Francine Shapiro Library - EMDR Bibliography Links
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Your Results - you searched for the keyword Dissociative States 591 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. 施水泉 [Shi Shuiquan] (2008). 快速眼动疗法粉碎地震中心灵创伤记忆 [EMDR shatters memories of mental rauma in the earthquake]. 健康博览 2008年 第10期 [Health Vision, 10].
Language: Chinese
Format: Journal
Abstract:
EMDR曾在伊拉克战场收获奇效目前，EMDR技术在国际上非常流行，特别是在美国。当年从伊拉克战场回来的美国士兵都曾出现不同程度的“心理应激障碍”，一个个从战场的地狱中幸运保全性命的男子汉，成了一个个“废人”。为了使他们成为健全性格的人，心理学家就应...
(EMDR had miracle effect on the Iraq battlefield. Currently, EMDR technology is very popular internationally, especially in the United States. Those American soldiers who came back from Iraq had suffered PTSD in various degrees. Every survivor from the batter field became “good-for-nothing”. In order to help them become mentally healthy people, psychologists…)
Keywords: Earthquake
Accuracy Verified: Yes
3. 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
4. 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
5. 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
6. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
7. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
will
employ
lecture
and
demonstration
of
several
case
studies.
The
4-‐Field-‐Technique
is
a
special
method
of
EMDR
that
was
developed
by
Jarero
et
al.
1997
in
Mexico.
For
complex
traumatized
and
drug
addicted
people
this
method
is
very
helpful.
The
risk
to
trigger
other
trauma
clusters
is
quite
minor,
because
the
patient’s
concentration
is
focused
on
his
specific
picture
and
situation.
Several
international
studies
demonstrate
that
addicted
people
are
very
often
complex
traumatized.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
PTSD
and
other
trauma
symptoms
cause
a
lot
of
psychophysical
deregulation.
The
psychiatrist
Khantzian
realized
1985,
that
addicted
people
suffer
a
lot
from
different
symptoms
and
try
to
reduce
the
unbearable
inner
tension
in
using
drugs.
So
Khantzian
postulated
the
“self-‐medication
hypothesis
of
addictive
disorders”.
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpreted
the
correlation
of
early
traumatization
and
drug-‐addiction
as
“compensatory
strategies
aimed
at
self-‐
regulation”.
20
years
of
psychotherapeutic
work
revealed,
a
high
percentage
of
addicted
patients
use
drugs
to
influence
their
emotional
states.
Drugs
and
alcohol
do
short
term
reduce
the
mentioned
symptoms.
Addicted
patients
need
to
learn
to
cope
in
another,
more
adaptive
way
to
get
a
better
functioning
self-‐regulation.
After
stabilization,
trauma-‐therapy
can
start.
So
the
patient
can
reduce
his
psycho-‐
physiological
deregulation.
Even
when
addicted
patients
are
still
in
a
methadone-‐
treatment
trauma-‐therapy
is
effective.
Practical
experiences
show
a
lot
of
successful
treatments.
Este
taller
empleará
la
presentación
y
demostración
de
muchos
estudios
de
caso.
La
técnica
de
4
campos
es
un
método
especial
de
EMDR
que
fue
desarrollado
por
Jarero
et
al.
1997
en
Méjico.
Para
gente
con
traumas
complejos
y
adictos
este
método
resulta
ser
muy
adecuado.
El
riesgo
de
disparar
grupos
de
traumas
es
menor,
debido
a
que
la
concentración
del
paciente
está
centrada
en
una
sola
imagen
y
situación.
Muchos
estudios
demuestran
que
los
adictos
son
muy
a
menudo
traumatizados
de
manera
compleja.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
El
TEPT
y
otros
síntomas
del
trauma
causan
muchas
desregulaciones
psicofisiológicas.
El
psiquiatra
Khantzian
se
dio
cuenta
en
1985,
que
la
gente
que
sufre
de
adicción
sufren
también
muchos
otros
síntomas
diferentes
e
intentan
reducir
su
tensión
interna
a
través
del
uso
de
sustancias.
Por
ello
Khantzian
postuló
“
La
hipótesis
de
la
automedicación
en
trastornos
adictivos”
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpretó
la
correlación
de
la
traumatización
temprana
y
la
adicción
a
la
drogas
como
“
Estrategias
compensatorias
dirigidas
a
la
autorregulación”.
20
años
de
trabajo
psicoterapéutico
muestran
que
un
gran
porcentaje
de
pacientes
adictos
usan
drogas
para
modificar
sus
estados
emocionales.
Las
drogas
y
el
alcohol
reducen
a
corto
plazo
los
síntomas
mencionados.
Los
pacientes
adictos
necesitan
aprender
a
afrontar
de
manera
más
adaptativa
su
autorregulación.
Después
de
la
estabilización,
la
terapia
del
trauma
puede
empezar.
Por
ello
el
paciente
puede
reducir
su
desregulación
psicofisiológica.
Incluso
cuando
aún
están
sometidos
a
un
tratamiento
de
metadona
la
terapia
del
trauma
es
efectiva.
Las
experiencias
en
la
práctica
muestran
una
gran
cantidad
de
tratamientos
exitosos.
Keywords: 4-Fields-Technique Addiction
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. 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
10. 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
11. Fisher, J. A. (2000, November). Adapting EMDR techniques in the treatment of dysregulated or dissociative patients. Presentation at the International Society for the Study of Dissociation Annual Meeting, San Antonio, Texas.
Language: English
Format: Conference
Abstract:
Since its inception, EMDR [Eye Movement Desensitization and Reprocessing]
has been understood by both clinicians and patients as a powerful vehicle for processing
traumatic experience but one to be undertaken only when the patient has achieved some
degree of stabilization (Shapiro, 1992). In DID and DDNOS patients, that baseline
stability is also supposed to include a level of internal communication and consensus that
would permit cooperation between parts of self about how to tolerate the memory
processing and how to re-stabilize afterward. However, as any clinician who works with
this population knows, some dissociative disorder patients never achieve that degree of
internal coherence, and some have a long, rocky, tumultuous, exhausting road to travel
before they get there. Faced with the DID or DDNOS patient who cannot tolerate affect
or associations to traumatic memories; who cannot control switching, get grounded, or
resolve internal struggles over power and control; who is unable to manage selfdestructive
impulses; who cannot differentiate past and present experience; who is even
unable to tolerate Resource Development (Korn & Leeds, 2002) or create a Safe Place
inside—is there any way that EMDR can be helpful?
Keywords: Dissociation Dysregulation
Accuracy Verified: Yes
12. Cotraccia, A. J. (2012). Adaptive information processing and a systemic biopsychosocial model. Journal of EMDR Practice and Research, 6(1), 27-36. doi:10.1891/1933-3196.6.1.27.
Language: English
Format: Journal
Abstract:
Shapiro's (2001) adaptive information processing (AIP) model portrays an innate healing system hypothesized to be composed of neurophysiological mechanisms of action causally related to the resolution of disturbing life experiences. The author expands the model to include psychosocial mechanisms and suggests that a model of a biopsychosocial system can best depict causal properties related to positive outcomes of eye movement desensitization and reprocessing (EMDR). Teleofunctionalist and evolutionary perspectives are applied: the first, to explain the inclusion of the psychological and social features highlighted in the updated model; the second, to support the hypothesis that AIP is a goal of the human attachment system. It is posited that bonding, following a disturbing life experience, facilitates the access of information related to previous states, thus allowing an update of self/world models. These interactions are analogous to psychotherapeutic encounters, with multiple levels of information processing at subpersonal, personal, and interpersonal levels. Analysis of the causal properties of personal and interpersonal levels supports a broader understanding of AIP's scope in conceptualizing psychopathology and informing treatment applications and research.
Keywords: Adaptive Information Processing AIP Biopsychosocial Internal Working Models Teleofunctionalism
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. Nielsen, T. (1991). Affect desensitization: A possible function of REMs in both waking and sleeping states. Sleep Research, 20, 10.
Language: English
Format: Journal
Abstract:
Recent evidence (1) that rapid eye movements (REMs) elicited systemically during psychotherapy (Eye Movement Desensitization/Reprocessing (EMD/R) produce immediate and lasting alleviation of post-traumatic stress disorder (PTSD) symptoms suggests that the REMs of REM sleep may serve a similiar affect desensitization function (1.2). Although little is known about how EMD/R works, preliminary, positive results from an independent replication (3) and several independent clinical case studies (4.5) have been reported. Exploration of the relationships between EMD/R and REM sleep may thus prove useful in understanding how both RE/R and REM sleep function to modify affect.
Keywords: Affect Rapid Eye Movements REM
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. O'Shea, K. (2008, June). Anger, imagination and EMDR – what EMDR has taught us about the importance of anger and how to facilitate its safe release. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
Jaak Panksepp’s text, Affective Neuroscience (1998), informs us of the vast amount of neurological data available
to show that, like all mammals, anger is one of our basic affective circuits. Yet it is not identified as such in the
diagnostic manual, at least here in the States. Only the destructive outcomes of angry behaviors are included.
Guiding EMDR sessions over the past 17 years has given me the opportunity to observe the nondestructive
release of anger as a protective response to harmful (traumatic) experiences. Imagination appears to provide us
with an innate ability to acknowledge the degree of harm, and to experience, at a physical level, the capability to
protect ourselves and others, if anything similar recurs. Following that release, I consistently see what I call
“Compassion-with-Protection”, spontaneously expressed. Others call it “forgiveness”. Because of their
experiences with destructive anger and our cultural avoidance of anger, clients often have difficulty allowing
their angry feelings to be felt and released during EMDR work. Letting them know they have this capability can
enable them to “just notice what happens” during trauma reprocessing. This workshop will address, via
description and case examples, how EMDR has clarified the nature of anger. It will specify how EMDR clinicians
can support their clients in releasing anger non-destructively (by clearing the anger circuit during Preparation,
teaching them how the Imagination works - for self-use and during reprocessing, - and identifying the most
efficient targeting sequences), so they can update their systems to their current level of capability and fully
experience the “Compassion-with-Protection” that naturally follows.
Keywords: Anger Imagination
Accuracy Verified: Yes
24. Lanius, U. F. (2004, September). Apego y disociacion, El papel de los opioides endógenos [Attachment and dissociation: The role of endogenous opioids]. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: Spanish
Format: Conference
Abstract:
Endogenous opiates play a major role in attachment and they are also involved in dissociative processes and somatoform dissociation. The presentation discusses the adjunctive use of opoid antagonists both during stabilization and trauma processing with EMDR and the neurobiology of opiate with regard to attachment and dissociation. It delineates the effects of effects on learning including support for a differential mechanism for EMDR as compared to Exposure treatment. It describes how to integrate EMDR processing and the use of opioid antagonists in the treatment of Complex PTSD.
Opiáceos endógenos juegan un papel importante en la adhesión y que también están involucrados en los procesos disociativos y somatomorfos disociación. La presentación trata sobre el uso complementario de los antagonistas de opoides tanto durante la estabilización y el procesamiento del trauma con EMDR y la neurobiología de los opiáceos, con lo que se refiere a la unión y la disociación. Se exponen los efectos de los efectos en el aprendizaje incluido el apoyo a un mecanismo diferencial para EMDR, en comparación con el tratamiento de la exposición. En él se describe la forma de integrar el procesamiento EMDR y el uso de antagonistas de los opioides en el tratamiento del trastorno de estrés postraumático complejo.
Keywords: Attachment Dissociation Endogenous Opioids
Accuracy Verified: Yes
25. 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. 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
27. 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
28. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici
1. Introduzione.
Il pensiero controfattuale è un processo che esprime la capacità di riflettere e
modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti
dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret -
venga provato a seguito di una discrepanza tra i risultati attesi e la realtà.
La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che
avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel
futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento
indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma
“Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto
qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le
conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di
amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di
colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata
all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile
di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti,
come gli stati depressivi, ansiosi ed ossessivi.
La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che,
inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di
problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il
versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in
generale, del mantenimento della salute mentale.
Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al
suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici.
Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che
riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando
alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and
Reprocessing (EMDR), ideato da Francine Shapiro.
Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti
post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e
un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento
cognitivo.
Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.
Keywords: Counterfactual Thinking Informational Processing
Accuracy Verified: Yes
29. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Level I. Targeting of Physical Symptoms or Triggers.
Installing of Positive States
Use this level when:
client readiness and safety factors are met.
the experience of the symptom(s) is distressing to the client.
a limited number of therapy sessions is available.
the client does not necessarily have an awareness of the causes or
functions of the symptoms.
the client is not aware of a trauma related to the symptom.
w the assessment does not reveal trauma related to the symptom.
w trauma or other complicating issues are identified but the client's
stability or circumstances does not tolerate Level I1 or 111, and client
and therapist can devise ways to contain upsetting issues which may
come up.
the client wants to try for symptom relief without deeper processing. [Excerpt]
Keywords: Injury Physical Illness
Accuracy Verified: Yes
30. 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
31. 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
32. Leutner, S. (2012). Arbeit mit inneren anteilen im EMDR-prozess: stärkung der bindungsfähigkeit [Working with inner components in the EMDR process: Strengthening the binding ability]. Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: Swedish
Format: Conference
Abstract:
Working with EMDR and the AIP-Model have very similar goals in that they aim to strengthen the inner process of the client and overcome the effects of trauma. It is shown that the combination of both methods provides the therapist with a powerful tool. It is discussed which inner parts can play a part in processing trauma. Here we do not only look at the patient's side, but also at the side of the therapist and his or her ego-states, suggesting not only the patient takes care of traumatized ego-states and gets into touch with inner helpers, but the therapist, too takes into consideration which of his/her ego-states may be helpful or need protection whilst applying the emdr protocol.
Keywords: Adaptive Information Processing AIP Attachment Ego State Therapy Ego States
Accuracy Verified: Yes
33. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.
Language: English
Format: Other
Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages.
Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light.
This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level.
The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks.
The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.
Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors
Accuracy Verified: Yes
34. Solomon, R., Watkins, J., & Paulsen, S. L. (2004, September). Art of EMDR: Use of therapeutic self, resonance and managing effect at the optimal level. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The therapist's ability to continually assess and detect client response to
EMDR is crucial in order to: 1) provide safely and containment; 2) titrate the level of client arousal; 3) enhance ego strength: and 4) facilitate optimal movement. Detecting subtle client movement and shifts enables the therapist to: a) optimize the tempo and rhythm of bilateral stimulation; b) assess if the material is moving: c) detect state changes that can potentially block processing; and d) point to cognitive interweaves for blocked processing. This workshop will teach participants how to utilize their therapeutic presence to provide containment, enhance the client’s ability to process through intense emotions, and adapt to continual changing states in the client.
Keywords: Managing Affect Resonance Therapeutic Self
Accuracy Verified: Yes
35. 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
36. 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
37. 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
38. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.
Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders
Accuracy Verified: Yes
39. Lanius, U. F. (2004, September). Attachment and dissociation: The role of endogenous opoids. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
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.
Keywords: Attachment Dissociation Endogenousopoids
Accuracy Verified: Yes
40. 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
41. 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
42. 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
43. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: German
Format: Conference
Abstract:
This paper describes how trauma therapy including body awareness
can reduce the impact of the traumatic memory and can efficiently
prevent retraumatization. The goal is to achieve the ability to self-regulate
activation of the autonomic nervous system and hence, to attain access to
states in which patients can maximize their resources. This procedure is
based on neurobiological findings and exemplified with case studies. The
approach complements other trauma therapeutic interventions, regardless of
the theoretical orientation, and can be combined with techniques like, for instance,
EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
44. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .
Language: German
Format: Magazine
Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.
Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
45. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition: The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.
Keywords: Altered States of Consciousness Consciousness States Psychological Healing Review Transcultural Psychiatry
Accuracy Verified: Yes
46. 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
47. Christman, S. D., & Stieber, P. (2005, February). Bilateral eye movements lead to a neutralization of affective state. Poster presented at the 33rd annual meeting of the International Neuropsychological Society, St. Louis, MO.
Language: English
Format: Conference
Abstract: Engaging in bilateral eye movements (EM) leads to increases in Stroop interference, improvements in episodic memory, and decreases in false memories in a converging semantic associates paradigm. These results are interpreted as reflecting EM-induced equalization of cortical activation and subsequent enhancement of interhemispheric interaction. Since increased right versus left hemisphere activation is associated with negative versus positive affect, respectively, it was hypothesized that EMs following a mood-induction procedure should result in neutralization of affect. Seventy three right-handed participants engaged in happy or sad mood induction procedures, providing mood ratings on a 1-9 scale, followed by 30 seconds of either bilateral EMs or, as a control, watching a dot change color repeatedly. Participants then supplied a second mood rating. Analyses of the Happy condition showed no mood differences after mood induction, with all participants yielding scores significantly happier than neutral. After administration of the visual condition, participants in the Colored Dot condition showed no change in mood. In the EM condition, however, participants showed a significant reduction in positive affect. Analyses of the Sad condition showed that the mood induction procedure failed, with participants reporting neutral moods after mood induction. Post hoc analyses of only those participants reporting sad moods after induction showed that participants in the EM condition exhibited a marginally greater neutralization of affect than in the Colored Dot condition. The results provide tentative support for the hypothesis that bilateral EMs result in neutralization of emotional states, reflecting an equalization of cortical activation in the left and right hemispheres.
Keywords: Bilateral Stimulation Eye Movements
Accuracy Verified: Yes
48. 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
49. 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
50. Nicosia, G. J. (1995, March). A brief note: Eye movement desensitization and reprocessing is not hypnosis. Dissociation: Progress in the Dissociative Disorders, 8(1), 69.
Language: English
Format: Journal
Abstract:
Argues that eye movement desensitization and reprocessing (EMDR) and hypnosis are qualitatively different states of neurophysiological functioning. An experiment is reported in which the effects of EMDR on brain functioning of 3 Ss are examined. EEGs taken during EMDR for these Ss were within normal range, and did not differ from waking state EEGs, indicating that EMDR does not appear to produce the altered consciousness state associated with hypnosis or confabulation. EMDR memories may be more valid in the legal process. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Electroencephalography Eye Movements Hypnotherapy Letter Neurophysiology Treatment
Accuracy Verified: Yes
51. 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
52. 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.
Accuracy Verified: Yes
53. Gauvreau, P. (2012, April). Ça bloque! Ça boucle! (looping)! Que faire? [It freezes! This loop! (looping)! What to do?]. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: French
Format: Conference
Abstract:
S’inspirant à la fois du modèle de traitement adaptatif de l’information/protocole EMDR et de notions en dissociation structurelle, des stratégies pour gérer les blocages au retraitement et les boucles seront présentées. Nous aborderons les stratégies avec ou sans tissage cognitif à l’aide d’exemples cliniques. Également, des stratégies faisant appel aux états du moi seront abordées dans des cas plus complexes de blocages au retraitement.
Objectifs d’apprentissage:
1. Identifier les clients qui sous ou sur-accèdent au matériel et les stratégies à mettre en place
2. Reconnaître quand le retraitement est bloqué ou quand il y a présence de boucles et choisir des stratégies à mettre en place
3.Connaître des stratégies sans tissage
4.Connaître des stratégies avec tissage
5.Connaître quelques stratégies faisant appel aux états du moi – dissociation structurelle.
Inspired by both the model adaptive processing of information / EMDR protocol and concepts in structural dissociation, strategies to handle deadlocks reprocessing and loops will be presented. We will discuss strategies with or without cognitive weaving using clinical examples. Also, strategies involving the ego states will be addressed in more complex cases of blockages reprocessing.
Learning Objectives: 1. Identify customers who underexposed or access the materials and strategies to implement 2. Recognize when the restatement is blocked or when there is presence of loops and choose strategies to implement strategies without 3.Connaître 4.Connaître weaving weaving 5.Connaître strategies with some strategies to use ego states - structural dissociation.
Keywords: Interweaves Looping
Accuracy Verified: Yes
54. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.
Language: English
Format: Journal
Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a
therapist requests assistance regarding a challenging case and responses are written by three experts. In
this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist
from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment
for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what
concerns she should be aware of. The first expert, Carol Forgash, provides some general information about
pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding
with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma
protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew
Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring
the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of
posttraumatic stress should understand that there is a high probability that EMDR will improve maternal
quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that
these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated
EMDR during pregnancy have found positive effects but pertained to women with posttraumatic
stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted,
women have been informed about possible risks and benefits, and, given their informed consent, they
should be able to choose to commence EMDR therapy during pregnancy.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Pregnancy PTSD Tornado
Accuracy Verified: Yes
55. Seubert, A. & Lightsone, J. (2009). The case of mistaken identity : Ego states and eating disorders. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 193-217). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Eating Disorders Ego States
Accuracy Verified: Yes
56. Seubert, A. (2009, November). The case of mistaken identity: Ego states and EMDR in the treatment of eating disorders. Worshop presentation at the 19th annual Renfrew Center Foundation Conference, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
An eating disorder typically hides dissociated trauma, which can be a major obstacle to successful treatment. This workshop uses video clips and case reviews to illustrate an EMDR trauma-informed phase model and ego state therapy for the treatment of dissociation and trauma in eating disorder clients.
Keywords: Dissociation Eating Disorders Ego State Therapy Trauma
Accuracy Verified: No
57. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Attachment
and Ego States in the treatment of eating disorders is a
120 minute program, which introduces participants to
1. the kind of history taking, medical attention and goal establishment
unique to clients with eating disorders,
2, the extensive preparation, which includes emotional expertise
and somatic awareness,
3. the inevitable presence of dissociation and the use of ego state
therapy to access the source of the eating disordered addiction,
4, the need for attachment repair and
5, slight modifications to trauma processing given emotional
fragility and the tendency to return to the disorder. even after
extensive preparation. The modifications entail
A. a return to attachment/reparenting work, even during phases
3-6, a5 a way to 'pendulate' between the traumata and resources,
B. the use of dissociation strategies, e.g., having the eating disordered
part look through the eyes with the client, and
C. titrating the target memories.
THE CASE OF MISTAKEN IDENTITY employs an EMDR phase
model, which includes an evaluation phase, focusing on medical
safety, case formulation and mutual goal creation. In the preparation
phase, participants will learn a4-step method of teaching
emotional competence, and the use of ego state therapy to free
the self from identity with the disordered part&), and strategies
for attachment repair. Preparation and Processing phases both
require body awareness and acceptance, as well as the ability to
titrate released disturbance and re-stabilize (Re-evaluation) after
EMDR application to touchstone events. Video clips, case studies
and case reviews will reinforce learning.
Learning objectives:
1 Participants will describe the trauma-based purpose for dissociation
in eating disorders,
2 will describe the practice of awareness and four steps to
emotional competence.
3. will name two ego-state strategies methods in identifying
and collaborating with ego states,
4. two attachment repair methods, and
5. describe two minor adaptations to the processing phase.
WHAT IS NEW: Eating disorder treatment often recognizes, but
rarely offers treatment solutions, to the traumatic origins of an
eating disorder. This fact, coupled with a lack of awareness of
the role of attachment injury and dissociation, renders many
of the contemporary approaches to eating disorder treatment
incomplete and often ineffective.
Keywords: Attachment, Eating Disorders Ego States
Accuracy Verified: Yes
58. Seubert, A. (2010, April/May). The case of mistaken identity: EMDR, ego states and attachment in the treatment of eating disorders. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
In this workshop the presenter explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach described employs an EMDR phase model, with expanded evaluation and preparation phases. The extended preparation discussed includes a 4-step method of teaching emotional competence, an introduction to body awareness, and the use of ego state therapy with the disordered part(s). Processing typically requires attachment repair, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.
Keywords: Attachment Eating Disorders Ego States
Accuracy Verified: Yes
59. Seubert, A. (2009, August). The case of mistaken identity: EMDR, ego-states and eating disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, as well as the use of Ego-State Therapy with the disordered part(s). Processing requires body awareness, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.
Keywords: Eating Disorders Ego States
Accuracy Verified: Yes
60. 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
61. 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
62. 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
63. 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
64. 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
65. Dworkin, M. (2005, June). Clinical strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This workshop will address clinician issues with clients who are challenging to
work with. These strategies will include parts of the Procedural Steps Outline
in preparation for anticipated problems; applied R/D/1 strategies for compartmentalizing activated clinician state dependent moments; and
variations of cognitive interweaves designed to repair moments of
misattunement, returning both parties to a co-regulated states so that
trauma processing may proceed.
Keywords: Challenging Client
Accuracy Verified: Yes
66. Dworkin, M. (2005, September). Clinican strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address clinician issues with clients who
are challenging to work with both before and during an EMDR session. Participants will develop greater awareness of these moments and learn strategies to overcome
potential moments of misattunements. These strategies will include parts of the
Procedural Steps Outline in preparation for anticipated problems; applied RDI
strategies for compartmentalizing activated clinician state dependent moments in session; and using a variation of a cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent collaborative communication. "The Clinician Self Awareness Questionnaire"
will be introduced as a method of enhancing these awarenesses. Participants are
invited to bring their most challenging cases to work on.
Keywords: Challenging Client Clinician Self Awareness Questionnaire Countertransference Trauma Treatment
Accuracy Verified: Yes
67. 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
68. 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
69. 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: No
70. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
It will be shown how to get into touch and how to work with traumatic and
somatic ego-states by simultaneously activating resourceful ego-states in mind and
body. The work will be resource integrating from top to bottom. In the body it will be
from bottom to top.
Two different experiential protocols will be given and respective videos will be shown:
the resource integrating protocol and the bottom-up protocol
The neurological background of balancing work with traumatic memories and
resources will be discussed. It lies in promoting effective and permanent links
between the neuronal trauma network and one or more corresponding resource
networks. The integration of resources can greatly accelerate processing. It is
imperative, however, that the use of these resources is not random, rather orients
itself to the specific needs of the client at that specific point in time with attention
given to how much resource or trauma is activated.
Participants will be informed about the impact of complex trauma in mind and body.
They will learn how to apply EMDR combined with Claire Frederick's and Maggie
Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic
Experiencing. By those means complex traumatized clients are enabled to broaden
their windows of tolerance.
Participants will be able to supply their clients with a powerful tool for self healing.
Se mostrará cómo ponerse en contacto y trabajar con los estados del yo
traumático y somático mediante la activación simultánea de estados del yo
recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde
arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba.
Se darán dos protocolos experienciales distintos y se presentarán vídeos
pertinentes de los protocolos respectivos: el protocolo de la integración de
recursos y el protocolo desde abajo hacia arriba.
Se hablará de los antecedentes neurológicos del trabajo de equilibrio con
recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y
permanentes entre la red neuronal del trauma y una o más de las redes de
recursos correspondientes. La integración de recursos puede acelerar en gran
medida el procesamiento. Sin embargo, es imperativo que el empleo de estos
recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del
cliente en ese momento concreto con atención prestada a la cantidad de recursos o
el trauma activado.
Se les informará a los participantes sobre el impacto que tiene el trauma complejo
en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la
“imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al
“Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos
medios los clientes con trauma complejo son capaces de ampliar sus ventanas de
tolerancia.
Los participantes podrán ofrecer a sus clientes con una herramienta potente para
la auto-curación.
Accuracy Verified: Yes
71. 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
72. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces.
De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.
"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process.
The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
73. 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
74. Pace, P. (2003, September). Connecting ego states through time with EMDR and lifespan integration. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will be introduced to Lifespan Integration, an effective new technique, which connects dissociated ego states to one another, and eventually produces an integrated self. This technique brings up images related to the targeted trauma, and gives the client insights about the lifelong pattern of behaviors resultant from the trauma. External resources are rarely needed as clients spontaneously connect to internal resources. Participants will learn how Lifespan Integration can be used adjunctive to EMDR: 1) to quickly resolve feeder memories which are interfering with processing; 2) to help clients who are flooding with emotion regain connection to their cognitive capacities; and 3) to help clients access positive internal resources related to the targeted trauma.
Keywords: Ego States Lifespan Integration
Accuracy Verified: Yes
75. Schmidt, S. J. (2008, September). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Sometimes it is difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three Resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these Resources. Clients with poor ego strength often encounter blocks when connecting to Resource ego states. The second half of the workshop will cover an ego strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.
Keywords: Ego States
Accuracy Verified: Yes
76. Lohrasbe, R. S. (2010, April/May). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
It can be difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these resources. Clients with poor ego strength often encounter blocks when connecting to resource ego states. The second half of the workshop will cover an ego-strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.
Keywords: Resource Ego States
Accuracy Verified: Yes
77. 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
78. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation
Accuracy Verified: Yes
79. 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
80. 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
81. 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
82. 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
83. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia.
In particolare si vuole verificare se dopo trattamento con EMDR:
- i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori.
- si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione).
Lo studio consente inoltre di osservare
- per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress,
- se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR
The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease.
In particular, we want to check if after treatment with EMDR:
- The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values.
- There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation).
The study also allows you to observe
- For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress,
- Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.
Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
84. 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
85. 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
86. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
87. 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
88. 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
89. 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
90. 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
91. Grand, D. (1999). Defining and redefining EMDR. Bellmore, New York: Biolateral.
Language: English
Format: Book
Abstract:
Bringing insights and experience into diagnosis, treatment, advanced protocols, ego states work, working with difficult clients and performance and creativity enhancement.
Keywords: Creativity
Accuracy Verified: Yes
92. 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
93. Mendez Carrillo, F. M., Quiles Sebastian, M. J., & Ortigosa, J. M. (2002). Desensibilización por movimiento de ojos y reprocesamiento: Una década después [Eye movement desensitization and reprocessing: A decade later]. Psiquis, Revista de Psiquiatria, Psicologia Medica y Psicosomatica 23(1), 39-47.
Language: Spanish
Format: Journal
Abstract:
Zehn Jahre nach Francine Shapiro hat ihren ersten Artikel über Eye Movement Desensitization und die Wiederaufbereitung Methode (EMDR), Interesse an der therapeutischen Anwendung, theoretische Fundierung und physiologischen Mechanismen beteiligt ist gestiegen. Der vorliegende Beitrag führt eine bibliometrische Analyse der wissenschaftlichen Produktion zu dieser Methode ein Jahrzehnt nach ihrer Präsentation in der wissenschaftlichen Gemeinschaft. Die wichtigsten Ergebnisse zeigen, dass die produktivsten Jahre 1996, ist Deutschland das Land, dass die meisten veröffentlichte mit dem Thema und der Autor mit der größeren Anzahl von Literaturangaben Hinsicht ist Francine Shapiro. Auf der anderen Seite ist posttraumatischen Belastungsstörungen der Pathologie, in der EMDR wurde hauptsächlich beantragt hat.
Ten years after Francine Shapiro edited her first article about Eye Movement Desensitization and Reprocessing method (EMDR), interest in the therapeutic application, theoretical basis and involved physiological mechanisms has increased. The present article carries out a bibliometric analysis on the scientific production about this method a decade after its presentation to the scientific community. The main results indicate that the most productive year is 1996, United States is the country that has published most with regard the subject and the author with the greater number of bibliographical references is Francine Shapiro. On the other hand, posttraumatic stress disorder is the pathology in which EMDR has been principally applied.
Accuracy Verified: Yes
94. Schmidt, S. J., & and Hernandez, A. (2007). The developmental needs meeting strategy: Eight case studies. Traumatology, 13(1), 27-48. doi:10.1177/1534765607299913 .
Language: English
Format: Journal
Abstract:
This study investigates the merits of the Developmental Needs Meeting Strategy (DNMS), a relatively new ego state therapy. The DNMS is based on the assumption that many presenting problems are due to wounded ego states stuck in childhood because of unmet developmental needs. DNMS protocols endeavor to identify and heal the wounded child parts most responsible for a presenting problem. When internal Resource ego states, which serve as competent caregivers, meet the wounded ego states' developmental needs, the wounded ego states become unstuck and heal. Eight participants were recruited from the private practice caseloads of 3 DNMS therapists. All participants reported significant improvement in the targeted problems, with gains maintained at follow-up. These findings suggest that the DNMS has therapeutic potential. [Sage]
Keywords: Developmental Needs Developmental Needs Meeting Strategy Ego State Therapy Introjects Psychodynamic
Accuracy Verified: Yes
95. 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
96. 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
97. 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
98. Various. (2000, November - December). Dibattito sulla EMDR (Eye movement desensitization and reprocessing) [Debate on EMDR (Eye movement desensitization and reprocessing)]. Avvenuto nelle liste "Psicoterapia" di Psychomedia (PM-PT) e Ipsico.
Language: Italian
Format: Other
Abstract:
Estratto: Ho letto con interesse questo scambio annunci sulla tecnica EMDR. L'EMDR ha anche parlato della recente riunione di Moiano, organizzata da Psicologi per i PeopleOn "modelli di intervento in psicologia di emergenza". Come Moiano, vorrei che potesse approfondire un discorso sul tema, proprio perché in psicologia dello stress post-traumatico, l'EMDR è uno dei temi più controversi discussi da una dozzina di anni. A partire dal accuse "scioccanti" di Francine Shapiro, il creatore del metodo con cui la grande maggioranza delle forme di PTSD regrediti rapidamente con alcune sessioni sono associati con i movimenti oculari saccadici evento traumatico 'immagini, ha sviluppato una linea di grandi dimensioni di ricerca si propone di empiricamente testare la reale efficacia del metodo. I risultati di questi studi sono almeno ambigui. Ciò è sottolineato con forza, come in diverse occasioni i ricercatori indipendenti riuscito a replicare i risultati eccezionali che l'insegnamento EMDR IncorporatedThe azienda vende negli Stati metodo di insegnamento Uniti, hanno pubblicato.
Excerpt: I read with interest this exchange listings on the EMDR technique. EMDR has also spoken of the recent meeting of Moiano, organized by Psychologists for the PeopleOn "models of intervention in emergency psychology". As Moiano, I wish it could deepen a discourse on the subject, precisely because in the psychology of post-traumatic stress, EMDR is one of the most controversial topics discussed by a dozen years now. Starting from the allegations "shocking" of Francine Shapiro, the creator of the method by which the vast majority of forms of PTSD regressed rapidly with some sessions are associated with eye movements saccadic 'imagery traumatic event, has developed a large line of research seeks to empirically test the real effectiveness of the method. The results of these trials are at least ambiguous. This is strongly emphasized, as on several occasions independent researchers failed to replicate the outstanding results that teaching EMDR IncorporatedThe company sells in the United States teaching method, have published.
Accuracy Verified: No
99. 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
100. 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
101. [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
102. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
103. 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
104. 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
105. 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
106. 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
107. 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
108. 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
109. 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
110. 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
111. 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
112. 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
113. Fenstermaker, D. (1993, March). 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. 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
115. 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
116. 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
117. 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
118. 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
119. 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
120. 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
121. 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:
Keywords: DES DESNOS Dissociation Dissociative Experiences Scale Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
122. 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
123. 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
124. 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
125. 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
126. 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
127. 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.
Accuracy Verified: Yes
128. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. European Journal of Psychotraumatology, Supplement 1, 189. doi:10.3402/ejpt.v2i0.7237189.
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
129. 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
130. 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
131. 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
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: Poster Social Engagement
Accuracy Verified: Yes
132. Martin, G. (2007). Editorial - On rural services for mental. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-4.
Language: English
Format: Journal
Abstract:
Sumithra attended the village clinic for three sessions of CBT and EMDR lasting ninety minutes each, during a three week period. EMDR involved supporting her to describe her fears and hold all the elements in mind while simultaneously engaging in bilateral eye-movements. Feedback was obtained on the material that was emotion provoking. This cycle was repeated, while observing for shifts in affect, physiological states and cognitive insights. Sumithra identified emotions and physical sensations, elicited when visual images of death and destruction were combined with the belief that ‘my family is dead’, ‘I have no one’, and ‘I am alone in this world’. Three cycles were carried out by rewinding to sections of the narrative that generated sadness and fear. On each occasion she reported the level of distress she experienced, and her distress scores (SUDS) were noted.
Keywords: Editorial Mental Health Rural
Accuracy Verified: Yes
133. 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
134. 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
135. 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
136. 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
137. Dworkin, M. (2006, June). El cuestionario EMDR v.6 de autoconocimiento para clínicos [EMDR v.6 questionnaire for self-awareness for clinicians]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: Spanish
Format: Conference
Abstract:
Para comprobar un conocimiento creciente de cómo los estados antiguos y
dependientes de memoria pueden ser activados; para poder valorar que es lo que
proviene del clínico y qué proviene del cliente; para desarrollar estrategias relacionales
de EMDR. Muchos problemas pueden ocurrir en la fase 1 cuando el cliente aporta
información que suscita un arousal negativo; o en la fase 2, cuando el cliente tiene
dificultades en entender los elementos de preparación o desea avanzar procesando el
trauma de forma prematura; o en la fase 3, cuando existe un problema que subyace a la
pieza de valoración. Muchas veces la información del cliente puede que no despierte un
arousal negativo hasta llegada la fase 4, cuando el cliente está procesando activamente.
Muchas veces, nuestros desencadenantes provienen de nuestros recuerdos antiguos.
Estos recuerdos pueden ser explicitados; y otras veces siguen implícitos (memoria
somatosensorial). Observando estos momentos en uno mismo puede ayudarle en la
continuidad de un proceso productivo.
To verify an increased awareness of how ancient states and
dependent memory can be activated, in order to evaluate what they
from the clinician and what comes from the client to develop relational strategies
EMDR. Many problems can occur in phase 1 when the client brings
information that raises a negative arousal, or in phase 2, when the client has
difficulties understanding the items you want to advance preparation or processing the
trauma prematurely, or in phase 3, when there is a problem underlying the
piece of assessment. Many times the customer information may not appeal to a
negative arousal to arrival phase 4, when the client is actively processing.
Many times, our triggers memories from our past.
These memories can be made explicit, and sometimes they are implicit (memory
somatosensory). Looking at these moments can help yourself in
continuity of the production process.
Keywords: Clinicians Questionnaire Self-Awareness
Accuracy Verified: Yes
138. Jarero, I. (2011). El EMDR: Una alternativa efectiva para el tratamiento del trauma psicológico [EMDR: An effective alternative for the treatment of psychological trauma] . Revista Iberoamericana de Psicotraumatología y Disociación, 2(2).
Language: Spanish
Format: Other
Abstract:
El modelo teórico en que se basa el EMDR, es el Sistema de Procesamiento de la Información a Estados Adaptativos (SPIA). Este modelo postula que mucho de la psicopatología se debe a la codificación mal adaptativa y/o procesamiento incompleto de experiencias de vida adversas perturbadoras o traumáticas. Esto deteriora la habilidad del paciente/cliente para integrar esas experiencias de una manera adaptativa.
The theoretical model on which EMDR is the System Information Processing Adaptive States (AIP). This model postulates that much of psychopathology is due to poor adaptive coding and / or incomplete processing of adverse life experiences disturbing or traumatic. This impairs the ability of the patient / client to integrate these experiences in a way adaptive. [Excerpt]
Accuracy Verified: Yes
139. 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
140. 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
141. 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
142. 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
143. 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
144. 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
145. 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
146. 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
147. 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
148. 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
149. 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
150. 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
151. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation.
The transition is usually seamless in well-adjusted people, but where there has been
disrupted attachment or sustained early life trauma the result is often the formation of
particular ego states, also known as alters, parts, or schema modes. These states perform
roles usually geared towards survival, but in adulthood they can be dysfunctional.
Depending upon a client’s early life experiences some ego states can be malevolent, wanting
bad things for the client such as willing them to suffer in some way.
It is necessary for clients to remain safe during EMDR sessions and contained between
sessions. There is a need, therefore, to learn techniques to work with more difficult clients
so they too can benefit from EMDR. It is also helpful to know how to deal with blocked
processing due to the interference of an ego-state.
This workshop provides an overview of dissociation and a review of models to explain it.
There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical
case material is used to illustrate learning points. Through demonstration and practice
participants will learn how to access ego states in a controlled way and effect therapeutic
change. In the latter part of the day, participants will see a video of a live case where EST is
used effectively to moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand the forms of dissociation
Understand the concept of ego state therapy.
Learn how to access ego states in a controlled way and effect therapeutic change.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy Trauma
Accuracy Verified: Yes
152. 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
153. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.
Keywords: Complex Trauma Dissociation Ego State Therapy
Accuracy Verified: Yes
154. 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
155. Grand, D. (2000, September). EMDR and ego state therapy: Experiential learning through video and audience participation. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn technical complexities, knowledge base and experiential learning in synthesizing EMDR and Ego State Therapy; 2) learn to assess why, how, and when there is value in introducing ego state work in a client's EMDR process; 3) learn preparatory activation of ego state for resource installation purposes with pre-EMDR clients; and 4) learn calling out ego states as an interweave during desensitization phase, when clients are stuck or looping, and skillful use of egaging ego states helps both in identifiying and untangling treatment-impeding conflicts.
Keywords: Ego State Therapy
Accuracy Verified: Yes
156. Schmidt, S. J. (2000, September). EMDR and ego state therapy: A resource-focused protocol using client art. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn a resource-focused protocol which integrates EMDR, art therapy, and ego state therapy; 2) learn how to elicit clients' drawings of resource ego states and traumatized ego states; 3) learn ways to use these drawings for ego state strengthening; 4) learn how to use ego state drawings as focal points for eye movements; 5) learn sample dialogues to facilitate understanding and cooperation between ego states drawn; and 6) learn ways to use ego state drawings to titrate overwhelming affect.
Keywords: Art Therapy Ego State Therapy Resource-Focused EMDR
Accuracy Verified: Yes
157. 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
158. 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
159. Sitting, K. J. (2008, August). EMDR and hypnotherapy. Presentation at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Keywords: Hypnotherapy
Accuracy Verified: Yes
160. Sitting, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Pre-congress presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Previous knowledge is not necessary.
Keywords: Hypnotherapy
Accuracy Verified: Yes
161. Shapiro, F., & Maxfield, L. (2003). EMDR and information processing in psychotherapy treatment: Personal development and global implications. In M. F. Solomon & D. J. Siegel (Eds.), Healing trauma: Attachment, mind, body, and brain (pp. 196-220). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
EMDR: A peculiar technique. It may give one an idea of hocus-pocus: the eliciting of the eye-movement. But it isn’t! And how it originated also is a peculiar story, but this I suppose is well known. It was a nice case of serendipity.
The adaptive information processing (AIP) model was developed to explain and predict EMDR treatment effects. We read: The AIP model states that all memory is associated, and learning occurs through the creation of new associations. When an incident is not fully processed, the perceptions, thoughts, and emotions that were experienced during the traumatic event are generally stored in state-dependent form. This storage may be in an isolated memory network where the information cannot link up with more appropriate information and learning cannot take place. And, to jump to a conclusion, what EMDR does is linking, forging new connections between the unprocessed memory and more adaptive information that is contained in other memory networks, while the simultaneous eye-movement decreases the intense and painful emotions that are recalled. Again: creating the narrative, cognitively and emotionally.
EMDR, provided it is well indicated and correctly applied, seems to be a very useful technique, a real tool, without pretension. It provides what it offers if… the results last (do they?). The case studies described in this chapter are convincing, one of them with a 5 year old child with a D attachment pattern (disorganized/disoriented attachment pattern, see also chapter 2). Both mother and child treated with EMDR. What happens in the brain when we move our eyes from left to right to left while recalling a traumatic incident is not explained.
In chapters 6-8 we can read about the psychotherapy of traumatized people.
Keywords: Cognitive Processes Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
162. 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
163. 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
164. 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
165. 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
166. 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
167. 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
168. 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
169. 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
170. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
171. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to use the ego state
bridge technique in order to have more compete
knowledge of what issues and experiences may
manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
172. 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
173. 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
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
Accuracy Verified: Yes
174. Giannantonio, M. (2003, May). EMDR as an assessment tool in complex models of post-traumatic states. In Dissociation and theoretical models. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
Though EMDR is normally conceived as a psychotherapeutical approach or, at least, as a clinical method with psychotherapeutical aims, any EMDR practitioner also knows it’s a useful means to make subtle diagnostic remarks on the client.
Despite its importance, this matter has never been methodically studied in depth, but it’s informally discussed among clinicians when exchanging subtle pieces of information on micro-interventions and strategies employed in everyday practice.
My purpose is therefore to make a report on EMDR as an assessment tool. Some cases will show how a full comprehension of EMDR as an assessment tool requires much more complex etiological and maintenance models of post-traumatic disorders than usually seen in part of the literature.[Author abstract]
Keywords: Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
175. 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
176. 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
177. 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
178. 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
179. 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
180. 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
181. 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
182. Dworkin, M. (2006, September). The EMDR clinician and the challenging client: How to improve relational responsiveness. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address
clinician issues with clients who are challenging to work with, both before and during an EMDR
session. Participants will develop greater awareness of these mornents and learn strategies to overcome
potentla1 moments of misattunements. These
strategies will include parts of the Procedural Steps
Outline in preparation for anticipated problems;
applied R/D/I strategies for compartmentalizing
activated clinician state dependent moments in
session; and using a variation of cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent
collaborative communication. "The Clinician Self
Awareness Questionnaire" will be introduced as a
method of enhancing these awarenesses.
Participants are invited to bring their most
challenging cases to work on.
Keywords: Challenging Client
Accuracy Verified: Yes
183. Grégoire, P. A. (2010, Avril/Mai). EMDR dans les cas de deuil et de dépression [EMDR in bereavement and depression]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le deuil et la dépression sont des expériences de vie qui présentent un défi pour les mécanismes d’adaptation et remettent en question les états d’équilibre déjà établis. Les liens qui deviennent de plus en plus évidents entre ces états expérientiels et la présence de mécanismes défectueux de traitement de l’information soulignent l’importance d’offrir des services psychothérapeutiques, telle l’approche EMDR qui tient compte de ces besoins et de ces processus spécifiques. Notre présentation veut souligner : 1) l’importance des protocoles et des principes de base de l’approche EMDR comme modèle d’intégration des processus de psychothérapie 2) les recherches qui explorent les mécanismes dysfonctionnels des réseaux de mémoire impliqués lors du travail du deuil et 3) les applications de protocoles spécifiques EMDR pour les diverses étapes du deuil. La partie expérientielle de cette présentation explorera certains des facteurs adaptatifs permettant le renouvellement de cet équilibre perdu et la consolidation de mécanismes reliés à la résilience. (Tous les niveaux)
Grief and depression are life experiences that are challenging for coping and challenge the already established equilibrium states. The links are becoming increasingly evident between these experiential states and the presence of defective mechanisms of information processing emphasize the importance of providing psychotherapeutic services, such as the EMDR approach that addresses these needs and these specific processes. Our presentation will highlight: 1) the importance of protocols and basic principles of the EMDR approach as a model for the integration of psychotherapy process 2) research that explores the dysfunctional mechanisms of memory networks involved in the work of mourning and 3) applications of EMDR protocols specific for the various stages of grief. The experiential part of this presentation will explore some of the factors adaptive to the renewal of this lost balance and strengthening mechanisms associated with resilience. (All levels)
Keywords: Bereavement Depression: Grief
Accuracy Verified: Yes
184. 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
185. Fernandez, I., & Giovannozzi, G. (2012, March-April). EMDR ed elaborazione adattiva dell’informazione. La psicoterapia come stimolazione dei processi psicologici autoriparativi [EMDR and adaptive information processing: Psychotherapy as a stimulation of the self-reparative psychological process]. Rivista di Psichiatria, 47(2 Supp 1):4S-7S. doi: 10.1708/1071.11731. .
Language: Italian
Format: Journal
Abstract:
RIASSUNTO. A partire dal concetto di evento traumatico, viene descritto il modello dell’elaborazione adattativa dell’informazione per illustrare come l’EMDR viene applicato per la rielaborazione dei traumi e per risolvere la psicopatologia post-traumatica. Vengono quindi presentate le otto fasi del trattamento con EMDR, le modalità di funzionamento di una seduta di EMDR e il contributo e l’innovazione che l’EMDR rappresenta nel campo della terapia degli stati post-traumatici e la sua applicabilità in altri quadri sintomatici.
SUMMARY. Based on the concept of traumatic event, the model of the adaptive information processing is described to illustrate how EMDR is applied to reprocess the trauma and resolve post-traumatic psychopathology. The eight phases of the EMDR treatment are presented together with the way an EMDR session is conducted and the contribution and innovation that EMDR represents in the field of therapy of post-traumatic states and its applicability in other symptomatic conditions.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
186. 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
187. 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
188. 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
189. 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
190. 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).
Accuracy Verified: Yes
191. 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
192. 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
193. 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.
Accuracy Verified: Yes
194. 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
195. 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
196. 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
197. 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: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 198. 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: Keywords: Attachment Disorders Cognitions Dissociation Accuracy Verified: Yes 199. 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 200. 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 201. 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: Keywords: Personality Disorders Accuracy Verified: Yes 202. 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 203. 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 204. 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: Keywords: Dissociative Disorders Progressive Approach Accuracy Verified: Yes 205. 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: Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing Accuracy Verified: Yes 206. 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: Keywords: Psychosis Severe Mental Disorders Accuracy Verified: Yes 207. 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: Keywords: Dissociative Disorders Accuracy Verified: Yes 208. 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: Keywords: Dissociative Disorders Accuracy Verified: Yes 209. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 210. 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. Keywords: DID Dissociative Identity Disorder Accuracy Verified: Yes 211. 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: Keywords: Ego State Therapy Master Series Accuracy Verified: Yes 212. 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: Keywords: Accelerated Information Processing Model AIP DID Dissociation Accuracy Verified: Yes 213. Amato, M. (2008, Novembre). EMDR nel servizio screening post-partum [EMDR in the post-partum screening service]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Post-Partum Depression Accuracy Verified: Yes 214. Khwaja, K. (2010, July). EMDR Pakistan: A journey of a thousand leagues states with the first step. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Pakistan Accuracy Verified: Yes 215. 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: Keywords: Analgesic Drugs Dissociative Symptoms Posttraumatic Stress Disorder PTSD Stressors Survivors Accuracy Verified: Yes 216. 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 217. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel. Language: English Format: Journal 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 218. Ross, C. (2012). EMDR se basa en un modelo trauma-disociacion de trastornos mentales [EMDR is based on a trauma-dissociation model of mental disorders]. Revista Iberoamericana de Psicotraumatología y Disociación, 3(Edicion Especial Sobre Disociacion). Language: Spanish Format: Other Abstract: Keywords: Trauma-Dissociation Model Accuracy Verified: Yes 219. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co. Language: English Format: Book Abstract: Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 220. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing. Language: English Format: Book Abstract: Keywords: Adjunct Approaches Attachment Children Dissociation Trauma Accuracy Verified: Yes 221. 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: Keywords: Research Accuracy Verified: Yes 222. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting Accuracy Verified: Yes 223. 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: Keywords: EMDR Toolbox Accuracy Verified: Yes 224. 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: Keywords: Dissociative Abreaction Psychological Defenses Toolbox Accuracy Verified: Yes 225. 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: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox Accuracy Verified: Yes 226. 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 Abstract: Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting Accuracy Verified: Yes 227. 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: Keywords: Adults Developmental Deficits Incest Accuracy Verified: Yes 228. 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 229. Young, W. (1994, June). EMDR treatment of phobic symptoms in multiple personality disorder. Dissociation, 7(2), 129-133. Language: English Format: Journal Abstract: Keywords: Adults Child Abuse DID Dissociative Identity Disorder Empirical Study Females Follow-up Study Incest Phobia Rape Survivors Accuracy Verified: Yes 230. Rittenhouse, J. (2000, September). EMDR treatment of PTSD in a biracial client. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Biracial Client Minority Client Rascism Accuracy Verified: Yes 231. Maxfield, L. (2008). EMDR treatment of recent events and community disasters. Journal of EMDR Practice and Research, 2(2), 74-78. doi:10.1891/1933-3196.2.2.74. Language: English Format: Journal Abstract: Keywords: Community Disasters Recent Events Treatment Accuracy Verified: Yes 232. Farrell, D. (2013, June). EMDR treatment plan and survivors of child sexual abuse by clergy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Children Clergy Abuse Sexual Abuse Accuracy Verified: Yes 233. 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: Keywords: Complex PTSD Dissociative Disorders Accuracy Verified: Yes 234. Shapiro, R. (2000, September). An EMDR two-hand interweave. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. . Language: English Format: Conference Abstract: Keywords: Two-Hand Interweave Accuracy Verified: Yes 235. 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. Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 236. 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 237. 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: Keywords: Gearbox Accuracy Verified: Yes 238. 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: Keywords: Dissociation Accuracy Verified: Yes 239. 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: Keywords: Narcissim Accuracy Verified: Yes 240. 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: Keywords: Children Dissociation Sexual Abuse Symposium Accuracy Verified: Yes 241. 市井雅哉 [Ichii Masaya]. (2005). EMDRによる外傷記憶の取り扱い--隔絶した自我状態をどうつなぐか (第20回日本催眠学会 メインテーマ「現代催眠療法の展望」) -- (シンポジウム 催眠療法の適用と限界) [EMDR treatment for traumatic memories: Completely bridging separated ego states. (The 20th meeting of Japan Institute of Hypnosis. Main Theme: the prospects for the current hypnotherapy)]. 科学睡眠薬の、20（1)、16-22 [Science of Hypnotics, 20(1), 16-22]. Language: Japanese Format: Journal Keywords: Ego States Traumatic Memories Accuracy Verified: Yes 242. 范红霞 王援朝 [Fan Hongxia, & Wang Yuan-chao] (1996). EMDR心理治疗──治疗抑郁与创伤的新方法 [EMDR psychological treatment — A new treatment of depression and trauma]. 中国临床心理学杂志1996年 第02期 [Chinese Journal of Clinical Psychology, Issue 2]. Language: Chinese Format: Journal Abstract: Keywords: Depression Trauma Accuracy Verified: Yes 243. Jarero, I. (2012). EMDR, el SPIA y el desarrollo de resiliencia [EMDR, AIP, and development of resilience]. Revista Iberoamericana de Psicotraumatología y Disociación, 2(2). Retrieved from http://revibapst.com/EMDR-SPIA-RESILIENCIA.pdf 11/20/2012. Language: Spanish Format: Other Abstract: Keywords: Adaptive Information Processing AIP Resilience Accuracy Verified: Yes 244. Faust, T.
(2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case
of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: Spanish Format: Conference Abstract: Keywords: Ego States Policement, Queens Test Anxiety Accuracy Verified: Yes 245. 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: Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD Accuracy Verified: Yes 246. 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 247. 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: Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC Accuracy Verified: Yes 248. 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 249. Staff (2011, Juni). EMDR: Belasting werkgeheugen verklaart werkzaamheid [EMDR: Tax memory activity states]. Psychopraktijk, 3(3), 38. doi:10.1007/s13170-011-0048-y
. Language: Dutch Format: Journal Keywords: Tax Memory Accuracy Verified: Yes 250. Shapiro, F., & Forrest, M. S. (1997). EMDR: The breakthrough therapy for overcoming anxiety, stress, and trauma (1st ed). New York: Basic Books. Language: English Format: Book Abstract: Keywords: Anxiety Depression Emotional Trauma Grief Major Depression Mental Disorders Nightmares Phobias Posttraumatic Stress Disorder PTSD Stress Therapy Trauma Accuracy Verified: Yes 251. Solomon, E. P., Solomon, R. M., & Heide, K. M. (2009, October). EMDR: An evidence-based treatment for victims of trauma. Victims & Offenders, 4(4), 391 - 397. doi:10.1080/15564880903227495. Language: English Format: Journal Abstract: Keywords: Child Abuse Crime Victims Evidence-Based Treatment Postraumatic Stress Disorder PTSD Trauma Traumatic Stress Accuracy Verified: Yes 252. 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 253. Carvalho, E. R., & Monteiro, A. M. (2008, Decembro). EMDR: Novos paradigmas na psicoterapia [EMDR: New paradigms in psychotherapy]. Caderno de Psicoloxia, 32, 79-87. Language: Galician Format: Magazine Abstract: Keywords: Domestic Violence Psychotherapy Trauma Traumatic Experiences Accuracy Verified: No 254. Solomon, R. M. (2002). EMDR:n pitka matka tunnustetuksi hoitomuodoksi [Eye movement desensitization and reprocessing: We have come a long way, with a long way to go]. European Society for Trauma and Dissociation. Retrieved from http://www.estd.org/fi/ARTICLES/EMDRn_pitka_matka_tunnetuksi_hoitomuodoksi.pdf on 8/16/2012. Language: Finnish Format: Conference Abstract: Keywords: Trauma Centre Therapy Project Accuracy Verified: Yes 255. 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 256. 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: Keywords: Accelerated Emotional Learning Therapeutic Integation Accuracy Verified: Yes 257. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 . Language: English Format: Journal Abstract: Keywords: Lohr Point/Counterpoint Accuracy Verified: Yes 258. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Keywords: Art Therapy Emergency Intervention Somatic Experiencing Accuracy Verified: Yes 259. 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: Keywords: Emergency Room Protocol Accuracy Verified: Yes 260. 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: Keywords: Dissociation Somatism Trauma Accuracy Verified: Yes 261. 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: Keywords: Dissociative Disorders Energy Psychology Energy Therapies Accuracy Verified: Yes 262. Dillon, D. E. (1997). The enigma of EMDR. Christian Counseling Today, 5(1), 40-43. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 263. Dillon, D. E. (1997, December). The enigma of EMDR. EMDRIA Newsletter, 2(6), 12-13, 16. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 264. 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: Keywords: Comment Desensitization Ephedra Letter Luvoxamine Obsessive Compulsive Disorder OCD Plant Preparations Relapse Reply Review Serotonin Uptake Inhibitors Accuracy Verified: Yes 265. 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: Keywords: Advanced Management Dissociation Ego States Accuracy Verified: Yes 266. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Art Therapy Treatment Accuracy Verified: Yes 267. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663. Language: English Format: Dissertation/Thesis Abstract: Keywords: Emotional Trauma Empirical Study Religious Experiences Therapists Transpersonal Psychology Transpersonal/Spiritual Experiences Accuracy Verified: Yes 268. de Bok, D., & van Daalen, M. (2010, June). Exploring the mechanism underlying the working memory account of EMDR: The effect of fading in and fading out of negative and arousing images on emotionality, vividness, vividness, completeness and detail recall of traumatic memories. Utrecht, Nederlands: Universiteit Utrecht. Language: English Format: Dissertation/Thesis Abstract: Keywords: Fading in Fading out Traumatic Image Working Memory Account Accuracy Verified: Yes 269. Brown, S. H., Stowasser, J. E., & Shapiro, F. (2011). Eye movement desensitisation and reprocessing (EMDR): Mental health-substance use. In D. B. Cooper (Ed.), Intervention in Mental Health-Substance Use (pp. 165-193) United Kingdom: Radcliffe Publishing Ltd
. Language: English Format: Book Section Abstract: Keywords: Substance Abuse Accuracy Verified: Yes 270. 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 271. Finley, P. A. (2002, April). Eye movement desensitization and reprocessing (EMDR) in the treatment of sex offenders. Walden University, Minneapolis, MN. AAT 3068413. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Male Sex Offenders Relapse Prevention Sex Offenders Sex Offenses Sex Offender Treatment Therapeutic Intervention Accuracy Verified: Yes 272. 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: Keywords: Scripted Protocols Special Populations Summary Sheets Accuracy Verified: Yes 273. 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: Keywords: Scripted Protocols Accuracy Verified: Yes 274. Luber, M. (2009). Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations. New York, NY: Springer Publishing Co. Language: English Format: Book Abstract: Keywords: Scripted Protocols Accuracy Verified: Yes 275. Aetna, Inc. (2005, June 28). Eye movement desensitization and reprocessing (EMDR) therapy, No. 0583 (Rev). Aetna Clinical Policy Bulletins. Language: English Format: Publication Abstract: Keywords: Practice Guidelines Accuracy Verified: Yes 276. 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: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 277. 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: 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 278. 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 279. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press. Language: English Format: Book Abstract: 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 280. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press. Language: English Format: Book Abstract: 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 281. 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: Keywords: Depressive Disorders Dissociative Symptoms Empirical Study Posttraumatic Stress Disorder PTSD School Age Children Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 282. 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: Keywords: Dissociative Disorder Accuracy Verified: Yes 283. Welch, K. L. (1996, September). Eye movement desensitization and reprocessing: Treatment of sexual trauma post-traumatic stress disorder and a treatment efficacy hypothesis. Central Michigan University. AAT 9623929. Language: English Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Empirical Study Treatment Outcome/Clinical Trial Accuracy Verified: Yes 284. 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: Keywords: Athletes Performance Enhancement Accuracy Verified: Yes 285. 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: Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 286. 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 287. Feener, R. S. (2004). Eye movement desensitization and reprocessing: A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073. Language: English Format: Dissertation/Thesis Abstract: Keywords: Bilateral Brain Stimulation Brain Stimulation Cognitive Processes Emotional Trauma Eye Movements Information Processing System Mental Health Musicians Performance Anxiety Posttraumatic Stress Disorder PTSD Singers Stress Syndromes Trauma Accuracy Verified: Yes 288. 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: Keywords: Athletes Colloquium Performance Enhancement Accuracy Verified: Yes 289. Vaughan, K., Wiese, M., Gold, R., & Tarrier, N. (1994, April). Eye-movement desensitisation: Symptom change in post-traumatic stress disorder. British Journal of Psychiatry, 164(4), 533-541. doi:10.1192/bjp.164.4.533 . Language: English Format: Journal Abstract: Keywords: Adults Australians Females Longitudinal Study Males Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 290. Monteiro, A. M. (2012, Novembro). A família que habito, a Família que me habita: Estados de ego e transgeracionalidade no EMDR [The family I live, the family that lives in me: The ego and transgenerality in EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Ego States Existential Beliefs Constitution of the Subject Standard Protocol Accuracy Verified: Yes 291. Kim, K. I. (2003, January). Family violence: Psychiatric aspects. Journal of Korean Neuropsychiatric Association, 42(1), 5-13. Language: English Format: Journal Abstract: Keywords: Batterers Domestic Violence Family Violence Accuracy Verified: Yes 292. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Essential Listening Flow EMDR Accuracy Verified: Yes 293. Andresen, K. (2003, September). Focus on the body during EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Body Sensations Accuracy Verified: Yes 294. 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 295. Russell, M. C., & Friedberg, F. (2010). Formation, accès au traitement et recherche sur les interventions dans les cas de trauma dans les forces armées [Training, access to treatment and intervention research in cases of trauma in the military]. Journal of EMDR Practice and Research, 4(2), 18E-26E. doi:10.1891/1933-3196.4.2.E18. Language: French Format: Journal Abstract: Keywords: Military Training Trauma Treatment Accuracy Verified: Yes 296. 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 297. 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: Keywords: Dissocation Fraser's Dissociative Table Accuracy Verified: Yes 298. 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: Keywords: Children Dissociation Trauma Accuracy Verified: Yes 299. York, C., & Leeds, A. (2001, June). Gate theory: An accelerated information processing model for developing functional state change. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Gate Theory Accuracy Verified: Yes 300. 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: Keywords: Dissociative Disorders Task Force Report Accuracy Verified: Yes 301. Fenstermaker, D. (1991, December). A general practice screen for dissociative disorders. EMDR Network Newsletter, 1(2), 13-17. Language: English Format: Newsletter Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 302. Wesselmann, D. (1999, June). Generational problems in parenting: Intervening with attachment disordered adults. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Egogram Parent-Child Attachment Accuracy Verified: Yes 303. Spindler, C. (2007, June). Gentle EMDR: A precursor to standard EMDR protocol. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Accuracy Verified: Yes 304. 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: Keywords: Limbic Cortex Posterior Cingulate Posttraumatic Stress PTSD Accuracy Verified: Yes 305. 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: Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium Accuracy Verified: Yes 306. Roques, J. (2007). Guérir avec l 'EMDR: Traitement, théorie, témoignages [Healing with EMDR: Treatment, theory, evidence]. Paris: Seuil. Language: French Format: Book Abstract: Accuracy Verified: Yes 307. 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: Keywords: Adults DID Dissociation Dissociative Identity Disorder Practice Guidelines Trauma Treatment Accuracy Verified: Yes 308. 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: Keywords: Challenging Clients Dissociation Ego State Therapy Master Series Somatosensory Therapy Accuracy Verified: Yes 309. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co. Language: English Format: Book Abstract: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 310. 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: Keywords: Affect Theory Accuracy Verified: Yes 311. 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 Keywords: Post-Unification MPD Therapy Accuracy Verified: Yes 312. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Attachment Behavior Psychotherapy Stressors Survivors Accuracy Verified: Yes 313. 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: Keywords: Alexithymia Body Psychotherapy Cognitive Processes Dance Therapy Dissociative Disorders Expressive Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Somatic Symptoms Accuracy Verified: Yes 314. Brodeur, E. (1995). Heaven’s barbecue. EMDR Network Newsletter, 5(1), 2-3. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 315. de Jongh, A., & ten Broeke, E. (2005, November). Het EMDR protocol: werk in uitvoerig [The EMDR protocol: A work in progress). Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Standard Protocol Accuracy Verified: Yes 316. 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: Keywords: Dissociation Personality Disorders Accuracy Verified: Yes 317. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA . Language: English Format: Conference Abstract: Keywords: Poster Sub-Clinical Stress Accuracy Verified: Yes 318. Giamp, J. S. (2003). Honoring their voice: Eye movement desensitization and reprocessing through the eyes of inmates with developmental disabilities. Walden University, Minneapolis, MN. AAT 3119790. Language: English Format: Dissertation/Thesis Abstract: Keywords: Americans Empirical Study Mentally Retarded Posttraumatic Stress Disorder Prison Inmates PTSD Quantitative Study Self Esteem Treatment Effectiveness Accuracy Verified: Yes 319. 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: 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 320. Cook, A. (1994). Ideas for using EMDR with dissociative states. EMDR Network Newsletter, 4(3), 5. Language: English Format: Newsletter Abstract: Keywords: Dissociation Accuracy Verified: Yes 321. Vasquez, S., & Breiling, B. (1997). Illuminating the windows of the soul: Facilitating psychotherapy with eye movements and strobic colored light stimulation. Bridges, 8(2), 5-7 . Language: English Format: Magazine Abstract: Keywords: Eye Movements Strobic Colored Light Stimulation Accuracy Verified: No 322. Jacome, S. (2012, Novembro). Imagens associativas e EMDR [Associative images and EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Associative Images Images Metaphoric Associations Target Identification Accuracy Verified: Yes 323. O'Malley, A. (2008, June). The impact of neglect and trauma on the developing infant brain and the implications
for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Infantile Brain Development Accuracy Verified: Yes 324. 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: Keywords: 9/11 Americans DID Dissociative Identity Disorder Personal Narrative Posttraumatic Stress Disorder Psychologists PTSD September 11 Survivors Terrorism Terrorist Attacks Accuracy Verified: Yes 325. Handberg, H. H. (2007, June). Implications of "unity of duality" Tibetan psychology and philosophy in regard to psychotherapy and personal development and its correlations to EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Poster Tibet Unity of Duality Accuracy Verified: Yes 326. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Affect Tolerance Poster Self-Regulation Social Functioning Accuracy Verified: Yes 327. 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: Keywords: Ego State Therapy Accuracy Verified: Yes 328. 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: Keywords: Dissociative Identity Disorder Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 329. 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: Keywords: Dissociative Disorders Accuracy Verified: Yes 330. 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 331. 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: Keywords: Conversion Seizures Ego-State Interweaves Infant Alters Somatic Interweaves Accuracy Verified: Yes 332. 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 333. Martinez, R. (1992, May). Innovative uses. EMDR Network Newsletter, 2(1), 14-15. Language: English Format: Newsletter Abstract: Keywords: Cognitions Innovative Uses Accuracy Verified: Yes 334. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complementary Therapies Counselor Approaches Qualitative Study Accuracy Verified: Yes 335. 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 336. 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: Keywords: Egp State Therapy Dissociative Disorders Trauma Accuracy Verified: Yes 337. 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: Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD Dissociative Disorders Ego State Therapy Accuracy Verified: Yes 338. 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: Keywords: Dissociative Identity Disorder Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 339. 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: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 340. 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 341. 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 342. 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: Keywords: Generic Primary Care Symposium Training Issues Accuracy Verified: Yes 343. 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: Keywords: Dissociation Dissociative Disorders Accuracy Verified: Yes 344. 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: Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy Accuracy Verified: Yes 345. 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: Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context Accuracy Verified: Yes 346. 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: Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors Accuracy Verified: Yes 347. 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: Keywords: Diagnostic Instruments Dissociation False Memory Interview Questions Pacing Recovered Memory Therapeutic Boundaries Accuracy Verified: Yes 348. Oglesby, C. A. (1999, September). An investigation of the effect of eye movement desensitization reprocessing on states of consciousness, anxiety, self-perception, and coach-perceived performance ratings of selected varsity collegiate athletes. Temple University, Philadelphia, PA. AAT 9921186. Language: English Format: Dissertation/Thesis Abstract: Keywords: Athletes College Students Effects Empirical Study Stressors Survivors Treatment Effects Accuracy Verified: Yes 349. 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: Keywords: Dissociative Identity Disorder Accuracy Verified: Yes 350. 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: Keywords: Personality Disorders Symposium Trauma Accuracy Verified: Yes 351. 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: Keywords: Complex PTSD DDNOS DID Dissociative Identity Disorder Dissociative Disorder Not Otherwise Specified Hypnosis Accuracy Verified: Yes 352. 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: Keywords: Active Imagination Jungian Accuracy Verified: Yes 353. Burne, J. (1994, July 26). Just follow my finger, can simple eye treatments cure deep-seated traumas?. London, England: The Independent. Language: English Format: Newspaper Abstract: At 38, Emma was walking Which? -guide to therapies:
behaviourist, cognitive, hypnosis,
family and psychiatry. For
18 years she had tried the lot in an
increasingly despairing attempt 'to
conquer her agoraphobia. So it was
with considerable scepticism that
she embarked last year on a new
therapy - Eye Movement
Desensitisation and Reprocessing
(EMDR) - that was apparently
achieving miracle cures across the
United States. What made her
even more wary was that It
sounded as absurdly simple as it
was bizarre. Keywords: General London Overview Accuracy Verified: Yes 354. 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: Keywords: DID Dissociative Identity Disorder Accuracy Verified: Yes 355. 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: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Accuracy Verified: Yes 356. 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: Keywords: Non-Combat Postttraumatic Stress Disorder Psychotherapy PTSD Accuracy Verified: Yes 357. Gambuzza, C. (2008, Novembre). L'EMDR in un trauma complesso di PN-PTSD e abuso [EMDR in a complex PN-PTSD trauma and abuse]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Complex PTSD Poster Accuracy Verified: Yes 358. 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: Keywords: Dissociative Disorders Accuracy Verified: Yes 359. Servan-Schreiber, D. (2002). La psychothérapie par l’EMDR et la nouvelle médecine humaniste [Psychotherapy by EMDR and the new medical humanist]. Présentation de la thérapie EMDR par
David Servan-Schreiber, MD, PhD(1), Revue Américaine Alternatives Therapies in Health Medecine. Language: French Format: Other Abstract: Keywords: Medical Humanist Accuracy Verified: Yes 360. Tokyo. (2011, May 5). Lack of PTSD specialists in Japan raises worries about a mental health crisis. Tokyo, Japan: The Yomiuri Shimbun. Language: English Format: Newspaper Abstract: Keywords: Disaster Earthquake Japan Tsunami Accuracy Verified: Yes 361. Leeds, A. (2006, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Affect Tolerance and Integration Protocol Accuracy Verified: Yes 362. Leeds, A. (2007, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Positive Affect Tolerance and Integration Protocol Accuracy Verified: Yes 363. Meignant, M. (2009, June). The legend of EMDR. Video presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands. Language: English Format: Conference Abstract: Keywords: Video Accuracy Verified: Yes 364. Meignant, M. (2008, June). The legend of EMDR. Video presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: History Accuracy Verified: Yes 365. Meignant, M. (2009, June). The legend of EMDR. Poster presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands. Language: English Format: Conference Abstract: Keywords: Documentary Film History Accuracy Verified: Yes 366. Meignant, M. (2010, July). The legend of EMDR. Movie presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Accuracy Verified: Yes 367. Meignant, M. (2009, May). The legend of EMDR – Documentary film. Film presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada. Language: English Format: Conference Abstract: Keywords: Documentary Film Accuracy Verified: Yes 368. Bisek, A. (2013). Letters to the editor. Journal of EMDR Practice and Research, 7(1), 50. doi:10.1891/1933-3196.7.1.50. Language: English Format: Journal Abstract: Keywords: Fidelity Future Template Accuracy Verified: Yes 369. Luber, M. (2013). Letters to the editor. Journal of EMDR Practice and Research, 7(1), 50-51. doi:10.1891/1933-3196.7.1.50. Language: English Format: Journal Abstract: Keywords: Fidelity Future Template Accuracy Verified: Yes 370. 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: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 371. 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: Keywords: Dissociative Disorders Psychotherapy Accuracy Verified: Yes 372. Brewerton, T. D. (2008, May 1). The links between PTSD and eating disorders. Psychiatric Times, 25(6), 1-7. Language: English Format: Magazine Abstract: D Keywords: Eating Disorders Posttrauamtic Stress Disorder PTSD Accuracy Verified: Yes 373. Lucena, R. (2011, 24 de Setembro). Livro aborda terapia contra traumas [Book covers therapy for trauma]. Tribuna do Norte. Retrieved from http://tribunadonorte.com.br/noticia/livro-aborda-terapia-contra-traumas/197067 on September 25, 2011. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 374. 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 375. 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: Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing Accuracy Verified: Yes 376. 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: Keywords: Dual Attention Accuracy Verified: Yes 377. 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. Keywords: Dissociation Screen Accuracy Verified: Yes 378. 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: Keywords: Adolescents Adults Postttraumatic Stress Disorder PTSD Sexual Abuse Accuracy Verified: Yes 379. 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: Keywords: Imaginative Strategies Somatic Interventions Accuracy Verified: Yes 380. 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 Keywords: Dissociation Table Structural Dissociatio Accuracy Verified: Yes 381. 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: Accuracy Verified: Yes 382. 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: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 383. Litt, B.K. (2008, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 384. 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: Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders Accuracy Verified: Yes 385. Perry, B. D. (2002). Memories of fear: How the brain stores, retrieves physiologic states, feelings, behaviors and thoughts from traumatic events. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Accuracy Verified: Yes 386. Perry, B. D. (1999). Memories of fears: How the brain stores and retrieves traumatic experiences. In J. Goodwin and R. Attias, Splintered reflections: Images of the body in trauma, (Eds.)(1st Ed.)(pp. 9-38). New York: Basic Books . Language: English Format: Book Section Abstract: Accuracy Verified: Yes 387. 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: Keywords: Borderline Personality Disorder Accuracy Verified: Yes 388. 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: Keywords: Mindfulness Poster Stabilization Accuracy Verified: Yes 389. 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: Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 390. Fisher, J. A. (2003, September). Minding the body: Integrating EMDR and somatic psychotherapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Sensorimotor Psychotherapy Somatic Psychotherapy Accuracy Verified: Yes 391. Paterson, M. (2008, June). Moderating malevolent alters with ego state therapy in the preparation phase of
EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Accuracy Verified: Yes 392. 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 393. Thomson, S. S. (1997, January). Music and the brain in EMDR therapy: Is music, itself, EMDR?. EMDRIA Newsletter, 2(3), 23-28. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 394. 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: Keywords: Eriksonian Hypnosis Narrative Constructionist Accuracy Verified: Yes 395. 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: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Integrated Treatment Phased Treatment Plan Accuracy Verified: Yes 396. 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: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Accuracy Verified: Yes 397. 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: Keywords: Emergence of Self Accuracy Verified: Yes 398. 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: Keywords: Childhood Traumatization Accuracy Verified: Yes 399. Bergmann, U. (2012). Neurobiological foundations for EMDR practice. New York, NY: Springer Publishing Company. Language: English Format: Book Abstract: Keywords: Neurobiology Accuracy Verified: Yes 400. 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: Keywords: Dissociation Embodies Self Information Processing Neurobiology Accuracy Verified: Yes 401. 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: Keywords: Dissociation Neurobiology Accuracy Verified: Yes 402. 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: Keywords: Neurobiology Opiates Accuracy Verified: Yes 403. 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: Keywords: Website EMDRNews.com Accuracy Verified: Yes 404. Kluft, R. P. (1995, March). A new kid on the block and miscellaneous reflections. Dissociation, 8 (1), 1-2. Language: English Format: Journal Abstract: Keywords: Editorial Accuracy Verified: Yes 405. 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: Keywords: Nonverbal Behavior Accuracy Verified: Yes 406. Hedstrom, J. (1991, March). A note on eye movements and relaxation. Journal of Behavior Therapy and Experimental Psychiatry, 22(1), 37-38. doi:10.1016/0005-7916(91)90031-Y. Language: English Format: Journal Abstract: Keywords: Eye Movements Relaxation Accuracy Verified: Yes 407. 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: Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes Accuracy Verified: Yes 408. 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: Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect Accuracy Verified: Yes 409. 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: Keywords: Adolescents Children Open Forum Accuracy Verified: Yes 410. 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 411. Hekmat, H., Groth, S., & Rogers, D. (1994, June). Pain ameliorating effect of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 25(2), 121-129. doi:10.1016/0005-7916(94)90004-3. Language: English Format: Journal Abstract: Keywords: Acute Pain College Students Empirical Study Pain Music Accuracy Verified: Yes 412. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Mechanism Plenary Right Brain Affect Regulation Trauma Accuracy Verified: Yes 413. Plummer, C. D. (2007). Performance enhancement for brass musicians using eye movement desensitization and reprocessing. University of Cincinnati, Cincinnati, OH. AAT 3262543. Language: English Format: Dissertation/Thesis Abstract: Keywords: Auditory Stimulation Brass Musicians Empirical Study Hemispheres Musicians Posttraumatic Stress Disorder PTSD Quantitative Study Syndromes Accuracy Verified: Yes 414. 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: Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 415. 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 Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 416. 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 Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 417. 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 Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 418. 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 Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 419. 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 Abstract: Keywords: Dissociation Ego State Therapy Personality Disorders Accuracy Verified: Yes 420. 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: Keywords: Personality Disorders Dissociation Ego State Therapy Accuracy Verified: Yes 421. Gerge, A. (2008, April). Phase I Preparations of severely traumatized women for exposure by extended
EMDR-protocols in phase II treatment. Presentation at the 1st Bi-Annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 422. 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: Keywords: Police Trauma Treatment Accuracy Verified: Yes 423. 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: Keywords: Hospital Trauma Montevideu, Uruguay Accuracy Verified: Yes 424. Friedman, M. J. (2006, April). Posttraumatic stress disorder among military returnees from Afghanistan and Iraq. American Journal of Psychiatry, 163(4), 586-593. doi:10.1176/appi.ajp.163.4.586
. Language: English Format: Journal Abstract: Accuracy Verified: Yes 425. 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: Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness Accuracy Verified: Yes 426. Lamprecht, F. (2006). Praxisbuch EMDR: Modifizierungen für spezielle anwendungsgebiete [Practice book EMDR: Modifications for special applications]. Stuttgart: Klett-Cotta. Language: German Format: Book Abstract: Accuracy Verified: Yes 427. 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 428. 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 429. 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. Keywords: Phobias Accuracy Verified: Yes 430. 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: Keywords: Complex Trauma Dissociation Accuracy Verified: Yes 431. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Attachment Posttraumatic Stress Accuracy Verified: Yes 432. Perkins, B. (2001, June). Psychoanalysis and EMDR: A theoretical and clinical bridge. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Larence Hedge's Psychoanalytic Model Psychoanalysis Transference Accuracy Verified: Yes 433. 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 434. 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: Keywords: Dissociation Plenary Psychobiology Accuracy Verified: Yes 435. 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: Keywords: Brain Imaging Dissociative Amnesia Etiology Literature Review Neuroanatomy Neuroendocrinology Psychobiology PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 436. 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: Keywords: Affect Management Emotional Control Emotional States Mental Health Personality Development Personality Disorders Psychopathology Psychotherapeutic Techniques Accuracy Verified: Yes 437. Graca, J., Palmer, G. A., & Occhietti, K. (2010, September/October). Psychotherapeutic interventions for symptom reduction in veterans with PTSD: A nonrandomized study in a residential clinical setting. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Nonrandomized Study Poster Posttraumatic Stress Disorer PTSD Residential Clinical Setting Symptom Reduction Veterans Accuracy Verified: Yes 438. 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 439. 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: Keywords: Psychotraumatologic Unit Posttraumatic Stress Disorder PTSD Public Hospitals Uruguay Accuracy Verified: Yes 440. 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: Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 441. 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: Keywords: Case Report Ethical Issues Fournier's Gangrene Legal Issues Accuracy Verified: Yes 442. Cuvelier, M. (2001, July/August). The pursuit of pseudoscience. Psychology Today, 34(4), 24-25. Language: English Format: Magazine Abstract: F Keywords: Pseudoscience Accuracy Verified: Yes 443. Ranck, C. (2010, September/October). Quantum EMDR: Examining EMDR with quantum/holographic theory. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Quantum/Holographic Theory Accuracy Verified: Yes 444. 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 445. 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: 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 446. Engelhard, I. M., van den Hout, M. A., Dek, E. C. P., Giele, C. L., van der Wielen, J.-W., Reijnen, M. J., & van Roij, B. (2011, May ). Reducing vividness and emotional intensity of recurrent “flashforwards” by taxing working memory: An analogue study. Journal of Anxiety Disorders, 25(4), 599-603. doi:10.1016/j.janxdis.2011.01.009. Language: English Format: Journal Abstract: Keywords: Flashforwards Intrusive Images PTSD Working Memory Accuracy Verified: Yes 447. Cusack, K. J. (2001). Refugee experiences of trauma and PTSD: Effects on psychological, physical, and financial well-being. Western Michigan University. AAT 3028752. Language: English Format: Dissertation/Thesis Abstract: Keywords: Hopkins Symptom Checklist (HSC-25) Posttraumatic Stress Disorder PTSD PTSD Scale Surveys Accuracy Verified: Yes 448. 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: Keywords: Installation Protocol Regulated Eye Contact Activation Accuracy Verified: Yes 449. Buttsworth, J. (1991, October). REM reprocessing. Medical Journal of Australia, 155(7), 500. Language: English Format: Journal Abstract: Keywords: Anxiety Disorders Letter Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 450. Staff. (2007, November 19). Reports outline life sciences study findings from Merrimack College, Psychology Department. Biotech Business Week, Expanded Reporting, 1204. Language: English Format: Newsletter Abstract: Keywords: Research Accuracy Verified: Yes 451. Hogan, R. C. (2012, April). The resolution of grief by guided afterlife connections. Journal of Spirituality & Paranormal Studies, 35(2), 74-80. Language: English Format: Journal Abstract: Keywords: Afterlife Bereavement Death Grief Therapy Memory Accuracy Verified: Yes 452. Schmidt, S. J. (1999, March). Resource-focused EMDR: Integration of ego state therapy, alternating bilateral stimulation, and art therapy. EMDRIA Newsletter, 4(1), 8, 10-13, 25-28. Language: English Format: Newsletter Abstract: Keywords: Art Therapy Bilateral Stimulation BLS Ego State Therapy Resource-Focused EMDR Accuracy Verified: Yes 453. Manfield, P. (2011, April). Resourcing in EMDR [Geavanceerd gebruik van het inzetten van hulpbronnen met EMDR]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland. Language: English Format: Conference Abstract: Keywords: Resourcing Accuracy Verified: Yes 454. Russell, M. C., Silver, S. M., Rogers, S., & Darnell, J. N. (2007, February). Responding to an identified need: A joint Department of Defense/Department of Veterans Affairs training program in eye movement desensitization and reprocessing (EMDR) for clinicians providing trauma services. International Journal of Stress Management, 14(1), 61-71. doi:10.1037/1072-5245.14.1.61. Language: English Format: Journal Abstract: Keywords: Americans Empirical Study Mental Health Personnel Military Professional Training United States Department of Defense United States Department of Veterans Affairs Posttraumatic Stress Disorder PTSD Quantitative Study Training Veterans Accuracy Verified: Yes 455. Hurley, E. C. (2010, November). A response to the meta-analysis by Albright & Thyer: What best serves our troops?. Behavioral Interventions, 25(4), 349-353. doi:10.1002/bin.314. Language: English Format: Journal Abstract: Keywords: Albright Letter Thyer Troops Accuracy Verified: Yes 456. 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: Keywords: Neoteric Trauma Treatments Practice Guidelines Accuracy Verified: Yes 457. 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: Keywords: Dissociation Multiple Personality States Accuracy Verified: Yes 458. 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: Keywords: Dissociative Disorders Safe Place Imagery SPI Accuracy Verified: Yes 459. 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: Accuracy Verified: Yes 460. 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: Keywords: Attachment Dissociation Accuracy Verified: Yes 461. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders
[Siete
maneras
de
extender
el
protocolo
EMDR
basadas
en
hipnosis
clínica
para
pacientes
con
trastornos
disociativos
complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Hypnosis Accuracy Verified: Yes 462. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Hypnosis Accuracy Verified: Yes 463. Gerge, A. (2012, March). Seven ways to extend the EMDR-protocol from the tradition of clinical hypnosis for clients with complex dissociative disorders. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation Conference, Berlin, Germany
. Language: English Format: Conference Keywords: Dissociative Disorders Hynopisis Accuracy Verified: Yes 464. Strenge, H. (2005). Sexuelle traumata und ihre behandlung mit EMDR [Sexual traumas and their treatment with EMDR]. In G. Nissen, H. Csef, W. Wolfgang, & F. Badura (Eds.), Sexualstörung: Ursachen - Diagnose- Therapie (pp. 147-155). Darmstadt: Steinkopff. doi:10.1007/3-7985-1600-6_12. Language: German Format: Book Section Abstract: Keywords: Sexual Trauma Accuracy Verified: Yes 465. Bergmann, U. (2008). She's come undone: A neurobiological exploration of dissociative disorders. In C. Forgash and M. Copeley (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 61-89). New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Dissociative Disorders Neurobiology Trauma Accuracy Verified: Yes 466. Taylor, S., Adminson, G., Gordon, J. G., & Carolton, R. N. (2006). Simple versus complex PTSD: A cluster analytic investigation. Journal of Anxiety Disorders, 20(4), 459-472. doi:10.1016/j.janxdis.2005.04.003. Language: English Format: Journal Abstract: Keywords: Adults Canadians Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Symptoms Exposure Therapy Nosology Personality Disorders Random Clinical Trial RCT Relaxation Therapy Somatic Symptoms Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 467. Struik, A. (2011, April). Slapende honden? Wakker maken! Een stabilisatie methode voor vroegkinderlijk, chronisch getraumatiseerde kinderen [Dogs? Wake up! A stabilization method for early, chronic traumatized children]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Children Dissociative Disorders Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 468. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Counter-transference Dissociative Disorders Transference Accuracy Verified: Yes 469. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Countertransference Transference Accuracy Verified: Yes 470. Dworkin, M. (2009, June). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands. Language: English Format: Conference Keywords: Countertransference Transference Accuracy Verified: Yes 471. Puk, G., & Silver, S. (1997, October). Some lessons learned in the EMDR Humanitarian Assistance Program intervention in the Balkans. Behavior Online. Retrieved http://www.behavior.net/forums/evolutionary/1998/27-user=&email=&depth=8&detail=description&lastread=5-8.htm 6/10/1998. Language: English Format: Other Abstract: Keywords: Balkans ERMDR-HAP EMDR Humanitarian Assistance Program Accuracy Verified: Yes 472. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy. Language: English Format: Conference Abstract: Keywords: Refugees Stablilization Accuracy Verified: Yes 473. Struik, A. (2009, June). Stabilization and EMDR treatment of young dissociative children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands. Language: English Format: Conference Keywords: Children Dissociation Stablization Treatment Accuracy Verified: Yes 474. Struik, A. L. (2010, June). Stabilization and EMDR treatment of young dissociative children, the use of the six tests, a stabilization model. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Children Dissociation: Six Tests Accuracy Verified: Yes 475. Leutner, S., & Cronauer, E. (2010, June). Stabilizing while processing - Integration of resources into the EMDR protocol (RIT). Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Accuracy Verified: Yes 476. Thaxton, D. (2007, June). Star wars therapy: Integrating EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: EMDR with children can be clinically challenging. Traditional protocols are difficult to follow, especially with younger children. Unique to this approach, Star Wars therapy allows children to produce their own bilateral stimulation while the therapist installs verbal cognitive interweaves. Star Wars therapy facilitates the integration of resource installations; it provides children with an exciting venue to explore schemas and ego states resulting form trauma, abuse and neglect. Star Wars play therapy is a practical skill set for clinicians interested in integrating EMDR with children. Star Wars is unique in its immediate accessibility for children. The rich story line it provides them with accessible themes of good and evil, betrayal, injustice, universal hierarchy, and connectedness with “the force:’ the main characters act as primary archetypes. The body of this work is dived into two mains sections. The first section outlines Star Wars Play Therapy from a theoretical standpoint. The goal is to address the neurobiological, psychological, and attachment aspects which are the basis for treatment. The second reaction addresses the technique form a practical perspective. A complete clinical protocol is outlines, from conceptualization to execution of play, to the integration of EMDR instillations and trauma targeting. Keywords: Children Star Wars Therapy Accuracy Verified: Yes 477. Knipe, J. (1999, June). Strengthening affect tolerance and adult perspective through construction of imagined dissociative avoidance. EMDRIA Newsletter, 4(2), 10, 25. Language: English Format: Newsletter Abstract: Keywords: Affect Tolerance Dissociative Avoidance Accuracy Verified: Yes 478. Leeds, A. M. (2002, June). Strengthening identity and performance. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: RDI Resource Development and Installation Accuracy Verified: Yes 479. Morton, B. E., & Paulsen, S. L. (1993). Stress disorders: Cortical plasticity, eye saccades, and multiple personalities. Paper presented at the University of Hawaii School of Medicine and Pacific Institute for Behavioral Medicine. Honolulu, HI. Language: English Format: Other Abstract: Keywords: Cortical Plasticity Defense Response Eye Saccades HPA Hypothalamic-Pituitary-Adrenal Multiple Personalities Stress Disorders Accuracy Verified: Yes 480. Lopez, G. (2007, Juin). Stress vs trauma/Stress vs trauma [Stress vs. trauma / stress vs. srauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France. Language: French Format: Conference Abstract: Accuracy Verified: Yes 481. Flood, B. (1999, June). Stroke induced dissociative states and traumatic memory recall. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Dissociative States Stroke Traumatic Memory Recall Accuracy Verified: Yes 482. Borden, T. (2009, January). Successful treatment of trauma and addictions using EMDR (Eye movement desenitization and reprocessing), Parts I and II. Presentation at the San Diego International Conference on Child and Family Maltreatment. Language: English Format: Conference Abstract: Keywords: Addictions Children Accuracy Verified: Yes 483. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany
. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Supervision Accuracy Verified: Yes 484. Schwarz, R. (1997, January). The supportive use of EMDR in working with patients with dissociative identity disorder. EMDRIA Newsletter, 2(3), 21-23. Language: English Format: Newsletter Abstract: Keywords: DID Dissociative Identity Disorder Accuracy Verified: Yes 485. Grecchi, A., Grecchi, V., & Beraldo, S. (2008, June). Synergism between EMDR & hypnosis: The role of eye movement. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Eye Movement Hypnosis Accuracy Verified: Yes 486. Abbott, G. (2013, May). Tactical integration in the conference room: A
Safer, more efficient path to healing structural
dissociation of the personality with EMDR. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA. Language: English Format: Conference Abstract: Keywords: Conference Room Dissociation Structural Dissociation Accuracy Verified: Yes 487. Knipe, J. (2005). Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 189-212). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Life Experiences Psychotherapeutic Processes Survivors Accuracy Verified: Yes 488. van der Hart, O., Solomon, R., & Gonzalez, A. (2010, September/October). The theory of structural dissociation as a guide for EMDR treatment of chronically traumatized clients. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Chronic Traumatization Structural Dissociation Accuracy Verified: Yes 489. Kapfhammer, H.-P. (2008, December). Therapeutische möglichkeiten nach traumatischen erlebnissen [Therapeutic possibilities after traumatic experiences]. Psychiatria Danubina, 20(4), 532-545. Language: German Format: Journal Abstract: Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 490. Dellucci, H. (2010, Novembre). Thérapie EMDR et troubles dissociatifs [EMDR and dissociative disorders]. Presentation a la Pré-programme du colloque: Second séminaire Universitaire de recherche sur
les dimensions intégratives dans la thérapie EMDR, Universite Paul Verlaine - METZ, France. Language: French Format: Conference Abstract: Keywords: Dissociative Disorders Research Accuracy Verified: Yes 491. deGraffenried, D., Page, R., & Gomez, A. (2009, August). Tipping points: Lessons learned in moving EMDR into community mental health. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA
. Language: English Format: Conference Abstract: Keywords: Community Mental Health Accuracy Verified: Yes 492. Staff. (2007, October 20). To Jung to die. London, England: The Times, Features, Body and Soul, 20. Language: English Format: Newspaper Abstract: Keywords: General James Taylor Overview Accuracy Verified: Yes 493. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15. Language: English Format: Newsletter Abstract: Keywords: Dissociation Accuracy Verified: Yes 494. Grand, C., & Grant, D. (2003, September). Toolkits for the every body: Working with the physiology of emotion. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Four Panes Model Physiology of Emotion Accuracy Verified: Yes 495. Nilsson, D., & Jonsson, M. (2010, April). Towards healing of a trauma that led to conversion-dissociation. Presentation at the 2nd Bi-Annual Internatinal European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Conversion Disorder Dissociation Accuracy Verified: Yes 496. Sanfiz, J., Luque, M. J. S., & Pardos, R. Q. (2007, Novembro). Trabajo con reacciones disociativas durante una sesión de EMDR [Working with dissociative reactions during an EMDR session]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Spanish Format: Conference Abstract: No abstract available. Keywords: Dissociative Disorders Accuracy Verified: Yes 497. Russell, M. C., & Silver, S. M. (2007, September). Training needs for the treatment of combat-related posttraumatic stress disorder: A survey of Department of Defense clinicians. Traumatology, 13(3), 4-10. doi:10.1177/1534765607305440. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Exposure Therapy Mental Health Personnel Military Psychiatry Posttraumatic Stress Disorder Professional Training PTSD United States Department of Defense Accuracy Verified: Yes 498. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy Accuracy Verified: Yes 499. Mielnik, G. M. (2008). Trastornos disociativos y EMDR [Dissociative disorders and EMDR]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 115-124). Buenos Aires: TdeA Ediciones. Language: Spanish Format: Book Section Abstract: N Keywords: Dissociative Disorders Accuracy Verified: Yes 500. Giannini, A. M., & Segat, I. (2002, Junio). Trastornos disociativos, deteccion, diagnosticos diferenciales y tratimiento con EMDR [Dissociative disorders, screening, diagnosis and differential treatment with EMDR]. Mesa redonda de discusión presentada en El II Congreso Internacional de Trauma y Psiquico y Estres Traumatico, Buenos Aires. Language: Spanish Format: Conference Keywords: Dissociative Disorders Roundtable Accuracy Verified: Yes 501. Bergmann, U. (2007, Novembro). Tratamento da Dissociação com EMDR [Treatment of dissociation with EMDR]. Pós-conferência Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 502. Ferrazzano de Solvey, R. C. (2008). Tratamiento de los trastornos disociativos de la identidad [Treatment of dissociative disorders of identity – three clinical cases]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp.125-166). Buenos Aires: TdeA Ediciones. Language: Spanish Format: Book Section Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 503. Cashin, J. (2000, June). Trauma and multigenerational trauma caused by genocide and oppression: A comparison of Western and Native American healing methods. Union Institute and University, Cincinnati, OH. AAT 9997330. Language: English Format: Dissertation/Thesis Abstract: Keywords: American Indians Cross Cultural Differences Emotional Trauma Empirical Study Genocide Accuracy Verified: Yes 504. Lupo, W. (2007, Novembro). Trauma e trastorno disociativo: Estudio de caso [Trauma and dissociative disorder: Case study]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Spanish Format: Conference Abstract: Keywords: Case Study Dissociation Accuracy Verified: Yes 505. van der Kolk, B. (2012, June). Trauma in different mental disorders [El trauma en los distintos trastornos mentales]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Mental Disorders Trauma Accuracy Verified: Yes 506. Oglesby, C. (1994). Trauma in sport. In M. Williams and J. Sommers (Eds.), Handbook of post-traumatic therapy (pp ). Westport, Connecticut: Greenwood Press. Language: English Format: Book Section Abstract: Accuracy Verified: No 507. Cronauer, E., & Leutner, S. (2010, June). The trauma is in the body. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Accuracy Verified: Yes 508. Balsamo, S. (2012, June). Trauma medico y su impacto en niños y adultos [Medical trauma and its impact in kids and adults]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: Spanish Format: Conference Abstract: Keywords: Adults Children Medical Trauma Accuracy Verified: Yes 509. Fisher, J. (2012, June). Trauma, body and neurobiology EMDR and sensorimotor psychotherapy in treatment of dissociative disorders [Trauma,
neurobiología
y
el
cuerpo:
EMDR
y
la
psicoterapia
sensoriomotriz
en
el
tratamiento
de
los
trastornos
disociativos]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociative Disorder Neurobiology Accuracy Verified: Yes 510. Moskowitz, A. (2012, June). Trauma, dissociation and psychosis [Trauma,
disociación y psicosis]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Dissociation Psychosis Trauma Accuracy Verified: Yes 511. Diseth, T. H., & Christie, H. J. (2005, September). Trauma-related dissociative (conversion) disorders in children and adolescents – An overview of assessment tools and treatment principles. Nordic Journal of Psychiatry, 59(4), 278-292. doi:10.1080/08039480500213683. Language: English Format: Journal Abstract: Keywords: Adolescents Children Conversion Disorders Empirical Study Quantitative Study Accuracy Verified: Yes 512. Luber, M. (1992, Winter). Trauma/abuse memories with a client diagnosed with MPD. EMDR Network Newsletter, 2(3), 6-8. Language: English Format: Newsletter Abstract: Keywords: Abuse Memories MPD Multiple Personality Disorder Accuracy Verified: Yes 513. Huso, D. R. (2010, March/April). Treating child abuse trauma with EMDR. Social Work Today, 10(2), 20. Retrieved from http://www.socialworktoday.com/archive/032210p20.shtml 8/3/2010 . Language: English Format: Magazine Abstract: Accuracy Verified: Yes 514. Russell, M. C. (2006
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.
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.]
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.
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.
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.
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.
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.
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.
This presentation seeks to address some of the challenges of using EMDR
cross-culturally with highly traumatised clients who have been the victims of physical and/or
psychological torture. The presentation will review characteristics of torture and how the
helplessness experienced by victims physically and psychologically can help the therapist to
case conceptualization and encourage adaptive learning with interweaves to assist the
processing allowing adaptive linkage being made with dysfunctional memory storage.
EMDR is very effective where trauma survivors present with somatisation, dissociation and
frozen states but desensitization and reprocessing can only be embarked upon after
adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic
stabilization) will be covered and thereafter the basic EMDR protocol implemented with the
client focusing on damage to the self and the spirit.
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).
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.
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.
L’attività è stata svolta presso l’U.O. di ginecologia-ostetricia di Lamezia Terme nella quale è stato attivato uno Screening sulla “Depressione in gravidanza e nel puerperio” che ha come obiettivo primario di individuare i soggetti vulnerabili alla depressione o PN- PTSD e di rilevare i fattori di rischio: vulnerabilità e/o scatenanti e i fattori protettivi. La gravidanza e il parto sono eventi fisiologici che segnano un periodo determinato del ciclo di vita di una donna. Sono eventi che attivano vissuti emotivi intensi e predispongono la donna ad una eccessiva sensibilità e vulnerabilità. In questo periodo la donna contatta e fa proprie una serie di processi identificativi assunti nell’infanzia che possono, se non bene rielaborati, bloccare il comportamento responsivo della futura madre con comportamenti non idonei e convizioni target inadeguate. Anche la presenza di eventi di vita stressanti possono sovraccaricare la donna a livello emotivo tale da strutturare comportamenti poco adattivi da provocare serie difficoltà nella gestione del bambino.
Nel sistematizzare tale screening si è adoperato il metodo EMDR sia nell’ambito dell’assessment nella raccolta delle informazioni dal punto degli aspetti diagnostici con riferimenti alla mappa dei traumi, che nella cura nell’uso dei tices, taping, posto al sicuro in soggetti particolarmente vulnerabili.
Tale metodologia si è dimostata efficace in quanto:
• individua in brevissimo tempo il target delle difficoltà con i possibili traumi,
• attiva i fattori di protezione con istallazione delle risorse positive,
• desensibilizza e fluidifica gli stati emotivi intensi,
• velocizza la risoluzione dei comportamenti disadattavi in comportamenti adattivi adeguati al maternage, al ben-essere della donna e della genitorialità.
The activity was held at the U. O. gynecology-obstetrics Lamezia Terme in which it was activated a screening on "Depression in pregnancy and childbirth" which has as main objective to identify those vulnerable to depression or PN-PTSD and to detect risk factors: vulnerability and / and protective factors or triggers. Pregnancy and childbirth are physiological events that mark a given period of the life cycle of a woman. They are events that trigger intense emotional experiences and predispose women to an excessive sensitivity and vulnerability. During this time she makes contact, and their identification processes undertaken a series of childhood that can, if not well elaborated, lock the responsive behavior of the mother with inappropriate behavior and inappropriate convictions target. The presence of stressful life events can overload the woman on an emotional level that structuring behavior just to cause serious problems in adaptive management of the child.
In systematizing this screening method was used in EMDR is of the Assessment in collecting information from the diagnostic aspects with reference to the map of trauma care in the use of which tices, taping, safe place particularly in subjects vulnerable.
This methodology is effective because it can show:
• identify the target in the shortest time possible difficulty with trauma,
• active protection factors with installation of positive resources,
• desensitizes and liquify the intense emotional states,
• speeds up the resolution of maladaptive behavior in adaptive behaviors adapted to mothering, the well-being of women and parenting.
In Pakistan where PTSD is assuming an epidemic nature due to prevalent circumstances, accompanied by a dearth of
psychiatrists and non affordability, treatment option like EMDR is promising. We expect a lot to achieve. The purpose of
launching EMDR Pakistan is to:
• Establish, maintain and promote the highest standards of excellence and integrity in EMDR practice, research and
education throughout Pakistan.
• Promote the development and spread of EMDR throughout Pakistan in order to stimulate and foster international
understanding of the potential of EMDR to diminish human suffering from past trauma, and to interrupt the cycle of
distress and violence by which new trauma is created.
• To arrange for trainings to qualify psychiatrists, clinical psychologists, psychologists and social workers as new facilitators and trainers in Pakistan with international recognition.
• To maintain a register of qualified EMDR clinicians, consultants, facilitators and trainers within Pakistan.
Hence this is a first step towards a journey of thousand leagues.
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]
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
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]
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
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.
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.
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.
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.
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.
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.
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.
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]
Participants will be able to: 1) identify ways in which EMDR is uniquely helpful to biracial and minority clients; 2) describe ways in which racially mixed individuals are oppressed in the United States; 3) describe how problems stemming from prejudice and discrimination can be resolved using EMDR; and 4) apply EMDR to the difficulties some clients may have due to life experiences relating to ethnicity and will develop a richer understanding of some of the problems caused by rascism.
This special issue on eye movement desensitization
and reprocessing (EMDR) treatment of
recent events and community disasters gathers
information on the application of EMDR in situations
of extreme chaos, disaster, violence, and war. The authors
provide a global perspective, writing from Israel,
Palestine, the United Kingdom, Sri Lanka, the United
States, Italy, and Mexico. They describe the effectiveness
and utility of EMDR in treating severe distress
subsequent to experiences of overwhelming terror,
loss, and despair. This is a vital topic, suggesting the
possibility of reducing exceptional emotional disturbance,
helping restore function and stability to individuals
and communities. The reports from these authors
are encouraging and hopeful, stimulating thought and
suggesting direction and guidance for future research. (Excerpt)
The issue of sexual abuse by clergy is not a new phenomenon of concern. Sipe (1995, pg 10) states that in spite of all the good done by clergy for both children and adults there is an ancient awareness of the danger of and potential for their corruption. This workshop will consider some of the essential aspects of survivor’s experiences of sexual abuse perpetrated by clergy or religious from a psycho-traumatology perspective. It will explore the implications for using EMDR with this client group. The primary focus of the workshop will be upon the EMDR phases of: History taking (Case Conceptualisation), Preparation Phase, Implications for desensitisation and reprocessing and the wider implications for EMDR clinical practice.
Learning Objectives:
Consider the diagnostic and case conceptual frameworks relating to this specific client group informed by the Adaptive Information Processing model;
Outline key aspects relating to phase 2 preparation and resource building; and
Explore some of the implications for desensitization and reprocessing in relation to working with survivors of sexual abuse perpetrated by clergy.
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.
Participants will: 1) be able to employ two new methods of using a two-handed interweave with EMDR: (a) with eye movmeents or other therapist-applied bilateral stimulation, and (b) with client-directed bilateral stimulation; 2) be able to apply this two-handed interweave in a variety of treatment circumstances: (a) with clients who are experiencing ambivalence about a decision, (b) to contrast and sometimes integrate two ego states; (c) to differentiate between a projection on another, and the actual other person, (d) to differentiate between a negative cognition or introject and a true self, (e) to differentiate between a destructive cultural or familial belief or introject and a beneficial alternative, and (f) to tailor the two-hand technique to other circumstances; and 3) through practice, will be able to apply the two-handed interweave to another participant and have the experience of using it on themselves.
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.
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.”
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.
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.
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?
１９９０年，ＥＭＤＲ正式作为一种新的治疗方法被传授。目前在美国已约有九千人在使用这种方法，但在我国被介绍尚属首次。一、关于ＥＭＤＲ的理论和实验曾有各种各样的假说被提出来解释ＥＭＤＲ心理疗法的作用机制，但至今尚无确凿的证据能充分证实之。有假说认为：“...
In 1990, EMDR was handed down formally as a new treatment. Currently there are approximately 9,000 people using this treatment in the United States, but it is the first time to be introduced in China. Firstly, various hypotheses about the theories and experiments of EMDR have been brought forward to explain its functioning mechanism. However, still there is no tangible proof for it. Some hypothesis suggested that...
Por medio de este Sistema de Procesamiento de Información (SPI), las nuevas experiencias son normalmente procesadas a estados adaptativos.
Esto significa que son asimiladas en redes de memoria ya existentes con información adaptativa.
Through this Information Processing System (IPS), new experiences are processed normally adaptive states. This means they are assimilated into existing memory networks with adaptive information. [Excerpt]
We
present
a
case
of
Test
Anxiety,
handled
using
a
combination
of
EMDR
and
Ego
State
Short
Term
Therapy.
Shira,
aged
27,
is
a
bright
science
student.
She
recently
failed
a
math
test
due
to
an
anxiety
attack.
Shira
feels
that
her
ability
to
complete
her
degree
studies
is
under
a
real
threat.
Reported
symptoms:
great
stress,
chest
pain,
pessimistic
thoughts,
and
a
general
feeling
of
low
self-‐esteem.
The
treatment
consisted
of
four
sessions
before
her
forthcoming
math
exam,
and
a
fifth
follow-‐up
session
after
it.
The
therapeutical
approach
Psycho-‐educational
counseling,
self-‐relaxation
and
guided
imagery,
EMDR
phobia
protocol
(Shapiro
F.),
use
of
puppets
for
work
on
Ego
States
(Cohen-‐Posey
K.)
based
on
Voice
Dialogue
(Stone).
During
her
EMDR
processing,
Shira
chose
different
puppets
to
represent
both
her
negative
and
positive
cognitions
(PC,
NC).
A
Policeman
puppet
(NC)
represented
the
"protecting
part"
of
the
vulnerable
child.
This
failed
part
lacks
in
self-‐confidence
and
blocks
her
progress.
Shira's
successful
PC
part
is
represented
by
the
Queen
puppet.
She
is
sure
Shira
will
succeed,
because
she's
able
to.
During
the
desensitization
process,
Shira
created
a
dialogue
between
her
different
parts,
and
empowered
the
successful,
functioning,
Queen
part.
This
reinforced
her
self-‐esteem
and
her
Ego
Awareness
The
awareness
of
these
parts
in
her
becomes
a
resource
used
by
Shira
for
a
successful
performance
in
her
math
exam,
in
which
she
gets
the
highest
grades.
We
shall
present
the
protocol
of
our
sessions,
and
the
use
of
puppets
as
projection
tools
of
the
Ego
parts.
Presentamos
un
caso
de
ansiedad
ante
exámenes,
llevado
a
través
del
uso
del
EMDR
y
la
terapia
breve
de
estados
del
Ego
combinados.
Shira,
tiene
27
años,
es
una
brillante
estudiante
de
ciencias.
Recientemente
suspendió
un
test
de
matemáticas
debido
a
un
ataque
de
ansiedad.
Shira
siente
que
su
habilidad
para
completar
sus
estudios
de
grado
esta
bajo
una
amenaza
real.
Síntomas
registrados:
Gran
estrés,
dolor
de
pecho,
pensamientos
pesimistas,
y
sentimientos
generales
de
baja
autoestima.
El
tratamiento
consistió
en
cuatro
sesiones
antes
de
su
siguiente
examen
de
matemáticas,
y
un
seguimiento
de
5
sesiones
después
de
este.
El
enfoque
terapéutico.
El
consejo
psico-‐educacional,
auto-‐relajación
e
imaginación
guiada,
protocolo
EMDR
para
fobia(Shapiro
F.),
uso
de
marionetas
para
trabajar
con
los
estados
del
Ego
(Cohen-‐Posey
K.)
basado
en
el
la
voz
del
dialogo
(Stone).
Durante
su
procesamiento
EMDR,
Shira
escoge
diferentes
marionetas
para
representar
sus
cogniciones
negativas
y
positivas
(PC,
NC).
Una
marioneta
de
agente
de
policía
(NC)
representaba
la
“parte
protectora”
de
un
niño
vulnerable.
Esta
parte
fallo
en
su
autoconfianza
y
bloque
su
progreso.
La
parte
que
representaba
el
éxito
de
Shira
PC
era
la
marioneta
de
la
Reina.
Ella
estaba
segura
de
que
Shira
Durante
el
proceso
de
desensibilización,
Shira
creó
un
dialogo
entre
sus
diferentes
partes,
y
reforzó
el
existo,
y
el
funcionamiento
de
la
parte
de
la
Reina.
Esto
reforzó
su
autoestima
y
su
conciencia
del
Ego.
La
conciencia
de
estas
partes
se
convirtió
en
un
recurso
usado
por
Shira
para
el
existo
en
la
realización
de
su
examen
de
matemáticas,
en
donde
saco
las
notas
más
altas.
Presentaremos
el
protocolo
con
nuestras
sesiones
y
el
uso
de
marionetas
como
herramientas
de
proyección
de
las
partes
del
ego.
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.
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.
Hailed as the most important method to emerge in psychotherapy in decades, Eye Movement Desensitization and Reprocessing (EMDR) has successfully treated psychological problems and illnesses--from depression, phobias, and recurrent nightmares to post-traumatic stress disorders and grief--in more than one million sufferers worldwide, with a rapidity that almost defies belief. This Updated Edition Features a new introduction and new appendices by the author, reflecting the changes and additional research that has been done since the book's original publication. It describes a breakthrough therapy acclaimed by many clinicians and supported by exhaustive research The book also includes an extensive list of EMDR resources and directions for finding and choosing one of the more than 20,000 trained EMDR therapists in the United States Finally, this work presents case histories of people whose lives have been transformed through EMDR. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
More than half of the United States population has been affected by psychological trauma. Many individuals who survive traumatic experiences develop post-traumatic stress disorder (PTSD) and related psychological problems. Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for such disorders. EMDR focuses on reprocessing the dysfunctionally stored memories of the traumatic experience, enabling the client to progress through appropriate stages of affect and insight to reach an adaptive resolution regarding critical issues such as personal responsibility, safety in the present, and the availability of choices in the future. This article describes EMDR, discusses studies of its effectiveness, and concludes with recommendations for trauma-related policy and practice.
EMDR (Eye Movement Dessensibilização e reprocesando) representa unha nova modalidade de tratamento de traumas e recordos Dolores desenvolvido por Francine Shapiro, Ph.D, a finais da década dos 80, nos Estados Unidos. É un método de dessensibilização e reprocesando de experiencias emocionalmente cargados por medio de estimulación bilateral do cerebro. Este artigo contén unha explicación introdutoria para a base e tratamento co EMDR, e remata con algúns exemplos tirados da práctica clínica da primeira autora.
EMDR (Eye Movement Desensitization and Reprocessing) represents a new modality of treatment of traumas and painful memories developed by Francine Shapiro, Ph.D, at the end of the 80’s, in the United States. It is a method of desensitization and reprocessing of emotionally charged experiences by means of the bilateral stimulation of the brain. This article gives an introductory explanation for the basis and treatment with EMDR, and finalizes with some examples taken from the clinical practice of the first author.
Minulla on ilo ja kunnia osallistua traumaterapiassa keskuksen hankkeen raportti kirjallisesti sekä muisto-seminaari. Olen käynyt Suomessa useita kertoja vuodesta 1995. Joten haluan jakaa joitakin maata suomalaisten saamistani käsityksiä. Monet lahja maailmalle mielestä Suomi on sauna. Kyllä, kylvyt ovat ihania, ja ne ovat saatavilla Yhdysvalloissa. Mielestäni Suomi on todellinen lahja maailmalle ja Fazerin Sininen suklaa, jota taas on vaikea löytää Yhdysvalloista.
It is an honor and pleasure to take part in this conference which celebrates the Trauma Center. I have been coming to Finland several times a year since 1995. I want to share some of my impressions about Finland the Finnish people. Many would say that the gift Finland has given to the world is the sauna. Yes, saunas are wonderful and are available in the US. But I think the real gift of Finland is Fazer Blue chocolate, which is difficult to find in the United States.
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.
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
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.
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.
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.
Eye Movement Desensitization and Reprocessing (EMDR) took me by surprise in the fall
of 1994, when a person we'll call Ann told me how she had recovered from Post-
Traumatic Stress Disorder (PTSD) symptoms in one two-hour session. While in a foreign
country, she had seen several violent acts that she could not forget. For two years after
returning to the States, Ann had tried to escape the flashbacks and frightening dream.
Eye Movement Desensitization and Reprocessing (EMDR) took me by surprise in the fall of 1994, when a person we'll call Ann told me how she had recovered from Post-Traumatic Stress Disorder (PTSD) symptoms in one two-hour session. While in a foreign country, she had seen several violent acts that she could not forget. For two years after returning to the States, Ann had tried to escape the flashbacks and frightening dream. [Excerpt]
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)
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.
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved.
Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.
Eye Movement Desensitization and Reprocessing (EMDR) is a psychological intervention for the treatment of posttraumatic stress disorder (PTSD). Currently, the working memory account gives the best explanation for the functionality of EMDR. This account states that conducting a dual task, mostly horizontal eye movements, while retrieving a traumatic memory will make this memory less emotional, vivid and complete. It was hypothesized that the fading in and/or fading out of traumatic images are in itself causally contributing to the reduced emotionality, vividness and completeness of the recalled memories. This experimental study (N=27) examined the fading in (the image starts vague and gets more clear) and fading out (the image starts clear and gets more vague) of traumatic images as an underlying mechanism of the working memory account. By using a within-subject design, participants engaged in three conditions (fading in, fading out and control) in which they had to rate their memories on emotionality, vividness and completeness. A detail recall test was also conducted for all conditions. No significant differences were found between the three conditions on emotionality, vividness and completeness. However, a trend was found indicating that fewer details were recalled in the fading out condition. Based on these results, the hypothesis that fading in or fading out will result in diminishing emotionality, vividness and completeness was not confirmed. Shortcomings of the experiment and implications for future research are addressed
Substance use disorders remain a persistent social and medical problem. According to a
recent report,1 addiction is the number one health problem in the United States. The report
notes that when one considers the direct costs of drug-induced health problems, deaths due
to accidents, Human immunodeficiency virus (HIV), or drug-related acts of violent crime,
there are ‘more deaths, illnesses and disabilities from substance abuse than from any other
preventable health condition’.1
Most experts today agree that substance use disorders are a complex interaction
between genetics, environment, and experience. ‘Substance dependence is not a failure of
will or of strength of character, but a medical disorder that could affect any human being.
Dependence is a chronic and relapsing disorder, often co-occurring with other physical
and mental conditions’.2
The question remains - Why has it been that over the course of human history,
where people and cultures have had access to alcohol and potent mind-altering substances,
that only some become addicted while the rest are able to regulate their use?
The drugs that people experiencing substance use disorders select are not chosen
randomly, but are a result of an interaction between the psychopharmacologic action of the
drug and the dominant painful feelings with which they struggle. Edward Khantzian,
observed that opiates are often preferred because of their powerful numbing action on the
affects of rage and aggression. Cocaine has its appeal because of its ability to relieve
distress associated with depression. Although ill-fated, ‘addicts discover that the short-term
effects of their drugs of choice help them cope with distressful subjective states and an
external reality otherwise experienced as unmanageable or overwhelming’. Thus emerges a compelling hypothesis, which proposes that people use psychoactive substances in an
attempt to control painful symptoms resulting from psychological trauma. This is referred
to as ‘self-medication’.
Some studies in the United States show that more than 50% of people with mental
disorders also suffer from substance dependence compared to 6% of the general
population.2 It is from our interest in providing integrated treatment for the complex
interaction of genes, environment, trauma, and psychological pain as a driving force behind
mental health-substance use disorders, that this chapter is written.
Most sex offenders in treatment in the United States understand and adapt well to the predominantly cognitive/behavioral/relapse prevention (RP) aspects of their treatment. "No more victims" is the fundamental goal of sex offender treatment, and due to this focus on relapse prevention, most sex offenders do not adequately address their own emotional wounding from early trauma and victimization. This author believes these unresolved affective issues lead to the cognitive distortions and justifications that allow sex offenders to give themselves permission to offend in the first place. Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic intervention that assists in rapidly resolving troubling thoughts, feelings, and physical sensations. Incorporating EMDR into the current cognitive/behavioral/relapse prevention (RP) treatment model for sex offender treatment opens the possibility of reducing the reoffense rate in society. In this study, affective issues of adult male sex offenders (n = 27) were addressed, employing EMDR; this comprised the experimental treatment group. The experimental group received a pretest, three EMDR sessions, and a posttest over an average time of 3.8 months. The Multiphasic Sex Inventory (MSI) was the measure used for this research. The three scales on that test designed to measure for thinking errors were: the Cognitive Distortion and Immaturity (CDI Scale; the Justification (Ju) Scale; and the Treatment Attitudes (TA) Scale. Archived pretest/posttest scores of randomly selected and anonymous adult male sex offenders comprised the control group (n = 27). This group was tested on the MSI and MSI 2 before entering Module 4 and after finishing Module 5, representing 22.5 months of treatment pretest/posttest. All control and experimental group subjects took part in a mandated cognitive/behavioral/relapse prevention (RP) program. The independent two-sample t test was used to compare two means utilizing the rate of change between the experimental and control group. The results of the study indicate a statistically significant reduction in justifications for offender behavior in the experimental group on the Ju scale (p-value = 0.008). On the CDI and TA scale, the null hypotheses were supported. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4899.
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
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.
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.
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.
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.
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.
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]
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]
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.
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.
The purpose of this investigation was to study the treatment effects of eye movement desensitization and reprocessing (EMDR) on a civilian population of individuals diagnosed with PTSD from sexual trauma. A series of single case designs was utilized with 6 subjects to examine EMDR treatment efficacy. The results suggested that EMDR was effective in reducing distress and related PTSD symptomatology in 1 or 2 sessions of treatment. These treatment gains were maintained at 1 year follow-up. It is suggested that affective arousal may have a critical role in maintaining a number of disorders including PTSD and that EMDR appears to be able to activate as well as desensitize affective mood states so that more adaptive cognitive processing can take place. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(3-B), Sep 1996, pp. 2170.
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.
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]
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events.
The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma.
EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.
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.
A novel approach is described for the treatment of PTSD. Eye-movement desensitisation (EMD) requires the patient to generate images of the trauma in the mind and define physiological and emotional arousal states. While concentrating on these states, lateral multisaccardic eye movements are induced. Ten consecutive cases are reported who presented with symptoms originating from a range of traumas. The effectiveness of EMD in reducing symptoms outlined by DSM-III-R is described. An independent rater indicated that eight of the ten cases showed considerable improvement in the PTSD symptoms following EMD, which was maintained at follow-up. Particular reference is given to the 'specificity' of EMD in treating symptoms and the changing pattern of effect at follow-up. [Author Abstract]
Nesta oficina devemos trabalhar a dimensão transgeracional da composição dos Estados de Ego e discutir possíveis implicações para teoria e prática do EMDR, destacando-se os desafios de constituição do sujeito, composição de cognições existenciais e ajustes do protocolo clássico para abordagem dessa complexidade interior do indivíduo com composição egóica múltipla. Palavras-chave: estados de ego; crenças existenciais; constituição do sujeito; protocolo clássico.
In this workshop we work transgenerational dimension to the composition of Ego States and possible implications for theory and practice of EMDR, highlighting the challenges of subject constitution, composition and existential cognitions adjustments classic protocol to address this complexity within the individual composition with multiple ego.
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]
Although the structured protocols and procedures of EMDR practice have provided therapists
with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to
many EMDR therapists. However, EMDR can be modified to a more natural face-to-face
flowing treatment process.
This presentation will comprehensively examine flow EMDR and its dual naturalising
components of "essential listening" and extended bi-lateral stimulation. "Essential listening"
entails the therapists accepting that all potential answers reside in the clients system.
This information and the ensuing healing process is supported by the therapist suspending all meta
communications emanating from the client. Following this procedure, combined with the
targeted information of the protocol activated by bi-lateral stimulation, allows the client to
process information until they arrive at their "essential truths".
Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by
auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will
also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation
will be reviewed as to its current modes and tactile stimulation will also be explored in terms
of tapping, pressing and mechanical activation.
Flow EMDR also actively integrates ego state work, part protocols, multiple protocols,
parallel protocols, self questioning interweaves, targeting of present mood states, resource
activation's of locating and installing positive body sensations and body processing enhanced
by colour and image associations.
This presentation will include lecture, clinical demonstratipn, audience participation and
extensive hand-out material.
Clinicians can enhance EMDR results by focusing more on body sensations. This enhances results by helping clients to engage more with the target and with their feelings about the target. Through focusing on the body, clinicians will learn how to help clients access more information about the target, direct clients so they can feel sensations more strongly or clearly, reduce stress that clients may feel about sensation states (sensate triggers), and enable clients to better release chronic muscle pain. Participants will be able to assess clients for when to use body focus and when to avoid it.
Depuis 2001, les guerres en Irak et en Afghanistan exercent une pression considérable sur la médecine militaire pour gérer efficacement la demande croissante de soins en santé mentale du personnel déployé. Cet article examine la capacité du Ministère de la défense des Etats-Unis à fournir des services de santé mentale de qualité en fonction de la disponibilité (a) de la formation clinique, (b) des interventions en santé mentale et (c) de la recherche subventionnée portant sur les traitements de l'état de stress post-traumatique. Alors que des progrès notables ont été réalisés au niveau de l'accès au traitement cognitivo-comportemental et des études dans ce domaine, l'Intégration neuro-émotionnelle par les stimulations bilatérales alternées ou EMDR (Eye Movement Desensitization & Reprocessing) est beaucoup moins disponible - peut-être à cause de la controverse actuelle qui entoure la technique. Nous suggérons qu'une meilleure disponibilité des traitements comportementaux basés sur les données probantes, peut-être par le biais de la poursuite d'un récent programme régional de formation, serait bénéfique pour les vétérans qui y ont aujourd'hui peu accès.
Since 2001, wars in Iraq and Afghanistan is considerable pressure on military medicine to effectively manage the growing demand for mental health of deployed personnel. This article examines the capacity of the Ministry of Defence of the United States to provide mental health services quality depending on availability (a) of clinical training, (b) mental health interventions and (c) sponsored research into the treatment of posttraumatic stress disorder. While significant progress has been achieved in access to cognitive behavioral treatment and studies in this field, neuro-emotional integration by alternating bilateral stimulation or EMDR (Eye Movement Desensitization Reprocessing &) is much less available - perhaps because of the current controversy surrounding the art. We suggest that greater availability of behavioral treatments based on evidence, perhaps through the continuation of a recent regional training program would be beneficial for veterans who now have little access.
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.
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.
A "Gate Theory: will be proposed to synthesize concepts of Attachment Theory, Affect Theory; Discrete Behavioral States, and Short-Term Anxiety-Regulating Psychotherapy, and to help clinicians using EMDR to identify blocks in emotional states and behavioral goals. A protocol be will presented to assist therapists and clients to identify blocks and to develop functional transitions in affect states with the aim of helping clients to achieve behavioral goals and greater emotional well-being. Case examples and videos will be used to demonstrate the protocol and to facilitate the understanding of "targeted material" and strategies to enhance processing information.
No abstract available.
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.
Participants will be able to 1) define parent-child attachment, identify the factors that insure a secure attachment, as well as the 1ife-long positive effects; 2) identify how an insecure chidhood attachment history can affect core beliefs into adulthood and get carried
over into the next generation of parenting; 3) help parents target the negative misperceptions that rule their emotional responses when they interact with their children and identify possible alternative positive cognitions before EMDR processing; and 4) use the egogram as a roadmap with attachment disordered adults, using EMDR to strengthen the competent adult and nurturing parent ego-states and separate the child ego-state from the parenting role.
In the last few years several EMDR clinicians have introduced new approaches which have expanded on EMDR. Two examples are Ricky Greenwald's techniques for 'running a movie' and David Grand's performance enhancement techniques using visualization. GENTLE EMDR is a similar expansion of standard protocol. GENTLE EMDR follows basic EMDR protocol with additional emphasis on the emotions and body sensations connected to the target. Visualilzation is then tuilized to release these emotions and sensations one at a time until the target shows a SUDS of 0. At this point, positive cognitions are installed. The advantage of visualization is that it buffers the emotions with associated with the target, thus reducing abreactions, dissociations and resistance to further EMDR treatment. One advantage of Gentle EMDR is that a client does not need to face the target directly because emotions and body sensations are broken down into management segments. Thus, Gentle EMDR works well with clients who are too fragile to tolerate the standard protocol. One example of the use of visualization would be if the target is "being physically attacked." Clients are first asked what they feel when they think of the attack and where they feel it in their body. Next, clients are asked to visualize a river passing them, while they sit in a protective (safe) place. Finally, clients are asked how the water would appear if it was the identified emotion (such as a particular color) and to let the water flow past until the appearance of the emotional reaction dissipates. Once this is done, clients are asked to name the next emotion that eminates when thinking about the physical attack, allowing the water to 'clear' that emotion as well. When the emotions are approached in this way, the target typically becomes neutralized. The entire process is done using bilateral stimulation. Gentile EMDR is easily taught and has been well received by clinicians at Univerities and Clinical Practices in the United States.
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]
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.
Oui, on peut guérir définitivement, et dans certains cas très rapidement, d'un problème psychologique grave. Beaucoup de gens ont eu leur vie transformée grâce à cette thérapie inventée en 1987 aux Etats-Unis par Francine Shapiro. L'EMDR n'est pas un effet de mode passager, mais l'expression d'une découverte majeure : notre cerveau est naturellement équipé pour guérir de ses blessures psychiques. Il peut cicatriser. L'EMDR n'est que le moyen qui permet de remettre en route le processus de retraitement de l'information bloquée au jour de l'événement traumatique. Jacques Roques veut éclairer ce mécanisme. Il donne de nombreux exemples de pathologies : traumatismes simples, traumatismes complexes et aussi empoisonnements psychiques, quand le traumatisme, distillé à petite dose comme un venin, ne se révèle qu'au cours de la thérapie. S'appuyant sur la clinique et sur ce qu'on sait aujourd'hui du fonctionnement cérébral, Jacques Roques développe des hypothèses nouvelles permettant de comprendre ces pathologies, ainsi que le fonctionnement de l'EMDR, pour améliorer la prise en charge des malades et leur permettre de recouvrer encore plus vite la santé. Ecrit dans un langage simple, donnant la parole à ses patients aussi bien qu'à ses collègues, Jacques Roques cherche surtout à diffuser un savoir utile. Comment accepter qu'aujourd'hui tant de gens continuent à souffrir alors qu'ils pourraient être définitivement guéris?
Yes, you can be cured permanently, and in some cases very rapidly, a serious psychological problem. Many people have had their lives transformed thanks to this therapy was invented in 1987 in the United States by Francine Shapiro. EMDR is not a fashion effect, but the expression of a major discovery: Our brains are naturally equipped to heal his psychological wounds. He can heal. EMDR is the means by which to reactivate the process of reprocessing the information secure on the day of the traumatic event. Jacques Roques wants to clarify this mechanism. It gives many examples of pathologies: trauma simple, complex trauma and poisoning as psychological trauma when, distilled in small doses as a poison, is revealed that during therapy. Based on clinical and what is known about the brain function, Jacques Roques develops new hypotheses for understanding these diseases, and the operation of EMDR, to improve care for patients and enable them to recover faster health. Written in simple language, giving voice to his patients as well as his colleagues, especially Jacques Roques seeks to disseminate useful knowledge. How can we accept that today many people continue to suffer while they could be permanently cured?
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.
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.
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy
"This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center
"Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma
The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]
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.
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).
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
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]
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.
Sinds de introductie van EMDR heeft het basis-protocol veel veranderingen doorgemaakt, zowel in de Verenigde Staten als daarbuiten. Voor een deel waren dat min of meer cosmetische aanpassingen, maar verscheidene aanpassingen zijn ingegeven door culturele, conceptueel-inhoudelijke of technische overwegingen. Een deel van de aanpassingen zijn afkomstig van Shapiro zelf, een ander deel is voortgekomen uit ervaringen in de praktijk. De afgelopen jaren is met name sprake geweest van tekstuele aanpassingen die er op gericht zijn de lastigste stukken in het EMDR-protocol (bijvoorbeeld de vraag: “Welke uitspraak over u zelf past daar het beste bij?”) te vereenvoudigen en (vooral) sneller en doelgerichter te komen tot - wat wij graag noemen - 'scherpstellen'.
Deze workshop is bedoeld voor iedereen die de afgelopen 3 jaar geen oficiele EMDR (basis of vervolg) opleiding heeft gevolgd. Stilgestaan wordt bij de doelstelling, de structuur en (vooral) de actuele, exacte formuleringen in het EMDR-protocol van 2005. Telkens zal worden aangegeven wat de achtergrond van de doorgevoerde aanpassingen is. De verwachting is dat het huidige protocol zich soepeler laat toepassen in de therapeutische praktijk. En dat is goed voor zowel therapeuten als patiënten.
Since the introduction of the basic EMDR protocol made many changes, both in the United States and abroad. In part, some were more or less cosmetic changes, but modifications are motivated by several cultural, conceptual, technical or substantive considerations. Some of the changes come from Shapiro herself, somechanges arose from practical experience. In recent years there has been some particular textual changes at AIM. The most difficult pieces in the EMDR protocol (e.g. the question: "Which statement best fits with yourself about you?") To simplifying and (especially) faster and targeted to achieve - what we like to call it - 'Focus'.
This workshop is for anyone over the past three years of no company EMDR Approved (or basic) education followed. Stood is the objectifying, structuring and (Especially) the current, exact genesis of the EMDR protocol or 2005. Each will be given the background to the adjustments is. The expectation is that the current protocol allows more flexible use in therapeutic practice. And that's good for bone healing therapists and patients.
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)
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) on inmates with developmental disabilities (DD) who were incarcerated in a special needs correctional facility in the southwestern United States. Cognitively, these inmates ranged from borderline intellectual functioning (BIF) to mild mental retardation (MMR), and all suffered from PTSD-like symptoms. A repeated measure pre- and postanalysis design with one sample group was utilized. The Emotional Problem Scales (EPS), Impact of Events Scales - 8 Items (IES-8), Validity of Cognition Scales (VOCS), and Subjective Units of Disturbance Scales (SUDS) were used to gather quantitative data on the 17 volunteer participants. Baseline and outcome data were collected by an independent assessor. The T-Test was incorporated to analyze the data and determine significance. Due to the small sample of convenience, the data were skewed, so the researcher also used the nonparametric Wilcoxon Signed Rank Test. Descriptive data on EMDR were collected and analyzed.As measured by the SUDS, IES-8, and VOCS, the statistical findings revealed self-reported reductions in levels of distress, avoidance, and intrusiveness of the traumatic memory, and an increase in self-esteem and the believability of positive cognitions about self and the event after the application of EMDR. However, the clinical scales from the Self-Report Inventory (SRI) of the EPS did not reveal any changes after the application of EMDR. Staff familiar with the study volunteers also reported a significant decrease in clinical pathology and an increase in prosocial behavior, as measured by the Behavior Rating Scale (BRS) of the EPS. Findings suggest that the utilization of EMDR with persons having developmental disabilities may have clinical utility. Thus, further research in this area is warranted. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 436.
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.
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.
Eighteen hundred years ago the Greek astronomer, and mathematician, Ptolemy, discovered he
could induce a feeling of contentment in those who looked at sunlight through the spokes of a
spinning wheel. In the late 1800's, French psychiatrist, Dr. Pierre Janet, noted that patients at
the Salpetriere Hospital in Paris experienced increased relaxation and a reduction in the
symptoms of hysteria when they were exposed to flickering light. Since the late 1930's
neuroscientists have known that brainwaves would rapidly mimic the rhythm of a flashing light
( or sound ) stimulus. British EEG researcher, W. Grey Walter originally called this the "flicker
phenomena," noting that strobic light produced states of profound relaxation and vivid mental
imagery. Today this same principle is known as visual entrainment.
Uma diferença entre uma técnica e um modelo é que o último dá ao terapeuta um quadro, uma abordagem de processo e planejamento do tratamento. A conceituação de casos em terapia EMDR permite que o paciente e o terapeuta para visualizar claramente o tratamento do roteiro.
Irá abordar a conceituação dos casos e fazendo história em EMDR uso de imagens associativas ou metafórico para identificar os alvos a serem processados. Isso vai chamar a uma variedade de cartões com imagens conhecidas como cartas associativos OH, um novo resort na Europa, Canadá e Estados Unidos e fazem parte da psicoterapia. Estes grupos de letras foram criadas para promover a comunicação, o desenvolvimento, narrativa, criatividade e imaginação de adultos e crianças. Eles são ferramentas terapêuticas que podem ser utilizados na avaliação do tratamento e monitorização de pacientes com distúrbios emocionais.
Esta ferramenta é usada para ativar esquemas disfuncionais, e incentivar a reflexão, e desinibição. Estimular a capacidade associativa e narrativo, evocativo estimulante, rico em memórias e imaginação. Associações letras ajudam-nos a exteriorizar nossas idéias e emoções de forma espontânea, fazendo-a emergir em nossa consciência. Daí o seu valor na abordagem EMDR.
Também vai mostrar como desenvolver recursos de enfrentamento e imagens associativas usando EMDR e estado de ego como endereço usando imagens associativas. Este recurso pode ser aplicado a um indivíduo ou grupo de contexto.
One difference between a technical and a model is that the latter gives the therapist a framework, a process approach and treatment planning. The conceptualization of cases in EMDR therapy allows the patient and therapist to clearly visualize the treatment of the script.
Will address the conceptualization of cases and making history in EMDR use of images or metaphorical associations to identify targets to be processed. This will draw a variety of cards with letters images known as associative OH, a new resort in Europe, Canada and the United States are part of psychotherapy. These groups of letters were created to promote communication, development, storytelling, creativity and imagination of adults and children. They are therapeutic tools that can be used in the evaluation and monitoring of treatment of patients with emotional disturbances.
This tool is used to activate dysfunctional schemas, and encourage reflection, and disinhibition. Stimulating capacity and associative narrative, evocative stimulating, rich in memories and imagination. Associations letters help us to externalize our ideas and emotions spontaneously, causing it to emerge in our consciousness. Hence its value in the EMDR approach.
Also will show how to develop coping resources and associative images using EMDR and ego state as address using associative images. This feature can be applied to an individual or group of context.
This presentation starts with sensory development in pregnancy. By 22 weeks there is already a high level of
brain organisation with touch, taste, hearing and smell already well developed. Balance, vision and motor
development follow and the links to learning and states of consciousness are explained. The concept of birth as
our first traumatic experience is introduced and the implications for future EMDR therapy are discussed. Infant
brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct
relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma
for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral
stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is
explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. The concept of a structural developmental model of
emotional awareness is explained with how this relates to trauma and a sense of self. The anatomical correlates
of emotional processing are suggested at both cortical and limbic system levels. Ways in which EMDR can be
modified in light of this knowledge are proposed. An additional model of applying EMDR is outlined. This involves
multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be
shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles
generating rapid eye movement.
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]
In the Tibetan psychology and philosophy, the understanding that what we identify as the object does not exist as such independently of the experiencing subject is – at all levels of mind – essential. The subject perceives the object at a conceptual, feeling and sense level. In other words, as individuals we create the object at these three levels, and it becomes an integral part of our reality experience.
Tibetan Psychology has as it basis an understanding of the nature and functioning of the mind in its many different states of experiences. However, it does not see the mind-experience as an isolated phenomenon. It sees the body and mind as mutually interdependent and interdetermining on all levels – from both an ordinary level of body and mind to the basic energy level. The former is characteristic by an experience of great separation, and the latter by the experience of the inseparability of the body/mind.
In accordance with Tibetan metaphysics matter emerges from four basic “energy origins,” such that energy is seen as both the basis of matter, and is continuously pervading matter. From the energy resource all forms of existence arise and return again in a continuous movement of birth, existence and death, taking places every instant of time. It is because of the relationship of subject and object that we can change our object-experience, as well as our experience of the world and of the situations which arise in it.
Tibetan psychology maintains in this respect that the notion of self or self-identity is the core around which psychological patterns and the reality of the individual develop. The transformation process of an adequate self-identity into a healthier an less artificial identity takes the adept or client through the following process of change: (1) from a solid form level of the problematic subject/object experience, (2) to an energy level, taking us beyond the artificial identity and connect experience of reality, and (23) back into a new creation o the form level, into a new an more genuine experience of oneself and reality. Thus, when applying the insight of this basic interrelatedness of body and mind, subject and object and energy and matter – Unity in Duality – the experience of self-identity and that of the object undergoes a change, and the former problematic subject/object is transcended. The Tibetan self-development methods and the Tibetan psychotherapeutic methods, which Tarab Tulku has developed, deal essentially with healing and strengthening of the self-feeling and refining the self-reference/self-identity. It gives the theoretical analysis for changing the experience of self and the surroundings – of changing the approximation of reality – and it offers adequate psychotherapeutic as wall as self-development methods for its attainment. All in the Tibetan psychology and psychotherapy gives a new and valuable perspective, foundation and method supplementing and enriching Western Psychology in general and EMDR in particular.
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
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.
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]
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.
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.
Jessie Rappaport, R.C.S.W. of Eugene
Oregon, sent in this observation:
He states, "for clients with persistent
negative cognitions such as,
'I don't deserve to be loved', where
EMDR saccades, cognitive interweave,
and all other variations fail to
effectively shift the cognition, he tells
the client, 'I would like you to notice,
if you would, how you fee1 when I
take over the voicing of that belief
and say it to you ...." [An example of
this would be 'you don't deserve to be
loved'.] He does this with eye movements
induced and often at this point
reports that the client will dramatically
shift the polarity when the belief has
been externalized by his voice.
The response is often from the positive
polarity, such as, 'I have every
right to 'be loved' or 'the heck with
you, I'm tired of hearing that', etc.
He states that with particularly fragile
clients, this intervention must be
carefully framed, such as, 'I am taking
over the negative voice that is in
you.'"
There is a growing interest in the United States in complementary therapies (CT) to
address the health needs and hopes of individuals. Research in the medical and allied
health communities has reflected the expanding interest, however, the counseling
profession has limited literature focusing on CT integration practices. The current study
expands on existing research using a constructivist lens and grounded theory approach; a
sample of 16 practicing counselors were interviewed to develop a theoretical model of
CT integration in the counseling context. Scholarly literature has described CT and
reasons for its use, which can be linked to counseling through professional identity, the
wellness model, and ethical practice. The results of this study indicate that experience,
beliefs, competence, and practice are primary factors in the integration of CT in
counseling. Implications of the results on the counseling profession will be detailed in
terms of practice, training, and future research.
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)
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.
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]
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.
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.
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.
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.
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]
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]
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.
PTSD experts have recently pointed out that while traumatic events have been the core of cultural tales for centuries, it is highly unlikely today that any individual will avoid the direct experience of a traumatic event during a lifetime. The present study was an initial exploration of the effectiveness of an approach, designed for clinical issues of trauma, in sport; a nonclinical, field study environment marked by consistent high pressure to perform with excellence. The hypotheses of the study called for examination of pre and post treatment scores of control, EMDR, and placebo group subjects on five dependent variables: States of Consciousness During Movement Activity Inventory (SCMAI); State-trait Anxiety Inventory (STAI); Coach-Perceived Performance Rating (CPPR); Subjective Units of Distress Scale (SUDS); and Validity of Cognition Scale (VoC).Collegiate varsity athletes (N = 48) from the sports of field hockey, gymnastics, lacrosse, track and field, and volleyball were randomly assigned to one of three treatment groups. The control group completed the SCMAI and STAI with 3 to 4 weeks intervening. The placebo group completed the inventories and a week later met with a sport psychology consultant (researcher) for focus on the identified "worst moment in sport." The SUDS and VoC scores were collected during the session. After another week, the inventories were completed for the last time. The pattern for the eye movement desensitization reprocessing (EMDR) group was identical to the placebo group except the session followed a basic protocol for EMDR. The focus of the session was, again, the subjects, worst moment in sport. The results revealed no statistically significant pre to post changes in treatment group scores in regard to the SCMAI, STAI, and coach-perceived performance. Results significant p < .02 were found on the SUDS and VoC as the EMDR group reported more favorable gains that did the placebo group. Additionally, descriptive statistics, and qualitative protocol examples, were utilized to illustrate trends of potential individual benefit from the EMDR procedure. This research represented the first study of a potential line of research examining the efficacy of EMDR with athletes and, perhaps, with performers in various peak performance settings. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1292.
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?
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.
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.
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.
Chairs: Meusers, M. & Freiha, T.
Uvod: Mnoge studije ukazuju na efikasnost psihoterapijske metode Eye Movement Desensitization and Reprocessing u lijeÄenju stanja nastalih kao reakcija na te�ak 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 poremećaja nakon �to je pre�ivio nesreću u rudniku. Nakon jedne seanse EMDR simptomi se u potpunosti povlaÄe, a pacijent se vraća na premorbidni nivo psihosocijalnog funkcionisanja.
ZakljuÄak: Pacijenti tretirani sa EMDR imaju mnoge koristi od ovakvog pristupa, posebno u sluÄajevima posttraumatskog stresnog poremećaja 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.
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.
Propongo il caso di S. perché il PN-PTSD è poco diagnosticato e perché, attraverso una variante tecnica al floatback, il floatback-floatforward sulla timeline, sono riuscita ad aggirare la dissociazione post traumatica, a identificare i vari alter dissociati e a integrarli nella persona con l’uso del protocollo standard dell’EMDR.
A sedici anni S. fu portata in studio dai genitori che l’avevano sorpresa a inalare i fumi dell’eroina; oggi ha diciotto anni e non si droga più da quel giorno.
Guardandole le braccia piene di cicatrici mi resi conto che S. ricorreva alla pratica dell’autolesionismo, ma i genitori non se ne accorgevano.
Qual era il segreto custodito gelosamente dalla famiglia?
La storia di S. si articola intorno a due traumi: il PN-PTSD e l’abuso.
Dal trauma perinatale e dalla percezione in utero degli stati emotivi depressivi della madre sono scaturiti disturbi nell’attaccamento e, per la mancanza di mirroring e di sintonizzazione affettiva, sono falliti i processi d’internalizzazione che portano all’identità.
S. era consapevole del trauma dell’abbandono ma non dell’abuso, che definiva come un “pozzo nero impenetrabile”.
Per affrontare il trauma che minacciava la sopravvivenza, S. faceva ricorso in maniera invasiva a un meccanismo di coping: la dissociazione dell’oggetto e del Sé. Mettere in un alter l’abuso consentiva a S. di mantenere l’attaccamento ai membri della propria famiglia che avevano abusato di lei o attivamente, o passivamente con la complicità del silenzio.
Usando la scala Des non ho riscontrato risultati significativi sulla dissociazione, invece con la SCID-LIST ho rilevato valori alti.
L’autolesionismo può rappresentare l’odio per il corpo che ha subito l’abuso senza ribellarsi, o, come dice S., “un modo per punirsi della colpa di esistere o di infliggersi una sofferenza fisica per coprire l’angoscia di morte”.
L’EMDR ha rappresentato la sfida.
Propose the case of S. because the PN-PTSD is poorly diagnosed and because, through a variant technique to floatback the floatback-floatforward on the timeline, I managed to circumvent the Post traumatic dissociation, to identify the various alter-differentiated and integrate them in person using the standard EMDR protocol. At sixteen, S. was brought to the study by parents who had found to inhale the fumes of heroin; Today is eighteen years and not more drugs that day. Looking at the arms full of scars I realized that St. resorted to the practice of self, but the parents did not noticed. What was the secret guarded jealously by the family? The story of St. focuses on two traumas: the PN-PTSD and abuse. Since perinatal trauma and perception of emotional states of depression in the uterus of the mother are resulting in attachment disorders and the lack of mirroring and affective attunement, failed processes of internalization that lead to identity. S. was aware of the trauma of abandonment but not the abuse, which defined as a "well
impenetrable black. To deal with the trauma that threatened the survival, S. was used in an invasive manner coping mechanism: the dissociation of object and self. Putting an alter abuse allowed S. to maintain the attachment to family members who had abused her or actively, or passively with the complicity of silence. Using the scale Des I have not found significant results on the dissociation, but with the SCID-LIST I observed high values. The SIB may represent the hatred of the body that has suffered abuse without rebelling, or, as Saint, "a way to punish a fault to exist or to inflict physical pain
cover the anguish of death." EMDR has been the challenge.
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.
(1) David Servan-Schreiber est Professeur de Psychiatrie Clinique à l’École de Médecine de l’Université de Pittsburgh aux Etats-Unis et Chargé de cours à la Faculté de Médecine de Lyon I. Cet article est tiré en partie d'une traduction d'un article paru en 2002 dans la revue américaine Alternative Therapies in Health Medicine, 8:100-103. Nous remercions Pauline Guillerd, psychologue et praticienne EMDR, pour la traduction de l'anglais.
(1) David Servan-Schreiber is Professor of Clinical Psychiatry, School of Medicine of the University of Pittsburgh in the United States and Lecturer at the Faculty of Medicine of Lyon I. This article is partly based on a translation of an article published in 2002 in the journal Alternative Therapies in Health Medicine, 8:100-103. We thank Pauline Guillerd Psychologist and EMDR practitioner, for the translation of English.
Commonly practiced in Europe and the United States, EMDR (Eye Movement Desensitization and Reprocessing) therapy is said to help patients work through traumatic memories.
During treatment, a patient recalls an experience while the therapist waves his or her finger in front of the patient from side to side like a windscreen wiper.
However, there are fewer than 20 EMDR specialists available in Tohoku, according to Masaya Ichii, a professor at the Center for Research on Human Development and Clinical Psychology at Hyogo University of Teacher Education.
This kind of psychotherapy is not common in Japan because therapists do not receive much compensation. (Excerpt)
Also printed in the The Republic, Columbus, IN (http://www.therepublic.com/view/story/JAPAN-QUAKE-PTSD_5037116/JAPAN-QUAKE-PTSD_5037116/).
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.
Dr. Roger Solomon, a well known psychologist in the United States, uses EMDR with very varied traumas, such as SHOAH transgenerational aftereffects, on Dr Michel Meignant, the film’s director. Other French, American (including Francine Shapiro), Canadian and Israeli practitioners give their point of view on the discovery of EMDR and how it operates. This film is a real and moving therapeutic demonstration of EMDR’s efficiency
Some psychological and physical traumatisms can have psychological and physical after effects which persist and
are very difficult to cure. In 1987, an American student, Francine Shapiro discovered EMDR, a new therapeutic
process that is now recommended as a front line treatment for trauma. Dr Roger Solomon, a well known
psychologist in the United States, uses EMDR with very varied traumas, such as SHOAH trans-generational after
effects, on Dr Michel Meignant, the film director. Others French, American (including Francine Shapiro), Canadian
and Israeli practitioners give their point of view on the discovery of EMDR and how it operates. This film is a real
and moving therapeutic demonstration of EMDR efficiency.
Dr. Roger Solomon, a well known psychologist in the United States, uses EMDR with very varied traumas, such as SHOAH transgenerational aftereffects, on Dr Michel Meignant, the film’s director. Other French, American (including Francine Shapiro), Canadian and Israeli practitioners give their point of view on the discovery of EMDR and how it operates. This film is a real and moving therapeutic demonstration of EMDR’s efficiency
Movie presentation: Some psychological and physical traumatisms can have psychological and physical aftereffects, which persist and are very
difficult to cure. In 1987, an American student, Francine Shapiro discovered EMDR, a new therapetical process that is now
recommended as a front line treatment for trauma. Dr Roger Solomon, a well-known psychologist in the United States, uses
EMDR with very varied traumas, such as SHOAH transgenerational after-effects, on Dr Michel Meignant, the film director.
Others French, American (including Francine Shapiro), Canadian and Israeli practitioners give their point of view on the
discovery of EMDR and how it operates.
This film is a real and moving therapeutic demonstration of EMDR efficiency.
Dr. Roger Solomon, a well known psychologist in the United States, uses EMDR with very varied traumas, such as
SHOAH transgenerational aftereffects, on Dr Michel Meignant, the film’s director. Other French, American
(including Francine Shapiro), Canadian and Israeli practitioners give their point of view on the discovery of EMDR
and how it operates. This film is a real and moving therapeutic demonstration of EMDR’s efficiency.
During my consultation to become a certified
EMDR therapist, I learned that omitting the future
template is the main reason some EMDR treatments
do not hold. If this is even anecdotally true (I know
of no research that states such), how is reducing the
future
template to one sentence in an article advancing
the maintenance of “ . . . the integrity of the standard
EMDR protocol and keeping adaptive information
processing in mind . . . ” mentioned in the article?
Although the author states the importance of “ . . . the
efficacy of this powerful methodology . . .” I respectfully
submit that short cutting the future template in
research articles does a disservice to the adherence of
any protocol. [Excerpt]
I can understand the disappointment of the writer
who would have liked to have the future template
spelled out in the body of the excerpt. However, the
fact that the full text of the future template was not
scripted is not a reflection of the lack of importance of
the future
template as it states in the section, “Create
a Future Template,” at the end of the “Protocol for
Excessive Grief” journal article (Luber, 2012, p. 135)
and in the Eye Movement Desensitization and Reprocessing
(EMDR) Scripted Protocols: Basics and Special Situations
(Luber, 2009a, p. 187).
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]
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.
espite an abundance of studies linking both traumatic experiences and anxiety disorders with eating disorders, relatively little has been reported on the prevalence of associated posttraumatic stress disorder (PTSD) or partial PTSD in patients with eating disorders. The National Women's Study, dating back more than 10 years, remains the only detailed study of crime victimization histories, resultant PTSD, and associated psychiatric comorbidity, including eating disorders, in a representative sample of women in the United States.1 This article presents the case for a link between PTSD and eating disorders. The prevalence of comorbid PTSD and eating disorders is discussed with an explanation of a mechanism that may explain the connection, followed by treatment options and reasons for caution.
Um assalto, um acidente de trânsito, a separação dos pais ou mesmo uma discussão grave entre familiares. Esses são alguns exemplos de eventos causadores de traumas que podem durar muitos anos. Dependendo do tamanho da dor psicológica, é preciso recorrer às psicoterapias e uso de medicamentos para aliviar o sofrimento. Porém, uma nova técnica promete ajudar pacientes a enfrentarem seus medos. Trata-se do "Eye Movement Desensitization and Reprocessing" (Dessensibilização e Reprocessamento por meio dos Movimentos Oculares), conhecida pela sigla EMDR. A terapia, descoberta nos Estados Unidos pela psicóloga Francine Shapiro, foi introduzida no Brasil, há seis anos, pela também psicóloga Esly Regina Souza de Carvalho que lança, hoje à noite, o livro "Curando a galera que mora lá dentro - Como o EMDR e as novas terapias de reprocessamento podem tratar nossos papéis internos".
An assault, a traffic accident, her parents' separation or even a serious discussion among family members. These are some examples of events that cause trauma that can last for many years. Depending on the size of psychological pain must rely on psychotherapy and medications to relieve suffering. However, a new technique promises to help patients cope with their fears. This is the "Eye Movement Desensitization and Reprocessing" (by Desensitization and Reprocessing Eye Movement), known by the acronym EMDR. The therapy was discovered in the United States by psychologist Francine Shapiro, was introduced in Brazil six years ago, the psychologist also Esly Regina Souza de Carvalho throws tonight, the book "Healing the people that lives there - How EMDR and new therapies can treat our reprocessing internal roles. " {Excerpt]
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.
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
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.
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.
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.
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
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.
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.
Ego state conflict can frequently dominate relational patterns even in clients without a trauma history. Relational partners often have poor boundaries and share a mutual dependency characterized by blame and projection. This workshop will explore family dynamics that contribute to ego fragmentation and manifestations of interlocking ego state conflict in couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, be able to describe ego state manifestations in couples conflict, and learn how to manage ego states in the desensitization phase of processing.
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.).
In this chapter, Dr. Perry explores how the brain "stores and retrieves physiologic states, feelings, behaviors and thoughts from traumatic events", and illustrates these issues with several case examples of traumatized children and adolescents. Concluding sections focus on vulnerable children and the law, and on transgenerational memory in society and culture. Four figures and 59 references are included in this online version
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.
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.
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.]
The need to address subcortical components of PTSD is critical to trauma work, especially with clients who cannot modulate arousal, tolerate positive affect, or maintain mindful states. With such clients, the use of Sensorimotor
Psychotherapy in conjunction with EMDR can enhance the effectiveness of both treatments. Sensorimotor Psychotherapy techniques can be utilized to increase affect and autonomic tolerance, to embody EMDR-acquired
resources, and to increase the effectiveness of EMDR processing by facilitating an optimal level of arousal. This workshop will introduce
participants to Sensorimotor Psychotherapy and describe the integrated use of both modalities to enhance trauma processing.
Disrupted attachment or sustained early life trauma often results in the formation of ego states, also known as
alters or parts. These states perform roles usually geared towards survival, but in adulthood they can be
dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad
things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during
EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with
more difficult clients so they too can benefit from EMDR. This presentation provides an overview of Ego State
Therapy (EST) and how it fits with EMDR. It demonstrates how to access ego states in a controlled way and goes
on to show a video of a live case where EST is used effectively to moderate the malevolence displayed by a
difficult ego state. In this case example, the client went on to experience the standard 8 Phases of EMDR.
This paper brings together my experiences with music in EMDR therapy and the experiences of myself and others with music and the brain. I describe some of the components and forms of music--e.g. imagined music, humming, singing, dance-like movements in EMDR, eliciting fom the client the words of a song, retelling the negative cognitions for a deeply-embedded song, and thythm and chanting--and how, together with EMDR, they can evoke open, integrative states which are more amenable to deep change that either is alone. I believe that since music has some of the basic attributes as EMDR, music by itself may be included with EMDR techniques, e.g. eye movements, clicking, tapping, etc.
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]
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.
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)]
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.
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.
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.
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.
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.
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.
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.
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.
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.
Eye movements and certain visual mechanisms appear to be related to states of relaxation and levels of wakefulness. The hatha yoga tradition in its historical and contemporary forms uses certain eye 'exercises' or postures to induce relaxation and reduce arousal. Visual correlates of the alpha state are well known. These phenomena may be involved in the success of the new eye desensitization procedure.
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.
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.
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.
Explored the efficacy of eye movement desensitization and reprocessing (EMDR) without music vs eye movement desensitization with music (EMDM) in the management of acute pain induced by hand exposures to ice water. 30 Ss were randomly assigned to EMDR, EMDM, or control. The EMDR Ss focused on negative experiences associated with exposure to ice water, generated positive self-talk, and diverted their attention away from pain by focusing on a rapidly moving light on a monitor. The EMDM group received eye movement desensitization coupled with preferred music. Measures of hypnotic susceptibility, mood states, pain, and treatment credibility were obtained. Repeated measures univariate and multivariate analysis of covariance (ANCOVA) was used to analyze the data. Both procedures alleviated participants' pain to a similar degree and significantly more than the control. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.
Eye Movement Desensitization and Reprocessing (EMDR) is an innovative therapy that is currently used to treat anxiety disorders. Discovered by Francine Shapiro in 1987, the treatment was originally utilized on individuals suffering from Post Traumatic Syndrome Disorder; however, the original treatment protocol has evolved to include other forms of trauma such as performance anxiety. The main hypothesis of EMDR states that traumatic memories cause the nervous system to become dysfunctional and unbalanced. As a result, stimuli such as sound and images from these events are looped continuously within the nervous system until the body can functionally process the events toward an adaptive solution. Until a solution is established, the original thoughts and feelings encountered during previous disturbing events resurface each time a resembling experience occurs. EMDR serves as a performance enhancement for brass musicians by desensitizing and reprocessing maladaptive memories through bilateral stimulation of both hemispheres of the brain. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 68(4-A), 2007, pp. 1221.
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.
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.
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.
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.
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.
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.
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.
This presentation offers a description of an integrative approach of group treatment within
phase I treatment leaning on psychodynamic theory, a clear psycho-educative approach
that uses methods as hypnosis/relaxation training/mindfulness training, aims for
enhanced relational capacity and self-regulation by using hypnotic techniques aiming at
enhanced containment capacity (Brown & Fromm, 1986; Kluft, 1993, 1999; Phillips &
Fredericks 1995; Chu 1998; Cardeña et al., 2000). The treatment aims at enhanced
capacity to mentalize, i.e., using the reflective functions in self-organization (Fonagy,
1997). This is considered to offer the participants an enhanced ”self soothing capacity”
(Krystal 1988a,1988b), i. e., the capacity to calm and soothe the self by enhanced self
regulation and capacity to rest, by helping the participants to reach experiential states
where they can contain their own reactions, as well as offering training in order to tolerate
and understand the signals of the body, i. e. the “felt sense” (Gendlin, 1978; Ogden,
Minton, & Pain 2006). The trauma therapy within phase II-work by extended EMDRprotocols
is exemplified with special focus on the restoration of the capacity for adequate
self-care as well as care-giving functions.
Learning Objectives:
1. To show how an integrative group treatment in phase I treatment can be used in
trauma therapy for stabilization with patients with complex PTSD and high levels of
dissociation (psychoform and/or somatoform co-morbidity).
2. Exemplify trauma-therapy within phase II work by extended EMDR-protocols
addressing the special needs of continuous reinforcement of stabilization for the
same population.
3. Focus on restoration of the capacity for adequate self-care as well as care giving
functions.
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.
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.
Although most military personnel returning from recent deployments will readjust successfully to life in the United States, a significant minority will exhibit PTSD or some other psychiatric disorder. Practitioners should routinely inquire about war-zone trauma and associated symptoms when conducting psychiatric assessments. Treatment should be initiated as soon as possible, not only to ameliorate PTSD symptoms but also to forestall the later development of comorbid psychiatric and/or medical disorders and to prevent interpersonal or vocational functional impairment. If evidence-based practices are utilized, complete remission can be achieved in 30%–50% of cases of PTSD, and partial improvement can be expected with most patients. We can all look forward to future breakthroughs that will improve our capacity to help people with PTSD. [Author Summary]
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]
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.
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.
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.
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta
portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo
campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo
raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la
più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con
successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse
una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta.
Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita
delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di
continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno
portato definitivamente al centro dell’attenzione la presenza di esperienze reali come
implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto
“modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi
secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti
essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata
dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi
Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la
concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso
delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi
post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995,
2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più
vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001),
pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici,
genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda,
1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2
traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente
sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le
ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi
totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione,
evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia
costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie
interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).
The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).
Participants will learn to identify: 1) the role of transference in psychotherapy in general and EMDR in particular; 2) the developmental levels of Lawrence Hedge's psychoanalytic model; 3) the influence of developmental states on later traumatic events; and 4) how the therapeutic relationship can come to constitute the essential non-traumatic relational pole of the EMDR process iself.
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.
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.
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)
Posttraumatic stress dlsorder (PTSD) is the most serious and prevalent of the
mental disorders among returning United States combat veterans. As veterans who
have sewed in Iraq and Afghanistan join the ranks of combat veterans from prior
conflicts the need and availability of evidence-based treatments tor PTSD is
increasing. Three psychotherapies for PTSD consistently have been identified in
recent meta-analyses as evidence-based treatments for PTSD. Results of the
analyses indicate that trauma-focused cognitive behavior therapy (CPT), exposurebased
therapy (PE) and eye movement desensitization and reprocessing (EMDR) are
effective. International treatment guidelines for PTSD have the same consensus
regarding EMDR, PE and CPT as treatments of choice for PTSD (e.g., APA, 2004;
Department of Veterans Affairs and Department of Defense (DoD). 2004).
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.
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.
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.
ocuses on the efforts of Jeffrey Lohr of the Science and Pseudoscience Review Special Interest Group of the Association for Advancement of Behavior Therapy to help clinical scientists identify bogus therapies in the United States. Details on the Eye Movement Desensitization and Reprocessing; Findings of Scott Lilenfeld on Rebirthing Theory. (Academic Search Premiere)
Quantum physics, called the “science of consciousness,” challenges our assumptions about the nature of reality. At the subatomic level everything is interconnected, though the connections are hidden. EMDR too is a process of revealing an Essential Truth that, because of trauma, has been hidden. Two principles will be examined: 1) Belief creates reality: Quantum physics states that the way we look at things changes what we see. This relates directly to EMDR cognitions; and 2) The part contains the whole: Consciousness and memories may be distributed everywhere (holographically) throughout the brain. The brain may use holograms for memory storage and retrieval, and EMDR may amplify this process. These fascinating concepts will illuminate EMDR in new and creative ways.
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]
Several studies have found that making eye movements while retrieving visual images about past negative events reduces their vividness and emotional intensity. A working memory account states that eye
movements tax working memory and interfere with visual imagery, thus degrading images. This study
examined whether eye movements also affect recurrent, intrusive visual images about potential future
catastrophes (“flashforwards”) in a sample of female undergraduates who had indicated on a screening-scale that they suffer from such intrusions. They were asked to recall two intrusive images with or without
making eye movements. Before and after each condition, participants retrieved the image, and rated its
vividness and emotionality. Results showed that vividness of intrusive images was lower after recall
with eye movement, relative to recall only, and there was a similar trend for emotionality. Potential implications are discussed.
This study examined the traumatic experiences and psychological symptoms of 60 refugees who were recently resettled in the United States. Subjects were from Cuba, Iraq, Haiti, Sudan, and Bosnia. Data was collected for each subject on traumatic experiences occurring prior to their arrival. In addition, anxiety and depression were assessed using the Hopkins Symptom Checklist (HSC-25). Quality of life and coping skills were assessed using the WHO Quality of Life-BREF and the Coping Styles Questionnaire, respectively. Trained, bi-lingual interviewers assessed for PTSD using the Clinician-Administered PTSD Scale. All instruments were translated into the appropriate language for subjects who did not speak English. Measures were back-translated to assure accuracy of translations. Three months following their arrival, information was collected regarding employment and public assistance. Predictors of PTSD, quality of life, and refugee self-sufficiency were analyzed using multiple regression and logistic regression analyses. Trauma-related variables were predictive of PTSD, which in turn had a negative impact on quality of life and self-sufficiency. Implications for the resettlement programs of government and non-governmental organizations are discussed.
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.).
Comments on the effectiveness of REM (Rapid Eye Movement) reprocessing in therapy. States that further research into its benefits would be useful. [Adapted from Text, p. 500]
A new study, 'Effect of bilateral eye movements on frontal interhemispheric gamma EEG coherence: implications for EMDR therapy,' is now available (see also Life Sciences). "The use of bilateral eye movements (EMs) is an important component of Eye Movement Desensitization and Reprocessing (EMDR) therapy for posttraumatic stress disorder. The neural mechanisms underlying EMDR remain unclear," scientists in the United States report.
The article presents a study on the effectiveness of grief counseling and post-death experiences in helping the bereaved. It states that 45 clients who had Guided Afterlife Connections experiences were enrolled in the study and Subjective Units of Distress scale (SUDS) and EMDR psychotherapy are used. Results showed that a rate of 10 in the SUDS scale shows that the memory is disturbing and a rate of zero means no disturbing effect.
I conceptualize EMDR as the process of linking the trauma from one part of the brain to a solution in
another part of the brain, to reach an adaptive resolution. The standard EMDR protocol proposes
accomplishing this by focusing heavily on the trauma. Most of my clients are adult survivors of
childhood trauma and their tolerance of a trauma-focused protocol is often low. I wondered if the
same adaptive resolution could be accomplished by focusing primarily on the part of the brain
holding the solution rather than the trauma. I recently began developing a resource-focused
protocol, which borrows from Sandra Paulsen’s (1994, 1995, & 1996) suggestions for integrating
EMDR with ego state therapy, and Andrew Leeds’ (1997) protocol for resource development and
resource installation (RD/RI). This new protocol puts significant emphasis on developing and
strengthening the felt sense of well-being connected to resource ego states before EMDR processing,
and maintenance of the sense of well-being during EMDR processing. It involves using the clients’
drawings of resource ego states and traumatized ego states (drawn with the dominant and nondominant
hand) as anchors for ego state processing, and as the focal points in eye movements (EMs).
In this protocol, traumatic material is elicited only when sufficient internal resources, represented by
drawings, are displayed in front of the client. The intention of this approach is to minimize risk of
affect overwhelm and maximize the probability that the part of the brain holding the trauma will link
to the part of the brain holding the solution.
In my experience the resource-focused protocol
We will begin with a video that illustrates how resourcing, the accessing of self-affirming internal states, is engage in spontaneously by psychologically well-integrated clients before accessing deep childhood pain. Case conceptualization should not only involve the identification of chains of disturbing events contributing to present symptoms, but the anticipation of resources that will be necessary for successfully processing them. Based on the nature of the targets, the clinician can identify the kinds of resources that will be needed and whether they are presently accessible to the client. Will the client be able to access them spontaneously during processing, or will the client need advance help in doing this? We will describe ways of making this determination.
The most common difficulty with resourcing seems to be the intrusion of disturbing material in the resourcing process. This can be prevented in a variety of ways that will be addressed. Once resources are developed, there are many ways to utilize them. Resource utilization will be discussed and illustrated.
We beginnen met een video die laat zien hoe ‘resourcing’ dwz het inzetten van hulpbronnen gericht op positieve interne zelfbevestigingen, bij goed geïntegreerde cliënten spontaan kan optreden voordat de vroeg kinderlijke pijn kan worden aangesproken. Casus conceptualisatie moet niet alleen de reeks van traumatische of beschadigende gebeurtenissen die tot de huidige klachten leiden inventariseren, maar ook juist anticiperen op de nodige hulpbronnen om deze traumata op een succesvolle wijze te kunnen verwerken.
Uitgaande van de specifieke aard van de targets, moet de therapeut het soort hulpbronnen identificeren die nodig zijn, en beoordelen of deze in het hier en nu ook toegankelijk zijn. Heeft de cliënt deze op een spontane wijze beschikbaar gedurende het verwerkingsproces, of heeft de cliënt van te voren hulp nodig om deze in te gaan zetten? We zullen de manieren beschrijven hoe je deze afwegingen maakt.
Het meest gebruikelijke probleem met het inzetten van hulpbronnen / resourcing is dat er negatieve intrusies (voortkomend uit de negatieve associaties door traumatische of beschadigende ervaringen) optreden. Dit kan worden voorkomen door verschillende interventies die we verder zullen uitwerken. Wanneer hulpbronnen / resources zijn ontwikkeld, dan kunnen er vele diverse manieren zijn om deze te gebruiken. Gebruik van hulpbronnen wordt geïllustreerd en nader uitgelegd
An earlier study of federal Department of Defense mental health professionals found relatively few trained in the psychotherapies for PTSD previously identified as effective by both this department and the federal Department of Veterans Affairs. In response to that need, a training program for one of the psychotherapies, eye movement desensitization and reprocessing (EMDR), was implemented utilizing personnel from these federal departments with assistance from a nonprofit agency. This article presents an evaluation of that program with rating data gathered from participants as well as treatment outcome data from the application of the training to patients. The program was highly rated by the participants and the impact of EMDR treatment was significant. Suggestions for similar programs and for further research are offered. [Author Abstract]
Comments on Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans? by David L. Albright and Bruce Thyer (see record 2010-02408-001). As an Army Chaplain and psychotherapist for 30 years, I have used a variety of psychotherapy modalities to treat soldiers and military families in various combat zones, as well as military installations in the United States. In this capacity I have found eye movement desensitization and reprocessing (EMDR) to be efficacious in the treatment of both trauma and life adjustment issues. In my present position as Director of Soldier Center, Clarksville, TN, I use EMDR on a daily basis to treat soldiers and veterans recovering from combat trauma. Based on my extensive experience in the successful application of EMDR, I am dismayed by the pre-suppositional bias against and potentially serious misrepresentations of EMDR that are evident in the Albright and Thyer article from the authors' very first mention of it. The authors have done a great disservice to clinicians, as well as to veterans, with their paper. In summary, the best way to serve our troops is to urge comparative research between EMDR and the extant cognitive behavioral therapy (CBT) treatments. Our men and women in uniform deserve the best treatment possible. EMDR has amply demonstrated its efficacy with multiple trauma populations and should not be minimized because of subjective biases and misinformation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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.
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.
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.
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.
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.
Clients
with
complex
dissociative
disorders
usually
are
in
trauma-‐
induced
wake
trance-‐states.
Due
to
this,
they
might
thrive
from
treatment-‐
strategies,
where
skills
in
clinical
hypnosis,
from
the
side
of
the
therapists,
are
added
to
the
treatment
model.
Clinical
hypnosis
also
offers
excellent
tools
for
working
with
attachment
traumas
and
reinstalls
the
neuroception
of
safety.
This
workshop
highlights
seven
strategies
for
extending
the
EMDR
standard
protocol,
mainly
built
on
clinical
hypnosis.
They
consist
of:
(1)
Formal
hypnotic
induction
of
safe
place/safe
state
BEFORE
introducing
EMDR
under
phase
I
treatment
(2)
Informal
hypnotic
induction
for
ongoing
activation
of
the
social
engagement
system
when
clients
are
in
trance
(3)
Using
hyper-‐empirical
trance
inductions
under
exposure
phase
(ie
helping
the
clients
to
stay
present
with
dual
awareness
by
continuously
inducing
trance,
thus
helping
them
to
titrate
the
trauma-‐material
(4)
Addressing
ego-‐states
that
react
as
if
they
still
are
bound
in
trauma-‐time
(5)
Addressing
resource-‐rich
ego-‐states
and
parts
of
the
self,
f
ex
ISH
(internal
self-‐
helper),
thus
helping
the
client
to
begin
to
metabolize
the
trauma
material
(6)
Installation
of
hope
and
the
“memory
of
the
future”
(7)
Using
post-‐hypnotic
suggestions
for
enhancing
the
neuroception
of
safety
between
sessions.
Learning
objectives:
Demonstrate
how
to
use
EMDR
and
hypnosis
for
stabilization
and
work
with
parts
within
phase
II
work,
addressing
the
special
needs
of
continuous
stabilization
for
this
population.
Develop
an
understanding
of
how
to
enhance
the
integrative
capacity
during
trauma-‐work
with
DD-‐clients.
Apply
structured
techniques
and
rationales
for
calming
and
soothing
patients
related
to
their
integrative
capacity
during
extended
EMDR-‐work.
Los
clientes
con
trastornos
disociativos
complejos
normalmente
se
encuentran
en
estados
de
trance
despierto
inducido
por
el
trauma.
Debido
a
esto,
pueden
crecer
rápidamente
de
estrategias
de
tratamiento,
donde
estrategias
de
hipnosis
clínica
se
añaden
al
modelo
de
tratamiento
por
parte
del
terapeuta.
La
hipnosis
clínica
ofrece
también
excelentes
herramientas
para
trabajar
con
traumas
de
apego
y
reinstalar
la
neurocepción
de
seguridad.
Este
taller
subraya
siete
estrategias
para
extender
el
protocolo
estándar
de
EMDR,
principalmente
basadas
en
la
hipnosis
clínica.
Consisten
en:
(1) Inducción
hipnótica
formal
del
lugar
seguro/
estado
de
seguridad
ANTES
de
introducir
la
fase
I
de
tratamiento
de
EMDR
(2) Inducción
hipnótica
informal
para
la
activación
continuada
de
los
sistemas
de
compromiso
social
cuando
los
clientes
están
en
trance
(3) Uso
de
inducciones
al
trance
hiper-‐empíricas
en
la
fase
de
exposición
(ej,
ayudar
a
los
clientes
a
estar
presentes
con
conciencia
dual
mediante
la
inducción
continua
al
trance,
por
tanto
ayudándoles
a
valorar
el
material
traumático.
(4) Dirigirse
a
los
estados
del
ego
que
reaccionan
como
si
aún
estuviesen
atados
al
tiempo
traumático
(5) Dirigirse
a
estados
del
ego
ricos
en
recursos
y
a
partes
del
yo,
por
ejemplo,
al
ISH
(en
inglés
yo-‐interno
ayudante),
por
tanto
ayudando
al
cliente
a
empezar
a
metabolizar
el
material
traumático
(6) Instalación
de
esperanza
y
la
“memoria
de
futuro”
(7) Usando
sugestión
post-‐hipnótica
para
fomentar
la
neurocepción
de
seguridad
entre
sesiones.
Objetivos
de
aprendizaje:
Demostrar
cómo
usar
EMDR
e
hipnosis
para
estabilizar
y
trabajar
con
las
partes
en
el
trabajo
de
la
fase
II,
dirigiéndonos
a
las
necesidades
especiales
de
estabilización
continua
para
esta
población.
Desarrollar
un
entendimiento
de
cómo
fomentar
la
capacidad
integrativa
cuando
se
trabaja
el
trauma
con
clientes-‐DD.
Aplicación
de
técnicas
estructuradas
y
racionales
para
calmar
y
tranquilizar
a
los
pacientes
en
relación
con
su
capacidad
integrativa
durante
trabajo
extendido
con
EMDR.
Clients with complex dissociative disorders usually are in trauma-induced wake trance-states. Due to this, they might thrive from
treatment-strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also
offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety.
This workshop highlights seven strategies for extending the EMDR standard-protocol, mainly built on clinical hypnosis. They consist of:
1. Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment.
2. Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance.
3. Using hyper-empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by
continuously inducing trance, thus helping them to titrate the trauma-material.
4. Addressing ego-states that react as if they still are bound in trauma-time.
5. Addressing resource-rich ego-states and parts of the self, f ex ISH (internal self-helper), thus helping the client to begin to metabolize
the trauma material.
6. Installation of hope and the “memory of the future”.
7. Using post-hypnotic suggestions for enhancing the neuroception of safety between sessions.
Learning objectives:
Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of
continuous stabilization for this population.
Develop an understanding of how to enhance the integrative capacity during trauma-work with DD-clients. Apply structured techniques and
rationales for calming and soothing patients related to their integrative capacity during extended EMDR-work.
Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el
trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo
de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y
reinstalar la neurocepción de seguridad.
Este taller subraya siete estrategias para ampliar el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en:
1. Inducción hipnótica formal del lugar seguro / estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR.
2. Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance.
3. Uso de inducciones al trance hiper-empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual
mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático.
4. Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático.
5. Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-interno ayudante), por tanto
ayudando al cliente a empezar a metabolizar el material traumático.
6. Instalación de esperanza y la “memoria de futuro”.
7. Usando sugestión post-hipnótica para fomentar la neurocepción de seguridad entre sesiones.
Objetivos de aprendizaje:
Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades
especiales de estabilización continua para esta población.
Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-DD. Aplicación de técnicas
estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con
EMDR.
Die EMDR-Therapie mit sexuell traumatisierten Patienten erfordert psychotraumatologische Behandlungserfahrung (Peichl 2000). Auf unbewusste Blockierungen während des Prozesses, Affektdysregulation, chronische Übererregung oder dissoziative Zustände ist zu achten und angemessen zu reagieren, beispielsweise mit geleiteten Imaginationen oder differenzierten Einwebtechniken (Shapiro 1995; Parnell 2003). Der Sicherheitsaspekt spielt eine große Rolle, vor allem bei Patienten aus inzestuösen Familien, die häufig nur im Alleinsein ausreichend Schutz und Sicherheit empfanden. Jede neue Beziehung, auch in der Therapie, muss daher im Vorfeld einen Glaubwürdigkeitstest bestehen und für den Patienten eine klare Unterscheidung zwischen Fürsorglichkeit und ausbeutender Sexualität ermöglichen. Dabei erscheint unentbehrlich, dass sich der Therapeut seiner Wertvorstellungen und Überzeugungen hinsichtlich der zahlreichen Aspekte von sexueller Gewalt bewusst wird. EMDR bei sexuell Traumatisierten stellt erhöhte Anforderungen an die Stabilisierungsbedürfnisse der Patienten und die therapeutische Flexibilität des Therapeuten. Die frühzeitige Erkennung und therapeutisch angemessene Bewertung von spontan auftauchenden dissoziativen Symptomen, Körpersensationen ohne visuelle Erinnerungen und starken Abreaktionen stellen besondere therapeutische Herausforderungen dar. Hierbei entscheidet sich, ob der Therapeut vom Patienten als empathisches, gegenwärtiges und angstfreies Objekt erlebt und geschätzt werden kann.
The EMDR therapy with sexually traumatized patients requires psychotraumatological treatment experience (Peichl 2000). blockages at the unconscious during the process, Affektdysregulation, chronic hyperarousal or dissociative states to respect and respond appropriately, for example with guided imagery or differentiated Einwebtechniken (Shapiro 1995, Parnell 2003). The security aspect plays an important role, especially in patients from incestuous families, often felt only in being alone sufficient protection and security. Each new relationship, even in therapy must, therefore run in a credibility test for the patient there and make a clear distinction between caring and exploitative sex. It seems essential that the therapist's values and beliefs regarding the many aspects of becoming aware of sexual violence. EMDR for sexually traumatized places increased demands on the stabilization needs of patients and the therapeutic flexibility of the therapist. The early diagnosis and therapeutic proper assessment of spontaneously arising dissociative symptoms, body sensations without visual memories and strong abreaction provide special therapeutic challenge this will determine whether the therapist can be experienced by the patient as empathic, present, and fear-free object and appreciated.
Life is often an enduring struggle for people who have been chronically traumatized. Their suffering essentially recounts a horrifying and anguished past that haunts them, incessantly. As clients attempt to hide their sorrow beneath a veneer of normality, therapists often feel beleaguered by their many symptoms and never-ending pain. Van der Kolk and McFarlane (1996) note that "experiencing trauma is an essential part of being human; history is written in blood" (p. 3). Centuries of wars, famines, pogroms, holocausts, slavery, dictatorship, and colonization brought every type of horror and abuse into the homes of our ancestors. Some found ways to adapt, but many succumbed to the horror and despair. Despite the capacity of humans to survive and adapt, traumatic experiences tend to alter their biological, psychological, and social equilibrium to such a vast extent that the memory and interpretation of their traumas wash over and taint all other experiences, contaminating the present and future (van der Kolk & McFarlane, 1996). (PsycINFO Database Record (c) 2008 APA, all rights reserved)
A cluster analytic investigation was conducted on measures of PTSD associated features (e.g., personality pathology, dissociative tendencies) to investigate whether empirically-defined clusters correspond to Herman's distinction between simple and complex PTSD. Results from a sample of 60 PTSD patients were broadly consistent with this distinction, although some inconsistencies were observed. Treatment outcome generally did not differ between the two clusters. Implications for classifying and treating PTSD are discussed. [Author Abstract]
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van, of ze weten er niks meer van omdat ze een dissociatieve stoornis hebben. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken, zeker als er sprake is van dissociatie.
In deze presentatie zal ik toelichten hoe je deze stabilisatiemethode, welke een bewerking is van De drie testen (Spierings, 2008), kunt gebruiken en met name bij dissociatieve stoornissen. Deze methode helpt de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Deze workshop is anders dan de presentatie van vorig jaar omdat de focus meer ligt op het toepassen van de methode en dan met name bij dissociatie.
Allereerst begin je natuurlijk met diagnostiek van dissociatie. Door dan de problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd voor behandeling. Dan worden de zes stappen van de stabilisatiemethode (veiligheid, rust in het dagelijks leven, hechting verbeteren, emotieregulatie, zelfbeeld en notendop) toegelicht. Dan wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling voor deze kinderen en wat aanpassingen zijn bij dissociatieve stoornissen.
The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seemingly functioning properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they forgot it. They have no more trouble, they know nothing more because they have a dissociative disorder. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For, by this seemingly well-functioning without, is a constant alert, anxious and lonely child. This child can not stick and this lack of secure attachment is devastating for the development. This is often visible only by explicitly to look for, especially when there is dissociation.
In this presentation I will explain how this stabilization method, which is a reworking of the three tests (Spierings, 2008), can use and in particular in dissociative disorders. This method helps the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. This workshop is different than the presentation of last year because the focus is more on applying the method and especially for dissociation.
First you start with diagnostics course of dissociation. By then the problems the child experiences to link past experiences, the child is motivated for treatment. Then the six steps of the method of stabilization (safety, peace in everyday life, improve adherence, emotion regulation, and self nutshell) explained. Then discusses how EMDR can be integrated into a phased treatment for these children and what changes in dissociative disorders.
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in
EMDR with dissociative clients and teach solutions. Procedural modifications have been the
focus in dealing with pathological dissociation in EMDR treatment. Separately, transference
and counter-transference with dissociative patients have been written about extensively by
experts in the dissociation field. Research findings about the effects of mirror neurons and
embedded simulation on the inter-subjective field of patient and therapist have also been
published. Strategies for dealing with these transference and counter-transference in EMDR
treatment have received little attention even though this population has intense transference,
and can activate intense counter-transference. These issues may begin during an evaluation
of the presenting problems. Strategies for identifying and using transference to enhance
dual awareness during history taking will be demonstrated. An elongated preparation phase
to develop enough trust and stabilization before exploring traumatic memories can limit
induced transference. Different parts of a dissociative patient may have different kinds of
transferences. These transferences may cause the patient to withdraw, cling or attack;
affecting the therapist’s abilities to stay attuned and focused on the work in different phases
of EMDR. Strategies of attunement to the activated part of the client will be demonstrated
in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and
different (transferential) parts may activate dissociative parts of the therapist. Strategies to
somatically identify and use these counter-transferential activations in the therapist will be
taught through body based awarenesses. R/D/I strategies can be used to limit countertransference
to remain grounded and attuned. Transference and counter-transference during
the assessment phase will be identified and solutions presented. During the Desensitization
phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions
will be discussed as unacknowledged dissociative moments with indications for inducing
transference, counter-transference, or both. Decisions need be made collaboratively whether
to process or contain these events. Understanding and dealing with dilemmas of dissociative
enactments are crucial to keeping the healing process going. These inter-subjective issues
may be most intense during the first four phases, but some problems may continue into
Installation and the Body Scan. Problems and solutions during Incomplete Closure and the
Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with
the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist
may become activated as well. Solutions to these issues that occur during different phases
will be taught so that participants will leave the workshop with additional strategies to use
with their dissociative patients. Attunement to dissociative parts, identifying transference
and counter-transference binds; The Clinician Self Awareness Questionnaire ;
Compartmentalization; use of self soothing skills; using Relational, Empathic, and
Transferential Interweaves; identifying moments of projective identification and enactments,
and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective
strategies . Case examples and awareness exercises will used throughout the workshop to
facilitate intellectual and experiential learning.
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .
Mental health professionals have been trained in using EMDR with trauma victims throughout the world. However, the EMDR-Humanitarian Assistance Program (EMDR-HAP) was formed in 1995 as a nonprofit organization to provide assistance and training to local mental health professionals/psychotherapists within the United States and internationally who are managing the nearly overwhelming task of providing psychotherapy to the victims of large scale traumatic events. This includes natural disasters, e.g.: earthquakes, floods, firestorms, hurricanes; military personnel and civilians in war zones; victims of large scale accidents, e.g.: the family members of the victims of TWA flight #800; and victims of sexual assault and terrorist acts, e.g.: the Oklahoma City bombing. The EMDR-HAP personnel have been trainers and group facilitators from the EMDR Institute who have volunteered their time and expertise to provide treatment and to train local mental health professionals in EMDR.
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions.
The workshop will promote an understanding of:
•Complex PTSD presentations in refugees and asylum seekers
•Stabilisation and symptom management in preparation for trauma focused interventions
•Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks
•Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work
•How best to work with trauma memories and when to use NET, CBT or EMDR
•Cultural considerations
•Managing vicarious traumatisation and self care
The stabilization and treatment of young dissociative
children can be complicated. Providing the child with a safe
environment and attachment figure is obviously the first step.
But what's next? They can appear to function relatively well.
Their avoidance strategies seem effective and they refuse to
talk about trauma or say they forgot about it. It doesn't bother
them anymore. But the temptation of the therapist to let sleeping
dogs lie is a dangerous one.
Underneath this apparently well-functioning outside the child
is terrified, constantly alert, and lonely, unable to find comfort,
This child cannot attach and this lack of safe attachment is devastating
for future development. However, only detailed history
taking from caregivers and schoolteachers will often reveals
these otherwise often hidden problems.
In this presentation 1 will demonstrate. The six tests, a new and
unique stabilization model for children. The six tests help therapy
is to decide whether a child needs further stabilization and
how to establish this stabilization, before starting with EMDR. I
will present some cases to illustrate this process and the use of stabilization techniques. The children need to learn self-regulation
skills to reduce stress. Then we activate the attachment
system, so they car, reduce stress by seeking comfort. In this
way the need to dissociate reduces. By relating present problems
to past experiences their motivation increases to look into
their traumas and start EMDR, (but only on their request). Finally,
I will discuss adjustments in the EMDR protocol for these
dissociative children in order to keep them in the desensitization
process and how to integrate the use of EMDR Into the complete
phase-orientated treatment.
Learning objectives:
-The basic tenets of the six tests
-The ability to critically consider whether a child needs further
stabilization or can start EMDR.
- Understanding which techniques to utilize for particular conditions, through case presentations and questions.
New and unique: This model is an adjustment for children of
The tree test (Spieling, 2008) for adults, which is unique and
new. Up until now, many EMDR therapists don't treat these children,
because they are afraid to destabilize them or don't know
how to do it. With this model I hope they start to treat these
children who need EMDR the most.
In EMDR, as in Pyschotrauma Therapy in general, it is important neither to ask too much of the client, which leads to re-traumatization and a breakthrough of necessary dissociative barriers, nor to ask too little of the client, which in turn could increase avoidance.
Specialists should be able to tailor their interventions well, in accordance with the needs of the clients. Resource activation and trauma processing should be in an appropriate balance, keeping in mind that the most important thing is to let the client be in charge and "keep out of the way" of his or her process as much as possible.
The neurological background of balancing work with traumatic memories and resources lies in promoting effective and permanent links between the neuronal trauma network and one or more corresponding resource networks.
A process-oriented model will be shown during the workshop, which does just that, as well as taking the different stages of trauma treatment with EMDR into consideration. An experimental EMDR-Protocol will be explained and practiced, which directly connects resource activation and processing of trauma in accordance with the AIP Model.
It is the presenter's goal to clearly show how the integration of resources can greatly accelerate processing. It is imperative, however, that the use of these resources is not random, but oriented towards the specific needs of the client at that specific point in time while giving attention to how much resource or trauma is activated.
Some clients, because of very difficult life experience, have low affect tolerance; that is, they are unable to endure, even briefly, their own intensely disturbing post-traumatic images and affect. For these clients, the therapeutic benefits of EMDR are blocked because of an automatic response of overwhelming terror or disorientation, often accompanied by a loss of objectivity or adult perspective. For these individuals, the experience is not so much one of remembering, but of emotionally reliving their trauma. Understandably, when this occurs, the client may being to “numb out,” dissociate, or consciously avoid thinking of the material.
This workshop will articulate an enlarged set of EMDR related Resource Development and Installation (RDI) protocols. All these procedures emphasize the deliberate incorporation of positive emotion as part of restructuring and developing new affect scripts across discrete behavioral states. A majority of workshop time will be devited to experiential practice in dyads and small groups of these clinically relevant procedures. Strategies for accessing and evoking positive emotion will include movement, posture, music, artistic and emotional expression, and a variety of imagery processes.
In these experiential exercises, participants will identify personally relevant areas of desired professional development including issues of recurring countertransference stressors and compassion fatigue. The aim of these procedures is to access naturalistic capacities for positive emotion and incorporate these capacities into new affect scripts that strengthen identity and enhance performance and interaction.
Origin and Nature of Stress Disorders:
The Defense Response occurs as part of the switch from fearful flight (Ego) to cornered, fearless fight (Id) whereby the individual attempts to obtain freedom from restraint through the violence of defensive attack. The activation of the hypothalamic-pituitary-adrenal (HPA) axis is part of this response. Stress Disorders are pathological states resulting in inappropriate, repeated activation of the Defense Response. They appear to be produced from a maladaptive cortical plasticity that occurred whenever the Defense Response failed to protect the organism from trauma.
La notion de Stress figure en tant qu’Etat de stress post-traumatique (F43-1) et Réaction aiguë (F43-0) dans la nomenclatures diagnostiques internationales des troubles mentaux, comme le DMS IV ou la CIM-10. Pourtant, l’expérience clinique indique que la pathologie psychotraumatique ne peut se limiter à un Etat de stress post-traumatique (ESPT) avec ou sans Trouble dissociatif (F44), ni méme à un ESPT complexe ou DESNOS (Disorder of Extreme Stress Not Otherwise Specified).
Le rôle de l’impact tramatique discrimine la pathologie consécutive au stress et la pathologie psychotruamatique qui est << une réponse differée our prolongée a une situation ou à un evénemént stressant (de courte ou de longue durée) exceptionnellement menaçant ou catastrophique et qui provoquerait des symptômes évidents de détresse chez la plupart des individus […]>> selon la CIM-10.
Cette intervention fait le point des recherches, sur la fonctionnement du systéme limbique notamment, et des connaissances cliniques recéntes concernant le rôle del la dissociation périttraumatique et des troubles dissociatifs ultérieurs dans la pérnnisation des troubles psychotraumatiques.
The concept of stress is as a state of posttraumatic stress disorder (F43-1) and acute reaction (F43-0) in the international diagnostic classifications of mental disorders, such as the DMS-IV or ICD 10. However, clinical experience indicates that the pathology psychotraumatic can not be limited to a Posttraumatic Stress Disorder (PTSD) with or without dissociative disorder (F44), or even a complex PTSD or DESNOS (Disorder of Extreme Stress Not Otherwise Specified).
The role of impact tramatique discriminates consecutive stress pathology and pathology psychotruamatique is "a delayed response o prolonged a situation or a stressful event (short or long term) of an exceptionally threatening or catastrophic nature and cause of obvious symptoms of distress in most people [...]>> ICD-10.
This intervention provides an update on research on the functioning of the system including limbic, and recent clinical knowledge regarding the role périttraumatique del dissociation and dissociative disorders later in pérnnisation psychotraumatic disorders.
Participants will be able to: 1) analyze how stroke effects brain function particularly in regards to dissociative disorders and traumatic memory recall; 2) assess the appropriate use of EMDR with a stroke victim; and 3) evaluate whether or not the reduction of traumatic intrusion is assisting in the recovery of the stroke.
Over the past two decades we have seen an increase in the relationship between Trauma and Addiction including eating disorders. Studies have focused on the psychobiological effects on the brain and PTSD symptomology. Eye Movement Desensitization and Reprocessing has gained great respect in the field for its efficacy and long term benefits with PTSD (Trauma Survivors) and Substance Abuse. Research suggests that PTSD clients are more responsive to treatments that specifically "process" traumatic memories such as EMDR. EMDR is an exposure treatment in which clients perform saccidic eye movements to process traumatic memories which in turn accelerates the processing of information involving a shift of cognitive structures ( including the assimilation of positive beliefs)." The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight, cognitive restructing of potential relaspe triggers and physical cravings";Shapiro F.(1994). What we have learned over the years is that brain function can be altered by external stimuli; with the use of EMDR, eye movement "Naturally" occures in the rem sleep as well as activating it in the wake states has proven to be quite effective in the treatment of maladaptive behaviors: This workshop will look at this treatment modality its effectiveness and use with Trauma and Addictions; Workshop format will include lecture, case examples, and experiental exercises.
The aim of this paper is to illustrate a self-reparation
model within the framework of a supervision conducted my me.
a therapy plan was defined for my colleague whose patent’s
traumatic experience brought to light her own unresolved traumatic
material.
This innovative approach is not limited to the parallel therapy involving
both patient and therapist, but is an intervention model.
a syncletic approach integrating the standard EMDR protocol and
other contributions: the attachment theory. Freud's and Bion's
'dream-work', A, van der Kolk's and 0,van der Hart's dissociative
disorders treatment, Forgash's and Knipe's Ego States Therapy, A.
Shore's affection regulation and self-repair therapy, Eigen's vision
of damaged bonds.
Maternal abandonment was the common traumatic event. The
patient's mother abandoned him at birth in hospital, where
he remained for a year before being institutionalized and then
adopted. My colleague was abandoned by her mother when she
was one year old. The transition from supervision to EMDR was
facilitated by the vast dream material produced by my colleague;
her dreams represented targets for EMDR.
According to Eigen, dream-work addresses the damage inflicted
on the self, thus the traumas experienced, and plays a major role
in digesting the impact of events and in metabolizing emotions:
through the dreams we try to make the indigestible digestible.
Dream-work constantly reveals states of the self: dreams evolve
within damaged bonds and express the psyche's attempts to undo
the damage or to get the best from it.
EMDR shares the same objectives and tools same as dreams.
At an operational level, EMDR made it possible to analyze the
dream material and to integrate the dissociated dream material
related to the traumatic, catastrophic abandonment induced
damage. The Ego States Therapy allowed my colleague to talk
with her dissociated Ego States, to negotiate with the States a
higher behavioural model, and to free her Ego States held hostage
by others.
At the end of this journey, a dream expresses Ego States integration.
Work on the future using EMDR is concluded with these
thoughts "I want to thank you because the supervision, albeit
not therapy, was an important experience that opened up a new
space for me: the space of perspective. The beam of light crossing
the two sheaves in the dream gives a meaning to the supervision,
supervision has created a third dimension in me: the dream within
the dream. It is the vehicle, the skill to perceive this dialogue
space, intersubjective and intrasubjective, where things change.
It alleviates the feeling of being impotent. The dialectical position
enables me to speak. I am very grateful for that."
My colleague's dreams were incorporated in a dream network
and indicate the phases of EMDR induced mental digestion. My
colleague has rebuilt herself in a supervision scenario.
This study demonstrates the effectiveness of EMDR in hitherto
unthought-of areas, i.e., within the framework of supervision.
When working with a client with Dissociative Identity Disorder (DID), how does the therapist know when an EMDR protocol will lead a client through a trauma to relative safety vs. precipitate an overwhelming abreaction because of all of the trauma linked up in the associative chain?
The aim of this paper is a theoretical and practical treatise on the synergism between hypnosis and EMDR
focused on the treatment of Anxiety Disorders such as OCD, Panic Attack and Phobia. The clinical experience of
the Authors suggests that the integration of both these approaches can help either the exploration or the
processing of the cognitive and emotional dysfunction supporting the psychopathology of the Anxiety Disorders.
This happens through the ability of these two techniques either in recovering and amplifing memories (somatic
memories too) identified by patients as the mental organization supporting the pathology or in processing,
neutralizing and integrating these memories (counscious and unconscious) till the re-equilibration of the
dysfunctional behaviour. This process is due to two proceedings: induction of Alterated States of
Counsciouseness (ASoC) by hypnotic techniques and the related changing in the psycho-physical disposition
rhythm of eye movements (EM). The changing of the rhythm of EM integrated to ASoC has some important
purposes: slow EM underline all the main and subordinate elements supporting the pathology these elements
can be processed using quick EM till their neutralization alternation of slow EM and hypnotic periods can reequilibrate
both the cognitive and the psycho-physical fields. The therapist has to pay attention in order to avoid
the bio-electrical interferences occurring during the alternations of these two phases that could damage the
therapy. Actually the Authors are assessing this integrative model of therapy.
EMDR This
advanced workshop covers six hindrances to using
EMDR with dissociative disorders and an integrated set
of solutions. Hindrances include: sudden loss of ability
to defend against dissociated memories during processing
and a tendency to over-access with insufficient
skill to express affect, etc. Safe resolutions lie in
the integration of a tactical integrationist approach to
the introduction of EMDR, plus concepts from the
structural theory of dissociation of the personality and
the clinical tool of the conference room. The workshop
will include lecture, case vignettes, sculpted role plays
with participants, and discussion.
Most clients who enter therapy do not have a simple problem of a single disturbing memory. More typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also a history of conscious or unconscious choices about how best to soothe, contain, or avoid that disturbance. When the client has a problem that includes positive and negative affective components, we could say (in the language of Shapiro's Adaptive Information Processing Model) that the chain of experiential associations -- the dysfunctionally stored memory network -- has positively valued experience at the entry point into the network and disturbing material at other, less accessible places. Clients often experience this situation as one of conflicting ego states. Specifically, one ego state may be positively emotionally invested in an outcome that is an obstacle to the person's larger life goals. When this happens and the usual EMDR method of targeting negative affect is stalled, it may be useful to target the positive side of the issue, that is, an image that has a positive emotional valence. Such clients are asked to hold in mind the enjoyable aspects of a problematic wish or identity while engaging in Dual Attention Stimulation (DAS). In this way, they can process these positive aspects, "disinvest" from the problem, and go on to resolve the conflict. Several session transcripts illustrate how this approach can work in practice. [Adapted from Text, pp. 189-190]
Chronically traumatized clients with complex dissociative disorders need careful preparation. There is currently consensus that the EMDR standard protocol needs to be modified for chronically traumatized clients, as it may destabilize them. Thus, the therapist needs to have a good understanding of the dissociative personality structure that exists in their clients, the dissociative parts, their strengths and deficits, and their interrelationships. Using the framework of phase-oriented treatment and the theory of structural dissociation of the personality, this workshop will help participants understand the preparatory work necessary before integrating traumatic memories and discuss important procedural considerations for each phase of EMDR.
Acute Belastungsstörung (ASD) und Posttraumatische Belastungsstörung (PTSD) sind häufige, aber nicht zwingend psychologische Folgeerscheinungen nach einem Trauma. Eine wichtige Untergruppe der Patienten vor einer chronischen Verlauf der Erkrankung mit einem erhöhten psychiatrischen Komorbidität und erhebliche Beeinträchtigungen in psychosozialen Anpassung assoziiert. Der typische psychopathologische Symptome von ASD und PTSD werden am besten in einem multifaktoriellen Modell der Integration sowohl neurobiologische und psychosoziale Einflüsse beschrieben. Die komplexen Ätiopathogenese von akuten und posttraumatischen Belastungsstörung begünstigt multimodalen Ansätzen in der Behandlung. Differential psychotherapeutische und pharmakologische Strategien zur Verfügung stehen. In einer kritischen Studie über empirische Studien, können psychologische Debriefing nicht als einen positiven Ansatz betrachtet werden, als allgemeine vorbeugende Maßnahme in der unmittelbaren posttraumatischen Phase empfohlen werden. Positive Auswirkungen der kognitiv-verhaltenstherapeutischen Interventionen kann für ASD eingerichtet werden. Psychodynamische Psychotherapie, kognitive Verhaltenstherapie und EMDR zeigen viel versprechende Ergebnisse bei der Behandlung von PTSD. Wesentliche klinische Einschränkungen der Patienten innerhalb von speziellen Probenahmen Forschungseinrichtungen, jedoch nicht gestatten, eine bedingungslose Verallgemeinerung dieser Daten zu psychiatrischen Routineversorgung. In einer empirischen Analyse der SSRIs sind die meisten und am besten untersuchten Medikamente für ASD und PTSD. Im Vergleich zu trizyklischen Antidepressiva SSRIs zeigen ein breiteres Spektrum an therapeutischen Wirkungen und sind besser verträglich. Die Substanzklassen der SNRI, DAS, SARI und NaSSA sind als Medikamente der zweiten Wahl angesehen werden. Sie versprechen eine therapeutische Wirksamkeit der SSRI gleichwertig, wobei bisher nur in offenen Studien untersucht. MAO-Hemmer können eine positive therapeutische Potenzial verfügen, müssen ihr Profil der Nebenwirkungen geachtet, jedoch werden. Mood-Stabilisatoren und atypische Neuroleptika können in Anspruch genommen werden und vor allem im Add-On-Strategien. Benzodiazepine sollten nur mit Vorsicht erhöht für eine kurze Zeit in den Staaten der akuten Krise eingesetzt werden. In frühen Interventionen, die blockierende Substanzen norepinephric Hyperaktivität scheinen vielversprechende Alternativen. Stress Dosen von Hydrocortison kann als experimentelle pharmakologische Strategie betrachtet so weit sein. [PubMed]
Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are frequent, but not obligatory psychological sequelae following trauma. A major subgroup of patients face a chronic course of illness associated with an increased psychiatric comorbidity and significant impairments in psychosocial adaptation. The typical psychopathological symptoms of ASD and PTSD are best described within a multifactorial model integrating both neurobiological and psychosocial influences. The complex etiopathogenesis of acute and posttraumatic stress disorder favours multimodal approaches in the treatment. Differential psychotherapeutic and pharmacological strategies are available. In a critical survey on empirical studies, psychological debriefing cannot be considered as a positive approach to be recommended as general preventive measure during the immediate posttraumatic phase. Positive effects of cognitive-behavioral interventions can be established for ASD. Psychodynamic psychotherapy, cognitive-behavioral therapy and EMDR show promising results in the treatment of PTSD. Major clinical restrictions of patient sampling within special research facilities, however, do not allow an unconditional generalization of these data to psychiatric routine care. In an empirical analysis the SSRIs are the most and best studied medications for ASD and PTSD. In comparison to tricyclic antidepressants SSRIs demonstrate a broader spectrum of therapeutic effects and are better tolerated. The substance classes of SSNRI, DAS, SARI and NaSSA are to be considered as drugs of second choice. They promise a therapeutic efficacy equivalent to the SSRIs, being investigated so far only in open studies. MAO-inhibitors may dispose of a positive therapeutic potential, their profile of side effects must be respected, however. Mood stabilizers and atypical neuroleptics may be used first and foremost in add-on strategies. Benzodiazepines should be used only with increased caution for a short time in states of acute crisis. In early interventions, substances blocking the norepinephric hyperactivity seem to be promising alternatives. Stress doses of hydrocortisone may be considered as an experimental pharmacological strategy so far.[PUBMED]
La dissociation c’est… définition
Definition du DSM-IV-TR (APA 2000): « une rupture des fonctions
habituellement intégrées de la conscience, de la mémoire, de l’identité
ou de la perception de l’environnement »
Ne contient pas d’éléments somatoformes, comme des fonctions de
contrôle moteur ou de sensations physiques
Moreau de Tours (1845): dissociation comme un phénomène de
désagrégation psychique
Pierre Janet (1907): « …une maladie de la synthèse personnelle. » « Une
forme de dépression mentale caractérisée par la rétraction du champ de
la conscience et une tendance à la dissociation et à l’émancipation des
systèmes d’idées et des fonctions que constitue la personnalité. »
19e siècle: concepts de dissociation de la personnalité et dissociation de
conscience sont utilisés conjointement
Van der Hart, Nijenhuis & Steele (2006): il s’agit d’un « manque
d’intégration parmi deux ou plusieurs sous-systèmes psychobiologiques
de la personnalité, comme système entier, ces sous-systèmes endossant
chacun au moins un sens de Soi rudimentaire. » [Extrait]
The separation is ... Definition Definition of DSM-IV-TR (APA 2000), "a breakdown in the usually integrated functions of consciousness, memory, identity or perception of the environment" Do not contain any somatoform, as functions of motor control or physical sensations Moreau de Tours (1845): dissociation as a phenomenon of psychic disintegration Pierre Janet (1907): "... a disease of personal synthesis. "" A form of mental depression characterized by retraction of the field of consciousness and a tendency to dissociation and emancipation of the systems of ideas and functions that constitute personality. " 19th century concepts of dissociation of the personality and dissociation of consciousness are used in conjunction Van der Hart, Nijenhuis & Steele (2006): This is a" lack of integration among two or more subsystems psychobiological personality, as the entire system, these subsystems endorsing each at least a rudimentary sense of self. "[Excerpt]
EMDR has been slow to be implemented within non-profit agencies and the community mental health system in the United States. Dixwell Newhallville Community Mental Health Services in New Haven, CT. has seen explosive growth of EMDR services and programs in one year. A "tipping point" (from the work of author Malcolm Gladwell) is in operation at the clinic, in which the momentum for change and EMDR has generated expotential growth and positive program development. A particular focus will be to share innovative ideas in New Haven that foster interagency cooperation, building a diversity-oriented movement, with special attention to inclusion and successful community organizing tools.
The article on James Taylor, the jazz musician and therapist, states: "Taylor has been using the comparatively novel technique of EMDR (eye-movement desensitisation and programming), which uses the practice of getting patients to look left and right as they talk through traumas." EMDR is much more complex. It has an eight phase structure, one of which sometimes involves eye movements. Sometimes not.
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect,
dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR
may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative
abreaction.
Learn how to work more directly with the body and the physiology of emotion during key phases of EMDR treatment with individuals, including
assessment, case conceptualization, affect tolerance work, resource development and trauma/standard protocol processing. Celia Grand, LCSW; and Deborah Grant, LCSW; will introduce workshop panicipants to the Four Panes Model as a treatment model for using somatically-based work
in the context of EMDR therapy. They will present psychophysical techniques and protocols for managing and regulating arousal states, giving
special attention to when to use these techniques and why using them may best support clients in working with complex PTSD.
This is a case study of a 17 year old adolescent who came in contact with Child and adolescent psychiatry at an inward basis, screening for dissociation gave very high dissociative symptom on Dis-Q-Sweden; 3.6 total scale, 3.88, 4.00, 2.64 and 3.5 on the subscales, she also had high scores on Trauma Symptom Checklist for Children. After screening a SCID- interview was done and she had symptoms of amnesia, derealizaition, depersonalization and identity confusion.
We will describe the psychotherapy with this adolescent girl, different stages of therapy individual work – with tf-cbt- EMDR and symboldrama-, family work with much work with not before worked with traumatic experiences. In the presentation we will connect to attachment theories of dissociation, dissociation in a generational perspective and theories of multimodal approach to dissociation.
In 2004, the United States Departments of Veterans Affairs (VA) and Defense jointly published clinical-practice guidelines for posttraumatic stress disorder (CPG-PTSD). These identified 4 psychotherapies for PTSD: cognitive therapy, eye-movement desensitization and reprocessing, exposure therapy, and stress inoculation therapy. One hundred thirty-seven mental-health professionals employed by the military or the VA were surveyed as to whether they used any of these psychotherapies and the extent of their training in them. Ninety percent of respondents reported not using any of the 4 psychotherapies. Of those who did, most had received their training before their affiliation with the military, and only a handful had training in the specific use of psychotherapy with PTSD. The lack of available, CPG-identified, effective psychotherapies is discussed as a barrier to treatment, as are possible reasons the psychotherapies are not used. A brief description of a training program is provided along with suggestions for the future.[Author]
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher
order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR
to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes,
and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as
emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening
to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the
Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to
facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using
EMDR and will lead a meditation to help create this no-mind state.
2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to
EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern
for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept
of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new
sense of Self in relation to others and the universe.
3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self-
Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting
commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every
individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating
organisms, each understands and values the power of being witness to the present moment, and each makes room for the
client to discover a heretofore "unimaginable outcome" to his or her work.
The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships.
Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types
correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating
preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access
points to higher states of consciousness.
5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR
especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine
types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True
Self. EMDR may be a key to the profound transformation of personality types.
6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a
question and answer period between the audience and the panel members.
o abstract available.
Neste workshop será explorado o tratamento
de dissociação e EMDR. O enfoque principal será
o uso do trabalho de estado de ego para a fase
de preparaçao que construirá a base para o uso
de alvos específicos em estados de ego no EMDR.
This workshop will explore the treatment dissociation and EMDR. The main focus will be the use of ego state work for the stage
of preparation that build a basis for the use
target specific ego states in EMDR.
No abstract available.
This dissertation examines multigenerational trauma that is caused by genocide and oppression. The literature reviewed covers multigenerational trauma , biological origins of traumatic states, trauma transmission, and healing/therapeutic methods including body-centered therapy, Hakomi, and EMDR (Eye Movement Desensitization and Reprocessing). Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(12-B), Jun 2001, pp. 6758.
Resumen del trabajo: Trata de una paciente
mujer, de 38 años de edad, en tratamiento desde
el mes de abril de este año. Había realizado tres
tratamientos psicoterapéuticos en los últimos
años, considera que su psicoterapia actual está
estancada y quiere hacer EMDR para trabajar sus
síntomas y traumas del pasado que afectan la
relación con su marido e hijas.
Summary of work: It is about a patient
women 38 years of age, treated from
April this year. He had made three
psychotherapeutic treatments in the past
years, sees his current therapy is
stuck and want to do EMDR to work their
symptoms and past traumas that affect
relationship with her husband and daughters.
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.
As many of us with careers in sport science and physical education, I began as an athlete. Thus I experienced years of training and competition in the disciplines of sport long before those of science and research. Although I had no words for such experiences at the tine, in the intense and dedicated efforts of my involvements, I moved through both polar-opposite twins of sports' altered states; flow and trauma. It is my supposition that almost all serious athletes do, although I will not live long enough to make much headway on empirical proof in that regard. As I have added psychology training to that in sport and exercise psychology, I have gathered formal and anecdotal support for the notion of trauma experiences inside the context of sport and have had success in the application of a trauma healing technique to ease some of the damage and pain wrought by occurrences within intense commitment to sport.
In this workshop the presenters will demonstrate how to
get in touch and work with somatic ego states by simultaneously
activating resourceful ego states in the body Participants will be
informed about the impact trauma has on the body. They will
learn how to apply EMDR combined with Gendlin's Focusing and
Levine’s Somatic Experiencing to the special needs of traumatized
persons in a live demonstration and subsequent exercises. Thus,
getting the means to broaden the windows of tolerance of traumatized
ego states. In this way psychotherapists will be able to
supply their clients with a powerful tool for self-healing.
The relation to EMDR is that our way of working facilitates the
processing of body sensations related to trauma states, even if
preverbal.
Participants will be enabled while applying EMDR to take into
account the need of traumatized clients to be in control by
communicating with resourceful as well as with traumatized
ego states thus facilitating the processing of trauma.
Unique is that you first focus on body sensations on a deep unconscious
level (bottom-up), so you directly access non-verbal
trauma material which will then be processed carefully with
EMDR. Also, the integration of EMDR makes body work more
effective.
Either
in
acute
or
chronic
diseases,
medical
interventions,
in
adults
and
kids,
might
be
potentially
traumatic.
This
can
be
named
"Medical
Trauma".
In
kids
this
can
disrupt
attachment
process.
Frequently,
psychotherapists
must
take
part
of
interventions
and
decisions
in
a
short
time.
Clinical
cases,
in
adults
and
kids,
following
EMDR
model
will
be
presented
considering:
•
Medical
Trauma
definition
and
its
vulnerability.
Attachment
disruption.
Dissociative
symptoms.
•
EMDR
intervention
model
(presentation
the
protocol)
•
Therapeutic
bond
•
Incidents
in
therapist
in
these
situations.
Resources
and
obstacles.
Tanto
en
enfermedades
agudas
o
crónicas,
las
intervenciones
medicas
en
niños
y
adultos,
pueden
ser
potencialmente
traumáticas.
Esto
puede
ser
llamado
como
“Trauma
Medico”
De
esta
forma
puede
perturbar
el
proceso
de
apego.
Frecuentemente,
los
psicoterapeutas
deben
tomar
decisiones
rápidas
como
parte
de
la
intervención.
Casos
clínicos,
en
niños
y
adultos,
siguiendo
el
modelo
de
EMDR
serán
presentados
considerando:
• Una
definición
de
trauma
médico
y
sus
riesgos.
Perturbación
del
Apego.
Síntomas
disociativos
• Modelo
de
intervención
EMDR
(Presentación
del
protocolo)
• Lazo(relación)
terapéutico/a
• Incidentes
de
los
terapeutas
ante
estas
situaciones.
Recursos
y
obstáculos.
Although
most
patients
respond
well
to
EMDR
treatment,
those
with
dissociative
disorders
often
become
more
fragmented:
they
experience
flooding
of
memory,
or
they
become
disconnected
and
numb.
Faced
with
the
dissociative
patient
who
cannot
tolerate
emotions,
who
cannot
manage
self-‐destructive
impulses,
differentiate
past
and
present,
or
create
a
Safe
Place—is
there
any
way
that
EMDR
can
be
helpful?
The
answer
is,
“Yes.”
With
an
understanding
of
post-‐traumatic
neurobiology
and
the
Structural
Dissociation
model,
the
responses
of
dissociative
disorder
patients
to
EMDR
become
logical
rather
than
surprising.
If
we
understand
their
purpose
and
meaning,
we
can
better
address
the
responses
that
interfere
with
successful
EMDR
processing.
Then
if
we
use
simple
body-‐centered
interventions
drawn
from
Sensorimotor
Psychotherapy
that
modulate
autonomic
arousal
and
address
the
needs
and
fears
of
each
part
of
the
personality,
EMDR
treatments
can
help
even
our
most
de-‐stabilized
and
dissociative
clients.
This
workshop
will
introduce
a
neurobiological
model
for
understanding
how
and
when
EMDR
treatments
can
be
effective
even
with
dysregulated
and
dissociative
clients
and
offer
an
introduction
to
Sensorimotor
Psychotherapy,
a
body-‐centered
therapy
developed
specifically
to
treat
post-‐traumatic
symptoms.
Participants
will
be
taught
simple,
body-‐centered
interventions
that
can
be
woven
into
both
trauma
processing
and
Resource
Development
protocols.
Using
lecture,
videotape,
session
demonstration
and
actual
practice,
participants
will
have
an
opportunity
to
integrate
these
simple
but
effective
techniques
into
their
EMDR
practice.
Si
bien
la
mayoría
de
los
pacientes
responden
bien
al
tratamiento
con
EMDR,
con
frecuencia
aquellos
que
sufren
trastornos
disociativos
se
vuelven
más
fragmentados:
sienten
una
inundación
de
la
memoria
o
se
vuelven
desconectados
y
“anestesiados”.
Ante
el
paciente
disociativo
que
no
es
capaz
de
tolerar
las
emociones,
que
no
puede
gestionar
los
impulsos
auto-‐destructivos,
distinguir
entre
pasado
y
presente
o
crear
un
Lugar
Seguro,
¿existe
alguna
manera
en
la
cual
puede
resultar
útil
EMDR?
La
respuesta
es,
“Sí.”
Con
una
comprensión
de
la
neurobiología
post
traumática
y
del
modelo
de
disociación
estructural,
las
respuestas
de
los
pacientes
con
trastorno
disociativo
a
EMDR
se
vuelven
lógicas
en
lugar
de
sorprendentes.
Si
entendemos
su
propósito
y
significado,
estaremos
mejor
situados
para
abordar
las
respuestas
que
interfieren
con
el
éxito
del
procesamiento
con
EMDR.
De
ahí,
si
aplicamos
intervenciones
sencillas
centradas
en
el
cuerpo
derivadas
de
la
psicoterapia
sensoriomotriz
que
modulan
la
excitación
autonómica
y
abordan
las
necesidades
y
miedos
de
cada
parte
de
la
personalidad,
los
tratamientos
con
EMDR
pueden
ayudar
a
nuestros
clientes,
incluso
a
los
más
desestabilizados
y
disociativos.
Este
taller
introducirá
un
modelo
neurobiológico
para
comprender
el
cómo
y
cuándo
los
tratamientos
basados
en
EMDR
pueden
resultar
efectivos
aún
en
los
clientes
desregulados
y
disociativos
y
ofrece
una
introducción
a
la
psicoterapia
sensoriomotriz,
una
terapia
que
se
centra
en
el
cuerpo
desarrollada
específicamente
para
tratar
los
síntomas
post-‐traumáticos.
Se
les
enseñará
a
los
participantes
intervenciones
sencillas
y
centradas
en
el
cuerpo
que
pueden
entretejerse
en
los
protocolos
tanto
de
procesamiento
del
trauma
como
de
desarrollo
de
recursos.
Mediante
la
conferencia,
vídeos,
demostraciones
de
sesiones
y
prácticas
reales,
los
participantes
tendrán
la
oportunidad
de
integrar
estas
técnicas
sencillas
a
la
vez
que
efectivas
en
su
ejercicio
de
EMDR.
What
is
the
relationship
between
trauma,
dissociation
and
psychosis?
In
this
talk,
I
will
discuss
links
between
the
historical
concept
of
schizophrenia
and
dissociation,
the
meaning
of
‘psychosis’,
and
interpretations
of
psychotic
symptoms
from
a
trauma/dissociation
perspective.
It
is
proposed
that
auditory
verbal
hallucinations
or
‘voices’
are
dissociative
in
nature,
and
that
other
psychotic
symptoms
may
be
related
to
traumatic
experiences
in
a
variety
of
ways.
¿Cuál es la relación entre
trauma,
disociación
y
psicosis?
En
esta
charla
se
abordarán
los
puntos
de
conexión
entre
el
concepto
histórico
de
esquizofrenia
y
disociación,
el
significado
de
‘psicosis’
y
las
interpretaciones
de
los
síntomas
psicóticos
desde
una
perspectiva
de
trauma/disociación.
Se
propone
que
las
alucinaciones
auditivas
verbales
o
‘voces’
son
de
naturaleza
disociativa
y
que
otros
síntomas
psicóticos
pueden
estar
relacionados
de
distintas
maneras
con
experiencias
traumáticas.
A high proportion of patients in child and adolescent psychiatry with significant dissociative symptomatology after early childhood traumatization may go undiagnosed, be wrongly diagnosed and/or inappropriately treated. The diagnostics and treatment of dissociative disorders have been limited by lack of comprehensive, reliable and valid instruments and the ongoing polarization and fierce controversy regarding treatment. However, recent neurobiological findings of neurochemical, functional and structural cerebral consequences of early stressful childhood experiences point out a need for active, early and effective identification and treatment interventions. We present an update on assessment tools available in the Nordic countries, and an overview of different appropriate therapeutic intervention models for children and adolescents. A systematic overview of studies of dissociation in children and adolescent published over the last decade disclosed a total of 1019 references. The 465 papers describing aspects of assessment tools and/or treatment were studied in detail. Reliable and valid screening questionnaires and diagnostic interviews for children and adolescents now allow for effective early identification of dissociative disorders. A combination of individual psychotherapy, pharmacotherapy and family therapy are often required to handle dissociative disorders in children and adolescents. Cognitive-behavioural therapy, hypnotherapy, Eye-Movement Desensitization-Reprocessing (EMDR), psychodynamic therapy and an integrated approach are the main described psychotherapeutic approaches, but treatment of dissociation in children and adolescent does not require allegiance to any one particular treatment model. However, achievement of physical safety by providing a safe environment is a primary goal that supersedes any other therapeutic work. Assessments tools are now available, and appropriate therapeutic intervention models may hopefully contribute to reduce the risk of wrong diagnoses and inappropriate treatment of dissociative symptomatology in children and adolescents. However, controlled clinical trials of the various interventions and longitudinal outcome studies are needed.
Dissociation is the result of overwhelming trauma. The major feature of patients with Dissociative Disorders is a disturbance or alteration in the normally integrative functions of identity, memory, or consciousness (American Psychiatric Association, 1987). “The task of psychotherapy is to re-associate disrupted memory patterns, to restore a continuity of consciousness, and to assimilate the patient’s identity into a unified whole” (Steele, 1988, p. 151).
EMDR has been successful in treating trauma from childhood abuse in victims and survivors young and old.
With more than 3 million instances of child abuse reported annually in the United States and probably many more cases going unreported, social workers face an often daunting client list of children and adults who are or have been victims of abuse and neglect. Left untreated, these individuals’ chances of leading lives fraught with substance abuse, incarceration, unwanted pregnancies, and future psychological conditions are multiplied by many degrees.
In the last two decades, however, researchers have made major strides in developing methods for treating victims and survivors of child abuse, including therapies that work as well (and in some cases better) with children as with adults. Among the most successful of these treatments is Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic process that uses eye movements, sounds, and repetitive motions to help clients process and come to terms with traumatic memories more quickly than talk therapy alone. And since many children and some adults are unable to verbalize traumatic experiences, EMDR can often provide the breakthrough that more traditional therapies can’t.