex trauma-related disorders may benefit from a clear understanding of the dissociative nature of these disorders. Dissociation is an undue division of the personality among two or more psychobiological systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences. The more severe the traumatization, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which should be systematically resolved in phase-oriented treatment. Participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets for EMDR interventions in each of the three treatment phases in terms of overcoming specific phobias.

Keywords: Chronic Traumatization Plenary

Accuracy Verified: Yes

101. Lanius, U. F. (2001, June). Dissociation processes and EMDR: Staying connected. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular; 2) apply effective treatment planning, target selection, and the use of both body-oriented (bottom-up processing); 3) learn to utilize interventions intended to minimize dissociative symptoms; and 4) learn techniques that aid clients in becoming reconnected, once dissociative processes have occurred.

Keywords: Dissociation

Accuracy Verified: Yes

102. Scaer, R. (2006, September). Dissociation theory and the healing of trauma. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The early studies of trauma in late 19th century Paris centered on the clinical phenomenon of conversion hysteria, a dissociative disorder. Janet and Freud wrote extensively on this topic, and actually described many of the posttraumatic syndromes that we are revisiting today. I will make the case that the late syndromes of Posttraumatic Stress Disorder, especially dissociation, are clearly the defining symptomatic and physiological manifestations of trauma. These syndromes all have prominent somatic features, all of which represent posttraumatic sornatosensory implicit memory. This unconscious, body-based feature of the posttraumatic syndrome presents a compelling case for the universal application of somatically-based therapies such as EMDR in the healing of trauma.

Keywords: Dissociation Plenary

Accuracy Verified: Yes

103. Knipe, J. (2010, September/October). Dissociation through the AIP lens. Opening address at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Keywords: Adaptive Information Processing AIP Dissociation Opening Address

Accuracy Verified: Yes

104. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
A precise understanding of trauma-related dissociation is essential for clinical practice, including the use of EMDR with traumatized patients. The existence of many conflicting and vague definitions of dissociation that include a mixture of constructs has obscured understanding of the nature of dissociation. Thus, it is viewed alternately as a process, a structure, a defense mechanism, a deficit, and as various symptoms. Most contemporary clinicians and researchers working with traumatized people have lost a connection with the unifying and comprehensive theory of trauma-related dissociation already outlined over the course of the history of psychiatry. Thus, a return to the original major studies on trauma-related dissociation is essential in clarifying the concept of dissociation, in reconciling it with contemporary science, and in realizing its importance in treatment. The works of two Masters will be used to highlight this basic concept: Pierre Janet (1859-1947) and Charles Myers (1873-1947). The theory of structural dissociation of the personality integrates their original views on dissociation with modern findings from clinical practice and research and developments in the neurosciences. It emphasizes that the personality system of the trauma survivor becomes structurally divided into two or more self-conscious psychobiological subsystems. Some of these subsystems, which we have called “dissociative parts of the personality”, are engaged in daily living and avoidance of traumatic memories, other parts are fixated in traumatic experiences and essentially engaged in animal defensive actions toward perceived danger. More severe chronic traumatization leads to more complex structural dissociation, and thus to more complex trauma-related disorders. Although short-term, intensive treatments such as prolonged exposure and EMDR are appropriate for simple trauma-related disorders, a phase-oriented treatment is the standard of care formore complex disorders. Regardless of treatment modalities employed, be it EMDR or other approaches, therapists need to be skilled in the recognition of symptoms of dissociation and in special treatment approaches that support personality integration among dissociative parts, particularly in working with traumatic memories.

Keywords: Dissociation Keynote

Accuracy Verified: Yes

105. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.

Keywords: Derealization Depersonalization Dissociation

Accuracy Verified: Yes

106. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.

Language: English

Format: Newsletter

Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.

Keywords: Dissociation

Accuracy Verified: Yes

107. Beere, D. B. (2003, September). The dissociative disorders: Update, current research, and applications of EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop will focus on current advances in the dissociative disorders, emphasizing scientific information supporting the diagnosis, recent advances in assessment, and the most current advances in treatment. The application and appropriateness of EMDR will be emphasized throughout the workshop and the most current applications of EMDR with dissociative disorders presented. Data will be presented that support EMDR-interventions with dissociative disorders.

Keywords: Dissociation Dissociative Disorders

Accuracy Verified: Yes

108. Lanius, U. F. (2004, September). Dissociative processes and EMDR – Staying connected. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
A model is proposed, based on recent research in neuroscience and the neurobiology of dissociation and attachment, that guides therapeutic interventions in general and EMDR treatment in particular. Participants will become familiar with specific interventions intended to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected, once dissociative processes have occurred. That is, a comprehensive therapeutic approach is described to aid clients with dissociative symptoms to stay connected, and in some cases reconnect with their healing process, thereby enhancing the likelihood of efficient information processing during EMDR treatment.

Keywords: Dissociation

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

110. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
In keeping with the theme of bridging gaps across disciplines, the Dissociative Table Technique brings to this trauma conference a strategy from the field of dissociative disorders. This therapeutic adjunct has been used by many therapists over the past 10 years for managing dissociated ego states in trauma victims who also have dissociation as part of their clinical picture. This strategy has been used with dissociative disorders, Ego-State therapy and more recently in conjunction with EMDR for patients having dissociative state alterations in addition to their PTSD. This guided imagery strategy provides a protocol for clinical intervention in such clients and will provide an additional therapeutic adjunct for trauma workers when PTSD is complicated by dissociative pathology. Based on gestalt, guided imagery and hypnosis strategies, the Dissociative Table Technique assists the clinician to bring order to the random dissociation which can complicate therapy in such cases. Also clients can be taught to become aware of and integrate dissociated ego states. This strategy must be carefully considered as it can have a profound effect on the dissociative processes. It is advised that it only be employed by clinicians whose fields permit hypnosis-based therapy.The workshop will commence with a therapeutic rationale for this technique followed by an outline of the clinical application. Included will be a video introducing the technique in a clinical case. The video will be followed by a second speaker discussing possible applications to EMDR. Useful suggestions for utilizing EMDR in this trance-prone population (those with dissociation in addition to PTSD) will be addressed in addition to presenting clinical examples in which the Dissociative Table Technique was integrated with EMDR in appropriate clinical groups.

Keywords: Dissociative Table Technique Dissociation Guided Imagery Poster Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

111. Muret, M. (2010, April). Dissociative vs. associative techniques to treat dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
In the past two decades, various effective techniques have been developed for the treatment of trauma: EMDR, EMI, EFT, OEI, NLP, SE, etc. These different techniques inevitably raise the question: “Which techniques should be used for which patients? “ Because dissociative disordered patients may react to trauma work with dissociative detachment, a "low impact" technique is needed. Thus, therapeutic approaches that employ a certain degree of dissociative distancing seem to be well-suited to dissociative patients. Richard Bandler (NLP) and, more recently, Cary Craig (EFT) have developed calm, nondramatic ways to address trauma and solve problems. EMDR, a more associative method, seems better suited to stable patients who possess good resources. This workshop will present a continuum that locates techniques along a scale of increasing degrees of confrontation. Special attention will be given to EFT (Emotional Freedom Techniques), an easy-to-learn method. Techniques for reinforcing the Somatic Self during EMDR sessions will be explained. The second part of this workshop will present a conceptualization for these techniques, based on the works of Stephen Porges, Ellert Nijenhuis and Mihaly Csikszentmihalyi (Flow Theory).
Learning Outcomes The attendee will learn to consider the danger(retraumatization) of an intervention. According to the kind of patient and situation, he will be better able to choose the best available technique. For newcomers a basic methode of EFT will be taught, that can be later used in simple cases. Through a "participative" teaching the attendee will understand and integrate difficult abstracts concepts like: polyvagal model, structural dissociation, mental tension, ...

Keywords: Associative Techniques Dissociation Dissociative Technqiues

Accuracy Verified: Yes

112. Mosquera, D., & González-Vázquez, A. (2012, March-April). Disturbo borderline di personalità, trauma e EMDR [Borderline personality disorder, trauma and EMDR]. Rivista di Psichiatria, 47(2 Suppl. 1):26S-32S. doi: 10.1708/1071.11736. .

Language: Italian

Format: Journal

Abstract:
Gli autoriesaminano i diversi criteri diagnostici per il disturbo borderline di personalità, leggendoli secondo la prospettiva del modello dell’elaborazione adattiva dell’informazione e indicandoli come guida all’esplorazione e ricerca di ricordi traumatici di natura relazionale, che hanno a che fare con la storia di attaccamento e che possono essere affrontati grazie al lavoro terapeutico con l’EMDR.

The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.

Keywords: Attachment Borderline Personality Disorder Complex PTSD C-PTSD Trauma

Accuracy Verified: Yes

113. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.

Language: English

Format: Magazine

Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: Yes

114. Manfield, P., & Snyker, E. (2002, June). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
One of the beauties of EMDR is that, in most cases, clients can simply begin each set of eye movements by focusing on their associations from the previous set. The therapist simply says, "Go with that." This workshop will identify clients for whom "Go with that" will probably not work, clients who use avoidance or dissociation to defend against painful affect or who associate loosely and cause targets to "pancake." We will use video and transcripts to illustrate a variety of interventions and techniques to handle these more challenging clients and situations.

Keywords: Practice Theory

Accuracy Verified: Yes

115. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Working with traumatized clients can be overwhelming for the therapist, especially when the trauma is complex, involves dissociative symptoms or different personality states, fragmented memories or client affect is intense and poorly regulated. My experience as a supervisor of EMDR practitioners has shown that it is not uncommon for therapists, in an attempt to be helpful to the traumatized clients, to unintentionally use strategies, which are experienced as re-traumatizing or which lead to an increase in their clients’' survival based coping strategies, including the further strengthening of the ANP (Apparently Normal Personal- ~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop highlights different therapeutic challenges, which often arise for therapists when working with trauma and introduce strategies that EMDR practitioners can use in their work with such clients. This workshop embeds the principles of Positive Growth Therapy (PGT - Herbert, 20071, which encompasses combined knowledge from a variety of disciplines, including positive psychology, information-processing theory, neurobiology, somatic psychology, developmental psychology and attachment theory, mindfulness and others. These strategies, designed to nurture growth rather than dysfunction, are linked to specific therapeutic factors relevant to the work with trauma, such as different types of trauma, the nature of dissociation, the therapeutic pathway toward integration. the concept of safety, the importance of resource installation, individual pacing of therapy and the window of tolerance, different types of processing, and the integration of rational and experiential processing systems and others, which will be explored in the course of this workshop This workshop offers opportunities for both, EMDR therapists, who are fairly new to the trauma field and would like to enhance and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop as an opportunity to re-view, further refine or validate their current ways of working. The specific learning objectives for this workshop are: 1. To find out about specific therapeutic factors that is relevant to the work with trauma. 2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity. This workshop is unique in the way in which it transcends specific (and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.

Keywords: Trauma Treatment

Accuracy Verified: Yes

116. Laliotis, D. (2009, March). Dreaming the future: Part 1 & Part 2 - Creating new possibilities with EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
EMDR is often used to help clients access and rewire neural pathways to integrate traumatic memories and relieve dissociation, hyperarousal, and numbing. But it can also help clients move toward a better future by mentally rehearsing aspects of more positive, fulfilling lives. In this workshop, we'll describe how to use EMDR to develop alternative neural pathways freeing clients from the fears and self-doubts that keep them from developing to their fullest potential. We'll review the brain circuitry involved in moving from an internal state of disconnection and helplessness to one of integration and empowerment. Then through lecture, discussion, and videotaped examples, you'll learn guidelines for using EMDR to help clients develop new internal maps, future scenarios, and a clear sense of how to get from their present state to their future self.

Keywords: Practice Theory

Accuracy Verified: Yes

117. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Journal

Abstract:
From my clinical work over the past 4 years a case series of 15 women patients, all detained in a secure hospital for periods of up to 30 years discharged after EMDR therapy. Some cases discussed in depth, others factor analysed as case series. Drug modulation permitted intensive therapy. The factors of complex stress disorder are beeing discussed and its simlarity to borderline personality disorder. The effects of long term instititutionalisation after detention in security. The responsible clinician as ‘‘goaler and therapist’’ as well as therapeutic pitfalls are being explored. The psychopathology of the flashback is contrasted with the psychpathology of the alter (dissociative identity). Prognostic factors and outcomes are being presented. The implications for personality disorder as a diagnosis contrasted with complex PTSD will be evaluated.

Keywords: Borderline Personality Disorder BPD Drug Modulation

Accuracy Verified: Yes

118. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.

Language: English

Format: Book

Abstract:
A new therapy using a saccadic eye-movement desensitisation .EMD procedure has recently been introduced to treat posttraumatic stress disorder, a disorder that has been difficult to treat in the past. This paper reports the treatment of a woman with posttraumatic stress disorderusing the EMD procedure. She was treated with only two sessions of EMDR lasting approximately one hour and a half. The 90 day follow-up showed that the treatment gains were maintained and after a year the positive therapeutic effects were stable. These results show the efficacy and efficiency of EMDR method in the treatment of chronic traumatic memories.
EMDR perspectives reports recent research on the adaptative and maladaptative consequences of the experience of trauma. It is suggested that EMDR generates directions for future research and is helping in the treatment of patients with impaired ego-strength. The procedure fits well in a psychodynamic oriented setting : EMDR through the flow of associations, is developing an awareness,that might help the client to establish a contact with the internal representation.

Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition

Accuracy Verified: Yes

119. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Affect Phobias Phobias Relational Trauma

Accuracy Verified: Yes

120. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Keywords: Poster Social Engagement

Accuracy Verified: Yes

121. Laugharne, J. (2010, July). The effect of EMDR on pathological personality traits: An initial case series. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
There is little published data regarding the effect of Eye Movement Desensitisation and Reprocessing (EMDR) on personality disorders and pathological personality traits. A PTSD clinic has been developed at Fremantle Hospital in Western Australia since May 2009. All patients referred are initially assessed using the MINI–plus for DSM IV axis I diagnoses, the PTSD Checklist, and the SCID 2 for personality traits/disorders. These assessments are carried out again post treatment. All patients accepted for treatment have PTSD according to DSM IV criteria but most have comorbid axis I diagnoses and often marked pathological personality traits or personality disorders. The primary psychological treatment for PTSD offered at the clinic is EMDR. In this presentation, data will be presented regarding an initial series of cases treated for PTSD at the clinic using EMDR with an emphasis on changes in their SCID 2 scores post-treatment and how this relates to changes in PTSD scores. The theoretical and practical implications of the data will be discussed in the context of the existing literature as well as transcultural considerations and future research directions outlined.

Keywords: Personality Traits

Accuracy Verified: Yes

122. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.

Language: English

Format: Dissertation/Thesis

Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.

Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness

Accuracy Verified: Yes

123. Yarosh, D. (2003, September). Effective EMDR for high-functioning clients with intimacy problems (Expanded with new cases). Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Participants will learn to integrate EMDR into the longer-term treatment that is necessary where issues of attachment and relationship are paramount. Trauma treament of these clients involves an understanding of their unique personality characteristics, a comprehensive treatment plan that engages their cooperation, a Motivational Interview to set goals, and a Trauma History to prioritze EMDR targets. Specific techniques that will be demonstrated are the interweaving of Resource Development and Installation into the ongoing treatment, and body-focused interweaves to promote client safety when working with strong abreaction. Special interweaves helping clients integrate the successful parts of their lives into the parts where they are developmentally immature will be illustrated.

Keywords: Attachment Intimacy

Accuracy Verified: Yes

124. Goodwin, D., Banner, L., & Hayward, R. (1995, June). Effects of EMDR in treating erectile dysfunction measured by magnetic resonance imaging. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The experimenters seek to determine whether the reported anxiety-relieving effects of (EMDR) can be effectively applied to patients reporting erectile dysfunction and whether the expected changes in levels of anxiety can be measured as a function of changes in brain function observed through MRI tracings. The MRI is well suited to reflect hypothesized changes in the lowering of sympathetic arousal and the increasing of parasympathetic arousal as a response to EMDR procedures. This investigation, using the MRI brain scanning procedures was followed in stages of (1) establishing criteria for the radiological determination of characteristics of brain function measured with the MRI that descriminate between levels of experimentally induced anxiety and (2) conducting an experimental investigation of the application of EMDR while patients are undergoing the MRI scanning protocol. Psychological measures include the Personality Assessment Inventory(PAI) to screen for psychotherapy of subjects, the Impact of Events Scale(IOE), and the State-Trait Anxiety Inventory(STAI). Correlations between these scales and ratings of physiological changes are reported.

Keywords: Erectile Dysfunction MRI Scanning Protocol Symposium

Accuracy Verified: Yes

125. Paulsen, S. L. (1993, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociation Ego State Disorders

Accuracy Verified: Yes

126. Paulsen, S. L. (1994, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Conceptual Framework. In Ego State Disorders, moderate levels of dissociation are present for the purpose of isolating overwhelming affect or untenable conflict from conscious awareness. There are parts of the self'which are experienced by the host, -upon discovery, and who experience themselves, as separate. These parts,however, do no have the ability to take complete executive control of the body, or are not as complex and elaborated as in Multiple Personality Disorder, which is called Dissociative Identity Disorder in DSM-N. The closest diagnosis for describing Ego State Disorders in DSA4lV is DDNOS, or Dissociative Disorder Not Otherwise Specified, a miscellaneous category.

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

127. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .

Language: German

Format: Journal

Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren. In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen. Epidemiologie Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit. Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein. Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.

Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose. In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma. Epidemiology According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times. The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance. Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

128. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.

Language: Spanish

Format: Journal

Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.

This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.

Keywords: Neurophysiology

Accuracy Verified: Yes

129. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
"The Body Keeps the Score" (B. v.d. Kolk, 1996) Clients who suffer from traumatic stress are often afraid about disturbing and painful somatic symptoms. Structural dissociation alienates from body reactions. Nevertheless it is the body that "holds" the discomfort and painful memory of neglect and violence. Trauma Survivors tend to perceive their body as hostile. They suffer from Alexithymia deficiency of interpreting the meaning of body reactions and muscle activation. Trauma Survivors are easily irritated and tend to react with rage on very slight provocations and freeze when they are frustrated. Even minor problems cause fear and helplessness. The Polyvagal Theory (S. Porges 2010) proves the neurological aspect of behavioral patterns. Neurozeption describes how we perceive others in a neurological way. Certain behavioral patterns are established through life experiences. This research underlines Francine Shapiros AIP model and confirms the importance of a body orientated approach. We know that experiencing the effect of eye movement -‐ and other bilateral stimulation, is a gentle and powerful way to bring the voice of the body into the therapeutic space. EMDR helps to integrate cognitive, emotional and body sensations. Using movement and body orientated skills in difficult processes f.e. with severely and/or early traumatised clients, even enhances the effect of EMDR. Content of the Workshop: Short theoretical implications: Polyvagal Theory and AIP Model. Stabilisation and Movement -‐ creating a „Moving Container“: How to create a safe place of relationship and attachment between the client and the therapist by using movement and bodywork? The body is the most powerful resource: How to use movement to access this power. How to recognize and dissolve dissociation by body and movement awareness. EMDR Process and Movement : How to widen the „window of tolerance“ by using movement and deeper levels of body consciousness. Adding a fourth level of attention to the EMDR process: cognition -‐ emotion -‐ body scan -‐ movement. Movement and reflex feedback as interweave technique in difficult processes. Methods used in the Workshop: Lecture and Video Presentation. Practical demonstration of some movement orientated techniques. Discussion.

“El cuerpo lleva la cuenta” (B. v.d. Kolk, 1996), los clientes que sufren de estrés traumático tienen a menudo miedo sobre sus síntomas somáticos preocupantes y dolorosos. La disociación estructural aliena las reacciones del cuerpo, sin embargo es el cuerpo el que “mantiene” el disconfort y el recuerdo doloroso de negligencia y violencia. Los supervivientes a un trauma suelen tender a percibir su propio cuerpo como hostil. Sufren de Alexitimia, deficiencias para interpretar las señales corporales y la activación muscular. Son fácilmente irritables y tienden a reaccionar con ira, con leves provocaciones y se “congelan” cuando están frustrados. Incluso problemas de fuerza menor causan miedo y desesperanza. La teoría polivagal (S. Porges 2010) prueba el aspecto neurológico de los patrones de comportamiento. La neurocepción describe cómo percibimos a los otros desde un punto de vista neurológico. Ciertos patrones de comportamiento están establecidos a través de las experiencias vitales. Esta investigación se basa en el modelo SPIA de Francine Shapiro y confirma la importancia del enfoque orientado al cuerpo. Sabemos que al experimentar el efecto de la estimulación ocular, y otras estimulaciones bilaterales, es un camino poderoso y suave para traer la voz del cuerpo dentro del espacio terapéutico. EMDR facilita la integración cognitiva emocional y corporal. Usar el movimiento y las habilidades orientadas al cuerpo en los procesos difíciles con clientes traumatizados, severamente o tempranamente, incluso amplifica el efecto terapéutico del EMDR Contenido del taller: Implicaciones teóricas: Teoría Polivagal y modelo SPIA Estabilización y movimiento – Crear un “recipiente de movimiento” Cómo crear un lugar seguro en relación al apego entre el cliente y el terapeuta usando movimiento y trabajo corporal. El cuerpo es el recurso más poderoso: Cómo usar el movimiento para acceder a este poder. Cómo reconocer y disolver la disociación en el cuerpo y la atención al movimiento. Procesamiento EMDR y movimiento: Cómo ampliar la "ventana de tolerancia" mediante el uso de movimientos y niveles más profundos de la conciencia del cuerpo. Añadir un 4 nivel de atención al procesamiento de EMDR: Cognición-‐Emoción-‐ Escáner corporal-‐movimiento.

Keywords: Body Oriented Therapeutic Interweaves

Accuracy Verified: Yes

130. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.

Language: Danish

Format: Dissertation/Thesis

Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet af flere internationalt anerkendte forskere. Derudover en betydelig stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv måde at behandle PTSD. I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske fejl og mangler i metoder til forskning og objektivitet. Som EMDR synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet, to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet, som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer, der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR, vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen rundes af med en bred debat og en efterfølgende konklusion. Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks negative og invaderende tanker og derfor EMDR kan anbefales som en mulig valg af behandling, og bekvemt som et supplement. At den teoretiske fundament af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.

This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The Cure of PTSD. Worldwide several national health organizations recommend EMDR as the treatment for clients suffering from PTSD, and this recommendation is supported by several internationally recognized academics. Additionally a considerable large number of researches have been published, showing that EMDR is an effective way of treating PTSD. At first, the preliminary question should be easy to answer, had it not been due to the cutting contrast found in several other published researches and articles claiming that EMDR is not effective and is next to being a fraud. This criticism indicates academic errors and deficiencies in methods of research and objectiveness. As EMDR seems to divide the academic societies into “who´s for and who´s against”, the preliminary question is not answerable at first. In approaching an answer to the question, two theoretical parts will be represented. In the first main part, the diagnosis of PTSD will be taken through. The diagnosis is rather new and contains a complexity, which is necessary to uncover, before presenting the theoretical foundation of EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD has replaced the concept of crisis in practice, whereas former separated diagnoses are included in PTSD today. As an example it has led to, mentally stable persons, who have been traumatized, are diagnosed with the same diagnosis as traumatized persons suffering from severe personality disorders. For example this constellation makes it difficult to research the efficiency of the therapies, as the same therapies can result differently according to which group of persons in question. Having taken the diagnosis of PTSD through, the second theoretical main part which is on EMDR, will be presented. At first, in this part, the theoretical foundation of EMDR will be presented to obtain a better perspective of the following criticism. The dissertation closes with a broad discussion and a subsequent conclusion. Among others, the dissertation concludes that EMDR works effectively on isolated symptoms of PTSD to quite some length. EMDR works effectively on flashbacks, negative and invading thoughts and therefore EMDR is recommendable as a possible choice of therapy, conveniently as a supplement. That the theoretical foundation of the effectiveness of EMDR should not be only a variant of cognitive exposure therapy is, however, very frail and lacks an independent evidence-based research.

Keywords: Literature Review

Accuracy Verified: Yes

131. Roques, J. (2008, Mai). EMDR - Une révolution et un changement de paradigme thérapeutiques [EMDR – A therapeutic revolution and paradigm shift]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
La présentation comporte trois volets. Le premier volet présente le fondement neurologique de l’EMDR qui est centré sur les réseaux neuronaux de la mémoire - ce qui permet une compréhension nouvelle des phénomènes dissociatifs et qui fait ressortir le potentiel du traitement en EMDR. Le deuxième volet aborde les applications de ce cadre théorique à l’ensemble des manifestations pathologiques : traumatismes simples et complexes, intoxications psychiques, épisodes psychotiques brefs et même certains cas de début de schizophrénie. Le troisième volet démontre à quel point l’EMDR bouleverse notre compréhension de la pathologie et de son traitement et de ce fait, constitue un véritable changement de paradigme thérapeutique. Cette compréhension nouvelle des phénomènes neuropsychologiques sous-jacents, telle que soulevée par l’EMDR, permet de distinguer ce qui est utile de ce qui ne l’est pas dans la plupart des psychothérapies.

This opening workshop will focus on three axes : 1) The neurological basis of EMDR that focuses on the memory’s neural networks – which in turn allow a fresh understanding of dissociative phenomena and shows the potential of EMDR treatment. 2) The application of this theoretical understanding to the various expressions of psychopathology: simple versus complex PTSD – psychic poisoning – brief psychotic episodes- even certain cases of early schizophrenia. 3) As a conclusion, how EMDR shook up our understanding of pathology and its treatment, and how it provided the impetus toward a genuine paradigm shift. This new understanding of the underlying psychoneurologic phenomena brought on by EMDR helps us to determine what may be useful or not in the various psychotherapies.

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

Accuracy Verified: Yes

132. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.

Language: English

Format: Conference

Abstract:
EMDR directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This orientation to both case conceptualization and treatment will be explored to address diverse clinical applications, including attachment issues, body image, chronic pain, substance abuse, sexual dysfunction, personality disorders, and other presenting complaints. The Integration of EMDR with family therapy practices will also be discussed.

Keywords: Adaptive Information Processing

Accuracy Verified: Yes

133. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.

Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium

Accuracy Verified: Yes

134. Darker-Smith, S. (2011, October). EMDR and borderline personality disorder and use of B2T protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
The adaptation of the order of the EMDR 8-phase standard protocol to target specific abandonment issues first and primarily limits the therapy interfering behaviours which lengthens overall therapeutic intervention duration and acts as a road-block (Leahy etc.) to therapy. Specifically, using a blind-to-therapist protocol for this client group once fears of abandonment (often acted out in the therapeutic dynamic) is addressed, then the risk of empathy-enhancing exaggerations is reduced. (Author abstract)

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

135. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.

Language: English

Format: Conference

Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult. “By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308). Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR? Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering? Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why? This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings. The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.

Keywords: Complex Trauma

Accuracy Verified: Yes

136. Hofmann, A. (2001, May). EMDR and dissociation. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders usually are a complex traumatised population that has an increased risk of complications during their treatment course. In treating these patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to include a number of other treatment modalities and an overall comprehensive treatment plan. The objective of this presentation is to give an overview of the opportunities that EMDR offers and to reduce risks in the course of treatment.

Keywords: Dissociation

Accuracy Verified: Yes

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

Language: English

Format: Book

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

Keywords: Dissociation

Accuracy Verified: Yes

138. Ostacoli, L. & Bertino, G. (2010, June). EMDR and drawing: A tool to integrate post-traumatic dissociation and overwhelming emotions. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The difficulty of the management of overwhelming emotions aid dissociative reactions are challenging for any EMUR therapist dealing with complex traumas. As a complement to the strategies already used in EMDR, drawing gives form to The inner representations of the trauma, objectivizing it Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of Impotence and passivity The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us t0 access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pan by objectivizing . A protective space is created between the self and the part that holds the suffering. p i n g a voice to the inner child. The patient is offered the possibility of drawing what is occurring in the self's here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented Image is treated as the inner image in the classic protocol. To start, the patent is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerge5 that may be installed as a resource. The report presents the use of the tool in various psychopathological conditions, with the support of video and graphic materials, particularly focusing on how to manage dissociation. Learning objectives: 1.To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases. 2. To recognise the indications in which it provides added value to the classical protocol. 3. to learn its use in various psychopathological conditions, with particular emphasis on dissociative states. The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitizing and re-elaboration with the standard protocol.

Keywords: Dissociation Drawing Emotion

Accuracy Verified: Yes

139. Paulsen Inobe, S. L. (2003, April). EMDR and ego state therapy across the dissociative continuum. Invited faculty at the first World Congress of Ego State Therapy in Bad Orb, Germany.

Language: English

Format: Other

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

140. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with more difficult clients so they too can benefit from EMDR. It is also helpful to know how to deal with blocked processing due to the interference of an ego-state. This workshop provides an overview of dissociation and a review of models to explain it. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical case material is used to illustrate learning points. Through demonstration and practice participants will learn how to access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see a video of a live case where EST is used effectively to moderate the malevolence displayed by two difficult ego states. Learning objectives  Understand the forms of dissociation  Understand the concept of ego state therapy.  Learn how to access ego states in a controlled way and effect therapeutic change.  Learn techniques to deal with difficult ego states.

Keywords: Dissociation Ego State Therapy Trauma

Accuracy Verified: Yes

141. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

142. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.

Keywords: Complex Trauma Dissociation Ego State Therapy

Accuracy Verified: Yes

143. Bergmann, U. (2000, September). EMDR and ego state therapy: Treating the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn the applications of the Ego State concepts and techniques to all phases of the EMDR process in order to facilitate the treatment of clients with personality disorders; 2) learn how to developmentally assess, identify, map, and access ego states of personality disordered clients and how to promote their ego state participation in EMDR sessions; and 3) understand how treatment of personality disorder is usually longer-term EMDR, interweaving the activation of fear-based, aggressivized infantile ego states necessary to deepen and accelerate processing and desensitization.

Keywords: Ego State Therapy Personality Disorders

Accuracy Verified: Yes

144. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.

Language: English

Format: Other

Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD. Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice. Goals 1. Participants will gain understanding of neuroscience’s trauma paradigm · Biological nature of trauma · Specific trauma symptoms and their order of appearance · Primary treatment issues in trauma therapy. 2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including: · Hyperarousal · Affect dysregulation · Dissociation · Body memories and “flashbacks” 3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material. Objectives 1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms. 2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”. 3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR 4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy. 5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol. 6. Participants will describe the differences between eye movement, auditory and tactile stimulation. 7. Describe the process for resourcing a client prior to actual processing traumatic material. 8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.

Keywords: Practice Theory

Accuracy Verified: No

145. Robredo, J. (2011, June). EMDR and gender violence. Brief and intensive treatment for children exposed to gender violence. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The Instituto de Psicotrauma de Alicante and the Social Services of San Juan use, since 2008, a brief intervention protocol for minors exposed to gender violence. This protocol is based on the therapeutic paradigm of EMDR©. First results on a sample of 28 children from 4 to 12 years old were the disappearance of posttraumatic stress disorder and depression, the remission of concomitant behavior disorders (disobedience, aggression), and the improvement of the affective link with their mother. In our last study, the sample was bigger and the treatment protocol evolved to be an intensive one, lasting three weeks. Learning objectives: This workshop’s aim is to show such protocol and our last study. We will present to the participants: 1.Characteristics of gender violence in mothers and symptoms in their children. 2.Relevance of the EMDR paradigm and the Structural Dissociation of Personality Theory by Onno van der Hart. 3.Assessment instruments. 4.Evidences of the structural dissociation in the children. 5.Treatment protocol. 6.Handling of sessions with mother and child. 7.Work with the dysfunctional beliefs of mothers. 8.Techniques to work with the cognitive interweaves of the child. 9.Techniques to identify and work the dissociation in the child. 10.Data and conclusions of the study

Keywords: Children Gender Violence

Accuracy Verified: Yes

146. Standart, S., & Wood, C. (2011, October). EMDR and mindfullness. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
A presentation of on a case series of complex Type II PTSD for early childhood and adult trauma with scores of 50+ on the Dissociative Experiences Scale (DES) and using a phased approach to EMDR with mindfulness practice prior to EMDR. Descriptions of mindfulness practice and EMDR protocol use with outcome measure on the DES, Impact of Events Scale score (IES-R) and a depression Inventory will be presented Global outcomes such as occupational and social functioning will also be described for these clients. Working with clients with complex trauma and marked dissociation and how to develop a timely phased protocol for these difficult to engage clients. (Author abstract)

Keywords: Mindfulness

Accuracy Verified: Yes

147. Fenstermaker, D. (1991, August). EMDR and MPD. EMDR Network Newsletter, 1(1), 3.

Language: English

Format: Newsletter

Abstract:
This abstract is one portion of a panel on Eye Movement Desensitization and Reprocessing. It was given on Saturday, February 23, 1991, for the California Psychological Association Conference in San Diego. This paper details a protocol of Eye Movement Desensitization and Reprocessing(EMDR) in the treatment of Dissociative Disorders.

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: Yes

148. Fensterheim, H. (1997, December). EMDR and personality disorders. EMDRIA Newsletter, 2(6), 4-5.

Language: English

Format: Newsletter

Abstract:
There is some tendency in psychotherapy to suggest that the treatments for Axis I disorders and Axis II disorders should be based on different concepts. Millon (1988), for example, argues that the behavioral approaches are appropriate for the Axis I disorders but that an integrated approach is indicated for those that fall within Axis II. It is wroth considering that different EMDR protocols and methods may be required for these different conditions.

Keywords: Personality Disorders

Accuracy Verified: Yes

149. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.

Keywords: Personality Disorders

Accuracy Verified: Yes

150. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience and the present through play to help them connect the pieces of experience into a narrative that is understandable for them. Every piece of trauma in the past is integrated into their life and may adversely influence their personality formation. Trauma work with children through play and EMDR techniques can be helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years old boy with learning disability. He was separated from his family and stayed at the residential home. He had his past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods. Because of his limitation, he preferred to communicate his emotions through action and play rather than verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied corresponding with the event in play, for example checking through the worst event, the negative event, the positive event, the strength, the changes taking place in their mind and the play. Most of his play started with the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were monitored at the residential home and at the school. It was found later that he could control his anger better and he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours, affects, and communication.

Keywords: Children Play Therapy

Accuracy Verified: Yes

151. Solomon, R., Hofman, A., Seidler, G., & Tiedt-Schutte, M. (2005, June). EMDR and recent event trauma: The tsunami disaster. In “EMDR in action,” Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
EMDR can be utilized shortly after a traumatic event as described by the protocol from Shapiro and Solomon (1992 and 1995). Even if there is no controlled study finalized, there is sufficient experience with the protocol to guide further research. Experiences from research studies and clinical experiences on EMDR and acute trauma will be presented. Discussion will focus on issues of client selection, client readiness for EMDR. and timing of EMDR. The EMDR recent event protocol and experimental protocols for extreme dissociation following a traumatic event will be presented. A European network for developing more research regarding the diversity of acute trauma reactions are proposed.

Keywords: Recent Event Trauma Symposium Tsunami

Accuracy Verified: Yes

152. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation, treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific EMDR targets, facilitating the enhancement of EMDR processing. Learning Objectives: • Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of clients. • Participants will be able to discuss and describe how to developmentally assess, identify, map and access client roles and how to treat roles with traditional EMDR protocols. • Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of clients’ issues and resolution of symptoms.

Keywords: Role Therapy

Accuracy Verified: Yes

153. Fine, C. G. (1994, March). EMDR and structured therapy for MPD. Presentation at the EMDR Network Conference, Sunnyale, CA.

Language: English

Format: Conference

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: Yes

154. Gelinas, D. J. (2011, August). EMDR and the phobias of structural dissociation in treating complex traumatization. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Managing dissociative interference when treating individuals with early repetitive traumatization requires recognition, then direct intervention. The “phobias of structural dissociation” are especially helpful in recognizing the less readily apparent dissociative interferences. These refer to the individual’s fear and avoidance of their own internal experiencing, (e.g., thoughts, parts, memories) rather than the traditional fear of external objects or processes. They can be responsible for failures to establish the therapy or Safe Place, refusal of EMDR, looping, “stuck” NCs, etc. This presentation describes the phobias (with clinical illustrations), recognition markers, and a stepped hierarchy of EMDR interventions to manage dissociative interferences.

Keywords: Complex Trauma Phobias Structual Dissociation

Accuracy Verified: Yes

155. Rose-Langston, J. (2013, May). EMDR and the treatment of adolescents: A study in 3 acts. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.

Language: English

Format: Conference

Abstract:
This workshop will present the use of EMDR with adolescents through case presentations with 3 different outcomes: one a success, one a failure, and one undetermined. History taking methods, preparation tools, assessment for readiness, and cognitive interweaves during memory processing will be discussed.

Keywords: Adolescents Dissociation

Accuracy Verified: Yes

156. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Adults Childhood Sexual Abuse Keynote Neglect Survivors

Accuracy Verified: Yes

157. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .

Language: English

Format: Conference

Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.

Keywords: Partners of Survivors

Accuracy Verified: Yes

158. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic, agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive disorders. The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style, reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed because they offer excellent support for EMDR and for particular forms of its application. The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder. The discussion will focus on important information in the history taking and personal contact with the client as well as the potential targets for EMDR work with the various anxiety disorders. In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use of supplementals. Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in particular, therapist factors that can improve effectiveness.

Keywords: Anxiety Disorders

Accuracy Verified: Yes

159. Rougemont-Bucking, A. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
Background: EMDR has been recognized to be an efficacious treatment of Posttraumatic Stress Disorder (PTSD). Other, more recent indications comprise anxiety disorders and substance use disorders (SUD). With regard to SUD, the application of EMDR iS very challenging as patients frequently suffer from many comorbidities. Another concern is the fact that the dissociative experiencing during EMDR-sessions can potentially weaken the patients' coping strategies and provoke relapse through activation of intense drug craving. General procedure. Sessions were proposed once a week. Specific techniques like 'Safe Place', the technique of absorption, heart coherence training and ClPOS were applied prior to proposition of the standard EMDR-protocol. Drug consumption and craving was regularly monitored by means of the patents' self-reports and drug craving scores. The therapist was regularly supervised on the basis of video recordings. Patient 1: A 49 year old man being diagnosed for PTSD and dependency of opiates and benzodiazepines asked to benefit form EMDR with regard to his PTSD symptoms. Patient was abstinent from heroine consumption but consumed midazolam 3 times per week when entering the therapy. Initial evaluation showed an Impact of Event Scale (IES) score of 60, a Dissociative Experiences Scale (DES) score of 39.6 and a midazolam craving score of 14. Patient 2 :A 37 old man was diagnosed for borderline personality disorder and for dependency of opiates. Heroine consumption occurred 1 to 3 times per month when starting the therapy EMDR based therapy was proposed as he complained about pertinacious insomnia due to trauma-like events during his childhood. Initial evaluation showed a DES score of 7.8 and a heroine craving score of 17. Global impression: EMDR based treatment of severely affected SUD patients appears to be a difficult and challenging endeavor However, some beneficial effects on general comfort and on drug consumption can be observed. A long stabilisation phase seems to be mandatory and the standard EMDR protocol needs to be conducted with much flexibility as patients were not able to handle intensive emotional stress for a long time period. There was no provocation of a prolonged psychological crisis or of relapse. Experiencing of emotional stress could be limited to the sessions and dissociation could be absorbed with specific techniques without increasing permanently drug craving. Learning objectives: 1. EMDR-based treatment is feasible in severely affected drug abusers 2. Extensive stabilisation of the patient using flexible adaptation of EMDR-related techniques is mandatory 3. Dissociation occurring during treatment has to be addressed carefully as it can easily bridge into drug craving and relapse What is unique: EMDR-based treatment may be a suitable way to treat patients who are still abusing drugs as these interventions focus on maladaptive associations that arise from both trauma and substance related cues.

Keywords: Drug Abusers Heroine Psychotraumatic Antecedents

Accuracy Verified: Yes

160. Hofmann, A. (2008, September). EMDR bei dissoziativen störungen [EMDR and dissociative disorders]. Presentation at Pre-Congress on EMDR auf dem European Congress of Hypnosis, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer bedingter Störungen sind auch neuere erfolgreiche Zugänge zur Behandlung dieser Störungen entwickelt worden. Einer dieser neuen Ansätze ist die von Dr. Francine Shapiro in Palo Alto (Kalifornien) entwickelte und mittlerweile international anerkannte EMDR-Methode.
Diese in ihrer Effektivität gut belegte Behandlungsmethode verwendet einen acht Phasen umfassenden Behandlungsansatz und kann in vielen Psychotherapien auch bei schwer dissoziativen PatientInnen wichtigen Beitrag zur Verarbeitung belastender Erinnerungen leisten.
Dies gilt auch für PatientInnen, die unter schwersten dissoziativen Störungen wie einer multiplen Persönlichkeitsstörung leiden. Die oft langwierige Behandlung dieser PatienInnen ist durch Methodenintegration und kann durch den Einsatz der EMDR-Methode sehr profitieren. Der diagnostische und behandlungstechnisch integrative EMDR-Ansatz bei diesen PatientInnen wird in seinen Forschungsergebnissen und klinischen Anwendungen im Einzelnen diskutiert werden.

Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action. With the growing research in the field of psycho-traumatic disorders induced newer successful approaches to the treatment of these disorders have been developed. One of these new approaches is that of Dr. Francine Shapiro in Palo Alto (Calif.) has developed and now internationally recognized EMDR method.
This well-documented in effectiveness treatment method uses a eight phases comprehensive approach to treatment and can afford in many psychotherapies in severely dissociative patients also important contribution to the processing of stressful memories.
This also applies to patients suffering from severe dissociative disorders, such as a multiple personality disorder. The often lengthy treatment of this PatienInnen is through integration of methods and can benefit by using the EMDR method very much. The diagnostic and treatment technique EMDR integrative approach in these patients will be discussed in its research and clinical applications in detail.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

161. Woller, W. (2002, Mai). EMDR bei persönlichkeits-störungen [EMDR for personality disorders]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.

Language: German

Format: Conference

Keywords: Personality Disorders

Accuracy Verified: Yes

162. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie. In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige (hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt. Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c. te integreren

When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation . In this lecture primarily an approach is presented that the therapist and patient can come to such a (Hierarchical) organization of the traumatic events that a phased and orderly treatment possible. Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

163. Hofmann, A. (2006, November). EMDR bij de behandeling van complexe PTSS patiënten [EMDR in the treatment of complex PTSD patients]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: English

Format: Conference

Abstract:
Patiënten met complexe PTSS en dissociatieve symptomen zijn een uitdagende patiëntenpopulatie. Concepten zoals de stoornis van extreme stress (Herman et al..) En het geheugen van het onderzoek naar netwerken en vooral structurele dissociatie (Nijenhuis et al..) Helpt om dit te begrijpen patiënten beter. Bij de behandeling van deze patiënten EMDR kan een van de belangrijkste benaderingen in de behandeling een therapie instelling die gewoonlijk moet ook bijvoegen andere modaliteiten naast de EMDR EMDR standaardprotocol. Nieuwe ontwikkelingen in EMDR en een decission helpen wanneer ze toe te passen kan pacing de therapie van deze patiënten te helpen en maakt het succesvol.

Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) help to understand these patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD

Accuracy Verified: Yes

164. Meijer, S., & ten Broeke, E. (2009). EMDR bij de behandeling van persoonlijkheidsstoornissen [EMDR in the treatment of personality disorders]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 287-377). Amsterdam: Pearson.

Language: Dutch

Format: Book Section

Keywords: Personality Disorders

Accuracy Verified: Yes

165. Beer, R., & de Roos,C. (2009). EMDR bij kinderen en adolescencenten - Een nieuw perspectief [EMDR in the treatment of personality disorders - A new perspective]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 379-407). Amsterdam: Pearson.

Language: Dutch

Format: Book Section

Keywords: Personality Disorders

Accuracy Verified: Yes

166. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Deze lezing gaat over het implementeren van EMDR in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep: • Meervoudige persoonlijkheidsstoornissen • Meervoudig ernstig getraumatiseerd • Verslavingsproblematiek • Specifieke psychiatrische problematiek • Forensische problematiek • Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren. Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.

This lecture is about the implementation of EMDR In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target: • Multiple personality disorder • Multiple severely traumatized • Addiction Problems • Specific psychiatric problems • Forensic issues • Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors. Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.

Keywords: TBS System of Treatment

Accuracy Verified: Yes

167. Staff. (2001). EMDR bij persoonlijkheidspathologie [EMDR with personality pathology]. Psychopraxis, 3(4), 151. doi:10.1007/BF03071947.

Language: Dutch

Format: Journal

Abstract:
Eind jaren tachtig werd Eye Movement Desensitization and Reprocessing (emdr) door de Amerikaanse psychologe Francine Shapiro geïntroduceerd als een veelbelovende, kortdurende methode voor de behandeling van psychotrauma. Bij deze methode wordt de cliënt gevraagd een zeer negatief geladen herinnering voor de geest te halen, waarna een afleidende stimulus wordt aangeboden. Al gauw kwam een stroom van onderzoek op gang naar de effectiviteit van deze opmerkelijke methode.

Late eighties Eye Movement Desensitization and Reprocessing (EMDR) by the American psychologist Francine Shapiro introduced as a promising, short-term method for treating psychotrauma. In this method, the client asked for a highly negatively charged memories to recall, after a distracting stimulus is presented. Soon came a stream of research going into the effectiveness of this remarkable method.

Keywords: Personality Disorders

Accuracy Verified: Yes

168. ten Broeke, E. (2005, November). EMDR bij zelfbeeldbeschadigingen [EMDR and negative self-image]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
(Een) negatief zelfbeeld is geen aparte DSM-IV classificatie. Niettemin zal er weinig discussie bestaan ten aanzien van de veronderstelling dat (een) negatief zelfbeeld een wezenlijke rol speelt bij veel psychopathologie. Voorbeelden zijn: depressie, PTSS, complexe PTSS, eetstoornissen, sociale angst, persoonlijkheidspathologie. In deze voordracht zal worden besproken hoe EMDR een rol kan spelen bij het 'repareren' van een beschadigd zelfbeeld. Hiertoe wordt geschetst hoe een negatief zelfbeeld kan worden geconceptualiseerd, hoe dit past in het EMDR-model (men spreekt momenteel van 'rechtsom') en op welke wijze EMDR concreet kan worden ingezet bij zelfbeeld-reparatie. Tot slot komen eventuele complicaties en oplossingen aan bod, alsmede voorzorgsmaatregelen om deze complicaties te voorkomen. Dit alles wordt geïllustreerd aan de hand van één of meer specifieke stoornissen. Er wordt naar gestreefd dat (enige) tijd overblijft voor vragen en korte (eigen) casuïstiek.

(A) negative self-image is not a separate DSM-IV classification. Nevertheless, there is little discussion regarding the assumption that (a) negative self-image an essential role in psychopathology. Examples include: depression, PTSD, complex PTSD, eating disorders, social anxiety, personality pathology. In this lecture will discuss how EMDR can play a role in the "repair" a damaged self-image. End outlines how self-esteem can be conceptualized, how it fits into the EMDR model (one speaks now of 'right') and how EMDR can actually be used for self-repair. Lastly, complications and solutions to bid and precautions to prevent complications. All this is illustrated by one or more specific disorders. It aims to (some) time for questions and short (own) casuistry.

Keywords: Self-Esteem

Accuracy Verified: Yes

169. Hagen, H., & Baas, J. (2008, Maart). EMDR binnen de schematherapie voor persoonlijkheidsproblematiek van young enkele overwegingen [Schema therapy EMDR within the personality issues of young a few thoughts]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
De laatste jaren is er veel vooruitgang geboekt in de behandeling van persoonlijkheidstoornissen van met name de borderline persoonlijkheidsstoornis (BPS) met Cognitieve Gedrags Therapie (CGT). Vooral de Schematherapie van Jeffrey Young gooit hoge ogen. Bij een hoog percentage van mensen met persoonlijkheidstoornissen en met name weer bij BPS is er sprake van traumatische gebeurtenissen in de voorgeschiedenis. EMDR gooit hoge ogen in de behandeling van de gevolgen van trauma’s. Een goede vraag is dan ook wat de plaats is van EMDR binnen de Schematherapie. Op deze vraag zullen wij ingaan tijdens onze presentatie. Eerst presenteren we een simpel model hoe je naar persoonlijkheidstoornissen kunt kijken en uit welke componenten een behandeling meestal zal bestaan. Vervolgens kijken we wat EMDR te bieden heeft binnen de verschillende componenten. Bij onze presentatie zullen we steeds praktische voorbeelden geven van succes en falen van EMDR binnen Schematherapie en bezien wat we daar uit kunnen leren. De lezing is niet geschikt voor beginners. Kennis van Schema Focused Therapy wordt aanbevolen.

In recent years there has been much progress in the treatment of personality disorders, especially borderline personality disorder (BPD) and Cognitive Behavioral Therapy (CBT). Especially the Schema Therapy Jeffrey Young gets top marks. In a high percentage of people with personality disorders and BPD in particular, again there is a history of traumatic events. EMDR gets top marks in the treatment of the effects of trauma. A good question is what the site is within the Schema Therapy EMDR. On this question we will discuss during our presentation. First we present a simple model of how personality disorders can look at and which components of treatment will usually exist. Then we see what EMDR has to offer within the various components. In our presentation we will always offer practical examples of success and failure of Schema Therapy EMDR inside and see what we can learn from. The lecture is not suitable for beginners. Schema Focused Therapy knowledge is recommended.

Keywords: Personality Disorder Schema Therapy

Accuracy Verified: Yes

170. Leeds, A. (2011, August). EMDR Case Conceptualization and Treatment Planning: How AIP leads to divergent strategies in different cases. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Many clinicians seek guidance with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the AIP Model with adult attachment classification. Case examples illustrate clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation proposes a symptom informed approach for cases with an Axis I focus – PTSD, depression, specific phobias and panic – from parallel models of de Jongh (2010), Korn (2004) and Leeds (2004, 2009). Criteria from Korn (2004, 2009), Leeds (2009) and Hofmann (2004, 2005) indicate when to consider containing and deferring reprocessing early life experiences in complex cases – personality disorders and complex PTSD.

Keywords: Adult Attachment

Accuracy Verified: Yes

171. Congresso EMDR de Estambul. (2006, Junio). EMDR con pacientes borderline, ¿Mision Imposible? [EMDR with borderline patients: Mission impossible?]. Presentación en la Asociación EMDR España, Madrid.

Language: Spanish

Format: Conference

Abstract:
No abstract available.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

172. EMDR Dissociation Task Force. (1994). EMDR Dissociation Task Force position paper. EMDR Institute, Pacific Grove, CA.

Language: English

Format: Publication

Abstract:
Ths paper will offer general guidelines in the application of EMDR with the dissociative disorders, with paramount concern for client day. The intended audience is the established clinician who is new to the diagnosis and treatment of dissociative disorders. The paper is not intended to define standards of care or specific training requirements or cenfication guidelines. Further, it is not intended to supercede expert clinical judgment, or training in dissociative disorders or hypnosis.

Keywords: Dissociation Position Paper Task Force

Accuracy Verified: Yes

173. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.

Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.

Keywords: Family Therapy Fibromyalgia

Accuracy Verified: Yes

174. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .

Language: Spanish

Format: Journal

Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.

The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.

Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma

Accuracy Verified: Yes

175. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut. Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.

During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist. Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

176. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd. De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek. De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo. Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.

This presentation will be presented a conceptual model for Finding the key traumatic experiences (targets) that form the basis of the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment. The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues. The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination. This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.

Keywords: Schema Focused Therapy

Accuracy Verified: Yes

177. Mosquera, D. (2010, Junio). EMDR en trastornos de la personalidad [EMDR in personality disorders]. Presentation at the VIII Congreso Nacional de Trastornos de la Personalidad, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:

Keywords: Personality Disorders

Accuracy Verified: Yes

178. Vazquez, A. G. (2007, Novembro). EMDR en trastornos disociativos [EMDR in dissociative disorders]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: English

Format: Conference

Abstract:
Objetivos de aprendizaje: • Ofrecer una perspectiva de cómo enlazar el tratamiento de trastornos disociativos y EMDR. La disociación es un fenómeno clínico estrechamente ligado al trauma. Todos los que trabajamos con EMDR nos encontramos necesariamente con ella. Sin embargo es frecuente que los conocimientos en el área del tratamiento de la disociación sean limitados en muchos países. Muchas veces la información que se nos transmite al respecto es que “es preciso tener mucho cuidado cuando empleamos EMDR en pacientes disociativos”. Si bien esto es muy cierto, también lo es que teniendo claro el esquema de tratamiento en la disociación grave, EMDR puede utilizarse de forma eficaz y segura en estos pacientes, y resulta enormemente útil en el proceso terapéutico, acortando enormemente los tiempos de terapia. • Acercar a los asistentes a estos tratamientos de una forma eminentemente práctica, predominando en la exposición la presentación de casos clínicos, fundamentalmente en formato de video, sobre el desarrollo teórico, aunque se intentará engarzar ambos aspectos de un modo coherente y comprensible. • Crear un espacio de discusión en el que los participantes puedan aportar sus experiencias clínicas y compartir perspectivas. (Este trabajo también será presentado en forma de video. Vea el horario de la Sala 4).

Learning Objectives: • Provide an overview of how to bind the treatment of dissociative disorders and EMDR. Dissociation is a clinical phenomenon closely associated with the trauma. Everyone we work with EMDR necessarily with it. However, it is common knowledge in the area dissociation treatment are limited in many countries. Many times the information transmitted to us in this regard is that "it is must be very careful when employ EMDR in dissociative patients. " While this is very true, so is that clear light treatment scheme severe dissociation, EMDR can be used effective and safe in these patients, and is enormously helpful in the process therapeutic, greatly shortening days of therapy. • Bring attendees to these treatments of an eminently practical, predominantly presentation in the exhibition clinical cases, mainly in the form Video on the theoretical development, but will try to enshrine both aspects in a coherent and understandable. • Create a space for discussion where Participants can bring their experiences Clinical and share perspectives. (This work will also be presented as of video. See schedule of Room 4).

Keywords: Dissocative Disorders

Accuracy Verified: Yes

179. Burzynski, S. (2010, July). EMDR for anger management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The presentation examines a single case study of an indigenous Australian, diagnosed with trauma based borderline personality disorder experiencing peremptory anger. Anger within the PTSD context and ‘survival mode’ of operation are discussed. Treatment incorporated EMDR within a paradigm of Structural Dissociation. A targeted anger laden EP is integrated with the ANP and results discussed. The role of time orientation (presentification) and coconsciousness (personification) in treatment are also examined.

Keywords: Anger Management

Accuracy Verified: Yes

180. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .

Language: English

Format: Conference

Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process

Keywords: Case Conceptualization Children Dissociation Stabilization Trauma

Accuracy Verified: Yes

181. Eimer, B. N. (1993, Winter). EMDR for chronic pain. EMDR Network Newsletter, 3(3), 4-7.

Language: English

Format: Newsletter

Abstract:
There are two widely accepted assumptions about personality and psychopathology that influence the success or failure of our use of EMDR with patients. While the following notions have been restated in different ways by various schools of personalit, the reader is referred to the work of George Kelley (1955) for the most complete elaboration of these assumptions.

Keywords: Chronic Pain

Accuracy Verified: Yes

182. Twombly, J. H. (2005). EMDR for clients with dissociative identity disorder, DDNOS, and ego states. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 88-120). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract: U
sing EMDR with clients with dissociative identity disorder (DID) and other dissociative disorders (DDs) requires careful adaptation to allow the unique benefits of EMDR to be used productively, without risking unleashing a flood of traumatic material and destabilizing the client. In this chapter I will discuss adaptations for each stage of treatment for dissociative clients. While I'll focus on work with DID (formerly multiple personality disorder) and dissociative disorder not otherwise specified (DDNOS), the EMDR adaptations and protocols taught in this chapter can be used with people with other DDs and complex PTSD, and in ego-state work. This chapter is divided into three sections, summarizing the treatment of DDs within the three stages of standard phase-oriented trauma treatment. [Text, pp. 88, 90]

Keywords: Adults Child Abuse DID Dissociative Identity Disorder Hypnotherapy Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

183. Garza, J. (1995). EMDR for through disorder clients. EMDR Network Newsletter, 5(1), 5-6.

Language: English

Format: Newsletter

Abstract:
I have found that EMDR is a useful therapy in the treatment of persons with a major mental illness. The people with whom I have been work ing have been diagnosed with Paranoid Schizophrenia, Personality Disorder NOS, Bipolar Mixed, SchizoaEective Disorder, Borderline, Personality Disorder, Panic Disorder, Agoraphobia, and Dysthymic Disorder. All of these people have been der physically and/or sexually abused. Although we can treat thought and mood disorders with medication, the emotional memories of the trauma remain and can exacerbate the illness.

Keywords: Major Mental Illness

Accuracy Verified: Yes

184. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?

Keywords: Client Francine Shapiro Male

Accuracy Verified: Yes

185. Paulsen, S. L. (1994). EMDR in a case of polyfragmented dissociation: Risks and benefits. Presentation at the annual meeting of the Hawaii Psychological Association, Honolulu, HI.

Language: English

Format: Conference

Keywords: Dissociation

Accuracy Verified: Yes

186. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence, has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment – safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance of learning how to articulate EMDR interventions with the child and her adoptive parents.

Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado, desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo. Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede

Keywords: Developmental Trauma Disorder

Accuracy Verified: Yes

187. Gonzalez, A., Seijo, N., & Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.

Keywords: Complex Trauma Dissociative Disorders

Accuracy Verified: Yes

188. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder), this being a disorder that is not frequently diagnoses and not classified in DSM-IV, where a technical variation of floatback, i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts of the Self, and integrated the Internal Family System with EMDR and Ego State Therapy. The sixteen year old patient, S, sniffed heron and practised self mutilation. After two years' therapy the family secret was revealed in a dream and led us towards the abuse. I adopted the theoretical reference models on dissociation reported by M. Steinberg, B. A. van der Kolk, 0. van der Hart, and C. McFarlane's operative EMDR model and Ego State Therapy. The aim of the therapy was to rebuild integrity of the Self and to foster individualization- separation processes. The main goal was create a sense of loyalty during therapy that would allow S to be able to control in transitions in her dissociated mental states. Negotiation between the ego states were created so that S could face the states of terror and anxiety and gradually become integrated. Alter had different names and distinctively different preferences and personality traits, at times those alter took complete executive control of the body and of the self. Initially the alter has names outside the Self, then during the course of therapy their names began with '5'. The dissociated alters have become targets far EMDR. The story of S, revolves round two traumas: PN-PTSD and abuse. Perinatal trauma and uterine perception of her mother's depressive emotional states triggered difficulties in the child latching on to the mother's breast, and the lack of mirroring and affective syntonization caused the failure of internalization processes that lead to identity. 5 was aware of the trauma of abandonment, but not of the trauma of abuse that she defined as 'a deep impenetrable hole'. In order to address the life-threatening trauma. S used an invasive ego-dystonic coping mechanism: dissociation of the object and the Self. By placing the abuse in an alter, S could still feel attached to her family members that abused her, actively or passively using silence. While the DES scale did not provide significant dissociation results, the SCID-LIST furnished high values. The self-mutilation practised by S may represent her hate of her body that did not rebel to the abuse it was subjected to, or, as she said it may represent "a way to punish herself for the guilt of existing or to inflict upon herself physical pain to conceal the anxiety of death". EMDR was a challenge; it reached the preverbal states of the arena of the primary process, it bound with emotions and led her to symbolization, t resolved the traumatic matter that was frozen In the neural networks and determined Self- integration. The Ego States Therapy was a useful tool.

Keywords: Perinatal Disorder

Accuracy Verified: Yes

189. Bohm, K. (2011, June). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: German

Format: Conference

Abstract:
In diesem praxisorientierten Workshop wird der Einsatz von EMDR bei Zwangsstörungen vorgestellt und eingeübt. Dabei wird auf Besonderheiten beim Einsatz von EMDR ebenso eingegangen wie auf die Kombination mit Reizkonfrontationen (Expositionsübungen). Ein verändertes Standartprotokoll wird eingeführt, das "Therapietiming“ von EMDR aufgezeigt und auf typische Probleme in der Emotionsregulation eingegangen. Learning objectives: Ein wichtiges Augenmerk richtet sich in der Therapie immer auf die Persönlichkeit und Lebensgeschichte des Patienten. Sie lernen EMDR auf die jeweilige Persönlichkeit zuzuschneiden und auch die Art des Zwanges zu berücksichtigen. Waschzwänge bedürfen zum Beispiel oft anderer Strategien als reine Zwangsgedanken. Im Workshop werden Therapievideos gezeigt, das praktische Vorgehen eingeübt und die Theorie hierzu anschaulich vermittelt. Er richtet sich sowohl an verhaltenstherapeutisch als auch an tiefenpsychologisch arbeitende Kollegen.

In this hands-on workshop, the use of EMDR is presented with OCD and practiced. It is specific to the use of EMDR as well as to respond to stimulus combination confrontation (exposure exercises). A modified standard protocol is introduced, demonstrated the "treatment timing" of EMDR and discussed common problems in emotion regulation. Learning objectives: An important focus is always in the therapy on the personality and life history of the patient. You will learn to tailor to the particular personality and EMDR to consider the kind of coercion. Washing compulsions for example, often require different strategies than pure obsessions. The workshop therapy videos are shown, and rehearsed the practical approach and teaches the theory on this vividly. He addresses both behavioral therapy and psychodynamic to working colleagues.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

190. Bohm, K. (2012, September). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Vortrag auf der Jahrestagung der Deutschen Gesellschaft Zwangserkrankungen Münster, Deutschland.

Language: German

Format: Conference

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

191. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen. Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen. Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders. The importance and difficulty of choosing good cognition in these treatments. Dialog protocol] . Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: German

Format: Conference

Abstract:
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.

[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered. During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]

Keywords: Attachment Disorders Cognitions Dissociation

Accuracy Verified: Yes

192. Woller, W. (2004). EMDR in der behandlung von persönlichkeitsstörungen – Grenzen, voraussetzungen, möglichkeiten [EMDR in the treatment of personality disorders - frontiers, conditions, possibilities]. PPmP - Psychotherapie, Psychosomatik, Medizinische Psychologie, 54, 83-120 .

Language: Czech

Format: Journal

Keywords: Practice Theory

Accuracy Verified: Yes

193. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in psychotherapy of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 3, 73-78.

Language: German

Format: Journal

Keywords: Personality Disorders

Accuracy Verified: Yes

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

Language: German

Format: Journal

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

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

Keywords: Personality Disorders

Accuracy Verified: Yes

195. Woller, W. (2003). EMDR in der sychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 3, 73-78.

Language: German

Format: Journal

Keywords: Personality Disorders

Accuracy Verified: No

196. Schubbe, O. (1997). EMDR in der therapie psychisch traumatisierter kinder, Institut fur Traumatherapie - Oliver Schubbe EMDR in der Therapie psychisch traumatisierter Kinder [EMDR in the treatment of psychologically traumatized children]. In C.T. Eschenröder (Hg.), EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen. DGVT-Verlag, Tübingen 1997.

Language: German

Format: Other

Abstract:
Erschienen in C.T. Eschenröder (Hg.): EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen. DGVT-Verlag, Tübingen 1997. ISBN 3-87159-138-6.
Die Kindheit, vor allem die ersten Jahre, gelten als die Zeit, in welcher die menschliche Psyche im Tiegel der Lebenserfahrung grundlegend geformt und geprägt wird. Extremerfahrungen können die relativ stabile Psyche eines Erwachsenen in pathologischem Maße beeinträchtigen. Im Kindesalter wirkt sie sich besonders stark auf die Entwicklung der Gesamtpersönlichkeit aus (Pynoos et al., 1995). Ausgehend von einer entwicklungspsychologischen Perspektive werden in diesem Beitrag allgemeine Prinzipien der Traumatherapie Kindern und Möglichkeiten beschrieben, EMDR mit Kindern zu praktizieren. Mehrere Fallstudien haben gezeigt, daß EMDR für Kinder mindestens ebenso hilfreich ist wie für Erwachsene (Chemtob, C. M., 1996; Cocco & Sharpe, 1993; Greenwald, 1993, 1994; Pellicer, 1993; Puffer et al., 1996; Scheck et al., 1996; Shapiro, 1991; 1995, S. 276-281).

Published in C.T. Eschenröder (ed.), EMDR. A new method for processing traumatic memories. DGVT-Verlag, Tübingen 1997th ISBN 3-87159-138-6.
The childhood, especially the first few years are regarded as the time in which the human psyche in the crucible of life experience is fundamentally shaped and influenced. Extreme experiences can affect the psyche of a relatively stable adult pathological degree. In childhood, she has an especially strong on the development of overall personality (Pynoos et al., 1995). Based on developmental psychology from the perspective described in this article general principles of trauma therapy, children and opportunities to practice EMDR with children. Several case studies have shown that EMDR for children is at least as helpful as for adults (Chemtob, CM, 1996; Cocco & Sharpe, 1993; Greenwald, 1993, 1994; Pellicer, 1993; Buffer et al., 1996; Scheck et al. , 1996; Shapiro, 1991, 1995, p. 276-281).

Keywords: Children Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Dissociative Disorders

Accuracy Verified: Yes

198. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.

Language: English

Format: Journal

Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.

Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing

Accuracy Verified: Yes

199. Mehrotra, S., & Wei Geng (2011, February). EMDR in India. Journal of Xihua University (Philosophy & Social Sciences). doi:CNKI:SUN:CDSF.0.2011-02-000.

Language: English

Format: Journal

Abstract:
After the earthquake in January 2001 in India,40 trained EMDR Therapists participated in helping more than 1600 people.The symptoms of Post Traumatic Stress Disorder(PTSD) were observed both in children and adults;no gross disintegration of personality was noted.Through analyzing children's drawings,the study finds the relationship between individual emotions and traumatic impact on their psychological health.Although people who had suffered greater destruction and severe loss demonstrated greater emotional upheaval,people in the large residential areas mostly intact from the earthquake felt more insecure than those in severely destructed areas,due to the threat of further destruction.

Keywords: Drawings India Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

200. Tripolt, R. (2010, June). EMDR in motion: Enhancing the effect of EMDR by using elements of movement therapy, dance and body orientated therapeutic interweave techniques. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
'The Body Keeps the Score' (Bessel van der. Kolk 1996). Clients who suffer from traumatic stress are often afraid of disturbing and painful symptoms. Structural Dissociation alienates from the body reactions. Clients tend to perceive the body as hostile. As we know from eye movement and other bilateral stimulations, using movement is a gentle and powerful way, to bring the voice of the body into the therapeutic space. To expand the movement and body orientated skills either in difficult processes for example in the therapeutic work with complex traumatised clients enhances the effect of EMDR. Content of the Workshop: How to install the body as resource where the EMDR process can 'take place'. How to dissolve dissociation by associating body and movement awareness. How to accelerate the desensitization process by leading into deeper levels of body consciousness. How to help the client to stay within the "window of tolerance" of vegetative arousal by using elements of movement and dance therapy.

Keywords: Body Dance Therapy Experimental Use Movement Therapy Symposium

Accuracy Verified: Yes

201. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Interactions between trauma and biology, dissociation and psychosis are complex. Some cases could be more biologically based, and traumatic events may trigger a psychotic episode or contribute to the low-response to usual interventions. But traumatic experiences could also influence neurodevelopment and brain structure. In some cases past adverse events may be a main factor in the development of psychotic psychopathology. The treatment of psychotic disorders with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the relative contribution of these different factors from clinical results. The empirical research about the application of EMDR will be also reviewed. A relevant point for EMDR therapy in psychotic disorders is the complex relationship between dissociation and psychosis. Patients presenting with the belief of being controlled by an external force, intrusive thoughts and hallucinatory voices that comment on one's thoughts or actions or that have a conversation with other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but can often be best understood and approached as dissociative symptoms. These patients can be treated with EMDR, but the procedures present relevant modifications in relation with the standard EMDR procedure for PTSD. In this workshop we will briefly describe how EMDR can be applied in different examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.

Las interacciones entre trauma y biología, disociación y psicosis son complejas. Algunos casos pueden estar más basados en el ámbito biológico, y los eventos traumáticos pueden ser disparadores de un episodio psicótico o contribuir a la baja respuesta ante las intervenciones usuales. Pero las experiencias traumáticas pueden también influenciar el neurodesarrollo y la estructura cerebral. En Algunos casos eventos adversos del pasado pueden ser el principal factor para desarrollar psicosis o una psicopatología. El tratamiento de los trastornos psicóticos con un terapia orientada al trauma como el EMDR nos ayudan a evaluar la contribución relativa de distintos factores a los resultados clínicos. La investigación empírica acerca de la aplicación del EMDR también será revisada. Un punto relevante de la Terapia EMDR en trastornos psicóticos es el resultado complejo de la relación entre disociación y psicosis. Los pacientes que presentan creencias de control por fuerzas externas, pensamientos intrusivos y voces alucinatorias que comentan las acciones o pensamientos o tienen una conversación con otras voces alucinatorias, normalmente son diagnosticadas como esquizofrenia y psicosis pero en algunas ocasiones estarían mejor entendidas desde un enfoque que las considerara síntomas disociativos. Estos pacientes pueden ser tratados con EMDR, pero los procedimientos presentan modificaciones referentes al procedimiento estándar de EMDR para el TEPT.

Keywords: Psychosis Severe Mental Disorders

Accuracy Verified: Yes

202. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive internal resource images, such as the inner advisor child-self – adult-self assessment and development, nurturer and protector figures, spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories; TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.

Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference

Accuracy Verified: Yes

203. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.

Language: English

Format: Journal

Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]

Keywords: Adults Americans Borderline Personality Disorder Case Report Child Abuse Clinical Case Study Empirical Study Females Incest Individual Psychotherapy Interpersonal Difficulties Interpersonal Interaction Psychotherapeutic Processes Qualitative Study Rape Suicide Survivors Treatment

Accuracy Verified: Yes

204. Mazzola, A., Calcagno, M. L., Goicochea, M. T., Pueyrredòn, H., Leston, J., & Salvat, F. (2009). EMDR in the treatment of chronic pain. Journal of EMDR Practice and Research, 3(2), 66-79. doi:10.1891/1933-3196.3.2.66.

Language: English

Format: Journal

Abstract:
Chronic pain can significantly diminish life quality, causing depression, anxiety, and sleep disturbances, and may lead to neuroplastic processes that influence pain modulation. The current study investigated eye movement desensitization and reprocessing (EMDR) treatment of 38 patients suffering from chronic pain with 12 weekly 90-minute sessions. A battery of self-reported questionnaires assessing quality of life, pain intensity, and depression level were administered pre- and posttreatment for objective outcome evaluation. The Structured Clinical Interview for DSM was administered at pretreatment to identify participants' personality traits that may influence pain perception. Patients showed statistically significant improvement relative to baseline after 12 weeks of EMDR treatment. Our findings suggest that EMDR is an effective tool in the psychological treatment of chronic pain, resulting in decrease pain sensations, pain-related negative affect, and anxiety and depression levels. We examine possible theories about the mechanisms by which EMDR achieves these effects. Results were consistent with the underlying EMDR premise that posits the important effect of emotions on pain perception.

Keywords: Chronic Pain Neuroplastic Processes Pain Modulation

Accuracy Verified: Yes

205. Hofmann, A. (2005, June). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et 01.1 and the new research on structural dissociation (Nijenhuis et al.) helps to understand these patients better, their treatment course is often complicated. In the treatment of these patients EMDR can be one of the key treatments approaches in a therapy setting that usually needs to also enclose other treatment modalities and the overall treatment plan. The objective of this course is to help therapists use the opportunities that the 8 phase EMDR treatment plan offers and to reduce the risks for their treatment course. Also the implications of the use of the standard protocol for EMDR and the inverted standard protocol are discussed. Depending on the size of the group, time for discussion about clinical cases of participants is welcome.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

206. Hofmann, A. (2004, September). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et al.) and the new research on structural dissociation (Nijenhuis et al.) help to understand these patients better, their treatment course is often complicated. In the treatment of these patients, EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also include other treatment modalities and the overall treatment plan.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

207. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK.

Language: English

Format: Conference

Abstract:
This presentation seeks to address some of the challenges of using EMDR cross-culturally with highly traumatised clients who have been the victims of physical and/or psychological torture. The presentation will review characteristics of torture and how the helplessness experienced by victims physically and psychologically can help the therapist to case conceptualization and encourage adaptive learning with interweaves to assist the processing allowing adaptive linkage being made with dysfunctional memory storage. EMDR is very effective where trauma survivors present with somatisation, dissociation and frozen states but desensitization and reprocessing can only be embarked upon after adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic stabilization) will be covered and thereafter the basic EMDR protocol implemented with the client focusing on damage to the self and the spirit.

Keywords: Symposium Torture

Accuracy Verified: Yes

208. Brown, S., & Gilman, S. (2011, July). EMDR in the treatment of trauma and substance abuse. Presentation at CalSouthern’s Master Lecture Series at California Southern University in Irvine, CA.

Language: English

Format: Other

Abstract:
This lecture will provide an overview of a comprehensive psychotherapy treatment approach called EMDR by two Certified EMDR Approved Consultants who each have over 25 years of clinical experience. EMDR is one of the most widely researched psychotherapies for Post-traumatic Stress Disorder (PTSD) and it also has research support for the treatment of other trauma-driven disorders including substance abuse and behavioral addictions, depression, panic disorder, generalized anxiety disorder, borderline personality disorder and phantom limb pain. This workshop will focus on the application of EMDR with PTSD, trauma, and co-occurring substance use disorder.

Keywords: Substance Abuse Trauma

Accuracy Verified: Yes

209. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

210. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress. As a pilot experience, we have been able to use this EMDRIT framework with 64 clients. Their complex disorders included, for each of them, at least 3 of the following symptoms: Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions. For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis: •Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN). •The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN). •The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system. •Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent. •Need to standardize appropriate scale for database, in order to foster international research and results sharing. We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.

Keywords: EMDR Intensive Therapy EMDRIT

Accuracy Verified: Yes

211. Tinker, R., & Wilson, S. (2005, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
The effectiveness of EMDR with children can be enhanced with the use of a number of theoretical conceptualizations, protocol modifications, and specific techniques. In this master class, we will cover: understanding how attachment theory informs the use of EMDR with attachment-disordered children; how EMDR can be used on a group basis across cultures, with children scarred by war as well as natural disasters; how attunement is more important than relationship in EMDR; how resource development can be used within the EMDR protocol, instead of beforehand; how dissociation is manifested and treated with children; how additional techniques can be used to jump-start stalled processing with children; how trauma-based diagnosis relates to DSM-lV nomenclature; how heart math solutions can be combined with Safe Place; and how one- and two-year-old childrcn can benefit from EMDR. Also, participants will be encouraged to share their own experiences, techniques, and conceptualizations with EMDR and children.

Keywords: Attachment Disorder Attachment Theory Children Master Series Resource Development

Accuracy Verified: Yes

212. Puk, G. (2008, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Patients experiencing severe and repeated psychological trauma are among the most complicated patients to be treated in psychotherapy. Their treatment tends to be a multi-faceted approach of which EMDR is only one part, albeit a very important component. The objectives of the presentation are to assist the treating clinician in identifying the self-regulation deficits and degree of dissociation of their patients, as well as conceptualizing and implementing an effective treatment plan for the patient. This will include integrating the traditional three-stage model (stabilization, trauma processing and integration) of working with multiply-traumatized patients with the EMDR eight phase treatment model. Emphasis will be placed on stabilization, identifying when your patient is ready to begin trauma processing, as well as pacing the trauma work and managing clinical challenges during EMDR sessions. Clinical case material will be discussed in depth to illustrate the above.

Keywords: Master Series

Accuracy Verified: Yes

213. Paulsen, S. L. (2004, September). EMDR master series - II: Ego state therapy and EMDR: Activating, modifying and containing dissociated neural networks. Invited master series lecture at the annual meeting the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Chronic childhood trauma may lead to chronic dissociation which in turn produces a highly conflicted self-structure. Since conflicted self systems may not process smoothly in EMDR, it behooves practitioners to assess for degree of dissociation and other “red flag” indicators prior to EMDR. To work with clients with conflicted selves, the practitioner needs a means to access disowned parts of self. Although Ego State Therapy (EST) is based upon psychoanalytic theory, it is not slow as psychoanalytic treatment is. EST is a way to rapidly access internal structures, mediate conflicts, navigate around defenses and mobilize resources. Therefore EST is ideal as either: 1) a cognitive interweave in EMDR looping; or 2) as part of a preparation for clients in the high end of the dissociative continuum (the ACT-AS-IF approach). This workshop will illustrate case formulation and EMDR preparation and processing using the concepts above.

Keywords: Ego State Therapy Master Series

Accuracy Verified: Yes

214. Hofmann, A. (2006, September). EMDR Master Series – I. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
EMDR is a method that has a number of interesting possibilities that are needed to work with some of the more challenging complex PTSD patients. Concepts like the Disorder of Extreme Stress (Herman et al.) and the concept of structural dissociation (Nijenhuis et al.) help to understand the patient better. The treatment course, also with the use of EMDR, is often complicated. EMDR can be one of the key treatment approaches in a therapy setting for those patients, however, it usually needs also to enclose other treatment modalities in an overall treatment plan. The objective of this presentation is to help therapists use the opportunities that EMDR offers and to reduce the risks for their treatment course. Depending in the size of the group, time for discussion about clinical cases of participants is welcome.

Keywords: Disorder of Extreme Stress Master Series Structural Dissociation

Accuracy Verified: Yes

215. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Dissociation is a normal human process. We all dissociate. Some individuals are so severely and chronically traumatized that, in order to survive, they split their awareness into at least two levels or streams of consciousness - one level being the participant in the abuse drama and the other level being an observer watching as if the abuse was happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to the reprocessing of their traumatic memories. This presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the 'Red Flags' of treatment concerns; the differential diagnoses of dissociation - from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this very traumatized population of individuals.

Keywords: Accelerated Information Processing Model AIP DID Dissociation

Accuracy Verified: Yes

216. Purandare, M., Bhagwagar, H., & Tank, P. (2010, July). EMDR on children affected by the earthquake. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Efficacy of EMDR on Children Affected by Earthquake: The aim of the study was to investigate the efficacy of EMDR as an intervention technique for trauma victims. A sample of 50 students, studying in 10th grade, age ranging from 14 to 16 years were selected. The Impact of Event Scale (IES) was administered to measure the intensity of trauma experienced. A pre-post test research design was used in the study. The results were in the predicted direction. EMDR was found to be effective in reducing avoidance, intrusion and hyper arousal as well as overall impact of trauma. “Group EMDR With Earthquake Survivors” The current study is an attempt to understand the impact of a specific traumatic events and its expression in children i.e. the earthquake that occurred in Gujarat, Western India in January 2001. This study was a part of the therapy work conducted with the survivors of the earthquake by the group of 40 practitioners from Mumbai and was over 4 months. The paper will present the following aspects: 1. The symptoms seen among the children depicting PTSD as per DSM IV criteria. Signs of Hyper-arousal, Avoidance and Intrusion were clearly seen especially in children 2. The process used. This was a modified version of the standard 8 phase protocol appropriate for use with group work. Butterfly hugs were used as BLS. Stages of EMDR for this group: 3. Observations and a few unique experiences These include blocking of trauma image, difficulty in safe place visualizing, difficulty in distancing and using creative techniques for soothing and relaxation. 4. Impact of the EMDR intervention with this group More than 16000 children from about 30 schools were seen. based on observations and reports by teachers during the follow up showed reduction in anxiety, reports of life resembling pre-earthquake, improved attention and concentration, better sleeping patterns and lowering of somatic complaints. Impact and expression of trauma in children exposed to the earthquake: The current study is an attempt to understand the impact of a specific traumatic event and its expression in children i.e. the earthquake that occurred in Gujarat, western India in January 2001. The Butterfly hug technique for bilateral stimulation was used following 8 steps of EMDR. Drawings of children were used as their expressions during different phases of EMDR. Drawings during “ Assessment phase” depicted feelings of insecurity, a sense of vacuum and emptiness, low energy levels, a desire for contact and help, feelings of guilt, poor body image, hypersensitivity was noticed almost universally and even during therapy. Drawings, following the processing and installation phases indicated the facial expression changed to a smile. Tears which were present in almost all drawings were not noted Positive cognitions were reflected in terms of the growth and freshness e.g. the newly growing grass. In spite of the various symptoms of post traumatic stress disorder, no gross disintegration of personality had been noted.

Keywords: Children Earthquake

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes

218. Ross, C. (2012). EMDR se basa en un modelo trauma-disociacion de trastornos mentales [EMDR is based on a trauma-dissociation model of mental disorders]. Revista Iberoamericana de Psicotraumatología y Disociación, 3(Edicion Especial Sobre Disociacion).

Language: Spanish

Format: Other

Abstract:
El autor presenta una serie de argumentos del porque el reprocesamiento y desensibilización a través del movimiento ocular (EMDR por sus siglas en inglés: Eye Movement Desenstization and Reprocessing) se basa en un modelo trauma-disociación de trastornos mentales. El modelo de EMDR es consistente con las teorías trauma-disociación de Pierre Janet, el modelo BASK de disociación de Braun y la teoría de disociación estructural, la cual es una elaboración reciente de las ideas de Janet. Los procedimientos terapéuticos del EMDR son consistentes con los modelos de tres etapas de psicoterapia para trauma, y EMDR puede utilizarse en el tratamiento de trastornos disociativos complejos sin modificaciones significativas. El autor sugiere que la literatura con los resultados del tratamiento con EMDR puede considerarse como literatura sobre el tratamiento de la disociación inducida por trauma.

The author presents a series of arguments for why desensitization and reprocessing through eye movement (EMDR for short English: Desenstization and Reprocessing Eye Movement) is based on a trauma-dissociation model of mental disorders. The model is consistent with EMDR trauma-dissociation theory of Pierre Janet, the BASK model of dissociation of Braun and the theory of structural dissociation, which is a recent development ideas Janet. EMDR therapeutic procedures are consistent with models of three stages of psychotherapy for trauma, EMDR can be used in the treatment of complex dissociative disorders without significant modifications. The author suggests that literature with the results of EMDR therapy can be considered as literature on the treatment of trauma-induced dissociation

Keywords: Trauma-Dissociation Model

Accuracy Verified: Yes

219. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR processing, and to work to create a secure, responsive, and positive relational environment that supports change and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation) will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress with greater precision, using both verbal and non-verbal markers to determine where the client is on a given conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different types of interweaves will be delineated with a clear description of the purpose or function associated with each. Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both didactic and video material. Learning Objectives: • Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment decision-making during an EMDR session. • Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice) reflected in a client’s presenting issues, choice of targets, and stuck points. • Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal of maintaining and even accelerating processing within a window of tolerance. • Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal experiences (i.e. affect, sensation, urges, fantasies). • Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies, completing incomplete or truncated actions, and addressing various domains of developmental repair.

Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive favorisant ainsi le changement et l’intégration. Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision ‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou approfondir le traitement du client. Objectifs d’apprentissage: • Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR. • Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité, contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les blocages. • Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de tolérance. • Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes). • Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les dommages survenus au cours du développement.

Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self

Accuracy Verified: Yes

220. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.

Language: English

Format: Book

Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features: •Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field •Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio •Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology •Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities

Keywords: Adjunct Approaches Attachment Children Dissociation Trauma

Accuracy Verified: Yes

221. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.

Learning Objectives: 1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part. 2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client. 3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.

Keywords: Dissociative Abreaction Psychological Defenses Toolbox

Accuracy Verified: Yes

222. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over many years. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox

Accuracy Verified: Yes

223. Forgash, C. (2009, August). An EMDR treatment approach to addressing health problems of complex trauma survivors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract: In this workshop, the EMDR clinician will learn how to deal with the effects of trauma, PTSD, illness, and chronic pain often suffered by complex trauma clients. Participants will understand how these issues interfere with access to healthcare and successful treatment. This workshop will demonstrate how to help the client avoid retraumatization in healthcare settings, by teaching interventions within the preparation phase for management of dissociation and affective problems, as well as PTSD symptoms. Clinicians will learn how to develop connections between present health problems (chronic illness, pain) and earlier trauma, to develop specific EMDR targets for reprocessing. This workshop will emphasize skills development and future template work.

Keywords: Health Problems Trauma Survivors

Accuracy Verified: Yes

224. Walker, N. (2005, April). EMDR treatment of complex PTSD and dissociative disorders considered in the light of the theory of structural dissociation of personality. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders Structural Dissociation Theory of Personality

Accuracy Verified: Yes

225. Young, W. (1994, June). EMDR treatment of phobic symptoms in multiple personality disorder. Dissociation, 7(2), 129-133.

Language: English

Format: Journal

Abstract:
Two multiple personality disorder patients with severe, persistent phobias were treated using Eye Movement Desensitization/Reprocessing (EMDR). Both patients achieved significantly beneficial results with a single session in one patient and two sessions in another. Each patient confronted the previously phobic object successfully showing an objective measure of success and results were maintained at six months follow-up. Caution should be exercised from generalizing the use of EMDR for specific target symptoms to using it as a total treatment technique. Further research is needed to determine the efficacy of EMDR as a treatment procedure in general and its role in the overall treatment of dissociative conditions. [Author Abstract]

Keywords: Adults Child Abuse DID Dissociative Identity Disorder Empirical Study Females Follow-up Study Incest Phobia Rape Survivors

Accuracy Verified: Yes

226. Korn, D. L. (2008, May). EMDR treatment with survivors of chronic abuse and neglect: Repairing developmental deficits and shattered selves - [Utilisation d’EMDR dans le traitement des survivants d’abus ou négligence chroniques: Réparer les déficits développementaux et les sois éclatés]. Presentation at an annual meeting of EMDR Canada, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Cet atelier d’une journée met l’accent sur l’intégration de l’EMDR à l’intérieur d’un plan thérapeutique. Nous aborderons l’utilisation d’EMDR pour traiter le Stress post-traumatique complexe, de même que d’autres syndromes cliniques d’origine traumatique, tels que le Trouble de personnalité limite et les Troubles dissociatifs. Des modifications et/ou additions au protocole EMDR seront proposées afin de tenir compte des capacités limitées à tolérer les affects, des défenses rigides, de la sur-utilisation des stratégies d’évitement, des conflits entre les états du moi, des tendances à la dissociation ou des dérégulations émotionnelles importantes.

Nous aborderons l’évaluation des aspects développementaux et des besoins d’attachement du client, l’établissement d’une bonne compréhension de la situation clinique et le développement d’un plan de traitement intégré avec des objectifs atteignables et réalisables. On portera plus particulièrement notre attention sur l’intégration de l’EMDR comme moyen de renforcer l’Ego et le développement des ressources au cours des différentes étapes du traitement. This full-day workshop will focus on integrating EMDR into an overall recovery plan. The use of EMDR in treating complex PTSD as well as other trauma-related syndromes such as borderline personality disorder and dissociative disorders will be addressed. In recognition of clients’ limited affect tolerance, rigid defenses, overdeveloped avoidance patterns, ego state conflicts, dissociative tendencies, and extreme emotional dysregulation, strategies for modifying and supplementing standard EMDR protocols will be explored. Assessing the developmental and attachment needs of the client, establishing a useful case conceptualization, and developing an integrated treatment plan with achievable goals will be discussed. Considerable attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment.

Keywords: Complex PTSD Dissociative Disorders

Accuracy Verified: Yes

227. Jacobs, S., Rackowitz, M., Strack, M., & de Jongh, A. (2009). EMDR und biofeedback in der behandlung der posttraumatischen belastungsstorung - Erweiterung der evaluation des neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the treatment of post traumatic stress disorder - extension of the evaluation of the neuropsychological treatment program]. In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 51-81). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: In the year (2007) the manual of the neuropsychotherapeutic intervention program EMDR and biofeedback in the therapy of posttraumatic stress disorder by Jacobs and de Jong was published. The therapeutic concept based on new neuroscienctific findings, which declare a dissociation of implicit and explicit traumamemory as one reason for emergence a PTSD. On this background the treatment program integrates selective modules. The allocation of information carried out by an educational movie for patients, specific cognitive-behavioural intervention techniques, which are supplemented by biofeedback-supported Eye Movement Desensitisation and Reprocessing (EMDR). During the treatment the skin conductance (electrodermal activity), which is a stress parameter, is mesured. This program was already evaluated in the pilot-study. The patient pool could be enlarged, so that 28 patients were available for the evaluation. Additionally the educational movie was examined on efficiency. The total feedback was positive. After therapy-end the PTSD-symptomatology decreased consistently (demp=2.48), as well as the psychological stress in another problem areas (demp=1.30). Moreover the EMDR-method achieved objective a significant decrease of the autonomic arousal (demp=.79) and subjective an explicit reduction of the felt stress (demp=2.40), while growth of the coherence of a worked out positive cognition (demp=2.52). Three- and 12-month follow-up analysis could demonstrate the stability and sustainability of the changes. The intervention program EMDR and biofeedback was also proved to be efficient ( 19 sessions) and effective (demp=1.39) in the enlarged sample, with high

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

228. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.

Language: German

Format: Journal

Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern bzw. zu hemmen und somit auch die Symptomatik der posttraumatischen Belastungsstörung abzubauen. Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv, verhaltenstherapeutischen Vorgehens das Modell von Ehlers und Clark, ebenso das EMDR-Verfahren von Shapiro. Das Biofeedbackverfahren nutzen die Autoren als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches Therapiekonzept und Behandlungsprotokoll vor. Es wird eingehend auf die Diagnostik (psychologische Testverfahren sowie Biofeedback eingegangen, ein wichtiger Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten zwischen den Sitzungen bekommen mit eingehenden Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien. Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll für EMDR. Gegen Ende des Bandes schließen sich Fallstudien aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen. Im Anhang gibt es Adressenverzeichnisse über den Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen. Zusammenfassend kann man sagen, dass der Band kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische Praxis in Bezug auf Traumabehandlungen erscheint. Das Buch richtet sich an Fachleute und ist für Laien eher weniger geeignet.

In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy, the EMDR method and biofeedback combined to the fear reaction Framework to reduce traumatic memories or to inhibit and thus the symptoms of reduce post-traumatic stress disorder. In the first part of the book, the authors detail to the theoretical background (neurophysiology, Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories. Here, they argued that the neuronal Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model by Ehlers and Clark, as well as the method of EMDR Shapiro. The biofeedback method, the authors use as a diagnostic tool for the subjective evaluation on the part of the patients also making objectively verifiable by measuring electrodermal activity (EDA). In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at all patients, and patients had a significant positive Detect symptom change the PTB have been. In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis ( Test procedures and biofeedback received an important Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises. The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded. The stabilization exercises are described practically (Safe Place, Safe), as well as the practical Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice. In the appendix, there are records of the address Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

229. Jacobs, A., & de-Jongh, S. (2007). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen: Ein neuropsychotherapeutisches behandlungsprogramm [EMDR and biofeedback in the treatment of post-traumatic stress disorders]. Göttingen, Germany: Hogrefe. ISBN: 9783801720391.

Language: German

Format: Book

Abstract:
Das Manual stellt ein neu entwickeltes, multimodales neuropsychotherapeutisches Therapieprogramm zur Behandlung der posttraumatischen Belastungsstörung (PTB) vor. Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören spezielle kognitiv-behaviorale Interventionstechniken, Biofeedback-gestütztes Eye Movement Desensitization and Reprocessing (EMDR) sowie die gezielte Bereitstellung von Informationen über die Störungszusammenhänge für den Patienten. Mittels Biofeedback wird die elektrodermale Aktivität der Patienten während der EMDR-Sitzungen als Indikator für die autonome Erregung aufgezeichnet. Die bei der Traumaexposition implizit ablaufenden Prozesse werden somit an Therapeut und Patient zurückgemeldet. Dadurch ist es möglich, zu kontrollieren, ob das Ausmaß der autonomen Erregung soweit gesenkt werden konnte, dass eine erfolgreiche Verarbeitung und Abspeicherung der traumatischen Erinnerungen im expliziten Gedächtnissystem möglich wird. Studien belegen die Wirksamkeit des Programms. So zeigen Ergebnisse eine deutliche Reduktion der PTB Symptomatik sowie eine starke Abnahme der autonomen Erregung und der subjektiven Belastung.

The manual presents a newly developed multi-modal neuropsychotherapeutisches therapy program for treatment of post traumatic stress disorder (PTSD before). Based on recent findings from the neurosciences that suggest that a dissociation between implicit and explicit memory of trauma is the main basis of the PTB, different modules were integrated into the treatment program. These include specific cognitive-behavioral intervention techniques, biofeedback-assisted Eye Movement Desensitization and Reprocessing (EMDR) and the targeted provision of information about the disorder correlations for the patient. Biofeedback is recorded, the electrodermal activity of patients during the EMDR sessions as an indicator of autonomic arousal. The case of trauma exposure implicit processes involved are therefore reported to the therapist and patient. This makes it possible to check whether the degree of autonomic arousal could be lowered so far that a successful processing and storage of traumatic memories is possible in the explicit memory system. Studies show the effectiveness of the program. Results nevertheless show a significant reduction of symptoms and PTB a strong decrease of the autonomous arousal and subjective burden.

Keywords: Biofeedback Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

230. Jacobs, S., & Strack, M. (2007, Mai). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen [EMDR and biofeedback therapy in post-traumatic stress disorder. Evaluation of a neuropsychology treatment program]. Symposium at the (R. Keller, Chair) Workshoptagung der European Society für traumatische Stress Studies (EWOTS), Hamburg, Deutschland.

Language: German

Format: Conference

Abstract:
Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches Programm zur Behandlung der posttraumatischen Belastungsstörung (PTB). Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören neben der gezielten Bereitstellung von Informationen über die Störungszusammenhänge, ein Patientenedukationsfilm, spezielle kognitiv-behaviorale Interventionstechniken sowie Biofeedback gestütztes Eye Movement Desentization and Reprocessing (EMDR). Ziel der Anwendung des Biofeedback im Rahmen der EMDR-Sitzungen ist es zum einen, den PatientInnen implizite Prozesse während der Traumaexposition zurückzumelden, zum anderen wird anhand der Biofeedback-Aufzeichnung das Ausmaß der Übereinstimmung zwischen subjektivem Belastungsgrad durch die traumatische Erinnerung (SUD-Rating) und physiologisch messbarer Erregung überprüft. Als physiologischer Parameter wurde die elektrodermale Aktivität (Hautleitwert, EDA) erhoben.

Was evaluated a newly developed multi-modal, neuro psychotherapeutic Program for the treatment of post traumatic stress disorder (PTSD). Starting by recent findings from neuroscience, the point out that a dissociation between implicit Trauma and explicit memory the essential PTB is based on, were different modules integrated into the treatment program. These include next targeted provision of information on the disorder correlations, a Patientenedukationsfilm, specific cognitive-behavioral intervention techniques and biofeedback-assisted Eye Movement Desentization and Reprocessing (EMDR). The aim of the application of Biofeedback in the EMDR sessions is to one, the patients implicit processes during the Trauma exposure report back, on the other hand on the basis of biofeedback recording the extent of Agreement between subjective stress level by the traumatic memory (SUD rating) and measurable physiological arousal reviewed. As a physiological Parameters, the electrodermal activity (skin conductance, EDA) raised.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

231. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. VPP - Verhaltenstherapie & Psychosoziale Praxis, 39(4), 855-876.

Language: German

Format: Journal

Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)

A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Biofeedback PTSD

Accuracy Verified: Yes

232. Meijer, S. (2009, June). EMDR will cure personality disorders. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Personality Disorders

Accuracy Verified: Yes

233. [Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1（1）、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43].

Language: Japanese

Format: Journal

Abstract:
The junior high school girl in this case witnessed her mother's suicide at the age of four. She has been acting violently since she entered elementary school. One yearbefore the author met her, a consultation office for children intervened due to physical abuse by her father. Flashbacks and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved her interpersonal relationship and began to trust others. The consultation aclivities by a school counselor, namely the offering of psycho-educational information to the school, supporting teachers and improving teacher's psychological understandings about her, was also important in addition to individual treatment. The author discussed about the treatment of school children survivors who rarely visit mental or medical institutions.

Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Dissociation

Accuracy Verified: Yes

235. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.

Language: English

Format: Conference

Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization. A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile. A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations. To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.

Keywords: Narcissim

Accuracy Verified: Yes

236. Friberg, M. (2004, June). EMDR with two adolescents suffering from dissociative symptoms after sexual abuse: both with considerable weight-loss during treatment. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Clinical case-presentation of EMDR-treatment of a boy and a girl, sixteen and eighteen years of age respectively, both with a history of different dissociative symptoms. Both were sexually abuse and both had a considerable weight-loss during EMDR-treatment. Symptoms prior to my contact with the body was pseudo-epileptic fits with shaking, cramps, eyes turning “inside out” and sometimes turning quite blue. After he could be spoken to, he could drink and seemed oriented in time and space, but later had total amnesia of the dissociative episode that could last for several hours. He also had pain in one leg and got the diagnosis “Sympatic Dystrophia” and “Complex Regional Pain Syndrome.” Memory of the sexual abuse was completely hidden behind a screen memory of being abuse physically by a schoolmate until very late in EMDR-treatment. The girl had family relations problems, eating disturbance, suicidal behavior and intense sways in temper and server conflicts with her mother. The sexual abuse by a relative was known and the dissociation was not diagnosed before screening with DES>
Both had different kinds of somatic and/or psychological long treatment, with little success, before entering EMDR-treatment. Both had an EMDR-treatment period of almost one-year and both were given the Putnam DES-scale before, during, and eight months after treatment.
In both cases, there was decline from very high Putnam DES scores to normal. At the eight month follow-up, the boy’s results persisted and weight was regained. The girl us just about to end treatment so there are no follow-up results. However, her weight is back to normal.
Is weight loss during EMDR-treatment noticed by other EMDR-therapists?

Keywords: Children Dissociation Sexual Abuse Symposium

Accuracy Verified: Yes

237. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades.

Language: Spanish

Format: Book

Abstract:
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas. Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.

During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.

Keywords: Dissociation

Accuracy Verified: Yes

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

Language: Japanese

Format: Journal

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

Accuracy Verified: Yes

239. Holm, O. (2009, November). An EMDR-based tactical and strategic integrational approach combined with IFS personality scale in survivors of severe abuse and neglect with complex trauma and comorbid cluster C personality traits. About 5 clinical cases. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .

Language: English

Format: Conference

Keywords: Cluster C Personality Traits IFS Personality Scale

Accuracy Verified: Yes

240. Rougemont-Bucking, A., & Zimmermann, E. N. (2012). EMDR-based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Schweizer Archiv Für Neurologie Und Psychiatrie, 163(3), 107-115.

Language: English

Format: Journal

Abstract:
The co-occurrence of PTSD and of substance use disorder (SD) is known to be very high. However the question of whether and how to treat such patients remains largely unanswered in the EMDR community. We report on two cases of EMDR-based treatment of heavily affected SD patients in whom psychotraumatic antecedents were identified. EMDR sessions focused on trauma-related material and not on the expression of cue-induced drug craving. The treatment appeared to be a difficult and challenging endeavour. However, some beneficial effects on general comfort and on drug consumption could be observed. A long stabilisation phase was mandatory and the standard EMDR protocol needed to be conducted with much flexibility. Interestingly, there was no provocation of a prolonged psychological crisis or of relapse. Experiencing of emotional stress could be limited to the sessions and dissociation could be absorbed with specific well-known techniques without permanently increasing drug craving. These observations are discussed in relation to previously published concepts of using EMDR in the field of trauma and substance abuse.

Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder

Accuracy Verified: Yes

241. Paulsen, S. L. (1993, October). EMDR: An introduction and conceptualization within BASK theory of dissociation. Presentation at the 10th annual meeting of the International Society for the Study of Dissociation, Chicago, IL.

Language: English

Format: Conference

Abstract:

Keywords: Bask Theory Dissociation Dissociative States MPD Multiple Personality Disorder

Accuracy Verified: Yes

242. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference.

Language: English

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is now recommended as a front line treatment for trauma in the Practice Guidelines of American Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is an integrative psychotherapy that offers a new and distinct approach to personality development and the treatment of pathology. The clinical applications of EMDR with an information processing focus can be used as a general model of psychotherapy addressing a full range of issues of everyday clinical practice, including family therapy impasses. Increasingly, research evidence is showing that there’s a kind of psychological change that can happen at the level of adaptive information processing, opening up the possibility of powerful therapeutic effects that can exceed expectations both in the speed and depth of their impact. In this presentation, you’ll get an experience of the implicit and associational memory networks that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but also to personality disorders, depression, chronic pain, sexual compulsivity, and other dysfunctional behaviors and thoughts. EMDR group protocols will be illustrated that have been used worldwide after both natural and man-made disasters. It is believed that the treatment of trauma through networks of clinicians can aid in breaking the cycle of violence worldwide.

Keywords: Webcast

Accuracy Verified: Yes

243. Lazarus, C. N., & Lazarus, A. A. (2002). EMDR: An elegantly concentrated multimodal procedure?. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 209-224). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
The active ingredients of many therapeutic processes remain open to conjecture. Regardless of what actually underlies the putative benefits of eye movement desensitization and reprocessing (EMDR), its degree of overlap with many of the multimodal therapy (MMT) features and components is noteworthy. In essence, EMDR is a highly systematized, elegant therapeutic package using many of the same modalities that comprise MMT. Be that as it may, MMT methods are broader and more comprehensive than the EMDR methodology. EMDR is thought of as an accelerated and facilitated information-processing therapy, whereas MMT is considered a theory of personality as well as a system for implementing comprehensive biopsychosocial therapy. MMT therapists can probably enhance their treatment outcomes by knowing when and how to apply EMDR, and EMDR therapists would be well advised to become proficient with the MMT framework and its many applications. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adults Multimodal Therapy Multimodal Treatment Approach Psychotherapeutic Techniques Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes

244. Rouanzoin, C. C. (1994, March). EMDR: Dissociative disorders and MPD. Presentation at the 14th annual meeting of the Anxiety Disorders Association of America, Santa Monica, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders MPD Multiple Personality Disorder

Accuracy Verified: Yes

245. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children of different ages, including single traumas, multiple traumas, complex disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop, participants will be able to discuss and understand the above topics.

Keywords: Children War Refugees

Accuracy Verified: Yes

246. Moskovitz, R. A. (2001, March). EMDR: A paradigm for continuity of experience in the real world. EMDRIA Newsletter, 6(1), 6.

Language: English

Format: Newsletter

Abstract:
EMDR has become an important tool for treating the trauma that so frequently characterizes the personal histories of patients with Borderline Personality Disorder (BPD). This patient population presents extraordinary risks in the face of treatment techniques that evoke powerful emotions. When applied judiciously, however, EMDR can bring extraordinary benefits to these same patients.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

247. Jones, K. R. (2006, June). EMDR: Warning on safe use. Therapy Today, 17(5), 23.

Language: English

Format: Magazine

Abstract:
For EMDR to be used safely, I strongly agree with the position emphasised during training with the EMDR Institute, that this is an adjunct technique which should only be integrated into existing and appropriate professional practice. Furthermore, practitioners should be qualified to carry out an effective mental health assessment, to screen potential clients for contraindicative effects (eg dissociation or psychosis) prior to treatment, as well as being competent to deal with adverse effects such as strong abreactions. Given the potential for harm with techniques such as EMDR, I believe that it is essential for practitioners to have a 'practising certificate' before offering this approach to clients, rather than simply undertaking 'some training' as noted by the author.

Keywords: Letter

Accuracy Verified: Yes

248. Grand, D. (1998). Emerging from the coffin: Treatment of a masochistic personality disorder. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 65-90). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
"Dan" was a 48-year old married man who, despite ten years of psychoanalytic treatment, awakened every morning with the image of lying dead in a coffin. This dovetailed with his experience of daily life as devoid of meaning and pleasure. Despite his apparent relentless suffering and preoccupation with death, Dan reported never having been actively suicidal. In fact, his life appeared to be oddly homeostatic. He sought out therapy at the urging of his wife, who was exasperated by his pervasive negativity. This case illustrates the successful use of longer-term EMDR charactered by the multiple sessions and many months to fully reprocess individual protocols. Treatment was completed, with Dan free of coffin fantasies and capable of experiencing hope, joy and purpose for the first time in his life. His positive response, over time, indicates that individuals with characterological defenses can process, albeit incrementally, difficult material and ultimately reach a level of full resolution. Since my success with Dan, I have replicated this startling outcome with numerous clients in periods ranging from 9 to 18 months. This was inconceivable for me in my pre-EMDR days when many years of treatment yielded far more limited results. [Text, pp. 66-67]

Keywords: Adults Americans Case Report Life Experiences Males Personality Disorders Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

249. Seliga, M. (2009, Fall). Empirically supported treatment interventions for clients with posttraumatic stress disorder and comorbid borderline personality disorder: A critical review. Praxis, 9, 61-69.

Language: English

Format: Journal

Abstract:
The overall stigma- and gender-related controversies that surround the diagnosis of Borderline Personality Disorder (BPD) present a unique ethical mandate to the practitioner. The relationship between trauma and the BPD diagnosis strengthens the need for carefully designed treatment interventions in order to secure the benefits of trauma-focused work, while minimizing the risk of undue regression. The complexity and risk of harm introduced by a diagnosis of comorbid BPD and PTSD urges the need for clarification of optimal treatment interventions to guide practitioners. The use of adjunctive treatment modalities alongside traumafocused interventions emerges as an empirically supported technique in the treatment of severely comorbid patients.

Keywords: Borderline Personality Disorder Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

250. Ogden, P. (2004, September). Empowering the body: Somatic awareness and physical action in the treatment of trauma and dissociation. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The repetitive traumatic patterns our clients come to us to change are not only psychological but somatic, clearly reflected in posture, energy level, movement, regulation of arousal and other physical attributes. Changing these patterns cannot be accomplished by insight alone. The procedural memory that keeps such behaviors and dissociative patterns in in place must be addressed. A body-oriented approach is indicated that facilitates new actions and addresses dissociative symptoms, including somaticcomponents of traumatic memories (e.g., pain, analgesia, and motor inhibitions) and avoidance-related symptoms such as bodily anesthesia. Sensorimotor Psychotherapy emphasizes practicing new actions and building other somatic resouces to mitigate symptoms and develop a somatic sense of self. In this workshop, somatic interventions that can be integrated into existing clinical skills will be taught and illustrated through excerpts of videotaped therapy sessions and brief experiential exercises.

Keywords: Dissociation Somatism Trauma

Accuracy Verified: Yes

251. O'Neil, J. A. (2006). En réponse au Dr. Gagnon [In response to Dr. Gagnon]. Santé Mentale au Québec, 31(2), 269-271.

Language: French

Format: Magazine

Abstract:
En tant que psychanalyste, je recoure avec chaque patient à une approche générale psychodynamique, mais j’inclus aussi soit l’hypnose soit l’EMDR (ou les deux) lorsque cela est indiqué. J’estime que l’hypnose est aussi importante que l’EMDR, parfois même plus importante dans la résolution de la pathologie de certains patients, surtout pour les conditions qui semblent avoir une dimension autohypnotique, comme la dissociation. Mais je n’insiste pas sur l’approche psychodynamique. Il y a des praticiens qui prennent soit l’hypnose soit l’EMDR comme approche thérapeutique. Avec le temps, ces approches sont devenues graduellement plus riches et plus nuancées afin de s’accommoder aux complexités des patients réels (tout comme la thérapie cognitive) ; elles ont « redécouvert » des dimensions psychanalytiques (par exemple le transfert, etc.).

As a psychoanalyst, I have recourse with each patient to a general psychodynamic approach, but I include also either hypnosis or EMDR (or both) when indicated. I that hypnosis is as important as EMDR, sometimes even more important in the resolution of the pathology of some patients, especially for conditions that seem to have a self-hypnotic dimension, as dissociation. But I do not insist on the approach psychodynamics. There are practitioners who are either hypnosis or EMDR as a therapeutic approach. Over time, these approaches gradually became richer and more nuanced view of accommodate the complexities of real patients (as therapy cognitive), have "rediscovered" psychoanalytic dimensions (Eg transfer, etc..).

Keywords: Practice Theory

Accuracy Verified: Yes

252. Wildwind, L. (1999). Essential experience interweaves: Deepening resource installation for personality change; An advanced workshop and clinical practice with case consultation. Presentation at the Minnesota EMDR Network, Minneapolis, MN.

Language: English

Format: Conference

Keywords: Essential Experience Interweaves RDI Resource Development and Installation

Accuracy Verified: No

253. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os cuidados que a aplicação do EMDR demanda.

The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all care that the application of EMDR demand.

Keywords: Advanced Management Dissociation Ego States

Accuracy Verified: Yes

254. Morris-Smith, J. (2011, June). The European EMDR shrinking protocol for children and adolesence: Development, theoretical considerations and clinical insights. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
The development of the Shrinking Protocol and its application has given rise to many interesting questions relating to the nature of trauma in childhood including whether pre-verbal trauma exists and is treatable; what constitutes a trauma in childhood; how does attachment and family dynamics affect EMDR therapy; what is dissociation in childhood and how can it be managed in EMDR therapy; what are the effects of chronic long-term traumatisation in early childhood and how soon can these be addressed. Also interesting questions have included how does it get integrated with other therapeutic modes and when to start. Further interesting discoveries have also been made when applying it to special groups, for example children with ASD and other developmental and medical conditions. EMDR therapy for children and adolescents is now being found to have very wide-ranging applications. This workshop will describe the evolution of the Shrinking Protocol which was based on the earlier work of Tinker & Wilson (1999) and demonstrate some of its different applications and uses with different conditions which will be illustrated with video clips. It also will demonstrate how EMDR therapy has led to new insights into the nature of traumatisation in childhood and suggest potential new directions for research and therapy.

Keywords: Adolescents Children Shrinking Protocol

Accuracy Verified: Yes

255. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.

Language: English

Format: Dissertation/Thesis

Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]

Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.

Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness

Accuracy Verified: Yes

256. Cazabat, E. (2008). Evolución histórica del concepto de disociación [History of the concept of dissociation]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 109-114). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
No abstract available.

Keywords: Dissociation History

Accuracy Verified: Yes

257. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]

Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

258. McGowan, M. L. (2006). Eye movement desensitization and reprocessing (EMDR) for the treatment of suicidal ideation in patients with borderline personality disorder. Argosy University, Chicago, IL.

Language: English

Format: Dissertation/Thesis

Keywords: Borderline Personality Disorder Suicidal Ideation

Accuracy Verified: Yes

259. Cohen, S. (2000). Eye movement desensitization and reprocessing (EMDR): The making of a psychotherapy. McGill University (Canada). AAT MQ64135.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization Reprocessing (ENDR) therapy has burst upon the psychotherapeutic scene as a tirne-limited, cost-contained, and efficacious treatrnent for anxiety, stress, and psychological trauma. Although this therapy has been pronounced as revolutionary by its inventor, Franche Shapiro, it has distinct historicd precedents. The explanatory models of pathogenic memory and dissociation îheory, and the reiiance on mechanical inference for objectivity rnake EMDR therapy famiIiar and salieut. Notions of suggestion and hypnosis, aud the eye-movement component of therapy are presented as discontinuous with clinical and theoreticai practice, in order to fiee them h m the tainting associations of pseudo-science and quackery. By co~ect ingth e curent EMDR movement with the conceptual and practical history of traumatic memory, dissociation, and suggestion, 1 argue that EMDR is not revolutionary. It is a powerful technotogy of the self, nomaking and valourking certain ways of behaving and thinking. Shapiro's implicit assurnptions that psychological suffering is pathological, and that early traumatic events are indelibly encoded, stored and dissociated in the brain are problematized. A briefcornmentary on the mord, politicai, and psychotherapeutic implications of EMDR therapy is provided.

Keywords: Practice Theory

Accuracy Verified: Yes

260. Kelley, S. D. M., & Benbadis, S. (2007, March-April). Eye movement desensitization and reprocessing in the psychological treatment of trauma-based psychogenic non-epileptic seizures. Clinical Psychology & Psychotherapy, 14(2), 135-144. doi:10.1002/cpp.525.

Language: English

Format: Journal

Abstract:
Little is known about the types of mental health treatment that are most effective for psychogenic non-epileptic seizure (PNES) patients who have high rates of comorbid post-traumatic stress disorder (PTSD) and dissociation. Eye movement desensitization and reprocessing (EMDR) has proved to be effective in the treatment of PTSD, anxiety states, dissociative symptoms and somatoform disorders. This study, which utilized a non-controlled qualitative multiple revelatory case design, integrates EMDR into the psychological treatment of PNES patients with confirmed trauma experiences. With EMDR targeting trauma and dissociative symptoms in three patients, PNES were extinguished in two. Those patients have remained seizure-free for 12-18 months. Copyright © 2007 John Wiley & Sons, Ltd.

Keywords: Clinical Case Study Comorbidity Emotional Trauma Empirical Study Epileptic Seizures Posttraumatic Stress Disorder Psychogeninic Non-epileptic Seizures Psychological Treatment Psychogenesis PTSD Qualitative Study Trauma

Accuracy Verified: Yes

261. Puk, G. (1994, July). Eye movement desensitization and reprocessing in the treatment of multiple personality disorder. Presentation at the 10th annual conference of the Society for the Exploration of Psychotherapy Integration, Buenos Aires, Argentina.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder MPD Multiple Personality Disorders

Accuracy Verified: Yes

262. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.

Language: English

Format: Dissertation/Thesis

Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.

Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

263. Fensterheim, H. (1996, March). Eye movement desensitization and reprocessing with complex personality pathology: An integrative therapy. Journal of Psychotherapy Integration, 6(1), 27-38.

Language: English

Format: Journal

Abstract:
Among the explorations of psychotherapy integration, attempts to integrate the cognitive behavioral and psychodynamic approaches are receiving much attention. Eye movement desensitization and reprocessing (EMDR) is one newly developed method that appears to have successfully achieved such integration. The author presents cases of 2 patients with complex personality problems to illustrate how EMDR does achieve this integration. The cases demonstrate the formulation of dynamic hypotheses based first on a thoughtful clinical understanding of the patient and then reformulated as new information emerges from the free associations elicited by this method. Treatment based on these formulations is through the cognitive and behavioral aspects of the EMDR procedures. Unlike many other integrative methods that have been proposed, the different aspects of this method are not applied separately but form a cohesive whole. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Empirical Study Multimodal Treatment Approach Nonclinical Case Study Personality Disorders Psychotherapeutic Techniques

Accuracy Verified: Yes

264. Fensterheim, H. (1994, July). Eye movement desensitization and reprocessing with personality disorders. Presentation at the 10th annual meeting of the Society for the Exploration of Psychotherapy Integration, Buenos Aires, Argentina.

Language: English

Format: Conference

Keywords: Personality Disorders

Accuracy Verified: No

265. Eckley, T. L. (2002, August). Eye movement desensitization and reprocessing: Efficacy with residential latency-age children. Alliant International University, Fresno, CA. AAT 3042989.

Language: English

Format: Dissertation/Thesis

Abstract:
This archival study examined the efficacy of EMDR with residential latency-age children. Participants in the study were the records of 5 children who completed a 10-week EMDR treatment protocol, and 4 children who were in a control group. Treatment included art therapy, play therapy, drama therapy, and talk therapy. EMDR was included as a component of the overall treatment for the experimental group. Pre- and post-measures were assessed using the Behavior Assessment Scale for Children (BASC) and the Trauma Symptom Checklist for Children (TSCC). Three versions of the BASC were used in this study: the Parent Rating Scale (PRS), the Teacher Rating Scale (TRS), and the Self Report of Personality (SRP).Paired-sample t tests demonstrated significant differences on the BASC-SRP and the TSCC for the experimental group at pre- and post-measures. For the BASC-SRP, the children in the experimental group endorsed significantly fewer items for Atypicality, Locus of Control, Social Stress, and Anxiety at the conclusion of the study as compared to initial results. For the experimental group, three of the six scales on the TSCC were significantly lower at the end of the study than at the beginning of the study. The children endorsed significantly fewer symptoms of PTSD, Depression, and Dissociation at the end of treatment as compared to the beginning of treatment. Because of the numerous limitations of this study, generalizability is inevitably limited. However, the outcome of this research indicates that EMDR can be effective to reduce overall symptomology of severely traumatized children. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(2-B), Aug 2002, pp. 1021.

Keywords: Depressive Disorders Dissociative Symptoms Empirical Study Posttraumatic Stress Disorder PTSD School Age Children Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

266. Paulsen, S. L. (1995, March). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 8(1), 32-44.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is described in terms of clinical phenomena, the need for appropriate training in EMDR, and the consistency of neural network theory with BASK theory of dissociation. EMDR treatment failures occur in dissociative disorder patients when EMDR is used without making diagnosis of the underlying dissociative condition and without modifying the EMDR procedure to accommodate it. Careful informed consent and the use of the dissociative table technique can allow EMDR to move successfully to completion in a dissociative patient. Certain "red flags" contraindicate the use of EMDR for some dissociative patients. A protocol for EMDR with dissociative patients is offered, for crisis intervention (rarely appropriate), abreactive trauma work, and integration/fusion. The safety and effectiveness of EMDR's use in the dissociative disorders requires adequate preparation and skillful trouble-shooting during the EMDR. [Author Abstract]

Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

267. Puk, G. (1991, November). Eye movement desensitization and reprocessing: Treatment of a more complex case, borderline personality disorder. Presentation at the annual meeting of the Association for the Advancement of Behavior Therapy, New York, NY.

Language: English

Format: Conference

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

268. Bolen, D. W. (1999, August). Eye movement desensitization reprocessing for the treatment of anxiety in psychology internship applicants: An interrupted time series design. The Chicago School - School of Professional Psychology, Chicago, IL. AAT 9920131.

Language: English

Format: Dissertation/Thesis

Abstract:
This study used an interrupted time series design to study the effectiveness of Eye Movement Desensitization Processing (EMDR) on the anxiety levels of 17 psychology graduate student participants who were in the process of applying to psychology internship sites. Participants were screened for pathology using the Symptom Checklist - Revised. Anxiety was assessed four times using the State Trait Anxiety Scale, twice prior to and twice following treatment with EMDR. Additionally, in an attempt to the account for some of the error variance due to history, the Schedule of Recent Events was given twice during the study, once prior to the EMDR treatment and once along with the final administration of the State Trait Anxiety Scale. Additional information about the effects of EMDR on anxiety, were obtained by monitoring heart rate and blood pressure changes during EMDR treatment for half of the participants. A dependent t-test on pre- and post-EMDR State Trait Anxiety Scale data failed to yield significant results. Other analyses also showed no effect of treatment. However, visual inspection of the data suggested that EMDR may have been effective for some participants. The range and diversity of participant's responses to anxiety over the course of the study, the relatively small sample size and design factors that increased the error variance were discussed in relation to the insignificant results. It was suggested that specific personality traits (e.g. characterological anxiety) and attributes of the distressing target event (e.g. amount of affect evoked) may act as intervening variables in an individual's response to EMDR treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(2-B), Aug 1999, pp. 0819.

Keywords: Anxiety Empirical Study Interrupted Time Series Design Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

269. Young, W. (1995, Spring). Eye movement desensitization/reprocessing: Its use in resolving the trauma caused by the loss of a war buddy. American Journal of Psychotherapy, 49(2), 282-291.

Language: English

Format: Journal

Abstract:
A case of refractory PTSD was treated with Eye Movement Desensitization/Reprocessing (EMDR). Within one 60-minute session there was a dramatic resolution of two traumatic memories that persisted at nine-month follow-up. Long-standing personality factors did not appear to change during this single-session intervention. This report supports the need for good controlled clinical studies on EMDR. [Author Abstract]

Keywords: Americans Bereavement Case Report Males Middle Aged Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

270. Medeiros, K. (2009). Eye-movement desensitization and reprocessing: Implementation and utilization of EMDR as a treatment for trauma. Undergraduate Review, 5(9), 32-36.

Language: English

Format: Audio

Abstract:
Trauma is a pervasive global issue that affects both children and adults. It is officially defined in the most recent Diagnostic Manual as an event that threatens death or serious injury, and that elicits a response of fear, helplessness, or horror (American Psychiatric Association, 2002). Other respected definitions include a “sudden, unexpected, overwhelmingly intense emotional blow....[that] quickly becomes incorporated into the mind” (Terr, 1992, p. 8), and something that makes “both internal and external resources... inadequate to cope with external threat” (Van der Kolk, 1989, p. 393). Literature suggests that people who have experienced trauma may present with symptoms including depression, anxiety, insomnia, phobias, delayed development, difficulty maintaining social relationships, and personality disorders.

Keywords: Trauma Treatment

Accuracy Verified: Yes

271. Kim, K. I. (2003, January). Family violence: Psychiatric aspects. Journal of Korean Neuropsychiatric Association, 42(1), 5-13.

Language: English

Format: Journal

Abstract:
Objective: Psychiatrists have recently paid attention to family violence victims, possibly due to the increase of the case, difficulty in case finding and management, and unfavorable treatment outcome. In this review article, the author introduced knowledge and clinical guideline for desirable approach. Methods: This article was from review of articles and the author's 20 years clinical experience at the victim clinic. Results: Incidence of family violence in Korea is three fold higher than that of the United States and China. Batterers' personality and behavior pattern, their characteristic action of violence, victims' victimization process, victims' emotional and cognitive response, characteristics of victims' clinical behavior, desirable attitude of psychiatrists, and the 7 stage approach by the author were introduced. [KoreaMed]

Keywords: Batterers Domestic Violence Family Violence

Accuracy Verified: Yes

272. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton.

Language: English

Format: Book

Abstract:
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]

Keywords: Body Psychotherapy Cognitive Therapy Ego State Therapy Hypnotherapy Stressors Survivors TFT: Thought Field Therapy

Accuracy Verified: Yes

273. Morris-Smith, J. (2012, June). Footsteps into the future: EMDR for children and families using a neurodevelopmental perspective [Pasos hacia el futuro: EMDR para niños y familias desde una perspectiva del neurodesarrollo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The acquisition of clinical skills in developing successful EMDR therapeutic practices is in itself a journey of discovery. Each step forward brings new clinical puzzles, challenges and insights: why are some individuals able to use the EMDR therapy more smoothly that others; what is the role of attachment; how are preverbal memories made and how do they become accessible to verbal recall with EMDR therapy; what is the developmental role of dissociation and why do some evolve into coherent, integrated individuals whilst others develop pathological dissociation? This paper presents a neurodevelopmental approach to inform our clinical practice of EMDR therapy with children, adolescents and adults. Brain development is affected by both genetic and environmental factors and included in the latter are: the family milieu, physical illness, toxins and developmental opportunities. During development the brain organizes from the bottom to the top with the lower parts of the brain developing earliest. The majority of the brain organization takes place during the first 4 years of life. Development of the brain in childhood unfolds in a series of stages with higher cortical areas entering final developmental processes much later in childhood and into early adulthood. How to integrate neurodevelopmental aspects with our EMDR clinical practice to develop healthier positive future trajectories for children, adolescents and their families is discussed. This paper will be illustrated by the use of video clips and case material.

La propia adquisición de las habilidades clínicas para desarrollar prácticas terapéuticas de EMDR de éxito es de por sí, un viaje de descubrimiento. Cada paso hacia delante nos plantea nuevos rompecabezas, retos, y conocimientos clínicos: ¿Por qué algunos individuos encuentran menos obstáculos en la aplicación de terapia con EMDR que otros?; ¿Cuál es la función del apego?; ¿Cómo se forman los recuerdos preverbales y cómo se accede a ellos mediante el recuerdo verbal con la terapia con EMDR?; ¿Qué papel desempeña la disociación en el desarrollo y por qué algunas personas se convierten en individuos coherentes e integrados mientras que otros desarrollan una disociación patológica? Esta ponencia pretende presentar un planteamiento desde el neurodesarrollo para instruir nuestra práctica clínica de terapia con EMDR con niños, adolescentes y adultos. El desarrollo cerebral se ve afectado por factores tanto genéticos como ambientales; entre éstos últimos se incluyen: el entorno familiar, las enfermedades físicas, las toxinas y las oportunidades de desarrollo. Durante el período de desarrollo, el cerebro organiza desde abajo hacia arriba, siendo las áreas inferiores del cerebros las que primero se desarrollan. La mayor parte del desarrollo cerebral ocurre durante los cuatro primeros años de vida. El desarrollo del cerebro durante la infancia sucede en una serie de etapas, entrando las áreas corticales superiores en los últimos procesos de desarrollo, mucho más tarde en la infancia y al principio de la vida adulta. Se abordan las cuestiones de cómo integrar aspectos de neurodesarrollo en nuestro trabajo clínico con EMDR para poder desarrollar trayectorias más sanas y positivas para el futuro para los niños, adolescentes y sus familias. Se emplearán grabaciones en vídeo y notas clínicas para ilustrar esta ponencia.

Keywords: Children Families Neurodevelopment

Accuracy Verified: Yes

274. Ardino, V. (2010, June). Forensic aspects of trauma. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
On successful completion of the workshop, students will be able to:
1) Describe standardised assessment of trauma and post-traumatic reactions (PTSD, complex PTSD, and dissociation) and their implications for practitioners in criminal justice and social care. 2) Describe the assessment and treatment of PTSD in offender populations 3) Describe PTSD malingering in court and implications for criminal responsibility

Keywords: Forensics

Accuracy Verified: Yes

275. Hartung, J. G., & Philbrick, P. (1997, July). Forensics applications of EMDR with traumatized, personality disorders, and dissociative persons. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Personality Disorders

Accuracy Verified: Yes

276. Martin, K. (2010, September/October). Fraser's dissociative table technique: A phase 2 strategy. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract: Accessing, identifying, and communicating with internal ego states are necessary for effective treatment of complex trauma and dissociation. To facilitate this, clinicians establish an imaginary internal meeting place where all parts of the client’s personality can gather. This gathering place provides a means to identify, stabilize, negotiate with, and prepare ego states for trauma reprocessing. In this workshop, Fraser’s Dissociative Table Technique will be taught and demonstrated as a Phase 2 strategy for stabilization and preparationfor Phase 4 trauma reprocessing. Using Fraser’s Dissociative Table Technique when Phase 4 reprocessing is stopped due to dissociation will also be demonstrated.

Keywords: Fraser's Dissociative Table Technique

Accuracy Verified: Yes

277. Martin, K. (2013, May). Fraser’s dissociative table: When and how to use it to identify and heal emotional parts of the personality. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.

Language: English

Format: Conference

Abstract:
This introductory workshop will teach the 8 steps of Fraser’s Dissociative Table Technique and how to incorporate it into the EMDR Standard Protocol. Case examples and video clips will be used to demonstrate the power of this technique to identify and work with emotional parts of the personality throughout the healing process.

Keywords: Dissocation Fraser's Dissociative Table

Accuracy Verified: Yes

278. Adler-Tapia, R., & Settle, C. (2010, September/October). From sandboxes to the classroom: EMDR for the treatment of trauma and dissociation in children. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Recognizing and treating symptoms of attachment trauma and dissociation are imperative clinical skills for effective treatment throughout the eight Phases of the EMDR Protocol with clients of any age. The presentation will review AIP theory and the eight-phase EMDR treatment protocol, the three-phase Dissociative Theory treatment, and tools for assessing dissociation in children and adolescents. Once evaluated, therapists will need to continue to assess emerging symptoms that can continue to arise and impede EMDR treatment. Clinical skills including grounding techniques, visualizations, identifying and integrating ego states, and mirroring and nurturing techniques, will be described and demonstrated for participants to implement throughout the EMDR Protocol.

Keywords: Children Dissociation Trauma

Accuracy Verified: Yes

279. Leeds, A. (2010, June). The future of EMDR. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In less than 20 years, EMDR achieved international acceptance as an empirically supported treatment for posttraumatic stress disorder. In achieving this recognition, EMDR has raised fundamental questions, both about the essential mechanisms of action of existing treatments and what the foundational principles should be for future approaches to psychotherapy. Can EMDR best be explained as a variant on the exposure-extinction model of imaginal exposure? Will EMDR turn out to be an equally or more effective treatment for other anxiety disorders, for depressive disorders and for personality disorders, than other methods such as Cognitive Behavioural and Interpersonal Therapy? Is the Adaptive Information Processing model essential to the current use and the future of EMDR or is it merely an unproven and extraneous model? How will EMDR evolve over the next 20 years? For what conditions will it turn out to be most successful? How will the emergence of new technologies impact the delivery of psychotherapy in general and of EMDR? A glimpse of what lies ahead.

Keywords: History Keynote

Accuracy Verified: Yes

280. Fenstermaker, D. (1991, December). A general practice screen for dissociative disorders. EMDR Network Newsletter, 1(2), 13-17.

Language: English

Format: Newsletter

Abstract:
Media descriptions, popular magazine articles, novels and television programs, dissociaparticularly talk shows, present a variety of human conditions to the public. These accounts are often portrayed to represent the general condition when, in fact, they represent highly stylized, idiosyncratic variations of a general class. Over the last ten years, many accounts of dissociative somedisorders, most specifically multiple personality disorder (MPD), have been presented in the media in exactly that sensationalizing fashion. The public, as well as many mental health practioners, have been inundated with largely believable, but exceptionally rare, accounts of how patients with these disorders function, (e.g., what they are like in their day to day living and how they are likely to present themselves in treatment). These conditioned descriptions lead inadvertently to unrealistic expectations about how to recognizesignsand symptoms that would lead to an accurate diagnosis of dissociative disorders.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

281. van Rens, L. W., de Weert-van Oene, G. H., van Oosteren, A. A., & Rutten, C. (2012). Gevalsbeschrijving - Klinische behandeling van posttraumatische stressstoornis bij patiënten met ernstige dubbele diagnose [Case Study - Clinical treatment of posttraumatic stress disorder in patients with serious dual diagnosis problems]. Tijdschrift voor Psychiatrie, 54(4), 383-388.

Language: Dutch

Format: Journal

Abstract:
Three patients with severe addiction problems, early sexual trauma, posttraumatic stress disorder PTSD comorbid psychotic vulnerability and personality problems received integrated treatment following admission to a clinic specialising in the care of patients with a dual diagnosis. Treatment was administered in accordance with current guidelines and involved either imaginal exposure or eye movement desensitization and reprocessing EMDR, integrated with relapse management of addiction problems. It is concluded that the current evidence-based guidelines regarding PTSD and addiction can also be applied successfully and effectively to an extremely vulnerable patient population.

Keywords: Dual Diagnosis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

282. Paulsen, S. L., & Stanley, S. A. (2005, November). Giving the body a voice: How EMDR, ego state therapy, somatic experiencing and indigenous healing methods can cure somatic dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation, Toronto, Ontario Canada.

Language: English

Format: Conference

Keywords: Ego State Therapy Indigenous Healing Somatic Dissociation Somatic Psychotherapy

Accuracy Verified: Yes

283. Wylie, M. S. (1996, July/August). Going for the cure. Family Therapy Networker, 20(4), 20-37 .

Language: English

Format: Magazine

Abstract:
This article discusses the challenges that working with PTSD clients present to therapists who wish to avoid vicarious traumatization. In addition, the work of Charles Figley and Joyce Carbonell to further understanding and treatment of PTSD is addressed, with particular emphasis on eye movement desensitization, traumatic incident reduction, visual kinesthetic dissociation, and thought field therapy.

Keywords: Behavior Therapy Commentary Epidemiology Neurolinguistic Programming NLP Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

284. Schneider, C. & Gismondi, M. (1999, February). A guide to the neurodevelopmental "power therapies" and their use in the treatment of PTSD and related somatic complaints . Presentation at the Winter Brain Meeting, Plam Springs, CA.

Language: English

Format: Conference

Abstract:
In this four-hour workshop, we will combine hands-on technique demonstration with psychobiological theory concerning the state-of-the-art psychotherapeutic treatment of trauma and related somatization disorders. Learning Objectives (1) Understand the significance and evolution of the Power Therapies, i.e., those new or little known trauma psychotherapy techniques that offer significant improvements over traditional methods in terms of the speed, depth and permanence of trauma symptom reduction while minimizing client retraumatization or destabilization. The original "Power Therapies" categorization was developed by traumatologist Dr. Charles Figley and involves four "cutting edge" trauma psychotherapy techniques, Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (an accupressure-based desensitization tool) , Traumatic Incident Reduction and Neurolingusitic Programming's Visual-Kinesthetic Dissociation. Protocols for all four methods will be reviewed. (2) Achieve introductory-level working knowledge of both the techniques, their underlying theoretical rationale and suspected neurophysiological mechanisms of action. (3) Learn Power Therapy integration strategies and explore their clinical utility. (4) Become familiar with the concept of the Neurodevelopmental Power Therapy integration strategies, it's roots in the work of Allen Schore, Bruce Perry and Bessel Van der Kolk and it's implications for Neurotherapy and the Neurosciences as a whole. (5) Review the field experiments of Dr. Schneider combining EMDR with the "crossover point" in alpha-theta training and the possible therapeutic/ scientific synergies between EEG Brainmapping and neurotherapy on the one hand and the neurodevelopmental power therapies on the other.

Keywords: Energy Psychology Neurodevelopment Power Therapies

Accuracy Verified: Yes

285. International Society for Study of Trauma and Dissociation. (2011, March). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12, 115–187. doi:10.1080/15299732.2011.537247.

Language: English

Format: Journal

Abstract:
The International Society for the Study of Dissociation (ISSD), the former name of the International Society for the Study of Trauma and Dissociation (ISSTD), adopted the Guidelines for Treating Dissociative Identity Disorder (Multiple Personality Disorder) in Adults in 1994. However, the Guidelines must be responsive to developments in the field and require ongoing review. The first revision of the Guidelines was proposed by the ISSD’s Standards of Practice Committee1 and was adopted by the ISSD Executive Council in 1997 after substantial comment from the ISSD membership. The second revision of the Guidelines was requested and approved in 2005 based on the expertise of a task force of expert clinicians and researchers.2 The current revision was undertaken by a new task force3 in 2009 and 2010 after input from an open-ended survey of the membership. The current revision of the Guidelines focuses specifically on the treatment of dissociative identity disorder (DID) and those forms of dissociative disorder not otherwise specified (DDNOS) that are similar to DID. It is intended as a practical guide to the management of adult patients and represents a synthesis of current scientific knowledge and informed clinical practice. There is a separate Guidelines for the Evaluation and Treatment of Dissociative Symptoms in Children and Adolescents (ISSD, 2004) available through the ISSTD and published in the Journal of Trauma & Dissociation. The American Psychiatric Association (2004) has published Practice Guidelines for the Treatment of Patients with Acute Stress Disorder (ASD) and Posttraumatic Stress Disorder (PTSD), which may be relevant to the treatment of DID.

Keywords: Adults DID Dissociation Dissociative Identity Disorder Practice Guidelines Trauma Treatment

Accuracy Verified: Yes

286. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol.
Learning Objectives: • Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality • Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while • Keeping them stable• Describe a way to identify Emotional Parts of the Personality • Describe 3 clinical markers for client readiness for trauma reprocessing in complex trauma cases

Keywords: Structural Dissociation Theory

Accuracy Verified: Yes

287. Shrigley, C., & Martin, K. (2013, May). Healing mind and body through structural dissociation theory and EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This half day workshop will teach Structural Dissociation Theory and how it integrates into treating complex trauma with EMDR. Case examples will be used to highlight the theoretical concepts and how to work with the emotional parts while keeping them stable throughout the 8 phases of the EMDR Standard Protocol. (All Levels – 50% EMDR) Learning Objectives: • Describe the distinctions between the Apparently Normal Part and Emotional Parts of the Personality • Describe 3 aspects of treating Emotional Parts of the Personality with EMDR while • Keeping them stable

Keywords: Structural Dissociation Theory

Accuracy Verified: Yes

288. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136.

Language: English

Format: Journal

Abstract:
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.

Keywords: Caregiving System Connection: Contingecy Differentiation Mentalization Regulation

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

290. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy "This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center "Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]

Keywords: Dissociation Ego State Therapy

Accuracy Verified: Yes

291. Tudor, T. (1994). Healing the heart: EMDR in post-unification MPD therapy. EMDR Network Newsletter, 4(1), 8-9.

Language: English

Format: Newsletter

Abstract: M
ultiple Personality Disorder (MPD) represents the most severe form of the Dissociative Disorders. The predominant symptoms are disturbances in the normally integrative functions of identity and memory (American Psychiatric Association, 1987). There has been an explosion of interest in the disorder since about 1984 Putnam, 1989; Ross, 1989), with many articles focusing upon phenomena, diagnosis, and treatment. The treatment articles have focused primarily upon thechallengingissues that have to be dealt with prior to the eventual unification ofthe mind, as represented by the fusions of the various alter personalities. Relatively little has been written about the post-unification phase of treatment, except that treatment does not end with unification (Kluft, 1988).

Keywords: Post-Unification MPD Therapy

Accuracy Verified: Yes

292. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.

Keywords: Complex Trauma Personality Disorders Re-Scripting

Accuracy Verified: Yes

293. Rogers, M. (2001, January 24). Healing through the windows of the soul. Sante Fe, NM: The Sante Fe New Mexican, E-3.

Language: English

Format: Newspaper

Abstract:
The therapy technique, called eye-movement desensitization and reprocessing, is an innovative method of therapy for anyone who has experienced a trauma of any kind, Stark said. EMDR can be used to treat victims of sexual abuse, domestic violence, criminal violence, combat and natural disasters. It has even been used to treat people with personality disorders, such as schizophrenia.

Keywords: General Overview Sante Fe

Accuracy Verified: Yes

294. Steele, S. L. (2003). Healing trauma: Creating a theoretical structure for nonverbal and expressive therapies in the treatment of trauma. Chicago School of Professional Psychology, Chicago, IL. AAT 3093612.

Language: English

Format: Dissertation/Thesis

Abstract:
Expressive and nonverbal therapies are increasingly being used in the treatment of trauma. This paper provides a theoretical structure that explains the mechanisms of therapeutic action so that empirical investigations can be conducted to determine the effectiveness of these modalities. Trauma, PTSD, memory, dissociation, alexithymia, and somatization are discussed. Donnel B. Stern's conceptualization of unformulated experience and David Kreuger's discussion of the body self and psychological self are explored and integrated with the neuropsychological research of Bessel A. van der Kolk and others. Finally, these concepts and research findings are integrated with expressive and nonverbal treatment approaches, including Eye Movement Desensitization and Reprocessing, Somatic Experiencing, Sensorimotor Psychotherapy, and Dance/Movement and Voice Movement therapies. [Author Abstract]

Keywords: Alexithymia Body Psychotherapy Cognitive Processes Dance Therapy Dissociative Disorders Expressive Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Somatic Symptoms

Accuracy Verified: Yes

295. Oppenheim, H-J. (2010, April). Het snijden moet stoppen, een uitweg uit de "stabilisatie-versus behandeling paradox 'in een DIS patiënt [The cutting must stop an escape from the" Stabilization versus treatment paradox' in a patient CIS]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
In deze presentatie zal ik, ook met behulp van video clips, bespreken het proces van de patiënt met een trauma CIS in acuut gevaar. Er was ernstige zelfbeschadiging dat elke volledig buiten het bewustzijn van de patiënt heeft plaatsgevonden. In termen van structurele dissociatie model (onder anderen), Onno van der Hart, is er agressieve acties van een emotionele deel van de persoonlijkheid (EP) die hebben gereageerd op deze ernstige en gewelddadige herbeleving van een vroege jeugd trauma. Aangezien de levensbedreigende zelfbeschadiging vormen begon te nemen werd gesneden zo spoedig gestaakt. Het was echter duidelijk dat in deze omstandigheden, te kijken naar het dagelijks leven schijnbaar normaal functioneren van de persoonlijkheid (ONP) trauma niet kon dragen. Patiënt en therapeut zijn gevangen in deze situatie in een vertrouwde paradox: om het trauma te verwerken moet stabiel genoeg zijn, maar de stabiliteit is nodig om het trauma te verwerken. In deze presentatie, een uitweg uit deze paradox zien. Na intensieve voorbereiding, met inbegrip van de bescherming van bepaalde onderdelen persoonlijkheid, contacten en onderhandelingen met een levensbedreigende deel en andere delen, met behulp van EMDR trauma kan optreden met alleen die delen dat het trauma kan verwerken. De (b) lijkt het erop dat actieve trauma EMDR met behulp van in deels bewust mogelijke niveau. Deelnemers zullen leren: a. hoe te werken uit de structuurfondsen Dissociatie Model; b. het belang van een actieve houding van de therapeut, als regisseur, wanneer het in contact en werken met verschillende delen van de persoonlijkheid, om het gewenste doel te bereiken. c. dat trauma een deel mogelijk bij het ontbreken van gericht op het dagelijks leven van de persoonlijkheid.

In this presentation I will, also using video clips, discuss the process of trauma patient with a CIS in acute danger. There was serious self-harm that each completely outside the consciousness of the patient occurred. In terms of structural dissociation model (among others), Onno van der Hart, there is aggressive actions of an emotional part of the personality (EP) that responded to this serious and violent reworking of an early childhood trauma. Since the life-threatening self-harm forms began to take was cut as soon as discontinued. However, it was clear that in these circumstances, looking at daily life seemingly normal functioning of the personality (ONP) trauma could not bear. Patient and therapist are caught in this situation in a familiar paradox: to process the trauma must be stable enough, but the stability is needed to process the trauma. In this presentation, an escape from this paradox shown. After intensive preparation, including in safeguarding certain personality parts, contact and negotiations with life threatening part and other parts, using EMDR trauma could occur with only those parts that could handle the trauma. The (b) it seems that active trauma using EMDR in partly conscious level possible. Participants will learn: a. how to work from the Structural Dissociation Model; b. the importance of an active attitude of the therapist, as a film director, when in contact and working with different parts of the personality, to achieve the desired goal. c. that trauma to a part as possible in the absence of focused on the daily lives of the personality

Keywords: Cutting, Stabilization, Treatment

Accuracy Verified: Yes

296. Bergmann, U. (2008). Hidden selves: Treating dissociation in the spectrum of personality disorders. In C. Forgash & M. Copeley (Eds.), Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (pp. 227-265). New York: Springer Publishing Co. xxi, 361 pp.

Language: English

Format: Book Section

Abstract:
This chapter will examine the applications of the ego state concepts and techniques to all phases of the EMDR process in order to facilitate the treatment relationship--especially with the lonely, vulnerable ego states--as well as identify and strengthen the more developed self-aspects. Treatment is usually long-term EMDR, interweaving the activation of fear-based, aggressive, infantile ego states necessary to facilitate, deepen, and accelerate desensitization and reprocessing. Case examples will be offered of the treatment of passive-aggressive and narcissistic personality disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Dissociation Personality Disorders

Accuracy Verified: Yes

297. Martin, K. M. (2012). How to use Fraser's Dissociative Table Technique to access and work with emotional parts of the personality. Journal of EMDR Practice and Research, 6(4), 179-186. doi:10.1891/1933-3196.6.4.179.

Language: English

Format: Journal

Abstract:
This Clinical Q&A article responds to a question about what process to use to access and identify ego states when working with complex trauma. The procedure for implementing Fraser's Dissociative Table Technique is explained and detailed in 8 clearly defined steps. The author builds on Fraser's original instructions and adds several innovations for use by EMDR therapists. Tips on implementing this technique are given. The article then concludes with a session transcript to illustrate the use of this powerful tool.

Keywords: ANP Apparently Normal Part of the Personality EMD Dissociative Table Emotional Part of the Personality EP Eye Movement Desensitization Meeting Place

Accuracy Verified: Yes

298. Humi, M. P., Godoy-Izquierdo, D., Vazquez, M. L., & Godoy, J. F. (2012, June). Hypothesis of emotional trauma and structural dissociation in idiopathic parkinson’s disease: Treatment by EMDR?. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: English

Format: Conference

Abstract: INTRODUCTION: Idiopathic Parkinson’s disease (PD) is proposed to be the result of a multifactorial process that causes the loss of dopaminergic neurons in the substantia nigra. The first symptoms appear when dopamine is reduced by 80% in the striatum nucleus or when 60% of the negro-striatal neurons have disappeared. This indicates that the cause of PD happens or starts to be active years if not decades before the first symptoms appear. There is evidence from animal and human models that PD has an early pre-symptomatic or masked onset as a result of pre- or perinatal disruption of the neuronal development of the brain and/or by a postnatal traumatic impact very early in life affecting the neurogenesis and/or making the nigro-striatal system vulnerable to subsequent experiences (Diseth, 2005; Le, Chen and Jankovic, 2009). Medical research identifies such (subsequent) traumatic impacts in genetic or environmental factors or following a neurodevelopmental insult by aging alone (Le et al., 2009).

Keywords: Parkinson’s Disease Poster

Accuracy Verified: Yes

299. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.

Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.

Keywords: Personality Disorders

Accuracy Verified: Yes

300. Cook, A. (1994). Ideas for using EMDR with dissociative states. EMDR Network Newsletter, 4(3), 5.

Language: English

Format: Newsletter

Abstract:
I have been using EMDR with many of my clients a number of whom had been sexually assaulted as children and have suffered other childhood trauma. While it is very helpful for most clients, I have found that some, who had suffered repeated and early abuse, are overwhelmed with the material that they uncovered using EMDR in its original form. I have tried a couple of techniques for altering EMDR which have been very helpful to some clients. Interestingly, many clients can return to the original version once their anxiety levels have been lowered.

Keywords: Dissociation

Accuracy Verified: Yes

301. Ostacoli, L. (2010, Settembre). Il trattamento intensivo con EMDR nel disturbo borderline de personalita [Intensive treatment of BPD with EMDR]. In L. Ostacoli (Proponente) L'EMDR: un Approccio psicoterapico a Ponte psiche TRA neurologia e, Simposio condotto presso XII Congresso Nazionale della Sezione di Psicologia Clinica e Dinamica, Torino, Italia.

Language: Italian

Format: Conference

Keywords: Borderline Personality Disorder BPD

Accuracy Verified: Yes

302. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.

Keywords: Affect Tolerance Poster Self-Regulation Social Functioning

Accuracy Verified: Yes

303. Leeds, A. M. (1997, July). In the eye of the beholder: Reflections on shame, dissociation, and transference in complex post-traumatic stress and attachment disorders. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
This paper covered material on how affect theory, attachment theory and EMDR theory can help with case formulation and treatment planning. This paper provided the first in depth presentation on Resource Development and Resource Installation which previously had been presented only at EMDR Institute trainings at speciality presentations. [Author abstract]

Keywords: Neurobiological Correlates RDI Resource Development and Installation Shame

Accuracy Verified: Yes

304. Twombly, J. H. (2001, December). Incorporating EMDR and EMDR adaptations into the treatment of dissociative disorders. Presentation at the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Abstract:

Keywords: Dissociation

Accuracy Verified: Yes

305. Forgash, C., & Knipe J. (2012). Integrating EMDR and ego state treatment for clients with trauma disorders. Journal of EMDR Practice and Research, 6(3), 120-128. doi:10.1891/1933-3196.6.3.120.

Language: English

Format: Journal

Abstract:
This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.

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

Accuracy Verified: Yes

306. Forgash, C. (2006, November). Integrating EMDR and ego state treatment: Addressing dissociation and PTSD in adult sexual abuse survivors and their negative impact on physical health. Presentation at the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA .

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Physical Health Posttraumatic Stress Disorder PTSD Sexual Abuse Survivors

Accuracy Verified: Yes

307. Bergmann, U. (2003, May). Integrating EMDR into specific therapeutical approaches - Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state work. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

308. Darker-Smith, S. (2008, June). Integrating emotion for attached-disordered and dissociated children. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling children disassociating from emotions with severe attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR. For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where none of the children were able to access emotions and were attachment disordered. The children were aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, co-morbid with post traumatic stress disorder. Most of the children did not experience emotions directly. Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focus on a particular emotion and focus on where in their body they experienced any feelings, which may be associated to that emotion. The children began to describe complex emotions, which they had never previously expressed, prior to this. An example of one childï¿½s experience follows: ï¿½I feel sad in my heart. It feels cold ï¿½ as if someone has smashed it into a thousand bitsï¿½ï¿½. Following on this, all the children were also encouraged to sit with their new emotions and not to be afraid of them. One child stated: ï¿½It feels good to be sad. When I cry ï¿½ that stops my heart hurting so much and the tears make the glue to fix my broken heart.ï¿½ So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.

Keywords: Attachment Disorders Dissociation Children

Accuracy Verified: Yes

309. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy

Accuracy Verified: Yes

310. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813) 366-7913 2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy

Accuracy Verified: Yes

311. Moore, R. H., Dryden, W., Frater, A., Volkman, M., Volkman, V. R., & Gerbode, F. A. (2004). Integrating therapies. In V. R. Volkman (Ed.), Beyond conversations on traumatic incident reduction (pp. 155-179). Ann Arbor, MI: Loving Healing Press. ix, 292 pp.

Language: English

Format: Book Section

Abstract:
"TIR and Rational Emotive Behavioral Therapy (REBT): A Conversation with Robert H. Moore, Ph.D" / Robert H. Moore / Moore, who is well-versed in Rational Emotive Behavioral Therapy (REBT) provides insights on how lessons learned from TIR can influence an REBT practice. /// "A Conversation with Windy Dryden, Ph.D" / Windy Dryden / Dryden also describes integration of REBT with TIR. /// "Using TIR in a Psychotherapy Practice: A Conversation with Alex Frater" / Alex Frater / Frater describes the use of TIR, REBT, and Thought Field Therapy in a psychotherapy practice. /// "TIR and EFT: A Practitioner's Perspective A Conversation with Marian Volkman" / Marian Volkman / Volkman describes the use of TIR and EFT (emotional freedom technique) in her private practice. /// "TIR and EMDR: Notes from the Field" / Victor R. Volkman / Describes similarities and differences in TIR and EMDR. /// "Comparing TIR and Other Techniques" / Frank A. Gerbode / Gerbode compares TIR with other techniques, such as EMDR, V/KD, DTE (direct therapeutic exposure), and TFT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Behavior Therapy Cognitive Therapy Counseling Multimodal Treatment Approach EFT Emotional Freedom Therapy Emotional Trauma Integrative Psychotherapy Integrative Therapy Rational Emotive Behavior Therapy Reduction Psychotherapeutic Processes Psychotherapeutic Techniques Psychotherapy TFT Thought Field Therapy TIR Traumatic Incident Visual/Kinesthetic Dissociation V/KD

Accuracy Verified: Yes

312. Rouanzoin, C. (2007, September). The integration of EMDR in the treatment of dissociative clients. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will focus on the use of EMDR in the treatment of patients who span the dissociative spectrum. The participants will learn how to understand dissociative process from simple to complex dissociation and how to utilize EMDR in their treatment. This presentation will discuss dissociative process from the Adaptive Information Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the ‘Red Flags’ of treatment concerns; the differential diagnoses of dissociation – from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; and therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this highly traumatized population of individuals.

Keywords: Dissociation Dissociative Disorders

Accuracy Verified: Yes

313. Lazrove, S. (1994, November). Integration of fragmented dissociated traumatic memories using EMDR. Presentation at the 10th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociation

Accuracy Verified: Yes

314. Wade, T., & Wade, D. (2001, January-April). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and eye movement desensitization and reprocessing (EMDR) in a psychosocial developmental context. American Journal of Clinical Hypnosis, 43(3-4), 233-245. doi:10.1080/00029157.2001.10404279.

Language: English

Format: Journal

Abstract:
The principles of this conceptual framework are: (1) personality organization is dissociative as well as associative, consisting of ego states, and progresses through stages of psychosocial development; (2) inappropriately activated ego states cause dysfunction, which is habitual or due to the intense affect of disrupted development or unresolved grief or trauma; (3) completely overcoming dysfunction requires therapy with both individual ego states and the personality system; (4) clinical hypnosis provides techniques to enhance accessing ego states; and (5) EMDR combines ego-state therapy with eye movements (EMs) to produce a powerful psychotherapy method. During assessment, ego states responsible for dysfunctional emotional reactions and behavior are identified together with those that could be appropriate instead. Included in the treatment protocol, EMs and clinical hypnosis promote: (1) corrective developmental experiences; (2) resolution of grief and trauma; (3) acquisition of skills and abilities; (4) co-consciousness; and (5) negotiation among ego states. The outcome is an integrated “family of self” that has effectively overcome developmental crises, grief, and trauma, is aware of essential inner resources, and can consciously activate appropriate ego states. [Author Abstract]

Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context

Accuracy Verified: Yes

315. Karim, S. F. (2002-2003). Introducing EMDR: Its implications for clinical practice and research. Journal of the Faculty of Arts, The Dhaka University Studies, 59(1), 50 (2), & 60(1), 201-206.

Language: English

Format: Journal

Abstract:
EMDR is a complex, time efficient and powerful method of psychotherapy that integrates many of the most successful elements of a wide range of therapeutic approaches, even long-term Freudian analysis. The procedure involves having the client focus intensively on the traumatic memory while moving the eyes rapidly from side to side, by visually tracking the therapist's moving hand. This seems to render the traumatic memory accessible to the healing resources of the rest of the personality, where it may be worked through and integrated. In addition, it uses eye movements or other forms of rhythmical stimulation. such as taps or tones, in a way that seems to assist the brain's information-processing system to processed at a rapid rate. Special protocols may be used for a single traumatic event, current anxiety and behaviour, recent traumatic events, phobias, excessive grief, illness and somatic disorders and different forms of addictions. Protocols include the sequence of progressing on a particular target. EMDR as an integrative approach starts from the moment the client enters through the door. Although called Eye Movement Desensitisation and Reprocessing, directed eye movements (where the eye movement is given a direction by tracking with two fingers) is only one form of stimulation used as a part of its complete methodology. Other forms of stimulation include bilateral auditory stimulation and alternate hand tapping. It is an innovative clinical treatment for victims of trauma. Francine Shapiro introduced it in 1989 and a large number of clinicians worldwide have been trained in the method. Francine Shapiro defines "the goal of EMDR is to achieve the most profound and comprehensive treatment effects possible in the shortest period of time, while maintaining client stability with a balanced system" (Shapiro, 2001).

Keywords: Practice Theory

Accuracy Verified: Yes

316. Barach, P. (2000, September). Introduction to the diagnosis and treatment of dissociative disorders: Learning the ropes, avoiding the pitfalls. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
EMDR is not the focus of this program. Participants will: 1) become acquainted with interview questions and diagnostic instruments that access for the presense of a dissociative disorder; 2) learn current thinking concerning the etiology of dissociative disorder; and 3) learn how to use therapeutic boundaries and pacing to structure a treatment plan for dissociative clients that helps maintain daily functionality; 4) understand the basic issues in the false memory/recovered memory controversy; and 5) understand some of the common traps and errors in the treatment of this population.

Keywords: Diagnostic Instruments Dissociation False Memory Interview Questions Pacing Recovered Memory Therapeutic Boundaries

Accuracy Verified: Yes

317. Shapiro, F. (2002). Introduction: Paradigms, processing, and personality development. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (pp. 3–26. Washington, DC: American Psychological Association Press.

Language: English

Format: Book Section

Abstract:
The basic thesis of this book is that eye movement desensitization and reprocessing (EMDR) is an integrated mode of psychotherapy with incorporated principles, protocols, and procedures that are compatible with all the major psychological orientations. It is hoped that EMDR can bridge the gap between various forms of psychotherapy and perhaps allow the information-processing model (which is explained in this chapter) to act as a common language. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Information-Processing Model Models Personality Development Psychotherapy

Accuracy Verified: Yes

318. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.

Language: English

Format: Book Section

Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]

Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

319. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.

Keywords: Personality Disorders Symposium Trauma

Accuracy Verified: Yes

320. Freitag, W. (2002, June). Is unresolved anger the problem?. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Unresolved anger, when not previously identified or prepared for, can halt EMDR processing in an instant. It is often at the root of or an integral part of the clinical picture for individuals suffering from anxiety disorders, depression and some personality disorders as well as Chronic Fatigue Syndrome and Fibromylgia. Because unresolved anger is not often conscious and evident at first glance, it can be missed or not readily addressed, prior to EMDR processing. Participants who attend this workshop will 1) be better able to identify unresolved anger in their clients with a variety of presenting complaints; 2) learn ways to prepare and assess their client's readiness to do EMDR when dealing with unresolved anger issues: and 3) learn effective cognitive interweaves to use when EMDR processing gets stuck.

Keywords: Anger Blocked Processing

Accuracy Verified: Yes

321. Lustig, S., Smrz, A., Sladen, P., Sellers, T. D., & Hellman, S. (2000, January-February). It takes a village: Caring for a traumatized art student. Harvard Review of Psychiatry, 7(5), 290-298. doi:10.3109/hrp.7.5.290.

Language: English

Format: Journal

Abstract:
One of the fascinating developments in mental health care in the last decade has been the appearance of specific psychotherapies for various psychiatric illnesses. Perhaps the best known of these is dialetical behavior therapy (DBT), pioneered by Linehan and colleagues for borderline personality disorder and consisting of rigorous group and individual cognitive-behavioral therapy within an empathetic and validating psychotherapy setting. Another is eye-movement desensitization and reprocessing (EMDR), described by Shapiro and coworkers as a treatment for PTSD and other anxiety disorders.The following case study involves a patient in a team-treatment setting who benefitted significantly from the use of DBT and EMDR, as well as a complex psychopharmacology regimen, after receiving an extensive battery of psychological tests. The clinicians who were involved with the patient will discuss the aspects of her care for which they were responsible. We do not endeavor to isolate which modality was the "right" one; rather, we are looking at the manner in which each potentiated the others. [Introduction] [Pilots]

Keywords: Borderline Personality Disorder Case Report Child Abuse Cognitive Therapy College Students Drug Therapy European Americans Females Incest Individual Psychotherapy Partial Hospitalization Psychotherapeutic Processes PTSD Rape Survivors Young Adults

Accuracy Verified: Yes

322. Fine, C.& Berkowitz, A. (2008, April). The joint use of EMDR and hypnosis in the treatment of DID, DDNOS and complex PTSD. Presentation at the 1st bi-annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress disorder (PTSD), is currently recognized as a treatable condition. It is considered the paradigmatic dissociative disorder and carries with it extreme posttraumatic symptomatology which lends itself to be an apt target for treatment combining the use of EMDR and hypnosis. Therapists skilled in the treatment of DID and Dissociative Disorder Not otherwise specified (DDNos) have augmented their therapeutic arsenal with the fluent uses of hypnosis for stabilization, affect management, building a safe place and grounding. EMDR, which has come to the forefront of clinical awareness in the last fifteen years, seems well suited for the treatment of trauma, but can be destabilizing. The presenters recommend a protocol, called Wreathing Protocol, for the imbricated use of EMDR and hypnosis in the treatment of not only DID, but also DDNOS and complex chronic PTSD. The Wreathing Protocol is useful to advanced clinicians skilled in both modalities independently. This workshop will explain and illustrate with a clinical vignette the sequential steps of the Wreathing Protocol; it will describe the required contextual treatment frame for its safe use. The presenters will explore the consequences of the premature uses of EMDR and offer planful structured responses to a disequilibrated treatment and a destabilized patient. The clinical implications of the use of the Wreathing Protocol will be discussed. Learning objectives: 1. Name three prohibitions to the use of EMDR in the treatment of dissociative disorders. 2. Exemplify one target symptom of the BASK model of dissociation in the clinical example presented and relate a different one in one of your own patients. 3. Describe a potential multistep Wreathing Protocol sequence from selection of target to resolution of at least one microsymptom in a patient of your choice.

Keywords: Complex PTSD DDNOS DID Dissociative Identity Disorder Dissociative Disorder Not Otherwise Specified Hypnosis

Accuracy Verified: Yes

323. Softic, R. (2008). Kompletna remisija simptoma akutnog neratnog PTSP - A nakon jedne seanse EMDR [Complete symptom's remissions of acute non-combat PTSD after one session]. Acta Medica Saliniana, 37(2), 147-150.

Language: Bosnian

Format: Journal

Abstract:
Uvod: Mnoge studije ukazuju na efikasnost psihoterapijske metode Eye Movement Desensitization and Reprocessing u lijeÄenju stanja nastalih kao reakcija na teï¿½ak stres. Do sada u Bosni i Hercegovini nije bilo objavljenih studija vezanih za EMDR. Prikaz sluÄaja: U radu je prikazan pacijent obolio od akutnog posttraumatskog stresnog poremeÄ‡aja nakon ï¿½to je preï¿½ivio nesreÄ‡u u rudniku. Nakon jedne seanse EMDR simptomi se u potpunosti povlaÄe, a pacijent se vraÄ‡a na premorbidni nivo psihosocijalnog funkcionisanja. ZakljuÄak: Pacijenti tretirani sa EMDR imaju mnoge koristi od ovakvog pristupa, posebno u sluÄajevima posttraumatskog stresnog poremeÄ‡aja uzrokovanog jednostavnom traumom koja se poÄne lijeÄiti rano, prije inkorporiranja u liÄnost pacijenta.

Background: Recent studies pointed to Eye Movement Desensitization and Reprocessing as an efficient psychoterapeutic approach in the treatment of states caused by severe stress. Until now in Bosnia and Hercegovina were no published studies regarding to EMDR. Case report: Patient with acute posttraumatic stress disorder developed after he survived the mining accident was presented. After one session of EMDR simptoms were solved, and patient returns at premorbid level of psychosocial functioning. Conclusion: Patients treated with EMDR has a lot of benefits from this approach, especialy in cases of Posttraumatic stress disorder caused by simple trauma that is not incorporated into patients personality.

Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

324. Softic, R. (2008). Kompletna remisija simptoma akutnog neratnog PTSP-A nakon jedne seanse EMDR [Complete symptom's remission of acute non-combat PTSD after one EMDR session]. Acta Medica Saliniana, 37(2), 147-150.

Language: Croatian

Format: Journal

Abstract:
Uvod: Mnoge studije ukazuju na efikasnost psihoterapijske metode Eye Movement Desensitization and Reprocessing u liječenju stanja nastalih kao reakcija na težak stres. Do sada u Bosni i Hercegovini nije bilo objavljenih studija vezanih za EMDR. Prikaz slučaja: U radu je prikazan pacijent obolio od akutnog posttraumatskog stresnog poremećaja nakon što je preživio nesreću u rudniku. Nakon jedne seanse EMDR simptomi se u potpunosti povlače, a pacijent se vraća na premorbidni nivo psihosocijalnog funkcionisanja. Zaključak: Pacijenti tretirani sa EMDR imaju mnoge koristi od ovakvog pristupa, posebno u slučajevima posttraumatskog stresnog poremećaja uzrokovanog jednostavnom traumom koja se počne liječiti rano, prije inkorporiranja u ličnost pacijenta.

Recent studies pointed to Eye Movement Desensitization and Reprocessing as an efficient psychoterapeutic approach in the treatment of states caused by severe stress. Until now in Bosnia and Hercegovina were no published studies regarding to EMDR. Case report: Patient with acute posttraumatic stress disorder developed after he survived the mining accident was presented. After one session of EMDR simptoms were solved, and patient returns at premorbid level of psychosocial functioning. Conclusion: Patients treated with EMDR has a lot of benefits from this approach, especialy in cases of Posttraumatic stress disorder caused by simple trauma that is not incorporated into patients personality.

Keywords: Non-Combat Postttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

325. Gambuzza, C. (2008, Novembre). L'EMDR in un trauma complesso di PN-PTSD e abuso [EMDR in a complex PN-PTSD trauma and abuse]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Propongo il caso di S. perché il PN-PTSD è poco diagnosticato e perché, attraverso una variante tecnica al floatback, il floatback-floatforward sulla timeline, sono riuscita ad aggirare la dissociazione post traumatica, a identificare i vari alter dissociati e a integrarli nella persona con l’uso del protocollo standard dell’EMDR. A sedici anni S. fu portata in studio dai genitori che l’avevano sorpresa a inalare i fumi dell’eroina; oggi ha diciotto anni e non si droga più da quel giorno. Guardandole le braccia piene di cicatrici mi resi conto che S. ricorreva alla pratica dell’autolesionismo, ma i genitori non se ne accorgevano. Qual era il segreto custodito gelosamente dalla famiglia? La storia di S. si articola intorno a due traumi: il PN-PTSD e l’abuso. Dal trauma perinatale e dalla percezione in utero degli stati emotivi depressivi della madre sono scaturiti disturbi nell’attaccamento e, per la mancanza di mirroring e di sintonizzazione affettiva, sono falliti i processi d’internalizzazione che portano all’identità. S. era consapevole del trauma dell’abbandono ma non dell’abuso, che definiva come un “pozzo nero impenetrabile”. Per affrontare il trauma che minacciava la sopravvivenza, S. faceva ricorso in maniera invasiva a un meccanismo di coping: la dissociazione dell’oggetto e del Sé. Mettere in un alter l’abuso consentiva a S. di mantenere l’attaccamento ai membri della propria famiglia che avevano abusato di lei o attivamente, o passivamente con la complicità del silenzio. Usando la scala Des non ho riscontrato risultati significativi sulla dissociazione, invece con la SCID-LIST ho rilevato valori alti. L’autolesionismo può rappresentare l’odio per il corpo che ha subito l’abuso senza ribellarsi, o, come dice S., “un modo per punirsi della colpa di esistere o di infliggersi una sofferenza fisica per coprire l’angoscia di morte”. L’EMDR ha rappresentato la sfida.

Propose the case of S. because the PN-PTSD is poorly diagnosed and because, through a variant technique to floatback the floatback-floatforward on the timeline, I managed to circumvent the Post traumatic dissociation, to identify the various alter-differentiated and integrate them in person using the standard EMDR protocol. At sixteen, S. was brought to the study by parents who had found to inhale the fumes of heroin; Today is eighteen years and not more drugs that day. Looking at the arms full of scars I realized that St. resorted to the practice of self, but the parents did not noticed. What was the secret guarded jealously by the family? The story of St. focuses on two traumas: the PN-PTSD and abuse. Since perinatal trauma and perception of emotional states of depression in the uterus of the mother are resulting in attachment disorders and the lack of mirroring and affective attunement, failed processes of internalization that lead to identity. S. was aware of the trauma of abandonment but not the abuse, which defined as a "well impenetrable black. To deal with the trauma that threatened the survival, S. was used in an invasive manner coping mechanism: the dissociation of object and self. Putting an alter abuse allowed S. to maintain the attachment to family members who had abused her or actively, or passively with the complicity of silence. Using the scale Des I have not found significant results on the dissociation, but with the SCID-LIST I observed high values. The SIB may represent the hatred of the body that has suffered abuse without rebelling, or, as Saint, "a way to punish a fault to exist or to inflict physical pain cover the anguish of death." EMDR has been the challenge.

Keywords: Complex PTSD Poster

Accuracy Verified: Yes

326. Selvini, M. (2011, Settember). L'Impatto delle terapie del trauma e dell'EMDR sul modello sistemico familiare-individuale [The impact of EMDR treatment of trauma and the family systems model-independent]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Uno dei limiti di fondo del modello sistemico classico (si veda La pragmatica della comunicazione di Watzlawick, 1967, o Paradosso e contro paradosso, 1975, fino agli epigoni post-moderni) è dato dal semi-annullamento della dimensione individuale (la famosa scatola nera), tra cui come ovvia conseguenza quella dell’elaborazione del trauma. Il movimento EMDR impatta così utilmente sui terapeuti sistemici nell’aiutarli a riscoprire/approfondire/integrare i temi dell’elaborazione/difesa della sofferenza e dei diversi tipi di personalità/funzionamento. Le mie scuole da qualche anno stanno formando all’EMDR tutti i docenti e tutti gli allievi del quarto anno: perché solo circa un terzo dei formati al primo livello utilizza poi effettivamente questa tecnica? Lo stiamo studiando con incontri a piccolo gruppo subito dopo i tre giorni del primo livello, appare infatti chiaro che chi non utilizza subito la tecnica non lo farà più.

One of the limitations of the underlying classical system model (see The pragmatics of communication of Watzlawick, 1967, or Paradox and counter paradox, 1975, until the post-modern successors) is given by the semi-annulment of the individual dimension (the famous black box ), including the drawing as an obvious consequence of trauma. The movement thus usefully EMDR impacts on systemic therapists in helping them to discover / learn / integrate the development issues / defense of the suffering and the different personality types / functions. My schools a few years being trained EMDR all teachers and all pupils in the fourth year, because only about one third of the formats on the first level then actually uses this technique? We're studying with small group meetings in the three days immediately after the first level, it seems clear that those not using the technique just will not do it anymore.

Keywords: Family Systems

Accuracy Verified: Yes

327. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España.

Language: Spanish

Format: Conference

Abstract:
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y multifactorial que exige una atención y actuación que incluya los aspectos clínicos, familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009). Los profesionales que trabajan con TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta comunicación es el explicar como se puede trabajar con EMDR para poder tomar conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.

The feeding behavior disorders (ED), one of which is anorexia and bulimia nervosa, are an emerging health problem that has a strong impact on our society. The problem of these disorders is as varied and multifactorial requiring attention and action, including the clinical, family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009). Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.

Keywords: Eating Disorders Symposium

Accuracy Verified: Yes

328. Giard, M. (2009, May). La guérison, par l’EMDR, des femmes abusées sexuellement durant l’enfance [Women healing childhood sexual abuse with EMDR]. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada .

Language: French

Format: Conference

Abstract:
Do you recognize the signs that a survivor of childhood sexual abuse may not be able to talk about the abuse and yet may be suffering from it? What are some of the risks that a survivor of childhood sexual abuse may encounter when using EMDR? During this workshop you will understand how the brain stores trauma—freeze, fight, flight responses—with an emphasis on dissociation and hypervigilance as coping mechanisms. The second part of the workshop will include practicing with EMDR and alternating techniques such as anchorage, strength-building (Tomlinson, 2008), remembering and healing childhood sexual abuse.

Keywords: Childhood Sexual Abuse

Accuracy Verified: Yes

329. Kutz, I. (2009). Letters to the editor. Journal of EMDR Practice and Research, 3(1), 57-58. doi:10.1891/1933-3196.3.1.57.

Language: English

Format: Journal

Abstract:
I sincerely thank Ms. Masters for her important comments. Indeed, to the list of confounding variables enumerated by Ms. Masters, one may add others like suggestibility, a trait present in some of the clients, that may be further infl uenced by the setting of the intervention or the personality of the clinician. So the question of correlation or casualty and the issue of specifi city are always pertinent. (Excerpt)

Keywords: Letter

Accuracy Verified: Yes

330. Yoeli, F. R. (2002, May/June). Life in the shadow of anxiety; The mask of OCD: and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:
Chairs: Sack M. & Spector J.
My focus today is on the etiology of the trauma-based predisposition to OCD. I would like to demonstrate how the obsessive-compulsive disorder serves the dissociative adult as a MASK thereby maintaining the hidden status of both the traumatic memories, and the dissociation; and finally I would like to demonstrate how EMDR can be used to target the OCD as an ego state to uncover the dissociated parts, the anxiety and the original trauma. I would like to share with you some thoughts and examples from my clinic in the form of these goals, which you will find in your handouts:...[Author abstract]

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

331. Paulsen, S. (2009). Looking through the eyes of trauma and dissociation: An illustrated guide for EMDR therapists and clients (269 pp.). Baindrige Island, WA: Sandra Paulsen, Ph.D..

Language: English

Format: Book

Abstract:
The triumph of this book is its emphasis on giving voice to disowned parts of self. Recent advances in the fields of trauma and dissociation have revolutionized treatment. In this book, Dr Paulsen uses over 100 of her original cartoons and an approachable format to telegraph key concepts. The book assists therapists and clients to collaborate about client symptoms and therapy. As an EMDR (Eye Movement Desensitization and Reprocessing) practitioner since 1991, and an instructor of popular workshops about ego state therapy and dissociation for 15 years, Dr Paulsen offers proven metaphors, discussion and case examples. The highly visual format accommodates two audiences. Readers who want a light approach can focus on cartoons and cases. Those who want technical details and references will find them too. In a non-triggering style, the book describes a safe approach to stabilizing emotions and, later, a procedure that may include EMDR to detoxify traumatic memories.

Keywords: Dissociation Trauma

Accuracy Verified: Yes

332. Paulsen, S. L. (2009). Looking through the eyes of trauma and dissociation: An illustrated guide for EMDR clinicians and clients. Charleston, NC: Booksurge.

Language: English

Format: Book

Keywords: Dissociation Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Dissociative Continuum Ego State Therapy

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing

Accuracy Verified: Yes

335. Lambin, M. (2012, April). L’écran, un outil clinique en EMDR [The screen, a clinical tool in EMDR]. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.

Language: French

Format: Conference

Abstract: Il est fréquent que des clients avec lesquels nous utilisons l’EMDR présentent des symptômes de dissociation au cours de la séance, particulièrement si les émotions deviennent très intenses ou si le souvenir du trauma est réactivé de façon très aigue. Parmi les stratégies que l’on peut utiliser à ce moment pour aider le client à rester dans l’expérience, l’écran s’avère un outil clinique extrêmement efficace. Le but de cet atelier est d’amener le clinicien à découvrir et expérimenter l’utilisation de l’écran dans le traitement en EMDR. Ainsi, lors de l’application du protocole en 8 étapes, si des symptômes dissociatifs apparaissent, l’écran permet une stabilisation et favorise la poursuite du traitement adaptatif de l’information. Le déroulement de cet atelier de 3 heures comporte un grand volet pratique pour permettre l’expérimentation et les échanges chez les participants. Ce qui favorise l’intégration des connaissances actuelles en EMDR ainsi que l’expérience clinique à partir d’un cas précis. L’apprentissage de cet outil donne accès aux ressources du client.
Objectifs d’apprentissage: 1. Approfondir les connaissances pour mieux cibler l’intervention en EMDR (facteurs facilitants et écueils rencontrés) 2. Reconnaître les manifestations des symptômes dissociatifs en cours de traitement EMDR 3. Faire l’apprentissage de l’écran comme outil clinique dans le traitement adaptatif de l’information 4. Privilégier l’accès du client à ses ressources 5. Favoriser le mouvement et la stabilisation de la personne par l’utilisation de cet outil dans le cadre des 8 étapes pour poursuivre le traitement EMDR.

It is common for clients with whom we use EMDR with symptoms of dissociation during the session, especially if emotions become intense or if the memory of the trauma was reactivated very acute. Among the strategies that can be used at this time to help the client to remain in the experiment, the screen is an extremely effective clinical tool. The purpose of this workshop is to bring the clinician to explore and experiment with using the screen in the EMDR treatment. Thus, when applying the protocol in 8 steps, if dissociative symptoms appear, the screen allows a stabilization and promotes the pursuit of adaptive processing of information. The course of this 3 hour workshop includes a large practical component to allow experimentation and exchanges among participants. Which promotes the integration of existing knowledge in EMDR and clinical experience from a case. Learning this tool provides access to client resources.
Learning Objectives: 1. Deepen the knowledge to better target intervention in EMDR (facilitating factors and pitfalls) 2. Recognize the manifestations of dissociative symptoms during treatment EMDR 3. Make learning the screen as a clinical tool in the adaptive processing of information 4. Preferred customer access to its resources 5. Encourage movement and stabilization of the person through the use of this tool as part of the 8 steps to continue the EMDR treatment.

Keywords: Dissociation Screen

Accuracy Verified: Yes

336. Mazzola, A., Calcagno, M. L., Goicochea, M. T., Pueyrredòn, H., Leston, J., & Salvat, F. (2010). L’EMDR dans le traitement de la douleur chronique [EMDR in the treatment of chronic pain]. Journal of EMDR Practice and Research, 4(3), E31-E44. doi:10.1891/1933-3196.4.3.E31.

Language: French

Format: Journal

Abstract:
La douleur chronique peut réduire considérablement la qualité de vie, engendrant dépression, anxiété et troubles du sommeil ; elle peut déclencher des processus neuroplastiques qui infl uencent la régulation de la douleur. La présente étude examine le traitement EMDR ( Eye Movement Desensitization and Reprocessing ) de 38 patients souffrant de douleur chronique, en 12 séances hebdomadaires de 90 minutes. Une batterie de questionnaires auto-administrés, portant sur la qualité de vie, l’intensité de la douleur et le niveau de dépression, a été complétée avant et après le traitement en vue d’une évaluation objective des résultats. L’Entretien clinique structuré du DSM a été administré lors du pré-traitement afi n d’identifi er les traits de personnalité des participants susceptibles d’infl uencer la perception de la douleur. Les patients ont manifesté une amélioration statistiquement signifi cative par rapport à leur état initial après 12 semaines de traitement EMDR. Nos résultats suggèrent que l’EMDR constitue un outil effi cace pour le traitement psychologique de la douleur chronique, conduisant à une diminution des sensations douloureuses, des affects négatifs en lien avec la douleur, et des niveaux d’anxiété et de dépression. Nous examinons les théories pouvant expliquer les mécanismes par lesquels l’EMDR produit ces effets. Les résultats sont cohérents avec la prémisse sous-jacente de l’EMDR selon laquelle les émotions ont un effet important sur la perception de la douleur.

Chronic pain can greatly reduce the quality of life, causing depression, anxiety and sleep disorders, and may trigger processes that influence neuroplastic regulation pain. This study examines the treatment EMDR (Eye Movement Desensitization and Reprocessing) of 38 patients suffering from chronic pain, in 12 weekly sessions of 90 minutes. A battery of self-administered questionnaires on the quality of life, the intensity of the pain and depression level, was completed before and after treatment for assessment objective results. The Structured Clinical Interview of DSM was administered at pre-treatment to identify personality traits of participants likely to influence the perception of pain. Patients showed a statistically significant compared to baseline condition after 12 weeks of treatment EMDR. Our results suggest that EMDR is an effective tool cient for psychological treatment of chronic pain, leading to a loss of sensation painful, negative affect related to pain, and levels of anxiety and depression. We examine theories that explain the mechanisms by which EMDR produces these effects. The results are consistent with the underlying premise of EMDR that emotions have an effect important perception of pain.

Keywords: Chronic Pain Douleur Chronique Neuroplastic Processes Processus Neuroplastiques Regulation of Pain Régulation de la Douleur

Accuracy Verified: Yes

337. Giannantonio, M. (2008, Novembre). L’integrazione possible: accedere alle emozioni con strategie imaginative e corporee [Integration impossible: Access to emotions with imaginative and corporeal strategies]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Il modello paradigmatico di intervento clinico al quale l’EMDR si ispira è di non interferenza all’interno dell’elaborazione adattiva prodotta autonomamente dal paziente, stimolato da una ottimale relazione terapeutica e dalla stimolazione bilaterale all’interno di un campo di attenzione duale. Nondimeno, è esperienza abituale del clinico come tale modello incappi regolarmente all’interno di stalli rielaborativi che impediscono una adeguata desensibilizzazione e rielaborazione degli eventi stressanti o francamente traumatici. Per tale motivo, l’EMDR può massimizzare la sua efficacia psicoterapeutica attraverso l’impiego di specifiche strategie di “intervento cognitivo integrativo”, finalizzate all’implementazione adattiva ed ecologica delle risorse inattingibili da parte del paziente. In questa comunicazione, che prende in parte ispirazione dalle domande e dalle difficoltà emergenti nei colleghi durante l’attività di supervisione, attraverso numerose esemplificazioni cliniche si intenderà mostrare l’impiego flessibile ed euristico di strategie immaginative e corporee come interventi integrativi di particolare efficacia. In particolare, verrà posta una specifica attenzione nei confronti degli stalli integrativi dovuti principalmente a meccanismi dissociativi che possono causare difficoltà anche notevoli all’attività dello psicoterapeuta. Fenomeni dissociativi massicci, infatti, possono mostrarsi sin dall’inizio (in particolare qualora l’evento abbia suscitato una dissociazione peritraumatica), rendendo apparentemente non affrontabile il ricordo del paziente, in quanto non evocatore di alcuna risonanza emotiva; diversamente, la gestione dissociativa dei ricordi comparirà tra una seduta e l’altra, oppure all’interno del processo elaborativo condotto con l’EMDR. Verrà mostrato come la dissociazione, che può rendere impossibile l’elaborazione, possa essere gradualmente ridotta iperassociando il paziente nei confronti dei propri ricordi, di volta in volta privilegiando attività rivolte nei confronti delle immagini mentali oppure attraverso l’adozione di posture corporee finalizzate alla rottura delle barriere dissociative.

The paradigmatic model of clinical intervention in which EMDR is based is not interference in preparing adaptive generate themselves from the patient, stimulated by optimal therapeutic relationship and the bilateral stimulation within a field of attention dual. Nevertheless, it is habitual experience of the clinician how this model regularly encountering processed within stalls that prevent a adequate desensitization and reworking frankly stressful or traumatic events. Therefore, EMDR can maximize its effectiveness through the use of specific psychotherapeutic strategies, "Integrative cognitive intervention, aimed at the implementation of adaptive and ecological resources unattainable by the patient. In this communication, which takes some inspiration, the questions and difficulties emerging in the colleagues during the supervisory activities through numerous clinical examples to show you will understand the use of flexible, heuristic imaginative strategies and body as supplementary measures, particularly effective. In particular, specific attention will be paid in respect of the stalls due mainly to additional dissociative mechanisms that can cause considerable difficulties although the activity of psychotherapist. Dissociative phenomena massive, in fact, can show the beginning (in particularly if the event has generated a dissociation peritraumatica), making apparently not face the memory of the patient, because not suggestive of any resonance emotional, otherwise the management dissociative memories appear between sessions and one or within the computational process conducted with EMDR. Will be shown as the dissociation which may make it impossible to process, can be gradually reduced iperassociando the patient against their own recollections, each time focusing on activities aimed respect of mental images or through the adoption of body postures designed to rupture of dissociative barriers.

Keywords: Imaginative Strategies Somatic Interventions

Accuracy Verified: Yes

338. Masson, J. (2005). L’outil EMDR en alcoologie: Reflexions theoriques et cliniques [EMDR in alcoology: Theoretical and clinical reflections]. Psychotherapies, 25(2) 117-123. doi:10.3917/psys.052.0117..

Language: French

Format: Journal

Abstract:
La méthode EMDR, conçue et développée par Shapiro, est une psychothérapie qui, selon les études les plus récentes (Inserm, 2004), peut être efficace dans la résolution des troubles de stress post-traumatique (SSPT). Son auteur pense qu'il s'agit d'un traitement qui est en même temps, relationnelle, intrapsychique, cognitive, comportementale et corporelle. La thèse principale de cette approche est fondée sur l'idée que les souvenirs des expériences passées physiologique est la clé pour comprendre le comportement, la personnalité et le processus psychologique. objectif de cet article est de décrire cet outil thérapeutique en tenant compte des principaux aspects théoriques sous-jacents et à réfléchir sur son utilisation pour les alcooliques qui souffrent du SSPT. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)

The EMDR method, conceived and developed by Shapiro, is a psychotherapy which, according to most recent studies (Inserm, 2004), can be effective in the resolution of post traumatic stress disorders (PTSD). Its author thinks of it as a therapy that is at the same time relational, intrapsychic, cognitive, behavioral and corporal. The main thesis of this approach is based on the idea that physiological memories of past experiences is the key to understanding behavior, personality and psychological process. This article's aim is to describe this therapeutic tool by considering the principal subjacent theoretical aspects and to reflect on its use for alcoholics suffering from PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Alcoholism Evaluation Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Psychotherapy Secondary Alcoholism Treatment Effectiveness

Accuracy Verified: Yes

339. Gauvreau, P. (2013, Mai). L’utilisation de la table dissociative dans la Phase 2 préparation [The use of the dissociative table in preparation for Phase 2]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: French

Format: Conference

Abstract: n
Lorsque nous travaillons avec des clients souffrant de TSPT Complexe, il est souvent fort utile des les aider à accéder et identifier les différents états du moi, ces parties émotionnelles qui portent les réseaux de mémoires contenant les souvenirs traumatiques/matériel dysfonctionnel. Cet atelier vise à présenter la Table dissociative de Fraser comme outil de travail. Ce “lieu de rencontre interne” devient un endroit sécuritaire où les états du moi/ parties émotionnelles peuvent communiquer entre elles, facilitant la stabilisation, le renforcement de l’égo et la préparation au travail de retraitement EMDR. Cette présentation se fera par le biais de matériel didactique et de démonstrations video. Objectifs d’apprentissage: • Introduction aux principes généraux de la dissociation structurelle dans les cas de traumas complexes • Apprendre un scripte afin de mettre en pratique la table dissociative • Apprendre à mettre en place des stratégies de préparation et stabilisation via la table dissociative

When we work with clients with complex PTSD, it is often useful to help access and identify the different ego states, those parts that carry the emotional memory arrays containing traumatic memories / equipment dysfunctional. This workshop aims to present the dissociative Table Fraser as a working tool. This "internal meeting place" becomes a safe place for ego states / emotional parts can communicate with each other, facilitating stabilization, strengthening the ego and the job readiness EMDR reprocessing. This presentation will be through educational materials and video demonstrations. Learning Objectives: • Introduction to general principles of structural dissociation in the case of complex trauma • Learn a script to put into practice the dissociative table • Learn to develop preparedness strategies and stabilization via the dissociative table

Keywords: Dissociation Table Structural Dissociatio

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Dissociation

Accuracy Verified: Yes

341. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"] . EMDR Deutschland e.V. Rundbrief, 19, 20-34.

Language: German

Format: Newsletter

Abstract:
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung. Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)

Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment. In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).

Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders

Accuracy Verified: Yes

342. Nicosia, G. J. (1994, March). A mechanism for dissociation suggested by the quantitative analysis of electroencephalography. Presentation at the EMDR Network Conference, Sunnyvale, CA..

Language: English

Format: Conference

Keywords: Electroencephalography Quanitative Analysis

Accuracy Verified: Yes

343. Bohart, A. (2001). A meditation on the nature of self-healing and personality change in psychotherapy based on Gendlin's theory of experiencing. Humanistic Psychologist, 29(1-3), 249-279. doi:10.1080/08873267.2001.9977016.

Language: English

Format: Journal

Abstract:
No abstract available.

Keywords: Meditation

Accuracy Verified: Yes

344. EMDR Sweden. (2008, Juni). Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 10(1), 1-12.

Language: Swedish

Format: Newsletter

Abstract:
2) Nyheter!; 3) Hälsning från ordförande; 3) Psykoterapimässan 2008; 4) Referat från studiedagen 25 april 2008; 4) Om dissociation och annat skumt; 6) Fas åtta: Uppföljning/utvärdering; 8) Certifierade EMDR-terapeuter juni 2008; 9) Kalendarium; 10) Förnyelse av certifiering – blankett; 11) Diverse blänkare

2) News!; 3) Greetings from President; 3) Psychotherapy fair 2008; 4) Summary of Report from Study April 25, 2008; 4) On dissociation and other things; 6) Phase Eight: Followup / Evaluation; 8) Certified EMDR therapists-June 2008; 9) Calendar; 10) Certification renewal forms; 11) Miscellaneous notices.

Keywords: Dissociation Phase Eight

Accuracy Verified: Yes

345. Sanfiz, J. (2006). Memoria clinica d'un cas en psicoterapia: Tratamiento de un caso de disociacion con hipnosis y EMDR conbinados [Treatment of a case of dissociation combined with hypnosis and EMDR]. Facultat de psicologia, Departament de personalitat, avaluacio y tractament psicologics, Universitat de Barcelona y EMDR Forum Barcelona, Grupo de Trabajo de Disociacion, Casos Clinicos.

Language: Spanish

Format: Conference

Abstract:
La paciente, a la que llamaremos R, es una mujer de 35 años, físicamente explosiva, pide consulta por las dificultades que tiene para “sentir algo” cuando tiene relaciones sexuales con su pareja, con la que convive desde hace año y medio. Se queja de falta de deseo sexual. Cuando tiene relaciones sexuales con su pareja, siente angustia y rechazo.

The patient, whom we shall call R, is a woman of 35 years, physically explosive, consultation requests by the difficulties he has to "feel something" when you have sex with your partner, you live with for a year and a half. Complains of lack of sexual desire. When you have sex with your partner, you feel anxiety and rejection.

Keywords: Dissociation Hypnosis

Accuracy Verified: Yes

346. Barrett, S. (2003, July 10). Mental help: Procedures to avoid. Quackwatch. Retrieved from http://www.quackwatch.org/01QuackeryRelatedTopics/mentserv.html 6/7/2007.

Language: English

Format: Other

Abstract:
Many types of practitioners who profess to treat mental problems are engaged in questionable practices. The following procedures should be avoided.

Keywords: AIT Auditory Integration Training Doman-Delacato Treatment Facilitated Communication Neural Organization Technique Neuro Emotional Technique NET Neurolinguistic Programming Neurotherapy NLP NOT Optometric Visual Training Past-Life Therapy Routine Personality Testing Stimulation of False Memories Skeptics TFT Thought Field Therapy

Accuracy Verified: Yes

347. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS. De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.

Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD. The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

348. Zarghi, A., Zali1, A., & Tehranidost, M. (2013, February). Methodological aspects of cognitive rehabilitation with eye movement desensitization and reprocessing (EMDR). Basic and Clincal Neuroscience, 4(1), 97-103.

Language: English

Format: Journal

Abstract:
A variety of nervous system components such as medulla, pons, midbrain, cerebellum, basal ganglia, parietal, frontal and occipital lobes have role in Eye Movement Desensitization and Reprocessing (EMDR) processes. The eye movement is done simultaneously for attracting client's attention to an external stimulus while concentrating on a certain internal subject. Eye movement guided by therapist is the most common attention stimulus. The role of eye movement has been documented previously in relation with cognitive processing mechanisms. A series of systemic experiments have shown that the eyes’ spontaneous movement is associated with emotional and cognitive changes and results in decreased excitement, flexibility in attention, memory processing, and enhanced semantic recalling. Eye movement also decreases the memory's image clarity and the accompanying excitement. By using EMDR, we can reach some parts of memory which were inaccessible before and also emotionally intolerable. Various researches emphasize on the effectiveness of EMDR in treating and curing phobias, pains, and dependent personality disorders. Consequently, due to the involvement of multiple neural system components, this palliative method of treatment can also help to rehabilitate the neuro-cognitive system.

Keywords: Rehabilitation

Accuracy Verified: Yes

349. Tinker, R. H., & Tinker-Wilson, S, A, (2008, September). A microanalysis of a single EMDR session with a child. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Within the parameters of the EMDR protocol, there is room for therapeutic choice. The purpose of this workshop is to allow participants to view a single session with a child in a detailed fashion, to provide learning and discussion about the choices a therapist makes. In the last 45 minutes, a panel will discuss the session. Following the workshop, participants will: Identify significant choice points in an EMDR session; Recognize subtle aspects of dissociation; Employ approaches to eliminate or reduce dissociation.

Keywords: Children

Accuracy Verified: Yes

350. Waters, F., Adler-Tapia, R., Marks, R., & Baita, S. (2009). A microanalysis of the decision points in the treatment of a young child: An international expert panel presentation. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract:
An international panel of experts in treating trauma and dissociation in children will present a case history and video of the use of EMDR in the psychotherapy of a young child. The panel will then present a microanalysis of the decisions points in treatment with recommendations for possible case conceptualization and consultation. This workshop will integrate child development, assessment, case conceptualization and treatment considerations of a young child with a history of multiple placements and traumatic losses. Opportunities for audience feedback and discussion will be integrated in order to provide a dynamic, interactive learning environment between the panel and participants. The therapist for the child will participate in order to discuss choice points in treatment that involved reprocessing the child´s nightmares and trauma by integrating EMDR and play therapy.

Keywords: Children Expert Panel

Accuracy Verified: Yes

351. Siegel, D. J. (2007, September). The mindful brain: Reflection and attunement in the cultivation of well-being. Plenary presented at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Mindful awareness has been scientifically proven to promote social, emotional and physical well-being and is an effective part of psychotherapy practice. Research has demonstrated that mindful awareness is useful in the prevention of relapse of drug addiction and chronic depression, and in the treatment of anxiety and borderline personality disorder. This ancient practice of being fully aware in the present moment, without grasping onto judgments, has been found in cultures throughout the world. This lecture will explore the possible ways in which mindfulness may actually work to enrich our lives and be a part of EMDR and effective psychotherapy. The state of mindful awareness harnesses specific social and emotional circuits in the brain. With practice, this receptive state of mindfulness becomes a trait of resilience. The development of these “resonance circuits” creates an integrated brain state that creates the benefits of improved immune and cardiac function, enhanced empathy and self-understanding, and a deeper connection to oneself and others.

Keywords: Brain Mindfulness Plenary

Accuracy Verified: Yes

352. Corrigan, F. (2002). Mindfullness, dissociation, EMDR and the anterior cingulate cortex: A hypothesis. Contemporary Hypnosis, 19(1), 8-17. doi:10.1002/ch.235.

Language: English

Format: Journal

Abstract:
Hypotheses on the neurobiology of a mindfulness-dissociation continuum are presented. Crucial to the hypotheses are the observations of a reciprocal interaction between the cognitive and affective subdivisions of the anterior cingulate cortex and the unilateral activation of right anterior cingulate in hypnotic dissociation and in post-traumatic syndromes. It is proposed that the unilateral activation can cause a loss of the reciprocal relationship between the subdivisions and that in the case of peri-traumatic dissociation the subsequent syndrome responds to eye movement desensitization and reprocessing (EMDR) through restoration of the bilateral activation and reinstatement of the reciprocal relationship between the subdivisions. Bilateral activation of the cognitive subdivisions is proposed to underlie the attentional state of concentration mindfulness in which affect is well regulated. Copyright © 2002 British Society of Experimental and Clinical Hypnosis

Keywords: Anterior Cingulate Cortex Bilateral Activation Dissociation Emotional Trauma Gyrus Cinguli Hypnosis Hypnotic Dissociation Mindfulness Posttraumatic Syndromes Reciprocal Interaction

Accuracy Verified: Yes

353. Darker-Smith, S. (2007, June). Mindfulness as a stabilisation tools for trauma processing. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Both EMDR and Trauma-Focused CBT are the two main recommended treatments for symptoms of trauma meeting diagnostic criteria for Post Traumatic Stress Disorder.
In accordance with current literature, contrasting the use of Trauma-Focused CBT with EMDR, it has been found in practise by the author that overall, clients using EMDR experience significantly less long-term distress and appears to process much more quickly than clients engaging in trauma-focused CBT. However, the effect of bodily sensations does not tend to differ between the two groups nor does flashbacks or dissociative tendencies.
Specifically, dissociation is not uncommon in traumatised clients and in clients with a diagnosis of post traumatic stress disorder. The existence of dissociative tendencies can pose a realistic problem in effectively processing traumatic memories, regardless of whether the method being used is trauma-focused cognitive-behavioural exposure-based methods or EMDR.
Mindfulness has been utilised by the Author as a stabilisation method for reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005) and has since been found to reduce dissociation on the DES scale, when measured pre and post teaching clients the basics of the MBSR programme (taught on a 1-to-1 basis).
Equally, the level of flashbacks and bodily reactions subside dramatically when Mindfulness is taught prior to trauma processing, compared with clients who engage in trauma processing without any form of stabilisation.
The author has not found any evidence that the use of Mindfulness body-scan increases traumatic body memory in trauma survivors.
The purpose of this workshop is to explore the application of mindfulness, through experiencing aspects of the Mindfulness programme. Case studies will be presented to demonstrate the application of mindfulness as a stabilisation took, paying specific attention to clients with dissociative tendencies and personality disorders evolving from trauma.
In addition, role plays between participants will be used to practise the skills of mindfulness in relation to stabilisation prior to trauma processing.

Keywords: Mindfulness Poster Stabilization

Accuracy Verified: Yes

354. Darker-Smith, S. (2007, June). Mindfulness meditation to enable attenuation on imagined exposure in PTSD - A single case study. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Mindfulness mediation (based on Buddhist meditative techniques) has previously been advocated for depression relapse prevention and chronic pain reduction in former research trials (Teasdale; Kabat-zinn, etc.). Because the practice of mindfulness relates to body scans and focusing attention upon the body, it has been advised that it may cause problems in using such a method for sexual abuse and rape survivors, although no research appears to have been carried out in this area. In a single case study of child-sexual-abuse adult survivor who frequently dissociated and experienced “flashbacks” during clinical sessions, the methods of Mindfulness Mediation were introduced to her, in an attempt to keep an awareness of her surroundings whilst doing imagined exposure in for PDSD (post duress stress disorder). From dissociative phases, flashbacks and cognitive avoidance of stimuli, the client became able to focus on the traumatic information being presented and to emotionally relate and process trauma memories, which previously she had been unable to do. Her ability to attenuate upon traumatic information was increased, habituation was easier from a clinical perspective, her anxiety levels decreased (BAI) and her depression levels eased (BDI). (N.B. The client’s improved anxiety and depression scores may have been due to Mindfulness Mediation practices or to the processing of highly emotive information).
Conclusion: Mindfulness Meditation can be a useful adjunct to trauma processing when imagined exposure is being implemented for PTSD/PDSD for processing of un-integrated traumatic information, where dissociation, cognitive avoidance or flashbacks occur within the context of treatment, creating a barrier to habituation from traumatic information. [Two statistical charts which accompanied this abstract in the Conference Program entry have not been included here.]

Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

355. Fisher, J. A. (2003, November). Minding the body: Integrating EMDR and sensorimotor psychotherapy in the treatment of trauma and dissociation. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociation

Accuracy Verified: Yes

356. Beere, D. (2009). Modified resource development and installation (RDI) procedures with dissociative clients. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 281-290). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dissociation Protocol RDI Resource Development and Installation

Accuracy Verified: Yes

357. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Definition of client population: Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their perfectionism or their quiet devaluing of others. View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style. People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters, however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either superior and powerful or inferior and worthless; supportive and admiring or critical and attacking. Difficulties in using EMDR: Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect, other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and worthlessness and their confusion about who they are and what is truly meaningful and valuable to them. Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts, body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change. In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or painful past experiences. Length of treatment: I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires. Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions: The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions. Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire me. It is often helpful to narrow these cognitions down to make them manageable with EMDR Treatment: In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed Among other things, these facilitate more effective copitive interweaves. The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's own response to situations he has witnessed in news media, TV, movies or theater. A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the client as supportive but nevertheless make hun or her aware of having wandered. Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must, however, retain her healthy perspective if the client is to learn to accept himself. For more clinical information about treating disorders of the self: 1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York, N. Y., 1990 2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992. 3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach, Professional Resource Exchange, Inc., Sarasota, Florida, 1990.

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

358. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14.

Language: English

Format: Journal

Abstract:
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values. From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client. Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories. Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings. [AAETS]

Keywords: Eriksonian Hypnosis Narrative Constructionist

Accuracy Verified: Yes

359. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of adult CTS. Second, there are specific health problems predominant in this population which often are untreated, misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good health care may be minimal for this population. This presentation will focus on the development of an EMDR treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze, hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these problems, (these may include iatrogenic events and specific physical problems seemingly related to current health problems, which actually result from early trauma); and become assertive health consumers. Skills development needed by the CTS to become empowered and competent health consumers, such as rehearsal, identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]

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

Accuracy Verified: Yes

360. Herbert, C. (2005, June). Neither good nor bad, just perfect as you are! Facilitating emergence of the self. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Clients with traumatic childhood experiences and subsequent diagnoses of Personality Disorder, hold self-identities that may have had adaptive, survival enhancing functions during their upbringing, but may now be hindering and even damaging. As babies their needs for secure attachment and nurturing may have been compromised and as children they may not have experienced unconditional love and acceptance of themselves. As adults, they may carry internalized self-images about either being intrinsically 'bad' or having to be especially 'good' in order to be accepted, valued and loved by others. Subsequently, their Behaviour and their relationships with others are determined by a distorted view of themselves, often causing them to lead lives that involve great compromise and further suffering. They may struggle with their capacity to regulate affect (Siegel, 1999: Shore, 1994, 1996). experiencing little self-control over their various fluctuating mood states. The aim of this workshop is to introduce clinical techniques, involving the interweave between EMDR and Schema-focused, cognitive approaches, which help clients build a more secure and 6nctionally positive sense of Self with healthy mechanisms of affect regulation. Based on current research, clinical practice and Herbert's (2002, 2003) therapeutic framework for working with complex trauma, this workshop will focus especially on two therapeutic ingredients for this work. One is the quality of the therapeutic relationship as a necessary transitory phase for healthy dependency in the client and the second is 'inner child' work as a method to help clients modify and re-script their distorted images of self and repair ruptures in their attachment relationships.

Keywords: Emergence of Self

Accuracy Verified: Yes

361. van Dijke, A. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Adults. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: English

Format: Conference

Abstract:
In the mental health care system adequate treatment for a large group of children and adults suffering under the consequences of chronic early childhood traumatisation is not available. The Netherlands centre for chronic early childhood traumatisation (lcvt) is aiming to enhance the treatment services available with a nationwide offering of tertiary referral psychotherapy, innovation, research and education. The LCVT was formed in 2008 with eleven tertiary referral trauma centres (TRTC), which are affiliated with mental health care institutions. LCVT affiliated services use a unique client-monitoring system as ‘sampling frame’ in order to monitor the progress and results of all TRTC treatments. At the TRLCS information is gathered systematically at regular intervals from all patients on clinical symptoms, personality, day-to-day functioning, quality of life, use of health care system and social functioning. Evaluation diagnostics give answers to what degree treatment goals are realized. format Workshop. aim To provide the participants with information on: —— Management and implementation of TRTC and monitoring system; —— Eye movement desensitisation and reprocessing (emdr) and dissociative identity disorder (DID): innovative psychotherapy possibilities; —— Therapy effects of imaginaire exposure versus imaginaire rescripting versus dramarescripting; —— Trauma-related inhibitory and excitatory regulation styles.

Keywords: Childhood Traumatization

Accuracy Verified: Yes

362. van Dijke, A., & Crijnen, A. A. M. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Children and adolescents. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: English

Format: Conference

Abstract: Contents of the workshop: Adequate treatment in the mental health care system is not available for a large group of children and adults suffering from the consequences of chronic early childhood traumatisation. The Netherlands centre for chronic early childhood traumatisation (LCVT) aims to enhance treatment services by offering a nationwide network of tertiary referral trauma centres (TRTC) providing psychotherapy, innovation and research, as well as education. In 2008 LCVT was formed with eleven trtc affiliated with Mental Health Services. lcvt affiliated services use a unique client-monitoring system as ‘sampling frame’ in order to monitor the progress and results of all trtc treatments. Information is gathered systematically and at regular intervals on all patients of the trtc on clinical symptoms, personality, day-to-day functioning, quality of life, use of health care services and social functioning. Evaluation diagnostics provide answers to which degree treatment goals are realised. Format: Workshop Aim: To provide the participants with information on: ——Management and implementation of TRTC in mental health services for children; —— Efficacy of eye movement desensitisation and reprocessing (EMDR) in children; —— The development of a consensus-based treatment monitoring system.

Keywords: Adolescents Childhood Traumatization Children

Accuracy Verified: Yes

363. Bergmann, U. (2012). Neurobiological foundations for EMDR practice. New York, NY: Springer Publishing Company.

Language: English

Format: Book

Abstract:
This volume introduces the most current research about the neural underpinnings of consciousness and EMDR (eye movement desensitization and reprocessing) in regard to attachment traumatic stress and dissociation. It is the first book to comprehensively integrate new findings in information processing, consciousness, traumatic disorders of information processing, chronic trauma and autoimmune compromises, and EMDR's underlying mechanisms of action. The text examines online/wakeful information processing, including sensation, perception, somatosensory integration, cognition, memory, language and motricity, and off-line/sleep information processing, such as slow wave sleep and cognitive memorial processing, as well as REM/dream sleep and its function in emotional memory processing. The volume also addresses disorders of consciousness, including coma, anesthesia, and other neurological disorders, particularly disorders of Type 1 PTSD, complex PTSD/dissociative disorders, and personality disorders. It delves into chronic trauma and autoimmune function, especially in regard to diseases of unknown origin, and examines them from the perspective of autoimmune compromises resulting from the unusual neuroendocrine profile of PTSD sufferers. The final section integrates all material to illustrate the ability of EMDR's bilateral neural stimulation to impact, mediate, and change the functioning of neural circuitry, thereby facilitating repair in the linking and binding of neural networks.

Keywords: Neurobiology

Accuracy Verified: Yes

364. Paulsen, S., & Lanius, U. (2011, November). Neurobiology and dissocation: Information processing and the embodied self. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
Neuroscience research can guide trauma treatment including EMDR, ego state, somatic, and attachment therapies (Lanius, Paulsen & Corrigan, in press). Traumatic memories tend to be encoded somatically and affectively in implicit memory. Lower brain structures, particularly basic affective circuits and the periaqueductal gray (PAG) (Panksepp, 1998), are essential to understanding of both traumatic memory and and dissociation. The polyvagal nervous system (Porges, 2001) is key to understanding the activation of different affective circuits, including the interplay between social engagement and connection, fight/flight and dissociation. A model is proposed that links alterations in consciousness to failure of integration and ultimately to structural dissociation (van der Hart et al., 2006). It is suggested that attachment trauma contributes to the failure of horizontal integration of the columnar organization of affective states, which, over time, become the foundation of discontinuous self-states: Discontinuity of self-states, amnesia barriers and dissociative state switching develop in lieu of smooth state transitions. Somatic interventions can enable sensory integration and personification (Janet, 1929), prior to trauma processing with EMDR that engages brain processing inter-hemispherically and across cortical and subcortical levels. The workshop will highlight implications of recent neurobiological findings for clinical practice.

Learning Objectives: Articulate the role of the periaqueductal gray (PAG) in the expression and experience of emotion. Identify two brain structures implicated in integrating affective and sensory information. Name three branches of the polyvagal nervous systems described by Porges.

Keywords: Dissociation Embodies Self Information Processing Neurobiology

Accuracy Verified: Yes

365. Lanius, U. (2008, September). The neurobiology of dissociation: Current findings and treatment approaches. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Current research in neuroscience and the neurobiology of dissociation is discussed and its connection to a wide variety of traumatic stress syndromes and attachment related disorders. Dissociation is a normal and adaptive response to overwhelming experience. At the same time, dissociative symptoms interfere with mindfulness and the continuity of self. Moreover, information processing becomes compromised or shut down, thus barring the integration and resolution of the traumatic experience. Thus, dissociation interferes with effective psychotherapeutic intervention. Therefore, addressing dissociative symptoms is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Participants will become familiar with interventions that reduce dissociative symptoms, as well as when and how to use them to maximize treatment effects.

Keywords: Dissociation Neurobiology

Accuracy Verified: Yes

366. Paterson, M. (2011, March). The neurobiology of EMDR. Presentation at the annual meeting of the EMDR Association of UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
The study of traumatology is increasingly more reliant on an understanding of the neurological and biological mechanisms involved. It is a complex area for many people working with trauma who have not had a background in human biology. So often presentations on neurobiology and trauma are complex and focus on a specific topic thus never giving the overall picture. This presentation will take delegates through the field of trauma, initially giving a good understanding of how we acquire traumatic memories. It will go on to explain what the body does to compensate for hyperarousal, and will outline the impact on brain development of early life trauma and neglect. The paper will conclude with a description of the neurobiology of dissociation. There will be an opportunity for questions and discussion.

Keywords: Neurobiology

Accuracy Verified: Yes

367. Bergmann, U. (2008, November). The neurobiology of EMDR: Recent findings and their contribution to the treatment of trauma and dissociation. Presentation at the 25th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Chicago, IL .

Language: English

Format: Conference

Keywords: Neurobiology

Accuracy Verified: Yes

368. Bergmann, U., & Bromberg, P. (2003, November). The neurobiology of EMDR: Recent insights and their contribution to the treatment of dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Abstract:
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects; with an emphasis on cerebellar mechanisms, and their direct relation to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porges' work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.

Keywords: Dissociation Neurobiology

Accuracy Verified: Yes

369. Bergmann, U. (2001, December). The neurobiology of EMDR: Recent insights and their contribution to the treatment of dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociation Neurobioogy

Accuracy Verified: No

370. Bergmann, U. (2003, September). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Denver, CO. ;.

Language: English

Format: Conference

Abstract:
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects, with an emphasis on cerebellar mechanisms, and their direct relations to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porge's work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.

Keywords: Alan Schore Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurobiology Dissociation

Accuracy Verified: Yes

371. Bergmann, U. (2002, June). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Keywords: Allan Schore Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Neurobiology Steven Porge

Accuracy Verified: Yes

372. Vojtova, H., & Hasto, J. (2009). Neurobiology of eye movement desensitization and reprocessing. Activitas Nervosa Superior, 51(3), 98-102.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disord-ers. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic acti-vation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiograph-ic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation.

Keywords: Brain Dissociation Neurobiology Posttraumatic Stress Disorder PTSD Psychotherapy

Accuracy Verified: Yes

373. Ferrie, R. K., & Lanius, U. F. (2002, June). The neurobiology of opiates: Opoid antagonists and EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Endogenous opiates not only play a major role in attachment, but are also involved in dissociative processes and somatoform dissociation. We present a series of case studies of severely dissociative clients. In our sample administration of an opioid antagonist significantly enhanced EMDR processing. Possible caveats and contraindications are discussed. Findings support the notion of a differential mechanism for EMDR as compared to exposure treatment.

Keywords: Neurobiology Opiates

Accuracy Verified: Yes

374. Bergmann, U. (2003, May). The neurobiology of the EMDR: Recent insights and their contribution to the treatment of dissociation. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Dissociation Neurobiology

Accuracy Verified: Yes

375. Uram, S. (2009, August). The neurobiology of trauma made simple . Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop is presented in a manner that is highly “usable” for diagnostic and treatment formulation. Some of the areas that will be covered include: 1) How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines”, experiences and reflects trauma; 2) An understandable presentation of clinically relevant brain parts/circuits and how they adequately do or do not process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc., 3) How the developing brain of a human being determines how perceived trauma are integrated into the person’s personality and functioning.

Keywords: Neurobiology Trauma

Accuracy Verified: Yes

376. Lanius, U. (2012, October). Neurobiology, adaptive information processing. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Recent neuroscience research is discussed with a view towards increasing our understanding of underlying neurobiological processes with respect to the phenomenology of dissociation. It is suggested that dissociation is a result on a breakdown in the linking of different neural networks in the time domain, e.g. information processing. Recent research suggests that both lower brain structures as well as higher brain structures are involved. It is suggested that this process is essential to our understanding both of dissociation on one hand, as well as Adaptive Information Processing on the other.

Keywords: Adaptive Information Processing AIP Neurobiology

Accuracy Verified: Yes

377. Kadala, T. (2001, September 19). New website launched to assist Americans suffering from trauma. Hastingson-Hudson, N.Y., PR Newswire.

Language: English

Format: Other

Abstract:
Anticipating that millions of Americans have been traumatized by the recent terrorist attacks on the United States, a new website, EMDRnews.com has been launched providing information on the therapy commonly referred to as EMDR, (Eye Movement Desensitization and Reprocessing) for the public at large. Furnishing insight, information and education, the website will make a free 3-page monthly newsletter available, written in easy-to-understand laymen's terms. EMDR is particularly useful in treating trauma, anxiety, phobias, grief, and personality issues. The website/publication is a joint offering of ATC, Inc., an online publisher, Robert Buck, M.S.W., A.C.S.W. of Hastings-on-Hudson and NY City, and Victoria Britt of Bender/Britt Seminars, Montclair, NJ. Ms. Britt, in the forefront of the EMDR movement, stated "Never before have so many people been exposed to such trauma. EMDR will be available to facilitate the mind/body self-healing process needed in the months to come; we are inviting the public to learn how we can help," she concluded.

Keywords: Website EMDRNews.com

Accuracy Verified: Yes

378. Litt, B. (2009, August). Node isolation theory: The eye-zone differential technique. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Clients with complex PTSD, dissociation, and attachment issues are easily hyper – or hypo-aroused and may dissociate or abreact. Moreover, many clients report complex or “undifferentiated” responses to targets, including multiple affects and negative cognitions, confusion, or ego-state conflict in which processing loops, is blocked, or is inefficient. Possibly, multiple nodes are being activated in the setup phase simultaneously. The proposed remedy is to isolate the node at the epicenter of the target trauma for a more focused desensitization experience. A series of “Node Isolation Strategies” are described that lead to safe, efficient processing of difficult material, while maintaining inter-session stability.

Keywords: Eye-Zone Differential Technique Node Isolation Theory

Accuracy Verified: Yes

379. Young, W. (1992, Winter). Observations on using EMDR with patients with a history of sadistic and ritual abuse. EMDR Network Newsletter, 2(3), 9-11 .

Language: English

Format: Newsletter

Abstract:
For some time, therapists have been struggling with the issues of ritual abuse as they have been working with patients having Multiple Personality Disorder. Recently, an number of therapists who have extensive experience working with ritual abuse, particularly with patients who have a Multiple Personalit Disorder, have put together protocols to be used in treating this disorder. In this section, I would like to point out some specific issues, and perhaps some cautions, in our thinking concerning EMDR until we gain some more information and data about its effective usages and recognized side effects.

Keywords: Ritual Abuse Sadistic Abuse

Accuracy Verified: Yes

380. Yoeli, F. R., & Prattos-Spongalides, T-A. (2004, June). OCD: Anxiety, rituals, co-morbidity or altered state? Treatment outcomes with EMDR. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the annual meeting of th EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Trauma-generated OCD repeats the trauma through its own ritual behavior patterns. This altered state re-traumatizes the core personality through the repetition of rituals similar to the original trauma. The presenters hypothesize that trauma-based OCD is an altered state not co-morbid with diagnosis for dissociative disorders. This OCD persona served the dissociative adult cope with traumatic memories changing and influencing reactions to ongoing trauma, life choices, and other behavior patterns.
This aim of this workshop is to focus on the development of trauma-based, anxiety-motivated dissociative states. Life in the shadow of chronic anxiety stemming from living under constant and consistent life-threatening conditions produces a (sub)-population of persons suffering from PTS/D. The anxiety and fear from elements of unprocessed traumatic events are retained and embedded in the body and are repeatedly triggered in daily life. This PTSD population dissociates into anxiety-based altered states ranging along a continuum from mild tension to phobias, panic attacks, denial, PCD, aggression, indifference and apathy and finally full blown trauma generated OCD.
The presenters provide cross-cultural examples demonstrating how ongoing threat of man-made or natural disasters often leads to a dissociative OCD state. Case examples are explored which demonstrate how processing with EMDR effectively enables resolution and change. EMDR is particularly useful in processing the “anxiety” via current behavior patterns.
Objectives: 1) to examine the co-morbidity aspects of trauma-based OCD and dissociation 2) to present the parallel continuums of types of stress and anxiety (on the intensity and severity axis 3) to compare the differences and similarities in behavioral patterns in different cultures under the stress of constant threat of annihilation (man-made vs. natural threats) 4) to demonstrate the effectiveness of EMDR on trauma induced OCD, through case illustration and discussion.

Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes

Accuracy Verified: Yes

381. Holm, O. (2012, October). On the path of shame affect: Its management in traumatized and dissociative patients with the compass of shame and EMDR special interventions and/or IFS ego states. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Five traumatized patients grouped this way: 2 males, 2 females, one boy of 11. The two men had received treatment with CBT, 1 of females Gestalt therapy, the other female with EMDR, and the 11 years old boy with IFS; they had come to a point of stuck in their therapy because of the therapists not being able to manage Shame Affect during trauma confronting; also, when alters appeared during some therapy sessions in one of the adult females. Four of the patients had already worked on some traumatic memories with previous therapists. According to Compass of Shame 2 of the male patients had a rather high urge to enter into Attacking others pole with rage, and one of them, also, into Avoidance pole with drug abuse, compulsive sex and gamble; two females were more urged to enter into Attack self pole and in 1 of the females, her alter and patient described herself as being very upset and paralyzed with Shame. The 11 years old boy was stuck in Withdrawn pole; a highly Shamed Negative Part was so paralyzed that the Integrating Strategy was stopped until the child Ego state was released from Shame. Learning Objectives: EMDR/and not EMDR participants will able to perform interventions characterized by working with Shame or preparing patients to tolerate Shame. Participants will be able to define the scripts inside each pole of the Compass Participants will be able to identify the different poles of Compass of Shame.

Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect

Accuracy Verified: Yes

382. Ferrie, R. K., & Lanius, U. F. (2001, June). Opoid antagonists and EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn about the underlying neurobiology of opiates and dissociation; 2) become aware of possible caveats and contraindications for the use of opoid antagonists; and 3) learn how opoid antagonists may be used as an adjunctive treatment to EMDR processing in clinical practice.

Keywords: Dissociation Opoid Antagonists

Accuracy Verified: Yes

383. Lilieblad, B. (2004, June). Pain, stress and quality of life. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Long time pain in the low back and neck is often difficult to diagnose and treat. We have known for a long time that patients’ personality and motivation are crucial for progress in treatment. Patients treated by physiotherapists in southern Stockholm were invited to 2 seminars on Pain, Stress, and Quality of Life. The patients were taught about pain in general, about stress and how to handle it, about body awareness and how to handle daily situations. During the seminars we collected data about the patients’ background, coping resources and quality of life. They also filled out the personal pain drawing test (PPD). They are offered individual counseling by a physiotherapist, an occupational therapist and 10 meetings with a psychologist.
114 patients participated in 17 seminars. The patients were followed up. Half of the group had decreased pain according to the PPD, even those who had not consulted the psychology. Around 50% had less treatment by physiotherapist, 24% had less sick leave. 57% had started relaxation and/or exercise body awareness. The 34 patients treated by the psychologist (mostly with EMDR) increased their emotional and spiritual/philosophic coping resource as well as their emotional quality of life.
Our experiences are that many pain patients suffer from psychosomatic disorders and that psychological staffs is an effective and necessary part of the multidisciplinary treatment in primary health care.

Keywords: Coping Holistic Treatment Pain Pain Drawing Quality of Life Psychosomatic Pain Stress Symposium

Accuracy Verified: Yes

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

Language: English

Format: Conference

Abstract:
Recent neuroscience research is discussed with a view towards increasing our understanding of underlying neurobiological processes with respect to the phenomenology of dissociation. It is suggested that dissociation is a result on a breakdown in cognitive-temporal binding (Crick & Koch, 2003), thus disrupting the linking of different neural networks in the time domain, e.g. information processing. It is suggested that this process is essential to our understanding both dissociation on one hand, as well as Adaptive Information Processing on the other. Please note: Part I (Session 332) and Part II (Session 432) each stand alone without prerequisite and are designed to complement each other. You do NOT have to take Part I to take Part II.

Keywords: Dissociation Embodied Self Neurobiology

Accuracy Verified: Yes

385. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.

Keywords: Dissociation Mechanism Plenary Right Brain Affect Regulation Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Embodied Self Traumatic Dissociation

Accuracy Verified: Yes

387. Schore, A. (2009, August). Part II: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
For those who are interested in hearing more on this topic, this half day workshop will be a continuation of the morning Plenary.

Keywords: Dissociation Mechanism Right Brain Affect Regulation Trauma

Accuracy Verified: Yes

388. 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

389. Bodill, B., and Collings, S. (2011, March). Patterns of reduction of distress in personality patterns andclinical conditions using EMDR. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol .

Language: English

Format: Conference

Abstract:
This 36 month study investigated the effects of EMDR on the reduction of clinical personality patterns and depressive symptoms. With respect to personality patterns, the study found that EMDR is most effective in reducing the symptoms of dependent personality patterns, as 76% of participants who evidenced clinically significant dependent personality patterns prior to EMDR treatment no longer had clinically significant post-treatment scores (>75 on the MCMIIII), compared to reductions in clinically significant scores for other personality patterns of 75% (masochistic pattern), 77% (negativistic pattern), 69% (avoidant pattern), 40% (depressive pattern), and 29% (schizoid pattern). However, at follow-up assessment these gains were maintained for dependent personality pattern (reduction in clinically significant symptoms in 76% of participants) and schizoid personality pattern (29%), but only partially maintained for other personality patterns: masochistic (64% reduction), negativistic (46% reduction), avoidant (38% reduction), and depressive (33% reduction). The analysis of depressive constructs revealed that EMDR is effective in reducing symptoms of depression, as 86% of participants with clinically significant major depression before EMDR treatment no longer had a clinically significant post-treatment score (>75 on the MCMI-III); while 73% of participants with clinically significant dysthymia no longer has clinically significant posttreatment scores. These gains were maintained at follow-up for major depression (86% reduction) and partially maintained for dysthymia (58% reduction).

Keywords: Depressive Symptoms Personality Patterns

Accuracy Verified: Yes

390. Greway, G. (2003). Personality change in trauma victims by the use of eye movement desensitization and reprocessing, resource development and installation, and emotional freedom techniques. Union Institute and Unversity, Cincinnati, OH. AAT 3088540.

Language: English

Format: Dissertation/Thesis

Abstract:
Personality change in victims of trauma has been demonstrated by key researchers in the field of trauma. This research explored this area further by studying if problem personality patterns can improve to healthier levels by processing trauma symptoms with new rapid trauma techniques. This research provides new information in trauma and personality, as well as offers links to possible new treatment methods. The hypothesis tested in this research was that significant change in problem personality patterns would occur in trauma subjects whose symptoms were processed through a multi-impact therapy that included Eye Movement Desensitization and Reprocessing (EMDR), building ego structure through Resource Installation and Development and reducing physiological stress through the use of Emotional Freedom Techniques, as compared to subjects in the control group who received talking therapy. A sample of ten female participants was selected that had traumatic backgrounds and posttraumatic symptoms. All subjects received the Millon Clinical Multiaxial Inventory III (MCMI III) as a pre and a post test, and the Personality Assessment Screener (PAS) throughout 14 weeks of treatment. The PAS provided a means to measure subjects through descriptive statistics and the MCMI III measured the three highest clinical personality scales and the changes that occurred after the treatment. Within the two groups, the results of the PAS showed that talking therapy may be extremely helpful for personality improvement for some individuals processing trauma issues, but not all. The MCMI III results showed that the multi-impact group appeared to be somewhat more stable, meaning that the multi-impact treatment appeared to aid improvement on all three personality scales. The talking treatment group showed improvement on the most problematic personality scale, minimal increase on the second highest personality scale, and the third highest personality scale became significantly worse as compared to the multi-impact treatment group. This confirmed the hypothesis that there would be significant change in clinical personality scores. This implies that the multi-impact treatment helped individuals in a more efficient manner, in that improvement on personality syndromes or disorders was global. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(4-B), 2003, pp. 1902.

Keywords: Emotional Freedom Techniques Emotional Trauma Emotions Freedom Empirical Study Personality Change Resource Development Resource Installation Trauma Victims

Accuracy Verified: Yes

391. Knipe, J. (2006, September). Personality disorders. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Know the Why and How to Choose Your What: Some Essentials of EMDR Model and Methodology: Part 2 of 2

Keywords: Personality Disorders

Accuracy Verified: Yes

392. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop. The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic. Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development. Learning objectives: One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.

Keywords: Personality Disorders

Accuracy Verified: Yes

393. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.

Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

394. Bergmann, U. (2004, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state work and EMDR. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

395. Bergmann, U. (2004, June). Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

396. Bergmann, U. (2002, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state therapy and EMDR. Presentation at the annual meeting of International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

397. Bergmann, U. (2003, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

398. Bergmann, U. (2003, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state work in the repair of the self. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

399. Bergmann, U. (2004, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego-state work. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeated experiences of abuse deprivation, abandonment and personal coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Personality Disorders Dissociation Ego State Therapy

Accuracy Verified: Yes

400. Manfield, P. (1994, March). Personality disorders: Using EMDR with difficult clients. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Difficult Clients

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Trauma Women

Accuracy Verified: Yes

402. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Clients who have experienced traumatic events, as well as complex issues, such as substance abuse/ addiction, personality disorders, chronic and/or severe mental illness often have significant skill deficits in the area of emotion regulation. This presentation will explain the concepts of emotion regulation and dysregulation and the behavioral manifestations of emotion dysregulation. Clients' difficulty in regulating emotion can interfere with their ability to process traumatic memories with a minimum of re-traumatization and relapse in or a worsening of symptoms. Phase-based trauma treatment was conceptualized to assist clients in developing adequate emotion regulation skills during a preliminary phase of therapy prior to trauma processing. This presentation will offer rationale for phase-based treatment with certain client populations. This presentation will show how sessions of trauma processing with EMDR can be integrated into the second level of phase-based trauma treatment, replacing the utilization of exposure therapy for trauma processing. Additionally, this presentation will establish how skills learned in the initial phase of trauma treatment can be employed during EMDR positive resource development and as cognitive interweaves during EMDR trauma processing. Case and videotape examples will be utilized throughout the presentation to illustrate topics presented in lecture and discussion.

Keywords: DBT Dialectical Behavior Therapy Stair

Accuracy Verified: Yes

403. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Keywords: DBT Dialectical Behavior Therapy Stair

Accuracy Verified: Yes

404. Mattioli, G. (2004, May). The post traumatic stress disorder and EMDR therapy. Full Informatiu, 169. Retrieved http://guillermomattioli.com/?p=540&lang=en on 2/10/2013.

Language: English

Format: Other

Abstract:
“Post traumatic stress” contains all the features required to mark an epoch. To start with, it has a long prehistory under the name of traumatic neurosis, which includes all the debates about trauma and its etiological value, a “narrative” (here’s another one) that began with Freud and have still not finished. As a coined label (post traumatic stress disorder, PTSD) is fairly recent, appears about the 80ties in the DSM-III, ranged in the chapter on Anxiety Disorders, although some doubts have later been raised about this classification, since PSTD could also be included under Major Depression or also Dissociation. Finally, PSTD has triggered a proliferation of methods to treat it, based on advances in general psychology and neuroscience. Suffering PTSD means that the person affected has experienced, witnessed, imagined or listened about one or more events entailing deaths or threats to his or another one’s safety, and has reacted with fear, helplessness and horror leaving intense negative feelings warded off into his emotional memory, stored in the limbic system. Traumatic scenes may come from either natural disasters, or caused by terrorist acts, of being involved in violent situations, such as war veterans or out of having suffered physical and sexual violence, such as abused children or women

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

405. Yule, W. (1999) . Post-traumatic stress disorders: Concepts and therapy. Chichester, England: John Wiley and Sons.

Language: English

Format: Book

Abstract:
This book, written by contributors from the Institute of Psychiatry in London, represents the fruits of ten years of working with survivors of accidents and disasters. It contains a coherent approach to the psychology underpinning their stress reactions, and places these disorders within a broad social psychological perspective. It applies many of the latest insights from experimental cognitive psychology to the experiences of the survivors. [Adapted from Preface]

Keywords: PTSD Treatment Adults Children Survivors Adolescents Coping Behavior Social Support Networks Personality Traits Psychobiology Intrusive Thoughts Cognitive Processes Cognitive Therapy Behavior Therapy Research Needs Epidemiology Etiology

Accuracy Verified: Yes

406. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.

Language: English

Format: Journal

Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]

Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness

Accuracy Verified: Yes

407. Aasen, B. (2010, July). Practical work with dissociated parts with EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
When working with complex trauma, where there is secondary or tertiary or dissociation, the EMDR therapist must be cautious or emotional parts that are overwhelming to the client can be evoked. Care must be taken to provide sufficient assessment and stabilization and knowledge of the personality system or there is the risk of opening Pandora’s box and overwhelming the client. However, there are ways to safely work with emotional parts of the personality. If the ANP is able to stay present, the client has sufficient emotional stabilization and strategies to lower emotional arousal, then integration can place. This workshop will provide guidelines on assessment and stabilization, and then discuss strategies to work with EPs. Video tapes of client sessions will illustrate teaching points.

Keywords: Dissociation

Accuracy Verified: Yes

408. Yoeli, F. R., & Prattos-Spongalides, T.-A. (2003, November). Pre-war anxiety, embedded traumata, dissociative behavior and proactive treatment with EMDR to prevent complex PTSD. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Anxiety Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation

Accuracy Verified: Yes

409. Karatzias, A., Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., & Swanson, V. (2007, February). Predicting treatment outcome on three measures for post-traumatic stress disorder. European Archives of Psychiatry and Clinical Neuroscience, 257(1), 40-46. doi:10.1007/s00406-006-0682-2.

Language: English

Format: Journal

Abstract:
The aim of the present study was to investigate predictors of treatment outcome for Posttraumatic Stress Disorder (PTSD) after treatment completion and at 15-months follow-up (n = 48), in a trial of Eye Movement Desensitisation and Reprocessing (EMDR) versus Imaginal Exposure and Cognitive Restructuring (E+CR). Factors associated with treatment outcome were investigated using regression analyses with the mean change scores in three assessor and self-rated PTSD symptomatology measures, including the Clinician-Administered PTSD Scale (CAPS), the Impact of Events Scale (IES) and the PTSD Symptom Checklist (PCL) from pre- to post-treatment and pre-treatment to follow-up as the dependent variables and demographics, trauma, clinical and personality measures as independent variables. Irrespective to outcome measures and assessment points it was found that four variables were able to predict significantly treatment outcome. These included baseline PTSD symptomatology, number of sessions, gender and therapy type. Overall, our results showed that it is difficult to use pre-treatment variables as a powerful and reliable tool for predicting treatment outcome, as significant predictors were found to be sample-specific and outcome measure-specific. Clinical relevance of the present results and directions for future research are discussed.

Keywords: Empirical Study Postraumatic Stress Disorder Predictors PTSD Quantitative Study Treatment Outcome

Accuracy Verified: Yes

410. Rothbaum, B. (2008, November). Predictors of treatment response for EMDR and prolonged exposure. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Recent developments in PTSD treatment outcome research: Although cognitive behavior therapy is the treatment of choice for PTSD, there is a need to develop more effective treatments and to determine factors that influence treatment response. This symposium presents four studies that address treatment outcome research. The initial paper provides an overview of treatment predictors from two trials of cognitive processing therapy. The second paper reviews the differential responses to treatment of survivors of terrorist attacks and motor vehicle accidents. The third paper reviews predictors of outcome following EMDR and Prolonged Exposure. The fourth paper overviews a series of studies that have used structural and functional fMRI to identify the neural factors that predict response to CBT and also the impact of CBT on neural functioning.

Predictors of treatment response for EMDR and prolonged exposure: Predictors for response to treatment in a controlled study aimed to evaluate the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment wait-list control (WAIT) in the treatment of PTSD in adult female rape victims were examined. In this study, 74 participants with PTSD were randomly assigned to one of the three experimental conditions to achieve 20 completers per group. Independent Assessors blind to the treatment condition administered standard measures of PTSD and related symptoms. Improvement in PTSD, depression, dissociation, and state anxiety was significantly greater in both PE and EMDR group than the WAIT group. PE and EMDR did not differ significantly for change from baseline to either post-treatment or 6-month follow up measurement for any quantitative scale. EMDR subjects with 2 or more comorbid diagnoses, however, improved significantly less than all other active treatment subjects. At post-treatment and 6- months, 95% and 94% of PE subjects and 75% and 74% EMDR subjects no longer met DSM-IV PTSD criteria, respectively. At the 6-month follow-up assessment, 78% of those who received PE and 35% of those who received EMDR met criteria for good end state functioning (p=.017).

Keywords: Panel Prolonged Exposure Symposium Treatment Response Predictors

Accuracy Verified: Yes

411. Ross, C. (2012, October). Principles of trauma model therapy: Integration with EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
In this workshop, Dr. Ross will build on his plenary talk. He will describe the structural model of dissociation and how it can be expanded to integrate the wide range of comorbidity frequently seen in trauma survivors. From there he will describe the core principles of his Trauma Model Therapy: the problem of attachment to the perpetrator; the locus of control shift; the problem is not the problem; just say ‘no’ to drugs; addiction is the opposite of desensitization; and the victim-rescuer-perpetrator triangle. He will spend quite a bit of the workshop discussing how Trauma Model Therapy can be integrated with EMDR. Time will be left for questions and discussions.

Keywords: Trauma Model Therapy

Accuracy Verified: Yes

412. Ferrie, R. K. (2004, September). Problems with SSRIs in the treatment of traumatic syndromes. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This workshop will focus on the biological and clinical evidence supporting the notion that depression, dissociation, somatization, and PTSD may be symptomatic responses to traumatic events which affect the brain. The safety of SSRls and their application for the treatment of PTSD will be discussed as will the complications arising from their short and long lerm use. Single system designated case studies, will be used to demonstrate how treatment with EMDR allows one to arrive at successful outcomes in trauma spectrum disorders, with or without psychopharmacology.

Keywords: SSRIs

Accuracy Verified: Yes

413. Gonzalez, A., Mosquera, D., & Seijo, N. (2010, April). Processing dissociative phobias with EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: The standard EMDR protocol (SP) was designed for the treatment of simple PTSD, and when it´s used on this cases, EMDR is a very powerful therapy. But when SP is applied on complex trauma and dissociative disorders 20% of patients may become de-compensated. The importance of the stabilization phase has been remarked by different authors. The existent proposals are to use interventions coming from different approaches sometimes enhanced with bilateral stimulation. Standard procedures used for simple PTSD must be adapted and modified for working with dissociative disorders. To do this is important to understand from recent research work what we know about the effects of EMDR therapy. We will try to dynamically integrate these features with conceptualizations coming from the EMDR Adaptive Information Processing Model (AIP) and the Theory of the Structural Dissociation of the Personality (TSDP) TSDP emphasizes the importance of working with dissociative phobias prior to trauma work. In the stabilization phase the work on the phobia of dissociative parts and of attachment (and the attachment with the therapist) is the most important one. We will show with clinic cases the effect of this intervention on improving internal communication and collaboration and overcoming therapist-patient relationship problems.
Learning Outcomes For those who are not EMDR therapists this workshop will help to understand how EMDR conceptualizes the work in structural dissociation from the Adaptive Information Processing Model (AIP). For people who are not expertise on Theory of Structural Dissociation of the Personality (TSDP) a brief description of dissociative phobias and their importance in the work with dissociative disorders will be put forward. The assistants will watch videos of therapies with different patients, in which EMDR is applied using dissociative phobias as targets. Differences with ego states therapy without introducing bilateral stimulation and with standard EMDR protocol will be observable in the case-examples and will be explained in detail. This work represents a different way of using EMDR to stabilize the patient and prepare her/him for future traumatic memory processing.

Keywords: Phobias

Accuracy Verified: Yes

414. Matthess, H. (2007, June). Profits from the benefit of structural dissociation on the application with EMDR for complex-traumatized clients. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clients with chronic and complex Posttraumatic Stress Disorder (PTSD) caused by severe traumata in childhood, are often still treated inadequately, especially when they developed additional dissociative symptoms or a Dissociative Disorder. There is a current consensus about the need tomodify the EMDR standard protocol in the treatment of complex traumatized and dissociative clients. From the theoretical background of structural dissociation theory and Janet’s system of action systems, the therapist has not only to recognize clients’ deficits but also to address action tendencies in the client’s inner system that could ameliorate coping strategies in solving problems in daily life. With the help of bilateral stimulation, blending of parts of the personality containing different information can be promoted often resulting in remarkable changes in the behavior and resource activation. The main principles that need to be regarded treating complex and dissociative clients with bilateral stimulation will be explained and basic rules for treatment plans including the use of EMDR will be developed. English subtitled video examples demonstrate the proposed modification of the EMDR standard protocol and will be discussed in detail. I will present shortly recent research findings on autonomic nervous system alterations during EMDR. These results help to define special working mechanisms of our modified EMDR protocol in clients with dissociative disorders.

Keywords: Complex Trauma Dissociation

Accuracy Verified: Yes

415. Rothbaum, B. O., Astin, M. C., & Marsteller, F. (2005, December). Prolonged exposure versus eye movement desensitization and reprocessing (EMDR) for PTSD rape victims. Journal of Traumatic Stress, 18(6), 607-616. doi:10.1002/jts.20069.

Language: English

Format: Journal

Abstract:
This controlled study evaluated the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment waitlist control (WAIT) in the treatment of PTSD in adult female rape victims (n = 74). Improvement in PTSD as assessed by blind independent assessors, depression, dissociation, and state anxiety was significantly greater in both the PE and EMDR group than the WAIT group (n = 20 completers per group). PE and EMDR did not differ significantly for change from baseline to either posttreatment or 6-month follow-up measurement for any quantitative scale. [Author Abstract]

Keywords: Adults Anger Canadians Cognitive Processing Therapy Empirical Study Exposure Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Quantitative Study Relaxation Therapy Stress Inoculation Training Treatment Effectiveness

Accuracy Verified: Yes

416. Steele, A. (2008, September). Providing an attachment context for adult EMDR trauma work. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This presentation offers a context for EMDR that strengthens the client’s sense of self and security. We will consider the therapeutic relationship from an attachment perspective and explore the clinical implications or recognizing it as triadic (adult-‘child’-therapist). Participants will identify ways to facilitate experiences of connectedness and nurturance through Imaginal Nurturing, thus fostering a consistent, ongoing development of a new relationship with self for the client. Opportunities for deepening the attachment context of EMDR therapy will be explored in detail with examples. Such an approach provides solid preparation for trauma work and greater security while doing that work, thus a gentler experience for the client and less likelihood of dissociation during processing.

Keywords: Attachment

Accuracy Verified: Yes

417. Sack, M., & Matthess, H. (2005, November). Psychobiological studies and practical implications of the use of EMDR with dissociative clients. Presentation at the International Society for the Study of Dissociation Fall Conference, Toronto, Ontario Canada.

Language: English

Format: Conference

Keywords: Dissociation Psychobiology

Accuracy Verified: Yes

418. Ross, C. (2010, Septembrer/October). Psychobiology of dissociation. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
The session will: explain four different meanings of the word “dissociation" and clarify which ones are relevant to the psychobiology of dissociation; review the structural model of dissociation and how it unifies the dissociative disorders and PTSD; and describe examples of dissociations between declarative and procedural memory from neurology and experimental cognitive psychology. Most of the session will focus on existing and future research on the biology of dissociation from a trauma perspective. Data on hippocampal volume reduction, the hypothalamic-pituitary-adrenal axis and other biological systems will be reviewed.

Keywords: Dissociation Plenary Psychobiology

Accuracy Verified: Yes

419. Kozon, A. (2007, September). Psychoedukacia a EMDR v dynamickej psychoterapii v azylovom dome pre tyrane zeny [Psychoeducation and psychotherapy, EMDR in the dynamic in the asylum house for abused women]. Psychiatria-Bratislava, 14(4), 161-164.

Language: Slovak

Format: Journal

Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.

Asylum Program of the house for abused women in focus in order to protect clients who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence of symptoms of posttraumatic stress disorder, which in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitization through EMDR and psychoedukáciou. In the next phase of psychotherapy it focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy prawn to prevent future conflict prevention with victims of violence.

Keywords: Abused Women Conscious and Unconscious Half-Way House Identity Positive Change in Perception Personality Development Psychodynamic Psychotherapy Sentences of Focus Strategy Psychotherapeutic Intervention Violence

Accuracy Verified: Yes

420. Kozoň, A. (2007). Psychoedukácia a EMDR v dynamickej psychoterapii v azylovom dome pre týrané ženy [Psychoeducation and EMDR in dynamic psychotherapy in the asylum house for abused women]. Psychiatria, 14(Part 4), 161-163.

Language: Slovak

Format: Journal

Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím. Kľúčové slová: psychodynamická psychoterapia, psychoedukácia, EMDR, azylový dom, týrané ženy, násilie, fókusová veta, vedomie a nevedomie, stratégia psychoterapeutickej intervencie, pozitívna zmena vnímania, identita, rozvoj osobnosti.

Asylum Program of the house for battered women focuses not only protect our clients, who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence symptomatiky post traumatic stress disorder, which is in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitisation by EMDR and psychoedukáciou. In the next phase of psychotherapy focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy for Northern to prevent future conflict prevention victim to violence.

Keywords: Battered Women Consciousness and the Unconscious Identity Personality Development Positive Change in Perception Psychodynamic Psychotherapy Shelter Strategy of Psychotherapeutic Interventions Violence

Accuracy Verified: Yes

421. 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

422. Omaha, J. (2004). Psychotherapeutic interventions for emotion regulation: EMDR and bilateral stimulation for affect management. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
The present work represents a new phase in a profound revolution in psychotherapy, in which affects take their rightful place of equality with cognitions, drives, and behavior among the modalities that must be interpreted by theory and embraced by therapy in understanding both normal and pathological personality development (Cicchetti, Ackerman, & Izard, 1995). The book synthesizes experimental and theoretical advances regarding the primacy of affect in both human psychological health and dysfunction. These advances are translated into practical clinical applications the clinician can immediately utilize. The clinical interventions presented here are solidly grounded in recent experimental advances in understanding the developmental neurobiology of affect (Schore, 1994). These skills and concepts lay the foundation for a new approach to treating psychopathology that begins with the affects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Affect Management Emotional Control Emotional States Mental Health Personality Development Personality Disorders Psychopathology Psychotherapeutic Techniques

Accuracy Verified: Yes

423. Plassmann, R. (2004, Februar). Psychotherapie traumatisierter patienten. Die Arbeit mit bipolarem EMDR [Psychotherapy of traumatized patients. Work with bipolar EMDR]. Vortrag auf der Tagung der Landesärztekammer Stuttgart.

Language: German

Format: Other

Abstract:
Die Psychoanalyse als Urmutter der Psychotherapie stand schon früh vor der Frage: Konflikt oder Trauma? Sind die Neurosen, die Freud um die Jahrhundertwende in Wien sah, die Folge von krankmachenden Erlebnissen oder von krankmachenden Phantasien? Freud entschied sich nach einigem Hin und Her für Letzteres und ist dafür viel kritisiert worden (Bergmann 1996). Zugleich hat er mit dem psychoanalytischen Persönlichkeits- und Krankheitsmodell die Grundlage gelegt für die gegenwärtige Erforschung der Folgen traumatischer Erfahrung auf das Individuum. Dies findet mit enormer Entwicklungsdynamik derzeit in Klinik und Wissenschaft statt. Wir erleben derzeit einen Paradigmenwechsel in der Psychotherapie. Das traumatherapeutische Modell erweist sich als ein Metamodell für Psychotherapie schlechthin, und beginnt die bekannten Verfahren zu integrieren. So war auch mein persönlicher Weg. Ich bin erst Psychoanalytiker geworden, ich liebe diese Arbeitsweise. Sie ist, wie wir heute sagen würden, ein Expositionsverfahren, welches darauf beruht, krankmachendes Erlebnismaterial in der Übertragung auf den Therapeuten wiederzubeleben und durchzuarbeiten. Wir sehen nun aber, dass die Zahl derjenigen Patienten und Patientinnen immer größer wird, denen der innerpsychische Verarbeitungsapparat für die krankmachenden Erlebniskomplexe weitgehend fehlt. Sie sind zur Exposition noch nicht imstande. Traumatherapeutisch gesprochen benötigen sie eine Stabilisierungsphase, in der sich die Verarbeitungsfähigkeit überhaupt erst entwickeln kann.

Psychoanalysis as a mother of psychotherapy was early faced with the question: Conflict or trauma? Are the neuroses that Freud at the turn in Vienna saw the result of disease-causing or disease-causing experiences Fantasies? Freud decided, after some back and forth for the latter and is been much criticized (Bergmann 1996). He also has the psychoanalytic personality-disease model and the foundation laid for the current research on the effects of traumatic experience on the Individual. This is done with tremendous dynamic of development currently in hospital and Science instead. We are currently experiencing a paradigm shift in the Psychotherapy. The traumatherapeutische model proves to be a meta model for Psychotherapy absolutely, and begins to integrate the known methods. That was my personal way. I first became a psychoanalyst, I love this work. It is, as we would say today, a Exposure method, which is based on experience pathogenic material in revive the transfer to the therapist and work through. We but now see that the number of patients and patients growing is where the inner psychological processing apparatus for the disease-causing Experience complexes are largely missing. You are not able to exposure. spoken Traumatherapeutisch they need a stabilization phase in which the processing ability may develop in the first place.

Keywords: Bipolar Disorders

Accuracy Verified: Yes

424. Miti, G. (2003, May). Psychotherapy of dissociative disorders: New strategies and new techniques in a new perspective. In Dissociation and theoretical methods. Symposium conducted at the annual meeting of the EMDR Europe Assocation, Rome, Italy.

Language: English

Format: Conference

Keywords: Dissociation Symposium

Accuracy Verified: Yes

425. Porpiglia, T. (2011, June 30). PTSD can be managed!. Salem-News. Retrieved from http://www.salem-news.com/articles/june302011/managing-ptsd-tp.php on 2/3/2013.

Language: English

Format: Newspaper

Abstract:
In 1987, a new technology called Eye Movement Desensitization Reprocessing (EMDR) was in the early stages of development. An internationally respected PTSD expert, psychologist Charles Figley, director of the Institute of Traumatology at Florida State University, did a formal research project on EMDR in 1993. Additionally, Figley also researched Thought Field Therapy (TFT – the grandfather of EFT), Traumatic Incident Reduction (TIR) and Visual Kinesthetic Dissociation (VKD) at the same time. Figley and an associate conducted the research because Figley deeply understood that the conventional therapies were not suitable for treating PTSD. That research proved both EMDR and TFT as effective treatments for PTSD both achieving over 50% reduction in symptoms. Although the DOD has officially approved EMDR for PTSD treatment (http://www.news.navy.mil/search/display.asp?), many VA centers do not allow its use. In the interim, psychiatrist and PTSD expert Bessel van der Kolk, presently the Medical Director at the Trauma Center in Massachusetts, (http://www.traumacenter.org/) began groundbreaking researching on PTSD. Dr. van der Kolk is trained in both EMDR and TFT/EFT and now endorses the use of Energy Psychology methods like EFT to alleviate the symptoms of PTSD in a very gentle, quick, safe and easy manner.

Keywords: General Overview Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

426. Lanius, U. F. (2004, September). PTSD, information processing & thalamo-coritcal dialogue. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
A neurobiological model of PTSD as a neuropsychiavlc disorder that can be characterized by thalamocortical dysrhythmia is proposed. It is argued that PTSD is related to disruptions in thalamus-medicated temporal cognitive binding. The resulting lack of corticothalamic dialogue may account for flashback experiences and primary dissociation, and the resulting inability to integrate the totality of what is happening into personal memory and identity. The presentation will discuss recent neuroscience research with regard to the effects of traumatic stress on brain functioning that is integrated with Shapiro's Adaptive Information Processing Model.

Keywords: Thalamo-Coritcal Dialogue

Accuracy Verified: Yes

427. Lushin, P. (2000). The pychotherapeutic meaning of EMDR. Zhurnal Practicheskogo Psihologa [Journal of Practising Psychologist], 6, 85-90.

Language: English

Format: Journal

Abstract:
The following paper deals with the problem of constructing the psychotherapeutic meaning of the basic procedure of EMDR, one of the well-known and effective therapeutic techniques for PTSD. The author generates a conceptual matrix interpreting EMDR in terms of hypnosis, desensitization and personality change. [Author's Abstract?]

Keywords: Practice Theory

Accuracy Verified: Yes

428. O'Shea, K., & Wilensky, M. (2006, June). Re-building the foundations of: Early Age (0-3 Years) repair of trauma and neglect. Presentation at the annual meeting of the EMDR Europe Assocation, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Three years ago in which a person's life during the trauma itself in the world can feel safe, confident and have a very significant impact on the relations have to feel effective. In the study, participants simple, safe and effective type of standard protocols will have the opportunity to practice. In this protocol, 1) the early years of trauma for the required security işlemleme create his natural in a way that provides a fast and Preparatory Phase. At this stage, the "Safe Place" instead of "Secure Status" a non-stressful way to define and EMDR'la to be able to meet the "feelings to re-adjustment" method exists. After that, trainers, each age (babies, children, adolescents and adults) for the method will show how to use. After the participants to reach 0-3 years of trauma and to repair 2) more secure, fast and efficient to sort the language and, 3) (Review the experience to assign appropriate Responsibility-Release emotional and physical energy to reach a sense of Safety-Repair the experience by Imagining what was needed in order to have future Choices): Experience of the review, the security of his reach, needed something to imagine the experience to repair and 4) "Creative Blending" (not a therapist, counseling by the uncovered). Study, early age may be a symptom of trauma will be descriptions (eg, somatic disorders and personality disorders), and suspected cases of trauma and neglect the benefits of using this methodology will be revealed.

Keywords: Neglect Trauma

Accuracy Verified: Yes

429. Ramos-Ruggiero, L., & Sondergaard, H. P. (2008, April). Recovered traumatic memories through eye movements? A Case presentation from Sweden. Presentation at the 1st B-Annual International European Society for Trauma and Dissociation, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
This is a case presentation regarding the treatment of a severely traumatized woman formerly treated for depression and PTSD following incarceration in prison, “disappearance” of husband, and torture. After psychotherapy for several years, the patient improved and started to work in a qualified job. After some years, however, the patient returns because she has a feeling that the therapy was unfinished, and because of remaining psychosomatic symptoms, difficulties breathing, obesity, overeating, and recurrent urinary tract infections. The therapist then decided to try the resource installation protocol. However, in an impulse, he asked her to concentrate on her bodily sensations. Several video-recorded sequences illustrate how the patient, seemingly for the first time in her life, discovered and re-experienced childhood trauma. It seems that the eye movements during attempts at EMDR treatment made it possible to lift repression and dissociation as well as to make processing possible, thus liberating the patient from a heavy burden of mental and psychosomatic symptoms. At follow-up by the second author, the patient is entirely asymptomatic, with low DES scores and is no longer obese.
Learning objectives: 1. Somatoform symptoms as a bridge to dissociated traumatic childhood experiences 2. How dissociation might lift during treatment 3. Recent research findings regarding the effect of eye movements on episodic memory. 26

Keywords: Eye Movements Sweden

Accuracy Verified: Yes

430. Lushyn, P., & Borrelli, S. ([2003]). Rediscovery of EMDR: In search of a rationale. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
I am a clinical psychologist and professor of psychological counseling from Ukraine,. My introduction to EMDR happened in Kiev, in 1995, when Professor A. Bondarenko (initiator and one of the prominent EMDR proponents in Ukraine) invited me to participate in one of the first Ukrainian EMDR workshops (Level 1) lead by Dr. Roger Solomon. After that, Francine Shapiro sponsored my Level I1 training in Los Angeles in 1996. By that time I have had a rather extended EMDR experience with Chernobile clients. I would not say that all has been totally positive. But still, some of my results attracted Dr. Shapiro and she used a few cases from my practice in her second book coauthored with M. Forrest (Shapiro & Forrest, 1997). 1 had mixed feelings about EMIIR. On the one hand, I intuitively sensed that there are many clinical possibilities for its use. On the other, the absence of a "strong" rationale added to my subconscious search for a more grounded EMDR explanation than the metaphors Francine used. My first attem~ptto create one of my own coincided with some major life change-events, influenced by the breakdown of the USSR and consequently, dramatic social and personal transformations in the fate of the nation. At the same time (1995-2001), 1 started my post-doctoral project on personality change processes. I nearly stopped practicing EMDR and was totally overwhelmed with personal survival issues facing the challenges of the economic mi political situation.

Keywords: Pavel Lushyn

Accuracy Verified: Yes

431. Paulsen, S. L. (2004, November). Reducing dissociated conflict: Softening the perpetrator introject with or without EMDR. Presentation at the annual meeting of the International Society for the Study of Dissociation, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociation Perpetrator Introject

Accuracy Verified: Yes

432. Gallo, F. P. (1996, March). Reflections on Active Ingredients in Efficient Treatments of PTSD, Part 2. Traumatology, 2(1), 7-12. doi:10.1177/153476569600200102.

Language: English

Format: Journal

Abstract:
Part 1 of this essay summarized data and summarized the methods studied in the 'Active Ingredients' Project. Part 2 explores possible change-producing ingredients germane to each as well as across the methods

Keywords: TFT Thought Field Therapy TIR Traumatic Incident Reduction Visual/Kinesthetic Dissociation V/KD

Accuracy Verified: Yes

433. Gallo, F. P. (1996, January). Reflections on Active Ingredients in Efficient Treatments of PTSD,, Part 2. Traumatology, 2(2), 9-14. doi:10.1177/153476569600200202.

Language: English

Format: Journal

Abstract:
Part 2 of this paper focuses on possible active, change-producing elements of the four therapies for PTSD included in the Active Ingredients Demonstration Project (Figley, C and Carbonell, J., 1995). The methods studied were Eye Movement Desensitization and Reprocessing (Shapiro, 1995), Visual/Kinesthetic Dissociation (Bandler & Grinder, 1979), Traumatic Incident Reduction (Gerbode, 1989), and Thought Field Therapy (Callahan, 1985). While detailed research is indicated toward clarifying the extent of treatment effects, as well as the necessary ingredients involved, momentarily allow some speculation as to the active ingredients. The following is not intended to be a comprehensive compilation but rather a highlighting of some feasible ingredients. It is hoped that this will prove of heuristic value toward advancing understanding of active ingredients, stimulating research, and promoting the evolution and utilization of effective means of treating trauma-based conditions.

Keywords: Neurolinguistic Programming NLP Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD TFT Thought Field Therapy TIR Traumatic Incident Reduction

Accuracy Verified: Yes

434. Mosquera, D., Gonzalez, A., & Seijo, N. (2010, April). Relational problems in severely traumatized patients. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
A practical workshop focused on frequent clinical situations in therapy. Its main goal is help the participants to identify relational patterns based on reciprocal role procedures, in order to be able to overcome therapist-patient difficulties. A brief therapeutic exposure about different theoretical sources will be presented: Cognitive-Analytic Therapy, Adaptive Information Processing Model and EMDR, Theory of Structural Dissociation of the Personality, Attachment Theories, psychodynamic transference-countertransference conceptualizations, and therapies focused on relational issues (systemic family therapy, psychodramatic group therapy, etc) Vignettes of frequent reciprocal role procedures in therapeutic relationship with severely traumatized people will be presented, explained the different kinds of presentation. The linking of these vignettes with the traumatic history will be developed. Short video-cases will illustrate these situations and some interventions to overcome them. Modified EMDR interventions will be described and showed.
Learning Outcomes Therapeutic relationship problems are main issues in severely traumatized people. Different authors coming from different theoretical orientations have presented thoughtful approaches to these situations and how to overcome them. In this workshop we will review many of these contributions, but we will base our theoretical development on the concept of reciprocal role procedures from the Cognitive Analytic Therapy (Ryle). From this concept we will summarize frequent relationship problems in therapy, how we conceptualize them from the Adaptive Information Processing model from EMDR and how we work on these issues using EMDR methodology. An additional learning outcome of this workshop is that the participants will review their own experience with their patients through a specific evaluation, and will have the opportunity to share their experiences.

Keywords: Relationship Issues Trauma

Accuracy Verified: Yes

435. Cybela, D., & Karger, B. (2005, September). Removing internal barriers to leadership – An EMDR performance enhancement program. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
A Performance Enhancement Program using EMDRA can be an effective leadership development tool. The issue of management related stress was explored as a roadblock to effective leadership. APEX, LLC, in partnership wit Marathon County, has created an innovative package for leadership development, which has demonstrated positive results in improving the participants' self-confidence, optimism, and social skills in the work setting, along with reducing overall job stress. The program incorporates EMDR and a non-clinical personality to assess the individual's coping style for managing stress in the workplace. Specific strategies for identifying negative and positive cognitions unique to this population are noted.

Keywords: Job Stress Management Related Stress Performance Enhancement

Accuracy Verified: Yes

436. Vanderlaan, L. L. (2000, December). The resolution of phantom limb pain in a 15-year old girl using eye movement desensitization and reprocessing. EMDRIA Newsletter, 5(Special Edition), 31-34.

Language: English

Format: Newsletter

Abstract:
The successful treatment of left lower limb phantom pain with Eye Movement Desensitization and Reprocessing psychotherapy is reported. A theory of traumatic dissociation is proposed to explain the phantom limb pain.

Keywords: Dissociation Phantom Limb Pain

Accuracy Verified: Yes

437. Sachsse, U., Vogel, C., & Leichsenring, F. (2002, May). Results of a successful inpatients treatment programme for chronified complex PTSD patients (Predominantly BPD with self-mutilating behaviour SMB). In complex trauma (W. Wöller & M. Jakobsen, Chairs ). Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:

Keywords: Borderline Personality Disorder BPD Complex Posttraumatic Stress Disorder Complex PTSD Inpatient Treatment SMB Self-Mutilating Behaviour

Accuracy Verified: Yes

438. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT), Traumatic Incident Reduction (TIR), and Visual/Kinesthetic Dissociation (V/KD) are relatively new approaches in the treatment of trauma-related disorders. These approaches have come under intense scientific and professional scrutiny and criticism, with proponents and critics offering diverse and intriguing arguments in support of their respective points of view. This discussion will focus on the current empirical and anecdotal evidence on the efficacy of these five approaches, as well as various criticisms that have been proferred in response to the empirical and clinical literature on treatment efficacy and theory. EMDR will be highlighted, given the growing empirical database on EMDR outcome studies and the contention surrounding the treatment and its’ theory. The evidence for and/or against the other four approaches will also be presented, upon which we will raise for discussion issues relating to methodological rigour, scientific reporting of clinical data, and the interpretation of efficacy studies in general. The discussion will occur within the context of philosophical discourse on the ideal of integration of science and practice, and the feasibility of attaining this ideal within the current scientific Zeitgeist. INTERVENTION RESEARCH, CLINICAL CASE STUDY Sandringham Skills-Based Treatment of Dissociation: A Case Study 238 Chair: ELHAI, Jon D., Nova Southeastern University Discussant: GOLD, Stephen A clinical case study of skills-based treatment of a 48-year-old, female survivor of child sexual abuse (CSA) reporting severe dissociative symptomatology is presented. Chief complaints were daily amnestic episodes, depersonalization, panic attacks, agoraphobia, and consequent long-term unemployment. In contrast to most approaches to therapy for dissociative syndromes, it is argued that treatment does not need to be primarily trauma-focused. Instead treatment focused on targeting dissociation and anxiety by teaching skills to be implemented by the client outside of session. Functional behavioral analysis of particular recent incidents of dissociation were conducted over several sessions. Imagery-based relaxation and progressive muscle relaxation were used and monitored to help the client learn additional methods of reducing distress. Grounding techniques were implemented to counter the dissociative tendency to lose experiential awareness of the here and now. Cognitive interventions were utilized to challenge the erroneous notions reported about dissociative experiences, such as the panic she experienced when her dissociation had been revealed to others. Last, in vivo systematic desensitization was used with a fear hierarchy, ranging from the least to most fearful stimuli that precipitate dissociation, where graduated exposure was followed by relaxation. At termination the client reported elimination of panic attacks, resumption of driving, and marked reduction in frequency and duration of amnestic periods, with substantial additional gains and progress in finding full-time employment reported at 8 month follow-up. Treatment outcome is assessed based on psychological test data obtained at intake, discharge, and 8 month follow-up, as well as client anecdotal report.

Keywords: Neoteric Trauma Treatments Practice Guidelines

Accuracy Verified: Yes

439. Bogdanovic, V. (2008, Novembre). Rileggere la scuola del dissociazionismo (da Janet, Ferenzi, Jung fino a Kalsched) - le radici e oltre [Reread the dissociation school(from Janet, Ferenzi, Jung to Kalsched) - The roots and beyond]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia .

Language: Italian

Format: Conference

Abstract:
L’autore segue le tracce a partire dalla filosofia “associazionistica” fino la scuola “dissociazionistica” a partire da Janet, Binet, Charcot. Viene messa a fuoco la teoria della mente freudiana, intesa come prima teoria, teoria del trauma, vista nell’ottica della “corrente” dissociazonistica come anche successivo allontanamento con la seconda topica. Si prosegue con altri autori della corrente psicoanalitica, come Sandor Ferenczi, il qui il pensiero venne riscoperto recentemente (Bonomi e Borgogno). L’attualità del lavoro di Ferenczi, è riconoscibile nel suo sottolineare l’importanza del trauma per lo sviluppo della psicopatologia e l’importanza della relazione terapeutica con la rivalutazione critica della tecnica psicoanalitica seguita dai suoi originali contributi. La modalità “tecnica” risolutiva di Ferenczi nella forma della “neo-catarsi”, come viene nominata, si avvicina alle terapie attualmente accreditate per il trattamento dei vissuti traumatici, una delle quali è appunto l’EMDR. Anche K.G. Jung riconosce l’importanza di riportare la questione, per tanti anni nell’ombra, dell’attenzione scientifica - la validità di teoria traumatica delle nevrosi. Molti concetti di Psicologia Analitica di Jung si avvicinano ai concetti di psicotraumatologia moderna “dell’ambiente traumatico”, del “trauma cumulativo” nascosto dentro la memoria implicita (van der Kolk, van der Hart) e lo porta a fare riflessioni sulla revisione del metodo terapeutico dell’abreazione. L’immaginazione attiva, la tecnica terapeutica creata da Jung, in alcuni passi procedurali sembra vicina alla modalità del lavoro terapeutico svolto con l’EMDR. Viene rivisitato l’effervescente pensiero di Donald Kalsched, uno degli attuali autori junghiani di maggiore spessore e originalità, il quale amplifica le posizioni storiche di Jung sul trauma, insieme ad altre correnti del pensiero e della ricerca, soprattutto quelli delle “relazioni oggettuali” e della “psicologia del sé”.

The author follows the trail from the philosophy of "associational" until the school of "Dissociation" from Janet, Binet, Charcot. Focus is the theory of mind Freud, understood as the first theory, trauma theory, viewed from the standpoint of the "current" dissociation as well as subsequent removal with the second topic. Continue with other authors of the current psychoanalytic as Sandor Ferenczi, the thinking here was rediscovered recently (Bonomi and Burgundy). The actuality of the work of Ferenczi, is recognizable in its emphasis of the importance of trauma for the development of psychopathology and the importance of therapeutic relationship with the critical re-evaluation of psychoanalytic technique followed by its original contributions. Mode "technical" termination of Ferenczi in the form of "neo-catharsis" as it is named, was approached therapies currently approved for the treatment of experienced traumatic, one of which is precisely EMDR. KG Jung also recognizes the importance of bringing the question for many years in the shadows, scientific attention - the validity of the theory traumatic neuroses. Many concepts of Analytical Psychology of Jung's approach to the concepts of psychotraumatology modern "environmental traumatic", the "cumulative trauma" hidden inside implicit memory (van der Kolk, van der Hart) and takes him to make reflections on the revision of therapeutic method dell'abreazione. Active imagination, therapeutic technique created by Jung, some steps of the procedure seems close to the mode of therapeutic work done with EMDR. Is revisited the effervescent Kalsched thought of Donald, one of the Jungian authors of the current greater depth and originality, which amplifies the historical positions of Jung on trauma, together to other currents of thought and research, especially those of "object relations" and "Psychology of self."

Keywords: Dissociation Janet Jung Poster

Accuracy Verified: Yes

440. Vogelmann-Sine, S. L. (1993, October). The role of EMDR in crisis intervention. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.

Language: English

Format: Conference

Abstract:
EMDR is a procedure capable of assisting with MPD patients by defusing acute distress associated with current crises. In order to benefit from EMDR without risking retraumatization, the diagnosis of MPD needs to be established and consent obtained from the system as a whole. The systems needs to agree that a decrease in distress is a desirable treatment outcome.
In treating MPD, crises may arise before the system has been fully mapped. EMDR amy be cautiously used in this situation by 1) asking the entire system to listen, 2) explaining the procedure, 3) asking for any parts, know to the therapist or unknown, who disagress to let their concerns be known or they will have to be construed to have consented. The relief provided by the successful defusing of the crisis tends to increase confidence in the therapist and encourage others to alters to reveal themselves.
Several case examples will be presented illustrating the application of EMDR to crisis intervention with MPD patients. Preliminary data from case examples indicate that (1) clients report lasting relief from distress associated with current crisis; (2) clients report relief even though distress levels did not reach zero; (3) EMDR for crisis intervention is a cost-effective procedure for reducing the frequency of hospitalizations by managing crises in an outpatient basis.

Keywords: Dissociation Multiple Personality States

Accuracy Verified: Yes

441. Connell-Jones, G. (2007, March). The role of EMDR in the treatment of personality disorder in self-harming women. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.

Language: English

Format: Conference

Keywords: Personality Disorders Symposium

Accuracy Verified: Yes

442. Devilly, G. J. (2011, July). The role of imagery rehearsal with and without eye movements in the creation of false memories. Psychology, Crime and Law, 17(6), 529-543. doi:10.1080/10683160903397524.

Language: English

Format: Journal

Abstract:
This study explored differences in recall accuracy following experimental manipulations of two elements specific to two common approaches to trauma treatment – inducing saccadic eye movements during imagery rehearsal (Eye Movement Desensitization and Reprocessing; EMDR) and imagery rehearsal without eye movements (Imaginal Exposure; IE). The study also looked into whether outcome was related to high suggestibility and distress characteristics. The sample consisted of 48 non-clinical adult participants. The results found no significant difference in false recalls between EMDR and IE. While the EMDR group did make more false recognitions, they also made more correct recalls than the IE group. In effect, those in the EMDR group appear to make more true recalls and more false recollections than those in the IE group.Irrespective of treatment condition, fewer positive words were recalled and recognized than neutral and trauma words. As well as all subjects displaying no avoidant encoding style for trauma words overall, we also noted no avoidant encoding style as a function of trauma history or treatment condition. Our results argue against the avoidant encoding hypothesis for those with a history of trauma and also suggest a lowered response criterion following EMDR.; (AN 25481115)

Keywords: Absorption CBT Cognitive Behavior Therapy Dissociation Exposure False Memory Imagery Rehearsal

Accuracy Verified: Yes

443. Baita, S. (2010, Octubre/Noviembre). Rompecabezas. Una guia introductoria al trauma y la discoiacion infantil [Puzzle. An introductory guide to child trauma and dissociation]. Lanzamiento libro y video presentada II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Children Dissociation Trauma

Accuracy Verified: Yes

444. Carvalho, E. (2012, June). Sanando la pandilla que vive adentro [Healing the folks who live inside]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
Role theory/therapy was developed almost one hundred years ago, and one of its greatest innovators was Jacob Moreno, the founder of Psychodrama and Group Psychotherapy. This workshop will present the use of eight-‐phase EMDR treatment approach as a form of role therapy. It will help therapists identify the inner roles that all clients present, how the roles can be treated with EMDR and integrated towards a personality whole. This is an innovative and creative alternative/adjunct to ego-‐state therapy for clients with less dissociative symptomatology and the more “everyday” client that psychotherapists tend to see in their offices.
La teoría/terapia de rol fue desarrollada hace casi 100 años, y uno de sus grandes innovadores fue Jacob Moreno, el fundador del psicodrama y la terapia de grupo. Este taller presentará el uso de un tratamiento EMDR de 8 fases en forma de terapia de rol. Esto ayudara a los terapeutas a identificar los roles interiores que todos los clientes presentan, como los roles deben ser tratados con EMDR e integrados hacia un todo en la personalidad. Esta es una alternativa innovadora y creativa a la terapia de Estados del Ego para los clientes con poca sintomatología disociativa y orientada al cliente más común de “a pie” que normalmente tiende a acudir a la consulta.

Keywords: Practice Theory

Accuracy Verified: Yes

445. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: The Guilford Press .

Language: English

Format: Book

Abstract:
Designed to bring about lasting change in clients with personality disorders and other complex difficulties, schema therapy combines proven cognitive-behavioral techniques with elements of interpersonal, experiential, and psychodynamic therapies.

Keywords: Schema-Focused Therapy

Accuracy Verified: Yes

446. Lanius, U. (2012, October). Science & practice: Attachment, dissociation and EMDR. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
EMDR is a powerful integrative psychotherapeutic intervention. However, in the case of disrupted attachment and significant dissociative symptoms EMDR can be destabilizing if used early on in treatment. That is, fragmentation of self and dissociative symptoms commonly interfere with information processing, thus barring the integration and resolution of the traumatic experience through EMDR. Dissociation interferes with clients sense of their own body, their ability to experience emotion, their capacity for emotional regulation and their sense of self. Addressing dissociative symptoms prior to proceeding with EMDR treatment is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR and relevant target selection, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Such interventions can be used both in the preparation phase but can also form useful interweaves during EMDR information processing. Using a neurobiologically informed approach, the case is made for the use of somatic and ego-state interventions when dissociation is a signiﬁcant part of the clinical presentation. Specific focus is on different ego-state and body therapy interventions to increase awareness of the self and ones body. Body therapy and somatic interventions are distinguished from other psychotherapeutic interventions in that they are expressed in markedly slowed-down time, in order to give clients ample time to experience the felt sense of their bodies. Similarly ego-state work can be utilized to titrate information processing, as well as provide clients with internal resources that aid in enhanced information processing. Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop also will discuss innovative use of opioid antagonists in the treatment of dissociative symptoms with a particular focus on EMDR.

Learning Objectives: Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect.

Keywords: Attachment Dissociation

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Abuse Recovery Survivors Trauma

Accuracy Verified: Yes

448. Taylor, S., Adminson, G., Gordon, J. G., & Carolton, R. N. (2006). Simple versus complex PTSD: A cluster analytic investigation. Journal of Anxiety Disorders, 20(4), 459-472. doi:10.1016/j.janxdis.2005.04.003.

Language: English

Format: Journal

Abstract:
A cluster analytic investigation was conducted on measures of PTSD associated features (e.g., personality pathology, dissociative tendencies) to investigate whether empirically-defined clusters correspond to Herman's distinction between simple and complex PTSD. Results from a sample of 60 PTSD patients were broadly consistent with this distinction, although some inconsistencies were observed. Treatment outcome generally did not differ between the two clusters. Implications for classifying and treating PTSD are discussed. [Author Abstract]

Keywords: Adults Canadians Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Symptoms Exposure Therapy Nosology Personality Disorders Random Clinical Trial RCT Relaxation Therapy Somatic Symptoms Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

449. Struik, A. (2011, April). Slapende honden? Wakker maken! Een stabilisatie methode voor vroegkinderlijk, chronisch getraumatiseerde kinderen [Dogs? Wake up! A stabilization method for early, chronic traumatized children]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van, of ze weten er niks meer van omdat ze een dissociatieve stoornis hebben. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken, zeker als er sprake is van dissociatie. In deze presentatie zal ik toelichten hoe je deze stabilisatiemethode, welke een bewerking is van De drie testen (Spierings, 2008), kunt gebruiken en met name bij dissociatieve stoornissen. Deze methode helpt de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Deze workshop is anders dan de presentatie van vorig jaar omdat de focus meer ligt op het toepassen van de methode en dan met name bij dissociatie. Allereerst begin je natuurlijk met diagnostiek van dissociatie. Door dan de problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd voor behandeling. Dan worden de zes stappen van de stabilisatiemethode (veiligheid, rust in het dagelijks leven, hechting verbeteren, emotieregulatie, zelfbeeld en notendop) toegelicht. Dan wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling voor deze kinderen en wat aanpassingen zijn bij dissociatieve stoornissen.

The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seemingly functioning properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they forgot it. They have no more trouble, they know nothing more because they have a dissociative disorder. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For, by this seemingly well-functioning without, is a constant alert, anxious and lonely child. This child can not stick and this lack of secure attachment is devastating for the development. This is often visible only by explicitly to look for, especially when there is dissociation. In this presentation I will explain how this stabilization method, which is a reworking of the three tests (Spierings, 2008), can use and in particular in dissociative disorders. This method helps the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. This workshop is different than the presentation of last year because the focus is more on applying the method and especially for dissociation. First you start with diagnostics course of dissociation. By then the problems the child experiences to link past experiences, the child is motivated for treatment. Then the six steps of the method of stabilization (safety, peace in everyday life, improve adherence, emotion regulation, and self nutshell) explained. Then discusses how EMDR can be integrated into a phased treatment for these children and what changes in dissociative disorders.

Keywords: Children Dissociative Disorders Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

450. Struik, A. (2011, Févrieri). Sleeping dogs: Stabilisation et EMDR pour enfants et adolescents avec traumatismes complexes [Sleeping dogs: Stabilizing and EMDR for children and adolescents with complex trauma]. Avc de l' UPC KULeuven, Campus Kortenberg, Belgium.

Language: Dutch

Format: Other

Abstract:
Stabiliser et traiter les enfants traumatisés et souvent dissociés peut être compliqué. En apparence, ils peuvent sembler fonctionner relativement bien. Leurs stratégies d'évitement paraissent efficaces et ils refusent de parler du trauma ou disent qu'ils l'ont oublié. Cela ne les perturbe plus. Mais le désir du thérapeute de laisser les chiens dormir tranquillement est une stratégie dangereuse. Sous cette apparence de bon fonctionnement extérieur l'enfant est terrifié, constamment en alerte et seul, incapable de trouver le réconfort. Cet enfant ne peut s'attacher et ce manque d'attachement sécure peut dévaster son développement futur. Cependant, ce n'est que par une anamnèse détaillée réalisée par les soignants et les instituteurs que ces problèmes souvent cachés peuvent être révélés. Arianne expliquera les principes de base de la dissociation et de la dissociation structurelle chez les enfants dans le but d'aider à les traiter. Dans ce workshop, elle fera une démonstration du "6 tests", un nouveau modèle unique de stabilisation pour enfants. La stabilisation inclut la motivation, la psycho-éducation, la création d'un lieu sûr, l'activation du système d'attachement, des outils d'auto-régulation, des changements cognitifs, etc . Le "6 tests" aide le thérapeute à décider si l'enfant a besoin de stabilisation supplémentaire et comment l'établir avant de commencer l'EMDR.

Stabilize and treat traumatized children and often dissociated can be complicated. Outwardly, they may appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about the trauma or say they have forgotten. That does not disturb more. But the therapist's desire to let the dogs sleep in peace is a dangerous strategy. Under the appearance of functioning outside the child is terrified, alone and constantly alert, unable to find comfort. This child can not concentrate and lack of secure attachment can devastate its future development. However, it is only through a detailed history completed by caregivers and teachers that these often hidden problems can be revealed. Arianne will explain the basic principles of unbundling and structural separation of children in order to help address them. In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, the exchange In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, cognitive changes, etc.. "6 test" helps the therapist to decide if the child requires additional stabilization and how to prepare before starting EMDR.

Keywords: Adults Children Complex Trauma

Accuracy Verified: Yes

451. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in EMDR with dissociative clients and teach solutions. Procedural modifications have been the focus in dealing with pathological dissociation in EMDR treatment. Separately, transference and counter-transference with dissociative patients have been written about extensively by experts in the dissociation field. Research findings about the effects of mirror neurons and embedded simulation on the inter-subjective field of patient and therapist have also been published. Strategies for dealing with these transference and counter-transference in EMDR treatment have received little attention even though this population has intense transference, and can activate intense counter-transference. These issues may begin during an evaluation of the presenting problems. Strategies for identifying and using transference to enhance dual awareness during history taking will be demonstrated. An elongated preparation phase to develop enough trust and stabilization before exploring traumatic memories can limit induced transference. Different parts of a dissociative patient may have different kinds of transferences. These transferences may cause the patient to withdraw, cling or attack; affecting the therapist’s abilities to stay attuned and focused on the work in different phases of EMDR. Strategies of attunement to the activated part of the client will be demonstrated in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and different (transferential) parts may activate dissociative parts of the therapist. Strategies to somatically identify and use these counter-transferential activations in the therapist will be taught through body based awarenesses. R/D/I strategies can be used to limit countertransference to remain grounded and attuned. Transference and counter-transference during the assessment phase will be identified and solutions presented. During the Desensitization phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions will be discussed as unacknowledged dissociative moments with indications for inducing transference, counter-transference, or both. Decisions need be made collaboratively whether to process or contain these events. Understanding and dealing with dilemmas of dissociative enactments are crucial to keeping the healing process going. These inter-subjective issues may be most intense during the first four phases, but some problems may continue into Installation and the Body Scan. Problems and solutions during Incomplete Closure and the Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist may become activated as well. Solutions to these issues that occur during different phases will be taught so that participants will leave the workshop with additional strategies to use with their dissociative patients. Attunement to dissociative parts, identifying transference and counter-transference binds; The Clinician Self Awareness Questionnaire ; Compartmentalization; use of self soothing skills; using Relational, Empathic, and Transferential Interweaves; identifying moments of projective identification and enactments, and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective strategies . Case examples and awareness exercises will used throughout the workshop to facilitate intellectual and experiential learning.

Keywords: Counter-transference Dissociative Disorders Transference

Accuracy Verified: Yes

452. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .

Keywords: Countertransference Transference

Accuracy Verified: Yes

453. Minton, K. (2009, May). Somatic resourcing and EMDR. Plenary presented at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
This seminar will describe particular means to strengthen the somatic component of the EMDR Protocol for clients that have the following characteristics: dissociation from the body, ungrounded, unable to feel somatic sensations and impulses, lack of a somatic sense of self due to developmental or traumatic wounding, disconnection from feelings of physical strength, ability to defend oneself, pleasure or power in the body. We will look at different kinds of somatic resources: groundedness, boundaries, defensive musculature, centering, and physical empowerment. We will also look at using somatic resourcing with an expanded standard and/or RDI protocol to be utilized while evoking state specific trauma processing and without evoking state specific trauma processing.

Keywords: Depression Plenary Somatic Resourcing

Accuracy Verified: Yes

454. Mosquera, D. (2012, March). Somatoform dissociation, stuck points and EMDR. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany.

Language: English

Format: Conference

Keywords: Somatoform Dissociation Stuck Processing

Accuracy Verified: Yes

455. Adler-Tapia, R., & Settle, C. (2012). Specialty topics on using EMDR with children. Journal of EMDR Practice and Research, 6(3), 145-153. doi:10.1891/1933-3196.6.3.145.

Language: English

Format: Journal

Abstract:
“Specialty Topics on Using EMDR With Children“ is written for therapists who have learned the basic eye movement desensitization and reprocessing (EMDR) protocol and are interested in expanding their skills in using EMDR in individual treatment with children. This article explores the advanced application of EMDR with other clinical, emotional, developmental, and behavioral issues, including children who have been diagnosed with attention deficit/hyperactivity disorder (ADHD) or have experienced trauma, attachment, and dissociation. The text is organized into headings of specific childhood diagnoses, issues, or presenting problems, with recommendations for procedural considerations and adjustments to the EMDR protocol. Unless indicated otherwise, the EMDR protocol follows the 8 phases, as discussed in the book, EMDR and the Art of Psychotherapy With Children (Adler-Tapia & Settle, 2008) with additions or modifications, as indicated.

Keywords: Attachment Children EMD Eye Movement Desensitization Trauma

Accuracy Verified: Yes

456. Struik, A. (2009, June). Stabilization and EMDR treatment of young dissociative children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Children Dissociation Stablization Treatment

Accuracy Verified: Yes

457. Struik, A. L. (2010, June). Stabilization and EMDR treatment of young dissociative children, the use of the six tests, a stabilization model. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The stabilization and treatment of young dissociative children can be complicated. Providing the child with a safe environment and attachment figure is obviously the first step. But what's next? They can appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about trauma or say they forgot about it. It doesn't bother them anymore. But the temptation of the therapist to let sleeping dogs lie is a dangerous one. Underneath this apparently well-functioning outside the child is terrified, constantly alert, and lonely, unable to find comfort, This child cannot attach and this lack of safe attachment is devastating for future development. However, only detailed history taking from caregivers and schoolteachers will often reveals these otherwise often hidden problems. In this presentation 1 will demonstrate. The six tests, a new and unique stabilization model for children. The six tests help therapy is to decide whether a child needs further stabilization and how to establish this stabilization, before starting with EMDR. I will present some cases to illustrate this process and the use of stabilization techniques. The children need to learn self-regulation skills to reduce stress. Then we activate the attachment system, so they car, reduce stress by seeking comfort. In this way the need to dissociate reduces. By relating present problems to past experiences their motivation increases to look into their traumas and start EMDR, (but only on their request). Finally, I will discuss adjustments in the EMDR protocol for these dissociative children in order to keep them in the desensitization process and how to integrate the use of EMDR Into the complete phase-orientated treatment. Learning objectives: -The basic tenets of the six tests -The ability to critically consider whether a child needs further stabilization or can start EMDR. - Understanding which techniques to utilize for particular conditions, through case presentations and questions. New and unique: This model is an adjustment for children of The tree test (Spieling, 2008) for adults, which is unique and new. Up until now, many EMDR therapists don't treat these children, because they are afraid to destabilize them or don't know how to do it. With this model I hope they start to treat these children who need EMDR the most.

Keywords: Children Dissociation: Six Tests

Accuracy Verified: Yes

458. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.

Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women

Accuracy Verified: Yes

459. Korzekwa, M. (2010, September/October). Strategic developmental model for EMDR in borderline personality Disorder post dialectical behavior therapy. Research symposium conducted at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This pilot study (2 cases) tests the feasibility, safety and efficacy of 24 sessions of the Strategic Developmental Model for EMDR in Boderline Personality Disorder subjects who have completed Dialectical Behavior Therapy.

Keywords: DBT Dialectical Behavior Therapy Borderline Personality Disorder BPD Strategic Developmental Model Symposium

Accuracy Verified: Yes

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

Language: French

Format: Conference

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

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

Keywords: Stress Trauma

Accuracy Verified: Yes

461. Nijenhuis, E. (2004, June). Structural dissociation of the personality. Treatment implications for trauma therapists. Preconference presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Keywords: Structural Dissociation

Accuracy Verified: Yes

462. Nijenhuis, E. (2004, June). Structural dissociation of the personality: Phenomena, theory, and psychobiological research. Plenary presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Keywords: Plenary Research Structural Dissociation

Accuracy Verified: Yes

463. Nijenhuis, E.R.S. (2004, June). Structural dissociation of the personality: Phenomena, theory, and psychobiological research. Keynote. Keynote presented at the EMDR Europe Association Conference, Stockholm, Sweden.

Language: English

Format: Conference

Keywords: Keynote

Accuracy Verified: No

464. Hann, G. R. (2001, Fall). Students: For your eyes only!. Psychotherapy Bulletin, 36(4) .

Language: English

Format: Newsletter

Abstract:
This article discusses a once-in-a-lifetime meeting of living legends in psychology and psychotherapy held on February 22-24, 2002. Included will be Drs. James F.T. Bugental, Albert Ellis, Alvin R. Mahler and Rachel Hare-Mustin. In addition to the "living legends," students will have the chance to hear from and talk with another esteemed cohort of "cutting edge" therapists and psychologists: Drs. Norman Ables (Geriatric Psychotherapy and Assessment), James Bray (Psychotherapy in Primary Care Settings), Gary DeNelsky (Tobacco Addiction), Hanna Levinson (Time-limited Dynamic Psychotherapy for Personality Disorders), Don David Lusterman (Divorce Mediation), Francine Shapiro (EMDR), and Jeffery Younggren (Risk Management).

Keywords: Albert Ellis Alvin R. Mahler Don Lusterman Francine Shapiro Gary DeNelsky Hanna Levinson James Bray James F.T. Bugental Norman Ables Psychology Psychotherapy Rachel Hare-Mustin

Accuracy Verified: Yes

465. Carbonell, J. L., & Figley, C. R. (2005). A systematic clinical demonstration of promising PTSD treatment approaches. In V. R. Volkman (Ed.), Traumatic incident reduction: Research and results (pp. 75-94). Ann Arbor, Michigan: Loving Healing Press.

Language: English

Format: Book Section

Abstract:
Traumatic Incident Reduction, Visual-Kinesthetic Dissociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Author Abstract]

Keywords: Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD Survivors Stressors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

466. Abbott, G. (2013, May). Tactical integration in the conference room: A Safer, more efficient path to healing structural dissociation of the personality with EMDR. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.

Language: English

Format: Conference

Abstract:
EMDR This advanced workshop covers six hindrances to using EMDR with dissociative disorders and an integrated set of solutions. Hindrances include: sudden loss of ability to defend against dissociated memories during processing and a tendency to over-access with insufficient skill to express affect, etc. Safe resolutions lie in the integration of a tactical integrationist approach to the introduction of EMDR, plus concepts from the structural theory of dissociation of the personality and the clinical tool of the conference room. The workshop will include lecture, case vignettes, sculpted role plays with participants, and discussion.

Keywords: Conference Room Dissociation Structural Dissociation

Accuracy Verified: Yes

467. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220.

Language: English

Format: Journal

Abstract:
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.

Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication

Accuracy Verified: Yes

468. Plagaro-Neill, I. (2012, October). Techniques to keep the dissociated client anchored in the therapy room. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
This workshop provides newly trained EMDR therapists with the ‘benefit of hindsight’. From the initial stages of my EMDR training I worked with clients who presented with complex trauma who frequently dissociated. I therefore had to quickly learn how to enable clients to process traumatic memories whilst keeping them anchored in the present moment and in the therapy room. The workshop is a demonstration of a range of techniques I have learnt over the years of my EMDR practice that provides the benefit of hindsight.

Keywords: Dissociation

Accuracy Verified: Yes

469. Mosquera, D., González, A., & Vazquez, I. (2012, Enero ). Terapia EMDR (eye movement desensitization reprocessing) en el trastorno límite de personalidad: Reflexiones en torno a un caso de patología dual [EMDR (Eye Movement Desensitization Reprocessing) in BPD personality: Reflections on a case of dual diagnosis]. Revista Espanola de Drogodependencias, 37(1), 82-95.

Language: Spanish

Format: Magazine

Abstract:
Los pacientes con trastorno límite de la personalidad y adicciones suponen un desafío para los centros de atención específicos. Los pacientes con patología dual suelen presentar dificultades en los programas orientados a la evitación del consumo. No solo por sus frecuentes problemas interpersonales sino debido a que su problemática de adicción no se ajusta al patrón prototípico de abuso o dependencia de sustancias. La terapia Eye Movement Desensitization Reprocessing (EMDR), orientada al tratamiento de las experiencias desde las cuales se han desarrollado ambos trastornos, permite un abordaje integral de ambos problemas. EMDR es una terapia que aborda las situaciones relacionadas con trauma temprano y apego disfuncional, altamente prevalentes tanto en el trastorno límite de personalidad como en las conductas adictivas.A través de un caso clínico se ilustra un posible plan de tratamiento para trabajar la patología dual desde EMDR.

Patients diagnosed with borderline personality and substance abuse disorders represent a challenge for specific treatment centers.These patients tend to experience difficulties in substance or alcohol abuse programs due to their frequent interpersonal problems and their addiction patterns, which do not fit into a standard pattern of substance abuse or dependence. Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented toward the treatment of the experiences that originate both disorders, allows an integrated approach of both problems. EMDR is a psychotherapy that addresses early trauma and dysfunctional attachment experiences, which are highly prevalent both in BPD and substance abuse disorders.We will illustrate a possible treatment plan from the EMDR perspective through a case example.

Keywords: Alcohol Abuse Borderline Personaity Disorder BPD Dual Diagnosis

Accuracy Verified: Yes

470. Lamprecht, F. (2003). Themenschwerpunkt behandlung psychotraumatischer belastungsstörungen mit EMDR [Topics focus on treatment of psychological trauma with EMDR]. Kröning: Asanger.

Language: German

Format: Book

Abstract:
Mit Beiträgen über EMDR in der Behandlung von chronischem Schmerz, EMDR in der Psychotherapie von Persönlichkeitsstörungen mit und ohne Symptomatik einer PTPS, EMDR in der Behandlung dissoziativer Störungen, EMDR bei Schädel-Hirn-Traumatisierten, über die psychophysiologische Regulation bei Patienten mit PTSD und den Veränderungen nach einer EMDR-Behandlun sowie den physiologischen und biologischen Veränderungen nach frühen kindlichen Traumata und deren Behandlungsmöglichkeit.

Focus: Treatment of psycho traumatischer stress disorders with EMDR (ed. Lamprecht). With contributions of EMDR in the treatment of chronic pain, EMDR in psychotherapy personality disorders with and without symptoms of a PTPS EMDR in treatment of dissoziativer disorders, EMDR at skull-brain-Traumatisierten, on the psycho physiological regulation in patients with underlying and changes after a EMDR Behandlun and the physiological and biological changes after early infant trauma and their treatment option.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

471. van der Hart, O., Solomon, R., & Gonzalez, A. (2010, September/October). The theory of structural dissociation as a guide for EMDR treatment of chronically traumatized clients. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Chronically traumatized clients with complex dissociative disorders need careful preparation. There is currently consensus that the EMDR standard protocol needs to be modified for chronically traumatized clients, as it may destabilize them. Thus, the therapist needs to have a good understanding of the dissociative personality structure that exists in their clients, the dissociative parts, their strengths and deficits, and their interrelationships. Using the framework of phase-oriented treatment and the theory of structural dissociation of the personality, this workshop will help participants understand the preparatory work necessary before integrating traumatic memories and discuss important procedural considerations for each phase of EMDR.

Keywords: Chronic Traumatization Structural Dissociation

Accuracy Verified: Yes

472. Shapiro, F. (2004). Theory: The adaptive information processing model. EMDR Institute, Inc.

Language: English

Format: Publication

Abstract:
Shapiro developed an information processing theory to explain and predict the treatment effects seen with EMDR. This theoretical model also describes the development of personality, psychological problems and mental disorders. The following is a simplified description of Shapiro’s theory.

Keywords: Information Processing Model

Accuracy Verified: Yes

473. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities for patients who are considered difficult to treat though urgently in need of therapy. Given this background, the workshop aims at enhancing the participants’ capacity to manage problems of therapeutic relationship in traumatized clients with personality disorder. In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems of therapeutic relationship.

Keywords: Interpersonal Relationship Personality Disorders

Accuracy Verified: Yes

474. Dellucci, H. (2010, Novembre). Thérapie EMDR et troubles dissociatifs [EMDR and dissociative disorders]. Presentation a la Pré-programme du colloque: Second séminaire Universitaire de recherche sur les dimensions intégratives dans la thérapie EMDR, Universite Paul Verlaine - METZ, France.

Language: French

Format: Conference

Abstract:
La dissociation c’est… définition Definition du DSM-IV-TR (APA 2000): « une rupture des fonctions habituellement intégrées de la conscience, de la mémoire, de l’identité ou de la perception de l’environnement » Ne contient pas d’éléments somatoformes, comme des fonctions de contrôle moteur ou de sensations physiques Moreau de Tours (1845): dissociation comme un phénomène de désagrégation psychique Pierre Janet (1907): « …une maladie de la synthèse personnelle. » « Une forme de dépression mentale caractérisée par la rétraction du champ de la conscience et une tendance à la dissociation et à l’émancipation des systèmes d’idées et des fonctions que constitue la personnalité. » 19e siècle: concepts de dissociation de la personnalité et dissociation de conscience sont utilisés conjointement Van der Hart, Nijenhuis & Steele (2006): il s’agit d’un « manque d’intégration parmi deux ou plusieurs sous-systèmes psychobiologiques de la personnalité, comme système entier, ces sous-systèmes endossant chacun au moins un sens de Soi rudimentaire. » [Extrait]

The separation is ... Definition Definition of DSM-IV-TR (APA 2000), "a breakdown in the usually integrated functions of consciousness, memory, identity or perception of the environment" Do not contain any somatoform, as functions of motor control or physical sensations Moreau de Tours (1845): dissociation as a phenomenon of psychic disintegration  Pierre Janet (1907): "... a disease of personal synthesis. "" A form of mental depression characterized by retraction of the field of consciousness and a tendency to dissociation and emancipation of the systems of ideas and functions that constitute personality. " 19th century concepts of dissociation of the personality and dissociation of consciousness are used in conjunction Van der Hart, Nijenhuis & Steele (2006): This is a" lack of integration among two or more subsystems psychobiological personality, as the entire system, these subsystems endorsing each at least a rudimentary sense of self. "[Excerpt]

Keywords: Dissociative Disorders Research

Accuracy Verified: Yes

475. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15.

Language: English

Format: Newsletter

Abstract:
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect, dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative abreaction.

Keywords: Dissociation

Accuracy Verified: Yes

476. Nilsson, D., & Jonsson, M. (2010, April). Towards healing of a trauma that led to conversion-dissociation. Presentation at the 2nd Bi-Annual Internatinal European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
This is a case study of a 17 year old adolescent who came in contact with Child and adolescent psychiatry at an inward basis, screening for dissociation gave very high dissociative symptom on Dis-Q-Sweden; 3.6 total scale, 3.88, 4.00, 2.64 and 3.5 on the subscales, she also had high scores on Trauma Symptom Checklist for Children. After screening a SCID- interview was done and she had symptoms of amnesia, derealizaition, depersonalization and identity confusion. We will describe the psychotherapy with this adolescent girl, different stages of therapy individual work – with tf-cbt- EMDR and symboldrama-, family work with much work with not before worked with traumatic experiences. In the presentation we will connect to attachment theories of dissociation, dissociation in a generational perspective and theories of multimodal approach to dissociation.

Keywords: Conversion Disorder Dissociation

Accuracy Verified: Yes

477. Aduriz, M. E. (2007, Novembro). Trabajando creativamente con EMDR en niños y familia - Como motivar al niño a usar EMDR [Working creatively with EMDR children and family - How to motivate the child to use EMDR]. Presentación en el Primer Congreso Iberoamericano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
Como aplicar las 8 fases a distintas edades en relación a: • Informar que es EMDR y que sucede en el cerebro • Acceder a la Estimulación Bilateral como una experiencia segura • Maneras de armar y amplificar la función del Lugar Seguro • Introducir el I C E S (Imagen- Creencia – Emoción – Sensación Corporal).y las Escalas del SUD y VOC • Reconocimiento y tolerancia de las emociones• Fase de desensibilización. Su diferencia con los adultos. • Como detectar y superar: ab-reacciones - bloqueos – riesgo de disociación • Modos de instalar y amplificar la creencia positiva. • Como hacer cierre de sesión en las distantes edades y situaciones • Importancia del Seguimiento o reevaluación con la ayuda de los padres.

How to apply the 8 stages at different ages in relation to: • Report is EMDR and what happens in the brain • Access to a Bilateral Stimulation safe experience • Ways to set up and amplify the role of Safe Place • Enter the I C E S (Picture-Belief - Emotion - Feeling Body). And Scales of SUD and VOC • Recognition and tolerance of emotions • Phase desensitization. The difference with adults. • How to identify and overcome: ab-reactions - blocks - the risk of dissociation • Ways to set up and amplify the belief positive. • How to logout in the distant ages and situations • Importance of monitoring or reassessment with the help of parents.

Keywords: Children Family

Accuracy Verified: Yes

478. Gonzalez, A., & Mosquera, D. (2012). Trabajo con patrones de autocuidado: Un procedimiento estructurado para la terapia EMDR [Working with self-care patterns: A structured procedure for EMDR therapy] . Revista Iberoamericana de Psicotraumatología y Disociación, 4(2), [11 pages].

Language: Spanish

Format: Other

Abstract:
El concepto de autocuidado ha sido desarrollado por Gonzalez y Mosquera (Mosquera, 2004; González 2007; Mosquera & Gonzalez, 2011; Gonzalez & Mosquera, 2012) para describir el modo en el que un individuo se cuida a sí mismo en distintas áreas funcionales. Este artículo presenta un procedimiento estructurado para trabajar con patrones de autocuidado como parte de la fase de preparación en terapia EMDR. Diseñado inicialmente para trabajar con trauma complejo y disociación, puede ser empleado en diferentes problemas clínicos. Este protocolo debe ser usado únicamente por terapeutas EMDR acreditados, ya que requiere un sólido conocimiento del trabajo con EMDR.

Self-care is a concept developed by Gonzalez and Mosquera (Mosquera, 2004; González 2007; Mosquera & Gonzalez, 2011; Gonzalez & Mosquera, 2012) to describe the way in that an individual takes care of her or himself in different areas of functioning. This article presents a structured procedure for working with self-care patterns as part of the preparation phase in EMDR therapy. Initially designed for working with complex trauma and dissociation, it can be used in different clinical problems. This protocol should be only used by accredited EMDR therapists, since it requires a solid knowledge on EMDR.

Keywords: Self-Care

Accuracy Verified: Yes

479. Sautai, G. (2009, Février). Traitement des intoxications psychiques (troubles traumatiques du developpment pour les anglophones) par l’immersion EMDR [Psychological treatment of poisoning (trauma disorders in the development process for anglophones) by immersion EMDR]. EMDRRevue, Theorie et Clinique therapeutiques.

Language: French

Format: Other

Abstract:
Certains patients sont amenés à évoluer durant les premières années de leur vie dans une structure familiale (ou de substitution) et sociale qui peut présenter un/des dysfonctionnements atteignant leur développement en fonction de leur personnalité et/ou de leur sensibilité génétique. Ceci entraîne de façon très insidieuse, ce que nous appelons en référence aux travaux de Jacques Roques, des Empoisonnements Psychiques dus à un/des Troubles Traumatiques du Développement (TTD).

Some patients are likely to evolve in the early years of their lives in a family structure (or substitute) and may have a social / dysfunction reaching their development according to their personality and / or their genetic susceptibility. This results in a very insidious, what we call in reference to the work of Jacques Roques, and poisonings due to a Psychic / Traumatic Disorders of Development (TTD).

Keywords: Psychic/Traumatic Disorders of Development

Accuracy Verified: Yes

480. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes, and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using EMDR and will lead a meditation to help create this no-mind state. 2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new sense of Self in relation to others and the universe. 3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self- Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating organisms, each understands and values the power of being witness to the present moment, and each makes room for the client to discover a heretofore "unimaginable outcome" to his or her work. The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships. Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access points to higher states of consciousness. 5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True Self. EMDR may be a key to the profound transformation of personality types. 6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a question and answer period between the audience and the panel members.

Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy

Accuracy Verified: Yes

481. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .

Language: Spanish

Format: Conference

Abstract:
Los trastornos de personalidad son un grupo complejo a la hora de trabajar en psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR. El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas. Algunos autores destacan los contextos invalidantes en la historia biográfica de las personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero. La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática, siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo

Personality disorders are a complex group when working in psychotherapy. Relational problems and emotional reactions are often overflowing be in the forefront. Many of these disorders are built on a history of early trauma and dysfunctional attachment relationships with primary caregivers can be treated with EMDR. The BPD or BPD personality has been associated with a history early attachment dysfunctional childhood trauma (sexual abuse, physical trauma attachment and / or neglect), but not all specific therapeutic guidelines for BPD directly addressed these previous traumatic experiences. Some authors emphasize the disabling contexts in the biographical history of the People with this diagnosis, which often goes hand in complex traumatization. The EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......) but, in fact, by definition, trauma is any event that has had a negative effect durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will visualize the results that can be achieved in one session. Through the case illustrate the theory of Model Adaptive Information Processing (AIP) and possible application of EMDR in personality disorders with complex trauma.

Keywords: Borderline Personality Disorder Symposium

Accuracy Verified: Yes

482. Mosquera, D. (2012, June). Trastorno narcisista de la personalidad y EMDR [Narcissitic personality disorder and EMDR]. Presentación en el IX Congreso Nacional de Trastornos de la Personalidad. Asociación Española para el Estudio de los Trastornos de la Personalidad. Zaragoza, Spain.

Language: Spanish

Format: Conference

Abstract:
La descripción de la DSM-IV del trastorno de personalidad narcisista se centra en las cualidades "externas" del narcisismo (grandiosidad, explotación de otros, arrogancia, problemas interpersonales y rabia) mientras que omite las características "internas" menos obvias y más sutiles (tendencia a ser sensitivos a la vergüenza, introvertidos, vulnerables, inhibidos y tendentes a la ansiedad: Gabbard, 1989). Las características narcisistas de grandiosidad son a menudo asociadas a la personalidad del abusador, pero ambas formas de narcisismo pueden ser relevantes tanto en víctimas como en familiares "no abusadores". Una característica central del narcisismo es la falta de empatía. Los rasgos narcisistas y antisociales pueden ser el resultado final de un entorno negligente, de abuso crónico o de una valoración excesiva. Los problemas de apego con los cuidadores principales pueden dar lugar a falta de empatía y egocentrismo. En esta presentación se realizará una descripción de diferentes perfiles caracterizados por egocentrismo, actitud egoísta y falta de empatía. Se planteará la patología narcisista desde la perspectiva del trauma y el abordaje con EMDR.

The description of the DSM-IV narcissistic personality disorder focuses on the qualities of "outside" of narcissism (grandiosity, exploitation of others, arrogance, anger and interpersonal problems) while omitting features "internal" less obvious and more subtle (tendency to be sensitive to shame, introverted, vulnerable, inhibited and prone to anxiety: Gabbard, 1989). Grandiose narcissistic characteristics are often associated with the personality of the abuser, but both forms of narcissism may be relevant to both victims and family members "not abusive". A central feature of narcissism is a lack of empathy. Narcissistic and antisocial traits may be the end result of a negligent environment of chronic abuse or excessive valuation. The problems of attachment with primary caregivers may result in lack of empathy and self-centeredness. This presentation will be a description of different profiles characterized by selfishness, selfish and lack of empathy. We will examine the narcissistic pathology from the perspective of trauma and EMDR approach.

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

483. Mitrani, C. (2005, Junio). Trastornos de personalidad y EMDR [Personality disorders and EMDR]. Presentación en el V Congreso Internacional de Trauma Psíquico y Estrés Traumático, Buenos Aires, Argentina.

Language: Spanish

Format: Conference

Keywords: Personality Disorders

Accuracy Verified: Yes

484. Bergmann, U. (2007, Novembro). Tratamento da Dissociação com EMDR [Treatment of dissociation with EMDR]. Pós-conferência Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: English

Format: Conference

Abstract:
Neste workshop será explorado o tratamento de dissociação e EMDR. O enfoque principal será o uso do trabalho de estado de ego para a fase de preparaçao que construirá a base para o uso de alvos específicos em estados de ego no EMDR.

This workshop will explore the treatment dissociation and EMDR. The main focus will be the use of ego state work for the stage of preparation that build a basis for the use target specific ego states in EMDR.

Keywords: Dissociation

Accuracy Verified: Yes

485. Bergmann, U. (2010, Octubre/Noviembre). Tratamiento de disociación en desórdenes de personalidad con EMDR y terapia de estados del ego [Treatment of personality disorders dissociation with EMDR and ego state therapy]. Pre congreso presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

486. Gonzalez, A., & Mosquera , D. (2010). Tratamiento del abuso sexual con EMDR [Treatment of sexual abuse with EMDR]. Revista de Psicoterapia, 20(80).

Language: Spanish

Format: Other

Abstract:
"La terapia EMDR ha obtenido reconocimiento internacional como tratamiento de elección para el trastorno de estrés postraumático, aunque su utilización se ha extendido a numerosas patologías. Desde EMDR se entiende que el origen de los síntomas está en experiencias traumáticas previas que se almacenan en el cerebro de una manera disfuncional. La resolución de los problemas presentes del paciente se consigue a través del procesamiento de las memorias traumáticas, que se reconsolidarán como memorias ordinarias. El procedimiento estándar incluye no sólo el procesamiento de eventos pasados, sino también de las situaciones presentes y la proyección de futuro. Para su aplicación específica en casos de abuso sexual es preciso tener en cuenta si se trata de un abuso temprano y/o prolongado, sobre todo un abuso sexual intrafamiliar, ya que las consecuencias en este caso van más allá de un estrés postraumático simple, como ocurre en un episodio aislado de agresión sexual en un paciente con una historia previa sin elementos de traumatización grave temprana. En este artículo se ejemplificará con casos clínicos la aplicación diferencial en ambos casos."

"EMDR therapy has achieved an extense international recognition as treatment of choice for PTSD. Its use has been extended to a broaden field of pathologies. From the EMDR perspective, symptoms are considered to feed on previous traumatic experiences, and the patient´s problems resolution will be achieved throughout the processing of this dysfunctionally stored information, that becomes reconsolidated as an ordinary memory. The standard EMDR procedure includes not only the processing of past events, but also the processing of present situations and future scope. In order to use EMDR in sexual abuse cases, it is crucial to differentiate between early abuse (overall intrafamiliar abuse) and single sexual aggression in adulthood. The first situation has more severe consequences and needs modified EMDR procedures oriented to severe traumatization and dissociation. The implementation of this therapy will be illustrated with clinical case examples."

Keywords: Posttraumatic Stress Psychotherapy Sexual Abuse Trauma

Accuracy Verified: Yes

487. Lescano, R. (2007, Novembro). Tratamiento estratégico del trauma complejo como modelo multiicomponente [Strategic management of complex trauma as a multicomponent model]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Spanish

Format: Conference

Abstract:
El trauma hoy es conceptualizado de un modo muy diferente del que lo hacíamos hace 30 años. Los avances en las neurociencias y el conocimiento sobre la neurobiología del trauma permiten entender las secuelas biológicas y las implicancias clínicas de las mismas. Por otro lado, EMDR en las últimas dos décadas ha ganado el reconocimiento como uno de los tratamientos con más validaciones científicas por su eficacia para tratar el trauma. Esto desafía el conocimiento neurobiológico de lo indeleble de las cicatrices de los efectos del trauma. La clínica nos muestra que los síntomas pueden permanecer durante años, incluso décadas, hasta el surgimiento de EMDR como un modelo estandarizado para el tratamiento del trauma y sus consecuencias.

Today trauma is conceptualized in a way very different than we did 30 years ago. Advances in neuroscience and knowledge about the neurobiology of trauma allow to understand the biological consequences and clinical implications thereof. On the other hand, EMDR in the last two decades has won the recognition as one of the treatments more scientific validation for its effectiveness in treat trauma. This challenges the knowledge the neurobiological indelible scars the effects of trauma. The clinic shows symptoms may remain for years, even decades, until the emergence of EMDR as a standardized model for treatment of trauma and its consequences.

Keywords: Dissociation

Accuracy Verified: Yes

488. Robredo, J. (2011, Julio). Tratamiento intensivo para madres victimas de violencia de genero. La reconstruccion del apego [Intensive treatment for mothers victims of gender violence. The reconstruction of attachment]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, Spain.

Language: Spanish

Format: Conference

Abstract:
El Instituto de Psicotrauma de Alicante en colaboración con los Servicios Sociales de diversos Ayuntamientos de la Comunidad Valenciana aplican desde 2009 un protocolo de intervención para madres víctimas de violencia de género, basado en las técnicas de desensibilización y reprocesamiento a través del movimiento de los ojos, EMDR© (Eye Movement Desensitization and Reprocessing), teorías del apego ( John Bowlby) y teoría de la disociación estructural de la personalidad (Ono Van der Hart) Los resultados observados en una muestra de 15 madres y sus hijos de 4 a 16 años indican una desaparición de los cuadros clínicos de estrés postraumático y depresión, la remisión de los problemas de conducta concomitantes (desobediencia, agresividad) y una mejora del vínculo afectivo con la madre. El protocolo de intervención consta de 5 fases: evaluación, psicoeducación, tratamiento, prevención de recaídas y seguimiento La evaluación consta de sendas entrevistas clínicas y la administración de la Escala de Ansiedad Manifiesta en Niños (CMAS‐R), la Escala de Gravedad de Síntomas del Estrés Postraumático, el Test del Dibujo de la Familia (niñ@s menores de 6 años) y el cuestionario para la evaluación de adoptantes (CUIDA). El tratamiento consiste en la instalación de recursos con la madre y reprocesamiento con EMDR a lo largo de 20 sesiones trabajando con los recuerdos traumáticos de la madre y el menor asociados a la violencia vivida en la familia. El reprocesamiento del niño se hace junto a la madre. El formato de tratamiento es intensivo con 5 sesiones de terapia semanal durante 4 semanas. El 100% de los menores y las mujeres atendidas experimentaron la remisión de sus síntomas de ansiedad y en el 80% de los casos desaparecieron sus problemas de conducta en el entorno familiar y escolar. Además se observó que el tipo de apego había cambiado al final de tratamiento.

The Institute of Alicante Psychotrauma in collaboration with Social Services various municipalities of Valencia since 2009 implemented a protocol intervention for mothers victims of domestic violence, based on techniques desensitization and reprocessing through eye movement, EMDR © (Eye Movement Desensitization and Reprocessing), attachment theory (Bowlby) and theory structural dissociation of the personality (Van der Hart Ono). The results of a sample of 15 mothers and their children aged 4 to 16 years indicate a disappearance of clinical PTSD and depression, remission of comorbid conduct problems (disobedience, aggression) and a improvement bond with the mother. The intervention protocol consists of 5 phases: assessment, psychoeducation, treatment, relapse prevention and monitoring The assessment consists of separate clinical interviews and administration of the Scale in Children's Manifest Anxiety (CMAS-R), the Symptom Severity Scale Stress Posttraumatic Drawing Test Family (children 's children under 6 years) and questionnaire for the assessment of adopters (CARE). Treatment involves the installation of resources with the mother and EMDR reprocessing over 20 sessions working with the memories traumatic mother and child associated with violence experienced domestically. The reprocessing of the child is with the mother. The format is intensive treatment with 5 sessions of weekly therapy for 4 weeks. 100% of children and women treated experienced remission of their anxiety symptoms and 80% of cases behavioral problems disappeared in the family and school. We observed that the attachment classification was changed to end of treatment.

Keywords: Attachment Gender Violence

Accuracy Verified: Yes

489. 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

490. Hyer, L. A., & Sohnle, S. J. (2001). Trauma among older people: Issues and treatment. Philadelphia, PA: Brunner-Routledge.

Language: English

Format: Book

Abstract:
This book is about trauma in a select population, older people. This is important because this group is usually given short shrift because of certain convictions about age, as well as an excessive emphasis on specific trauma-related techniques. In fact, the older group is complex when it comes to trauma. There is much to be exported about older people from knowledge of earlier ages, and there is much that is not. Our basic belief is that the human change process is highly individualized at later life but certainly understandable within an integrated formulation of the person. We address this "formulation." [Preface, p. vii]TOPICS TREATED: Aging and trauma; PTSD in the context of aging; Life story of the aging person; Person and memory; Treatment: PTSD and beyond; Key ingredients to psychotherapy; Treatment model: early stages; Personality; Core memory: the "good" memory; The trauma memory: the "bad" memory; Grief work and forgiveness in the context of PTSD; Using assessment data to inform the treatment plan.

Keywords: Aged Anxiety Management Therapy Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes

491. Rodriguez, G., Bentolila, S., & Marimon, L. A. (2002, Junio). Trauma de guerra y discoiacion, EMDR y tratamiento combinado [Trauma of war and dissociation, EMDR and combined treatment]. Mesa redonda de discusión presentada en El II Congreso Internacional de Trauma y Psiquico y Estres Traumatico, Buenos Aires.

Language: Spanish

Format: Conference

Keywords: Dissociation Roundtable Trauma War

Accuracy Verified: Yes

492. Lupo, W. (2007, Novembro). Trauma e trastorno disociativo: Estudio de caso [Trauma and dissociative disorder: Case study]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Spanish

Format: Conference

Abstract:
Resumen del trabajo: Trata de una paciente mujer, de 38 años de edad, en tratamiento desde el mes de abril de este año. Había realizado tres tratamientos psicoterapéuticos en los últimos años, considera que su psicoterapia actual está estancada y quiere hacer EMDR para trabajar sus síntomas y traumas del pasado que afectan la relación con su marido e hijas.

Summary of work: It is about a patient women 38 years of age, treated from April this year. He had made three psychotherapeutic treatments in the past years, sees his current therapy is stuck and want to do EMDR to work their symptoms and past traumas that affect relationship with her husband and daughters.

Keywords: Case Study Dissociation

Accuracy Verified: Yes

493. Unfried, N. (2003). Trauma und entwicklung: Physiologische und biologische veränderungen nach frühen kindlichen traumata und deren behandlungsmöglichkeit [Trauma and development: Physiologic and biologic variations after early infant traumatisations and attendance of them]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 59-71.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Entwicklung des Kindes ist heutzutage als Prozess zu verstehen. Ein Kind ist dementsprechend zu jedem Zeitpunkt seiner Entwicklung "reif", einschließlich seines intrauterinen Lebens, d.h. es verfügt über die für die jeweilige Zeit notwenige Ausstattung. Von Beginn an erfolgt dieses mehr oder weniger störanfällige Geschehen mit anderen im aktiven intra- und interagierenden informativen, energetischen und stofflichen Austausch. An diesem Entwicklungsprozess nimmt der gesamte Körper, jede Zelle, einschließlich des Gehirns als Organ der sensomotorischen und psychophysischen Verarbeitung teil. Die Stressreaktion und Stress auf bewältigbarem Niveau hilft dem Kind kritische Phasen zu überstehen (Hüther, 1999). Jedoch führt nicht bewältigbarer Stress zu tiefgreifenden Veränderungen funktionell bis strukturell, wenn der Organismus keine neue Lösungsmöglichkeit findet. Mehrere Autoren belegen, dass traumatische Erlebnisse Veränderungen im limbischen System und Cortex zeigen können (Hüther, 1999; van den Kolk, 1998; Roth, 1998). Bei unkontrolliertem Stress (frühzeitig) kommt es zur Daueraktivierung der Amygdala und über die Amygdala zur Aktivierung mehrerer Systeme, unter anderem auch der Hypothalamus-Hypophysen-Nebennieren- Achse mit einem Ausschütten von Stresshormonen. Diese Daueraktivierung löst körperlich die Notfallreaktion im Sinne einer Schockreaktion aus, gleichzeitig führt sie zur Störung der Einspeicherung von Informationen in den Hippocampus. Die imaginativ-methodische Herangehensweise scheint für frühtraumatisierte Kinder und Jugendliche eine Möglichkeit zu sein, die dissoziierten Anteile der traumatischen Szene abzurufen und somit einen Weg zur Integration zu finden. Die therapeutische Beziehung ermöglicht das Wiedererleben der Schmerzen, der Angst, aber auch die Beendigung der traumatischen Situation. Es konnte gezeigt werden, wie die triggerabhängigen Projektionen bei den Kindern endeten und Veränderungen der Persönlichkeitsentwicklung nachweisbar waren. Der Erfahrungsbericht stellt ein vorläufiges Ergebnis dar.

Psychosocial treatment of traumatic stress disorders with EMDR
Children’s development is now understood as a process. Balance and imbalance are said to alternate with one another, and impaired functioning is to be seen as an inducement for further development. Even the early organism has the opportunity of finding a new level of organisation. Right from the beginning, this process, which is susceptible to disruption to a greater or lesser extent, takes place with others in an intra- and interactive exchange of energy and material. This developmental process involves the entire body, every cell, including the brain as the organ of sensomotoric and psychophysical processing. The stress reaction and stress at a manageable level help the child to survive critical periods (Hüther, 1999). However, stress that is not manageable leads to far-reaching changes, in both functional and structural terms, unless the organism finds new solutions. There are sensitive stages during prenatal development that give the brain a high degree of adaptability; however, they also make the embryo, foetus and young infant receptive for disruptive or even hostile influences can lead to changes in the limbic system and the cortex (Hüther 1999; van den Kolk 1998; Roth, 1998). In the event of (early) uncontrolled stress, the amygdala becomes permanently activated, and via the amygdala, several systems are also activated, including the hypothalamic-pituitary-adrenal axis, by the secretion of stress hormones. This permanent activation triggers a physical emergency reaction in the sense of a shock reaction and at the same time leads to a disruption of the storage of information in the hippocampus. The imaginative approach to be a way for children and adolescents with early traumas to recall the dissociated parts of the traumatic scene and hence to find a way of integrating them. The therapeutic relationship allows the pain and fear to be reenacted, but also enables the traumatic situation to be brought to a close. It was able to be shown how the trigger-dependent projections stopped in the children, and changes in personality development were able to be observed. The report presents preliminary results.

Keywords: Attachment Chidlren Biologic Variations Psysiologic Variations Trauma

Accuracy Verified: Yes

494. Ross, C. (2012, October). Trauma, attachment, dissociation and EMDR. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Dr. Ross will present data on the links between trauma, dissociation and attachment. He will then describe the problem of attachment to the perpetrator, one of the core principles of his Trauma Model Therapy. He will go on from there to explain why he thinks a trauma-dissociation model is inherent to EMDR. Time will be left for questions and discussions on these topics. The presentation will combine empirical data, theory and clinical ideas and approaches to trauma therapy.

Keywords: Attachment Dissociation Plenary Trauma

Accuracy Verified: Yes

495. Fisher, J. (2012, June). Trauma, body and neurobiology EMDR and sensorimotor psychotherapy in treatment of dissociative disorders [Trauma, neurobiología y el cuerpo: EMDR y la psicoterapia sensoriomotriz en el tratamiento de los trastornos disociativos]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Although most patients respond well to EMDR treatment, those with dissociative disorders often become more fragmented: they experience flooding of memory, or they become disconnected and numb. Faced with the dissociative patient who cannot tolerate emotions, who cannot manage self-‐destructive impulses, differentiate past and present, or create a Safe Place—is there any way that EMDR can be helpful? The answer is, “Yes.” With an understanding of post-‐traumatic neurobiology and the Structural Dissociation model, the responses of dissociative disorder patients to EMDR become logical rather than surprising. If we understand their purpose and meaning, we can better address the responses that interfere with successful EMDR processing. Then if we use simple body-‐centered interventions drawn from Sensorimotor Psychotherapy that modulate autonomic arousal and address the needs and fears of each part of the personality, EMDR treatments can help even our most de-‐stabilized and dissociative clients. This workshop will introduce a neurobiological model for understanding how and when EMDR treatments can be effective even with dysregulated and dissociative clients and offer an introduction to Sensorimotor Psychotherapy, a body-‐centered therapy developed specifically to treat post-‐traumatic symptoms. Participants will be taught simple, body-‐centered interventions that can be woven into both trauma processing and Resource Development protocols. Using lecture, videotape, session demonstration and actual practice, participants will have an opportunity to integrate these simple but effective techniques into their EMDR practice.

Si bien la mayoría de los pacientes responden bien al tratamiento con EMDR, con frecuencia aquellos que sufren trastornos disociativos se vuelven más fragmentados: sienten una inundación de la memoria o se vuelven desconectados y “anestesiados”. Ante el paciente disociativo que no es capaz de tolerar las emociones, que no puede gestionar los impulsos auto-‐destructivos, distinguir entre pasado y presente o crear un Lugar Seguro, ¿existe alguna manera en la cual puede resultar útil EMDR? La respuesta es, “Sí.” Con una comprensión de la neurobiología post traumática y del modelo de disociación estructural, las respuestas de los pacientes con trastorno disociativo a EMDR se vuelven lógicas en lugar de sorprendentes. Si entendemos su propósito y significado, estaremos mejor situados para abordar las respuestas que interfieren con el éxito del procesamiento con EMDR. De ahí, si aplicamos intervenciones sencillas centradas en el cuerpo derivadas de la psicoterapia sensoriomotriz que modulan la excitación autonómica y abordan las necesidades y miedos de cada parte de la personalidad, los tratamientos con EMDR pueden ayudar a nuestros clientes, incluso a los más desestabilizados y disociativos. Este taller introducirá un modelo neurobiológico para comprender el cómo y cuándo los tratamientos basados en EMDR pueden resultar efectivos aún en los clientes desregulados y disociativos y ofrece una introducción a la psicoterapia sensoriomotriz, una terapia que se centra en el cuerpo desarrollada específicamente para tratar los síntomas post-‐traumáticos. Se les enseñará a los participantes intervenciones sencillas y centradas en el cuerpo que pueden entretejerse en los protocolos tanto de procesamiento del trauma como de desarrollo de recursos. Mediante la conferencia, vídeos, demostraciones de sesiones y prácticas reales, los participantes tendrán la oportunidad de integrar estas técnicas sencillas a la vez que efectivas en su ejercicio de EMDR.

Keywords: Dissociative Disorder Neurobiology

Accuracy Verified: Yes

496. Moskowitz, A. (2012, June). Trauma, dissociation and psychosis [Trauma, disociación y psicosis]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
What is the relationship between trauma, dissociation and psychosis? In this talk, I will discuss links between the historical concept of schizophrenia and dissociation, the meaning of ‘psychosis’, and interpretations of psychotic symptoms from a trauma/dissociation perspective. It is proposed that auditory verbal hallucinations or ‘voices’ are dissociative in nature, and that other psychotic symptoms may be related to traumatic experiences in a variety of ways.

¿Cuál es la relación entre trauma, disociación y psicosis? En esta charla se abordarán los puntos de conexión entre el concepto histórico de esquizofrenia y disociación, el significado de ‘psicosis’ y las interpretaciones de los síntomas psicóticos desde una perspectiva de trauma/disociación. Se propone que las alucinaciones auditivas verbales o ‘voces’ son de naturaleza disociativa y que otros síntomas psicóticos pueden estar relacionados de distintas maneras con experiencias traumáticas.

Keywords: Dissociation Psychosis Trauma

Accuracy Verified: Yes

497. Diseth, T. H., & Christie, H. J. (2005, September). Trauma-related dissociative (conversion) disorders in children and adolescents – An overview of assessment tools and treatment principles. Nordic Journal of Psychiatry, 59(4), 278-292. doi:10.1080/08039480500213683.

Language: English

Format: Journal

Abstract:
A high proportion of patients in child and adolescent psychiatry with significant dissociative symptomatology after early childhood traumatization may go undiagnosed, be wrongly diagnosed and/or inappropriately treated. The diagnostics and treatment of dissociative disorders have been limited by lack of comprehensive, reliable and valid instruments and the ongoing polarization and fierce controversy regarding treatment. However, recent neurobiological findings of neurochemical, functional and structural cerebral consequences of early stressful childhood experiences point out a need for active, early and effective identification and treatment interventions. We present an update on assessment tools available in the Nordic countries, and an overview of different appropriate therapeutic intervention models for children and adolescents. A systematic overview of studies of dissociation in children and adolescent published over the last decade disclosed a total of 1019 references. The 465 papers describing aspects of assessment tools and/or treatment were studied in detail. Reliable and valid screening questionnaires and diagnostic interviews for children and adolescents now allow for effective early identification of dissociative disorders. A combination of individual psychotherapy, pharmacotherapy and family therapy are often required to handle dissociative disorders in children and adolescents. Cognitive-behavioural therapy, hypnotherapy, Eye-Movement Desensitization-Reprocessing (EMDR), psychodynamic therapy and an integrated approach are the main described psychotherapeutic approaches, but treatment of dissociation in children and adolescent does not require allegiance to any one particular treatment model. However, achievement of physical safety by providing a safe environment is a primary goal that supersedes any other therapeutic work. Assessments tools are now available, and appropriate therapeutic intervention models may hopefully contribute to reduce the risk of wrong diagnoses and inappropriate