Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Dissociative Personality Structure 655 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. 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

3. 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

4. 仁木啓介 [Niki Keisuke]. (2006年3月). 痙攣発作とパニック発作を繰り返した解離性同一性障害の症例--観念運動シグナル法を用いて [A patient with dissociative identity disorder who repeatedly developed seizures and panic attacks: use of ideomotor signaling] . 臨床催眠、7、52から58の日本誌 [Japanese Journal of Clinical Hypnosis, 7, 52-58].

Language: Japanese

Format: Journal

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

5. 仁木啓介 [Niki Keisuke]. (2008年6月). 精神科病院でのEMDR―犯罪被害者と解離性同一性障害の治療について― 仁木啓介 [EMDR at psychiatric hospitals: Therapy for criminal victims and dissociative identity disorder] . こころのりんしょう第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 263-269].

Language: Japanese

Format: Journal

Keywords: Criminal Victims DID Dissociative Identity Disorder Psychiatric Hospitals

Accuracy Verified: Yes

6. 安克昌[An Katsumasa]. (1999). 解離性障害患者におけるEMDRの使用 [The use of EMDR in patients with dissociative disorders]. こころの臨床ア・ラカルト, 18(1), 88-92 [Clinical Psychology: Various Aspects, 18(1), 88-92].

Language: Japanese

Format: Journal

Keywords: Dissociative Disorders

Accuracy Verified: Yes

7. 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

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. Paulsen, S. (2009). ACT-AS-IF and ARCHITECTS approaches to EMDR: Treatment of dissociative identity disorder (DID). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 357-386). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Act-As-If Architects DID Dissociative Identity Disorder Protocol

Accuracy Verified: Yes

12. 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

13. Twombly, J. (2001, June). Advanced adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants of this workshop will learn how to incorporate EMDR adaptations within treatment stages of Dissociative Disordered clients. They will also learn how to facilitate stability, present time, and height orientation, set up a protective format for processing traumatic material, and applications to ego state work.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

14. 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

15. Twombly, J. (2000, September). Advanced EMDR adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn how to incorporate EMDR and EMDR adaptations within the stages of treatment of Dissociative Disordered (DD) clients; 2) learn how to facilitate present time, and height orientation for clients with DDs; 3) learn how to set up a protective format for processing traumatic material with DD clients; and 4) learn how to apply EMDR adaptations in ego state work.

Keywords: Dissociative Disorders

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. Phillips, M. (2002, June). All for one and one for all: Integrating EMDR, ego-state therapy and energy psychology. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
One of the most challenging barriers to healing from past trauma is the inner conflict triggered by dissociative fragmentation. This workshop presents several ways of synthesizing ego-state therapy, EMDR and energy psychology methods to resolve competing inner needs and reactions and promote more integrated functioning within a comprehensive four stage model. Specific protocols incorporating ego-state work, EMDR and meridian (energy) techniques will be demonstrated and practiced. Special emphasls will be given to the resolution of mind/body symptoms that interface with trauma.

Keywords: Ego State Therapy Energy Psychology Meridian Therapy Mind/Body

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. 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

24. 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

25. 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

26. 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

27. Hamilton, C. (1998, November). Application of eye movement desensitization and reprocessing (EMDR) in the treatment of dissociative disorders. Presentation at the annual conference of the international Society for the Study of Dissociation in Seattle, Washington.

Language: English

Format: Conference

Keywords: Dissociative Disorders

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. Lansch, D. (2010, June). Application of the Four-Fields-Technique in treatment of a patient with dissociative disorder (case report). In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The treatment of complex traumatized patients is difficult. Especially during long term treatments it is not easy for the chronically traumatized individuals to tolerate the exhausting confrontation with the trauma during the EMDR standard procedure. On the other hand they have often problems to recognize the severity of what happened to them. Many have problems with their compromised feelings of self-worth. Those and other clinical problems are the reason to look for alternative EMDR techniques. The Four-Field-Technique. one of the techniques of EMDR. could be a good approach to solve some of these problems. It was developed by Jarero et al, as a group protocol which followed the 8 phases of the standard EMDR protocol (STDP). Different from the STDP is that the moment of greatest distress is drawn on a sheet of paper (after drawing a resource image before and installing it with (bilateral: butterfly hugs. Different from the group protocol patients some benefit greatly from the individual application of the technique. In this lecture the long term treatment of a patient with a dissociative disorder is reported. Thereby the different phases of trauma treatment will be demonstrated via spates of pictures. The four field- technique itself will be explained as well as the difference to the standard protocol of EMDR as the patient experienced.

Keywords: Case Report Dissociative Disorder Four-Fields-Technique Symposium

Accuracy Verified: Yes

30. 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

31. Oppenheim:, H.-P. (2013, June). Applying EMDR with dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:

Keywords: Dissociative Disorders

Accuracy Verified: No

32. 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

33. Sautai, G. (2007, Juin). Approche des patient poly-traumatisés par immersion EMDR [Approach of poly traumatised patients with EMDR immersion]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Certains patients présentent "traumatisme poly» ou «empoisonnement psychique» tel que décrit par Jacques Roques dans «Guérir Avec l" EMDR. "Souvent, il s'agit d'un environnement socio culturel a commencé pendant l'enfance. Sur la base de l'hypothèse formulée par Francine Shapiro que le traumatisme peut engendrer des «bloqué les réseaux neuronaux," nous supposons une mise en forme "pourrait se produire au cours de la petite période d'apprentissage.
Exposés à un traumatisme insidieux et répétitifs, un jeune cerveau Virgin Stores réseaux neuronaux liés à la vulnérabilité des enfants en tant que mécanisme de défense. Cela pourrait être obstrué par des perturbations répétitives créer une souffrance psychologique. En tant qu'adulte, ce réseau neuronal inhibiteur, stimulée par déclenchement d'exprimer des comportements excessifs et une forte émotion que nous avons appelé le «non adapté en forme» (NAF).
Nous savons combien il est difficile de prendre ce type d'intoxication »en charge des séances de thérapie EMDR traditionnels en raison de l'interférence des composants multimodal. Habituellement, ils participent émotions mixtes liés à la sécurité, l'estime de soi et le libre choix. Par conséquent, nous avons développé une modalité particulière: EMDR immersion qui est un cours intensif de 10 jours consécutifs de traitement par le patient. «L'objectif clinique est de traiter les dimensions de la croissance personnelle et le développement ainsi que l'élimination de plus de la souffrance» (Francine Shapiro).
Notre expérience comprend 24 patients avec un niveau élevé de troubles psychologiques liés à la NAF. Seuls les patients avec expérience dissociative échelle score inférieur à 25 ont été considérés.
Nous utilisons l'approche thérapie EMDR suivant les 8 étapes du protocole standard.
Nous recevons toute l'histoire chronologique du patient, «de la naissance à aujourd'hui», permet nous permet d'identifier une moyenne de sept objectifs principaux.
Pour être capable de transmuer la NAF à une résolution d'adaptation, nous introduisons un des noms de ressources notamment l '«archaïsme», définie comme «la partie de l'être humain en charge de Live principe de préservation."
Nous l'accès au réseau d'information dysfunctionally stockée par le biais des objectifs.
Nous stimulons le système de traitement de l'information et de la maintenir en forme dynamique avec tactiles et autres additifs stimulations bilatérales. Nous passons l'information par le suivi du processus de libre-association et de lancement des procédures pour s'assurer que la cible transmue à une résolution adaptative.
Comme mesure psychométrique et méthode d'évaluation, nous utilisons l'échelle PCL-S sur les traumatismes exprimé par le patient au début de MED immersion. Le score moyen est de 70 degrés avant l'immersion elle à 28 deux mois plus tard et à 26 six mois plus tard.
En ce qui concerne les résultats encourageants, nous décidons de partager l'expérience afin de mettre à jour.

Some patients present with “poly traumatism” or “psychic poisoning” as described by Jacques Roques in “guérir avec l”EMDR.” Often it is a socio cultural environment started during childhood. Based on the hypothesis formulated by Francine Shapiro that trauma could engender “blocked neuronal networks,” we assume a “formatting” could occur during the childhood learning period.
Exposed to insidious and repetitive trauma, a virgin young brain stores neuronal networks related to the child vulnerability as defense mechanism. That could get blocked by repetitive disturbances creating psychological pain. As an adult, this blocker neuronal network, stimulated by trigger express excessive behaviors and strong emotion we called the “Non Adapted Formatting” (NAF).
We know how difficult it is to take this “poisoning” in charge with traditional EMDR sessions because of the multimodal components interfering. Usually, they involved mixed emotions related to security, self esteem and free choice. Therefore, we developed a particular modality: EMDR Immersion that is an intensive, 10 consecutive days of therapy with the patient. “The clinical goal is to address the dimensions of personal growth and development along with the elimination of over suffering” (Francine Shapiro).
Our experience includes 24 patients with a high level of psychological disturbance related to the NAF. Only patients with Dissociative Experience Scale score less than 25 were considered.
We use EMDR therapy approach following the 8 phases of the standard protocol.
We receive the complete chronological story of the patient, “from birth to now,” allows allows us to identify an average of seven main targets.
To be able to transmute the NAF to an adaptive resolution, we introduce a particular resource names “Archaism” defined as “Part of the human being in charge of Live Principle Preservation.”
We access the dysfunctionally stored information network through the targets.
We stimulate the information-processing system and maintain it in dynamic form with tactile and additive alternative bilateral stimulations. We move the information by monitoring the free-association process and initiating procedures to make sure that the target transmutes to an adaptive resolution.
As psychometric measurement and method evaluation, we use PCL-S Scale on the traumatisms expressed by the patient at the beginning of MED Immersion. The average score is at 70 before Immersion it degrees to 28 two months later and to 26 six months later.
Regarding the encouraging results, we decide to share the experiment in order to upgrade it.

Keywords: EMDR Immersion

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. 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

38. 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

39. Richman, S., & O'Connor, M. (2013, March). Attachment and trauma. Presentation at the annual workshops EMDR Association UK & Ireland and AGM, Newcastle.

Language: English

Format: Conference

Abstract:
Presents case studies of children and adults who have experienced early attachment disruptions that have adversely affected their development and relationships in childhood and later life. They will discuss the consequences of early attachment disruptions on relationships and learning and the ways in which the 8 phases of the EMDR protocol have to be adjusted to accommodate different attachment styles. They will discuss treatment strategies stemming from the eight-phase EMDR protocol for clients of all ages suffering from attachment disruptions, linking the effect of attachment trauma to dissociative symptoms and other developmental problems. They will also give attention to how the Adaptive Information Processing Theory addresses the impact of attachment trauma.

Keywords: Attachment Trauma

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. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol

Accuracy Verified: Yes

42. 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

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. EMDRIA Standards and Training Committee. (2002, June). Becoming an independent EMDRIA approved instructor. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for Approved Instructors in EMDR or those who plan to pursue this designation. Becoming an Approved Instructor in EMDR requires an even greater commitment to mastery of EMDR's processes, procedures, theories, and research. It also entails the skills necessary to impart this information, to untrained clinicians, in such a way, that allows them to responsibly practice. This workshop will cover the steps necessary to become an EMDRIA Approved Instructor. It will offer ideas for getting started, for meeting the new EMDRIA criteria, for developing instructional tools and for managing the course structure to maximizing success. A question and answer session will be available to help with specific questions.

Keywords: Approved Instructor Training

Accuracy Verified: Yes

45. 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

46. ter Heide, F. J. J. (2008). Berichten uit het veld: Stabiliseren of verwerken? [Reports from the field: Stabilize or process?]. Cogiscope, 4(3), 39.

Language: Dutch

Format: Newsletter

Abstract:
Onder behandelaars van getraumatiseerde asielzoekers en vluchtelingen wordt soms hevig gediscussieerd over de vraag met welke interventies deze patiënten het beste geholpen zijn. Bijvoorbeeld: een vluchtelinge, slachtoffer van oorlogsgeweld, durft niet te slapen uit angst voor nachtmerries en heeft geen dagstructuur. Helpen we haar eerst om haar dagstructuur te verbeteren, zodat ze een traumagerichte therapie daarna beter aankan? Of behandelen we eerst haar traumatische herinneringen met EMDR of cognitieve gedragstherapie, zodat ze weer kan slapen en zelf haar dagen kan structureren? Of misschien moeten we deze benaderingen combineren in een dagklinische behandeling? Kortom, wat is de beste inhoud en timing van onze interventies? [Excerpt]

Among practitioners of traumatized asylum seekers and refugees is sometimes fierce discussed the question with which interventions these patients are best helped. For example, a refugee, victim of war, afraid to sleep for fear for nightmares and has no daily structure. We help her to her first day structure improve, so they trauma-focused therapy after better handle? or treating we first her traumatic memories EMDR or cognitive behavioral therapy, so they weather can sleep and can structure itself? her days Or maybe we need these approaches combine in a partial hospitalization treatment? In short, what is the best content and timing of our interventions? [Excerpt]

Keywords: Reprocessing Stabilization

Accuracy Verified: Yes

47. 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

48. Litt, B. (2009, August). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop explores family dynamics contributing to ego fragmentation and interlocking ego-state conflict in individual and couples therapy. Participants will learn about the relationship between family dynamics and ego structure, reenactments from the family of origin, and the manifestations of ego-state conflict in individual and conjoint therapy. Participants will learn a contextual model for EMDR-based assessment and treatment planning, the indications and contraindications of conjoint EMDR, a model of the Self that zeroes in on the salient negative cognitions being triggered, and learn a progression of techniques to control and focus desensitization within the optimal zone of arousal.

Keywords: Family Dynamics

Accuracy Verified: Yes

49. Litt, B. (2010, April/May). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
This workshop explores family dynamics contributing to ego fragmentation and interlocking ego state conflict in individual and couples therapy. Participants will learn about the relationship between family dynamics and ego structure, re-enactments from the family of origin, and the manifestations of ego state conflict in individual and conjoint therapy. Participants will learn a contextual model for EMDR-based assessment and treatment planning, the indications and contraindications for conjoint EMDR, a model of the Self that zeroes in on salient negative cognitions, and a progression of techniques to control and focus desensitization within the optimal zone of arousal. (Intermediate/Advanced)

Keywords: Relational Self

Accuracy Verified: Yes

50. Litt, B. (2011, April-May). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the EMDR Canada Workshop in Vancouver, British Columbia, Canada.

Language: English

Format: Conference

Abstract:
This workshop will explore family dynamics contributing to ego fragmentation and interlocking ego state conflict in individual and couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, describe ego state manifestations in couples conflict and learn to manage ego states in the desensitization phase of processing.
In Part One, participants will learn about the relationship between family dynamics and ego structure, reenactments from the family of origin, and the manifestations of ego state conflict in individual and conjoint therapy. In Part Two, participants will learn a model for EMDR-based assessment and treatment planning using contextual family therapy, the indications and contraindications of conjoint EMDR, a model of the Self that zeroes in on the salient negative cognitions being triggered, and learn a progression of techniques to control and focus desensitization within the optimal zone of arousal. This interactive workshop will include videotape and didactic material designed to facilitate a deeper understanding of this exciting new integrative model. For individual, couples, and family therapists.
Learning Objectives: •Individual and conjoint therapists will sharpen their diagnostic skills by learning to assess intergenerational patterns that contribute to ego fragmentation in their clients. •Couples therapists will use knowledge gained to evaluate repetition compulsions or reenactments in their client couples. •Individual and conjoint therapists will learn to deconstruct reenactments to identify negative cognitions preparatory to doing EMDR. •Conjoint therapists will assess for indications and contraindications for conducting conjoint EMDR sessions with client couples. •Therapists will be able to rapidly assess negative cognitions using a new typology of Domains of the Self. •EMDR therapists will be able to employ a model of the zone of optimal processing for efficient and safe desensitization. •EMDR therapists will be able to use a variety of techniques for maintaining their clients within the zone of optimal processing.

Keywords: Ego State Therapy

Accuracy Verified: Yes

51. 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

52. 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

53. Herbert, C. (2009, June). Body staging as a method for safely assessing and working with dissociated material in severe complex trauma and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Body Staging Complex Trauma DID Dissociative Identity Disorder

Accuracy Verified: Yes

54. 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

55. Khift, R. N. (1994). Building upon our foundations. Dissociation, 7(2), 79-80.

Language: English

Format: Journal

Abstract:
It is easy to become demoralized in the face of repeated assaults on the credibility and legitimacy of our patients, our patients' given histories and allegations of mistreatment, and the very conditions that they suffer. As clinicians and scientific investigators working with trauma victims and dissociative disorder patients, we have found it difficult to withstand withering and venomous attacks upon our professions, our motivations, and ourselves as individuals. Although there have been some notable exceptions, the last several months have been remarkable for the video and print media' s love affair with those who protest the veracity of allegations of childhood mistreatment, and their willingness to promulgate polarized negative representations of those who allege childhood mistreatment and those who treat them. Since the New Year, I have been interviewed by a large number of reporters and journalists. Only two diverged from a rather stereotyped and weary script in which the legitimacy of the perspective of the False Memory Syndrome Foundation was assumed, and this assumption colored the majority of the dialog that transpired. I strongly suspect that matters will get worse before they improve.

Keywords: Editorial

Accuracy Verified: Yes

56. 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

57. Greenwald, R. (2007, June). Case conceptualization for EMDR therapists. Presentation at the annual meeting of EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will present a phase model of trauma-informed treatment that is consistent with the EMDR protocol and that clearly specifies how to go step by step towards EMDR. Participants will have practice analyzing a case from the trauma perspective, developing a structured case conceptualization and explaining this to clients, developing a structure treatment plan, and applying this model to their own cases. Case conceptualization has been widely identified as a skill in need of further development within the EMDR community; and developing a shared understanding and treatment plan has been identified as among "common factors" of effective therapy. This method of teaching case conpetualization and treatment planning has been documented to lead to improved participant attitudes and behaviors towards their challenging clients.

Keywords: Case Conceptualization

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. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.

Language: English

Format: Newsletter

Abstract:
Linda (not her real name) is a 40- year-old professional woman whose avocation is healing and who is proficient in several of the touch therapies. She has a Dissociative Disorder with well-defined "parts," but she has not experienced time loss. She is not on medication and although she is often depressed, she is able bfunction fairly well most of the time. As a child, she was emotionally and sexually abused by her father for approximately ten years. He is bedridden now, but she is still subject to his verbal abuse when she visits him once a week. He has never acknowledged his abuse, nor has she confronted him about it (although she has told her mother). She said she will not feel totally safe until he is dead. We have had ten sessions together. EMDR was used in most of our sessions during which she processed specific incidents of abuse that were very traumatic for her. She believes that she has many dissociated infant and child parts-each of whom hold a memory of one of the abusive incidents she experienced.

Keywords: Cognitions

Accuracy Verified: Yes

67. 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

68. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models

Accuracy Verified: Yes

69. 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

70. 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

71. 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

72. 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

73. Fine, C. G., & Berkowitz, S. A. (1999). The combined use of EMDR and hypnosis in the treatment of DID: The wreathing protocol:The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. Presentation at the International Society for the Study of Dissociation Fall Conference, Miami FL.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder Hypnotherapy Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes

Accuracy Verified: No

74. 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

75. 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

76. 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

77. Staff. (2000). Complex PTSD in children II: Therapeutic interventions. Cavalcade Productions, Inc., Nevada City, CA.

Language: English

Format: Video

Abstract:
In this video series, Bessel van der Kolk and other clinicians from The Trauma Center, along with therapists Joyanna Silberg and Frances Waters, describe the assessment tools and therapeutic approaches that they have found most useful in working the severely traumatized in children. The clinician's role in such cases often includes working with parents or guardians as well as children, and can extend far beyond the therapy room to encompass psychoeducation and advocacy. For children with complex PTSD, safety must be established both externally and internally. Maintaining internal safety can be an especially difficult task when the child is highly dissociative. The presenters discuss ground techniques that can help a child to stay safe and stable, and describe the therapeutic modalities "play, talk, art, and group therapy" that they have found useful. Topics include controlling aggression, accessing emotions, changing the trauma story, and using EMDR.

Keywords: Children Clinical Judgment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Intervention Posttraumatic Stress Disorder PTSD Therapeutic Processes Treatment

Accuracy Verified: Yes

78. 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

79. Kluft, R. P. (1995,December). The confirmation and disconfirmation of memories of abuse in DID patients: A naturalistic clinical study. Dissociation, 8(4), 253-258.

Language: English

Format: Journal

Abstract:
The charts of 34 dissociative identity disorder (DID) patients in treatment with the author were reviewed for instances of the confirmation or disconfirmation of recalled episodes of abuse occurring naturalistically in the course of their psychotherapies. Nineteen, or 56 %, had instances of the confirmation of recalled abuses . Ten of the 19, or 53 %, had always recalled the abuses that were ronfirrned. However, 13 of the 19, or 68%, obtained documentation . of events that were recovered in the course of therapy, usually with the use of hypnosis. Three patients, or 9%, had instances in which the inaccuracy of their recollection could be demonstrated. The forgetting oftraumatic experiences, their reasonably accurate recovery in treatment, and the formation of pseudomemories in clinical populations were all documented in this study . This suggests that stances that are either extremely credulous of retrieved recollections or extremely skeptical of retrieved recollections are inconsistent with clinical data, and therefore are not constructive influences on the contemporary scientifi c study of trauma and memory. [Author Abstract]

Keywords: Abuse DID Dissociative Identity Disorder Memories

Accuracy Verified: Yes

80. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.

Language: English

Format: Book

Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention. Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]

Keywords: Crisis Intervention Trauma

Accuracy Verified: Yes

81. 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

82. 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

83. van der Kolk, B. A., & Stickgold, R. (1998, July). Current understanding of the psychobiology of trauma. Plenary presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will have basic knowledge about 1) the variety of psychophysiological responses to trauma; 2) current status of our knowledge about how the shutting off of the trauma response is mediated on hypothalamic-pituitary-adrenal axis, and the abnormalities of this biological system in PTSD; 3) basic understanding about the functions of different parts of the brain, in particular, the structure; and 4) explorations into possible modes of action of EMDR.

Keywords: Plenary Psychobiology

Accuracy Verified: Yes

84. 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

85. Oppenheim, H.-J. (2012, March). The cutting must stop: a way out of the stabilisation versus reprocessing paradox with a DID-patient and the use of EMDR. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder Stablilzation

Accuracy Verified: Yes

86. 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

87. 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

88. Oppenheim, H.-J. (2005, November). De som der delen: EMDR bij de behandeling van een vrouw met DIS [The sum of its parts: EMDR to treat a woman with DIS]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Er zijn, zover bekend, zeven artikelen verschenen over de toepassing van EMDR bij DIS. Young (1994) beschrijft de toepassing van EMDR gericht op de fobische symptomen bij DIS. Paulsen (1995) komt met een theoretisch model gebaseerd op neuronale netwerken voor de dissociatieve stoornissen. Volgens Paulsen zorgt EMDR voor de her-associatie van het gedisscocieerde materiaal. Zij maant echter tot behoedzaam gebruik van EMDR, zeker bij de ernstige dissociatieve stoornissen. Anderen maken melding dat, vaak aangepaste versies van, EMDR zinvol kan zijn als een beperkte toegevoegde techniek in de behandeling van DIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000; Twombly, 2000; Fine & Berkowitz, 2001). Gelinas (2003) gaat nog verder en stelt een behandeling voor waarin een gemodificeerde vorm van van EMDR wordt gecombineerd met een ‘fase georiënteerde trauma behandeling’.
In deze presentatie staat de behandeling van een 44 jarige, zeer ernstig getraumatiseerde vrouw met DIS centraal. Zij volgt sinds eind 1997 een cognitief-gedragstherapeutische therapie. In september 2004 is er gestart met EMDR. Mede aan de hand van videofragmenten wordt het half jaar durende verwerkingsproces verteld, van één van de vele trauma’s die de cliënte heeft meegemaakt. Te zien valt onder meer hoe met behulp van EMDR specifieke informatie van de diverse alters zodanig geïntegreerd wordt, dat volledige verwerking mogelijk blijkt te zijn. Er zal aandacht besteed worden aan de specifieke wijze waarop bij deze behandeling met EMDR moest worden omgegaan.

There are known to be seven articles about the use of EMDR in DIS. Young (1994) describes the application of EMDR focused on phobic symptoms in DIS. Paulsen (1995) with a theoretical model based on neural networks for the dissociative disorders. According to Paulsen EMDR allows for the re-association of the gedisscocieerde material. It urges, however, to cautious use of EMDR, especially in severe dissociative disorders. Others have reported that, often modified versions of, EMDR can be useful as a limited added technique in the treatment of CIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000, Twombly, 2000, Fine & Berkowitz, 2001). Gelinas (2003) goes further and proposes a treatment for which a modified form of EMDR is combined with a phase-oriented trauma treatment.
In this presentation, the treatment of a 44 year old woman with very severely traumatized central CIS. It follows since the end of 1997 a cognitive-behavioral therapy. In September 2004 has started with EMDR. Partly on the basis of video clips, the half-year process told by one of the many traumas that the client has experienced. Is to see how including using EMDR specific information from the various alters so integrated that complete processing proves impossible. Attention will be paid to the specific manner in which this treatment with EMDR should be handled.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

89. 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

90. Peterson, G. (2009, August). Deconstructing dissociative identity disorder to guide EMDR treatment. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR is known to dissolve dissociative barriers in those who have dissociative identity disorder. This occurrence can make EMDR more hazardous for clients with DID than for those in other diagnostic categories. In this program, participants will gain enthusiasm about learning more about dissociative disorders and the use of EMDR. They will learn how to distinguish the concept of self-state from ego-state and be able use this distinction in their treatment planning. Participants will recognize characteristics of dissociative structure that will lead toward or away from the use of EMDR at a particular phase of therapy.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

91. 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

92. 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

93. 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

94. 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

95. 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

96. 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

97. Laub, B., & Weiner, N. (2011). A developmental/integrative perspective of the recent traumatic episode protocol. Journal of EMDR Practice and Research, 5(2), 57-72. doi:10.1891/1933-3196.5.2.57.

Language: English

Format: Journal

Abstract:
The recent traumatic episode protocol (R-TEP) is an adaptation of the eye movement desensitization reprocessing (EMDR) standard protocol to the acute phases following trauma. In this article, the R-TEP structure and procedures were analyzed from a developmental/integrative perspective. It is proposed that the therapist's developmental understanding and attunement can enhance the therapeutic dyad and can promote flexible decision making while using the R-TEP procedures. One case illustration of a recent trauma intervention demonstrates the advantage of developmental attunement in using the R-TEP. This perspective enables the therapist to pace the various styles of processing as they relate to the different stages of the memory consolidation process.

Keywords: AIP Model Early EMDR Intervention EEI Memory Consolidation Process R-TEP Recent Events Recent Trauma Recent Traumatic Episode Protocol

Accuracy Verified: Yes

98. 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

99. 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

100. Lansch, D. (2008, Januar-März). Die arbeit mit der vier-felder-technik mit komplex traumatisierten menschen [Four-fields technique with people with complex trauma]. EMDRIA Deutschland e.V. Rundbrief, 14, 14-34.

Language: German

Format: Newsletter

Abstract:
Nachfolgend zur Vorstellung der Vier-Felder-Technik im EMDRIA Rundbrief 8 (2006) soll an Hand von Bilderserien die Anwendung der Vier-Felder-Technik bei komplex traumatisierten Patientinnen vorgestellt werden. Insbesondere wird die Arbeit mit unterschiedlichem Ausgangsmaterial als auch der Einsatz dieser Technik in verschiedenen Phasen der Behandlung erläutert. Abschließend zeigen neun Bilderserien, dass auch die Anwendung der Vier-Felder-Technik bei einer dissoziativen Patientin möglich und erfolgreich ist. Dieser Artikel basiert und erweitert die auf den EMDRIA-Tagen 2006 + 2007 gehaltenen Vorträge.

Following the presentation of the four-field technique in EMDRIA Rundbrief 8 (2006) is on the basis of series of images the application of the four-field technique for complex trauma patients are presented. In particular, working with different source material and the use of this technology in various Phases of treatment explained. Finally, nine images show series that also the Application of the four-field technique with a dissociative patient possible and successful is. This article is based and extends the hold on the EMDRIA-days 2006 + 2007 Lectures.

Keywords: Comlex Trauma Four-Fields Technique

Accuracy Verified: Yes

101. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: English

Format: Conference

Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma- Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie. Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C. Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld. Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig nicht ausreicht. In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren. Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk. Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur bestätigen.

It is with great pleasure that I can highlight to the world's leading specialist in trauma- Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes for many years as one of the best and most experienced specialists of the ego-state therapy. Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C. Frederick) is considered one of the most authoritative works in this field. As one of the first experts worldwide, it also repeatedly pointed out that especially for the Multiple range post-traumatic and dissociative disorders, access to a method frequently is not sufficient. In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful Ability to express different concepts in a very effective and flexible and in complete to integrate consistent overall model of intervention for these difficult tasks. Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece. Anyone who has worked with her before, or could they experience in their work, may their very large respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only . Confirm

Keywords: Ego State Therapy Energy Psychology

Accuracy Verified: Yes

102. 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

103. [Yoshinori Fukui]. (2009, May). Discussion on the use of the dissociative experiences scale (DES): Frequency of dissociative experinces among adolescents. EMDR研究1（1）、12月23日 [Japanese Journal of EMDR Research and Practice, 1(1), 12-23].

Language: Japanese

Format: Journal

Abstract:
This research aims to look at the frequency of dissociative experiences among adolescent population, and collect basic data. Dissociative Experiences Scale (DES) was administered to 816 university students. The results on each item were analyzed and they were very similar to those of previous studies. I-T correlation and G-P analyses results indicate that discriminate power for each item is at best when cut-off of 25 or less is applied. Since the data was not distributed normally, test for median was performed and the same result was obtained. On top of that, to secure the normal distribution of the data, square root transformation was undertaken before the two analyses were performed. The results suggest that on G-P analysis, in order to increase discriminate power, the cut-off needs to be less than 16. However, when false negative and positive were taken into consideration, it was off from practical use. And when compared with other researches, it became apparent that depending on the context of measurers used with DES, there is a possibility of subjecrs being biased. Also it was suggested that items on DES are useful in screening DID but they are not measuring the overall spectrum of dissociative disorder.

Keywords: Adolescence DES Dissociative Experience Dissociative Experiences Scale

Accuracy Verified: Yes

104. 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

105. 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

106. 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

107. 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

108. 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

109. 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

110. 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

111. 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

112. 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

113. Fenstermaker, D. (1992, April). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
This paper details a protocol of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of Dissociative Disorders. EMDR replaces amytal abreactions, the numerous methods of restraint abreactions, and hypnotic abreactions.[Author absract]

Keywords: Dissociative Disorders

Accuracy Verified: Yes

114. Young, W., Puk, G., & Rouanzoin, C. C. (1993, March). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

115. Fenstermaker, D. (1993, March). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

116. 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

117. 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

118. Knipe, J. (2007, April). Dissociative disorders: An overview using the adaptive information processing model. Presentation at the Japanese EMDR Association Conference, Kyoto, Japan.

Language: English

Format: Conference

Keywords: Adaptive Information Processing Dissociative Disorders

Accuracy Verified: Yes

119. 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

120. Marquis, J. N., & Puk, G. (1994, November). Dissociative identity disorder: A common sense and cognitive-behavioral view. Presentation at the annual meeting of the Association for Advancement of Behavior Therapy, San Diego, CA.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

121. van der Hart, O., & Matthess, H. (2009, June). Dissociative orders and EMDR. Preconference workshop of the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:

Keywords: Dissociative Disorders

Accuracy Verified: Yes

122. 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

123. 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

124. Fraser, G. A., & Welburn, K. R. (2000, November). The dissociative table technique and the integration of EMDR and ego-state therapy. Presentation at the International Society for the Study of Dissociation Fall Conference, San Antonio, TX.

Language: English

Format: Conference

Keywords: Dissociative Table Technique Ego State Therapy

Accuracy Verified: No

125. 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

126. 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

127. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .

Language: German

Format: Magazine

Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).

The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).

Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization

Accuracy Verified: Yes

128. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.

Keywords: DID Dissociative Identity Disorder Distal-Proximal Process Interweave Sexual Trauma

Accuracy Verified: Yes

129. 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

130. 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

131. 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

132. 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

133. Nofal, S. (2003). E.M.D.R: Método psicoterapéutico de elección [EMDR psychotherapeutic method of choice]. Psicoterapias. Presentación en: 3º Congreso Virtual de Psiquiatria.com.

Language: Spanish

Format: Conference

Abstract:
E.M.D.R.: que significa Desensibilización y Reprocesamiento con Movimientos Oculares es un método psicoterapéutico para tratar trastornos emocionales que son causadas por experiencias abrumadoras de la vida, que van desde eventos traumáticos como guerras, accidentes, violaciones y desastres naturales, hasta situaciones traumáticas originadas en la niñez. · Se pueden tratar también además del T.E.P.T. todos los trastornos de ansiedad, depresión, desórdenes disociativos, duelos, dolor crónico, adicciones, perturbaciones somáticas, etc. en niños, adolescentes y adultos.

EMDR: meaning Desensitization and Reprocessing eye movement is a psychotherapeutic method for treating emotional disorders that are caused by overwhelming experiences of life, ranging from traumatic events such as war, accidents, violations and natural disasters, to traumatic situations arising in childhood . · You can also treat PTSD plus all anxiety disorders, depression, dissociative disorders, grief, chronic pain, addiction, somatic disturbances, etc.. in children, adolescents and adults.

Keywords: Postraumatic Stress Disorder Psychotherapies PTSD Stress Trauma

Accuracy Verified: Yes

134. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives: Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general. Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP); Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention; Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.

Keywords: Early Intervention Theory EEI Mass Disaster

Accuracy Verified: Yes

135. 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

136. 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

137. 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

138. 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

139. Beere, D. B. (2009). The effectiveness of EMDR with the dissociative disorders: A research study leading to the development of an EMDR protocol for DID. Manuscript in preparation.

Language: English

Format: Journal

Keywords: DID Dissociative Disorders Dissociative Identity Disorder Research

Accuracy Verified: No

140. 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

141. Hensel, T. (2006, April). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Kindheit und Entwicklung, 15 (2), 107-117. doi:10.1026/0942-5403.15.2.76.

Language: German

Format: Journal

Abstract:
EMDR (eye movement desensitization and reprocessing) has proved to be an independent, effective, and empirically validated approach for the treatment of chronic post-traumatic stress disorder (PTSD) in adults. This work provides an overview of the status of research into the use of EMDR in traumatized children and adolescents. The available randomized controlled studies are summarized and assessed for their methodistic value. The empirically supported and effective treatment is described. The results show - albeit on a narrow empirical basis - that EMDR, when used in children and adolescents, demonstrates a Comparable effectiveness in symptom reduction and efficiency (limited treatment duration) to that observed in adults. Issues relating to the integration of the treatment into the existing care structure are discussed.

Keywords: Adolescents Bilateral stimulation Care Children Chronic Illness Chronic PTSD Effectiveness Emotional Trauma Empirically Supported Treatment Empirical Study Psychologically Traumatized Children Quantitative Study Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

142. Hollwig, K. E. (2002). Efficacy of eye movement desensitization and reprocessing in the treatment of trauma and anxiety disorders. California State University, Long Beach, CA. AAT 1409202.

Language: English

Format: Dissertation/Thesis

Abstract:
This study evaluated the efficacy of Eye Movement Desensitization and Reprocessing for treating trauma and anxiety disorders in adult, adolescent, and child clients with or without a dissociative disorder. Participants comprised 23 California-licensed mental health professionals who possessed at least a master's degree in the mental health field and specifically had been trained in EMDR by the EMDR Institute. Each participant completed a survey questionnaire developed specifically for this study. Results indicated significant differences between EMDR and the other surveyed therapeutic approaches for overall level of efficacy in treating trauma in adults and adolescents. Significant differences between EMDR and two other approaches for treating child trauma were also revealed. A significant difference was found between EMDR and one other approach for overall level of efficacy in treating anxiety in adults and adolescents. No significant differences were found between therapeutic approaches for treating child anxiety. Directions for future research are discussed.

Keywords: Anxiety Disorders Trauma

Accuracy Verified: Yes

143. 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

144. 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

145. 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

146. 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

147. Fine, C. G. (1993, March). EMDR & structured therapy for MPD. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder MPD Multiple Identity Disorder

Accuracy Verified: Yes

148. Sack, M., & Lamprecht, F. (2004). EMDR - Ein verfahren zur behandlung dissoziativer störungen in der Folge schwerer traumatisierungen [EMDR - A method for the treatment of dissociative disorders as a result of serious trauma]. In A. Eckhardt-Henn, & S. O. Hoffmann (Hrsg.), Dissoziative Bewusstseinsstörungen: Theorie, Symptomatik, Therapie, (S 436-446) Schattauer-Verlag, Stuttgart .

Language: German

Format: Book Section

Keywords: Dissociative Disorders

Accuracy Verified: Yes

149. 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

150. Plassmann, R., & Seidel, M. (2003, May). EMDR - Group therapy with patients having eating disorders. In Eating Disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
We understand a therapeutic group, here the EMDR-group, analog to the opinion of Watzlawick et al., Koffka and Grinberg as a multiplicity that is more than only the sum of the individuals. An individual is a part of a group, who expresses himself in the collective „we". Even if the individual expresses himself at first individually, the remarks turn into collective-appearances with basic-convictions–and assumptions. This group-structure, labeled by the authors as a dynamic collective-constellation, is based on unconscious processes projecting and introjecting identification. The group-member takes in those feelings and impulses of the others that are similar to the own emotions, and perceives them due to the experienced reinforcement more severely. Simultaneously the individual projects his objects of the unconscious imagination on the others and tries to reproduce the specific pattern of his difficult interpersonal relationships.

Keywords: Binge Eating Eating Disorders Symposium

Accuracy Verified: Yes

151. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.

Language: English

Format: Conference

Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children. The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world. Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD. This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.

Keywords: Treatment Trauma

Accuracy Verified: Yes

152. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children. The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world. Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD. This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.

Keywords: Trauma-Based Disorders

Accuracy Verified: Yes

153. 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

154. Titze, M. (1997). EMDR - Unterstützte thematisierung bei psychodynamisch fundierten fokaltherapien [EMDR - Supported theming in-depth psychodynamic focal therapy]. In C. T. Eschenröder: EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 179-188). Tübingen: DGVT-Verlag.

Language: German

Format: Book Section

Abstract:
Lange Zeit galt eine im Sinne der psychoanalytischen Standardmethode durchgeführte Langzeittherapie als qualitativ besonders hochstehend. Dabei ließ sich argumentieren, dass die entscheidenden Eckpfeiler des analytischen Prozesses (Erinnern, Wiederholen, Durcharbeiten) einer zeitaufwendigen Methodik (freie Assoziation, "gleichschwebende Aufmerksamkeit" und regressionsfördernde Zurückhaltung / Schweigen des Analytikers, Übertragungs- und Widerstandsdeutungen usw.) bedürfen (vgl. Thomä & Kächele, 1989). Eine unbestreitbare methodische Schwäche dieser Vorgehensweise resultiert allerdings aus dem Verzicht auf eine aktive Strukturierung durch den Analytiker. Dies kann dazu führen, dass sich manche Klienten in der realen therapeutischen Beziehung allein gelassen bzw. nicht ernst genommen fühlen. Eine nicht selten mehrjährige Behandlungsdauer kann zudem eine Unzufriedenheit hervorrufen, die dann zu realen Widerstandstendenzen auf Seiten des Klienten führen wird, wenn ein spürbarer Behandlungserfolg ausblieb (vgl. dazu Eschenröder, 1986, Kap. 11). Doch es sind nicht allein solche Einwände, die zu einer Relativierung der Bedeutung von analytischen Langzeittherapien geführt haben. Es waren auch reale ökonomische Gegebenheiten, die diese Bedeutung in den letzten Jahren zunehmend in Frage gestellt haben. Nachdem nämlich, zunächst in den Vereinigten Staaten, die Versicherungen dazu übergegangen sind, nur eine stark begrenzte Anzahl psychothe-rapeutischer Leistungen zu erstatten, kam es auch im Bereich der Tiefenpsychologie zu einer verstärkten Hinwendung gegenüber kurzzeittherapeutischen Verfahren (vgl. Goleman, 1981).

Long considered a standard in the sense of the psychoanalytic method carried out as long-term therapy of particularly high standing. It could be argued that the crucial cornerstone of the analytical process (remembering, repeating, working through) a time-consuming method require (free association, evenly suspended attention "and regression-promoting restraint / silence of the analyst, transference and resistance interpretations, etc.) (see Thoma & Kächele, 1989). One undoubted methodological weakness of this approach, however, results from the absence of an active structure by the analyst. This can cause that some clients feel in the real therapeutic relationship alone and not taken seriously. An often multi-year duration of treatment may also cause discontent that will lead to real resistance tendencies on the part of the client when a substantial treatment effect failed to (cf. Eschenröder, 1986, Chapter 11). But it is not only an objection that led to a relativization of the importance of long-term analytic therapies. There were also real economic conditions that have made this meaning in recent years increasingly in question. After that is to report first in the United States, the insurance companies have started, only a very limited number of psychotherapy therapeutic services were also provided in the field of depth psychology (1981 cf. Goleman,) to an increased turn over short-therapeutic procedures.

Keywords: Focal Therapy

Accuracy Verified: Yes

155. 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

156. 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

157. 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

158. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives: 1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS 2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera) 3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.

Keywords: Chronic Illnesses

Accuracy Verified: Yes

159. Gerge, A. (2009, June). EMDR and clinical hypnosis for enhanced healing of patients with complex PTSD and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DID Dissociative Identity Disorder Hypnosis

Accuracy Verified: Yes

160. 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

161. 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

162. 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

163. 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

164. 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

165. 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

166. 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

Keywords: Complex Trauma Dissociation Ego State Therapy

Accuracy Verified: Yes

167. Paulsen, S. L. (2003, September). EMDR and ego state therapy: Energizing disowned aspects of self with dissociative table technique interwoven with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Ego State Therapy is a tool for EMDR practitioners seeking to resolve looping, identify early childhood targets, enhance containment, and more. Dissociative Table is an ego state approach that enables rapid visualization of disowned ego states without formal trance induction. It energizes and egotizes aspects of self so that resistance can reduced through internal education and mediation. EMDR and ego state therapy can be interwoven to manage the level of affective arousal by creating closeness to or distance from disturbing material. The workshop will also present ACT-AS-IF, a step-by-step approach to preparing dissociative clients for EMDR processing.

Keywords: Act-As-If Dissociative Table Technique Ego State Therapy

Accuracy Verified: Yes

168. 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

169. Twombly, J. (2008, April). EMDR and EMDR adaptions in the treatment of dissociative disorders. Presentation at the 1st Bi-Annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and Reprocessing in the treatment of clients with Dissociative Identity Disorder, Dissociative Disorder Not Otherwise Specified and ego state work. Used carefully, EMDR and EMDR adaptations can accelerate the treatment process. A liability is that its incorrect use can accelerate decompensation in clients with complex trauma and attachment disordered histories. This workshop offers suggested uses of EMDR and EMDR adaptations to facilitate stabilization, orientation to the present, decrease some negative transferences and to provide a protective format for processing traumatic material. Learning objectives: 1. Participant is able to identify stages of treatment of dissociative disordered clients where EMDR and EMDR adaptations can be used. 2. Participant is able to use EMDR adaptations to orient dissociated parts of the mind to present time. 3. Participant has knowledge of how to develop a controlled process of using EMDR for trauma processing.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

170. 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

171. 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

172. 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

173. 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

174. 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

175. 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

176. 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

177. 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

178. 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

179. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.

Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD

Accuracy Verified: Yes

180. Lindsay, J. (1995, June). EMDR and the treatment of rape survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The study employed single case experimental design to test the efficacy of EMDR in the treatment of rape survivors. EMDR was introduced sequentially to five subjects by five licensed psychotherapists with Level II EMDR training. Each subject received from 4 to 6 sessions depending upon her position in the sequence. Each met criteria for PTSD prior to treatment. The study emphasized clinical significance, and with minor exceptions, all scores meet criteria for both clinical and statistical significance. Independent variables were the Beck Depression Inventory (BDI), the Brief Symptom Inventory (BSI), the Dissociative Experience Scale (DES), the State-Traft Anxiety Inventory (STAI) and the PTSD Symptom Scale, Self-Report (PSC-SR). Pre- post- and followup scores demonstrated dramatic changes (<.O1,DES<.05). Subjects monitored PTSD symptomotology throughout the baseline, treatment and follow-up phases. The visual analog scales which display these graphed data provide some interesting information regarding individual response to treatment and inter- and intra- subject variability. These quantitative data were also analyzed with respect to qualitative data from pre- and post and followup interviews and from clinical reports.

Keywords: Rape

Accuracy Verified: Yes

181. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical pain and living with chronic pain. Participants in this workshop will learn: (a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain; (b) a guided pain healing meditation; (c) an EMDR protocol for installing pain relief imagery and self-care techniques; (d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories; (e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating, drinking) and dependence on pain medication in this population. The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer will be presented. Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the "C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed. The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing will be discussed. The presentation will then cover (with clinical case examples): (1) Red flags and cautions to consider before proceeding with EMDR- (2) What to do and what not to do if the patient is dissociative; (3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with "secondary gains" minus primary losses; (4) Teaching the distinction between pain sensations and suffering; (5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy self-care behaviors; (6) How to directly address with the patient the application of "cognitive psychology" and imagery for pain reduction; (7) EMDR reprocessing of memories around the pain's origins; (8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences, internalized self-identifications, self-punitive tendencies and self-defeating behaviors; (9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient; (10) EMDR reprocessing of negative cognitions associated with depression and anxiety. (11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers; (12) Material that often comes up in using EMDR with pain patients; (13) Strategically restructuring patient "resistance" with coanitive interweave; (14) Managing narcotic and pain medication seeking behavior and substance abuse; (15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in this population; (16) Treating pain patients who also have PTSD. Videotaped case excerpts will be shown that illustrate important points covered. If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.

Keywords: Chronic Pain Pain Pain Management

Accuracy Verified: Yes

182. Hamilton, C. (1996, November). EMDR applications in the treatment of DID/DDNOS. Symposia presented at the annual meeting of the International Society for the Study of Dissociation, San Francisco, CA.

Language: English

Format: Conference

Keywords: DDNOS DID Dissociative Identity Disorder Symposia

Accuracy Verified: Yes

183. 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

184. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability and/or control. A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event, prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism for people who need further follow-up, including EMDR. The steps of a CISD include: 1) introduction - to introduce the intervention team, explain the process, and set expectations. 2) fact - to describe the event from each participant's perspective on a cognitive level. 3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions. 4) reaction - to identify the most traumatic aspect of the event for participants. 5) symptom - to identify personal symptoms of distress and transition back to the cognitive level. 6) teaching - to educate as to normal reactions and adaptive coping strategies 7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up. In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in dysfunctional form. EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing. In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it. EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process, EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are relevant to the individual (e.g. Smells, tastes, etc.). The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed. Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such dynamics are understood when formulating the negative cognition. The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.

Keywords: CISM Critical Incidence Stress Management Recent Events

Accuracy Verified: Yes

185. Lawrence, M. A. (1998, December). EMDR as a special form of ego state psychotherapy, Part I of II. EMDRIA Newsletter, 3(4), 7, 13-15, 24-25.

Language: English

Format: Newsletter

Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.

Keywords: Ego State Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

186. Lawrence, M. A. (1999, March). EMDR as a special form of ego state psychotherapy, Part II. EMDRIA Newsletter, 4(1), 9, 14-15, 34.

Language: English

Format: Newsletter

Keywords: Ego State Therapy

Accuracy Verified: Yes

187. 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

188. Korn, D. (2010, April). EMDR behandeling bij volwassenen met een verleden van incest en verwaarlozing. Het herstellen van ontwikkelings tekorten en het beschadigde ‘zelf’ [EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederland.

Language: Dutch

Format: Conference

Abstract:
In deze workshop zal er worden ingegaan op het integreren van EMDR in een algemeen behandelingsplan voor volwassenen die incest en verwaarlozing in hun jeugd hebben meegemaakt. De workshop is een verdieping van de keynote van het congres. De werkwijze zal gedetailleerd worden uitgelegd en zal worden geïllustreerd aan de hand van videopresentaties en bespreking van casuïstiek. In eerste instantie wordt uitgelegd hoe de ontwikkelings- en hechtingsbehoeften van de cliënt onderzocht kunnen worden en hoe een betekenisvolle beschrijvende diagnose kan worden ontwikkeld om tot een geïntegreerd, logisch opgebouwd behandelingsplan te komen. Bij deze groep cliënten, waarbij er sprake is van beperkte affect tolerantie, kwetsbaarheid voor hyper- en hypoarousal, en dissociatieve kenmerken, kan het standaard EMDR protocol worden aangepast met specifieke strategieën. Daar zal uitvoerig op worden ingegaan. Ook zal er veel aandacht besteed worden aan het integreren van specifieke EMDR technieken, zoals diverse ego-versterkende protocollen en hulpbron installatie (RDI), in alle fasen van de behandeling. Tevens zullen er technieken besproken worden die cliënten helpen om hun disfunctionele afweermechanismen los te laten, waardoor het veranderen van schema’s met hun kenmerkende kerngedachten en kernaffecten mogelijk wordt Deelnemers aan deze workshop zullen leren om pathogene gevoelstoestanden, (zoals schaamte, wanhoop, onverdraagelijke eenzaamheidsgevoelens), angsten en ‘blocking beliefs’, ego state conflicten te herkennen, zodat de meest effectieve interweaves en hulpbron opties kunnen worden toegepast. Verder zullen er strategieën voor herstel, zoals het verduidelijken van verantwoordelijkheid, het vaststellen van veiligheid en keuze, en het verwerken van rouw, verlangen en woede, worden besproken.

This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced. The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies. Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment. In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail. Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment. Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied. Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.

Keywords: Adults Developmental Deficits Incest

Accuracy Verified: Yes

189. 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

190. 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

191. 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

192. 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

193. 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

194. Oppenheim, H.-J., ten Broeke, E., & de Jongh, A. (2009). EMDR bij dissociatieve stoornissen [EMDR in dissociative disorders]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 177-199). Amsterdam: Pearson.

Language: Dutch

Format: Book Section

Keywords: Dissociative Disorders

Accuracy Verified: Yes

195. Groenendijk, M. (2011, April). EMDR bij dissociatieve stoornissen [EMDR with dissociative disorders]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Na met veel succes deze workshop op de Europese congressen in Amsterdam en Hamburg te hebben gegeven, is Mariëtte gevraagd om ook op het Nederlandse congres haar kennis te delen. De workshop gaat over welke aanpassingen er nodig zijn om EMDR ook bij dissociatieve stoornissen te kunnen inzetten en aan de hand van de videoband van Maria zal getoond worden hoe dat werkt. De workshop is bedoeld voor therapeuten zijn die al werkende met getraumatiseerden bij een deel van hen stuiten op vroeger of ernstiger trauma dan ze aan het begin wisten en ook pas gaandeweg dissociatieve fenomenen ontdekken.

After this very successful workshop at the European conferences in Amsterdam and Hamburg have given, Mariette also asked the Dutch conference to share her knowledge. The workshop is about what changes are needed to EMDR also deploy and dissociative disorders on the basis of the videotape of Mary will demonstrate how that works. The workshop is intended for therapists already working with traumatized by a number of them encounter severe trauma or earlier than they did at the beginning and only gradually explore dissociative phenomena.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

196. 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

197. 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

198. 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

199. 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

200. 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

201. 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

202. Sterpone, R., & Paiuzzi, E. (2008, Novembre). EMDR come momento di ulteriore integrazione professionale tra differenti operatori di cura di un ospedale infantile [EMDR as a moment of further integration between vocational different operators care children's hospital]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La presentazione si propone di “raccontare” come l’EMDR sia diventata, in un ospedale infantile, strumento di ulteriore integrazione professionale tra i differenti operatori di cura. L’EMDR viene utilizzata, infatti, non solo con bambini e adolescenti che giungono nella Struttura Operativa di Psicologia, ma viene richiesta dai medici dei vari reparti per i pazienti, ed eventualmente per i loro familiari, ricoverati in seguito ad esposizione ad eventi critici. L’intervento con EMDR viene, inoltre, effettuato con alcuni genitori i cui figli sono ricoverati in merito a malattie gravi o croniche. Gli stessi operatori di cura, in seguito ad eventi potenzialmente traumatici in ambito lavorativo, vengono aiutati con gruppi di debriefing, e, se necessario, con l’EMDR per riprocessare situazioni dolorose, ritrovare benessere e funzionalità lavorativa. Operatori di cura differenti, sistemi conoscitivi$differenti, ma insieme… insieme per cocostruire con il paziente e la sua famiglia una nuova narrativa ed aiutarli ad attribuire nuovi significati ad esperienze dolorose o fallimentari.

The presentation aims to "tell" how EMDR has become, in a children's hospital, tool for further integration between the different operators of professional care. EMDR is used, in fact, not only with children and adolescents who come in the Structure Works on psychology, but is required by doctors of various departments for patients, and possibly for their families, hospitalized after exposure to critical events. Intervention with EMDR is also made with some parents whose children are hospitalized on serious or chronic illnesses. Operators themselves to care, in the aftermath of potentially traumatic in employment, are helped with groups of debriefing, and, if necessary, with EMDR for reprocess painful situations, to find wellness and functionality work. Operators care ifferent cognitive systems different, but together ... together with the patient and cocostruire its family a new narrative and help to give new meaning to experiences painful or unsuccessful.

Keywords: Children

Accuracy Verified: Yes

203. 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

204. 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

205. 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

206. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias não verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Neste trabalho serão apresentadas estratégias de exploração de postura e espaço para acesso a memórias não verbais, características de ICES incompletos e frequente expressão de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.

In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.

Keywords: Ego States Nonverbal Memories Posture Standard Protocol

Accuracy Verified: Yes

207. Aduriz, E. (2012, June). EMDR en niños con trastornos disociativos [EMDR in children with dissociative disorders]. En Preconferencia 2: Niños, traumatización grave y EMDR [In Pre-conference 2: Children, severe traumatization and EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
Dr. Aduriz will show the importance of establishing a predictable and trusting relationship between the child and her adoptive parents so that the child can repair the severe early wounds inflicted on her by the relationship with her biological mother. She will also focus on how to help the adoptive parents attain more confidence in their parental role.

María Elena Aduriz, expondrá a través del caso de una niña cuya traumatización es consecuencia directa de un apego desorganizado a una madre esquizofrénica, inestable y suicida, la importancia de articular intervenciones terapéuticas con EMDR con la niña y con los padres adoptivos. Señalará la importancia de establecer un vínculo predecible y confiable entre ellos para que la niña pueda reparar las heridas tempranas y severas producto del vínculo con su madre biológica, y para que los padres sean capaces de generar mayor confianza en su función parental.

Keywords: Attachment Disruptions Children

Accuracy Verified: Yes

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

Language: Spanish

Format: Conference

Abstract:
Sandra Baita will describe the case of a dissociative girl whose traumatization was a consequence of early exposure to chronic sexual abuse by her father. In this case, Dr. Baita will explain the challenge of working with systems surrounding the child other than the family, for example, the Justice System. She will focus on the paramount importance of the first stage of treatment and the achievement of external security when working with severely traumatized children. Dr. Baita will offer for discussion with the attendees, the development of a treatment plan for this dissociative girl using EMDR during the therapeutic stages of security and stability, working with traumatic memories, and integration.

Sandra Baita expondrá el caso de una niña con un trastorno disociativo en el cual la traumatización ha sido consecuencia de la exposición temprana a abuso sexual por parte del padre. En este caso, la Dra. Baita explicará el desafío que implica trabajar con otros sistemas además del familiar, tales como el sistema de Justicia. Ilustrará además la relevancia que adquiere la primera etapa del tratamiento y el establecimiento de un contexto real de seguridad externa en el tratamiento de niños severamente traumatizados, y mostrará, para su discusión con los asistentes, el desarrollo del tratamiento exhaustivo de esta niña utilizando EMDR a lo largo de las etapas de seguridad y estabilidad, trabajo con las memorias traumáticas e integración.

Keywords: Children Dissociative Disorders

Accuracy Verified: Yes

209. 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

210. 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

211. 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

212. Kennedy, S. (2004, March 31). EMDR An essential “tool” for a counselor’s “toolbox”. Arizona Department of Public Safety Crime Victim Services Newsletter, 24, 1-2.

Language: English

Format: Newsletter

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is quickly becoming a valuable and soughtafter method for treating victims of trauma. Use of EMDR is revolutionizing the treatment of commonly seen mental health problems (such as depression, anxiety, phobias, etc.) and some of the most troubling and difficult-to-treat problems professionals deal with in clinical settings (such as posttraumatic stress syndrome, substance abuse, eating disorders, and dissociative disorders).

Keywords: General Overview

Accuracy Verified: Yes

213. 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

214. 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

215. 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

216. 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

217. 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

218. 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

219. Knipe, J., Hartung, J., Konuk, E., Colelli, G., Keller, M., & Rogers, S. (2003, September). EMDR Humanitarian Assistance Programs: Outcome research, models of training, and service delivery in New York, Latin America, Turkey and Indonesia. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Since 1995, there have been many programs to provide EMDR humanitarian assistance throughout the world, and from these programs, several lessons have been learned. In this presentation, we will describe four recent programs, which, viewed together, define an emerging model of how to best initiate and structure programs of EMDR therapist training and direct service. In addition, EMDR outcome research from three of the sites will be presented.

Keywords: Humanitarian Assistance Symposium

Accuracy Verified: Yes

220. Tripolt, R. (2010, Oktober). EMDR in bewegung [EMDR in motion]. EMDRIA Deutschland e.V. Rundbrief, 21, 16-23.

Language: German

Format: Newsletter

Abstract:
Im Folgenden geht es um die Möglichkeit der Erweiterung des EMDR Protokolls um die Dimension der Bewegung: Die Ebene der Kognitionen (PK/NK, VoC), der Emotion (SUD) und der Körperwahrnehmung (Körpertest) wird um die Reflexionsebene der Bewegung und der Bewegungswahrnehmung ergänzt. Dieses kann die Wirkweise von EMDR verstärken und bei dissoziativen TraumapatientInnen die unmittelbare Anwendung von EMDR oft erst ermöglichen. Dazu wird der Einsatz von Elementen aus 5 Rhythmen Bewegungstherapie, Tanz und körperorientierten therapeutischen Techniken vorgestellt und anhand eines Fallbeispieles illustriert.

I now turn to the possibility of extending the EMDR protocol to the Dimension of the movemen: the level of cognition (PC/NC,VoC ), emotion (SUD )and of body awareness (body test) is the reflection plane of movement and Motion perception complements. This may enhance the mode of action of EMDR and dissociative trauma patients, the direct application of EMDR often only allow. For this purpose, the use of elements from 5 Rhythms movement therapy, dance and body-oriented therapeutic techniques and presented a case study illustrated.

Keywords: Motion Movement

Accuracy Verified: Yes

221. 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

222. 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

223. 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

224. 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

225. 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

226. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.

Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.

Keywords: Dissociative Disorders, Psychotherapeutic Processes

Accuracy Verified: Yes

227. 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

228. Hofmann, A., & Sack, M. (2006). EMDR in der behandlung von patienten mit chronish komplexer PTBS und schweren dissoziativen storungen [EMDR in the treatment of patients with complex PTSD and severe dissociative disorders]. In: F. Lamprecht (Hrsg.), Praxisbuch EMDR: modifizierungen für spezielle anwendungsgebiete [EMDR practice book: modifications for special areas of application] (pp. 172-194). Stuttgart: Klett-Cotta.

Language: German

Format: Book Section

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

Accuracy Verified: Yes

229. 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

230. Hofmann, A. (2008, September ). EMDR in der behandlung von schweren dissoziativen storungen [EMDR in the treatment of severe dissociative disorders]. Präsentation auf Precongress Workshops Vorkkongress EMDR beim Europaischen Hypnoeskongress, Wien.

Language: German

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

231. 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

232. 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

233. 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

234. 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

235. Young, W. C., Rouanzoin, C., & Puk, G. (1994, March). EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

236. 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

237. Gonzalez, A. (2013, June). EMDR in dissociative disorders: The progressive approach. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

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. Nevertheless EMDR is still considered by many clinicians as an intervention that is limited to the treatment of traumatic memories in highly functioning dissociative clients, after a long preparation phase. From this conceptualization the use of EMDR is strongly limited, and many trauma survivors cannot benefit of it.
In this workshop a comprehensive model for EMDR therapy in Dissociative Disorders (the Progressive Approach) will be proposed. From this extended framework, different interventions with EMDR in dissociative clients will be described, including procedures to prepare and stabilize these clients. The integration of these specific EMDR procedures into a group therapy for trauma survivors will be described. The interweaving between theoretical developments, clinical procedures and video examples will allow the audience to assimilate information and translate it to their clinical practice. Learning objectives: Propose a comprehensive model to approach dissociative clients from the EMDR perspective, connecting theoretical developments and clinical procedures; Identify difficult situations in EMDR therapy of severely traumatized people and describe EMDR procedures for dissociative clients, all along the different phases of treatment; Illustrate the “progressive approach” for the treatment of dissociative disorders with clinical examples and video fragments of individual and group sessions so EMDR therapists can understand when, where and how to apply these procedures in their clinical practice.

Keywords: Dissociative Disorders Progressive Approach

Accuracy Verified: Yes

238. 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

239. 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

240. 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

241. 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

242. 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

243. Hamilton, C. (1999, June). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) increase their confidence in deciding how, when, and where to use EMDR in the context of long term therapy with dissociative disorders; 2) increase their skills in being able to structure safe and contained EMDR sessions with clients with dissociative disorders; 3) increase their ability to adapt the EMDR protocol to the specific needs of specific clients with dissociative disorders; and 4) increase their knowledge of both the potential risks and potential benefits of using EMDR with dissociative clients.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

244. Hofmann, A. (2000, May 6). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders are a complex patient population in which EMDR can be one of the key treatment approaches in a therapy setting that usually needs to enclose a number of other treatment modalities and an overall comprehensive treatment plan. If undiagnosed, dissociative patients are, on the other hand, at increased risk of developing complications during the treatment with EMDR. In this workshop, participants will learn how to: (1) develop a comprehensive treatment plan that includes trauma work with EMDR, (2) integrate the 8 phases of EMDR with the three general phases of trauma treatment according to Janet (stabilization, trauma work, integration), (3) find a good balance to interchange in therapy between stabilization phases, trauma work with EMDR and work within the therapeutic relationship, and (4) recognize and possibly counter treatment complications.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

245. 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

246. 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

247. 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

248. 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

249. 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

250. 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

251. Beere, D. (2009). An EMDR protocol for dissociative identity disorder. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 387-425). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dissociative Identity Disorder DID Protocol

Accuracy Verified: Yes

252. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel. Retrieved from http://www.emdr.org.il/dls/emergency/Mador%20Herum.Brief%20P.ER%20PROTOCOL.Gudalia.doc 6/13/2008.

Language: English

Format: Other

Abstract: When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means. The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: ER Recent Events Wards

Accuracy Verified: Yes

253. 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

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

Language: English

Format: Book

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

Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

255. 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

256. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence [Terapia con EMDR en varias enfermedades psiquiátricas: Una revisión de la evidencia científica]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Abstract: Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that have part of their origins in dysfunctional implicit memory structures. Some of these disorders are complex trauma based disorders like dissociative disorders and some patients with symptoms of borderline disorder others are traumatized offenders, some forms of substance dependencies and depressive disorders. Many of these patients are challenging populations and some of the direct EMDR approaches may only be partly successful. In this workshop an overview of the new areas for the application of EMDR will be given and participants will hear where and how EMDR can be used in a treatment plan. Also the research status of these new approaches will be reported. If time permits cases can be discussed too.

Los estudios científicos de EMDR han comprobado que es una de las herramientas más efectivas en el tratamiento del trastorno por estrés postraumático. Una de las propiedades menos conocidas de EMDR es que también parece suponer un método de psicoterapia efectivo en varios trastornos que se originan parcialmente en estructuras disfuncionales de la memoria implícita. Algunos de estos trastornos son trastornos basados en el trauma complejo, como los trastornos disociativos y algunos casos de trastorno límite de la personalidad; también se pueden incluir agresores traumatizados, algunas formas de dependencias de sustancias y trastornos depresivos. Muchos de estos pacientes suponen poblaciones de especial dificultad y algunos de los abordajes directos con EMDR pueden tener un éxito únicamente parcial. Este taller ofrecerá una perspectiva global de las nuevas áreas de aplicación de EMDR y se les explicará a los participantes en qué casos y cómo se puede utilizar EMDR en un plan terapéutico. También se informará respecto al estado de la investigación de estos nuevos planteamientos. Si hay tiempo, también se podrán presentar algunos casos.

Keywords: Research

Accuracy Verified: Yes

257. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

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

Accuracy Verified: Yes

258. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

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 seventeen published trials to be effective in the treatment of PTSD (Maxfield & Hyer, 2002). 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 long periods of time. 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. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions. Dr. Knipe will present methods for identifying and treating specific dissociative symptoms with accompanying evidence from available research or case studies. He will offer EMDR “tools” that can be used to make the healing power of EMDR more available to clients who are avoidant, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. He will discuss the primary characteristics of clients with Complex PTSD, including problems with disrupted attachment and inappropriate psychological defenses. He will illustrate how to identify various Ego-‐States and work with these within the Adaptive Information Processing Therapy Approach. Time will be available for participants to discuss difficult EMDR cases.

EMDR ha tenido un profundo efecto sobre la vida de muchos clientes y ha demostrado en más de diecisiete ensayos publicados, ser eficaz para el tratamiento del TEPT (Maxfield & Hyer, 2002). Sin embargo, la definición del DSM IV del TEPT está centrada en el incidente traumático único, mientras que en muchos de los clientes que buscan el alivio a través de la terapia su historial traumático incluye episodios traumáticos repetidos o que se extienden a lo largo de períodos prolongados de tiempo. Se ha propuesto el término TEPT complejo (Herman, 1992, van der Kolk, 2005) para describir un patrón de efectos negativos derivados una situación de estrés prolongado e intenso que ha aparecido principalmente en la infancia. Este taller estará centrado en describir el marco teórico y las “herramientas” terapéuticas específicas que pueden ser necesarias para proporcionar , dentro del modelo de procesamiento adaptativo de la información de EMDR, una terapia eficaz a los individuos que sufran de un cuadro de TEPT complejo. Los conceptos importantes y las intervenciones concretas que se realizan serán ejemplificadas mediante ejemplos en vídeo y mediante transcripciones de sesiones de terapia. El Dr. Knipe presentará diversos métodos que permitan identificar y tratar los síntomas disociativos específicos, los cuales irán acompañado de la evidencia de que se dispone procedente de la investigación existente o de los estudios de casos. Ofrecerá, además, aquellas “herramientas”de EMDR que pueden ser empleadas para que el poder sanador del EMDR esté más disponible para aquellos clientes con comportamientos evitativos y/o que son extremadamente sensibles a experimentar abreacciones disociativas, vergüenza crónica o conceptos idealizados de sí mismos o de los demás no realistas. Comentará también cuales son las características principales de los pacientes que padecen de TEPT complejo, entre los que se incluyen los vínculos afectivos perturbados y los mecanismos de defensa psicológica inadecuados. Ilustrará, igualmente, cómo poder identificar los diversos estados del ego que se producen y cómo trabajar con ellos en el marco del procesamiento adaptativo de la información. Se dispondrá de un tiempo adicional para comentar con los participantes los casos difíciles que se presenten con EMDR.

Keywords: EMDR Toolbox

Accuracy Verified: Yes

259. 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

260. 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

261. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

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

Accuracy Verified: Yes

262. Korn, D. (2010, April). EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self. Presentation at the 4th EMDR Association Netherlands Conference, Nijmegen, The Nederlands.

Language: English

Format: Conference

Abstract:
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced. The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies. Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment. In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail. Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment. Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied. Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.

Keywords: Adults Developmental Deficits Incest

Accuracy Verified: Yes

263. 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

264. 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

265. 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

266. 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

267. Jacobs, S., Schmidt, S., Ludecke, C., & Strack, M. (2009). EMDR und biofeedback in der behandlung von substituierten traumapatienten [EMDR and biofeedback in the treatment of substituted traumatic patients]. EMDR und biofeedback in der behandlung von substituierten traumapatienten, In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte, [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 107-134). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: Prevalence of Posttraumatic Stress Disorder is alarmingly high among substanceabusing inpatients. Although many studies have shown this problem, treatment offered for combined trauma and substance abuse-therapy can hardly be found. Many patients are told to initially treat their substance abuse before treating the PTSD. This study deals with the trauma-treating method EMDR and biofeedback with substituted inpatients. 15 of these inpatients recieved questionnaires at three different point in time during their therapy, in addition nine of them during a 3-month-follow-up. Furthermore biofeedback-conductance was held within the EMDR-sets to represent the decline of the psycological affrivation, measured wit electrodermal activity h electrodermal activity. These data were compared to not-consuming outpatients, who received the same treatment. Overall there were positive changes in ratings regarding the traumaspecific variables, general psychic strain, depressivity, somatic discomfort and dissociative symptoms. An increased satisfaction in different areas of life could also be observed. Data associated with electrodermal activities showed only marginal differences compared to the reference data.

Keywords: Biofeedback

Accuracy Verified: Yes

268. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .

Language: English

Format: Conference

Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization; speed 1 deals with desensitizing future fears; speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation. If they slow down, it is because they have good enough reasons, whether conscious or not. What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”

Keywords: Gearbox

Accuracy Verified: Yes

269. 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

270. 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

271. 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

272. 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

273. 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

274. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising 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 to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering. 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 patient 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 emerges that may be installed as a resource. The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique Learning objectives: To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases. To recognise the indications in which it provides added value to the classical protocol. To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases. 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 desensitising and re-elaboration with the standard protocol.

Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD

Accuracy Verified: Yes

275. Fine, C. G. (1996, June). EMDR-facilitated trauma work in patients with dissociative identity disorders. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

276. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.

Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC

Accuracy Verified: Yes

277. 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

278. 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

279. 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

280. Paulsen, S. L. (1993). EMDR: Its use in the dissociative disorders. Presentation at the 10th annual meeting of the ISSMPD, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

281. 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

282. Timoshchuk, I. G. (1997, January). EMDR: Functions providing the dynamics of transformation. EMDRIA Newsletter, 2(3), 15-16.

Language: English

Format: Newsletter

Abstract:
In psychotherapy, the solving of a client’s problems is usually connected with the transformation of his or her personal features or some aspects of his or her experience. These could be changes in his or her systems of values, personal meanings and rules, habitual behavioral patterns, etc. These changes derive from the complex of deep transformations involving while systems of psychics. The system analysis of the multilevel hierarchical; structure formed by connections between the conscious and unconscious allows us to detest both the changing mechanisms and main functions providing the transformation, e.g., to solve a problem.

Keywords: Transformation

Accuracy Verified: Yes

283. Hofmann, A., Fischer, G., Galley, N., & Shapiro, F. (1998). EMDR: Memory reprocessing and accelerated emotional learning. European Journal of Clinical Hypnosis, 4, 206-213.

Language: English

Format: Journal

Abstract:
A number of recent controlled studies has shown that EMDR (Eye Movement Desensitization and Reprocessing) can reprocess disturbing memories and bring them to therapeutic resolution whether or not patients fulfil the DSM (or ICD)- criteria of post-traumatic stress disorder (PTSD). The method can be integrated into treatment plans of different therapeutic approaches and integrates aspects of a number of the major treatment orientations. Clinical experience and EEG research show that the reprocessing in EMDR is not a trance-related phenomenon (Nicosia, 1995). However, EMDR blends well with hypnotic techniques in specific cases, especially with severe complex traumatised and dissociative patients. In addition, EMDR seems to help stabilise and generalise positive self-referencing beliefs as well as positive images, such as "a safe place", and accelerates future projectionsof new orientations and behaviours. In this sense, EMDR can be viewed not only as a method for the treatment of traumatic memories, but as a method of accelerated emotional learning.

Keywords: Accelerated Emotional Learning Therapeutic Integation

Accuracy Verified: Yes

284. 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

285. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel.

Language: English

Format: Book Section

Abstract:
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means.
The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: Emergency Room Protocol

Accuracy Verified: Yes

286. 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

287. 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

288. 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

289. Peterson, G. (2003, September). Energy healing methods to supplement EMDR in the treatment of DID. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Eye movement desensitization and reprocessing treatment (EMDR) is a powerful method for the treatment of PTSD. Therapists may uncover a covert dissociative disorder in the course of applying EMDR. The presentation will compare the major components of EMDR and energy psychotherapy techniques. Both of these treatment methods have in common 1) focusing on (attuning to) a disturbing problem, issue, or event; 2) applying a prescribed set of procedures to resolve the disturbance or imbalance. Participants will grasp the indications/risks/contraindications of use of EMDR and energy methods with DID. They will understand how energy healing methods can support EMDR.

Keywords: Dissociative Disorders Energy Psychology Energy Therapies

Accuracy Verified: Yes

290. Corrigan, F. M., & Jennett, J. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder. Acta Psychiatrica Scandinavica, 110(2), 158. doi:10.1111/j.1600-0047.2004.00368.x.

Language: English

Format: Journal

Abstract:
Letter to the editor commenting on an article by E. Ernst (see record 2003-05653-002). We report the case of a patient who was effectively treated for severe obsessive compulsive disorder but relapsed briefly following ingestion of herbal products containing ephedra alkaloids that she bought to facilitate weight loss. The patient was a 29-year-old woman with a 10-year history of obsessive compulsive disorder who was referred for Eye Movement Desensitisation and Reprocessing (EMDR) when her condition had not responded to cognitive behavior therapy nor to various medications including Fluoxetine, Paroxetine, Clomipramine and Amitriptyline. Her score on the Dissociative Experiences Scale was low and there was nothing in the clinical history to suggest major dissociative disorder, so after preparation with mindfulness, relaxation and safe place imagery she proceeded to treatment with EMDR. Nine months later she reported a relapse into increased anxiety with a partial return to compulsive thoughts and behaviours after she had obtained a herbal health product sold to promote weight loss. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Comment Desensitization Ephedra Letter Luvoxamine Obsessive Compulsive Disorder OCD Plant Preparations Relapse Reply Review Serotonin Uptake Inhibitors

Accuracy Verified: Yes

291. 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

292. 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

293. 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

294. Fine, C. G. (1994, June). Eye movement desensitization and reprocessing (EMDR) for dissociative disorders. Presentation at the Eastern Regional Conference on Abuse and Multiple Personality. Alexandria, VA.

Language: English

Format: Conference

Keywords: Dissociative Disorders Paper

Accuracy Verified: Yes

295. 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

296. Luber, M. (2012). Eye movement desensitization and reprocessing (EMDR) scripted protocols with summary sheets CD-ROM version: Basic and special situations. New York, NY: Springer Publishing, ISBN-13:9780826193414.

Language: English

Format: Book

Abstract:
These scripted protocols and summary sheets in a fill-in PDF format offer the EMDR practitioner an adjunct to the chapters of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. The excerpted digitalized scripts give the clinician a unique opportunity to record data on the computer or as a hard copy. In addition, there are new summary sheets for each chapter to condense the data collected, allowing for quick retrieval. These digital scripts and summary sheets assist in protocol information retrieval for different populations, and facilitate the gathering and organization of important client data, as well as case conceptualization. These forms are available as a digital download or on a CD-ROM and are compatible with any computer or device that supports PDF. Special populations addressed include children, adolescents, couples, and clients suffering from complex posttraumatic stress disorder, dissociative disorders, anxiety, addictive behaviors, and severe pain. Key Features: •Available in an expandable and editable digital format for easy access and customized tailoring •Provides concise summary sheets for quick information retrieval and case conceptualization •Facilitates gathering and organization of protocol and client data •Assists in the formulation of concise and clear treatment plans •Offers select scripts and summary sheets customized for client populations •Includes templates for repeat use

Keywords: Scripted Protocols Special Populations Summary Sheets

Accuracy Verified: Yes

297. Luber, M. (2009). Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (Ed.). New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
EMDR has become an important tool in the use of treating trauma. As therapists have worked with this methodology, EMDR has been used in many different areas of human suffering such as addictions, anxiety, pain, dissociative disorders, and many other issues. Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols serves as a one-stop resource where therapists can access a wide range of protocols, including the past, present, and future templates, as well as any auxiliary information. The book sets forth a template for therapists and researchers to use so that the form of working in the EMDR idiom is consistent, valid, and reliable. Written in an easy-to-use manual style, the book is replete with detailed techniques, exercises, and scripts as developed by recognized EMDR experts.

Keywords: Scripted Protocols

Accuracy Verified: Yes

298. Luber, M. (2009). Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations. New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
EMDR has become an important tool in the use of treating trauma. As therapists have worked with this methodology, EMDR has been used in many different areas of human suffering such as addictions, anxiety, pain, dissociative disorders, and many other issues. Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols serves as an authoritative, one-stop resource where therapists can access the full protocols, including the past, present, and future templates, as well as any auxiliary information. The book sets forth a template for therapists and researchers to use so that the form of working in the EMDR idiom is consistent, valid, and reliable. Written in an easy-to-use manual style, the book is replete with detailed techniques, exercises, and scripts as developed by recognized EMDR experts.

Keywords: Scripted Protocols

Accuracy Verified: Yes

299. Aetna, Inc. (2005, June 28). Eye movement desensitization and reprocessing (EMDR) therapy, No. 0583 (Rev). Aetna Clinical Policy Bulletins.

Language: English

Format: Publication

Abstract:
Policy: Aetna considers eye movement desensitization and reprocessing (EMDR) therapy medically necessary for the treatment of post-traumatic stress disorder (PTSD). Aetna considers EMDR experimental and investigational for the prevention of PTSD or for the treatment of other psychiatric and behavioral disorders including anger, guilt, phobias, dissociative disoders, eating disorders, as well as panic and anxiety disorders other than PTSD because its effectiveness for these indications has not been established.

Keywords: Practice Guidelines

Accuracy Verified: Yes

300. Kim, D., & Choi, J. (2004, November). Eye movement desensitization and reprocessing for disorder of extreme stress: A case report. Journal of the Korean Neuropsychiatric Association, 43(6), 760-763.

Language: Korean

Format: Journal

Abstract:
A chronic psychological disorder is often encountered in adult survivors of severe and repeated child abuse. We report a case of successful Eye Movement Desensitization and Reprocessing (EMDR) treatment in a multiply traumatized survivor whose previous treatments with psychotropic medication and supportive psychotherapy were unsuccessful. A series of consecutive six weekly sessions of EMDR were given. The patient completed Symptom Checklist-90-Revised. Dissociative Experiences Scale. State and Trait Anxiety Inventory, Beck Depression Inventory and Impact of Event Scale-Revised at four points; at two months and a week before EMDR, a week and six months after EMDR. After EMDR, the patient improved on all the measures of scales. These gains were maintained at six months after the termination of treatment. This case suggests a possible application of EMDR with for chronic difficult-to-treat post traumatic conditions.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

301. 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

302. 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

303. 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

304. 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

305. 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

306. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press.

Language: English

Format: Book

Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias.To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text]

Keywords: Abuse Adults Assessment Child Abuse Children DID Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Survivors Veterans

Accuracy Verified: Yes

307. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press.

Language: English

Format: Book

Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias. To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text of 1st Edition]

Keywords: Adults Assessment Child Abuse Children Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Abuse Survivors Veterans

Accuracy Verified: Yes

308. 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

309. Paulsen, S. L. (1993, October). Eye movement desensitization and reprocessing: Its role in the treatment of dissociative disorder. Multiple personality/dissociative states: Dissociation: the next ten years. International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.

Language: English

Format: Conference

Abstract:
Eye Movement Desenitization and Reprocessing (EMDR) is a procedure which uses saccadic eye movements as part of a protrocol to detoxify disturbing memories. EMDR has attracted significant attention because of its claims to facilitate recall of repressed material and to relieve the anxiety rapidly. Some patients are able to recall and resolve a disturbing memory during a single session of EMDR, although complex memories require longer. Shapiro (1989, 1991) first described the use of EMDR in patients with Post Traumatic Stress Disorder, and other case studies have described similar results (Wolpe and Abrams, 1991; Kleinknecht & Morgan, 1992). Prelimary studies in larger groups have been reported (Solomon, 1993; Daniels, 1993; Wilson, 1993). This session will discuss the use of EMDR in patients with dissociative disorders.
This session will present the use of EMDR in three areas of the treatment of dissociative disorders: 1) accessing dissociated BASK elements, 2) crisis management, and 3) abreaction. This will be followed by a discussion involving two senior clinicians, Dr. Walter Young, MD, and Richard Lowenstein, MD. A general question and answer will follow.
1. Sandra Paulsen, PhD., will open the session with a general introduction to EMDR and an overview of the general principles of treatment. Following this, she will present a conceptual framework for understanding the use of EMDR insociative disorders using Braun's BASK model. A videotape will be presented which demonstrates the reassociation, one at a time, of BASK elements.
2) Silke Vogelmann-Sine, PhD, will present cases illustrating the use of EMDR in the management of patients in crisis. It will be suggested that the relief provided by EMDR is long-lasting and that EMDR is a cost-effective way to prevent hospitalizations.
3) Steven Lazrove, MD, will discuss the use of EMDR in abreaction. It is proposed that EMDR allows the abreactive work to progress quiickly without traumatizing the patient. This hyposesis will be supported by the presentation of a case including a videotape of the patient's initial EMDR session.
The purpose of this symposium is to expose clinicians to the use of EMDR in dissociative disorders, only. It is not intended to substitute for formal training in use of EMDR.

Keywords: Dissociative Disorder

Accuracy Verified: Yes

310. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety of disorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes Performance Enhancement

Accuracy Verified: Yes

311. 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

312. Paulsen, S. L., Vogelmann-Sine, S., Lazrove, S., & Young, W. (1993, October). Eye movement desensitization and reprocessing: It’s role in the treatment of dissociative disorders. Symposium conducted at the 10th annual meeting of the International Conference on Multiple Personality/Dissociative States, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociative Disorders Symposium

Accuracy Verified: Yes

313. 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

314. 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

315. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety ofdisorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes Colloquium Performance Enhancement

Accuracy Verified: Yes

316. 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

317. 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

318. Kaslow, F. W. (2007). Family systems theories and therapeutic applications: A contextual overview. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 35-75). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
The purpose of this chapter is to provide a kaleidoscopic overview of the field of family therapy/psychology within which the ensuing chapters can be better understood. To accomplish this massive task within the space limits set, the same format has been followed in the summarization of each of the main theoretical schools. Common key dimensions found in almost all theories are highlighted. The dimensions covered are a synopsis of the theory's basic structure and goals, the techniques and process of each school of therapy, its perceived treatment applicability, and process and/or outcome research on the methodology. Wherever possible, chapters in the book are alluded to in which the author selectively integrates a particular theoretical perspective and treatment approach with his or her Eye Movement Desensitization and Reprocessing (EMDR) clinical work. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Family Systems Theory Family Therapy

Accuracy Verified: Yes

319. 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

320. 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

321. 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

322. 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

323. 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

324. Kernstock-Redl, H. (2007). Fur die praxis: Einsatz von EMDR-geschichten in der psychologischen bertatung und therapie von kinderin [For the practitioner: The use of EMDR-stories in psychological counselling and therapy of children]. Psychologie in Osterreich, 27(1), 34-38.

Language: German

Format: Journal

Abstract:
EMDR und Traumaforschung haben für Geschichten, die das Ziel haben Veränderung zu erleichtern, eine neue, klare Grundstruktur zur Verfügung gestellt. Die darauf basierende Form der „Heilsamen Geschichte“ kann in der klassischen psychologischen, therapeutischen bzw. EMDR-Behandlungen eingesetzt werden. Solche Geschichten können auch mit entsprechender Anleitung bzw. Unterstützung von Eltern geschrieben und vorgelesen werden. Sie dient nicht nur der Verarbeitung von traumatischen Erlebnissen, sondern ermöglicht auch das indirekte Einbringen neuer Lösungsideen und das Verankern von Erfolgserlebnissen und konstruktiven Kognitionen.

Due to research in EMDR and trauma stories intending to make changes easier now have a new and rather simple structure. The so-called “Healing Stories” are based on this new structure. They work very well for conventional psychological counselling, therapy, and EMDR treatment. And they can also be written by parents themselves, who than tell them to their children. “Healing Stories” help resolve traumatic experiences. They also enable you to effortlessly bring in new solutions, a sense of achievement, and positive beliefs.

Keywords: Children Stories

Accuracy Verified: Yes

325. 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

326. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR with people suffering from complex trauma often leads to difficulties regarding the treatment plan, but also during desensitization, reprocessing, with a risk of major destabilization, and treatment drop outs. Often, many targets, especially those coming from early childhood, are pre-‐verbal in nature and stay therefore implicit. Should we then renounce in doing EMDR with these people? Is it possible to apply EMDR safely and without getting lost, adjusting to each person, so different from another, and their life events somewhat chaotic? The gearbox, through the metaphor of a journey by car, suggests a hierarchical processing structure to navigate through therapy with people suffering from complex trauma, which allows the therapist to adapt to the client, his/her life context, knowing what to do, and why. The result is a more self-‐confident therapist, who is able to adapt to the client, being so more flexible and safe while doing EMDR. By integrating the current knowledge of EMDR for complex trauma, the gearbox is a dynamic and adaptive tool.

EMDR en personas que sufren trauma complejo a menudo conlleva dificultades respecto al plan terapéutico y también durante la desensibilización y reprocesamiento, con el riesgo de una desestabilización mayor y el abandono del tratamiento. Con frecuencia, muchos de los objetivos y, muy especialmente los que tienen su origen en la primera infancia, son preverbales y, por lo tanto, permanecen implícitos. ¿Deberíamos renunciar al uso de EMDR con estas personas? ¿Es posible aplicar EMDR de forma segura y sin perderse, adaptándose a cada persona, tan distintas unas de otras, así como a sus eventos de vida, algo caóticos? “Gearbox”, a través de una metáfora de un viaje en coche, sugiere una estructura jerárquica de procesamiento para navegar por la terapia con personas que sufre trauma complejo, lo que permite al terapeuta a adaptarse al cliente, el contexto de su vida, sabiendo qué hacer y por qué. El resultado es un terapeuta con más confianza en sí mismo, capaz de adaptarse al cliente, con mucho más flexibilidad y seguridad mientras utiliza EMDR. Al integrar los conocimientos actuales de EMDR en casos de trauma complejo, “la caja de cambios” es una herramienta dinámica y adaptativa.

Keywords: Gear Box

Accuracy Verified: Yes

327. Fine, C., Paulsen, S., Rouanzoin, C., Luber, M., Puk, G., & Young, W. (2001). A general guide to the use of EMDR in the dissociative disorders: A task force report. In F. Shapiro, EMDR: Basic principles, practices and procedures, 2nd Ed. (pp. 365-369). New York, NY: Guilford Press.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Dissociative Disorders Task Force Report

Accuracy Verified: Yes

328. 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

329. 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

330. Nardo, D., Hogberg, G., Looi, J. C., Larsson, S., Hallstrom, T., & Pagani, M. (2010, May). Gray matter density in limbic and paralimbic cortices is associated with trauma load and EMDR outcome in PTSD patients. Journal of Psychiatric Research, 44(7), 477-485. doi:10.1016/j.jpsychires.2009.10.014.

Language: English

Format: Journal

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder (PTSD) patients. The aim of this study was to evaluate GM density in PTSD in relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Magnetic Resonance Imaging (MRI) scans of 21 subjects exposed to occupational trauma, who developed PTSD (S), and of 22 who did not (NS), were compared by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. Within S, further comparisons were made between 10 R and 5 NR. A regression analysis between GM density and the Traumatic Antecedents Questionnaire (TAQ) was also performed on all 43 subjects. Results showed a significantly lower GM density in S as compared to NS in the left posterior cingulate and the left posterior parahippocampal gyrus. Moreover, NR showed a significantly lower GM density as compared to R in bilateral posterior cingulate, as well as anterior insula, anterior parahippocampal gyrus and amygdala in the right hemisphere. Regression analysis showed that GM density negatively correlated with trauma load in bilateral posterior cingulate, left anterior insula, and right anterior parahippocampal gyrus. In conclusion, a GM lower density in limbic and paralimbic cortices were found to be associated with PTSD diagnosis, trauma load, and EMDR treatment outcome, suggesting a view of PTSD characterized by memory and dissociative disturbances.[Pubmed]

Keywords: Limbic Cortex Posterior Cingulate Posttraumatic Stress PTSD

Accuracy Verified: Yes

331. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used. NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere. To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment. The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.

Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

332. 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

333. 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

334. 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

335. 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

336. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.

Keywords: Affect Theory

Accuracy Verified: Yes

337. 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

338. 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

339. 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

340. 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

341. Brodeur, E. (1995). Heaven’s barbecue. EMDR Network Newsletter, 5(1), 2-3.

Language: English

Format: Newsletter

Abstract:
The client is a 27-year-old woman known to me from her first psychiatric hospitalization 2 1/2 years ago, during which she was diagnosed with Major Depression with psychotic features. She also had dissociative syrnptoms including well-defined "parts," though she did not experience time loss. She had tried about 20 different psychoactive medications prior to her first EMDR session, and had also received outpatient electroconvulsive therapy (ECT) 18 months earlier. During ECT, she maintained a straight-A average in her course work to obtain a second degree in nursing.

Keywords: Practice Theory

Accuracy Verified: Yes

342. 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

343. 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

344. 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

345. Baddeley, M. (1996, March). Hypnotherapy, gestalt, EMDR and the treatment of post traumatic stress. Australian Journal of Clinical and Experimental Hypnosis, 17(1), 41-47.

Language: English

Format: Journal

Abstract:
The paper consists of clinical observations on the use of Gestalt and EMDR under hypnosis for the treatment of post-traumatic stress. The observations are made in the context of 2 cases:(1) an individual who had been bound during an armed hold-up in her home. (2) an emergency services worker suffering from accumulated stress resulting in burn-out. The paper concludes by drawing out a number of principles that give structure to working with the above techniques. [Author Abstract]

Keywords: Gestalt Therapy Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

346. 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

347. 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

348. 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

349. Shusta-Hochberg, S. R. (2003). Impact of the World Trade Center disaster on a Manhattan psychotherapy practice. Journal of Trauma Practice, 2(1), 1-16. doi:10.1300/J189v02n01_01.

Language: English

Format: Journal

Abstract:
On September 11, 2001, when two hijacked planes destroyed the World Trade Center, the world changed. As a clinical psychologist practicing in Manhattan, and specializing in trauma, the author has found the event's impact upon her work to be profound. For most of her patients, in particular the severely dissociative, this event triggered the deepest feelings of vulnerability, fear and rage. She describes the varied trauma responses of her patients, effective interventions, and her own experiences as a psychologist and a New Yorker both on and since September 11. [Author Abstract]

Keywords: 9/11 Americans DID Dissociative Identity Disorder Personal Narrative Posttraumatic Stress Disorder Psychologists PTSD September 11 Survivors Terrorism Terrorist Attacks

Accuracy Verified: Yes

350. Forgash, C. A. (2003, September). Improving survivor’s health with integrated EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop will present an EMDR and Ego State integrated approach dealing with the health problems of child sexual abuse survivors (CSAS). These problems are exacerbated by dissociative and PTSD symptoms and may have affected clients accessing health care. These complex clients require tri-phased treatment approach which includes an extended preparation phase (to help CSAS manage triggers and avoid retraumatization in the healthcare setting) desensitization and reprocessing of earlier trauma, including both sexual abuse and medical situations, and the future template phase where consumer skills development will be planned, rehearsed and installed. The workshop will include handouts, bibliography, and a slide presentation.

Keywords: Ego State Therapy

Accuracy Verified: Yes

351. Twombly, J. H. (2000). Incorporating EMDR and EMDR adaptations into the treatment of clients with dissociative identity disorder. Journal of Trauma and Dissociation, 1(2), 61-81. doi:10.1300/J229v01n02_05.

Language: English

Format: Journal

Abstract:
This paper offers ways to incorporate Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of clients with Dissociative Identity Disorder (DID). Uses of EMDR detailed can be applied to Dissociative Disorder, Not Otherwise Specified (DDNOS) and ego state work. EMDR is a therapeutic method using alternating bilateral stimulation (ABS) that integrates traumatic memories with adaptive reasoning and the patient's own resources, resulting in accelerated information processing and healing. DID is a complex disorder suffered by clients who have often experienced multiple childhood traumas. They live with what Kluft terms a "multiple reality disorder," and describes as living in "...several parallel but incompletely over-lapping constructions of the world and of life experience." An asset with EMDR is that it can accelerate the treatment process. A liability is that its incorrect use can accelerate decompensation for fragile clients, e.g., those with complex trauma histories or DID. This paper offers suggested uses of EMDR and EMDR adaptations to facilitate learning, intervene in multiple reality disorder, decrease some negative transferences, and to provide a protective format for processing traumatic material. [Author Abstract]

Keywords: Dissociative Identity Disorder Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

352. Twombly, J. (2004, September). Incorporating EMDR and EMDR adaptations into the treatment of dissociative disorders. Presentation at the annual mmeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and Reprocessing in the treatment of clients with Dissociative Identity Disorder (DID). Dissociative Disorder Not Otherwise Specified (DDNOS) and ego state work. DID and DDNOS are complex disorders suffered by clients who have often experienced multiple childhood traumas. Used carefully. EMDR and EMDR adaptations can accelerate the treatment process. A liability is that its introject use can accelerate decompensation. This workshop offers suggested uses of EMDR and EMDR adaptations to facilitate Stabilization, orientation to the present, decrease some negative transferences and to provide a protective format far processing traumatic material.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

353. 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

354. Paulsen, S. (2009, August). Infant alters and conversion seizures: EMDR with ego-state and somatic interweaves. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The recent literature on conversion seizures suggests that they are not only traumatic but dissociative in nature. In two cases, the presenter has found conversion seizures to be manifestations of infant alters. The presentation will convey, by lecture and videotape, the treatment of a remarkable client and how EMDR, Ego-State Therapy, and somatic interweaves were seminal in treating conversion seizures to remission. The video illustrates AIP and Porges polyvagal theories’ expression in infant trauma and will illustrate how the therapeutic relationship and increased compassion between parts of self are avenues for the transformation of attachment injury in EMDR.

Keywords: Conversion Seizures Ego-State Interweaves Infant Alters Somatic Interweaves

Accuracy Verified: Yes

355. Fenstermaker, D. (1991). An innovative abreactive process for dissociative disorders: Eye movement desensitization and reprocessing (EMDR). Presentation at the California Psychological Association Annual Conference, San Diego, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

356. Yang, Y. (2005, June). An integrated grief-focused intervention after the death of a chief teacher. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
During the SARS outbreak in 2003, a chief middle school teacher in Beijing unfortunately died of the disease. After her death, her students and colleagues fell into a state of emotional and behavioral disturbance. We describe in this paper a grief-focused intervention program offered by the community-based youth hotline crisis intervention group and the school counselor. In particular, the paper focuses on describing in detail a group based intervention program for the affected students, including its administrative structure, therapeutic objectives and interventions, and group process. The intervention protocol was designed by combining cognitive behavior and social therapy with some adapted skills of Eye Movement Desensitization and Reprocessing (EMDR). It was found that stabilization and installation were strongly significant in helping the students to recover from this traumatic event by focusing on positive resources. We argue that in the Chinese cultural context, it is most important to build such an integrated crisis intervention scheme to cope with such an event.

Keywords: China Grief Psychotrauma Slovakia Symposium

Accuracy Verified: Yes

357. Litt, B. K., Forgash, C., & Twombly, J. (2002, November). Integrating ego state therapy and EMDR in the assessment and treatment of dissociative disorders. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociative Disorders Ego State Therapy

Accuracy Verified: Yes

358. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.

Language: English

Format: Book Section

Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models

Accuracy Verified: Yes

359. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Egp State Therapy Dissociative Disorders Trauma

Accuracy Verified: Yes

360. 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

361. Gelinas, D. (2003). Integrating EMDR into phase-oriented treatment for trauma. Journal of Trauma and Dissociation, 4(3), 91-135. doi:10.1300/J229v04n03_06.

Language: English

Format: Journal

Abstract:
Originally introduced a century ago by Pierre Janet, phase-oriented treatment has been independently proposed by many authors and is now widely considered by trauma specialists to be the treatment of choice for PTSD and other posttraumatic disorders. Much more recently, introduced by Francine Shapiro in 1989, Eye Movement Desensitization and Reprocessing (EMDR) has also become available for the treatment of PTSD and other trauma-based disorders. EMDR has become widely accepted by clinicians and has received strong support regarding its efficacy from a wide range of empirical studies. However, with a very few exceptions (highlighted in this paper), these two major approaches for treating trauma have developed largely independently. The present paper integrates the major EMDR developments with the different stages of the phase-oriented approach to assess if such an integration is conceptually and clinically useful. The EMDR developments integrated into the phases of trauma treatment include: Shapiro's prototypic protocol for PTSD and the protocols for other trauma-based disorders, safety protocols, Leeds' and Korn's work with Resource Development and Installation, and Kitchur's Strategic Developmental Model for EMDR. The usefulness of integrating phase-oriented treatment and EMDR is then assessed. These approaches were found to strongly complement each other in their clinical strengths and weaknesses, while sharing many underlying theoretical and structural elements. [Author Abstract]

Keywords: Dissociative Identity Disorder Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

362. 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

363. Peterson, G. (2002, November). Integrating EMDR with energy healing in the treatment of DID. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder Energy Psychology Energy Therapies

Accuracy Verified: Yes

364. Paulsen-Inobe, S. L. (2001, December). Integrating EMDR, ego state therapy, and dissociative table: A cartooning psychologist's glimpse into the mind's eye. Presentation at the annual meeting of the International Society for the Study of Dissociation, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociative Table Ego State Therapy

Accuracy Verified: Yes

365. 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

366. 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

367. Keenan, L. (2010, June). The integration and progression of EMDR within a generic primary care mental health service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2007 the Department of Health (DoH. UK) published "Improving Access to Psychological Therapies" (IAPT). This meant that primary care mental health services (PCMHS) had to seriously consider the mode, method and efficacy of their service delivery. This paper will consider one such service, critically reflecting on the integration of EMDR as a mainstream therapeutic intervention. The service utilises therapists from various therapeutic paradigms, counselors, graduate workers, cognitive behavioural psychotherapists, cognitive analytical psychotherapists, clinical psychologists and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders, OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts, One EMDR Consultant/Facilitator, three accredited practitioners, three level three trained therapists and two clinicians at level two. This paper will present a brief history of the development of EMDR within the PCMHS, exploring how EMDR has been utilised not only in the treatment of PTSD (NIHCE 20051, but also in the treatment of other psychological pathologies. The paper will highlight the number of clients treated with EMDR (retrospectively over a twelve month period), the average number of sessions per client and the therapeutic outcomes as measured by the Patients Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et al 2006). The Dissociative Experience Scale is used when considering EMDR as an intervention strategy and the Impact of Events Scale- Revised (WEISS et al 2004) when appropriate. The paper will conclude with a brief analysis of qualitative data from clinicians as to the impact EMDR has had on their clinical practice. Learning Outcomes: By the conclusion of the presentation the participants will: 1. Be able to discuss the application of EMDR in the treatment of psychopathologies other than PTSD. 2. To consider the integration of EMDR with other psychotherapeutic paradigms. 3. To critical consider the treatment outcomes and in particular the cost effectiveness of EMDR as a psychotherapeutic tool in a generic primary care setting. 4. Be aware of the ethical and political considerations of integrating EMDR into a generic primary care mental health service. Innovation: This work is innovative as it focuses on how EMDR can be utilised within generic mental health services. It critically reflects on the phenomenology of integrating EMDR into a PCMHS and it has encouraged the training of other EMDR clinicians outside of the primary care mental health team.

Keywords: Generic Primary Care Symposium Training Issues

Accuracy Verified: Yes

368. 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

369. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: German

Format: Conference

Abstract:
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.

The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.

Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy

Accuracy Verified: Yes

370. Kim, N. (2011, Spring). An integrative program to treat refugees suffering from PTSD through group EMDR. Saint Mary’s College of California. 1502784.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this project was to provide a guide for practioners to treat refugees who are suffering from posttraumatic stress disorder with eye movement desensitization reprocessing in a group environment. The literature has shown that using EMDR in a group setting can be effective in treating a larger number of individuals than individual psychotherapy. In addition, the structure of the group presented is a brief group intervention model aimed at treating groups of six to eight individuals in four to eight weekly sessions.

Keywords: Groups Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

371. 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

372. Affonso, S. D. S. (2012, Novembro). Intervenção do EMDR em uma situação de luto traumático infantil: Vivência de uma criança de seis anos no adoecimento e morte de sua irmã de dois anos vítima de leucemia [EMDR intervention in a situation of childhood traumatic grief: Experiences of a child of six years in the illness and death of her sister two years of leukemia victim]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Em uma família com estrutura complexa: a mãe vive há 14 anos durante o dia com o companheiro que é casado com outra mulher (com quem passa as noites) e teve dois filhos desse relacionamento. Importante ressaltar que a mãe vivia nas ruas e teve uma nova chance ao ser acolhida por uma madrinha. A menina, de dois anos, adoeceu e faleceu vítima de leucemia. O menino, de seis anos, passou a apresentar comportamento agressivo na escola, dificuldade de aprendizagem, dispersão e insônia. A madrinha foi quem procurou o EMDR por telefone. Com seis sessões, intercalando atendimentos à mãe e à criança, com uso de EBs auditivos para a mãe e EBs visuais para o segundo, desenhos para ambos, relato de sonhos, e na última sessão com mãe e filho, com o uso de um ritual de despedida com a linha do tempo. Nesta última, contaram sobre as melhoras do menino em dormir e em seu aproveitamento escolar. Aproveitaram para dizer que os sonhos continuavam encaminhados e estavam finalmente começando a dar certo.

In a family with complex structure: the mother lives 14 years ago during the day with a partner who is married to another woman (who spends his nights) and had two children from that relationship. Importantly, the mother lived on the streets and had another chance to be accepted by a sponsor. The girl, two years old, fell ill and died of leukemia. The boy, six years old, began to show aggressive behavior in school, learning difficulties, insomnia and dispersion. The godmother was the one who tried EMDR by phone. With six sessions, alternating visits to the mother and child, using EBs hearing for the mother and for the second visual EBs, drawings for both reporting of dreams, and last sessions with mother and child, with the use of a ritual farewell to the timeline. In the latter, told the boy about the improvements in sleep and in their school. Took the opportunity to say that dreams were still underway and finally starting to go right.

Keywords: Childhood Trauma Family Grief Process

Accuracy Verified: Yes

373. Snyder, M. (1996, December). Intimate partners: A context for the intensification and healing of emotional pain. Women and Therapy, 19(3), 79-92. doi:10.1300/J015v19n03_08.

Language: English

Format: Journal

Abstract:
A case of a lesbian couple is presented in which one partner experienced early sexual abuse and the other a series of major losses (beginning with the death of her mother) in early childhood. The first partner developed an alcohol addiction and the second a high level of emotional lability and some practices of self-harm. Both partners developed dissociative patterns. The couple is now in a committed relationship and have continued in therapy for the last 9 months, with sessions gradually becoming less frequent. The therapeutic work has included the "externalization" of the problem(s), some individual work within the couple session using Eye Movement Desensitization and Reprocessing (EMDR), and a strong emphasis on the development of empathic skill through the technique of "becoming" the other person. The case reveals the way in which a primary relationship often surfaces intense unresolved feelings and dysfunctional relationship practices, and also the way in which emotional commitment and a structure for the couple becoming therapeutic agents to each other allows for a deep level of healing. The couple comments on their relationship process and the therapeutic process as part of the article. [Author Abstract]

Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors

Accuracy Verified: Yes

374. 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

375. 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

376. 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

377. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA) and Chi-Square tests to examine the relationships between Questionnaire items for significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice and integration issues. This qualititative data was content analyzed. No differences were found between both groups on Biodata factors, years of experience as a Therapist or years using EMDR which gives further confidence in the results when comparing both cohorts. Results: Respondents endorsed two types of explanation as to why they believed EMDR works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes (77%) and Adaptive Information Processing (73%). This suggests that Therapists are not just following Shapiro’s AIP model slavishly but are rather making up their own minds. There were no significant differences between Analytic, CBT, Integrative and Humanistic Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical practice than Analytic or Humanist Therapists. This finding was supported by the results of the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced difficulties in integrating EMDR into their clinical practice, post training. The types of difficulties identified included: Differences in theoretical beliefs, more active style of EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational issues and hostility from clinical colleagues, bullying, lack of supervision and support post training. Conclusions: The results of this study confirm findings from earlier studies regarding Therapists’ beliefs about EMDR but also extend those finding internationally so that previous findings can now be accepted as universal given that this present study contained respondents from three other continents other than North America. This study also found that up to 40% of Therapists trained in EMDR experienced significant difficulties in integrating EMDR into their clinical practice post-training. Analytic and Humanist Therapists reported the biggest difficulties which included conflict with the Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist confidence and lack of supervision and support, Organizational and Management issues of opposition to EMDR and Therapist Bullying. The implications for EMDR training are discussed and communicated to relevant EMDR Training Organizations.

Keywords: Poster Research Therapist's Beliefs

Accuracy Verified: Yes

378. 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

379. de Jongh, A. (2008, September). Is EMDR mogelijk bij mensen met borderline of DIS [Is EMDR possible in people with borderline or DIS]. Psychologie Magazine. Retrieve January 23, 2013 from http://www.psychologiemagazine.nl/.

Language: Dutch

Format: Magazine

Abstract:
Kan iedereen gebruik maken van EMDR? Ik heb namelijk ergens gelezen dat het niet goed zou zijn voor mensen met borderline en mensen met DIS (een dissociatieve identiteitsstoornis), alhoewel bij deze mensen ook vaak sprake is van PTSS (een posttraumatische stress-stoornis). Kunt u mij eventueel ook vertellen waarom dit niet goed zou zijn. Kent u een andere goede therapie voor deze mensen als EMDR niet wenselijk is?

Can anyone use EMDR? Because I have read somewhere that it would not be good for people with borderline and those with CIS (dissociative identity disorder), although these people are often given of PTSD (post traumatic stress disorder). Can you tell me possibly why this would not be good. Do you know of another good therapy for them as EMDR is not appropriate?

Keywords: Dissociative Identity Disorder

Accuracy Verified: Yes

380. 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

381. 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

382. 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

383. 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

384. Hull, T. (1999, June). Jungian “active imagination” and EMDR: A synergistic therapy convergence. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the similarities between "active imagination" and EMDR dissociative processing; 2) appreciate the therapeutic/personal value of EMDR-linked "active imagination;" 3) have a personal experience of EMDR-linked "active imagination;" 4) be able to use this theoretical construct and therapy technqiue with her/his clients/patients/analysands.

Keywords: Active Imagination Jungian

Accuracy Verified: Yes

385. Becher, M. (2002, Mai). Kasuistik einer patientin mit dissoziativer identitätsstörung [Case report of a female patient with dissociative identity disorder]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.

Language: German

Format: Conference

Abstract:
Chairs: Meusers, M. & Freiha, T.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

386. 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

387. 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

388. Tripolt, R. (2008, September). Körpererfahrung und EMDR-prozess [Body experience and the EMDR process]. Vortrag im Rahmen der Pre-Kongress zum Thema EMDR bei der Vorkkongress EMDR beim Europaischen Hypnoeskongress, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Menschen die an einer PTBS und deren Folgen leiden, erleben den Körper und dessen Symptome oft als Feind. Die sanfte, geleitete Schulung der Körperwahrnehmung ist ein Weg sich mit dem Körper anzufreunden. Lernen, angenehme Körperempfindungen wahrzunehmen erhöht das Vertrauen und erleichtert die Verarbeitung schmerzvoller Erfahrungen. Lernen mit unangenehmen oder schmerzhaften Körperwahrnehmungen umzugehen, reduziert die Angst. Den Focus auf die Körpersensationen zu richten, setzt voraus, mit den auftretenden Körpererinnerungen, Schmerzen und/oder der Übererregung fertig werden zu können. Die Kombination von Körper- und Körperimpulswahrnehmung und bewusster Bewegung im EMDR Prozess gibt die notwendige Sicherheit und erlaubt durch tiefe und bewußte Körpererfahrung eine sanfte Verarbeitung und Integration traumatischer Erfahrungen. Stabilisierungsphase: Aufbau und Verankerung positiver Körpererfahrung und Körperressourcen mit bilateraler Stimulierung. Schulung der sinnlichen Wahrnehmung und deren Verbalisierung. Psychoedukation in Hinblick auf amnestische und/oder vorsprachlich codierte Erfahrungen im sinnlich, körperlichen Bereich. EMDR Prozess: Erweiterung des EMDR Protokolls um das Installieren von Körperressourcen. Einweben von Bewegungsimagination und gerichteter Aufmerksamkeit auf bewusste Handlungsimpulse. Bewusstmachen und therapeutisches Nutzen von Körperhaltungen, Bewegungsimpulsen und Bewegungen während der Prozessierungsphase. Abschluss und Integration: Körpertest vor Abschluss des Protokolls. Integration von neuer Körpererfahrung in Bewegung, Handlung und Begegnung. Führen eines Therapietagebuchs mit den Kategorien: Ich denke (Kognition) – Ich fühle(Emotion) – Ich spüre (sinnliches Erleben).

People suffering from PTSD and the consequences of experiencing the body and its symptoms often an enemy. The gentle, conducted training of body awareness is a way to make friends with the body. Learning to perceive pleasant body sensations increased confidence and facilitate the processing of painful experiences. Learning to deal with unpleasant or painful body awareness, reduces anxiety. The focus to addressing the body sensations presupposes being able to cope with the developing body memories, pain and / or hyperarousal. The combination of body and body movement in the conscious perception and impulse EMDR process provides the necessary security and allows the body through deep and conscious experience a gentle processing and integration of traumatic experiences. Stabilization phase: structure and anchoring positive body experience and body resources with bilateral stimulation. Training of sensory perception and its verbalization. Psychoeducation in terms of amnesic and / or encoded preverbal experience in sensual, physical area. EMDR process: expansion of the EMDR protocol for the installation of body resources. Weaving of movement and imagination directed attention to conscious action impulses. Awareness and therapeutic benefits of postures, movement, impulses and movements during the Prozessierungsphase. Completion and integration: body test before the conclusion of the Protocol. Integration of new body of experience in movement, action and encounter. Run a therapy diary with the categories: I think (cognition) - I feel (emotion) - I feel (sensory experience).

Keywords: Body Experience

Accuracy Verified: Yes

389. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute. Tre gli elementi salienti offerti dalla ricerca: 1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni. 2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari. 3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente. Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce. Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico). A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali. Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa. Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione. Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio. E questo è un punto di forza notevole per l’EMDR. I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008). L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).

In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that -- relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a "Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008). EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).

Keywords: Body-Mind Interaction PNEI

Accuracy Verified: Yes

390. 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

391. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.

Language: French

Format: Other

Abstract:
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite enfance sont de nature préverbale et restent de ce fait implicites. Devons-‐nous pour autant renoncer à travailler en EMDR ? Est-‐il possible de travailler en EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.

EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major termination of treatment. Often, many targets, especially those of small preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.

Keywords: Gearbox

Accuracy Verified: Yes

392. Miti, G., & Onofri, A. (2011, Guigno). La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR [Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach]. Cognitivismo Clinico, 8(1), 73-91 .

Language: Italian

Format: Journal

Abstract:
Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.

The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

393. 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

394. 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

395. Solvey, R. (2003, Febrero). Lineamientos generales para el tratamiento de los trastornos disociativos [General guidelines for the treatment of dissociative disorders]. Presentación en: 4º Congreso Virtual de Psiquiatría.

Language: Spanish

Format: Conference

Abstract:
En este trabajo se desarrollan los lineamientos y criterios generales para el tratamiento de los trastornos disociativos. Dichos tratamientos, entre los que se destaca el EMDR, presetan una serie de características particulares, que serán reseñados.

In this paper we develop guidelines and criteria for the treatment of dissociative disorders. Such treatments, among which stands out the EMDR present a number of features which will be outlined.

Keywords: Dissociative Disorders Psychotherapy

Accuracy Verified: Yes

396. 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

397. 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

398. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Dual Attention

Accuracy Verified: Yes

399. 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

400. 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

401. Giannantonio, M. (2001, Ottobre). L’eye movement desensitization and reprocessing (E.M.D.R.) negli adulti e adolescenti abusati sessualmente in età infantile [The eye movement desensitization and reprocessing (EMDR) in adults and adolescents sexually abused in childhood]. Congresso AIAMC, Palermo, Italia.

Language: Italian

Format: Conference

Abstract:
L’Eye Movement Desensitization and Reprocessing (EMDR) nasce come interevento elettivo nella terapia del Disturbo Post-traumatico da Stress (PTSD) e, in particolar modo nelle fasi iniziali del suo consolidamento clinico e teoretico, ha calibrato il proprio protocollo di intervento standard sul PTSD generato da combattimenti bellici, catastrofi naturali e provocate dall’uomo. L’abuso sessuale, soprattutto se avvenuto nell’infanzia, in modo prolungato ed all’interno di un contesto familiare (ovvero il tipo di abuso sessuale sul quale concentrerò ora la mia attenzione), è un tipo di evento traumatico che può presentare caratteristiche peculiari: elementi dissociativi da marcati ad assenti, alterazioni mnestiche e codifiche mnestiche statodipendenti, massicci meccanismi di repressione operanti anche per decenni, condizionamento negativo dell’evoluzione del sistema comportamentale dell’attaccamento, presenza di memorie somatiche di difficile gestione da parte del paziente, disturbi sessuali, difficoltà nell’instaurazione e nel mantenimento della relazione terapeutica. L’abuso sessuale intrafamiliare si accompagna abitualmente alla trascuratezza emotiva ed alla violenza psicologica, in alcuni casi anche a quella fisica. Di fronte ad un quadro 2 clinico così complesso (laddove la presenza di PTSD è semplicemente uno dei possibili esiti psicopatologici, e con ogni probabilità non il più frequente), l’intervento con l’EMDR richiede modificazioni rispetto al protocollo standard di intervento per il PTSD ma, soprattutto, l'inserimento all'interno di un intervento clinico di respiro decisamente più ampio rispetto all’impiego di algoritmi terapeutici ridotti all’essenziale. Il sottoscritto ritiene che, al momento attuale, lo studio più approfondito sull’argomento sia una pubblicazione di Laurel Parnell del 1999. Personalmente, ed in modo concorde con quest’ultimo autore, ho verificato la notevole efficacia nell’operare con l'EMDR - anche molto direttivamente - sulla storia di attaccamento del paziente al fine di colmarne le falle evolutive o eliminare gli ostacoli per il conseguimento di questo fondamentale obiettivo terapeutico.

The eye movement desensitization and reprocessing (EMDR) is born as interevento elective in the treatment of Posttraumatic Stress Disorder (PTSD) and, especially in the early stages of its consolidation clinical and theoretical, has calibrated their intervention protocols for the standard PTSD generated by fighting wars, natural disasters and caused man. Sexual abuse, especially if done in childhood, so Prolonged and within a family context (ie the type of abuse which focus on sex now my attention) is a type of event trauma that may have special characteristics: elements dissociative to be marked absent, changes in mnemonic and mnemonic encodings statodipendenti, massive repression mechanisms operating for decades negative evolution of behavioral conditioning system attachment, presence of somatic memories of unmanageable the patient's sexual problems, difficulty in establishing and maintaining the therapeutic relationship. Sexual abuse is intrafamilial usually accompanies the emotional neglect and violence psychological, in some cases to physical. Faced with a framework 2 clinical as complex (where the presence of PTSD is simply a possible outcomes of psychopathology, and probably not the most frequent), intervention with EMDR requires changes compared to standard protocol of intervention for PTSD but, more importantly, the inclusion within a clinical intervention to breath much larger than use of therapeutic algorithms reduced to essentials. My opinion that, at present, more thorough study on the subject is a Published by Laurel Parnell in 1999. Personally, and so agreed with this page, I checked the remarkable effectiveness in working with EMDR - very directly - on the history of attachment of the patient in order to bridge the evolutionary gaps or eliminate obstacles to achieving this important therapeutic target.

Keywords: Adolescents Adults Postttraumatic Stress Disorder PTSD Sexual Abuse

Accuracy Verified: Yes

402. 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

403. 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

404. 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

405. Yordy, J. (2013, May). Making the brain/body connection: Using brain gym techniques to enhance child EMDR processing. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop is a presentation which encompasses the Triune Brain Theory, Educational Kinesiology and recent research on trauma and how it effects brain development and functioning. Information will be presented on the Triune Brain Theory and how “bottom up” processing can block EMDR from working with traumatized children. A description of the energy blockages in the brain and how they can be detected and then eliminated through Brain Gym exercises will comprise the second part of this educational workshop. The difference between hyper arousal and dissociative responses and which brain centers are involved will be explained in order to understand the adaptive, evolutionary response of the brain when the child/adult is experiencing trauma. Throughout the workshop will be experiential Brain Gym exercises. This format is designed to encourage greater understanding of the whole brained effects of the exercises as participants learn these tools. Several other exercises which reduce stress and connect the three levels of the brain for efficient, whole-brained processing will also be incorporated. Several case examples will be shared to illustrate how the Brain Gym exercises become part of the child’s coping resources and eventually facilitate the processing of his/her traumaLearning Objectives: • The participants will be able to demonstrate and describe the benefits of a Brain Gym Warm Up to create full brain activation and a relaxed processing state. • Participants will be able to describe the Triune Brain Theory and how trauma creates “bottom up” processing instead of “top down” processing. • Participants will be able to demonstrate specific exercises for reducing stress/trauma within the Central Nervous system thus enhancing a child’s sense of safety. • Participants will be able to identify 5 brain/energy imbalances and how they block EMDR processing. • Participants will be able to identify and explain the Brain Gym exercises which correct each of the 5 brain/ body/energy imbalances.

Keywords: Brain Gym Children

Accuracy Verified: Yes

406. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Great strides have been made in applying EMDR to different populations with a variety of diagnoses. Integrating this powerful treatment into couples therapy is relatively new and very promising. By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic presentation and case illustration, participants will understand the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be able to identify clinical manifestations of ego state conflict in conjoint sessions, including the doublebind, split loyalty, and reenactments. Participants will be able to use this learning to diagnose the interlock of negative cognitions in their client couples, and implement strategies to contract for individually-focused EMDR therapy. Participants will be able to explain to clients the risks and benefits of conjoint EMDR, and understand the contraindications for conjoint EMDR. Participants will learn a model of EMDR treatment planning that includes target selection and salience, and will be able to utilize a progressive sequence of techniques for facilitation EMDR processing with dissociative clients who are blocked, looping, or at risk of abreaction.

Keywords: Couples Therapy Ego State Therapy

Accuracy Verified: Yes

407. Litt, B. (2007, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Participants will learn about the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of differentiation. Participants will be able to diagnose the interlocking of negative cognitions of client couples and implement strategies to contract for individually focused EMDR. Participants will understand the risks and benefits of conjoint EMDR. Participants will learn a model of EMDR treatment planning that describes target selection and salience.

Keywords: Couples Therapy Ego State Therapy

Accuracy Verified: Yes

408. 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

409. 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

410. 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

411. 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

412. 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

413. 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

414. 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

415. 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

416. 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

417. 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

418. 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

419. Forgash, C. (2007, September). The negative impact of complex PTSD on health: an EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Integrated Treatment Phased Treatment Plan

Accuracy Verified: Yes

420. 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

421. 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

422. 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

423. 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

424. 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

425. Pagani, M., Salmaso, D., Flumeri, F., & Hogberg, G. (2008, June). The neurobiological substrates of PTSD and EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
In the recent years, the number of studies using neuro-imaging to evaluate neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) can now reliably detect changes in cerebral blood flow (CBF) and metabolism patterns, suggesting a specific role for each of the brain areas in various components of emotional processing. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes. Some regions have been reported to be associated with emotional response to trauma, and with symptom formation in posttraumatic stress disorder (PTSD). Several studies have provided evidence for the efficacy of Eye Movement Desensitization and Reprocessing therapy (EMDR) in the treatment of PTSD. However a very limited number of studies have investigated the neurobiological substrate of such therapy in clinical practice. SPECT and MRI studies, performed to examine the effects of EMDR on brain patho-physiology have provided some preliminary evidence that changes in brain CBF and structure patterns may follow effective treatment. In general in PTSD and in anxiety disorders functional deactivations parallel symptoms relief and decreased hyperreactivity to emotional and memory disturbances. Functional neuro-imaging is a promising tool for the investigation of the physiological impact of psychotherapy in anxiety related disorders and may thus pave the road for a better detection of its effects in psychiatric treatment. The scientific literature reporting PTSD/EMRD related neuro-imaging studies will be extensively reviewed.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

426. 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

427. Schore, A. (2000, September). The neurobiology of attachment and the origin of self: Implications for theory and clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
The participant will: 1) learn how the attachment relationship acts to regulate the child's emotional state; 2) learn how these interactions influence the experience-dependent maturation of the infant's right hemisphere; and 3) learn the structure-function relationships of a regulatory system in the orbital prefrontal areas of the cortext.

Keywords: Neurobiology

Accuracy Verified: Yes

428. 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

429. 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

430. 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

431. Bossini, L., Poliziotto, N., Tavanti, M., Calossi, S., Lombardelli, A., Vatti, G., & Castrogiovanni, P. (2006, Febbraio). Neuroimaging e PTSD: Dati morfovolumetrici e loro variazioni dopo trattamento [Neuroimaging and PTSD: Facts morfovolumetrici and their changes after treatment]. Presentazione al Congresso XI SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Introduzione: molti studi concordano sulla riduzione del volume ippocampale nei pazienti affetti da PTSD 1 e che tale alterazione anatomica è correlata con deficit cognitivi e con la gravità dei sintomi. Comunque ad oggi non è stato ancora chiarito se l’atrofia ippocampale rappresenta l’esito di un effetto neurotossico del trauma o, piuttosto, una condizione preesistente che predispone allo sviluppo di alcune patologie psichiatriche. Già da tempo studi su animali dimostrano come lo stress causi atrofia ippocampale e inibizione della neurogenesi, con meccanismi verosimilmente legati ai glucocorticoidi, all’increzione del fattore corticotropo, all’aumento degli aminoacidi eccitatori, all’inibizione fattore neurotrofico cerebrale con perdita della plasticità neuronale. Nell’uomo, tuttavia, i risultati non sono così lineari. Da un lato alcuni studi hanno individuato come fattore principale l’aumento dei glucocorticoidi 2, dall’altro tale teoria è stata fortemente criticata 3. Secondo Yehuda il meccanismo di atrofia ippocampale è dovuto ad un’alterazione dell’asse Ipotalamo-Ipofisi-Surrene (HPA), ma in termini di una bassa increzione di glucocorticoidi che determina un aumento del feedback negativo dell’asse stesso ed un’ipersensibilità recettoriale. Indipendentemente dal meccanismo d’azione, la perdita di neuroni a livello ippocampale nei soggetti che hanno subito eventi traumatici sembra sufficientemente dimostrata e, fino a poco tempo fa, era considerata irreversibile. In realtà l’ippocampo sembra presentare una inusuale e spontanea capacità rigenerativa. Questo dato è stato individuato in molte specie animali e, in un unico studio, anche nell’uomo 4. Inoltre recenti evidenze pre-cliniche e cliniche hanno indicato che gli SSRI (Selective Serotonin Reuptake Inhibitors) promuovono la neurogenesi e riducono l’atrofia ippocampale indotta dallo stress nell’animale 5 e nell’uomo sono in grado di ridurre i sintomi del PTSD, incrementare le dimensioni dell’ippocampo e ridurre i deficit mnesici tipici della patologia 6 7. Un altro fattore che sembra essere in grado di stimolare la neurogenesi negli animali sembra essere “l’ambiente arricchito” verosimilmente tramite i meccanismi molecolari dell’apprendimento che sembrano in grado di attivare la trascrizione dell’mRNA per il Brain Derived Neurotrophic Factor. Questo dato della letteratura supporta il razionale dell’efficacia della psicoterapia anche se l’unico studio che valuta le modificazioni morfostrutturali dopo psicoterapia non ha riportato risultati positivi 8. Gli scopi di questo studio sono: – valutare la presenza di atrofia ippocampale nei pazienti affetti da PTSD (T0-drug-free); – valutare l’effetto della terapia: farmacologica con SSRI e psicoterapica con EMDR (Eye Movement Desensitization and Reprocessing) sia sul piano clinico e neuropsicologico, che sul volume ippocampale, sia sulla memoria (T1). Metodologia: abbiamo analizzato un campione di 20 pazienti, di età compresa tra i 15 ed i 65 anni, reclutati nell’ambulatorio psichiatrico del Policlinico universitario di Siena affetti da PTSD e un gruppo di controllo di soggetti sani appaiati per sesso, età, peso e altezza. I soggetti di entrambi i gruppi sono stati sottoposti ad uno studio morfovolumetrico computerizzato dell’Ippocampo tramite RM (Risonanza Magnetica). Inoltre, i diciassette pazienti con PTSD sono stati valutati tramite la somministrazione di test neuropsicologici e scale psicometriche per approfondire il quadro psicopatologico e valutare l’eventuale presenza di deficit cognitivi. Nei soggetti affetti da PTSD dopo un periodo di sei mesi di terapia psicofarmacologica sono stati ripetuti i test neuropsicologici, le scale psicometriche e l’analisi morfovolumetrica dell’ippocampo tramite RM. Tre pazienti, dopo le valutazioni al T0, hanno effettuato un protocollo terapeutico con solo EMDR e sono stati rivalutati dopo 8 sedute (due mesi). Risultati: i risultati della prima parte sperimentale (T0-drug-free) evidenziano che le dimensioni dell’ippocampo di sinistra nei soggetti affetti da PTSD sono significativamente minori rispetto ai controlli sani. Dai risultati osservati al follow-up (T1-post-terapia) è possibile evincere che la terapia nei soggetti considerati è associata ad un miglioramento della sintomatologia e ad un aumento dei volumi ippocampali, pari al 9,87% per l’ippocampo di destra e dell’8,37% per l’ippocampo di sinistra. Questi dati sono concordi con i dati presenti in letteratura, anche se la percentuale di recupero su base neuroplastica nel nostro studio risulta sensibilmente superiore rispetto ai due studi presenti in letteratura incremento pari al 4,6% 6; pari al 5% 7. I tre pazienti che hanno effettuato terapia con EMDR hanno anch’essi mostrato al T1 un miglioramento sintomatologico (CAPS non più positiva per i criteri diagnostici) ed un aumento medio dei volumi ippocampali pari a 338,25 mm3 per l’ippocampo DX e 357,93 mm3 per l’ippocampo SN. Conclusioni: la terapia nei soggetti considerati si è associata ad un aumento dei volumi ippocampali (9,87%-8,37%). L’aumento dei volumi ippocampali appare rilevante, consistente con i dati in letteratura, sebbene quantitativamente superiore, sottolineando l’efficacia degli SSRI verosimilmente tramite il meccanismo di attivazione della neurogenesi; è ipotizzabile che l’aumento di volume non sia da imputare ad un aumento delle cellule gliali ma ad un aumento di neuroni ippocampali visto il contemporaneo miglioramento clinico. Particolarmente interessante ci sembra il dato relativo all’efficacia clinica e sulla plasticità neurale della EMDR. Questa osservazione su solo tre casi, necessita chiaramente di essere confermata su un campione più ampio ma rappresenta la prima evidenza in letteratura di un’azione della psicoterapia diretta alla struttura cerebrale.

Introduction: Many studies agree on the reduction of hippocampal volume in patients with PTSD and that an anatomical alteration is correlated with cognitive deficits and the severity of symptoms. However to date has not yet been clarified whether hippocampal atrophy is the result of a neurotoxic effect of trauma or, rather, an underlying condition that predisposes to the development of some psychiatric disorders. For some time animal studies show that stress causes hippocampal atrophy and inhibition of neurogenesis, by mechanisms probably related to glucocorticoids, all'increzione corticotropo factor, increased excitatory amino acid, inhibition of brain neurotrophic factor with loss of neuronal plasticity. In humans, however, the results are not so linear. On the one hand, some studies have identified as the main factor increasing glucocorticoid two other such theory was strongly criticized 3. According to Yehuda mechanism of hippocampal atrophy is due to an alteration of hypothalamic-pituitary-adrenal (HPA), but in terms of a low secretion of glucocorticoids leading to an increase of negative feedback axis and the same receptor hypersensitivity . Regardless of the mechanism of action, loss of neurons in hippocampus in people who have suffered traumatic events seems sufficiently established and, until recently, was considered irreversible. In fact, the hippocampus appears to be an unusual and spontaneous regenerative capacity. This figure has been identified in many animal species and in one study in humans 4. Moreover, recent evidence pre-clinical and clinical studies have shown that SSRIs (Selective Serotonin Reuptake Inhibitors) promote neurogenesis and reduce stress-induced hippocampal atrophy in animals 5 and humans are able to reduce symptoms of PTSD, increase the size of the hippocampus and reduce the deficit mnesic typical of the disease 6 7. Another factor that seems to be able to stimulate neurogenesis in animals seems to be "enriched environment" probably through molecular mechanisms of learning that seem able to activate the transcription of mRNA for Brain Derived Neurotrophic Factor. This finding supports the rationale of the literature of the effectiveness of psychotherapy, even if the only study that evaluates changes morphostructural after psychotherapy has shown positive results 8. The aims of this study are: - To evaluate the presence of hippocampal atrophy in patients with PTSD (T0-drug-free) - to assess the effect of therapy: pharmacological SSRI and psychotherapy with EMDR (eye movement desensitization and reprocessing) is a clinical and neuropsychological, and on hippocampal volume, and memory (T1). Methods: We analyzed a sample of 20 patients, aged between 15 and 65, recruited nell'ambulatorio Psychiatric University Hospital of Siena with PTSD and a control group of healthy subjects matched by sex, age, weight and height. Subjects in both groups were subjected to a computerized study morfovolumetrico dell'Ippocampo using MRI (Magnetic Resonance). In addition, seventeen patients with PTSD were assessed through administration of psychometric scales and neuropsychological tests to study the psychopathological picture and evaluate the possible presence of cognitive deficits. In subjects with PTSD after a period of six months of pharmacological therapy were repeated neuropsychological tests, scales psychometric analysis morfovolumetrica hippocampus by MRI. Three patients at T0 after assessments, carried out a treatment protocol with only EMDR and were reassessed after eight sessions (two months). Results: The results of the first experiment (T0-drug-free) show that the size of the left hippocampus in patients with PTSD are significantly lower compared to healthy controls. The results observed during the follow-up (T1-post-therapy) can be inferred that therapy in patients considered to be associated with improvement in symptoms and an increase in hippocampal volume, equal to 9.87% for the right hippocampus and 8, 37% for the left hippocampus. These data are consistent with the data in the literature, although the recovery rate based on neuroplastic in our study is significantly higher than in the two studies in the literature increase of 4.6% 6; 5% 7. The three patients who have treatment with EMDR have also shown an improvement in symptoms at T1 (CAPS no longer positive for the diagnostic criteria) and an average increase in hippocampal volume amounted to 338.25 mm3 for the hippocampus and DX 357, 93 mm3 for the hippocampus SN. Conclusions: Therapy in patients considered was associated with an increase in hippocampal volume (9.87% -8.37%). The increase in hippocampal volume appear to be relevant, consistent with the literature data, although quantitatively greater, stressing the effectiveness of SSRIs probably through the mechanism of activation of neurogenesis, it is conceivable that the increase in volume is attributable to an increase glial cells but an increase of hippocampal neurons seen the simultaneous clinical improvement. Seems particularly interesting given the relative clinical effectiveness of EMDR and neural plasticity. This observation on only three cases, clearly needs to be confirmed on a larger sample but represents the first evidence in the literature of action of psychotherapy directed at brain structure.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

432. Oxdale, R. (2008, June). Neurophysiological observations on impaired processing: some things we can learn about PSTD & EMDR from sleep disorder conditions such as sleep apnoea and limb movement of sleep disorder. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
EMDR has developed on a theoretical background of information processing. What do we know about the structure and functioning of the processing parts of the brain, or “the processor”? In this talk I will bring together information from the research studies of Harvard neurophysiologist Robert Stickgold, the MRI studies of Ruth Lanius, and my own co-morbidity studies of PTSD, which show a very high co-morbid sleep disorder association. EMDR practitioners in UK and Europe may be unfamiliar with sleep disorder medicine, and this presentation aims to introduce them to this realm of interest. I will explain why sleep disorders render people vulnerable to developing PTSD; and why EMDR will help resolve PTSD; and why sometimes the sleep disorder problem needs to be recognized and addressed in its own right. Instruction on how to screen for significant sleep disorders and how to recognize them and distinguish them from sleep disturbance will be given. I will discuss recent and ongoing studies of limb movement disorder of sleep, which often seems to contribute to vulnerability to adjustment disorder and PTS symptoms. The ecological neatness of EMDR will be apparent, and difficulties in achieving results in chronic PTSD will be understandable and seen as remediable. The direction of possible future research efforts in this area will be discussed.

Keywords: Neurobiology

Accuracy Verified: Yes

433. 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

434. Kluft, R. P. (1995, March). A new kid on the block and miscellaneous reflections. Dissociation, 8 (1), 1-2.

Language: English

Format: Journal

Abstract:
A few years ago I witnessed a curious series of events. David H. Cleaves, Ph.D., a young psychologist doing postgraduate work at The Institute of Pennsylvania Hospital, became curious about Eye Movement Desensitization and Reprocessing (EMDR), Francine Shapiro, Ph.D.'s novel approach to the treatment of post-traumatic symptoms. He began to apply these techniques to several dissociative disorder patients he was seeing under the supervision of Catherine G. Fine, Ph.D. Dr. Fine became interested in the technique and sought out instruction in EMDR.

Keywords: Editorial

Accuracy Verified: Yes

435. Krause, R., Sachsse, S., & Spang, J. (2008, April). Nonverbal behavior in traumatized patient: Comparison between childhood onset versus acutely adult onset trauma. Presentation at the European Society for Trauma and Dissociation First Bi-Annual Conference, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
Objective: In the present study we examined the facial affective behavior of acutely adult onset traumatized patients in comparison to childhood onset traumatized patients. Furthermore we analyzed as a moderator variables psychic complains, amnesia and derealization. Methods: The facial affective behavior was coded with the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. The facial affective behavior of the patient’s first and last EMDR session was videotaped and compared. The first 5 min of each session were coded by an independent rater (certified FACS user). The psychic complains were measured with the SCL-90-R (German version of Symptom Checklist-90-R), amnesia and derealization with the FDS (German version of the Dissociative Experiences Scale). Results: Childhood onset and acutely adult onset traumatized patients showed the same reduction of overall facial activity. We found significantly higher psychic complains (global severity index) (SCL-90-R) in childhood onset traumatized patients and no difference in amnesia (FDS) between the two groups. Childhood onset traumatized patients showed higher values of derealization (FDS). Conclusions: Acutely adult onset traumatized patients showed the same facial affective reduction as childhood onset traumatized patients in comparison to a healthy control group. Additionally childhood onset traumatized patients showed more psychic complains and derealization.

Keywords: Nonverbal Behavior

Accuracy Verified: Yes

436. 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

437. 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

438. Harper, M., Rasolkhani-Kalhorn, T., & Drozd, J. F. (2009, June). On the neural basis of EMDR therapy: Insights from qEEG studies. Traumatology, 15(2), 81-95. doi:10.1177/1534765609338498 .

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) therapy has been shown by empirical studies to be effective in relief from psychological traumas including posttraumatic stress disorder (PTSD). Several logical concepts regarding the origin of the EMDR effect have been presented, but no detailed neural explanation is available. This lack of a widely accepted scientific explanation for the EMDR effect has led to skepticism about the therapy by many therapists and potential clients. The authors present evidence based primarily on quantitative electroencephalogram studies that the neural basis for the EMDR effect is depotentiation of fear memory synapses in the amygdala during an evoked brain state similar to that of slow wave sleep. These studies suggest that brain stimulation during EMDR significantly increases the power of a naturally occurring low-frequency rhythm in memory areas of the brain, binding these areas together and causing receptors on the synapses of fear memory traces to be disabled. This mechanical change in the memory trace enables it to be incorporated into the normal memory system without the extreme emotions previously associated with it. EMDR is a medical procedure because it changes the physical structure of the brain to modify problematically stored memories.

Keywords: Memory Neuronal Response Frequency Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

439. 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

440. Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., Heiman, M., Peterson, G., & Packwood, B. (2003, September). Open forum to share clinical uses of EMDR with child/adolescent population - Facilitated by the EMDRIA Child/Adolescent Special Interest Group Chairs. Open formum presented at the annual EMDRIA Conference, Denver, CO.

Language: English

Format: Conference

Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population. It can feel overwhelming for the clinician to be creative within their own practice without support for what they are doing, or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3 hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating chlldren and adolsecents. Topics that will be presented and followed with audience discussion include use of EMDR with the following: attachment disorders, children and adolescents in residential treatment, dissociative disorders, sexually reactive kids, children with AD/HD, and unresolved grief issues. The members of the panel are the current chairs of the Child/Adolescent SIG who will share their expertise with the audience.

Keywords: Adolescents Children Open Forum

Accuracy Verified: Yes

441. Shapiro, F., Solomon, R., Kaufman, T., & Fenstermaker, D. (1991). Origins and update; Origins of EMDR with critical incidents; Preliminary research and results; Clinical use of EMDR with dissociative patients. Presentation at the International Society for Traumatic Stress Studies Fall Conference, Washington, DC.

Language: English

Format: Conference

Keywords: Critial Incidents Dissociative Disorders Recent Events

Accuracy Verified: No

442. 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

443. Nickeson, C. (2002, June). Panic disorder and physiology phobia: EMDR treatment. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Panic disorder can be viewed as a phobic fear of the body's physical sensations. It results from conditioning by the traumatic experience of having panic attacks. Conceptualizing panic disorder in this way provides a powerful way to structure treatment with EMDR since EMDR is clearly effective with trauma resolution. This workshop will describe how the preparation phase is especially important and, must be expanded in order for reprocessing to be successful. Participants will also learn how to select appropriate targets for the desensitization phase, how to identify suitable negative cognitions and positive cognitions, and how to employ cognitive interweave when needed. A videotape illustrating an important part of a client's work will be shown.

Keywords: Panic Disorder Phobia Physiology

Accuracy Verified: Yes

444. 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

445. 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

446. 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

447. 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

448. 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

449. 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

450. 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

451. 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

452. 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

453. 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

454. 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

455. 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

456. 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

457. 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

458. 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

459. Calero, M., Cutinella, L., Duarte, G., Frontini, M. D., Garcia, S. Garcia, V., F., & Yoo, I. (2012). Policinca para el tratamiento del trauma [Policinca for the treatment of trauma]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1).

Language: Spanish

Format: Other

Abstract:
La falta de alternativas de tratamiento para pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de nuevas respuestas terapéuticas para esta población. Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos. Se presenta esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Police Trauma Treatment

Accuracy Verified: Yes

460. Calero, M. (2010, Octubre/Noviembre). Policlinica para el tratamiento del trauma con modelo EMDR en pacientes graves en el Hospital Psiquátrico Vilardebó de Montevideo, Uruguay [Poli-clinical treatment for trauma with EMDR in severe patients in a psychiatric hospital (Vilardebo) in Montevideu, Uruguay]. Presentada en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Abstract:
La falta de alternativas de tratamiento con pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de respuestas terapéuticas para esta población.Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos.Se presentará esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Hospital Trauma Montevideu, Uruguay

Accuracy Verified: Yes

461. 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

462. 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

463. 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

464. Lamprecht, F. (2006). Praxisbuch EMDR: Modifizierungen für spezielle anwendungsgebiete [Practice book EMDR: Modifications for special applications]. Stuttgart: Klett-Cotta.

Language: German

Format: Book

Abstract:
Kurzbeschreibung Weiterentwicklung der erfolgreichen EMDR-Methode Mit EMDR steht nicht nur eine wirksame Vorgehensweise bei der Traumaverarbeitung zur Verfügung. Der Band zeigt, wie auch traumabedingte Ängste, Schmerzen, Depressionen, Suchtverhalten und dissoziative Störungen mit diesem effektiven Ansatz behandelt werden können. Klappentext EMDR (Eye Movement Desensitization and Reprocessing) ist als Behandlungsform für traumatisierte Menschen in ihrer Wirkweise von der neurologischen Forschung umfassend bestätigt: Traumatisierungen verursachen häufig eine dysfunktionale Informationsverarbeitung im Gehirn, die zu quälenden Wiederholungen des traumatischen Ablaufs ohne Verarbeitungsmöglichkeiten führt. Dieser Kreislauf kann mit der »Augenbewegungstechnik«, die immer in eine sorgfältige psychotherapeutische Behandlung einzubinden ist, unterbrochen werden.

Summary of development of the successful EMDR with EMDR method is not only an effective approach in the trauma processing. The book shows how even traumatic anxiety, pain, depression, addictions and dissociative disorders with effective this approach can be treated. Blurb EMDR (Eye Movement Desensitization and Reprocessing) is evidenced by fully as treatment for traumatized people in their mode of action of the neurological research: trauma often cause a dysfunctional information processing in the brain that leads to agonizing repetition of the traumatic process without processing facilities. This cycle can "with the" eye movement technique, which is always involved in a careful psychotherapeutic treatment to be interrupted.

Keywords: Practice Theory

Accuracy Verified: Yes

465. 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

466. 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

467. Lazrove, S. (1997, July). Problems, problems. Treating dissociative identity disorder. If it isn’t one thing, it’s another. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

468. 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

469. 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

470. 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

471. 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

472. van der Kolk, B. A., Burbridge, J. A., & Suzuki, J. (1997, June). The psychobiology of traumatic memory: Clinical implications of neuro imaging studies. Annals of the New York Academy of Sciences, 821, 99-113. doi:10.1111/j.1749-6632.1997.tb48272.x .

Language: English

Format: Journal

Abstract:
Whereas most patients with PTSD construct a narrative of their trauma over time, it is a characteristic of PTSD that sensory elements of the trauma itself continue to intrude as flashbacks and nightmares, altered states of consciousness in which the trauma is relived, unintegrated with an overall sense of self. Because traumatic memories are so fragmented, it seems reasonable to postulate that extreme emotional arousal leads to failure of the central nervous system (CNS) to synthesize the sensations related to the trauma into an integrated whole. Earlier models for a biological substrate of these phenomena have become rapidly outdated with the availability of new information derived from neuroimaging studies of patients with PTSD. The emerging body of knowledge from these studies has stimulated a gradual shift in emphasis away from the neurochemicals involved in the organisms' response to overwhelming threat to a focus on the neuronal filters concerned in the interpretation of sensory information: the interactions between the various parts of the CNS that process and interpret the meaning of incoming information, such as the amygdala, hippocampus, corpus callosum, anterior cingulte, and prefrontal cortex. [Text, p. 99]
Review Article: 58 references. This volume of the Annals was published as "Psychobiology of posttraumatic stress disorder," edited by Rachel Yehuda and Alexander C. McFarlane (New York: New York Academy of Sciences, 1997; ISBN 1-57331-078-6). These papers are the result of a conference entitled "Psychobiology of Posttraumatic Stress Disorder" sponsored by the New York Academy of Sciences, New York, 1996 September 7-10.

Keywords: Brain Imaging Dissociative Amnesia Etiology Literature Review Neuroanatomy Neuroendocrinology Psychobiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

473. 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

474. 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

475. 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

476. Rivas, C. (2013, May). Psychosomatic conditions and EMDR: Applying the basic protocol to complex situations. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
During this workshop, participants will be introduced to different models explaining how the mind can express some issues through the body, and how the Adaptive Information Processing (AIP) model can be used as a common ground to understand psychosomatic disorders. Using this rational, EMDR clinicians will learn how to structure an intervention using the 8 steps of the basic protocol to address the seven common causes of psychosomatic disorders. Clinical cases of angina, epilepsy, heartburn, irritable bowel and some skin conditions will be presented as illustration. Learning objectives: • Describe 4 main models to understand the body-mind connection in psychotherapy • Utilize the Adaptive Information Processing (AIP) model as a meta-model to compare specific models on the body-mind connection • Use the EMDR basic protocol to organize structured interventions to address the different layers regarding psychosomatic conditions

Keywords: Mind-Body Connection Structural Interventions

Accuracy Verified: Yes

477. 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

478. 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

479. 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

480. Lindauer, R. J. L. (2011, April). Psychotraumagerelateerde stoornissen binnen de kinder-en jeugdpsychiatrie: Stand van zaken en implementatieperikelen [Psychotrauma-related disorders in child and adolescent psychiatry: Current situation and implementation troubles]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Meer dan 50% van de kinderen maakt een of meerdere ingrijpende gebeurtenissen mee voor het 18e jaar, ongeveer 20% ontwikkelt traumagerelateerde psychopathologie en in 45% van de gevallen is er een verband tussen het meemaken van een ingrijpende gebeurtenis en de start van een kinder- en jeugdpsychiatrische diagnose. Kennis over traumadiagnostiek en behandeling is dan ook niet alleen voorbehouden aan gespecialiseerde centra. Implementatie van deze kennis is belangrijk en gaat zeker niet zonder slag of stoot. Doel: Het geven van een update rond traumadiagnostiek en behandeling. Tevens het bespreken van implementatieperikelen binnen de eigen instelling en hoe hiermee om te gaan. Methoden: Onderzoek van wetenschappelijke literatuur en raadpleging van verschillende richtlijnen, en casuïstiek betreffende implementatie. Resultaten: De laatste jaren is er toenemend onderzoek gedaan naar diagnostiek en behandeling van psychotrauma bij kinderen en adolescenten. Het gaat daarbij om het ontwikkelen van screenings- en diagnostische instrumenten en onderzoek naar effecten van behandeling. Traumagericht cognitieve gedragtherapie en eye movement desensitisation and reprocessing (EMDR) zijn effectieve behandelvormen. Implementatie van deze kennis in de klinische praktijk verloopt moeizaam en vraagt naast een andere manier van werken van de behandelaren ook een organisatiestructuur die hierin faciliterend werkt. Conclusie: Evidence-based traumadiagnostiek en behandeling is voorhanden. Implementatie van deze kennis in de klinische praktijk is belangrijk en vraagt een andere expertise. Weten is nog niet kunnen toepassen.

Background: More than 50% of the children makes one or more major events count for the 18th year, approximately 20% develop trauma related psychopathology and 45% of cases there is a connection between experiencing a traumatic event and the start of a child and adolescent psychiatric diagnosis. Knowledge about trauma assessment and treatment is not only reserved to specialized centers. Implementation this knowledge is important and is certainly not without a struggle. Purpose: To give an update on trauma assessment and treatment. Also discuss implementation turmoil within own institution and how to deal with. Methods: Analysis of scientific literature and consultation with various guidelines, and case studies on implementation. Results: In recent years there is increasing research into diagnostics and psychotrauma treatment in children and adolescents. This involves developing of screening and diagnostic tools and research into effects of treatment. Trauma-focused cognitive behavioral therapy and eye Movement Desensitisation and Reprocessing (EMDR) are effective forms of treatment. Implementation this knowledge in clinical practice runs difficult and requires a different way of working alongside the clinicians also an organizational structure facilitating this work. Conclusion: Evidence-based trauma assessment and treatment is available. Implementation this knowledge in clinical practice is important and requires a different expertise. Knowing is not to apply.

Keywords: Adolescents Children Psychiatry Symposium Trauma

Accuracy Verified: Yes

481. Calero, M. (2011, November). Psychotraumatologic unit for the treatment of severe psychiatric patients in a public hospital in Uruguay. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
In Uruguay, South America, in a public psychiatric hospital unit, a clinic has been developed for the treatment of patients with simple and complex PTSD with promising results. As an example, we can mention a patient with a diagnosis of brain injury with a poor outcome who turned out to have a severe dissociative disorder, and who had a favorable evolution with the right treatment. The population treated is very poor and heterogeneous. Some patients are hospitalized for crimes commited during psychiatric decompensation (theft, murder, rape). This paper will present the basics for creating such unit in a psychiatric treatment setting and describe the work with such difficult hospital inpatients and outpatients. In South American countries it is very hard to develop specific psychiatric care units in public hospitals because patients psychological problems also have serious social and economic problems. The theorical approach in the clinic is cognitive behavioral and EMDR, based on the fact that psychotraumatology is a discipline that has had a rapid development in recent years and its knowledge has become indispensable for the treatment of severe psychiatric illness.

Keywords: Psychotraumatologic Unit Posttraumatic Stress Disorder PTSD Public Hospitals Uruguay

Accuracy Verified: Yes

482. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.

Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

483. St-André, E. (2007, June). PTSD secondary to Fournier's grangrene: 1-Comparison of two eye modalities, 2-Legal and ethical issues. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
G. G., a man in his mid 30s was brought to medico-legal service to assess fitness to stand trial, and criminal responsibility, after a brief appearance in court: He was charged with death threats.
G. G. was quite angry about his situation, and argumentative against health and justice systems. Physically, he was short stature, extremely lean, his body was leaning forward.
He was living alone, has a girl of thirteen, which he saw once in a while.
He was not working for few years, after two major events; he lost his garage after a huge fire (from which he escaped alive and safe), and was few months earlier, found almost dead by a neighbor. Brought to the hospital, he had more than ten surgeries in a few days, to lance many wound, as he as suffering of Fournier’s disease. He was left with his body leaning forward about 45 degrees, 4 cm thick scar around his abdomen, a severely deformed genitalia, and chronic pain. Another surgery was performed later which permitted the man to be less leaned forward.
Before those events, he wasn’t known from psychiatry. He had a life that he considered, “okay,” even though he was separated. He has his own garage, a social life. He admitted some alcohol and drugs use in the past. After the illness and the fire, he was seen more often in psychiatry. Specialists concluded from time to time to chronic adjustment disorder, and drug addiction, and oriented him to resources for his problem. No follow-up in psychiatry.
G. G. was so much in pain that he took cocaine repeatedly for few minutes’ relief.
With this story and symptoms description, severe PTSD diagnosis was made and treatment initiated accordingly, with introduction of ISRS, and later, seroquel, to decrease dissociative episode he was still experimenting. With informed consent, we had three sessions of EMI, which helped him in various ways; The nightmares decreased of 50%, after the first treatment, he was less angry and afraid of hospital and care, and was more in control of dissociative episodes. Sleep improved, so did his mood. He was eve able to go for correction of his deformed genitalia. Even though still on medication, he felt that the therapy helped him much to recover. After his discharge and end of court process, he was able to go back home. We were at the time unable to do more treatments, as he was involved in his physical rehabilitation. He had at least 2 other reconstructive surgeries.
This case allows discussion about similarities, pros and cons of EMI and EMDR, in their theories and practice. More importantly, this case raises important ethical and legal questions about adequate diagnosis and treatment of PTSF which include powerful tools as EMDR. This tool is yet relatively unknown from general population, and available mainly (in Quebec, Canada) through private facilities. From ethical standpoint, it should be more readily available – without fees – in public services.

Keywords: Case Report Ethical Issues Fournier's Gangrene Legal Issues

Accuracy Verified: Yes

484. 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

485. 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

486. Fay, D., & Fisher, J. A. (2003, November). Rebuilding the self after trauma: A skills building model for dissociative disorder patients. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

487. Shapiro, E., & Laub, B. (2008, May). Recent - traumatic episode protocol (R-TEP). EMDR Israel, Telaviv.

Language: English

Format: Other

Abstract:
Main Features of the R-TEP
Target selection: 1) Episode wide focus = period from the traumatic event to the present 2) Use of "Google Search" (G-Search) metaphor to identify multiple targets within the episode (sensory images/ events/ other experiences) Containment (safety): 1) 8 Phase structure parallel to Standard Protocol 2) Episode Narrative with DAS for grounding 3) Option of using distancing metaphor of TV screen 4) Option of regulation of associations by limiting associations to the image/event/ episode

Keywords: Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

488. Young, W. C. & Young, L. J. (1997). Recognition and special treatment issues in patients reporting childhood sadistic ritual abuse; Appendix A: Informed consent regarding the treatment of traumatic and dissociative disorders. In G. A. Fraser (Ed.), The Dilemma of Ritual Abuse: Cautions and Guides for Therapists (Clinical Practice, No. 41) (1st ed.) (pp. 65-93, 95-100). Washington, DC: American Psychiatric Press.

Language: English

Format: Book Section

Abstract:
The purpose of this chapter is to review reports of the Sadistic Ritual Abuse (SRA) phenomenon, to discuss credibility of the accounts, and to describe current issues in its treatment, including preparation for treatment, general treatment issues, management of cultic or satanic alters, pharmacological treatment, and controversy over historical accuracy. Controversial trends in the etiology and treatment of SRA cases are also discussed. It should be kept in mind that the controversy surrounding SRA continues to heighten. Actual clinical interpretations may be considerably different if scientific data should support patients' accounts or, from an opposing viewpoint, if a socially contagious, media-influenced syndrome is shown to run its course among dissociative, suggestible individuals. [Text, p. 68]

Keywords: Adults Child Abuse Dissociative Amnesia Dissociative Identity Disorder Drug Therapy Etiology False Memory Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Ritual Abuse Survivors Treatment Effectiveness

Accuracy Verified: Yes

489. 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

490. Giovannozzi, G. (2012, June). Regulated eye contact activation and installation protocol [Regulación de la activación del contacto ocular y protocolo de instalación]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Porges’ polyvagal theory provides a plausible explanation for the covariation between psychiatric and behavioral disorders and the atypical regulation of the Autonomic Nervous System (ANS). Porges himself associated this phenomenon with the failed maturation of the ventrovagal circuit, as well as with the child’s failure to learn the ability to modulate the so-‐called “vagal break” which keeps the heart-‐rate low and inhibits the influence of the SNS, allowing the modulation of the facial and head muscles and, therefore, the social engagement function, often impaired in psychiatric pathologies. From a psychotherapy standpoint, Porges’ finding that the maturation of the ventrovagal circuit and of its associated braking function occurs ontogenetically later than that of other ANS branches (last months of pregnancy and first year of life) and that a good relation with the caregiver is essential for its development is of significant importance. In this dyad – with the cortical-‐bulbar pathway, sufficiently myelinated at birth, regulating face and head muscles and allowing signals exchange with the caregiver – children learn to confront their internal states and the environment as well as regulate their emotions, regulating an adaptive neuroception with the consequent possibility of a good social involvement. This focus on the first year of life and the caregiver – child dyad, in terms of time and place for the construction of biologically based behaviors common to all human beings, paves the way, as anticipated by Porges himself, for new possible intervention models in psychotherapy directly acting on the missed or impaired steps in this first phase of the psycho-‐physiological development process, without disregarding its psychobiological quality. Clinical Application Since I believe that the inter-‐brain perspective is the most efficient not only for the etiological explanation but especially for the restoration of relational impairments occurred during brain-‐brain interactions, I chose eye contact (EC), because, according to several scholars, it is a privileged communication channel, in particular between mother and child. Several scholars agree that all forms of psychopathology share a failure in emotional regulation, which can be mostly traced back to the failure in the child-‐ caregiver adaptive tuning and therefore to the impairment of their inter-‐brain communication. An intervention on the EC shifts the therapy focus on this dysregulation to restore its functions. The EMDR AIP approach relies on the brain adaptive processing ability. EMDR has proved, in appropriate conditions (good therapeutic alliance, client stabilization, compliance with the EMDR protocol), our brain can repair traumatic injuries, i.e., reacquire and use information dysfunctionally stored after a trauma. Successful use of EMDR on target not directly traceable to a traumatic event (e.g., defenses, chronic pain, etc.) allows for the possibility to use this processing tool in increasingly broad fields and refines its resources. Thanks to its three-‐pronged approach to dysfunctionally stored information in the brain (EMDR works on the cognitive, emotional and somatic level), the inter-‐brain quality of its scope (the therapeutic alliance is part of the healing process) and for its focus on the present (EMDR works on the present, i.e., on the current and active components of the pathogenetic memory, bypassing all mediations and interpretation), EMDR seemed the most appropriate therapeutic tool to intervene on the EC dysregulation found in several psychiatric pathologies. Conclusion An EMDR protocol for the exploration and modulation of the EC is proposed. This protocol proved particularly useful with depressed or severely dissociative clients. After making clients aware of their difficulty in maintaining the EC, they are retrained to use this contact first on objects, then on animals (excellent mediators of a primitive form of social contact) until they are able to achieve eye contact with the therapist. During this training, clients are encouraged to become aware of their body sensations, emotions and beliefs, and the positive ones are installed with BLS. Memories of relational situations where clients identify an impaired EC are identified and these are targeted with the standard protocol. The focus then shifts to present and future situations. The regulation purpose of this protocol affects the application mode: interventions must never be dysregulating, therapists must proceed slowly. Clients must be rigorously kept within their window of tolerance, must be trained to recognize it and able of staying within its boundaries with respect to the microregulation of the EC.

La teoría polivagal de Porges proporciona una explicación plausible para la covariación entre los trastornos psiquiátricos comportamentales y la regulación atípica del sistema nervioso autónomo (ANS). El propio Porgues asoció este fenómeno con el fallo de maduración del circuito ventrovagal, por tanto el niño falla al aprender una habilidad también llamada “bloqueo vagal”, que mantiene la tasa cardiaca baja e inhibe la influencia del SNS, permitiendo la modulación de los músculos faciales y la cabeza, y por tanto, la función optima del compromiso social, a menudo emparejada con patologías psiquíatricas. Partiendo desde un punto de vista psicoterapéutico, Porges encontró que la maduración del circuito ventrovagal y su asociación con la función de frenado ocurre ontogenéticamente después que otras ramas del sistema nervioso autónomo (Los últimos meses del embarazo y los primeros años de vida) y que una buena relación con el cuidador es esencial para su desarrollo es significativamente importante. En esta línea – con vía córtico-‐bulbar, lo suficientemente mielinizada en el nacimiento, regulando los músculos de la cara y la cabeza y permitiendo señales de intercambio con el cuidador-‐ Los niños aprenden a estar cómodos con sus estados internos y con un ambiente que también regula sus emociones, regular una neurorecepción con la consecuente posibilidad de una buena integración social. Centrándonos en el primer año de vida del niño y el cuidador – La pareja de niños, en términos de tiempo y lugar para la construcción biológica fundamentada y basada en todos los seres humanos, allana el camino, como anticipó Porges, para nuevos modelos de intervención en psicoterapia, actuando directamente con el paso perdido o afectado de esta primera fase del proceso de desarrollo psicofisiológico, sin tener en cuenta su calidad psicobiológica. Aplicación Clínica. Desde que creó que la perspectiva del cerebro interior, continúa siendo la más eficiente no solo para desarrollar explicaciones etiológicas, también para la restauración de los desajustes relacionados ocurridos durante las interacciones cerebro-‐cerebro. Escogí contacto visual (ECE), porque, de acuerdo con numerosos investigadores, es un privilegiado canal de comunicación, particularmente eficaz entre una madre y su hijo. Numerosos profesionales afirman que todas las formas de psicopatología comparten una fallo en la regulación emocional, que solo puede crear un error en el la comunicación interna del cerebro. Esta intervención en el EC modifica la terapia y la centra en la desregulación y la restauración de funciones. El enfoque EMDR SPIA está basado en la habilidad de procesamiento de la información relevante, EMDR ha sido probado en condiciones idóneas (buena alianza terapéutica, estabilización de la queja del cliente disgustado con el EMDR.).

Keywords: Installation Protocol Regulated Eye Contact Activation

Accuracy Verified: Yes

491. 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

492. 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

493. 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

494. 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

495. 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

496. 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

497. Twombly, J. H. (2001, December). Safe place imagery: Handling intrusive thoughts and feelings. EMDRIA Newsletter, 6(Special Edition), 35-38.

Language: English

Format: Newsletter

Abstract:
This paper will expand on the EMDR protocol of Safe Place Imagery (SPI) making it useful to a wider range of clients. Clients with overt and covert trauma histories will frequently experience traumatic intrusions in to the Safe Place or not be able to find one. Knowledge of trance both explains these phenomena and informs the process of teaching these clients to block out intrusions. Use of SPI with clients with complex ego states and Dissociative Disorders will also be discussed.

Keywords: Dissociative Disorders Safe Place Imagery SPI

Accuracy Verified: Yes

498. 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

499. 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

500. 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

501. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR [À la recherche des fondements scientifiques de l’EMDR]. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These include models based on the relaxation response, on working memory, and on REM-sleep associative processing. In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as primarily a memory disorder. Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended period of processing—a complex set of automatic processes, occurring without intent or conscious awareness, that modifies the memory. In the end, a memory can be substantially different from its original form, with some parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes integrated into wide-ranging memory networks that create a context for the original memory and, in the process, construct an implicit interpretation of the memory. While the processing of small, everyday, distressful events is normally handled efficiently by these automatic mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of memory processing will be the focus of the workshop. Learning Objectives: • The structure and physiology of the human sleep cycle • The role of sleep in memory “evolution” • How PTSD can be seen as a disorder of sleep-dependent memory evolution • How EMDR might act to restore normal memory processing

Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT. Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un trouble de la mémoire. Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce souvenir. Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant, inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la mémoire. Objectifs d’apprentissage: • La structure et la physiologie du cycle du sommeil chez l’humain • Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire • Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire • Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.

Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution

Accuracy Verified: Yes

502. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR [À la recherche des fondements scientifiques de l’EMDR]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference