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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.
Language: English
Format: Conference
Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.
Keywords: Children Dissociation
Accuracy Verified: Yes
2. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02.
Language: English
Format: Journal
Abstract:
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]
Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction
Accuracy Verified: Yes
3. 朱品潔 [Chu Pin-Chieh, & Zhu Pinjie]. (1999). 個人失落與EMDR之介入:個案研究 [EMDR of personal loss and intervention: A Case Study]Educational Psychology and Counseling]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.
Language: Chinese
Format: Dissertation/Thesis
Abstract:
本研究的目的是探索的眼動脫敏和再處理(EMDR)的干預治療結果與個人的損失。通過深入了解客戶的主觀經驗和在整個治療過程中不斷變化的課程,研究人員打算證明 EMDR的治療 efficaciously幫助客戶克服個人損失的創傷,重拾信心和活力。研究人員採訪了客戶端是誰願意分享他的生活和EMDR的治療經驗,通過一個半結構化的問卷。與客戶的許可,研究人員已經獲得了客戶的臨床記錄。有條不紊地綜合各種數據後,研究人員已開發出的情況下提出的生活經驗和客戶端的EMDR的治療干預的描述。研究者分析了廣義的數據,客戶端的適應性應對整個 EMDR的治療過程,並討論了從精神科醫生和其他輔導員干預的影響。 (作者摘要)
The purpose of this study is to explore the treatment outcomes from the intervention of Eye Movement Desensitization and Reprocessing (EMDR) with personal loss. Through in-depth understanding of the client’s subjective experiences and changing courses throughout the entire therapeutic process, the researcher intends to prove that EMDR therapy has efficaciously helped the client overcome the trauma from personal loss and regain confidence and vitality. The researcher has interviewed a client who is willing to share his life and EMDR therapy experiences through a semi-structured questionnaire. With the client’s permission, the researcher has obtained the client’s clinical records. After methodically synthesizing the various data, the researcher has developed a case description presenting both the life experience and the intervention of EMDR therapy of the client. The researcher has analyzed the data, generalized the client’s adaptive coping processes throughout EMDR therapy and discussed the effects from the psychiatrist’s and other counselors’ interventions. (Author's abstract)
Keywords: Case Study Dissociation Personal Loss
Accuracy Verified: Yes
4. 平岡 篤武 [Hiraoka Atsutake]. (2006). 子供のための福祉施設で子供とEMDRセッションは、性的逸脱行動を示したこと [EMDR sessions with a child in the welfare facility for children having shown sexual deviant behaviour]. Kodomo no Gyakutai to Negurekuto, 8(1), 29-38.
Language: Japanese
Format: Journal
Abstract:
ここでは子供のための福祉施設のケアの逸脱性行動を示す子とEMDRセッションについて報告されている。 1)半構造化面接をするため、自己観察は、被害者への思いやりの実現に向けて子供の可能性に関しての状況を明らかにするために、さらに犠牲者を間違って、積極的な海峡および/または支配の最終的な存在行うことで配置された。また、常軌を逸した性的行動の背後にある可能性経験に基づいて、以前の子供が性的虐待の被害者自身をしていたかどうかを確認する必要があった。 2)それが唯一の光/非重大な逸脱、人は性的虐待された逸脱子供の可能性に反映して、その存在に基づいて、必要と考えられるでしょう一般的にも。 3)は、事件の記録として性的虐待からフラッシュバックを説明し、EMDRは、性的逸脱行動が消失することが効果を適用した。過去のトラウマ記憶EMDR使用することで子供は開発中の通常のイニシアチブ-豊かな生活に戻ったことで、'安全なメモリに変更されました。 4)被害者にされて消えてしまった被害者を有するとの間のリンクとして、保護と介入手段を検討して児童相談センターや福祉施設からの協調努力のために、将来の必要性がある。 [著者抄録]
Here is reported about EMDR sessions with a child showing deviant sexual behaviour, in the care of the Welfare Facility for Children. 1) Semi-structured interviews were arranged in order to clarify the situation with regards to the child's potential for self-observation, compassion for the victim, realization of having done the victim wrong, further the eventual existence of dominating and/or aggressive straits. Further, based upon the possible sexual experience behind the deviant sexual behavior, there was a need to find out whether the child earlier had himself been a victim for sexual abuse. 2) Generally even if it only would be considered a light/non-serious deviance, one should, based upon its presence, reflect upon the possibility of the deviant child having been sexually abused. 3) As the case records describe flashbacks from sexual abuse, the EMDR was applied with the effect that the sexual deviant behaviour disappeared. By using EMDR the past traumatic memory was changed into a 'safe' memory, with the child having returned to normal initiative-rich life under development. 4) As the link between being victim and having victimized has disappeared, there is a future need for a coordinated effort from the Child Guidance Center and the Welfare Facility to consider the protection and intervention methods. [Author Abstract]
Keywords: Child Children Sexual Abuse
Accuracy Verified: Yes
5. 有村達之, 高瀬元治, 早川洋, 久保千春 [Arimura Tatsuyuki, Takase Motoharu, Hayakawa Hiroshi, and Kubo Chiharu ]. (2000年6月). 心理的外傷体験にEMDRを用いて改善した二例(パニック) [Two improved cases with EMDR for psychological trauma experience]. 心身医学:日本誌、40(サプリメント)、144 [Japanese Journal of Psychosomatic Medicine, 40(Supplement), 144].
Language: Japanese
Format: Journal
Keywords: Case Study Panic
Accuracy Verified: Yes
6. Qian Ge (2009). 汶川震后心理危机的早期干预:文献综述与评价 [Early mental crisis intervention to post-disaster in Wenchuan Earthquake: Literature review and evaluation]. 兰州学刊 2009年 第03期 [Lanzhou Academic Journal, 3].
Language: Chinese
Format: Journal
Abstract:
四)眼动脱敏再加工技术(Eye Movement Desensitizationand Reprocessing,EMDR)EMDR是一种可以在短短数次晤谈之后,便可在不用药物的情形下,有效减轻心理创伤程度及重建希望和信心的治疗方法。其治疗程序包括了八个阶段,具体见表4:表4眼动脱敏再加工技
(Fourthly, EMDR is a treatment which can effectively alleviate the psychological trauma and rebuild hope and confidence after a short period of time for treatment without medication. The treatment procedure includes eight stages, which are shown in details in the table.)
Keywords: Crisis Intervention Literature Review: Wenchuan Earthquake
Accuracy Verified: Yes
7. Βεντουράτου, Δ. [Ventouratos, D.]. (2009). Εισαγωγή στην ψυχοτραυματολογία και στην τραυματοθεραπεία. : Η μέθοδος - EMDR [Introduction to psychotraumatology and trauma treatment and EMDR]. Πεδίο εφαρμογής Εκδόσεων, Αθήνα, Ελλάδα [Field Publications, Athens, Greece] .
Language: Greek
Format: Book
Abstract:
Συχνά, όταν βρισκόμαστε αντιμέτωποι με μια αιφνίδια στρεσογόνο εμπειρία, νιώθουμε απειλή και ανημπόρια. Αν οι προσπάθειές μας να την ξεπεράσουμε ψυχικά δεν επαρκούν, δημιουργούνται μέσα μας εσωτερικά ρήγματα. Συνήθως παγώνουμε ή απωθούμε κάθε ανάμνηση και κάθε συναίσθημα που σχετίζονται με το τραυματικό βίωμα. Οι συνέπειες αυτής της απώθησης είναι διάφορα ψυχοσωματικά συμπτώματα, φοβίες ή κατάθλιψη.
Το βιβλίο εισάγει για πρώτη φορά τον αναγνώστη στα εξειδικευμένα πεδία της ψυχοτραυματολογίας και της τραυματοθεραπείας, που ασχολούνται με την αντιμετώπιση και εξάλειψη των τραυματικών βιωμάτων στους ανθρώπους: η ψυχοτραυματολογία συμμαχεί με το υγιές εγώ και χτίζει με προσοχή μια θεραπευτική σχέση εμπιστοσύνης με στόχο την επεξεργασία και αφομοίωση του τραυματικού βιώματος.
Στο βιβλίο εξετάζεται ειδικότερα η πρωτοποριακή μέθοδος ΕΜDR της Francine Shapiro, που αποτελεί ένα πολύ ισχυρό εργαλείο στα χέρια του έμπειρου κλινικού με θεαματικά αποτελέσματα. Με τη μέθοδο αυτή το τραυματικό βίωμα νοηματοδοτείται και παίρνει τη θέση του σαν ένα ακριβό μαργαριτάρι στον θησαυρό των εμπειριών του ατόμου.
Often, when faced with a sudden stressful experience, one feels threatened and helpless. If our efforts to overcome psychologically inadequate, created through our internal divides. Usually freeze or repelled every memory and every emotion associated with the traumatic experience. The effect of this repulsion is different psychosomatic symptoms, phobias or depression.
The book introduces for the first time the reader to specific areas of psychotrafmatologias and trafmatotherapeias, dealing with the treatment and elimination of traumatic experiences in people: the psychotrafmatologia allies with a healthy ego and carefully builds a therapeutic relationship of trust with the aim of treatment and assimilation of traumatic experiences.
In particular the book examines innovative method of EMDR Francine Shapiro, which is a very powerful tool in the hands of an experienced clinician with spectacular results. With this method, the traumatic experience and arises only takes its place as an expensive pearl in the treasure the experience of the individual.
Keywords: Psychotraumatology Trauma Treatment
Accuracy Verified: Yes
8. 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
9. Shapiro, F. (2009, August). A 20 year update of EMDR clinical applications: What is the depth and scope of treatment?. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
In 1989, the seminal randomized controlled study on EMD appeared in the Journal of Traumatic Stress. However, by the time the first trainings began in the US in 1990, the principles now known as the Adaptive Information Processing model were guiding the development of the procedures and protocols, which in 1991, were officially renamed EMDR. All participants in these early trainings and in the years following were introduced to the hypothesis that most pathology emerges from unprocessed memories of earlier life experiences (AKA “small t trauma”) and that targeting and processing these experiences could provide the basis of efficient and effective treatment outcomes. These predictions have been supported in the widespread use of EMDR. Consequently, we have much to learn from examining these treatment effects, starting with the first published report in 1991 of the elimination of a delusional state, through the myriad applications that have been reported to date. This presentation will review a variety of these clinical reports and explore their implications for current and future EMDR practice.
Keywords: Plenary
Accuracy Verified: Yes
10. Paulsen, S. (2012, October). 31 secrets of the embodied self: Hearing baby’s story in EMDR for trauma in implicit memory. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR targeting relies on explicit memory images and verbalization of cognitions, but attachment trauma is held in the right hemisphere’s implicit memory. Any therapy purporting to treat attachment trauma must meet four criteria (Fosha) (Objective 1). This workshop draws from ego state therapy, somatic therapy, and the Early Trauma protocol of EMDR (Paulsen, in press, O’Shea & Paulsen, 2007) to provide a range of techniques to meet the Fosha criteria (Objective 2). Efficient resolution of attachment injuries can occur through temporal integration, targeting time periods instead of explicit memory (O’Shea & Paulsen, 2007, Paulsen, 2009 and in press) (Objective 3).Transforming early trauma requires listening to reenactment material, the baby state’s only “voice” to tell the non-verbal story.
Keywords: Embodied Self Implicit Memory
Accuracy Verified: Yes
11. Koshal, A. (2010, June). The 4-fields-technic in the traumatherapy of complex traumatized and drug-addicted people (in methadone-treatment). In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Nowadays several international studies demonstrate
that the problem of drug-addiction is very often found in combination
with complex traumatization in early childhood and
youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006;
Schmidt, 2000 etc.)
As we all know PTSD and the other trauma symptoms cause a
lot of psychophysical dysregulation. So the psychiatrist Khantrian
postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called
this assumed combination of trauma-consequences and drug-addiction,
"compensatory strategies aimed at self-regulation"
In many years of working with drug-addicted people it became
very obvious that a high percentage of this people are using drugs,
for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without
nightmares, to alleviate the feeling of helplessness and fear etc.
Drugs and alcohol do reduce all the mentioned symptoms for
a while. To learn to cope in another, more adaptive way, the
addicted people need to learn alternatives strategies for a good
functioning self-regulation.
After stabilization, the trauma therapy can start, so the patient
can reduce some of the sources of psychophysiological dysregulation.
Even when the addicted people still get methadone psychotherapy
is possible. Practical experience over a long time.
started 1990, did show a lot of successful treatments and that
methadone does not interfere a traumatherapy.
The 4-Fields-Technic is a special method of EMDR that was
developed by Jarero et al. 1997 in Mexico after a hurricane
disaster. Dorothee Lansch modified the group method into a
therapy-setting for single persons.
For complex traumatized and drug-addicted people this technic
is very helpful. The focus is more easy to keep in mind, - in
front of the eyes. In the 4-Fields-Technic the patient focuses
on a self-painted picture, that represents the worst part of a
trauma experience.
The patient keeps his focus on this picture, combined with bilateral
stimulation, till he feels the picture should be changed.
And so the process is going on till finished.
The participant will be able to learn:
- about the correlation between complex trauma and drug-addiction
- that drug-addicted people who get methadone are able to do
trauma therapy
-the 4-Fieids-Technic as a method to create resources.
Psychotherapy and specially psychotraumatherapy with drug-addicted
people who are as well in a methadone-treatment is for
many therapists still controversial. This presentation will give you
an idea how good it can work, based on various case series.
Keywords: 4-Fields-Technic Complex Trauma Drug Addiciton Methodone Treatment Symposium
Accuracy Verified: Yes
12. 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
13. Opperman-Schmid, F. (2010, June). 5 years of EMDR in a general practioners practise. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study describes the use of eye movement desensitization
and reprocessing in clients suffering from posttraumatic
stress symptoms after recent traumatic experience.
Between November 2003 and July 2009, 45 clients of a general
medicine practise with stress reactions and inability to work after
a recent traumatic event were treated with EMDR.
The number of active EMDR sessions varied from 1 to 5 sessions.
After this short time of active treatment, everyone of these clients
was free of symptoms and able to take up work again. After
a three months period, those clients were reinvestigated. Up to
this time, none of them had suffered from symptoms of distress
or accumulation of trauma memories or inability to go to work.
The study shows an interesting aspect in EMDR treatment:
general practitioners are the first to be consulted by clients with
recent trauma.
EMDR is shown to be very effective in treatment of stress symptoms
after recent trauma.
Consequently, an early intervention with EMDR reduces stress
symptoms and the period of inability. This is to promote interest
and awareness specially among general practitioners with
psychotherapy training.
Keywords: Acute Stress Symposium
Accuracy Verified: Yes
14. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case
conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation.
Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay
implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and
their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey
through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows
adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma,
and provides a dynamic and adaptive tool to navigate through therapy.
Keywords: 6 Gear Mechanics Complex Trauma
Accuracy Verified: Yes
15. Madoun, S., & Dumonteil, D. (2005). ABC de l'EMDR: La thérapie des émotions [ABC of EMDR: Therapy emotions]. Paris: Grancher.
Language: French
Format: Book
Abstract:
Tout au longe de notre vie, nous subissons des événements traumatisants : maladie, deuil, accident... S'en suivent stress, angoisse, dépression. Une nouvelle thérapie d'origine américaine vient de voir le jour : l'EMDR (Eyes Movement Desensitization and Reprocessing), ce qui signifie : mouvement oculaires de désenbilisation et de retraitement des informations négatives. Validée par un bon nombre d'études dont celle de l'Inserm, l'EMDR nous permet d'éliminer les effets néfastes des chocs émotionnels en favorisant l'apparition des émotions ainsi que leur évacuation. Au travers de récits étonnants, ce livre de référence nous fait comprendre les mécanismes de nos traumatismes, le dérèglement de notre cerveau émotionnel et les moyens de retrouver une vie sereine.
Throughout our lives, we experience traumatic events: illness, bereavement, accident ... Ensuing stress, anxiety, depression. A new therapy from the U.S. just to see the day: EMDR (Eyes Movement Desensitizer and Reprocessing), which means eye movement désenbilisation and reprocessing of negative information. Validated by many studies including that of Inserm, EMDR allows us to eliminate the adverse effects of emotional distress by encouraging the emergence of emotions and their evacuation. Through amazing stories, this reference book helps us understand the workings of our trauma, disruption of our emotional brain and the means to find a peaceful life.
Keywords: Anxiety Depression Stress
Accuracy Verified: Yes
16. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum
Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.
Keywords: Abortion Postpartum Depression
Accuracy Verified: Yes
17. 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
18. Beccari, A. (2008). Abuso sessuale sui minori: Il sostegno alle giovani vittime [On child sexual abuse: Support for young victims]. Universita Degli Studi di Parma, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract: Il filo conduttore di questo report sarà il trauma.
La prima parte sarà incentrata sulla definizione di trauma, sulle risposte adattive e su quelle
patologiche di fronte ad un evento negativo e sulle variabili individuali e soggettive che
determinano nell’individuo un vissuto traumatico. Quest’ultimo aspetto, infatti, sappiamo
essere fondamentale per capire la differenza che intercorre tra le diverse reazioni (emotiva,
cognitiva e comportamentale) delle persone che si trovano ad essere esposte anche al
medesimo evento disturbante.
La seconda sezione sarà invece dedicata al trauma dei bambini e alle diverse modalità di
condurre un assessment adeguato.
La terza parte si concentrerà, nello specifico, sul trauma da abuso sessuale: ne prenderà in
considerazione la definizione, le conseguenze a breve e medio-lungo termine nonchè le
possibilità di sostegno alle giovani vittime di abuso sessuale intra ed extra familiare. Inoltre
verrà trattata una tecnica piuttosto recente dimostratasi efficace nel trattamento del Disturbo
Post-traumatico da Stress negli adulti come nei bambini: l’EMDR (eye movement
desensitization and reprocessing).
The theme of this report is trauma.
The first part will focus on the definition of trauma, and those on adaptive responses
pathological in the face of a negative event and the individual variables and subjective
determine in the individual a traumatic experience. This latter aspect, in fact, we know
be crucial to understand the difference between the different reactions (emotional,
cognitive and behavioral) of persons who are to be presented on the
same event disturbing.
The second section will be devoted to the trauma of children and the different modes of
conduct a proper assessment.
The third part will focus specifically on the trauma of sexual abuse: it will take
consider the definitions, the short-and medium-long term as well as the
possibility of support for young victims of sexual abuse within and outside the family. also
will be treated fairly new technique proved effective in treating the disorder
Post-traumatic Stress in adults as in children: EMDR (eye movement
desensitization and reprocessing).
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
19. O'Shea, M. K. (2003, September). Accessing and repairing preverbal trauma/neglect. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Numerous methods have attempted to repair distress remaining from very early trauma (especially adoption) or neglect, but most have been difficult, cumbersome, even traumatic. The presenter will describe and demonstrate a direct, simple, safe and incredibly effective EMDR
extension, which is based on our current scientific knowledge of early brain development. Participants will (1) learn how to be able to adapt the Basic EMDR protocol when treating preverbal experiences with infants, children, adolescents and adults; (2) what language to use when accessing and repairing preverbal experiences: (3) be able to use "imaginative
interweaves" to stimulate release of trapped energy and fully learn from the experience; (4) learn to use the 3 R's (Review, Release, Repair) to ensure that reprocessing of preverbal material is complete.
Keywords: Adoption Neglect Preverbal Trauma
Accuracy Verified: Yes
20. Lynn, B. (2000, September). Accessing pre-traumatic prenatal experience using EMDR: Uncovering a powerful resource of equanimity, integration, and self-esteem in the pre-traumatized self. EMDRIA Newsletter, 5(3), 6-7.
Language: English
Format: Newsletter
Abstract:
This article is a preliminary report on the
remarkable results some of my clients
and I have been achieving using EMDR
to target prenatal trauma, with a focus on the
discovery of an experience of the self prior to
any trauma occurring and the enormous
healing power that derives from revisiting and
reactivating this extraordinarily positive pretraumatic
experience. It is with some hesitation
that I am reporting my experience with prenatal
trauma processing, as I do not wish to be seen
as on the fringe or even over the edge by my
colleagues. However, I realize that I was able
to overcome my prejudices -through
examination of the facts- about the nature of
prenatal experience, when memory begins, and
how it can be accessed. I have found there is a
body of scientific investigation and knowledge
on prenatal experience and trauma, and that
indeed we do experience and are influenced
by our environment in the womb. We can learn
from such experience, and therefore, can be
traumatized prior to birth. The prenatal self
can feel and record this experience. I refer the
reader to www.birthpsychology.com/resources/
index.html for a list of publications on this
matter. The various kinds of pre- and perinatal
trauma and the deep healing that results when
processed with EMDR will be the object of
other articles by myself and Dr. Heather
Pearson, who is also investigating this same
field. What I intend to focus on here is the
discovery of a pre-traumatic experience at the
embryonic stage, which I have found to be a
remarkably powerful internal resource for
healing, already developed and installed,
simply requiring reactivation. When I saw the
powerful healing results of reactivation of this
pre-traumatic experience in a number of
relatively “stuck” clients, I felt ethically bound
to report this immediately to other clinicians
using EMDR so that others may benefit.
Keywords: Prenatal
Accuracy Verified: Yes
21. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.
Keywords: Model Poster Preverbal Trauma Theory
Accuracy Verified: Yes
22. Huber, M., Siol, T., Herholz, K., Lenz, O., Köhle, K., & Heiss, W. D. (2001, December). Activation of thalamo-cortical systems in post-traumatic flashbacks: A positron emission tomography study. Traumatology, 7(4), 131-141. doi:10.1177/153476560100700402.
Language: English
Format: Journal
Abstract:
Trauma victims with post-traumatic stress disorder (PTSD) often experience ‘flashbacks’ that are described as being different from memories of other fearful biographic situations. We used Positron Emission Tomography and Statistical Parametric Mapping to compare in the same subject brain activation patterns during induced flashbacks with recall of fearful non-traumatic situations. During fearful recall there were significant activations of right precuneus. When traumatic memories were compared to neutral, right lingual gyrus, right thalamus / mamillary bodies, and right cerebellum were significantly activated. When brain activation during flashbacks was compared to simple fear, right mediodorsal thalamus (MD), right precuneus, and right cerebellum were significantly more active. With respect to recent experimental evidence concerning the function of thalamo-cortical systems, we hypothesize that post-traumatic flashback experiences are based on hyperactive thalamo-cortical ‘closed loop’ networks.
Keywords: Flashbacks Mediodorsal Thalamus PET Positron Emission Tomography Post-Trauamtic Stress Disorder PTSD Statistical Parameter Mapping Thalamo-Cortical Systems Trauma Victims
Accuracy Verified: Yes
23. Amano, T., Selyama, A., & Toichi M. (2012, June). The activity of the brain cortex measured by NIRS during EMDR session of phantom limb pain [La actividad del cortex cerebral medida por espectroscopía casi infrarroja (NIRS) durante una sesión de EMDR en Dolor de Miembro Fantasma]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
We are reporting the case of
a
female
patient
with
severe
chronic
pain,
which
was
successfully
treated
applying
a
phantom
limb
pain
(PLP)
protocol
of
the
Eye
Movement
Desensitization
and
Reprocessing
(EMDR).
The
patient
is
a
seventy-‐
year-‐old
female,
who
suffered
from
paralysis
in
the
left
lower
limb
due
to
an
accident
during
an
orthopedic
operation
for
herniated
disc.
After
the
operation,
she
began
to
experience
sharp
pain
in
the
paralyzed
limb,
and
neither
nerve
blocks
nor
trials
of
medicine
were
effective
for
this
pain.
It
continued
for
8
years
until
a
PLP
protocol
was
applied.
During
the
sessions
of
the
protocol,
her
sharp
pain
gradually
diminished
and
virtually
disappeared
at
the
end
of
the
EMDR
sessions.
A
follow-‐up
interview,
held
three
years
after
the
sessions,
confirmed
no
recurrence.
The
study
was
designed
to
examine
the
changes
of
frontal
and
temporal
cortices
in
the
blood
flow
in
brain
by
NIRS
during
sessions
of
EMDR.
During
the
recall
of
her
trauma-‐related
events,
her
heart
rate
and
the
blood
flow
increased
in
the
area
of
the
right
superior
temporal
sulcus.
Eye
movement
with
the
recall
of
traumatic
events
leads
to
a
generalized
decrease
in
brain
blood
flow.
The
results
suggest
that
a
PLP
protocol
may
be
an
effective
option
for
the
treatment
of
chronic
pain.
It
is
probably
because
the
technique,
which
is
effective
for
post-‐traumatic
stress
disorder,
can
potentially
dissolve
traumatic
pain
memory.
The
findings
on
blood
flow
seem
to
suggest
that
EMDR
is
effective
in
treating
PTSD
by
normalizing
excessive
cerebral
activation,
particularly
in
the
right
hemisphere,
which
is
related
to
the
memory
of
trauma.
Presentamos
el
caso
de
una
mujer
con
dolor
crónico
severo
tratado
con
éxito
mediante
un
protocolo
de
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
para
dolor
de
miembro
fantasma
(DMF).
Se
trata
de
una
mujer
de
setenta
y
dos
años
de
edad
que
sufría
una
parálisis
en
la
extremidad
inferior
izquierda
debido
a
un
accidente
durante
una
intervención
quirúrgica
ortopédica
por
una
hernia
discal.
Tras
la
operación,
empezó
a
experimentar
un
dolor
agudo
en
el
miembro
paralizado;
ni
los
bloqueos
nerviosos
regionales
ni
las
pruebas
con
fármacos
fueron
eficaces
para
tratar
su
dolor.
Así
siguió
durante
8
años
hasta
la
aplicación
de
un
protocolo
para
el
tratamiento
del
DMF.
Durante
las
sesiones
en
las
que
se
seguía
el
protocolo,
el
dolor
agudo
que
sufría
disminuía
progresivamente
y
desaparición
por
completo
al
finalizar
las
sesiones
de
EMDR.
Durante
una
entrevista
de
seguimiento
a
los
tres
años
se
confirmó
la
ausencia
de
una
recurrencia
del
dolor.
Se
diseñó
el
estudio
para
examinar
los
cambios
del
flujo
sanguíneo
cerebral
en
las
cortezas
frontal
y
temporal
mediante
NIRS
en
las
sesiones
de
EMDR.
Durante
el
recuerdo
de
los
eventos
relacionados
con
el
trauma,
se
aumentó
la
frecuencia
cardiaca
y
el
flujo
sanguíneo
en
el
área
del
sulco
temporal
superior
derecho.
Los
movimientos
oculares
que
se
producen
con
el
recuerdo
de
los
eventos
traumáticos
conlleva
una
disminución
generalizada
del
flujo
sanguíneo
al
cerebro.
Los
resultados
sugieren
que
un
protocolo
específico
para
DMF
puede
representar
una
alternativa
efectiva
para
el
tratamiento
del
dolor
crónico.
Probablemente
se
debe
a
que
esta
técnica
que
es
efectiva
en
el
trastorno
por
estrés
post-‐traumático,
tiene
el
potencial
de
disolver
el
recuerdo
del
dolor
traumático.
Los
hallazgos
sobre
el
flujo
sanguíneo
parecen
sugerir
que
EMDR
es
efectivo
en
el
tratamiento
del
TEPT
al
normalizar
la
activación
cerebral
excesiva,
sobre
todo
en
el
hemisferio
derecho,
que
guarda
relación
con
el
recuerdo
del
trauma.
Keywords: Brain Cortex NIRS Phantom Limb Pain
Accuracy Verified: Yes
24. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
25. Wesselmann, D. (2009, August). Adapting EMDR for children with reactive attachment disorder behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviors associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child’s ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, help the child stay regulated, and assist reprocessing, leading to improved behaviors, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
26. Wesselmann, D. (2010, June). Adapting EMDR for children with reactive attachment disorder behaviours. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviours associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child's ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, provide a secure holding environment, and assist reprocessing, leading to improved behaviours, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
27. 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
28. 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
29. Knipe, J. (2010, July). Adaptive information processing as a guiding framework for the treatment of addictive disorders and addictive behavior patterns. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Within our field, the term “addiction” has been used to describe not only chemical dependence but also entrenched, selfdefeating
behavior patterns. Either type of addiction may develop in the context of traumatic experience. An impulse to
engage in addictive behavior can be thought of as a part of a dysfunctionally-stored memory network connected with
traumatic events.
In this workshop, an Adaptive Information Processing model of addiction will be presented, including guidelines for
treatment planning, preparation, resource installation, urge reduction, and (when necessary) transformation of the addict
“identity.” The content of the presentation will be illustrated with video examples.
Keywords: Addictions Addictive Behaviors Addictive Disorders
Accuracy Verified: Yes
30. Meignant, I. (2010, July). Adaptive information processing model (AIP). Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
This Abstract will explore EMDR as an AIP model of psychotherapy. The following aspects will be discussed. Foundation of
pathologies: unprocessed physiologically stored memories of life experiences. Definition of Trauma: Any life experience that
has a negative on going impact on a person’s life. Therapy goal: Accessing and reprocessing physiologically stored memories
of life experiences, triggers and encoding future templates. Memory as composed of: sensory information (smell, image,
sound, taste and touch), cognitions, emotions and body sensations.
EMDR as a 3 stage therapy model: Past, Present, Future Three themes explored in EMDR therapy: 1) Responsibility (which
includes Culpability and Self-esteem) 2) Safety, and 3) Choice
The Eight phases of EMDR:
Departure and Arrival stations: SUDs , VOC, and BODY scan
Keywords: Adaptive Information Processing Model AIP Poster
Accuracy Verified: Yes
31. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
32. Broad, R. D. & Wheeler, K. (2006, May). An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: A case study. Perspectives in Psychiatric Care, 42(2), 95-105. doi:10.1111/j.1744-6163.2006.00058.x.
Language: English
Format: Journal
Abstract:
Problem: Adverse childhood experiences have been found to be a strong predictor of emotional and physical problems in adulthood. However, the long-term sequelae for children who have suffered critical illness and exposure to invasive medical procedures are less well documented. Methods: This is a case study of an adult client who sought treatment for depression and attention deficit disorder. The psychotherapy treatment is discussed and the use of eye movement desensitization and reprocessing (EMDR) is described targeting a memory of a medical trauma resulting from a tonsillectomy when the client was 8 years old. Conclusions: Significant healing outcomes were attained as a result of the therapy, i.e., decreased depression, less hypervigilance, and increased ability to concentrate, which resulted in the discontinuation of medication for depression and ADHD as well as significant improvement in overall functioning.
Keywords: Childhood Medical Trauma Psychoanalytic Psychotherapy Adverse Childhood Experiences Depression Attention Deficit Disorder Early Experience Major Depression PTSD Psychoanalysis Childhood Development Clinical Case Study Empirical Study
Accuracy Verified: Yes
33. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.
Language: English
Format: Dissertation/Thesis
Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.
Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress
Accuracy Verified: Yes
34. Blore, D. C. (2005). Affect and traumatised traincrew: Using an integrated CBT/EMDR approach to facilitate an early return to work. Integrating Affect into the Practice of CBT with EMDR. Symposium conducted at the XXXVth EABCT Conference, Thessalonica, Greece.
Language: English
Format: Conference
Keywords: CBT Cognitive Behavioral Therapy Symposium Trainmen
Accuracy Verified: Yes
35. 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
36. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).
Language: English
Format: Publication
Abstract:
Findings by SBU Alert,
Version: 1,
METHOD AND TARGET GROUP:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS:
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS:
There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE:
There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months.
Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions.
*This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject.
This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES:
1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33.
2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press.
3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000.
4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57.
5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999.
6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27.
7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996.
8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239.
9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44.
10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995.
11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623.
12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press.
13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999.
14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33.
15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113.
16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144.
17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056.
18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils.
The complete report is available in Swedish only.
Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD
Accuracy Verified: Yes
37. Erdmann, C. (2006). Allergie und EMDR - Der nächste sommer kommt bestimmt [Allergy and EMDR - The next summer is determined]. EMDRIA Deutschland e.V. Rundbrief, 7, 20-44.
Language: German
Format: Newsletter
Abstract:
Eine positive Eigenerfahrung mit einer EMDR-Allergie-Behandlung führte zur Anwendung im
weiteren Praxisfeld. Vorgestellt wird ein von mir weiterentwickeltes EMDR-Allergie-Protokoll,
das mehrfach von mir in der Praxis erprobt wurde und hier anhand eines konkreten
Fallbeispiels vorgestellt wird. Die guten Ergebnisse sprechen dafür, dass eine allergische
Immunantwort mittels EMDR in relativ kurzer Zeit positiv beeinflussbar ist und dass die positive
Beeinflussung über längere Zeit hinweg stabil bleiben kann.
A positive personal experience with EMDR-allergy treatment was applied in a wider area of practice. Presented is an improved I-allergy EMDR protocol, which has been repeatedly tested by me in practice and is presented here using a real case study. The good results indicate that an allergic immune response via EMDR is positively influenced in a relatively short time and that the positive effect for a long time can remain stable.
Keywords: Allergy
Accuracy Verified: Yes
38. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag.
Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren.
Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod.
Werkvorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior.
Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve.
Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment.
Form
In the presentation combines theory and practice. Video images support the story.
Keywords: Infants Children Pre-Verbal Trauma
Accuracy Verified: Yes
39. Mehrotra, S., Raja, T., & Sawant, B. (2002). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. The Bombay Psychologist.
Language: English
Format: Journal
Abstract:
Keywords: BHUJ Experience
Accuracy Verified: No
40. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Description of the study: Traumatic experiences may
lead to body sensations. Some illnesses such as Migraine, ulcer
and fibromyalgia which causes body disturbance have psychological
roots. Steven Marcus also shows the relation between
traumatic event and migraine in his studies. This study is inspired
by the relationship between body disturbance related illnesses
and traumatic experiences. In this study, physical and
emotional disturbances experienced by women during the
MDR menstrual cycle is studied by the use of EMDR.
Participants in this study will receive a (max) 12 session EMDR
treatment. All participants are going to fill a battery of tests
consisting of Beck Depression Scale, STAI, Life Events Check
List, Subjective Pain Level before and after the study and keep
a diary of disturbance during the study.
EMDR and the study: It is hypothesized that females who have
more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported
disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences.
Learning objectives: Showing the way EMDR can be used in
PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity.
Enhancing the knowledge on the effect of previous negative
life events on somatic sensations in the long term.
Our study suggests that: Despite the fact that premenstrual
Disturbances and Dismenore are quite common among the
women, it is rarely studied by psychotherapists. In this study
we reviewed the relevant literature and tried to show that these
problems can be studied by using EMDR.
Keywords: Female Issues Pre Menstrual Post Menstrual Symposium
Accuracy Verified: Yes
41. 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
42. de Jongh, A. (2005, November). Angstjes, angsten en fobieën: Hoe pak je het simpel aan met EMDR? [Anxiety, fears and phobias: How to go about it simple with EMDR?]. Presentatie op de eerste congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
EMDR is een gevalideerde behandelmethode voor psychisch trauma. Maar niet altijd leidt het meemaken van een vervelende gebeurtenis tot PTSS: angsten of fobieën zullen veel vaker het gevolg zijn. In veel gevallen is de behandeling van een fobische stoornis zelfs een stuk lastiger dan van een PTSS. Dit komt omdat er meer geheugenrepresentaties moeten worden bewerkt. Een complicerende factor in de behandeling kan verder zijn dat we te maken hebben lastig, ingesleten vermijdingsgedrag (bijv. bij sociale angst) of dat een bepaalde stimulussituatie objectief vervelende kantjes heeft (bijv. bij sommige medische angsten).
In deze workshop leren de deelnemers:
- een handige manier om angsten te diagnosticeren en casuïstiek te conceptualiseren in termen van EMDR
- te beslissen in welke gevallen EMDR is aangewezen, wanneer een cognitief gedragstherapeutische aanpak (of een combinatie) beter geschikt is en hoe deze behandeling eruit ziet
- gericht angsttargets te identificeren en snel tot de juiste NCs en PCs te komen
- cliënten voor te bereiden op moeilijke of relatief onveilige stimulussituaties
Het materiaal wordt gepresenteerd aan de hand van videobeelden, demonstraties en oefeningen. De workshop is geschikt voor ervaren en minder ervaren behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd.
EMDR is a validated treatment for psychological trauma but does not require the experience of an unpleasant event for PTSD: fear or phobias are more often the result. In many cases, the treatment of a phobic disorder even more difficult than one PTSD. This is because more memory representations should be modified. A complicating factor in treatment may also be that we are facing difficult ingrained avoidance behavior (e.g. social anxiety) or that a certain objective stimulussituatie nasty lace has (e.g. some medical fears).
In this workshop participants learn:
- A convenient way to diagnose anxiety and case studies to conceptualize in terms of EMDR
- To decide cases in which EMDR is appropriate when a cognitive behavioral approach (or a combination) is more suitable and how this treatment looks
- Terror targets aimed to identify and quickly correct the NCS and PCs to come
- Clients to prepare for difficult or relatively unsafe stimulussituaties
The material is presented on the video footage, demonstrations and exercises. The workshop is suitable for experienced and less experienced practitioners, both in the field of adults and children and youth.
Keywords: Anxiety Fears Phobias
Accuracy Verified: Yes
43. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.
Language: Spanish
Format: Conference
Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como
tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew,
de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005).
El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del
significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a
nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el
movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir
de esta observación estudió científicamente este efecto y en 1989, informó del éxito al
utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress.
Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las
contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en
víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un
método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo
también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos
psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la
información" (Shapiro, 1991), que postula que la experiencia (los sentimientos,
pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo
(Shapiro, 2001).
Presentamos aquí este abordaje terapéutico, con una primera intervención que
muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más
en las que, a partir de la presentación de un caso, se mostrará la aplicación de los
protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas
adaptativos en niños adoptados y la violencia doméstica en menores.
EMDR is now recognized as a psychotherapeutic approach
effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew,
2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of
meaning of the world, their security, their rationality, there is a "before and after" to
experiential level. The psychologist Francine Shapiro observed that under certain conditions
eye movement can reduce the intensity of disturbing thoughts, from
this observation scientifically studied this effect and in 1989, reported the successful
using EMDR to treat trauma victims in the Journal of Traumatic Stress.
Since then, EMDR has developed and evolved through
contributions of therapists and researchers from around the world. Controlled studies in
Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a
effective method in treating PTSD (PTSD), with
also effective in treating other problems such as chronic pain disorders
psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings,
thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention
shows the basics of EMDR and its application in chronic pain and three more communications
where, from the case report will show the application of protocols of treatment for eating disorders, problems
adaptive adopted children and domestic violence on children.
Keywords: Trauma
Accuracy Verified: Yes
44. Srivastava, U., & Mukhopadhyay, A. (2008, September). Application of EMDR in the treatment of major depressive disorder: A case study. Indian Journal of Clinical Psychology, 35(2), 163-172.
Language: English
Format: Journal
Abstract:
This article presents a case study applying Eye Movement Desensitization and Reprocessing in major depressive disorder. The study describes the application of Shapiro’s Adaptive Information Processing (AIP) model in the treatment of major depressive disorder and explores the use of EMDR with a 30 year old woman experiencing depressive symptoms with 3 suicidal attempts in 5 years. Due to strong negative reactions to psychiatric medicines, her treatment was discontinued several times and she was referred for psychotherapeutic intervention. After 9 EMDR treatment sessions, her depression was completely cured; her coping improved and other symptoms of anxiety and social withdrawal were completely controlled. Effects were checked and found maintained up to 6 months follow up. The clinical implications of application of EMDR have been explored.
Keywords: Adaptive Information Processing AIP Bilateral Stimulation BLS Case Study Depression EMs Eye Movements Major Depressive DIsorder Somatic Symptoms BHUJ experience.
Accuracy Verified: Yes
45. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
Accuracy Verified: Yes
46. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
47. 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
48. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come :
- la velocità di intervento;
- l’ esigenza di applicare protocolli rapidi ed efficaci.
La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia);
l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici.
Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali:
-PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione).
-disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie).
Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate.
Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.
Psychological intervention in the hospital has special features that meet certain characteristics such as:
- The speed of intervention;
- 'S need to implement protocols for rapid and effective.
The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography);
effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms.
Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as:
-PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) .
-Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy).
In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations.
Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.
Accuracy Verified: Yes
49. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.
Keywords: Aachen Horses Poster Sports World Equestrian Games
Accuracy Verified: Yes
50. 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
51. 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
52. 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
53. 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
54. 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
55. Dayton, J., & Cassity, T. (1994). Assessing dynamics and expectations to insure positive EMDR outcome. EMDR Network Newsletter, 4(3), 4-5.
Language: English
Format: Newsletter
Abstract:
An acrophobic professional requested EMDR to enhance his participation in a ropes course offered by his program for substance abusers. The representing material was his first ropes experience during which he became experience during which he became the ground. He was determined to allow himself to fall off and trust his team members to lower him safely. The incongruency between this belief and his internal psychic disturbance and his internal psychic disturbance session.
Keywords: Acrophobia Ropes Course
Accuracy Verified: Yes
56. 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
57. Oglesby, C. (1999). Assessment of the appropriateness of EMDR use in sport interventions. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
Initial research indicated extraordinary efficacy ofEMDR
interventions with various forms of trauma. As more and more
research was undertaken, often by researchers removed from
clinical EMDR experience, contradictions emerged and
EMDR samples sometimes fared no better than others. Recent
research with an athletic population indicated that possible
"individual differences" characteristics of potential subjects
mayaccount for some of the previous contradictory results.
Possible screening devices will be discussed in the context of a successful case study report.
Keywords: Athletes Interventions Sports Psychology Symposium
Accuracy Verified: Yes
58. 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
59. 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
60. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).
Keywords: Attachment Repair Model
Accuracy Verified: Yes
61. Brisch, K. H. (2013, June). Attachment trauma and treatment process with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This presentation will provide an overview of the various forms of attachment disorders, their significance in terms of affect and stress regulation, and their effects on the development of early severe psychopathology. Case studies will illustrate the use of EMDR as a therapeutic modality.
Keywords: Attachment Disorders
Accuracy Verified: Yes
62. Brisch, K. H. (2013, June). Attachment trauma and treatment process with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This presentation will provide an overview of the various forms of attachment disorders, their significance in terms of affect and stress regulation, and their effects on the development of early severe psychopathology. Case studies will illustrate the use of EMDR as a therapeutic modality.
Keywords: Attachment Trauma Treatment
Accuracy Verified: Yes
63. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
defense
system
(freezing-‐fight-‐flight-‐feigned
death),
that
is
set
into
motion
in
every
individual
by
the
exposure
to
any
event
that
threatens
life
or
bodily
integrity
in
the
self
or
in
significant
others,
is
terminated
after
the
event
is
over
by
mental
and
interpersonal
processes
involving
the
soothing
and
security-‐
seeking
system
(attachment).
If
the
functions
of
the
attachment
system
are
hindered
by
memories
(internal
working
model,
IWM)
of
early
attachment
interactions
with
neglecting
or
abusive
caregivers,
the
defense
system
may
remain
active
for
long
periods
of
time
after
the
traumatic
event
is
over.
Insecure
and
especially
disorganized
IWMs
of
early
attachments,
together
with
the
unavailability
of
social
support
after
the
trauma,
are
thus
risk
factors
for
developing
the
symptoms
of
post-‐traumatic
stress
disorders.
This
lecture
dwells
on
the
main
features
of
attachment
disorganization,
on
the
negative
interference
of
attachment
disorganization
in
the
therapeutic
relationship,
and
on
the
reasons
why
the
characteristic
patient-‐therapist
relationship
in
EMDR
interventions
can
be
instrumental
in
by-‐passing
such
negative
interference.
El
sistema
de
defensa
(respuesta
de
inmovilización-‐lucha-‐huída-‐muerte
fingida)
que
se
pone
en
marcha
en
toda
persona
por
la
exposición
a
cualquier
incidente
que
amenaza
su
vida
o
la
integridad
física
o
las
de
sus
allegados
llega
a
su
fin
tras
el
incidente
mediante
procesos
mentales
e
interpersonales
implicados
en
el
sistema
de
tranquilizar
y
la
búsqueda
de
seguridad
(apego).
Si
las
funciones
del
sistema
de
apego
se
ven
impedidas
por
los
recuerdos
(el
modelo
del
funcionamiento
interno,
IWM,
por
sus
siglas
en
inglés)
de
interacciones
precoces
de
apego
con
cuidadores
negligentes
o
abusivos,
es
posible
que
el
sistema
de
defensa
permanezca
activo
durante
períodos
prolongados
después
de
que
el
evento
traumático
haya
terminado.
Así,
los
IWM
inseguros
y
especialmente
desorganizados
del
apego
temprano,
junto
con
la
falta
de
apoyo
social
tras
el
incidente
traumático,
se
convierten
en
factores
de
riesgo
para
el
desarrollo
de
síntomas
de
los
trastornos
postraumáticos.
Esta
conferencia
se
centra
en
los
rasgos
esenciales
de
la
desorganización
del
apego,
en
la
interferencia
negativa
de
la
desorganización
del
apego
en
la
relación
terapéutica
y
en
los
motivos
por
los
cuales
la
relación
característica
entre
paciente
y
terapeuta
en
las
intervenciones
con
EMDR
pueden
ser
instrumentales
para
puentear
dicha
interferencia
negativa.
Keywords: Attachment Keynote
Accuracy Verified: Yes
64. Kirsch, A., & Seidler, G. H. (2004). Ausdruck und erleben von emotionen bei der posttraumatischen belastungsstörung: Erste ergebnisse einer studie mit gewaltopfern [Expression and experience of emotion in patients with posttraumatic stress disorder: First result of a study with victims]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, ZPPM 2(1), 45-60.
Language: German
Format: Journal
Abstract:
Emotionale Betäubung (EN) in PTSD ist ein Cluster von schwächenden Symptomen mit Problemen in der Erfahrung und dem Ausdruck von Emotionen. EN ist in drei separate diagnostischen Kriterien dargestellt: deutlich vermindertes Interesse an wichtigen Aktivitäten, Gefühle der Ablösung oder Entfremdung von anderen, und eingeschränkte Bandbreite des Affekts. Die funktionale Beziehung zwischen anderen Klassen von PTSD Symptome und EN ist nicht gut verstanden. In diesem Artikel werden verschiedene Studien diskutiert werden. Es wird davon ausgegangen, dass Patienten mit psychischen Erkrankungen eine spezifische Wechselwirkung Muster implementieren, die in der Gesichts-affektiven Ausdruck und äußerte sich vor allem in Gesichts-affektiven Mikro-Verhalten. Das Ziel der vorliegenden Pilot-Studie war die Analyse von Gesichts-affektive Verhalten von Patienten mit PTSD im Vergleich zu gesunden Personen. Erste Ergebnisse der ersten EMDR-Sitzungen auf Video aufgezeichnet von Patienten und psychodynamischen Interviews von gesunden Personen (keine psychische / psychiatrische Störungen nach ICD-10) wurden mit dem codierten Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Danach wurden diese Analysen mit Blickverhalten verbunden. PTSD Patienten zeigten eine Verringerung der gesamten Mimik und eine verminderte Häufigkeit von Gesichts wirkt im Vergleich zu gesunden Personen. Unter dem Blickverhalten in Betracht, wurde es offensichtlich, dass PTSD Patienten zeigten Anteil sank gegenseitigen Blick im Vergleich zu gesunden Personen. Außerdem war der Gesichtsausdruck affektiven Ausdruck von vier Patienten (Eltern, die durch den gewaltsamen Tod ihrer Kinder beraubt) erste und letzte EMDR-Sitzung verglichen. Eine leichte Erhöhung des Gesichts affektiven Ausdruck gefunden wurde. [Autor Summary)
Emotional numbing (EN) in PTSD is a cluster of debilitating symptoms involving problems in the experience and expression of emotion. EN is represented in three separate diagnostic criteria: markedly diminished interest in significant activities, feelings of detachment or estrangement from others, and restricted range of affect. The functional relationship between other classes of PTSD symptoms and EN is not well understood. In this article different studies will be discussed. It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The aim of the presented pilot-study was the analysis of facial-affective behaviour of patients with PTSD in comparison to healthy persons. First results of videotaped first EMDR sessions of patients and psychodynamic interviews of healthy persons (absence of mental/psychiatric disorder according to ICD-10) were coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. PTSD patients showed a reduction of overall facial expressions and a reduced frequency of facial affects in comparison to healthy persons. Taking the gazing behaviour into consideration, it became obvious that PTSD patients showed decreased portion of mutual gaze compared to healthy persons. Furthermore, the facial affective expression of four patients' (parents bereaved by the violent deaths of their children) first and last EMDR session was compared. A slight increasing of facial affective expression was found. [Author Summary]
Keywords: Crime Emotional Numbing Interpersonal Interaction Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors
Accuracy Verified: Yes
65. Leiner, A. S., Kearns, M. C., Jackson, J. L., Astin, M. C., & Rothbaum, B. O. (2012, January). Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,80(2), 317-321. doi: 10.1037/a0026814.
Language: English
Format: Journal
Abstract: Objective: This study investigated the impact of avoidant coping on treatment outcome in rape-related posttraumatic stress disorder (PTSD). Method: Adult women with rape-related PTSD (N = 62) received 9 sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). The mean age for the sample was 34.7 years, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% other. PTSD was assessed with the PTSD Symptom Scale–Self-Report (Foa, Riggs, Dancu, & Rothbaum, 1993), and avoidant coping was assessed using the Coping Strategies Inventory–Disengagement subscale (CSI-D; Tobin, Holroyd, Reynolds, & Wigal, 1989). Results: Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms: ΔR2 = .08, b = −0.31, 95% CI [−0.17, −0.01], t(60) = −2.27, p = .028. The CSI-D pretreatment mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D pretreatment score of 61 was associated with a 40% likelihood of experiencing CSC. Conclusions: PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: Rape Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
66. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
67. Shapiro, F. (2012, January 27). Baby boomers and distant dads. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-veterans_b_1228542.html 1/27/2012.
Language: English
Format: Other
Abstract:
If we look carefully, we can see that many of these fathers displayed signs of what we know now is posttraumatic stress disorder (PTSD). It didn't help that PTSD wasn't even listed as a diagnosis until 1980. But the fact that war experiences were common didn't make them any less impactful. From personal experience in treating veterans from World War II, the Korean War and Vietnam, it's clear that there is no difference in the pain and sorrow from those returning from Iraq and Afghanistan. So often their emotional burden is caused by the feelings that they were powerless to save someone. This can be even more devastating than being in danger yourself. Those who were support personnel often carry the same feelings of anger, guilt and lack of control. Who couldn't they save? [Excerpt]
Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans War
Accuracy Verified: Yes
68. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
69. Gunther-Sohst, J., & Hase, M. (2002, May). Back into the future – Research on the Client experience in the EMDR process. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Keywords: Research
Accuracy Verified: Yes
70. O’Malley, A. (2012, October). BART: A new protocol to enhance EMDR therapy. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Bilateral Affective Reprocessing of thoughts or BART is a dynamic new model of trauma therapy designed to complement traditional EMDR therapy. Often with early touchstone memories the client has no verbal recall. It is impossible to access negative cognitions. In BART gut feelings are activated and connected to feelings and sensations elsewhere in the body. Ultimately heartfelt sensations link to the cerebral hemispheres and eventually the prefrontal cortex. Examples will illustrate combining BART psychotherapy combined with traditional EMDR.
Keywords: BART Bilateral Affective Reprocessing of Thoughts
Accuracy Verified: Yes
71. Gierasch, M., Greenwald, R., Shapiro, R., & Schubbe, O. (2005, September). Becoming an EMDRIA-approved trainer. Presentation at the annual meeting of EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Four EMDRlA Approved Providers of basic EMDR training, Molly Gierasch,
Ricky Greenwald, Robin Shapiro and Oliver Schubbe, will speak about their
unique experience of becoming trainers and their particular approach, including
training settings and trainee populations, in teaching EMDR. The panel will
address the present EMDRlA process and criteria for potential Approved
Providers of basic EMDR training and the networking, sharing of resources,
and support that has evolved over the last few years for all EMDRlA Approved
Providers of basic EMDR training.
Keywords: Approved Providers Trainer Training
Accuracy Verified: Yes
72. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Achtergrond: Dagelijks raken veel
kinderen betrokken bij ongelukken, brand, (seksueel)
geweld, pesten, of andere ingrijpende
gebeurtenissen. Het meemaken van dergelijke
gebeurtenissen kan leiden tot een posttraumatische
stressstoornis (PTSS). ptss gaat gepaard met
hoge comorbiditeit, slechtere schoolprestaties en
heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003).
In internationale richtlijnen wordt traumagerichte
cognitieve gedragstherapie (TG-CGT)
voor de behandeling bij kinderen aanbevolen en
eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten
naar de effecten van deze behandelingen
bij kinderen zijn nog steeds schaars (Stallard
2006).
Doel: Binnen een pilotonderzoek worden
de behandeleffecten van TG-CGT en EMDR bij kinderen
vastgesteld.
Methoden: Op een poliklinische afdeling
zijn gegevens verzameld van 20 kinderen tussen
de 8 en 18 jaar met posttraumatische stressklachten
en van hun ouders. Van deze kinderen
hebben 10 een behandeling met TG-CGT ondergaan
en 10 een behandeling met emdr. Bij kinderen
en ouders zijn zowel voor als na de behandeling behandeling
de klachten in kaart gebracht met behulp van
een diagnostisch interview en verschillende vragenlijsten.
Voor het stellen van de diagnose ptss
en comorbide diagnosen is het Anxiety Disorders
Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised
Impact of Event Scale (CRIES-13), de Revised Child
Anxiety and Depression Scale-Child Version (RCADS)
en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten.
Resultaten: Traumaklachten zijn
zowel in de EMDR-groep alsook in de TF-CBTgroep
afgenomen. Gedetailleerdere resultaten
worden tijdens het congres besproken.
Conclusie Zowel TG-CGT als emdr
blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.
Background: Daily affects many
children involved in accidents, fires, (sexual)
violence, bullying, or other major
events. The experience of such
events can lead to a posttraumatic
stress disorder (PTSD). PTSD is associated with
high comorbidity, poorer school performance and
has a negative impact on the physical recovery of children (Winston 2003).
International guidelines is trauma-focused
Cognitive behavioral therapy (CBT-TG)
recommended for the treatment of children and
Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research
the effects of these treatments
children are still scarce (Stallard
2006).
Purpose: In a pilot investigation
the treatment effects of TG-CBT and EMDR in children
established.
Methods: In an outpatient department
Data were collected from 20 children between
8 and 18 years with post traumatic stress symptoms
and their parents. Of these children
have a treatment with 10 undergoing TG-CBT
10 and treatment with EMDR. In children
and parents before and after treatment treatment
complaints mapped using
a diagnostic interview and several questionnaires.
For the diagnosis of PTSD
comorbid diagnoses and the Anxiety Disorders
Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised
Impact of Event Scale (CRIES-13), the Revised Child
Anxiety and Depression Scale-Child Version (RCADS)
Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems.
Results: Trauma Complaints are
both in the EMDR group and the TF-CBT-groep
decreased. More detailed results
be discussed during the congress.
Conclusion: Both TG-CBT and EMDR
appear to be resolving the ptssklachten in children.
Keywords: CBT Cognitive Behavior Therapy
Accuracy Verified: Yes
73. Veenstra, A. C., & de Roos, C. J. A. M. (2007). Behandeling van chronische pijn met EMDR, Patiëteninformatie [Treatment of chronic pain with EMDR]. Author..
Language: Dutch
Format: Other
Abstract: EMDR heeft zich bewezen als een effectieve behandelvorm voor patiënten met een
posttraumatische stressstoornis. Min of meer bij toeval werd ontdekt dat sommige patiënten die ook last hadden van chronische pijn, minder pijn hadden na EMDR. Daarom gaan steeds meer EMDR therapeuten ook pijnpatiënten behandelen. Het gebruik van EMDR bij chronische pijn bevindt zich
echter in een experimenteel stadium en er zijn nog weinig wetenschappelijke publicaties. Deze folder is vooral gebaseerd op praktijkervaringen en op wetenschappelijke inzichten over pijn, de hersenen en EMDR.
EMDR has proven to be an effective form of treatment for patients with
posttraumatic stress disorder. More or less by chance it was discovered that some patients who also suffer from chronic pain, had less pain after EMDR. Why more and more EMDR
therapists also treat pain patients. The use of EMDR in chronic pain is
however, in an experimental stage and there are few scientific publications. This
leaflet is mainly based on practical experience and scientific knowledge about pain, the
brains and EMDR.
Keywords: Chronic Pain
Accuracy Verified: Yes
74. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice.
Learning objectives:
1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method)
2.To identify with the experience of a new client presenting for and experiencing EMDR treatment
3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice
Accuracy Verified: Yes
75. Maxwell, E. (1994). Beyond deficiency motivation: EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.
Language: English
Format: Newsletter
Abstract:
When I initially heard of EMDR, I was
totally uninterested. I was happy with
my repertoire of skills and simply could
not be bothered. However, the reports
of colleagues who had the training
were so exceptional I thought it was
time to have a look. I still was not
prepared to waste my precious hours
on a training, and my way around this
was to experience EMDR myself. I
had genuine difficulties isolating a
problem since I was at a particularly
fulfilling stage of my life; however, I
finally settled on a minor irritation
that I was having with one of my
clients. That session, plus two others,
moved me very rapidly to a decision to
move into private practice, to implementing
that decision, and to currently
experiencing a life of ease, gentle pacing,
and tranquility that I had no previous vision
of being possible. In fact,
there has been a total life style
transformation. I now work only three
days a week, have time to follow the
joyous explorations of my toddler for
hours, am writing a novel, and am experiencing considerable relaxation
of the Puritan work ethic. The starting
point had been a life style I had
previously perceived as fulfilling and
perfectly for me.
Accuracy Verified: Yes
76. Gomez, A. (2008, September). Beyond PTSD: Treating depression in children and adolescents using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Traumatized children frequently exhibit symptoms of disorders other than PTSD. There is evidence of comorbidity between PTSD, depression and other behavioral disorders and a large overlap in symptom criteria between PTSD and depression in children and adolescents. The first part of this presentation explores what current research has identified as the key factors for the development of depression in children and adolescents. The evidence linking trauma, stress and PTSD to some forms of depression and the relationship between disorders of attachment, difficulties with affect regulation and the development of depression in children and adolescents will be explored. The second part of this presentation will introduce preliminary evidence that EMDR can be a potentially effective treatment for depression in children and adolescents through a series of case studies and anecdotal reports. The presentation will conclude with an overview of strategies for working with depressed children and adolescents across the eight phases of the EMDR protocol. Even though this presentation will focus on working with pediatric depression, it will provide a foundation for understanding and treating adult depression as well. Video clips of sessions will be shown to provide a concrete and tangible experience for clinicians.
Keywords: Adolescents Children Depression
Accuracy Verified: Yes
77. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
78. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
79. van der Kolk, B. A. (2002). Beyond the talking cure: Somatic experience and subcortical imprints in the treatment of trauma. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 57-83). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Subcortical nature of traumatic memories (Freud and trauma; the processing of experience); Trauma and physical sensations (the neurobiology of trauma; the tyranny of language); Clinical dilemmas for therapists of patients who have been traumatized (the therapeutic challenge; top-down versus bottom-up emotional processing); Learning about EMDR; Further experiences with EMDR; Integrative capacity of EMDR: transcript of one session; EMDR and the transformation of experience; What does EMDR do? [Pilots]
Keywords: Adults Cognitive Processes Posttraumatic Stress Disorder Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
80. Laliotis, D. (2010, March). Beyond trauma: Part I and II - EMDR as a broad-based psychotherapy. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR is widely used as a highly effective treatment for PTSD based on neutralizing past memories of trauma, few therapists recognize how powerful a tool it can be in helping clients reprocess difficult experiences - traumatic or not - that impede their client's ability to move forward with their lives. In this workshop, you'll be introduced to an eight-phase information-processing model of EMDR for helping clients identify and reprocess significant childhood experiences and chronic patterns or themes that shadow their lives, hinder their emotional growth, and limit their ability to fully express their own identity. You'll learn a practical clinical procedure for identifying the predominant themes in clients' lives that underlie their current difficulties and freeing the, from attitudes that limits a fuller, more flexible experience of self.
Accuracy Verified: Yes
81. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.
Accuracy Verified: Yes
82. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)
Keywords: Rebuilding Self
Accuracy Verified: Yes
83. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.
Language: German
Format: Dissertation/Thesis
Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während
vier Jahren in einer ärztlichen Grundversorgerpraxis mit
der EMDR (Eye Movement Desensitization and Reprozessing)-
Methode gesammelten Erfahrungen zur Behandlung psychisch
traumatisierter Patienten mit einem PTBS (posttraumatische
Belastungsstörung)) über die gängigen, zum Teil hypothetischen
neurobiologischen Erklärungsversuche hinaus, die
Existenzanalyse sehr viel zum psychologischen wie auch philosophischen
Verständnis dieser Methode beitragen kann. Aus
den verbalen Äusserungen der Patienten vor, während und
nach der Behandlung kann geschlossen werden, dass von
den betroffenen Defiziten der vier Grundmotivationen der
Existenzanalyse die der ersten Grundmotivation am meisten
Bedeutung haben. Anhand von 23 Krankengeschichten werden
die Wirkfaktoren der EMDR-Methode mit den Begriffen
der ersten Grundmotivation existenzanalytisch verstehbar.
In this work we will show that during the due
four years in a primary care medical practice with
EMDR (Eye Movement Desensitization and Reprozessing) -
Method for treating mental experience
traumatized patients with PTSD (post traumatic
Stress disorder)) on the common, partly hypothetical
neurobiological explanations addition, the
Existential analysis very much a psychological as well as philosophical
May contribute to understanding this method. from
the verbal expressions of patients before, during and
after treatment may be concluded that by
affected the deficits of the four basic motivations of
Analysis, the existence of the first basic motivation most
Meaning. Be the basis of 23 case histories
the impact factors of EMDR with the terms
the first basic existential analytical understandable motivation.
Keywords: Basic Motivation Existenital Analysis Method
Accuracy Verified: Yes
84. EMDR India. (2010). The BHUJ experience report. EMDR India, Bandra West, Maharashtra.
Language: English
Format: Other
Abstract:
The EMDR trained mental health professionals were looking for the opportunity to provide their services to the recovery of the people who suffered the earthquake. This report describes the recovery work, the research, and the resulting publications which relate to this earthquake and the application of EMDR to treat the earthquake survivors. This report also identifies the reserch publications which resulted from the BHUJ experience.
Keywords: Earthquake
Accuracy Verified: Yes
85. Sinici, E., Maden, O., Ak, M., Bozkurt, A., & Ozsahin, A. (2012, February). Bir cinsel tecavuz vak'asinda emdr uygulamasi: Vak'a sunumu [EMDR application on a sexual rape case: Case report]. Yeni Symposium Journal, 50(1), 58-60.
Language: Turkish
Format: Journal
Abstract:
Travmatik bir deneyim oldu hemen herkes yoğun stres belirtileri gösterebilir. Bu tecavüz edildi, özellikle halk arasında post-travmatik stres belirtileri görmek mümkündür. Son zamanlarda, tecavüz insanlara danışmanlık sağlamak için çabalar yaygın hale gelmiştir.EMDR tedavisi bellek (duygusal, bilişsel ve fiziksel), rahatsız edici olaylara ulaşmak fonksiyonları hızlandırmak ve öğrenme sürecini iyileştirmek için kadar duyusal birimleri üzerinde duruluyor. Bu EMDR tedavisi tecavüz birinin travma sonrası stres belirtileri hafifletir düşünülmektedir. 90 dakikalık EMDR seansları uygulandı. Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Envanteri (BAE), Durumluk ve Sürekli Kaygı Envanteri-I (STAI-I) ve Olaylar ScaleRevision (IES-R) Etkisi öncesi ve tedavi ve 1 ay sonra kontrol sonrası uygulanmıştır. Bu tecavüz kişinin stres belirtileri kısa bir süre sonra arasında, EMDR tedavisi öncesi azaltmak ve 1 ay sonra kontrol ettiği görülmektedir.Çalışmada bir olgu ile gerçekleştirilmiştir rağmen, sonucu cinsel travma hastalar için, EMDR uygulaması yararlı olabilir olmasıdır.
Almost anyone who had traumatic experience might show intense stress symptoms. It is possible to see post-traumatic stress symptoms among people especially who were raped. Recently, the efforts to provide counseling for raped people have become common. The EMDR treatment focuses on the sensorial units of the memory (emotional, cognitive and physical) to reach the disturbing events, accelerate functions and to improve the learning process. It is thought that EMDR treatment relieves the post traumatic stress symptoms for the raped one. 90 minute EMDR sessions were applied. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), State and Trait Anxiety Inventory-I (STAI-I) and Impact of Events ScaleRevision (IES-R) were applied before and after treatment and 1 month-later control. It is seen that the raped one's stress symptoms decrease before the EMDR treatment, among shortly after and 1 month later controls. Although the study was conducted with one phenomenon, the result is that for patients who had sexual trauma, EMDR application might be beneficial.
Accuracy Verified: Yes
86. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Events at birth are traumatic and create feelings of powerlessness when they
are actually or appear life-threatening to self or loved ones, are sudden,
change quickly from "normal" to dangerous without explanation, and when
the situation appears overwhelming. There is no time to prepare, no way to
plan an escape or to prevent something from happening. A number of
events during labor or birth such as unplanned interventions, serious
problems in the mother, physical damage, a sick infant, and separation from
the baby can be classified as traumatic. Major trauma for a woman occurs
in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how
a woman is treated and how she perceives the experience, often causing
humiliation and stigma. Trauma during the prenatal period can affect the
parents' perception of the baby, their own self-concept, their relationship,
and can impair bonding and attachment. Early trauma can have both
immediate and long-range effects on the parents and the infant and may
create later in the adult psychological and somatic conditions and a
negative self-concept. Equally important is the history the parents bring to
this event as well as the quality of their relationship. Birth is a magnet for
unresolved issues to emerge. Clinicians will learn about the causes and
effects of these early traumas as well as methods, including EMDR to
uncover, resolve, and heal them.
Keywords: Birth Defects
Accuracy Verified: Yes
87. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
88. 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
89. Staff. (2005, January 27). Body over mind - A new book by an area author looks at how our memories cause physical pain--and what can be done about it. New Haven, CT: The New Haven Advocate, Lifestyle, [2 pages].
Language: English
Format: Newspaper
Abstract:
The quest to solve this riddle of her early life is one that Scarf explores through some cutting-edge mind/body therapies that have been successful in pinpointing and alleviating painful memories. Two of these are the EMDR (eye movement desensitization and reprocessing) therapy, and the PBSP (Pesso Boyden System Psychomotor) approach. EMDR was the accidental finding that emotional distress could be alleviated by rapid back and forth eye movements, a kind of rhythmical "eye-tracking" that tapped into some neuro-physiological place within the body that actually relieved pschological pain. PBSP was the group dynamic that involved support through role playing and acting out a trauma.
Keywords: General New Haven Overview
Accuracy Verified: Yes
90. Grand, D. (1996, June). Body processing: Innovative applications of EMDR to the somatic experience. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
In Dr. Francine Shapiro's development of the EMDR treatment method she has highlighted
the importance of the role played by the body (soma) in the processing experience.
According to her empirical findings, physical sensations can be activated by attending to
a traumatic memory, may be a component of the sensory experience of the target trauma
itself (i.e. an accident or an attack) and are additionally elicited by the resonance of the
negative cognition. Accordingly, body sensations are invaluable focal points for EMDR
processing. The clear body scan is a fundamental criterion used to determine the
completion of a treatment protocol. Significant somatic involvement in EMDR is also
demonstrated by the use of hand tapping as an alternative to eye movements as a method
of bi-hemispheric activation.
Keywords: Body Processing Somatic Experience
Accuracy Verified: Yes
91. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.
Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation
Accuracy Verified: Yes
92. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.
Keywords: Children Family Systems Approach
Accuracy Verified: Yes
93. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients.
Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging.
Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40).
Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44).
In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.
Keywords: Alpha Rhythm Brain Imaging MEG Technique Posttraumatic Stress Disorder PTSD Research Symposium
Accuracy Verified: Yes
94. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients.
Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging.
Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40).
Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44).
In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.
Keywords: Magnetoencephalography MEG Memory Recall Posttraumatic Stress Disorder PTSD Research Rhythms Symposium
Accuracy Verified: Yes
95. Amen, D. G. (2003, September). Brain SPECT imaging in PTSD and EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Brain SPECT provides a window into brain activity and helps us understand the underlying physiology of many neurological and psychiatric illnesses. Specific psychological and medical treatments enhance or change our brain function. In this lecture, Dr. Amen will describe his extensive clinical experience and research into postraumatic stress disorder and EMDR. He has been involved in performing before and after brain SPECT scans for PTSD patients for several years and recently completed a formal research project with Karen Lansing on PTSD and EMDR. The results of this study will also be discussed.
Accuracy Verified: Yes
96. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.
Keywords: Body Resource CIPOS Position of Power Power Animal
Accuracy Verified: Yes
97. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that
resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved
out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist
Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish
the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation
and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements
through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy
movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the
context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks
to amplify client assets and resources and minimize client liabilities and shortcomings.
Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for
creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They
believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the
problem situation for which the client originally sought help.
These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will
experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems
presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem,
the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has
attempted to resolve the problem thus far.
Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward
changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is
most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will
engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation.
A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They
collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to
handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than
his/her past.
The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being
handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce
clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors
surrounding the problem situation and involves the use of a variety of skills.
A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in
her/his own ability to function effectively without the therapist.
This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists
find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of
perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it
is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative
solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction.
In the ever-changing world of mental health, this is no small achievement.
Keywords: MRI Brief Therapy
Accuracy Verified: Yes
98. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Cambodia Thailand Tsunami Typhoon
Accuracy Verified: Yes
99. 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
100. Gertner, K. (2008). Butterfly hug: An explanation of EMDR for children. emdrresources.com.
Language: English
Format: Book
Abstract:
A valuable resource for trained EMDR therapists. Butterfly Hug educates and familiarizes children in therapy (and their parents) with the EMDR process prior to actual use of the protocol. Butterfly Hug gives both the history of the approach as well as sharing an inviting story line from a child's own healing experience with EMDR.
Keywords: Butterfly Hug Children
Accuracy Verified: Yes
101. Williams, M. E. (2010, July 23). Can anything cure the trauma of my mugging?. Salon. Retrieved from http://www.salon.com/life/life_stories/?story=/mwt/feature/2010/07/23/emdr_after_a_mugging 7/23/2010.
Language: English
Format: Magazine
Abstract:
I knew about Eye Movement Desensitization and Reprocessing therapy from one of my best friends, Lily Burana. I had watched it do wonders for her and her combat-veteran husband, and I'd read her enthusiastic account of the experience in her memoir "I Love a Man in Uniform." As she explains, "In the course of a year, I got married, my husband went to war, we moved to a new post and my father died. To say everything hit the fan was an understatement. I'd been sitting in the therapist's chair for a year and not getting better; I was just getting better at telling my story. With EMDR, it started to work right away."
Accuracy Verified: Yes
102. Larson, J., & Rodriguez, C. (2000, September). Can EMDR bring about a remission in Parkinsonism?. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the neurophysiology of Parkinsonism; 2) learn current theories about the cause of Parkinsonism; 3) understand a new hypothesis about psychological causation; 4) identify how EMDR might remove blocks in neuronal pathways; 5) learn how to measure changes in Parkisonism severity; 6) experience from a case how EMDR can be used in treatment and 7) see how Parkinsonism improved with the use of EMDR.
Keywords: Parkinsonism
Accuracy Verified: Yes
103. Dellucci, H. (2007, June). Can EMDR treat transgenerational transmitted trauma?. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In certain cases, we can be confronted to a need for retreatment of targets that the person in front of us cannot have experienced by herself: second war events, being in a prison or concentration camp…
But the person in therapy show real disorders, including dissociation which seems related to those targets.
How could be treat such transgenerational trauma with EMDR? With which results? Which hypotheses could we formulate out of this work? Which are the implications on the persons’ family environment?
Out of three clinical cases, I propose to share my experience and think together on transgenerational trauma transmission and its treatment, by using the concept of mirror neurons.
Keywords: Family Mirror Neurons Poster
Accuracy Verified: Yes
104. Holmes, E. A., James, E. L., Coode-Bate, T., & Deeprose, C. (2009). Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE, 4(1): e4153. doi:10.1371/journal.pone.0004153 .
Language: English
Format: Journal
Abstract:
Background.
Flashbacks are the hallmark symptom of Posttraumatic Stress Disorder (PTSD). Although we have successful treatments for full-blown PTSD, early interventions are lacking. We propose the utility of developing a ‘cognitive vaccine’ to prevent PTSD flashback development following exposure to trauma. Our theory is based on two key findings: 1) Cognitive science suggests that the brain has selective resources with limited capacity; 2) The neurobiology of memory suggests a 6-hr window to disrupt memory consolidation. The rationale for a ‘cognitive vaccine’ approach is as follows: Trauma flashbacks are sensory-perceptual, visuospatial mental images. Visuospatial cognitive tasks selectively compete for resources required to generate mental images. Thus, a visuospatial computer game (e.g. “Tetris”) will interfere with flashbacks. Visuospatial tasks post-trauma, performed within the time window for memory consolidation, will reduce subsequent flashbacks. We predicted that playing “Tetris” half an hour after viewing trauma would reduce flashback frequency over 1-week.
Methodology/Principal Findings.
The Trauma Film paradigm was used as a well-established experimental analog for Post-traumatic Stress. All participants viewed a traumatic film consisting of scenes of real injury and death followed by a 30-min structured break. Participants were then randomly allocated to either a no-task or visuospatial (“Tetris”) condition which they undertook for 10-min. Flashbacks were monitored for 1-week. Results indicated that compared to the no-task condition, the “Tetris” condition produced a significant reduction in flashback frequency over 1-week. Convergent results were found on a clinical measure of PTSD symptomatology at 1-week. Recognition memory between groups did not differ significantly. Conclusions/Significance.
Playing “Tetris” after viewing traumatic material reduces unwanted, involuntary memory flashbacks to that traumatic film, leaving deliberate memory recall of the event intact. Pathological aspects of human memory in the aftermath of trauma may be malleable using non-invasive, cognitive interventions. This has implications for a novel avenue of preventative treatment development, much-needed as a crisis intervention for the aftermath of traumatic events.
Keywords: Flashbacks Tetris
Accuracy Verified: Yes
105. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.
Language: English
Format: Journal
Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article,
an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case
in which a man, “George,” was referred for EMDR for treatment of a depression that began more than
2 years previously. After all his reported traumatic memories were completely processed with EMDR,
George remains severely depressed and the therapist asks how to proceed effectively with treatment.
Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list
of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their
appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the
treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the
therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol.
The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if
the client indicates that he or she has little to no disturbance and explains how to develop and implement
a “restorative life span target sequence.”
Keywords: Consultation Depression Treatment
Accuracy Verified: Yes
106. Boore, J. (1993, Fall/Winter). Case history: A client unable to track. EMDR Network Newsletter, 3(2), 17-18.
Language: English
Format: Newsletter
Abstract:
I recently worked with a woman in
her early forties who, for the better
part of our sessions, could not track
my moving fingers. She presented as
highly distraught and reported that
her husband of 14 years had just left
the marriage the week before our session.
This woman, who has been a
therapist for nearly two decades, wandered
distractedly about my office,
touching things, and barely able to
speak. She has no known medical
problems, other than myopia, and
takes no meciications. I had used
EMDR with her six months earlier on
her fear of flying with no noticeable
(to me) tracking difficulty, although
she commented on how difficult tracking
was for her then.
Keywords: Case Report Tracking
Accuracy Verified: Yes
107. Bodian, S. (1995). A case of past-life interweave. EMDR Network Newsletter, 5(2), 3-4.
Language: English
Format: Newsletter
Abstract:
Although I spent 10 years as a Buddhist monk and meditation teacher before becoming a therapist, I have always considered myself an agnostic on the issue of reincarnation. So it was much to my surprise, and without any prompting on my Part, that one of my clients recently had a past-life experience during an EMDR session and
then spontaneously wove the experience into the reprocessing of a childhood memory.
Keywords: Past Life Interweave
Accuracy Verified: Yes
108. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
109. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.
Language: English
Format: Journal
Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.
Keywords: Korea Psychiatric Patients
Accuracy Verified: Yes
110. Bae, H., Kim, D., & Ahn, J. (2006, September). A case series of post-traumatic obsessive compulsive disorder: A six month follow-up evaluation. Journal of the Korean Neuropsychiatric Association, 45(5), 476-480.
Language: Korean
Format: Journal
Abstract:
A number of recent case reports and series indicate that obsessive compulsive disorder (OCD) can develop after traumatic experience as a comorbid conditon to post-traumatic stress disorder (PTSD). These descriptive studies consistently addressed that those patients respond poorly to treatments and had an unfavorable outcome. However, this conclusion was not supported by prospective follow up with objective measurement of symptomatology. This report presents three single trauma-related PTSD patients who developed full-blown OCD concurrently with or after the initiation of PTSD. These patients represent 10% of new PTSD outpatients at a PTSD clinic during one year period and 25% of PTSD patients who had been admitted. In all three cases compulsion seemed to distract or serve as avoidance to intrusive symptoms of PTSD. Despite Eye Movement Desensitization and Reprocessing (EMDR) and/or exposure therapy for PTSD together with at least two antidepressant trials for PTSD and OCD, at six month follow-up PTSD partially improved and OCD remained unchanged. This finding is consistent with previous reports from western literature (KoreaMed).
Keywords: Obsessive-Compulsive Disorder OCD
Accuracy Verified: Yes
111. Cartwright, L. (2000, September-October). Case Studies: Expanding our tool kit: A new technique that compliments TFT and EMDR. Family Therapy Networker, 24(5), 71-82.
Language: English
Format: Magazine
Abstract:
In recent years, increasing numbers of therapists have discovered the effectiveness of neurologically based therapy techniques, such as Eye Movement Desensitization and Reprocessing (EMDR) and Thought Field Therapy (TFT), not only for trauma, but for a wide range of problems, including anxiety, anger, grief and phobias. Like most therapeutic approaches, however, they provide remarkable results for one client and little or no results for another, no matter how skilled the therapist. Even more mysterious, they can significantly help a client with one problem, but not with a different problem. For instance, Sarah, age 40, had been suffering from depression for five years. The depression was triggered by the death of her father, loss of a good-paying job due to downsizing and her fiance's breaking off their engagement--all within a one-year period. After six months of increasing anxiety and worsening depression (accompanied by low energy, disinterest in life and withdrawal from social situations), Sarah entered therapy. Biweekly sessions for the next three years, which frequently included EMDR, significantly reduced her anxiety, but did not alleviate the depression. Nor did antidepressants. Years before, I had had a similar experience. EMDR had sharply reduced my obsessive-compulsive symptoms, but didn't help my depression. TFT eliminated recurring anger, but also didn't help my depression.
In the course of five years of research into neurologically based approaches, I happened upon a working hypothesis that explains such inconsistent results. The side-to-side eye movements of EMDR that activate the left and right hemispheres of the brain seem to help people resolve problems based on a lack of communication between the left and right hemispheres of the brain. The tapping, or front/back stimulation of acupuncture points, in TFT is effective when there is a lack of communication between the front and back of the nervous system (controlled by the energy center, well known to acupuncturists and martial artists, that lies below the navel). And since we are three-dimensional creatures, I hypothesized that some problems stem from a lack of communication between the top and bottom of the nervous system as well, which I correlate with the brain and the enteric nervous system of the digestive tract (the source of gut feelings). Working from this hypothesis, I have also developed processes to reintegrate the top/bottom dimension.
I have found that although certain emotions tend to be based within a given neurological dimension (indecisiveness is often in left/right, anxiety in front/back and depression in top/bottom, for example), a client may experience any emotion as a block within any dimension or combination of dimensions. As a result, depending upon both the client and the specific problem being addressed, a therapist might need to use techniques that facilitate integration of the left/right, front/back and/or top/bottom dimensions of the nervous system. When a client is blocked within two or three dimensions of the nervous system, working within just one dimension will sometimes activate healing across the entire nervous system. If this does not happen, it is then necessary to work in the remaining dimensions.
From these hypotheses I developed a system called Shifting Consciousness through Dimensions (SCtD), which provides therapists ways to assess the dimension(s) the client is blocked in, processes to identify, if necessary, which dimension to start with and specific integrating techniques for each dimension.
Keywords: TFT Thought Field Therapy
Accuracy Verified: Yes
112. Verster, M (2009). Casus 22 – Vage kinderherinnering als sleutel naar herstel: Vaginismeklachten bij een jonge vrouw [Case 22 – A vague childhood memory as the key to recovery: Vaginismus symptoms in a young woman]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 305-311). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_32.
Language: Dutch
Format: Book Section
Abstract:
Eva wordt naar mij verwezen nadat verschillende behandelingen in verband met vaginisme geen resultaat hadden. Eva is 24 jaar en heeft zolang zij zich kan heugen problemen met vrijen. Vanaf haar eerste seksuele ervaring toen zij 16 jaar was heeft zij last van pijn bij het vrijen en lukt het haar niet om geslachtsgemeenschap te hebben. Eva heeft sinds viereneenhalf jaar een vaste relatie en woont sinds een jaar samen. Eva is tevreden over haar relatie, al is seksualiteit sluimerend altijd een beladen onderwerp tussen hen beiden gebleven.
Eve is referred to me after several treatments related to vaginismus had not produced. Eva is 24 years and as long as they can remember problems with sex. From her first sexual experience when she was 16 she in pain during sex and she managed not to have sexual intercourse. Eva has been four and a half years a steady relationship and has lived together one year. Eva is happy about her relationship, though dormant sexuality is always a charged issue between them remained.
Keywords: Vaginismus Women
Accuracy Verified: Yes
113. Niehof, J. (2009). Casus 24 – Afvallen in de eerste lijn: Een vrouw met overgewicht en relatieproblemen [Case 24 – Loosing weight in primary care: A woman with obesity and marital problems]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 319-328). Houton: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_34.
Language: Dutch
Format: Book Section
Abstract:
Mariska is op haar 13de eenmalig seksueel misbruikt door haar zeven jaar oudere broer. Ze heeft veel last van indringende beelden en tijdens het vrijen komen sinds enkele jaren herbelevingen voor. Rondom haar 17de is er gedurende een jaar sprake geweest van seksueel grensoverschrijdend gedrag door haar voormalige werkgever. Hij zat aan haar billen, probeerde haar te kussen en stond vaak plotseling achter haar. Sinds deze tijd wordt ze gehinderd door onzekerheid, neerslachtigheid, te veel eten (snaaien), minderwaardigheidsgedachten en faalangst. Mariska piekert veel, is snel geïrriteerd en heeft slaapproblemen.
Mariska is on her 13th once sexually abused by her older brother seven years. She has much experience of intrusive images during sex and get flashbacks for several years. Around her 17th there for one year there has been sexually transgressive behavior by her former employer. He touched her buttocks, tried to kiss her often and was suddenly behind her. Since this time she is hampered by insecurity, depression, overeating (snatching), thoughts of inferiority and anxiety. Mariska puzzled many, is irritable and has trouble sleeping.
Keywords: Obesity Marital Problems Weight Problems Women
Accuracy Verified: Yes
114. McFarlane, A. (2003, October-November). CBT vs. EMDR in the treatment of PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment
outcome studies using four different treatment modalities (CBT,
EMDR, psychopharmacology and Cognitive Processing) and presents
data on comparative efficacy, treatment responsiveness and
resistance, effects on comorbidity, quality of life, and biological
changes that accompany symptom improvement.
CBT vs. EMDR in the treatment of PTSD: 114 subjects were randomized into the study, but only 45 completed
up to week 10. The subjects in the study comprise 45 sufferers of
Post traumatic stress disorder as defined by the Clinician
Administered PTSD Scale (CAPS) (caps score > 50, and who satisfied
criteria A,B,C and D for PTSD diagnosis) and the PCL-C (PCL-C>50).
All subjects were victims of a traumatic experience and were
recruited through newspaper or radio advertisements, referrals from
private practitioners (18 subjects) or through the State Government
Insurance Commission (SGIC) (27 subjects). Subjects were randomised
into one of three treatments. Fourteen subjects received
EMDR, 21 received CBT and 10 were control subjects. The mean
age of the sample was 41.38 (SD=11.55) with the minimum age of
19 and the maximum age of 61. Sixteen of the subjects were male
and 29 were female. During the treatment period 17 of the subjects
were taking antidepressants and 6 were taking anxiolytics.
Approximately half of the sample was married (22 subjects 48.9%),
12 had never married, 4 were separated, 1 was defacto and 6 were
divorced. The mean number of treatment sessions for the entire
sample was 8.53 (SD 1.65). Out of the 45 participants in the study, 26
had suffered only one single trauma in their lives, 11 had experienced
several single traumas, 3 had suffered one ongoing trauma
and 5 individuals had suffered at least one ongoing and one specific
trauma. The following results were performed on the treatment
groups (total 35 subjects), with the control group being excluded
from all analyses. All subjects, were aged between 18 and 65, lived
in metropolitan Adelaide and had an adequate command of
English (reading and writing).All subjects gave informed consent to
the study and expressed their willingness to comply with the protocol.
Subjects with a history of adult seizure disorder, organic brain
disease or who were assessed to be at significant suicide risk (a
score of 3 or more on suicide question in HAM-D), were excluded
from the study, as were subjects taking psychotropic drugs (anticonvulsive/
antipsychotic) or sedatives more than 4 times a week. All
assessment and treatment sessions were conducted at the
University of Adelaide Department of Psychiatry at the Queen
Elizabeth Hospital. Assessment sessions were conducted by trained
research assistants and all therapy sessions were conducted by a
clinical psychologist, trained in both EMDR and CBT. Subjects were
assessed for suitability to enter the study via an initial screening
instrument (sent out to subjects in the post) and an initial screening
interview. Patients were further evaluated at week 0
(baseline/immediately prior to commencement of treatment), 3, 4,
6, 8 10, 20 (10 week followup).
Keywords: CBT Cognitive Behavioral Therapy Symposium
Accuracy Verified: Yes
115. 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
116. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.
Language: English
Format: Journal
Abstract:
Treating women suffering from trauma poses significant
challenges. The diagnostic prototype of post-traumatic stress
disorder (PTSD) is based on single-event trauma, such as
sexual assault in adulthood. Several effective cognitivebehavioral
treatments for such traumas have been developed,
although many treated patients continue to experience
residual symptoms. Even more problematic is the complex
developmental psychopathology stemming from a lifetime
history of multiple traumas, often beginning with maltreatment
in early attachment relationships. A history of attachment
trauma undermines the development of capacities to
regulate emotional distress and thereby complicates the
treatment of acute trauma in adulthood. Such complex
trauma requires a multifaceted treatment approach that
must balance processing of traumatic memories with
strategies to contain the intense emotions this processing
evokes. Moreover, conducting such treatment places
therapists at risk for secondary trauma such that trauma
therapists also must process this stressful experience
and implement strategies to regulate their own distress.
Keywords: Attachment Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
117. Inoue, N., Nawa, J., Katoh, T., & Shirakawa, M. (2010, July). Changes in personality functioning over the course of eye movement desensitization and reprocessing trauma therapy: Findings on the early changes. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Objective: Although eye movement desensitization and reprocessing (EMDR) is said not only to reduce trauma-related
symptoms but also to enhance ability to function in life, its effectiveness in other than reducing trauma-related symptoms
has yet to be verified. The objective of this study was to explore the broad range of effectiveness of EMDR, especially changes
in the personality functioning during the early phase of treatment. Methods: Using the non-randomized design, we assessed
and compared the treatment changes in subjects treated with EMDR and subjects who participated in the psycho-education
course of trauma. Eligible subjects were adult women who experienced human-caused trauma such as domestic violence,
rape, or childhood abuse. The Rorschach Comprehensive System (CS) was used as the first outcome measure to evaluate
personality functioning, and self-report questionnaires and a clinical interview for trauma-related symptoms were used as
the secondary outcome measures. Subjects of both groups were assessed at the time of enrollment in the study and 4 months
after the enrollment. We completed the evaluation of 5 and 6 subjects in the EMDR and the control group, respectively.
Results: The CS index for self-esteem and self-concern was improved in the EMDR sample compared with the controls.
Women treated with EMDR showed increased openness to internal and external stimuli (assessed by CS F%), whereas some
women in the control group even developed a tendency to avoid internal and external stimuli after 4 months. Conclusion:
The differences of early changes in personality functioning between the EMDR group and the controls will be discussed in
detail.
Keywords: Changes in Personality Functioning Poster
Accuracy Verified: Yes
118. Paterson, M. C. (2008). Changing cognitive schemas through EMDR and ego state therapy. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 121-139). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Often clients require extensive preparatory work to ensure that they have the ego strength to allow them to experience EMDR. Failure to do this may result in harm to the client and litigation against the therapist. Ego strengthening is required where the client's personality is less than totally integrated, usually indicated by the presence of enduring irrational beliefs and behavior. Such beliefs exist despite extensive evidence to the contrary; for example, a man may believe he is worthless and a failure despite being in a stable marriage and also holding a college degree. Similarly, irrational beliefs often prevent clients from progressing in therapy due to the blocking action they exert on cognitive processing. This chapter examines maintenance fo irrational beliefs and behaviors and a case study that looks at a former police officer in Northern Ireland. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Schemas Ego State Therapy
Accuracy Verified: Yes
119. Wesselmann, D. (2013, April). Changing the lives of children with reactive attachment disorder behaviors through EMDR treatment. Keynote presented at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.
Language: English
Format: Conference
Abstract:
Many children exhibit severe and challenging behaviors such as aggressive outbursts, arguing and defiance, lying, stealing, and sexualized behaviors due to very early life relational trauma. EMDR Integrative Team Treatment involves family therapy and EMDR. With intervention from family therapy and EMDR Attachment Resource Development, parents can provide better emotional support, allowing their children to open up emotionally. As the EMDR therapist implements therapeutic attunement, storytelling, empowerment interweaves, and role-plays, hurt children can find healing and hope. Videos will supplement this presentation.
Keywords: Children Reactive Attachment Disorder
Accuracy Verified: Yes
120. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.
Accuracy Verified: Yes
121. Flint, G. (1994). A chaos model of the brain applied to EMDR. Psychoscience, 1(2), 119-130.
Language: English
Format: Journal
Abstract:
Eye movement Desensitization and Reprocessing (EMDR) is a treatment phenomena that has yet to be adequately explained. This is a procedure that usually obtains rapid cognitive and/or perceptual changes of remembered trauma. A chaos model of the process of the olfactory system was extrapolated to a theory for the whole brain process. The interesting results provided an explanation of EMDR and other treatment phenomena. The key elements of the theory are that experience changes behavior, small stimuli evoke massive responses and change takes place in active body experience. Case studies are presented that demonstrate the application of the theory.
Keywords: Chaos Model
Accuracy Verified: Yes
122. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models
Accuracy Verified: Yes
123. Greenwald, R. (1997). Children's mental health care in the 21st century: Eliminating the trauma burden. Child and Adolescent Psychiatry On-Line.
Language: English
Format: Other
Abstract:
Contemporary child mental health care is compared unfavorably to its medical
counterpart, which offers prevention and early intervention in addition to treatment of
symptoms. Child trauma, broadly defined., is characterized as a ubiquitous, under-treated,
primary source of psychopathology. Traumatic experiences which remain unintegrated
accumulate as a trauma burden, leading to reactivity and impairment. Two recently
developed trauma-focused interventions atre described: critical incident stress debriefing
(CISD) and eye movement desensitization and reprocessing (EMDR). Combined with
screening and early identification of traumatized children, CISD and EMDR can be used
economically for widespread elimination of the trauma burden.
Keywords: Children Mental Health Care Trauma
Accuracy Verified: Yes
124. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be
insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in
opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including
individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing.
Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by
a babysitter, along with the EMDR treatment of her older brother who bullied her.
Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on
the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include
interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after
EMDR treatment.
A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be
presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's
functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and
behaviors to be used later as content for installations.
A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to
undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold
girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal,
some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately,
the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his
younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening.
Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some
individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for
each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to
his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and
threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the
therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video.
The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man
with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to
the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following
session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her
next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough.
Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a
car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that
he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to
access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on,
to express concerns about missing his mother.
Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This
case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to
healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained
by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion,
EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.
Keywords: Case Presentations Children
Accuracy Verified: Yes
125. Zangwill, W., Kominsky, P., & Browning, C. (2003, September). Choosing the right EMDR for the right client at the right time: A systematic approach to more effective EMDR implementation. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Substantial variation exists in how, when, and with which clients' clinicians use EMDR. Some clinicians use EMDR early in their work with clients, others spend considerable time on affect management and resource development prior to using standard EMDR. Those in favor of more rapid
implementation argue that for many clients' delays in starting EMDR is an unnecessary waste of time and resources. Other EMDR clinicians worry that clients may be harmed by undertaking EMDR processing without extensive
prior stabilization. This workshop presents a systematic, comprehensive model to help EMDR clinicians best determine what factors to evaluate in deciding when and how to proceed.
Keywords: EMDR Implementation
Accuracy Verified: Yes
126. van Hoof, E. (2005, June). Chronic fatigue syndrome and EMDR, a favourable combination. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Chronic fatigue syndrome (CFS) is a complex, sometimes controversial and
often confusing condition characterized principally by persistent,
unexplained physical and mental fatigue. Researchers and clinicians
continue to debate many aspects of CFS. The influence of stress, in
conjunction with infection, was introduced early on as a possible cause of
chronic illnesses such as CFS.
Patients themselves often report that a virus combined with stress were the
triggers of their illness. The etiology and pathophysiology of CFS will be clear to all attending the presentation as well as where and when EMDR should
be applied in CFS.
Keywords: Chronic Fatigue Syndrome CFS Peak Performance Symposium
Accuracy Verified: Yes
127. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract]
Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]
Keywords: Adults Neglect Sexual Abuse Survivors
Accuracy Verified: Yes
128. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.
Keywords: Postrraumatic Stress Disorder PTSD
Accuracy Verified: Yes
129. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
130. Harvey, A.G., Bryant, R. A., & Tarrier, N. (2003, May). Cognitive behaviour therapy for posttraumatic stress disorder. Clinical Psychology Review, 23(3), 501-522. doi:10.1016/S0272-7358(03)00035-7.
Language: English
Format: Journal
Abstract:
Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a
safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the
general principles of treatment and describes the components that comprise CBT for PTSD. We
then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas,
including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early
intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally,
future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT)
of CBT for PTSD must be conducted with enhanced methodological rigour and public health
relevance.
D 2003 Elsevier Science Ltd. All rights reserved.
Keywords: CBT Cognitive Behavioral Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
131. Lipke, H. (2012). Comment on Dunne and Farrell (2011). Journal of EMDR Practice and Research, 6(2), 82. doi:10.1891/1933-3196.6.2.82.
Language: English
Format: Journal
Abstract:
I was quite pleased to see Dunne and Farrell (2011)
intelligently and usefully address clinician experience
incorporating eye movement desensitization
and reprocessing (EMDR) into practice. I was also
pleased that they could find some use for the data I
accumulated in 1992 from the 443 responders to the
questionnaires sent to the first 1,295 EMDR Institute
trainees for whom I was able to obtain current addresses
(Lipke, 1995).
Dunne and Farrell (2011). {Excerpt]
Keywords: Letter
Accuracy Verified: Yes
132. Maquieira, S., Bluthgen, C., & Ingratta, A. (2004, Junio). Como enfrentar la catástrofe y el trauma usando EMDR: La experiencia de la inundación en Santa Fe [How to face the disaster and trauma using EMDR: Flood experience in Santa Fe]. Mesa redonda en la (María Elena Adúriz, Presidente) IV Congreso Internacional de Trauma Psíquico y Estrés Traumático, Buenos, Aires.
Language: Spanish
Format: Conference
Keywords: Flood Panel Sante Fe
Accuracy Verified: No
133. Hogan, W. A. (2001, August). The comparative effects of eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) in the treatment of depression. Indiana State University, Terre Haute, IN. AAT 3004753.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a unique, short-term therapy shown to be effective in the treatment of Posttraumatic Stress Disorder (PTSD). Application of EMDR to the treatment of depression was considered based upon the relationship between negative life experience and symptom onset, a pattern common to both PTSD and depression. Evaluation of the efficacy of EMDR in the treatment of depression was accomplished via a comparison with cognitive behavioral therapy (CBT). Because EMDR has been shown to be effective in the treatment of PTSD, the impact of EMDR and CBT upon symptoms comorbid to depression was investigated. EMDR was also compared to CBT assessing the participants' satisfaction. The participants, 15 per treatment group, received either one session of EMDR or cognitive behavioral therapy within the first four sessions. Pre and posttreatment assessment utilized two standardized instruments evaluating self-report of depressive and global symptoms. Participant satisfaction was assessed using a rating scale at posttreatment. Both treatment groups reported significant reductions in depressive symptoms and global symptoms. There were no statistical differences between groups on the symptom measures at posttreatment. Four participants in the EMDR group reported near complete remission of depressive symptoms and large reductions in global symptoms. No participants in the CBT group exhibited this pattern of symptom reduction. Regarding participant satisfaction, participants perceived EMDR to be less negative than CBT primarily due to the increased awareness of negative thoughts common to cognitive behavioral therapy but not experienced in EMDR treatment. The similarity in symptom reduction reported for both groups suggested the undue influence of non-specific treatment effects. The marked remission of symptoms reported by the four participants in the EMDR group parallels the symptom reductions noted in EMDR studies of PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(2-B), Aug 2001, pp. 1082.
Keywords: Comorbidity CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Empirical Study Major Depression Treatment
Accuracy Verified: Yes
134. Cook-Vienot, R., & Taylor, R. J. (2012). Comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Journal of EMDR Practice and Research, 6(2), 62-72. doi:10.1891/1933-3196.6.2.62.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) and Biofeedback/Stress Inoculation Training (B/SIT)
treatment and no treatment (NT) were compared in reducing test anxiety. Thirty college students with high
test anxiety were randomly assigned to each condition. Pre-post assessments were conducted using the
Test Anxiety Inventory (TAI), State-Trait Anxiety Inventory (STAI), Rational Behavior Inventory (RBI), and
Autonomic Perception Questionnaire (APQ). Treatment therapists were licensed professionals with at least
2 years experience in their respective modality. Statistical analysis using a two-way analysis of variance with
repeated measures found significant interactions between time (pre-post) and treatment conditions for all
measures except the RBI. Post hoc Newman–Keuls analyses were conducted on the change scores, indicating
that both EMDR and B/SIT significantly reduced test anxiety. EMDR generally outperformed B/SIT.
Keywords: Biofeedback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
135. Vienot, R. C. (1998, July). A comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Union Institute and University, Cincinnati, OH. AAT 9822000.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) treatment, Biofeedback/Stress Inoculation Training (B/SIT) treatment, and no treatment (NT) were compared in treating test anxiety. Subjects (30) reporting test anxiety were randomly assigned to EMDR, B/SIT or NT. Treatment consisted of three 90 minute sessions using B/SIT and one 45 minute session/three 75 minute sessions using EMDR. Treatment therapists were licensed psychologists, counselors or social workers with two to twenty years experience using EMDR or B/SIT. Subjects in the NT group were offered treatment following the study. Six dependent variables were measured pre/post: trait and state anxiety (State Trait Anxiety Inventory, STAI-T.S.), test anxiety (Test Anxiety Inventory, TAI-T.W.E.), rationality of personal beliefs (Rational Behavior Inventory, RBI), negative self statements (TAI-W) and self report of physiological response (Autonomic Perception Inventory, APQ) using.05 level. ANOVAs were performed followed by a Newman-Keuls Multiple Comparison. There was a significant interaction between pre-post tests and type of group on all dependent measures except the RBI. EMDR showed a tendency toward greater improvement from pre to post test than B/SIT and NT. There were no significant differences between groups on the pre test. Post group means indicated: (a) STAI-S, there was no difference between the groups; (b) STAI-T and APQ, EMDR and B/SIT had a greater reduction than NT; (c) TAI-E, EMDR showed more reduction than B/SIT and NT; (d) TAI-T and W, there were differences between all three groups with EMDR showing the most reduction. A meta-analysis was performed to determine clinical significance. Prior to treatment all three groups were above the normative effect size of 1 SD. The NT group showed no change on post tests. The EMDR group showed a larger reduction in effect size than B/SIT. Based on the data both EMDR and B/SIT reduced test anxiety with EMDR generally outperforming B/SIT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0430.
Keywords: Biofeedback/Stress Biofeedback Training Empirical Study Inoculation Training Stress Management Test Anxiety Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
136. 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
137. Codina, C., & Olivia, A. M. (2012, June). Concordancia corazon y cerebro [Heart and brain concordance]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract: Abstract:
Si bien es cierto que el EMDR tiene como objetivo el procesamiento de la información perturbadora hacia un estado adaptativo, no lo es menos que una exhaustiva y previa preparación de la persona, con el fin de asegurar sus recursos internos, facilita muchísimo el trabajo, cooperando en gran medida al éxito del mismo. Considero, por tanto, cuestión de responsabilidad terapéutica nutrir previamente al paciente con un amplio y efectivo surtido de ejercicios que refuercen su sentimiento de seguridad y confianza. En este sentido, la aportación de mi experiencia puede mostrar que: fomentar el desarrollo de la “Consciencia Psicocorpórea”(1) deviene el gran aliado no solamente de los seres humanos implicados en el proceso terapéutico, sino también del EMDR, el método terapéutico en sí. Llegué al EMDR impulsada por comprender ¿Qué ocurría? cuando en el proceso de solución, efectuando Constelaciones Familiares(2), los ojos cerrados del cliente(3) , a menudo, se movían como en la fase REM del sueño. Necesitaba una explicación. En el 2003 la encontré en un libro de David Servan-Schreiber sobre EMDR, generando un nuevo interrogante fruto del cual nace el trabajo: CONCORDANCIA CORAZÓN & CEREBRO CARMEN CODINA, EL EJERCICIO 5C.
Abstract: While the EMDR aims at disturbing information processing towards an adaptive state, the fact remains that a thorough and after preparation of the person, in order to ensure its internal resources, greatly facilitates the work, cooperating greatly to the success. I consider, therefore, a matter of responsibility to nurture therapeutic advance for patients with a wide and effective range of exercises to strengthen their sense of security and confidence. In this sense, the contribution of my experience may show that: encourage the development of "Psicocorpórea Consciousness" (1) becomes not only a great ally of the humans involved in the therapeutic process, but also of EMDR, the therapeutic method itself. I came to understand EMDR driven by What happened? when the settlement process, making Constellations (2), the closed eyes of the customer (3) often moved as in REM sleep. I needed an explanation. In 2003 I found a book by David Servan-Schreiber about EMDR, creating a new question which arises fruit of work: MATCHING HEART & BRAIN CODINA CARMEN, THE EXERCISE 5C.
Keywords: Poster
Accuracy Verified: Yes
138. Staff. (2000, September 2). Confronting the past. London, England: The Times, Features.
Language: English
Format: Newspaper
Abstract:
From Dr Aulakh It may be that Andrew Ravensdale has had enough of "therapy" (The Last Taboo, August 19). However, he might be interested to learn about EMDR - Eye Movement Desensitisation and Reprocessing, first discovered by Francine Shapiro. It is a method for treating post-traumatic stress disorder (PTSD), specifically dealing with early childhood as it is known to affect the present, and also with flashbacks.
Accuracy Verified: Yes
139. Fulham, P. (2007, March). Considerations of experience of successful EMDR under adverse conditions. In Brief therapy in defended systems - Control and avoidance. Symposium conducted at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.
Language: English
Format: Conference
Abstract:
Keywords: Brief Therapy Symposium
Accuracy Verified: Yes
140. Fernandez, I. (2010, June). The contribution of EMDR with children survivors of mass trauma. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked incidents).
EMDR treatment was part of a comprehensive treatment of the population and was the elective treatment for children of those elementary schools, which were most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and one year after the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and siblings.
Psychological support and EMDR treatment was provided to parents and school personnel, and this aspect has been considered fundamental in enhancing treatment results in children during the last interventions.
Results of questionnaires and clinical interviews to assess posttraumatic symptomatology before and after treatment will be shown along with follow up data. Treatment groups show a significant improvement after EMDR treatment. Results and statistical data regarding EMDR treatment with heavily traumatized children will be presented.
The author will discuss clinical aspects of using EMDR with children following recent traumas of great magnitude. Analysis and evaluation of children's reactions and needs have highlighted significant epidemiological aspects.
The posttraumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proven critical when dealing with children's symptomatology. Guidelines and indications for structured interventions with all parties involved (parents, school personnel, community) from our field studies will be presented.
Keywords: Children Keynote Mass Trauma Survivors
Accuracy Verified: Yes
141. Hyer, L. A., Boudewyns, P. A., Peralme, L., Touze, J., & Kiel, A. (1995, June). Controlled treatment outcome study using EMDR on combat-related post traumatic stress disorder (PTSD). Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
After the status of PTSD was established, subjects were randomly assigned to one of three conditions; EMDR, exposure control (EC), and group (GT). Subjects in EMDR condition received at least five but no more than eight sessions of EMDR. EC condition subjects therapy procedure as the EMDR subjects but without the eye movements. Subjects in the GT condition received five to eight session of group therapy only.
Outcome measures were at intervals; prior to therapy, immediately following therapy and at two follow-up periods. These include: (1) self report or interview-related psychological measures (Combat Exposure scale, MMPI-2 PTSD, Veterans Adjustment Scale (VETS), Mississippi Scale, Hamilton (Depression and Anxiety); (2) behavioral outcome measures (employment, treatment seeking behavior medication therapy, and re hospitalization rate); and (3) psychophysiological response measures (skin conductance, frontalis EMG, heart rate and blood pressure). The last measures involved a change measure in psychological arousal during exposure to tape recorded scripts depicting the patients' most traumatic combat memory. In addition to these pre-, post-,
follow-up measures, measures (SUD, profile of mood scale (POMS), and impact of events scale (IOE) were taken at each therapy session.
Early results on selected outcomes show differences in positive outcome between conditions POMS EMDR>GT (p<.01); IOE Avoidance, EMDR>GT (p<.04); IOE Intrusion, EMDR>GT(p<.03); Heart Rate, EMDR>GT (p<.04). Presently, there were no other significant differences between EMDR or EC. Trends, however suggest that EMDR may be superior to EC on several of the measures.
These results indicate that EMDR may be producing greater reduction in the conditioned emotional response to traumatic memories in these patients, when compared to group therapy approach commonly used to treat these types of patients in a special VA treatment program.
Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
142. Lister, D. (2003, March). Correcting the cognitive map with EMDR: A possible neurobiological mechanism. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
The experience of life is commonly likened to a journey through a landscape. This cannot
be an accident; it must be based on neurobiological activity in the brain. If one is
fortunate the journey is made through a pleasant landscape, with occasional mild
adventures to vary the monotony. Travelling is an ancient evolutionary feature of all
animals, and all animal brains have developed fairly uniform methods of recording the
body's motion through the environment, in different degrees of complexity (O'Keefe &
Nadel, 1978; Stickgold, 2002). Occasionally, a traumatic disaster upsets an otherwise
placid journey.
Keywords: Neurological
Accuracy Verified: Yes
143. de Jongh, A. (2005, June). Could EMDR be a promising treatment in the immediate aftermath of a traumatic incident?. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Various studies have shown that the counselling routinely offered to people
in the immediate aftermath of a traumatic incident seldom protects them
from developing post-traumatic stress -and could even delay their recovery.
On the other hand, clinical experience suggests that in many cases with the
proper utilization of EMDR an almost spontaneous integration of perceptions
of sensory input and the cognitive components of the experience takes
place. Although controlled data about types of interventions. the optimal
time to intervene or predictors of response and recovery are still lacking.
within the organization D.O.E.N., providing critical incident stress
management services in the Netherlands, there is broad experience in
utilizing EMDR with clients who exhibit severe early symptoms following
trauma and who need 'first-aid' treatment. EMDR treatment is generally
started when there is no evidence of change or recovery within the course
of 1 or 2 weeks. Since there is a tremendous unmet need, there is an
important challenge to demonstrate in controlled research the advantages
of EMDR for those who suffer from symptoms of acute stress, for example in
emergency departments and/or the immediate aftermath of mass trauma. This presentation will focus on the rationale for early treatment with the use
of EMDR. This approach is illustrated by segments of video taped treatment
sessions of clients with symptoms of acute stress.
Keywords: Practice Symposium Theory
Accuracy Verified: Yes
144. Seubert, A. (2008, June). The courage to feel. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Courage to Feel is a practical and inspiring workshop, designed to give the clinician
the experience and tools for guiding our clients into emotional expertise. It is not
simply a theoretical training that gives you a lot of information about emotions.
Because the emotional journey cuts through what is foreign territory for many of our
clients, there is need of a map, a hands-on, practical guide that clients can refer to
when learning how to do this “feelings thing”. To meet this need, this master
workshop offers four concrete steps to emotional competence and seven skills in
achieving them, all tried and proven over 25 of clinical practice. This training also
teaches the use of such a trauma-informed phase model, as well as bilateral
stimulation to reinforce learning, through video clips and in vivo practice. Andrew’s
first book, The Courage to Feel: a Practical Guide to the Power and Freedom of
Emotional Honesty, will be available through Infinity Publishing by May of 2008.
Keywords: Emotions
Accuracy Verified: Yes
145. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco, CA: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
146. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy
techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach
to assist children in identifying EMDR targets as
well as to provide an opportunity for containment.
Safe place, as well as other types of resource
development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By
using stones and metaphors, children can also
maintain emotional distance from their own
struggles. One of the main goals of this workshop
is to help clinicians learn to communicate more
effectively with children by using metaphors, stones and play. How to talk to children about EMDR and
how to prepare children for the outcome of EMDR
will be addressed. By making the process more
predictable, the likelihood of children stopping the
process when they experience the difficult feelings
associated with the trauma might be minimized.
Participants will also learn to use creative, fun and
playful ways to assist children in understanding and using the measure scales of the EMDR protocol
(SUDS and VOC).
Keywords: Children Metaphors Play Therapy Storytelling Targets
Accuracy Verified: Yes
147. 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
148. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
149. Stowasser, J., Brown, S., & Zabukovec, J. (2011, August). The crucible of trauma: Domestic violence, substance abuse, and the military. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Untreated trauma and PTSD are believed to underlie substance abuse (SA) and domestic violence (DV). Some military personnel attempt to manage their PTSD with the use of DV tactics and SA, causing harm to themselves and others. Workshop participants will be able to broadly define DV, the Cycle of Violence and The Apology, and adapt them for use with EMDR; screen for substance abuse, conceptualize cases and plan treatment; understand how military experience contributes to post-traumatic stress including DV and SA; and dovetail this knowledge into the EMDR Model as an integrated, phased, trauma treatment approach.
Keywords: Apology Cycle of Violence Domestic Violence Military Substance Abuse
Accuracy Verified: Yes
150. Hornsfeld, H. (2005, June). Cue exposure and EMDR, a new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR
and cue exposure in the treatment of binge eating disorder. Reason to
adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed
at extinction of the conditioned response pattern, but misses the opportunity
to specifically address the processing of emotional and cognitive reactions.
Two years of experience with this new procedure show results. The
protocol will be presented and will be illustrated by video fragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Cue Exposure Eating Disorders Symposium
Accuracy Verified: Yes
151. Hornsveld, H. (2005, June). Cue exposure and EMDR, A new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR and cue exposure in the treating of binge eating disorder. Reason to adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed at extinction of the conditioned response pattern, but misses the opportunity to specifically address the processing of emotional and cognitive reactions. Two years of experience with this new procedure show positive results. The protocol will be presented and will be illustrated by video gragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Binge Eating Cue Exposure Treatment
Accuracy Verified: Yes
152. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the
second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were
generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading
textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in
the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years,
it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of
different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included
in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive
behaviors, problems with close relations and an impairment in the capacity to experience pleasure,
satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than
being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur
depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social
support received and the duration of the traumatic experience(s).
Keywords: Psychobiology
Accuracy Verified: Yes
153. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro.
Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato.
Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite.
In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.
The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.
Accuracy Verified: Yes
154. Gomez, A. M. (2009). Dark, bad day...go away!. Author.
Language: English
Format: Book
Abstract:
Dark, Bad, Day...Go Away! is a lovely little story about two little dogs who have experienced some kind of traumatic experience. They are going through all sorts of awful emotions ranging from anxiety to self blame.
The book never goes into detail of what the awful thing that happened was, but it does explain the way the brain deals (or doesn't deal) with trauma in an easy to understand way. It then goes on to explain EMDR therapy and what the child might experience if he or she under goes the treatment.
This is a wonderful book for child therapists who make use of this therapy technique. It can spur discussion and reduce confusion and worry about starting a new course of therapy. It helps parents understand too!
•Explains trauma and EMDR in terms children can understand.
•Motivates children to embrace trauma using EMDR.
•Prepares children for EMDR trauma reprocessing so the likelihood of children stopping EMDR prematurely is reduced.
•Makes EMDR accessible to children by showing what EMDR is, how it works, and how it can be helpful.
Accuracy Verified: Yes
155. 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
156. de Jongh, A. & ten Broeke, E. (2007). De behandeling met EMDR: Informatie voor cliënten [Treatment with EMDR (information for clients)]. Psychopraxis, 9(1), 36-38. doi:10.1007/BF03072328.
Language: Dutch
Format: Journal
Abstract:
. Bijlage GGZ Voorlichting.
Eye Movement Desensitization and Reprocessing, afgekort tot EMDR, is een therapie voor mensen die last blijven
houden van de gevolgen van een schokkende ervaring, zoals een verkeersongeval of een geweldsmisdrijf. Het is een
relatief nieuwe therapie. Een eerste versie ervan werd in 1989 beschreven door de ontwikkelaarster ervan, de Amerikaanse
psychologe Francine Shapiro. In de jaren daarna werd deze procedure verder uitgewerkt en ontwikkelde
EMDR zich tot een volwaardige en effi ciënte therapeutische methode. In deze bijdrage zullen we deze methode
nader bespreken.
Mental Health Information annex.
Eye movement desensitization and reprocessing, EMDR for short, is a therapy for sufferers remain
account the effects of a shocking experience as a traffic accident or a violent crime. It is a
relatively new therapy. A first version was described in 1989 by its developer claims, the U.S.
psychologist Francine Shapiro. In subsequent years, this procedure was further elaborated and developed
EMDR is a full and to establish efficient therapeutic method. In this paper we will approach
further discussion.
Accuracy Verified: Yes
157. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.
Language: Dutch
Format: Journal
Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer.
Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental.
Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.
The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue.
Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership.
All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.
Keywords: Mindfulness and Meditation Training, MTT
Accuracy Verified: Yes
158. Knipscheer, J., van Middendorp, H., & Kleber, R. (2011, August). De rol van cultuur in het omgaan met psychotrauma [The role of culture in coping with psychotrauma]. Psychologie & Gezondheid, 39(3), 125-131. doi:10.1007/s12483-011-0026-4.
Language: Dutch
Format: Journal
Abstract:
The role of culture in coping with psychotrauma
In this paper, the theme of the special issue on Culture and Trauma is introduced. In both empirically oriented articles as well as theoretical and contemplative contributions, the role of culture and migration context in the development of psychological problems following trauma, culture-specific or generic coping with the consequences, help-seeking behavior, and the need for culturally sensitive treatment is explored. First, the influence of the migration context is considered with regard to the possible sickening role of the asylum procedure, the burden for immigrant women who have undergone female genital mutilation and now live in a society that seriously condemns it, and the dilemma of Islamic migrants who experience homosexual feelings while living in a secularized society. Following are some contributions on cultural diversity in the expression of trauma symptoms, like somatization among refugees and the articulation of rage and embitterment among labor migrants. The impact of trauma in combination with migration on families and how children can be affected by the traumatization of their parents is the topic of two contributions in which the role of the (extended) family is explored and a contextual approach to working with families with trauma-related symptoms (a mentalization based multifamily therapy) is described. The factors that impede therapyseeking behaviour and drop-out are discussed in a study on Moroccan or Turkish girls who were raped. Finally, the applicability and efficacy of evidence-based interventions for treating ethnic minority patients with posttraumatic stress disorder is illustrated by a study on Eye Movement Desensitization and Reprocessing with refugees and an article on specific elements of intercultural trauma therapy that appear to be culturally sensitive.
Keywords: Asylum Procedure Cultural Diversity Culture Ethnic Minority Patients Female Genital Homosexuality Islamic Migrants Mentalization-Based Multi-Family Therapy Mutilation Migration Context Posttraumatic Stress Disorder PTSD Psychotrauma Trauma
Accuracy Verified: Yes
159. van Arkel, E. P. M., & Baas, A. M. (2008, Juni). De rol van het op afstand beleven en het herbeleven in eye movement desensitisation and reprocessing (EMDR) [The role of the remote experience and relive in eye movement desensitisation and reprocessing (EMDR)]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Dit onderzoek was voor ons zowel een eerste kennismaking met Eye Movement Desensitisation and Reprocessing (EMDR) als een eerste kennismaking met het klinische werkveld. Naast het leerzame traject van het onderzoek zelf, waren deze aspecten een speciale aanvulling op onze scriptie. Wij hebben dan ook met veel enthousiasme aan deze scriptie gewerkt en ons op verschillende gebieden breder ontwikkeld. Wij zijn voornamelijk blij dat wij „op de valreep van onze studie‟ nog kennis hebben mogen maken met de behandelmethode EMDR. Het is een behandelmethode die wij in onze verdere loopbaan binnen de psychologie zeker mee zullen nemen. Onze dank gaat uit naar de therapeuten en cliënten die mee wilden werken aan dit onderzoek. Zonder deze medewerking was dit onderzoek immers niet tot stand gekomen! Daarnaast willen wij graag onze begeleidster mw. dr. H.K. Hornsveld bedanken voor het overbrengen van haar enthousiasme voor EMDR en al haar op- en aanmerkingen op ons onderzoek. Mede dankzij haar is dit onderzoek goed afgerond en is ons enthousiasme gegroeid.
This study gave us both a first encounter with Eye Movement Desensitisation and Reprocessing (EMDR) as a first introduction to the clinical field. Besides the educational process of research itself, these issues were a special addition to our thesis. We also have enthusiastically worked on this paper and our wider development in various fields. We are especially pleased that we are "at the very end of our study" may even be familiar with the EMDR treatment method. It is a treatment that in our careers in psychology will certainly take it. Our thanks go to the therapists and clients who wanted participate in this study. Without this cooperation, this research was not realized! In addition, we want our companion mw. Dr. H.K. Hornsveld thanks for transferring her enthusiasm for EMDR and all her observations and comments on our research. Partly thanks to her that this study is well rounded and our enthusiasm grew.
Keywords: Desensitization, Distancing Reliving Vividness
Accuracy Verified: Yes
160. 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
161. 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
162. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.
Language: English
Format: Journal
Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.
Keywords: Aggression Trauma Treatment
Accuracy Verified: Yes
163. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
164. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
165. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
166. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
167. 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
168. Kuiken, D., Miall, D., Bears, M., & Smith L. (1998). Defamiliarization in dreaming and reading: Eye movements and attentional engagement. Presentation at the VIth Biannual IGEL Conference, Utrecht.
Language: English
Format: Conference
Abstract:
The fictional world imaginatively constituted during literary reading is sometimes compared with
the imaginal world created during dreaming. At the core of both reading and dreaming may be the
type of attentional adjustment that occurs when departures from expected events emerge in
experience. During dreaming, markers of this attentional adjustment – and of the related
transformations of dream content – are the eye movements characteristic of REM sleep. Recent
research suggests that eye movements induced during wakefulness similarly prompt dreamlike
transformations of imaginal activity. Therefore, we hypothesized that, during reading, induced eye
movements would facilitate defamiliarization in response to the deviations from literal meanings
found in metaphoric expressions. To test this hypothesis, twenty-five undergraduates completed 20
seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (a) a covert visual
attention task (Posner & Cohen, 1984), in which a cue indicated the likely position of a subsequent
target, and (b) a sentence rating task, in which sentences with either metaphoric or non-metaphoric
endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement
manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and
increased the extent to which metaphoric sentence endings were found striking. These results suggest
that induced eye movements facilitate attentional reorientation toward the novel meanings found in
metaphoric expressions, providing evidence that dreaming and reading involve a similarly
“defamiliarizing” attentional adjustment.
Accuracy Verified: Yes
169. 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
170. 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
171. Schad, N. J. (2011, März). Der soldat, das einstztrauma und EMDR: Spezielle aspekte der behandlung [The soldier, trauma and EMDR: Specific aspects of treatment]. EMDRIA-Day in Berlin, Deutschland.
Language: German
Format: Other
Abstract:
Der Vortrag basiert auf den Erfahrungen einer psychologischen Psychotherapeutin in der Arbeit mit in Auslandseinsätzen traumatisierten deutschen Soldaten. Es werden sowohl die speziellen Stressoren im Einsatz als auch die charakterlichen Merkmale der Soldaten in der Patientenrolle sowie die notwendigen Fähigkeiten auf therapeutischer Seite ausgeführt. Auslösende und die PTBS aufrechterhaltende Bedingungen im Rahmen der Institution deutsche Bundeswehr sowie die daraus resultierenden Probleme und Vorteile werden benannt. Der Vortrag beschäftigt sich mit diversen Herausforderungen, die sich hier im Rahmen einer EMDR-Behandlung stellen wie etwa der Frage nach Schuld und Scham.
The talk is based on the experience of a psychological psychotherapist in working with traumatized German soldiers in missions abroad. There are both the specific stressors in the use of character and the characteristics of the soldiers in the patient role and the skills necessary to run therapeutic side. Triggering and sustaining conditions of PTSD within the institution German Bundeswehr and the resulting benefits and problems are identified. The lecture will deal with various challenges that arise here as part of an EMDR treatment such as the question of guilt and shame.
Keywords: German Bundeswehr Soldier Trauma
Accuracy Verified: Yes
172. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.
The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
173. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.
Language: Serbian
Format: Conference
Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama.
Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.
Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people.
When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.
Keywords: Doţ ivjeli Preţ ivjela
Accuracy Verified: Yes
174. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]
Keywords: Addiction Addictions Behavior Problems Behavior Therapy Bilateral Stimulation Compulsions Craving Desensitization of Triggers Dysfunctional Behaviors Information Processing Model Psychotherapeutic Techniques Urge Reduction Protocol
Accuracy Verified: Yes
175. Siegel, D. J. (2002). The developing mind and the resolution of trauma: Some ideas about information processing and an interpersonal neurobiology of psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 85-121). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of an interdisciplinary approach to understanding the nature of the developing mind and how the unresolved effects of trauma may be resolved within psychotherapy. Following is a brief background of my introduction to eye movement desensitization and reprocessing (EMDR) and Francine Shapiro, the founder and a leading pioneer in the field of EMDR.My work comes from an interdisciplinary approach that combines numerous independent fields, including attachment theory and research, cognitive neuroscience, complexity theory, developmental psychology and psychopathology, genetics, psycholinguistics, and the study of trauma. By weaving the findings from these varied disciplines together with clinical work as a child psychiatrist, I developed a conceptual framework that was published as a book, "The Developing Mind: Toward a Neurobiology of Interpersonal Experience" (1999). This chapter offers a brief overview of this work and highlights ways in which this interpersonal neurobiology approach may help in understanding some possible mechanisms underlying trauma and its resolution. [Text, pp. 85, 86]
Keywords: Adults Cognitive Processes Neurobiology Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
176. Laub, B., & Weiner, N. (2011). A developmental/integrative perspective of the recent traumatic episode protocol. Journal of EMDR Practice and Research, 5(2), 57-72. doi:10.1891/1933-3196.5.2.57.
Language: English
Format: Journal
Abstract:
The recent traumatic episode protocol (R-TEP) is an adaptation of the eye movement desensitization reprocessing (EMDR) standard protocol to the acute phases following trauma. In this article, the R-TEP structure and procedures were analyzed from a developmental/integrative perspective. It is proposed that the therapist's developmental understanding and attunement can enhance the therapeutic dyad and can promote flexible decision making while using the R-TEP procedures. One case illustration of a recent trauma intervention demonstrates the advantage of developmental attunement in using the R-TEP. This perspective enables the therapist to pace the various styles of processing as they relate to the different stages of the memory consolidation process.
Keywords: AIP Model Early EMDR Intervention EEI Memory Consolidation Process R-TEP Recent Events Recent Trauma Recent Traumatic Episode Protocol
Accuracy Verified: Yes
177. 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
178. Hase, M. [2003]. Die "wenig belastende beispielerinnerung“: Ein beitrag zur EMDR-behandlungsplanung [The "little stress as memory": A contribution to EMDR treatment planning]. Biespielerinnerung, Michael Hase.
Language: German
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) ist eine sehr wirksame
Therapiemethode in der Behandlung der Posttraumatischen Belastungsstörung, assozierter
Störungen und anderer psychischer Störungen. Das Modell der adaptiven
Informationsverarbeitung stellt einen theoretischen Rahmen bereit, um die Wirkung des EMDR
zu erklären und bietet im Sinne eines Krankheitsmodells Anleitung zur Diagnostik und
Behandlungsplanung. EMDR ist ein manualisiertes Verfahren und die Berücksichtung der
vorgeschlagenen Protokolle und Prozeduren ist für einen Behandlungserfolg essentiell. Die
phasenorientierte Behandlungsplanung nimmt in der Therapie traumatisierter Menschen generell
einen hohen Stellenwert ein und ist auch für eine EMDR-Therapie sehr wichtig. Die Bearbeitung
einer „wenig belastenden Beispielerinnerung“ in der Frühphase einer EMDR-Therapie bietet
einen guten Einstieg in die sich anschließende Traumabearbeitung und ist besonders in der Arbeit
mit akut Traumatisierten und komplexen Störungsbildern hilfreich.
Summary:
Eye Movement Desensitization and Reprocessing (EMDR) is a very effective
Method of therapy in the treatment of post-traumatic stress disorder, an associate
Disorders and other mental disorders. The model of adaptive
Information processing provides a theoretical framework to evaluate the effect of EMDR
explain and offer guidance in terms of a disease model for the diagnosis and
Treatment planning. EMDR is a manualized procedures and the consideration of the
proposed protocols and procedures is essential for a successful treatment. The
phase-oriented treatment planning in general it will in the treatment of traumatized people
of great value and is also responsible for EMDR therapy is very important. The processing
a "little strain as memory" in the early stages of an EMDR therapy offers
a good introduction to the subsequent trauma and is particularly in the work
helpful with acute and complex trauma disorders.
Keywords: Treatment Planning
Accuracy Verified: Yes
179. 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
180. Plassmann, R. (2007). Die kunst des lassens: Psychotherapie mit EMDR fur erwachsene und kinder [The art of giving. EMDR for adults and children]. Reihe: edition psychosozial, Giessen: Psychosozial-Verlag.
Language: German
Format: Book
Abstract:
Das Buch beschreibt auf sehr lebendige Weise, mit vielen Fallbeispielen, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt haben und uns Möglichkeiten an die Hand gegeben haben, die vorher nicht bestanden. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht.Wie fördert man seelische Heilungs- und Wachstumsprozesse? Vor dieser Herausforderung steht die wissenschaftliche Psychotherapie seit nunmehr 100 Jahren. Entscheidende Fortschritte sind in den letzten Jahren durch die neuen Methoden der modernen Traumatherapie möglich geworden. Gleichzeitig hat uns die moderne Hirnforschung Einblick gegeben, wie das Gehirn emotionale Belastungen verarbeitet. Die EMDR-Technik (Eye Movement Desensitization and Reprocessing) konzentriert sich der Patient auf ein belastendes Erlebnis während seine Augen gleichzeitig den Handbewegungen des Therapeuten folgen, wodurch eine entlastende Wirkung eintritt. Das Buch beschreibt mit vielen Fallbeispielen auf sehr lebendige Weise, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt und uns neue Möglichkeiten an die Hand gegeben haben. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht, bei Essstörungen, Borderlinestörungen, Traumafolgestörungen und bei allen durch emotionale Überlastung entstandenen Erkrankungen.
The book describes in lively fashion, with many case studies provided as EMDR and modern brain research and therapy in a completely new basis have and have given us opportunities to the hand that were not there before. It explains the workings of the expert and the scientific basis and potential patients, as its way through the healing process aussieht.Wie promotes spiritual healing and growth it processes? That is the challenge the scientific psychotherapy is now 100 years since. Decisive progress in recent years made possible by new methods of modern trauma therapy. At the same time our modern brain research has given insight into how the brain processes emotional stress. The EMDR technique (Eye Movement Desensitization and Reprocessing) focuses the patient on a stressful experience at the same time as his eyes follow the hand movements of the therapist, making an exculpatory effect occurs. The book describes many case studies have a very vivid way, as the modern brain research and the EMDR psychotherapy on an entirely new basis, and given us new opportunities to the hand. It explains the workings of the expert and the scientific basis and potential patients, as you look way through the healing process by eating disorders, borderline personality disorders, trauma disorders, and in all subsequent congestion caused by emotional disorders.
Accuracy Verified: Yes
181. Vanderlinden, J., & van Bellinghen, M. (2007). Dilemma’s voor de therapeut: De behandeling van een onder doodsbedreiging verkrachte vrouw [Dilemmas for the therapist: Treatment of a raped woman under death threat]. Directieve Therapie, 27(2), 58-62. doi:10.1007/BF03056845.
Language: Dutch
Format: Journal
Abstract:
In dit artikel wordt de behandeling beschreven van een vrouw met een ernstige eenmalige traumatische ervaring. Na een moeizame start waarbij de cliënte aanvankelijk psychiatrisch-psychotherapeutisch wordt begeleid, komt er een spectaculaire verbetering na één sessie EMDR. Deze verbetering houdt echter slechts tijdelijk stand, onder meer omdat cliënte zich plotseling erg bedreigd voelt ten gevolge van een gerechtelijke beslissing. Deze tijdelijke terugval illustreert hoe de maatschappelijke en juridische context bijdragen aan het verwerken van ernstige traumatische gebeurtenissen. Tot slot volgt een reflectie op allerlei therapeutische dilemma’s bij planning van deze traumabehandeling.
This article describes the treatment of a woman who was victim of a severe traumatic experience. Since a psychotherapeutic and psychiatric approach only resulted in a small amelioration, an EMDR session was planned resulting in a spectacular improvement. The improvement however was temporarily undone when the woman received a judicial notice stating that her offender was taking the case to Supreme Court. This setback illustrates how social and judicial context attributes to the processing of extreme traumatic experiences. The article concludes with a reflection on the therapeutic dilemmas concerning this trauma treatment.
Keywords: Death Threat Rape Women
Accuracy Verified: Yes
182. [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
183. 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
184. 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
185. Furukawa, D. K. (1998, June). The dive method. EMDRIA Newsletter, 3(2), 26, 31.
Language: English
Format: Newsletter
Abstract:
In life, we find that much of what holds us back is fear. This was the theme of the movies, “Defending Your Life,” in which, after dying, the main character must examine his life only to find that he continually made decisions which restrained his personal growth due to his fear and lack of belief in self. Certainly other emotions like shame and guilt, sadness and anger play key parts in the reprocessing of trauma. However, experience has shown that fear is quite often either related to the emotion that is associated with the trauma focus, or the stated emotion turns into fear as reprocessing commences.
Keywords: Dive Method Fear
Accuracy Verified: Yes
186. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.
Language: English
Format: Magazine
Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
187. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.
Language: English
Format: Journal
Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]
Keywords: Adolescents Adults Assessment Children Depressive Disorders Females Males Injuries Memory Retrieval Techniques Posttraumatic Stress Disorder PTSD Somatic Symptoms Survivors Treatment Effectiveness Visual Hallucinations Witnesses
Accuracy Verified: Yes
188. Rossi, E. L. (1999, June). Does EMDR facilitate new growth in the brain? Immediate-early genes in optimizing human potentials. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the possible role of immediate-early genes and the growth of the brain during psychological arousal, creative work and innovative approaches to psychotherapy, such as EMDR; and 2) be able to outline the mind-body dynamics of our natural 90 ultradian cycle of peak performance and healing in creative work, as well as psychotherapy.
Keywords: 90 Ultradian Cycle of Peak Performance Brain Growth Immediate-Early Genes
Accuracy Verified: Yes
189. 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
190. Manfield, P. (2013, May). Dyadic resourcing: Creating a foundation for treating early trauma [La dyade comme ressource: Créer une base solide pour traiter les traumas de la petite enfance]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing
of very early trauma with severely deprived clients, including those with attachment disorders. The goal of
this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child
relationship. This workshop will address the basic principles and processes central to this form of resourcing,
including each of the five steps involved in establishing this resource. The process will be illustrated using clinical
videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be
provided.
Learning Objectives:
• Explain why cognitive interweaves are often not helpful to clients with attachment disorders
• List 15 possible sources of resource figures a client might have that the client can feel a present affective
connection to.
• List 8 techniques that can be used to help a client feel more intensely connected to a resource.
• Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly
identifying with their child selves.
• Describe how the “morphing” process minimizes a client’s resistance to feeling nurtured.
Cet atelier présente la dyade comme ressource, une approche conçue pour faciliter le retraitement en EMDR pour
les traumas de la petite enfance chez des clients qui ont été sévèrement négligés dont ceux avec un trouble de
l’attachement. L’objectif de ce processus est d’aider le client à se connecter au niveau affectif à une expérience
intérieure d’être dans une relation nourrissante parent-enfant. Cet atelier portera sur les principes de base et
les processus centraux de cette forme de ressourcement incluant les 5 étapes pour établir cette ressource. Le
processus sera illustré à l’aide de vidéos de transcription sur les ressources et une démonstration en direct. Il
fournira aussi des ‘’liens’’ afin d’avoir accès gratuitement à des formations sur les ressources.
Objectifs d’apprentissage:
• Expliquer pourquoi les tissages cognitifs ne sont pas aidant pour les clients ayant un trouble de l’attachement
• Une liste de 15 figures ressourçantes pour le client et pour lesquelles il peut ressentir une connexion sur le
plan affectif.
• Une liste de 8 techniques qui peut être utiliser afin d’aider le client à se sentir de plus en plus connecter à une
ressource.
• Décrire 4 indications que le client n’adopte pas une position d’observateur mais plutôt qu’il soit vraiment
identifié avec leurs ‘’soi’’ d’enfant.
• Décrire comment le processus de ‘’morphing’’ peut diminuer la résistance au sentiment d’être nourrit
affectivement
Keywords: Dyadic Resourcing Morphing Resource Figures
Accuracy Verified: Yes
191. Manfield, P. (2011, August). Dyadic resourcing: EMDR with difficult clients. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child relationship. This workshop will address the basic principles and processes central to this form of resourcing, including each of the five steps involved in establishing this resource. The process will be illustrated using clinical videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be provided.
Keywords: Difficult Clients Dyadic Resourcing
Accuracy Verified: Yes
192. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.
Language: English
Format: Book
Abstract:
A new therapy using a saccadic eye-movement desensitisation
.EMD procedure has recently been introduced to treat posttraumatic
stress disorder, a disorder that has been difficult to treat
in the past. This paper reports the treatment of a woman with posttraumatic
stress disorderusing the EMD procedure. She was
treated with only two sessions of EMDR lasting approximately
one hour and a half. The 90 day follow-up showed that the treatment
gains were maintained and after a year the positive
therapeutic effects were stable.
These results show the efficacy and efficiency of EMDR method
in the treatment of chronic traumatic memories.
EMDR perspectives
reports recent research on the adaptative and maladaptative
consequences of the experience of trauma. It is suggested that
EMDR generates directions for future research and is helping in
the treatment of patients with impaired ego-strength. The
procedure fits well in a psychodynamic oriented setting : EMDR
through the flow of associations, is developing an awareness,that
might help the client to establish a contact with the internal representation.
Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition
Accuracy Verified: Yes
193. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.
Language: English
Format: Journal
Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]
Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors
Accuracy Verified: Yes
194. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives:
Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general.
Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP);
Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention;
Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and
Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.
Keywords: Early Intervention Theory EEI Mass Disaster
Accuracy Verified: Yes
195. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
On successful completion of the workshop, participants will be able to:
· Describe the commonly used approaches to early intervention following
traumatic events and the rationale behind them including blanket
intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing,
psychological debriefing, psychological first aid, critical incident stress
management, trauma risk management, supportive counselling and trauma
focused cognitive behavioural therapy.
Discuss the current evidence base for the effectiveness of early interventions
following traumatic events.
Keywords: Early Intervention
Accuracy Verified: Yes
196. Bisson, J. (2006, June). Early intervention method as an EMDR method. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Recommendation
• All chronic PTSD sufferers should be
offered a course of trauma-focused CBT
or EMDR, normally on an individual OP
basis, regardless of time since trauma.
• Usually 8-12 sessions, some at 90
minutes.
• May need to be longer than 12 sessions if
multiple trauma, co-morbidity, traumatic
bereavement…
• Training and competence essential.[Excerpt]
Keywords: Recents Events Protocol
Accuracy Verified: Yes
197. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
Although most human service professionals believe in the utility of early intervention
post-trauma to prevent development of chronic psychological problems, there is little
agreement as to the appropriate forms of care. A range of psychological interventions
has been advocated for use with various traumatized populations within days or weeks
of their trauma exposure, including education about trauma and stress reactions,
critical incident stress debriefing (CISD), cognitive-behavioral brief intervention
packages, EMDR, and psychopharmacological interventions. Currently, prospective
research studying response to trauma and beginning within hours or days of the
traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing
development of PTSD. Recent support for such interventions is developing at the same
time that the evidence for the most popular early intervention, debriefing, is being
called into question. In this panel discussion, four members of the recently initiated
ISTSS “Early Interventions” Special Interest Group will describe their personal views as
to what the next generation of early intervention services will look like, how existing
models of early intervention should be improved based on current research and theory,
and how improved services can be implemented in real-world settings.
Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
198. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or
prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although
usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate
trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian
Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009)
was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this
workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood
within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event
of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times
of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for
patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident
or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of
Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation
the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the
face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine
Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency
settings where multiple patients need rapid treatment.
The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Early Interventions
Accuracy Verified: Yes
199. Dyregrov, A. (2006, March). Early interventions following disasters – A place for EMDR and trauma therapy?. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
Considerable professional debate exists regarding the role of mental health
professionals in the early intervention following disasters. Emotional first aid is a
natural part of disaster response in western countries, while the active
involvement of mental health professionals is debated. The current paradigm is
to screen to find those at risk after a period of time (usually > 1 month) and then
refer those in need to more active traumatherapeutic assistance based on the
screening results. Dr. Dyregrov will argue for an active role for mental health
professionals in the early response, but will discuss and question whether EMDR
or other specific trauma therapy should be offered within the first few weeks
following a disaster.
Keywords: Disasters Early Interventions
Accuracy Verified: Yes
200. Quinn, G. (2009, June). Early interventions for acute trauma. Preconference presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.
Language: English
Format: Conference
Keywords: Acute Stress Disorder ASD Early Interventions
Accuracy Verified: Yes
201. Bar-Sade, E. (2003, May). Early trauma: Revisited and revised through EMDR, the narrative story and the implementation of attachment theory concepts. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
If we regard adult psychotherapy as the basis for a kind of attachment relationship in which the client seeks proximity by having a physical and emotional closeness with the therapist through which the client tries to create a”safe haven” soothing him or her when upset while providing a sense of security, child therapists often regard child-psychotherapy as a means to develop an attachment relationship between child and caregiver, whenever possible. It is a common assumption, that in child-psychotherapy, especially while dealing with trauma, the therapist must stress the importance of empowering the parental figure as an attachment figure and as a “secure base”.
Keywords: Attachment Theory Complex Trauma
Accuracy Verified: Yes
202. 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
203. 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
204. Janssen, J. (2012, February). Een bijzondere casus (serie): EMDR-behandeling van vroegkinderlijke trauma’s bij een cliënte met een eetstoornis [A special case (series): EMDR treatment of early childhood trauma in a client with an eating disorder]. Tijdschrift voor Psychotherapie, 38(1), 21-37. doi:10.1007/s12485-012-0003-3.
Language: Dutch
Format: Journal
Abstract:
Onveilige hechting en vroegkinderlijke trauma’s liggen aan de basis
van veel problemen die onze cliënten ervaren in hun dagelijkse
leven en zij leiden tot disfunctionele gedachten- en gedragspatronen.
In de babyfase ontwikkelt zich het (sociale) brein op basis van
liefde of het ontbreken ervan. Het is de interactie tussen baby’s en
hun ouders in de eerste jaren die bepalend is. Het introduceren in
de therapie van liefde en liefdevolle ouders die er voor hen zijn, lijkt
van essentieel belang te zijn voor een succesvolle behandeling.
In dit artikel wordt het vier-stappenmodel van Katie O’Shea uiteengezet.
De eerste drie stappen bieden de effectieve stabilisatie die
nodig is om de behandeling van vroegkinderlijke trauma’s aan te
gaan. In stap 4 kan deze behandeling vervolgens op gestructureerde
wijze plaatsvinden. Met haar ‘EMDR’-model creëren we als het
ware een nieuwe blauwdruk in het brein met als uitkomst ‘een reconstructie
van het zelfbeeld’. O’Shea beoogt met haar model herstel
van prenataal en perinataal trauma, wat met het standaard
EMDR-protocol niet gemakkelijk wordt bereikt.
DRS.
Insecure attachment and early childhood traumas are the basis
of many problems that our clients experience in their daily
life and they lead to dysfunctional thoughts and behavioral patterns.
In the infant stage develops the (social) brain based on
love or lack thereof. It is the interaction between babies and
their parents in the early years is decisive. Introducing into
the therapy of love and loving parents who are there for them, seems
of vital importance for a successful treatment.
In this article, the four-step model Katie O'Shea put apart.
The first three steps provide effective stabilization to the
necessary for the treatment of early childhood trauma to
go. In step 4, this treatment can then structured by
manner. With its' EMDR' model we create as
were a new blueprint in the brain as being 'a reconstruction
of the self '. O'Shea aim with the recovery model
of prenatal and perinatal trauma, what with the standard
EMDR protocol is not easily achieved.
DRS.
Keywords: Childhood Trauma Eating Disorder
Accuracy Verified: Yes
205. Hornsveld, H., & van den Hout, M. (2010, April). Een serie experimenten naar oogbewegingen en klikjes: Wat werkt beter? [A series of experiments on eye movements and clicks, what works better?]. Presentatie op de suxth congres van de Vereniging EMDR Nederlands, Nijmegen, Nederlands.
Language: Dutch
Format: Conference
Abstract:
Er zijn verschillende theorieën over de werkingsmechanismen van EMDR. De belangrijkste theorieën zullen kort worden toegelicht en het wetenschappelijk bewijs ervoor samengevat.
Vervolgens zullen we een serie eigen experimenten presenteren: drie studies bij studenten en één studie bij PTSS- patiënten. In deze experimenten zullen oogbewegingen telkens worden vergeleken met andere taakjes of stimuli. Implicaties voor de theorievorming en voor de klinische praktijk zullen worden bediscussieerd tijdens de workshop aan de hand van stellingen.
Exp 1 laat zien dat de positieve bevindingen voor oogbewegingen (ten opzichte van een controle conditie) ook gevonden worden bij negatieve herinneringen aan een verlieservaring. Dit geeft een empirische basis voor de suggestie dat EMDR ook zinvol toegepast kan worden bij gecompliceerde rouw.
Exp 2 gaat over het werkgeheugen en een eventuele dosis respons relatie. Met andere woorden: geven taken die een grotere belasting voor het werkgeheugen vormen ook grotere SUD-dalingen?
Exp 3 Laat zien dat de werkgeheugenbelasting van oogbewegingen veel groter is dan van de bekende koptelefoon met klikjes. Vervolgens vergelijken we de werkzaamheid van oogbewegingen, klikjes, en een controle-conditie bij studenten die negatieve herinneringen ophalen.
Exp 4 is een klinische studie bij PTSS patiënten, waarbij we oogbewegingen, klikjes en controle (herinneringsbeeld zonder bilaterale stimulatie) met elkaar vergelijken. Verwacht wordt dat de eerste voorlopige data tijdens het congres beschikbaar zijn.
Hornsveld, H., Landwehr, F., Stein, W., Stomp, G., Smeets, M. &. van den Hout, M. (2010). Emotionality of loss-related memories is reduced after retrieval plus eye movements but not after retrieval plus music or retrieval only. Submitted.
Hout, M.A. van den, Engelhard, I.M., Rijkeboer, M., Koekebakker, J., Hornsveld, H. Toffolo, M., & Akse, N. (2010). Eye movements tax working memory, but binaural stimulation does not. Manuscript in preparation.
Hout, M.A. van den,, Engelhard, I., Smeets, M, Hornsveld, H., Hoogeveen, E., de Heer, E. & Rijkeboer, M. ( 2010). Counting during recall: taxing of working memory and reduced vividness and emotionality of negative memories. In press, Applied Cognitive Psychology.
There are several theories about the mechanisms of action of EMDR. The main theories will be briefly explained and summarized the scientific evidence before.
Then we will present a series of own experiments: studies in three students and a study in PTSD patients. In these experiments will be compared with each eye movement or other minor assignments stimuli. Implications for theory and for clinical practice will be discussed during the workshop by means of propositions.
Exp 1 shows that the positive findings for eye movements (compared to a control condition) also found associated with negative memories of a loss experience. This provides an empirical basis for the suggestion that EMDR is also useful can be used for complicated grief.
Exp 2 is about memory and a possible dose response relationship. In other words, tasks that give a greater burden on working memory are also larger SUD decreases?
Exp 3 Shows that the memory load of eye movements is much greater than the known Headphones clicks. Then we compare the efficacy of eye movements, clicks, and a control condition in which students negative memories.
Exp 4 A clinical study in PTSD patients, we eye movements, clicks and control (memory image without bilateral stimulation) compared. It is expected that the preliminary data available at the conference.
Horn Field, H., Landwehr, F., Stein, W., Stump, G., Smeets, M. &. van den Hout, M. (2010). Emotionality or loss-related pleadings Reduced after retrieval plus eye movements but not after retrieval or retrieval plus music only. Submitted.
Wood, M.A. van den, Engelhard, IM, Rijkeboer, M., Koekebakker, J., Horn Field, H. Toffolo, M., & Akse, N. (2010). Eye movements tax working memory, but Does Not binaural stimulation. Manuscript in preparation.
Wood, M.A. van den, Engelhard, I., Smeets, M, Horn Field, H., Hoogeveen, E., Mr. E. Farmer & Rich, M. (2010). Counting consistently recall: Taxing of working memory and Reduced vivid ness and emotionality or negative statements. In press, Applied Cognitive Psychology.
Keywords: Eye Movements Mechanism of Action
Accuracy Verified: Yes
206. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
207. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Journal
Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth
Accuracy Verified: Yes
208. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Conference
Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Stillbirth
Accuracy Verified: Yes
209. Greenwald, R., & Seubert, A. (2010, September/October). The effect of resolving early memories on the level of distress associated with later memories: Two cases. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Trauma therapists must make clinical judgments about
which memories to target in what order, taking into
account the palticular client's abiiity to tolerate a
potentially challenging trauma-focused session (eg., see
Greenwald, 2007). Greenwald & Schmitt (2008)
previously found that working on an earlier "floated back
to" - presumably thematically related - memory led to
signiiicantly reduced SUDS on the later untreated
memory. However, the participants were non-trearment seeking
therapists, and the reduced SUDS was found
immediately following treatment of the carlier memory.
The questions for thc present study: Does this beneficial effect occur with real clients in
treatment? Does this beneiiciai effect persist over time?
Keywords: Case Report Memories Poster
Accuracy Verified: Yes
210. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.
Language: English
Format: Journal
Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
211. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The
technique is not recommended for couples in which
either or both partners do not have adequate affect
tolerance, observing ego, or trust of each other's
integrety. Other risk factors for using EMDR in
couples therapy that have been highlighted in other
presentations and literature will be briefly reviewed.
Participants will learn to differentiate between
clients' statements that represent present experience
and those that represent concepts of present
experience or reporting of past experiences.
Participants will be taught specific interventions
which they will practice in guided exercise that
will enable them to facilitate both individuals and
couples to stay in their present experience during
EMDR targeting. Irrational emotional responses
to daily interactions and conflicts are often the result
of unresolved issues resulting from underlying
feeder memories. Participants will learn a simple
method for identifying underlying issues of each
individual partner related to a given conflict. The
final and most substantial portion of this
presentation will be focused on using a refined
"affect bridge" technique to identify the feeder
memories associated with those issues so that they
can be targeted with the standard EMDR protocol.
Specific methods will be taught to overcome
clients' resistance and difficulties with accessing
memories; these methods include use of accessing
cues (re: Neurolinguistic Programming) and
developing eidetics (re: Eidetic Psychotherapy)
These methods will be illustrated using a case
transcript, guided participant experiential exercise, and live demonstration.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
212. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
213. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.
Language: English
Format: Journal
Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
214. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological
counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects
of Early EMDR Intervention (EEI) on the victims of a terrorist
bombing in Gungoren, Istanbul. Subjects were the victims of
a terrorist bombing in Gungoren, Istanbul. The participants
were selected from a pool of children and adults, who lived in
Gungoren and scored high on the Turkish version of 'Impact of
Event Scale' (IES) and PTSD Symptom Checklist. The subjects
were contacted 2 days after the bomb attack so that we were
able to measure the event impact right after the traumatic experience,
which will help us to demonstrate how EMDR affects
the impact of the event more accurately.
Eye Movement Desensitization (EMD) as an EEI technique was
used to treat the child participants, whereas Recent Traumatic
Event Protocol (R-TEP) which incorporates the EMD and Recent
Event (RE) protocols, was received by the adult participants
The therapists (EMDR certified therapists, who were receiving
supervision) met with the participants weekly to work only on
the trauma of the bombing and participants completed impact
of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study
is completed with a three month follow-up. Analyses of the
data collected from the participants demonstrates the level of
effectiveness of EMDR in children and adults, in prevention of
PTSD and the use of EMDR as a crises intervention tool.
Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism
Accuracy Verified: Yes
215. Istanbul Metropole Municipality. (2009, June). The effects of early interventions (EMD) and (R-TEP) on the victims of a terrorist bombing in Istanbul. In A. de Jongh (Chair), PTSD research. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Bombings Early Intervention EMD, R-TEP Istanbul Posttraumatic Stress Disorder PTSD Recent Events Research Symposium Terrorist
Accuracy Verified: Yes
216. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.
Language: English
Format: Dissertation/Thesis
Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.
Keywords: Anxiety Disorders College Students Empirical Study Life Experiences Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
217. Oppermann-Schmid, F. (2010, Oktober). Effektivität der behandlung mit EMDR bei traumafolgestörungen in der allgemeinarztpraxis [Effectiveness of treatment with EMDR for trauma related disorders in the general practice]. EMDRIA Deutschland e.V.Rundbrief, 21, 24-25.
Language: German
Format: Newsletter
Abstract:
Patienten mit Traumafolgestörungen suchen meistens frühzeitig ihren Hausarzt auf. Das liegt
einerseits daran, dass der Hausarzt in unserem Gesundheitssystem für den Erstkontakt
kurzfristig zur Verfügung steht und gegebenenfalls zum Facharzt weiterleitet. Zum anderen
besteht meist eine langjährige und tragfähige Beziehung: Vertrauen zum Hausarzt seitens des
Patienten und ein guter Einblick in die persönliche und gesundheitliche Situation des Patienten
seitens des Hausarztes.
Patients with traumatic stress disorders often look to their GP early. This is
One reason that the doctor in our health care system for the first contact
available at short notice and, where appropriate, will forward to the specialist. On the other
there is usually a long and lasting relationship: trust on the part of the family doctor
Patients and a good insight into the personal and health situation of the patient
by the family doctor.
Keywords: General Practice Practice Theory Trauma
Accuracy Verified: Yes
218. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
219. Abbasnejad, M., Mahani, K. N., & Zamyad, A. (2007, Winter). Efficacy of "eye movement desensitization and reprocessing" in reducing anxiety and unpleasant feelings due to earthquake experience. Psychological Research, 9(3-4), 104-117.
Language: English
Format: Journal
Abstract: Keywords: Anxiety Earthquake Experience Empirical Study Eye Movements Follow-up Study Natural Disasters Quantitative Study Randomized Controlled Study Unpleasant Feelings Accuracy Verified: Yes 220. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 221. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4. Language: English Format: Newsletter Abstract: Keywords: Targets Accuracy Verified: Yes 222. 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: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 223. Marx, C. (2007, Janvier). Éjaculation rapide: Une nouvelle piste thérapeutique avec
l’eye-movement desensitization and reprocessing
(EMDR) [Premature ejaculation: A new therapeutic with eye-movement and reprocessing Ddsensitizer
(EMDR)]. Médecine Sexuelle, 1(1), 52-55. Language: French Format: Journal Abstract: Keywords: Premature Ejaculation Sexotherapy Accuracy Verified: Yes 224. Jarero, I. (2011). El desastre después del desastre: ¿Ya pasó lo peor? [Disaster after disaster: Is the worst over?]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [10 pages] . Language: Spanish Format: Other Abstract: Keywords: Complex Trauma Disaster, Management of Critical Incident Stress Accuracy Verified: Yes 225. 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: Keywords: Body Oriented Therapeutic Interweaves Accuracy Verified: Yes 226. Quinn, G.
(2012, June). EMDR & acute stress syndrome/EMDR in early intervention - Immediate
ERP
treatment
following
trauma. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Acute Stress Syndrome Early Intervention Accuracy Verified: Yes 227. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Cue Exposure Accuracy Verified: Yes 228. Millar, P. (2010, March). EMDR & psychosis. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Psychosis Schizoaffective Disorder Schizophrenia Accuracy Verified: Yes 229. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Abuse Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Neglect Accuracy Verified: Yes 230. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji. Language: Turkish Format: Other Abstract: Keywords: Emre Konuk Headaches Migraines Accuracy Verified: Yes 231. Parnell, L. (2001). EMDR - Der weg aus dem trauma: Über die heilung von traumata und emotionalen verletzungen [Transforming trauma: EMDR]. Paderborn: Junfermann Verlag GmbH & Co. Language: German Format: Book Abstract: Keywords: Trauma Accuracy Verified: Yes 232. Johannesson, K. B. (2013, Maj). EMDR - från mirakelkur till vetenskaplig evidens [EMDR - from miracle cure to scientific evidence]. Psykologtidningen, 32-35. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 233. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European
Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria. Language: English Format: Conference Abstract: Accuracy Verified: Yes 234. Johannesson, K. B.
(2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Trauma-Based Disorders Accuracy Verified: Yes 235. Gagnon, A. (2006). EMDR - L’introduction d’une nouvelle approche [EMDR - The introduction of a new approach]. Santé Mentale au Québec, 31(2), 257-261. Language: French Format: Magazine Abstract: Accuracy Verified: Yes 236. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden. Language: Swedish Format: Dissertation/Thesis Abstract: Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 237. Hogberg, U. (2007). EMDR - möjlig behandling vid PTSD efter förlossning [EMDR - possible treatment for PTSD after childbirth]. Läkartidningen, 104(17), 1312
. Language: Swedish Format: Magazine Abstract: Keywords: Childbirth Parity Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 238. 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: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Accuracy Verified: Yes 239. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands. Language: Dutch Format: Conference Abstract: Keywords: Forensic Examination Violent Behavior Accuracy Verified: Yes 240. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Affect Centered Therapy Affect Theory Accuracy Verified: Yes 241. 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: Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium Accuracy Verified: Yes 242. Shapiro, F. (2007). EMDR and case conceptualization from an adaptive information processing perspective. In F. Shapiro, F. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 3–36). New York: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model AIP Brain Cognitive Processes Integrative Psychotherapy Memories Memory Models Pathology Psychotherapeutic Techniques Psychotherapy Approach Stored Experience Accuracy Verified: Yes 243. Hurley, E. C., Zabukovec, J., Click, J., Francke, B., & Burd, J. (2009, August). EMDR and combat trauma. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: This one-day workshop is designed to provide EMDR clinicians essential information for providing psychotherapy to veterans, active military personnel with combat trauma, and military families. The morning session provides essential information for psychotherapists working with military and veteran cultures, including how soldiers transition to combat and later transition from combat to home. Video interviews with key individuals within the military will address issues in working within the DOD/VA. The afternoon part of the session will include a panel of EMDR consultants, representing extensive experience working with combat trauma and military families. The panel will address treatment issues in working with combat trauma, as well as address questions generated by participants. Video presentations will highlight issues in the treatment of life adjustment issues, combat trauma and military families. Keywords: Combat Accuracy Verified: Yes 244. 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: Keywords: Complex Trauma Accuracy Verified: Yes 245. Dodgson, P. (2009, March). EMDR and diversity. Keynote presented at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK. Language: English Format: Conference Abstract: In this keynote address, Philip Dodgson will outline some of the ways in
which EMDR has been developed through the application of the Adaptive Information
Processing model to new areas of clinical practice.
Drawing on clinical material and published research, Philip will include case material from
work in the National Health Service, private practice and the EMDR Humanitarian Assistance
Program. Case material will include work with people in a setting of ongoing conflict, people
involved in gender re-assignment, and people who experience hearing voices.
EMDR and diversity will be explored not only in terms of current clinical work but also as a
challenge for the future, both in clinical practice and in encouraging and training EMDR
practitioners from a wide range of backgrounds. Keywords: Diversity Accuracy Verified: Yes 246. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003. Language: English Format: Journal Abstract: Keywords: Early Psychological Intervention EPI Trauma Accuracy Verified: Yes 247. 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: Keywords: Dissociation Ego State Therapy Trauma Accuracy Verified: Yes 248. 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: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 249. 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: Keywords: Complex Trauma Dissociation Ego State Therapy Accuracy Verified: Yes 250. 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: Keywords: Act-As-If Dissociative Table Technique Ego State Therapy Accuracy Verified: Yes 251. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused
couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples Accuracy Verified: Yes 252. Gilligan, S. (2002). EMDR and hypnosis. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 225-238). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Hypnotherapy Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 253. Sittig, 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]. Preconference presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Hypnotherapy Accuracy Verified: Yes 254. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK. Language: English Format: Conference Abstract: Keywords: Metacognitive Therapy Poster Accuracy Verified: Yes 255. 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: Keywords: Mindfulness Accuracy Verified: Yes 256. Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2007). EMDR and phantom limb pain: Theoretical implications, case study, and treatment guidelines. Journal of EMDR Practice and Research, 1(1), 31-45. doi:10.1891/1933-3196.1.1.31. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing Adults AIP Amputation Case Report Depressive Disorders Males Motor Traffic Accidents Pain Phantom Limb Physical Pain Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Accuracy Verified: Yes 257. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Children Play Therapy Accuracy Verified: Yes 258. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press. Language: English Format: Book Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 259. Solomon, R., Hofman, A., Seidler, G., & Tiedt-Schutte, M. (2005, June). EMDR and recent event trauma: The tsunami disaster. In “EMDR in action,” Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Recent Event Trauma Symposium Tsunami Accuracy Verified: Yes 260. Zangwill, W. M. (1994). EMDR and shame: A brief report. EMDR Network Newsletter, 4(3), 13. Language: English Format: Conference Abstract: Keywords: Shame Accuracy Verified: Yes 261. Miller, P. (2011, August). EMDR and the ICONN protocol for schizophrenia – “Things can only get better”. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: ICONN Protocol Schizophrenia Accuracy Verified: Yes 262. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Gay Clients Homosexuality Accuracy Verified: Yes 263. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy. Language: English Format: Conference Abstract: Keywords: Neuroscience Plenary Research Accuracy Verified: Yes 264. 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: Keywords: Complex Trauma Phobias Structual Dissociation Accuracy Verified: Yes 265. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 266. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Bowen Theory Relationship Issues Accuracy Verified: Yes 267. Korn, D. L. (2009). EMDR and the treatment of complex PTSD:
A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264. Language: English Format: Journal Abstract: Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review Accuracy Verified: Yes 268. 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: Keywords: Rape Accuracy Verified: Yes 269. Blore, D. C. (2002, September). EMDR and the workplace - helpful hints for the practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008. Language: English Format: Other Abstract: Accuracy Verified: Yes 270. Balbo, M. (2003, May). EMDR and treatment of binge eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Binge Eating Eating Disorders Symposium Accuracy Verified: Yes 271. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Stuttering Accuracy Verified: Yes 272. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Anxiety Disorders Accuracy Verified: Yes 273. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: CISM Critical Incidence Stress Management Recent Events Accuracy Verified: Yes 274. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Addiction Memory Substance Abuse Accuracy Verified: Yes 275. Fernandez, I. (2007). EMDR as a treatment of post-traumatic reactions: A field study on child victims of an earthquake. Educational and Child Psychology, 24(1), 65-72. Language: English Format: Journal Abstract: Keywords: Child Victims Elementary Schools Emotional Trauma Field Study Natural Disasters Post-Emergency Context Molise Earthquake Post-Traumatic Reactions PTSD PTSD Symptoms Remission Traumatic Experiences Accuracy Verified: Yes 276. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI. Language: English Format: Conference Abstract: Keywords: Disasters Intervention Mental Health Posttraumatic Stress Disorder Prevention Risk Factors Trauma Treatment Effectiveness Evaluation Accuracy Verified: No 277. Fernandez, I., Baldassarre, G., & Dutton, P. (2003, May). EMDR as an early treatment with survivors of mass catastrophes. In Treatment of survivors of mass disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Keywords: Mass Disasters Recent Events Survivors Symposium Treatment Accuracy Verified: Yes 278. Fernandez, I. (2008, June). EMDR as an elective treatment with children survivors of mass disasters. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Children Elective Treatment Mass Disasters Recent Events Survivors Accuracy Verified: Yes 279. Shapiro, F. (2002). EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism. Washington, DC: American Psychological Association Books. Language: English Format: Book Abstract: Keywords: Adults Psychotherapy Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 280. Farrell, D. (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: Keywords: HAP Project Q-Methodology Pakistan Poster Accuracy Verified: No 281. Stofsel, M. (2005). EMDR behandeling in het Sinaï Centrum – Drie jaar ervaring [EMDR treatment in the Sinai Centre: Three years experience]. Cogiscope, 1(1), 2-9. Language: Dutch Format: Magazine Abstract: Keywords: Dutch Jews Survivors War Accuracy Verified: Yes 282. Eckers, D. (2011, June). EMDR bei kindern [EMDR for children]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 283. Schubbe, O. (2008, September). EMDR bei kindern [EMDR in the work with children]. Pre-Congress 9räsentation auf dem 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich. Language: German Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 284. van Els, H. (2008, Maart). EMDR bij allochtonen en bij ouderen: In proces krijgen én houden met contextuele aanpassingen [EMDR for immigrants and the elderly: In trial and to contextual adaptation]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Anxiety Elderly Immigrants Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 285. Veenstra, A. C. (2006, Oktober). EMDR bij hardnekkige enuresis nocturna in de
adolescentiefase [EMDR with persistent nocturnal enuresis in adolescence]. Tijdschrift voor Kinder- & Jeugdpsychotherapie, 33(3), 39-53. Language: Dutch Format: Journal Abstract: Accuracy Verified: Yes 286. Lievegoed, R., & Giltaij, H. (2005, November). EMDR bij mensen met een verstandelijke en/of meervoudige beperking [EMDR with people with mental and/or multiple restriction]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Mental Disabilities Visual Impairments Accuracy Verified: Yes 287. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands. Language: Dutch Format: Conference Abstract: Keywords: Prevebral Trauma Accuracy Verified: Yes 288. Withers, D. (2000, December). EMDR bilateral movement groups for children with ADHD. EMDRIA Newsletter, 5(Special Edition), 11-13. Language: English Format: Newsletter Abstract: Keywords: ADHD Attention Deficit Hyperactivity Disorder Children Accuracy Verified: Yes 289. Forester, D. (2012, October). EMDR boot camp: An intensive refresher course. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Refresher Course Accuracy Verified: Yes 290. Leeds, A. (2011, August). EMDR Case Conceptualization and Treatment Planning: How AIP leads to divergent strategies in different cases. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Adult Attachment Accuracy Verified: Yes 291. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Case Formulations Accuracy Verified: Yes 292. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5. Language: English Format: Newsletter Abstract: Keywords: Case Study Micronesia Accuracy Verified: Yes 293. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Chronic Pain Protocol Accuracy Verified: Yes 294. Manfield, P. (2010, June). EMDR clinical skills: Dyadic resourcing. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Dyadic Resourcing Keynote Accuracy Verified: Yes 295. Nicolais, G. (2011, Settembre). EMDR e attaccamento [EMDR and attachment]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Attachment Accuracy Verified: Yes 296. Terreri, L. (2005). EMDR e crisi d'astinenza [EMDR and withdrawal symptoms]. Bollettino per le Farmacodipendenze e l'Alcolismo del Ministero della Salute, 28(3/4), 25. Language: Italian Format: Newsletter Abstract: Keywords: Withdrawal Symptoms Accuracy Verified: Yes 297. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Family Therapy Fibromyalgia Accuracy Verified: Yes 298. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Adolescents Complex Trauma Accuracy Verified: Yes 299. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Eating Disorders Accuracy Verified: Yes 300. Garcia, F. (2011, Julio). EMDR en el tratamiento del dolor crónico [EMDR treatment and chronic pain]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España. Language: Spanish Format: Conference Abstract: Keywords: Chronic Pain Symposium Treatment Accuracy Verified: Yes 301. 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: Keywords: Attachment Disruptions Children Accuracy Verified: Yes 302. 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: Keywords: Children Dissociative Disorders Accuracy Verified: Yes 303. Blore, D. (2009). EMDR for mining and related trauma: The underground trauma protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 215-232). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Disasters Mining Trauma Underground Trauma Underground Trauma Protocol Accuracy Verified: Yes 304. Fizel, D., Shapiro, F., Borderson, G., & Frank-NcNeil, J. (1997). EMDR for trauma (eye movement desensitization and reprocessing). Washington, DC: American Psychological Association. Language: English Format: Video Abstract: Keywords: Trauma Accuracy Verified: Yes 305. Shapiro, R. (2010, September/October). EMDR for trauma-based, attachment-based, and endogenous depression. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Attachment Depression Trauma Accuracy Verified: Yes 306. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association. Language: English Format: Video Abstract: Keywords: Client Francine Shapiro Male Accuracy Verified: Yes 307. Hofmann, A. (2010, July). EMDR for treating depression. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Depression Accuracy Verified: Yes 308. Peterson, G. (2002, November). EMDR for women who experience traumatic events. Journal of Clinical Psychiatry, 63(11), 1047-1048. doi:10.4088/JCP.v63n1116e. Language: English Format: Journal Abstract: Keywords: Females Letter Posttraumatic Stress Disorder PTSD Rape Reply Accuracy Verified: Yes 309. Peterson, G. (2002). EMDR for women who experience traumatic events. Journal of Clinical Psychiatry, 63(11), 1047-1048. Author reply 1048. doi:10.4088/JCP.v63n1116e. Language: English Format: Journal Abstract: Keywords: Females Letter Posttraumatic Stress Disorder PTSD Rape Accuracy Verified: Yes 310. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Asia Keynote History Accuracy Verified: Yes 311. 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: Keywords: Developmental Trauma Disorder Accuracy Verified: Yes 312. Kaslow, F. W., Nurse, A. R., & Thompson, P. (2002). EMDR in conjunction with family systems therapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 289-318). Washington: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Family Therapy Life Experiences Marital Problems Psychotherapeutic Processes Survivors Accuracy Verified: Yes 313. Steeghs, M., & Gerrits, G. (2011, December). EMDR in de kindergeneeskunde [EMDR in paediatrics]. Tijdschrift voor Kindergeneeskunde, 79(6), 199-202, doi:10.1007/s12456-011-0039-2. Language: Dutch Format: Journal Abstract: Keywords: Pediatrics Accuracy Verified: Yes 314. Hofmann, A., & Solomon, R. (2009). EMDR in der behandlung akut traumatisierter [EMDR in the treatment of acutely traumatized]. In A. Hofmann, N. Galley, & R. A. Solomon, EMDR – Therapie psychotraumatischer Belastungssyndrome, 2 Tabellen, (4., unveränd. Aufl.) (pp 107-114 ) Stuttgart: Georg Thieme Verlag KG. Language: German Format: Book Section Abstract: Keywords: Trauma Accuracy Verified: Yes 315. 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 316. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439. Language: English Format: Journal Abstract: (The above link is to the English version of the German article.) Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research Accuracy Verified: Yes 317. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen [EMDR in child and adolescent psychotherapy]. Auflage: Seiten, Kartoniert . Language: German Format: Book Abstract: Keywords: Adolescents Children Psychotherapy Accuracy Verified: Yes 318. Klaff, F., & Dutton, P. (2000, September). EMDR in the playroom: Creative processing. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Children Enactment Fantasy Metaphor Play Sensory Experience Storytelling Accuracy Verified: Yes 319. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Grief Mothers Poster Posttraumatic Stress Disorder PTSD Stillbirth Accuracy Verified: Yes 320. Hase, M. (2010, June). EMDR in the treatment of addiction -
Reprocessing of the addiction memory. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Accuracy Verified: Yes 321. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference Accuracy Verified: Yes 322. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Body Dysmorphic Disorder Accuracy Verified: Yes 323. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773. Language: English Format: Journal Abstract: Keywords: Adults Americans Borderline Personality Disorder Case Report Child Abuse Clinical Case Study Empirical Study Females Incest Individual Psychotherapy Interpersonal Difficulties Interpersonal Interaction Psychotherapeutic Processes Qualitative Study Rape Suicide Survivors Treatment Accuracy Verified: Yes 324. Hofmann, A. (2013, June). EMDR in the treatment of Depression. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Depression Research Accuracy Verified: Yes 325. Ilic, Z. (2004). EMDR in the treatment of posttraumatic stress disorder with prisoners of war. In Ž. Špiric, G. Kneževic, V. Jovic, & G. Opacic (Eds.), Torture in war: Consequences and rehabilitation of victims – Yugoslav experience. (pp. 281-289). Belgrade, Serbia: International Aid Network. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Serbs Survivors Torture Yugoslav Wars of Secession Accuracy Verified: Yes 326. Brown, S., & Gilman, S. (2011, July). EMDR in the treatment of trauma and substance abuse. Presentation at CalSouthern’s Master Lecture Series at California Southern University in Irvine, CA. Language: English Format: Other Abstract: Keywords: Substance Abuse Trauma Accuracy Verified: Yes 327. 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 328. Jarero, I., Amaya, C., Givaudan, M., & Miranda, A. (2013). EMDR individual protocol for paraprofessional use: A randomized controlled trial with first responders. Journal of EMDR Practice and Research, 7(2), 55-64. doi:10.1891/1933-3196.7.2.55. Language: English Format: Journal Abstract: Keywords: Acute Trauma Early Psychological Intervention First Responders Peer Support Accuracy Verified: Yes 329. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Emotional Identification Poster Accuracy Verified: Yes 330. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Acute Stress Children Group Therapy Symposium Terrorism Victims Accuracy Verified: Yes 331. Jarero, I., & Artigas, L. (2012). The EMDR integrative group treatment protocol: EMDR group treatment for early intervention following critical incidents. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 219-222. doi:10.1016/j.erap.2012.04.004. Language: English Format: Journal Abstract: Keywords: Critical Incident Group Treatment Integrative Group Treatment Protocol Accuracy Verified: Yes 332. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: EMDR Intensive Therapy EMDRIT Accuracy Verified: Yes 333. Marich, J. (2011). EMDR made simple: 4 approaches to using EMDR with every client. Eau Claire, WI: Premier Publishing & Media . Language: English Format: Book Abstract: Accuracy Verified: Yes 334. Korn, D. (2008, September). EMDR Master Series - I. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 335. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 336. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Early Interventions Military Accuracy Verified: Yes 337. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland
. Language: English Format: Conference Abstract: Keywords: Pain Control Accuracy Verified: Yes 338. Yoeli, F. R. ([2002])). The EMDR Practitioner special reports: Report from the Crete retreat. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008. Language: English Format: Other Abstract: Accuracy Verified: Yes 339. 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 340. Jarero, I., Artigas, L., & Luber, M. (2011). The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context. Journal of EMDR Practice and Research, 5(3), 82-94. doi:10.1891/1933-3196.5.3.82. Language: English Format: Journal Abstract: Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events Accuracy Verified: Yes 341. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50. Language: English Format: Journal Abstract: Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events Accuracy Verified: Yes 342. [Kawamura, W.] (2009, May). EMDR sessions of a woman with obsessive-compulsive disorder. EMDR研究1(1)、四四44-五十二52
[Japanese Journal of EMDR Research and Practice, 1(1), 44-52]. Language: Japanese Format: Journal Abstract: Keywords: Obsessive Compulsive Disorder OCD Protocol Special Situations Target Memory Accuracy Verified: Yes 343. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co. Language: English Format: Book Abstract: Keywords: Depression, Eating Disorders, Performance Accuracy Verified: Yes 344. Morrow, R. D. (2008). EMDR target tracking. Journal of EMDR Practice and Research, 2(1), 69-72. doi:10.1891/1933-3196.2.1.69. Language: English Format: Journal Abstract: Accuracy Verified: Yes 345. Hase, M. (2010, June). EMDR to treat substance abuse and addiction. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Addiction Memory Posttraumatic Stress Disorder PTSD Substance Abuse TAU Treatment As Usual Accuracy Verified: Yes 346. Hase, M. (2006, November). EMDR toegepast op de addicition geheugen in alcohol verslaafde patiënten opnieuw te verwerken in - Resultaten en follow-up gegevens van een klinische studie [EMDR applied to reprocess the addicition memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands. Language: English Format: Conference Abstract: Keywords: Addiction Memory Inpatients Accuracy Verified: Yes 347. 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 348. McGoldrick, T. (2001, May). EMDR treatment of body dysmorphobia". Presentation at the EMDR Europe Association annual meeting, London, UK . Language: English Format: Conference Abstract: Keywords: Body Dysmorphic Disorder Accuracy Verified: Yes 349. Manon, M. (2007). EMDR Treatment of family abuse: Eye movement to "I" movement. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 95-110). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model Child Abuse Cognitive Processes Early Memories Family Abuse Family Systems Perspective Memories Accuracy Verified: Yes 350. Miller, P. (2010, September/October). EMDR treatment of psychotic disorders, including schizophrenia: A case series. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Psychotic Disorders Schizophrenia Accuracy Verified: Yes 351. Miller, P. (2011, August). EMDR treatment of psychotic disorders, including schizophrenia: Using the ICONN protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: ICONN Protocol Psychosis Psychotic Disorders Schizophrenia Accuracy Verified: Yes 352. Shapiro, E. (2009). EMDR treatment of recent trauma. Journal of EMDR Practice and Research, 3(3), 141-151. doi:10.1891/1933-3196.3.3.141. Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD: Early EMDR Intervention Early Psychological Intervention EEI Prevention of Posttraumatic Stress Disorder Prevention of PTSD Recent Trauma Accuracy Verified: Yes 353. Holmshaw, M. (2001, May). EMDR treatment of sexual dysfunction. Presentation at the EMDR Europe Association annual meeting, London, UK . Language: English Format: Conference Abstract: Keywords: Sexual Dysfunction Accuracy Verified: Yes 354. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK. Language: English Format: Conference Abstract: Keywords: Road Traffic Incidents RTI Travel Phobia Accuracy Verified: Yes 355. 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 356. Lipke, H. (2001). EMDR und andere ansätze der psychotherapie - Ein integratives modell: Theoretische und klinische empfehlungen mit schwerpunkt auf traumatischem stress [EMDR and other approaches of the psychotherapy - An inclusive model: Theoretical and clinical recommendations focusing on traumatischem stress]. Paderborn: Junfermann. Language: German Format: Book Abstract: Accuracy Verified: Yes 357. 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 358. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and family systems therapy]. EMDRIA Deutschland e.V. Rundbrief, 2, 14-17. Language: German Format: Newsletter Abstract: Keywords: Family Systems Therapy Accuracy Verified: Yes 359. Rouanzoin, C. (2011, August). EMDR update and refresher course. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Refresher Update Accuracy Verified: Yes 360. 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 361. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques Accuracy Verified: Yes 362. Morris-Smith, J. (2001, May). EMDR with children exposed to chronic abuse and domestic violence. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Children Chronic Abuse, Domestic Violence Accuracy Verified: Yes 363. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 364. Seubert, A. (2005). EMDR with clients with mental disability. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 293-311). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Mentally Retarded Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 365. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol
. Language: English Format: Conference Abstract: Keywords: Children Deafness Hearing Impairment Accuracy Verified: Yes 366. Manfield, P. (2010, September/October). EMDR with difficult clients: Dyadic resourcing. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Difficult Clients Dyadic Resourcing Accuracy Verified: Yes 367. Keenan, L., Keenan, P., & Wright, C. (2007, June). EMDR with perinatal post traumatic stress disorder. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Health Problems Perinatal Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 368. Romain, L. B.-S. (2013). EMDR with recurrent “flash-forwards:“ Reflections on Engelhard et al.'s 2011 study. Journal of EMDR Practice and Research, 7(2), 106-111. doi:10.1891/1933-3196.7.2.106. Language: English Format: Journal Abstract: Keywords: Bridging Research and Practice Eye Movements Flash-Forward Intrusive Images Accuracy Verified: Yes 369. 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 370. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades. Language: Spanish Format: Book Abstract: Keywords: Dissociation Accuracy Verified: Yes 371. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain. Language: Spanish Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 372. Hogberg, U. (2007). EMDR – Mojligt behandling vid PTSD efter forlossning [EMDR - Possible treatment for PTSD after childbirth]. Läkartidningen, 104(17), 1312. Language: Swedish Format: Magazine Abstract: Keywords: Childbirth Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 373. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 374. Hase, M. H. (2005, June). EMDR – Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Addiction Accuracy Verified: Yes 375. Wachter, M. (2002). EMDR — inte bara traumabehandling [EMDR - not just trauma treatment]. Föreningen Psykisk Hälsa, (43)3, 256-266. Language: Swedish Format: Journal Abstract: Accuracy Verified: Yes 376. 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 377. 天野タマキ 市井雅哉 [Amano Tamaki, and Ichii Masaya].
(2009年5月). EMDR痴呆(BPSD)の行動と精神的症状の治療 [Treatment of behavioral and psychological symptoms of dementia (BPSD) with EMDR]. EMDR研究1(1)、24から33 [Japanese Journal of EMDR Research and Practice, 1(1), 24-33]. Language: Japanese Format: Journal Abstract: Keywords: Behavioral and Psychological Symptoms of Dementia BPSD Non-Pharmacological
Therapies Resource Development and Installation RDI Accuracy Verified: Yes 378. 杨善真 [Yang Zhen]. (2006). EMDR(眼动身心重建法)的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan]. Language: Chinese Format: Dissertation/Thesis Abstract: Accuracy Verified: Yes 379. Shapiro, F. (2007). EMDR, adaptive information processing, and case conceptualization. Journal of EMDR Practice and Research, 1(2), 68-87. doi:10.1891/1933-3196.1.2.68. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Family Systems Therapy Integrative Psychotherapy Memories Accuracy Verified: Yes 380. Weston, D. L. (1992, Winter). EMDR, grief and mourning. EMDR Network Newsletter, 2(3), 9. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 381. 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 382. Wesselmann, D., Schweitzer, C., Bruckner, D., & Armstrong, S. (2012, October). EMDR-family therapy integrative team approach for healing attachment trauma in children. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Trauma Children Family Therapy Intergrative Approach Accuracy Verified: Yes 383. Sandstrom, M., Willman, A-C., & Hogberg, U. (2004, June). EMDR-treatment of posttraumatic stress disorder after childbirth. A pilot study of four cases. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Childbirth Posttraumatic Stress Disorder PTSD Symposium Accuracy Verified: Yes 384. Ilic, Z. P, Lecic-Tosevski, D. M., Bokonjic, S., Drakulic, B., & Jovic, V. (1999). EMDR: Kognitivno bihejvioralna metoda u lecenju posttraumatskog stresnog poremecaja kod zrtava torture [EMDR: Cognitive behavioral method for posttraumatic stress disorder in torture victims]. Psihijatrija Danas, 31(2-3), 245-269. Language: English Format: Journal Abstract: Keywords: Clinical Case Study Empirical Study Psychotherapeutic Processes PTSD Serbs Survivors Torture Yugoslav Wars of Secession Accuracy Verified: Yes 385. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference. Language: English Format: Conference Abstract: Keywords: Webcast Accuracy Verified: Yes 386. Morris-Smith, J. (2002). EMDR: A case for pre-verbal memory?. In J. Morris-Smith (Ed.), EMDR : Clinical applications with children, Occasional paper no. 19 (pp. 23-29). London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Keywords: Memory Occasional Paper Pre-verbal Accuracy Verified: Yes 387. Horne, B. (2012, April). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Containment involves a great deal more than pretty little exercises that help the client drive home safely. This workshop will focus on the importance of containment in EMDR and its role in helping clients with the affect regulation that is necessary for trauma reprocessing. Containment work in Phase 2 can help the client develop this necessary dual attention skill (proof of requisite affect regulation). We will also look at containment in EMDR’s Phase 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to both prepare clients for 11-step protocols and properly close incomplete. Experiential exercises will enable participants to practice at least one new method for use with clients. Keywords: Closure Containment Accuracy Verified: Yes 388. Marr, J. (2011, October). EMDR: Developments in the treatment of obsessive compulsive disorder. Presentation at the 3rd annual EMDR Yorkshire Autumn Workshop Conference, Durham, England. Language: English Format: Conference Abstract: Keywords: Obsessive Compulsive Disorder OCD Treatment Accuracy Verified: Yes 389. Burns, M. (2011). EMDR: A documentary film. Author. Language: English Format: Video Abstract: Keywords: Interviews Practice Theory Accuracy Verified: Yes 390. 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 391. Φαίη Γαλάνη [Galani, F.] (2011). EMDR: Eye movement desensitization and reprocessing - Μια νέα ψυχοθεραπευτική μέθοδος [EMDR: Eye movement desensitization and reprocessing - A new psychotherapeutic method]. Womanity, 2, 58-61. Language: Greek Format: Magazine Abstract: Accuracy Verified: Yes 392. Derksen, M. T., & Baeten, B. M.
(2010, April). EMDR: Kijken met een diagnostische 'traumabril' in de ziekenhuispsychiatrie [EMDR: A diagnostic check with trauma glasses' in the psychiatric hospital]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Hospital Accuracy Verified: Yes 393. Bertolotti, G. (2008, June). EMDR: Should be appropriate in a rehabilitation multidisciplinary programme?. Poster session presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Rehabilitation Multidisciplinarian Program Accuracy Verified: Yes 394. Prencipe, M. (2010). EMDR: Stato dell’arte e linee future di ricerca [EMDR: Current status and future lines of research]. Università degli Studi di Torino. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Research Accuracy Verified: No 395. Derksen, M. T. H., & Baeten, B. M. (2011, April). EMDR: theorie en praktijk binnen de ziekenhuispsychiatrie [EMDR: Theory and practice within the psychiatric hospital]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam. Language: Dutch Format: Conference Abstract: Keywords: Practice Psychiatric Hospital Theory Accuracy Verified: Yes 396. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp.. Language: Dutch Format: Book Abstract: Accuracy Verified: Yes 397. Timoshchuk, I. G. (1997, January). EMDR: Functions providing the dynamics of transformation. EMDRIA Newsletter, 2(3), 15-16. Language: English Format: Newsletter Abstract: Keywords: Transformation Accuracy Verified: Yes 398. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11. Language: English Format: Newsletter Abstract: Keywords: Training Accuracy Verified: Yes 399. 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 400. Moskovitz, R. A. (2001, March). EMDR: A paradigm for continuity of experience in the real world. EMDRIA Newsletter, 6(1), 6. Language: English Format: Newsletter Abstract: Keywords: Borderline Personality Disorder Accuracy Verified: Yes 401. Furukawa, D. K. (1999, June). EMDR: The problem of looping in the present. EMDRIA Newsletter, 4(2), 12, 33. Language: English Format: Newsletter Abstract: Keywords: Looping Accuracy Verified: Yes 402. Karpel, M. A. (2006, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Repetition Compulsion Accuracy Verified: Yes 403. Karpel, M. A. (2005, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Repetition Compulsions Accuracy Verified: Yes 404. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period
of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Emergency Response Procedure ERP Accuracy Verified: Yes 405. 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 406. Grand, D. (1998). Emerging from the coffin: Treatment of a masochistic personality disorder. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 65-90). New York: W. W. Norton. Language: English Format: Book Section Abstract: Keywords: Adults
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Besides the correct application of the basic EMDR protocol,
one of the most important factors involving the treatment of
trauma related conditions, is the way the traumatic material is
targeted. For example, if clients have trouble processing, this could
be due to a lack of focus which prevents the client from successfully
tapping into his memory network. It’s our experience that, to
adequately tap into the memory network, it is most useful to use a
somewhat different strategy for ‘going back to target’ than which is
described as part of the standard EMDR procedure. We would
recommend the following procedure (see Box I).
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.
Cet article est le fruit d’une étude personnelle basée sur
une technique psychothérapique nouvelle, l’Eye-
Movement Desensitization and Reprocessing (EMDR),
appliquée à la prise en charge de l’éjaculation précoce.
Le protocole thérapeutique a comporté trois consultations
d’une heure, à trois semaines d’intervalle environ,
précédées d’une première consultation visant à expliquer
la méthode et recevoir l’accord des patients. Parmi
11 cas traités, 8 ont vu s’améliorer leur sexualité (le critère
d’amélioration était le passage à une durée de rapport
intravaginal « acceptable » pour les deux partenaires,
avec disparition de l’anticipation négative).
Deux patients n’ont remarqué aucun changement. Le
dernier a dû interrompre son traitement pour une raison
non liée à celui-ci. Cette expérience pilote est encourageante,
et encourage à poursuivre cette recherche sur un
échantillon plus large de patients.
This is the report of a pilot study of Eye-Movement
Desensitization and Reprocessing (EMDR), a new psychotherapeutic
method initially proposed as treatment
of Post-Traumatic Stress Disorder, in 11 men with
Premature Ejaculation. After an initial visit aiming to
explain the principles and modalities of this therapy,
and to collect the patients’ consent, each man attended
3 therapeutic sessions of one hour duration at 3 weeks
interval. Eight of the 11 patients reported an increase in
the duration of vaginal penetration till a length acceptable
for both partners, and a disappearance of their
negative anticipation. These results are encouraging,
and justify to continue this research on a larger sample
of patients.
Durante y después de un desastre, el trauma psicológico es una consecuencia de las multifacéticas situaciones que viven individuos y comunidades. El modelo que se presenta a continuación, nos da una visión general del amplio espectro de los devastadores efectos psicoemocionales y psicosociales que pueden provocar los desastres a corto, mediano y largo plazo. Es una síntesis elaborada por el autor, misma que se basa en su amplia experiencia de campo, en el modelo de Manejo de Estrés en Incidentes Críticos de la International Critical Incident Stress Foundation (ICISF) y en las guías de la Organización Panamericana de la Salud (OPS) y de la Organización Mundial de la Salud (OMS).
During and after a disaster, psychological trauma is a consequence of living situations multifaceted individuals and communities. The model presented below, gives an overview of the broad spectrum of psycho-emotional and psychosocial devastating effects that can cause disasters in the short, medium and long term. It is a summary prepared by the author, it is based on his extensive field experience in the management model of Critical Incident Stress the International Critical Incident Stress Foundation (ICISF) and the guidelines of the Pan American Health Organization (PAHO) and World Health Organization (WHO).
"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.
Victims
of
immediate
trauma
often
exhibit
“silent
terror”
or
extreme
stress
and
often
are
likely
to
develop
PTSD.
The
Emergency
Response
Procedure
(ERP),
described
in
the
Humanitarian
Assistance
Program’s
(HAP)
Disaster
Manual
and
Marilyn
Luber’s:
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
was
developed
to
deal
with
victims
of
natural
and
manmade
disaster
within
minutes
to
hours
of
exposure
to
trauma.
Learning
objectives:
Participants
in
this
workshop
will
learn
how
to
respond
to
clients
in
the
immediate
aftermath
of
trauma,
utilizing
ERP.
This
will
be
understood
within
the
overall
context
of
the
principles
of
Psychological
First
Aid.
This
same
basic
approach
can
be
applied
in
the
event
of
strong
abreaction
during
the
initial
phase
of
history-‐
taking
and
prior
to
the
Preparation
Phase
of
EMDR
or
at
other
times
of
treatment
when
patients
exhibit
strong
emotional
reactions.
Similarly,
treatment
with
ERP
may
also
be
considered
for
patients
exhibiting
this
“silent
terror”
or
extreme
stress
during
initial
treatment
by
first
responders
at
the
scene
of
an
accident
or
in
ambulances
en
route
to
medical
facilities.
A
pilot
study
(in
press)
will
be
presented
showing
effectiveness
at
possibly
preventing
PTSD
2
years
later
compared
to
“treatment
as
usual”
Las
víctimas
del
trauma
inmediato
frecuentemente
exhiben
“terror
silencioso”
o
estrés
extremo
y
a
menudo
son
susceptibles
de
desarrollar
TEPT.
El
Procedimiento
de
Respuesta
en
Emergencia
(ERP),
descrito
en
el
Manual
de
Catástrofes
de
los
Programas
de
Asistencia
Humanitaria
(HAP)
y
en
el
libro
de
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
ha
sido
desarrollado
para
lidiar
con
víctimas
de
desastres
naturales
y
causados
por
el
hombre
a
los
minutos
u
horas
de
haber
sido
expuesto
al
trauma.
Objetivos
de
aprendizaje:
Los
participantes
de
este
taller
aprenderán
cómo
responder
a
los
clientes
en
los
momentos
siguientes
al
trauma,
utilizando
PRE.
Esto
se
entenderá
en
el
contexto
general
de
los
principios
de
los
Primeros
Auxilios
Psicológicos.
Este
mismo
enfoque
básico
se
puede
utilizar
en
el
caso
de
una
abreacción
fuerte
durante
la
fase
inicial
en
la
que
se
realiza
la
historia
del
paciente
y
antes
de
la
Fase
de
Preparación
de
EMDR
o
en
otras
ocasiones
durante
el
tratamiento
cuando
los
pacientes
muestran
reacciones
emocionales
fuertes.
De
manera
similar,
el
tratamiento
con
PRE
puede
considerarse
también
para
pacientes
que
muestran
este
“terror
silencioso”
o
estrés
extremo
durante
el
tratamiento
inicial
llevado
a
cabo
por
los
servicios
de
asistencia
en
emergencias
en
la
escena
del
accidente
o
en
las
ambulancias
de
camino
a
las
instalaciones
médicas.
Un
estudio
piloto
(en
prensa)
será
presentada
mostrando
la
efectividad
de
la
posibilidad
de
prevenir
el
TEPT
2
años
después
comparándolo
con
“tratamiento
habitual.”
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Psychotic phenomena are one of the most
challenging clinical presentations to treat, the most severe form being schizophrenia and
poor outcome schizoaffective disorder. Schizophrenia is a severe enduring mental illness
(SMI) and is characterised by core disturbances of thinking, perceptions and the emotions.
It is accepted as having a heavy burden, with significant effects on the patient, their
families and carers and it is one of the most costly illnesses worldwide. 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
(Rossler, Salize et al. 2005). Despite more than 100 years of experience of the disease it is
still only a minority of individuals who make a full recovery.
This workshop aims to give further insight into the role of EMDR in the treatment of
schizophrenia - as defined by the genetic epidemiological work by Professor K Kendler
(Kendler, Spitzer et al. 1989; Kendler, McGuire et al. 1993; Kendler, Maguire et al. 1993).
It follows up a series of three patients with psychosis treated with EMDR one of whom met
strict criteria for schizophrenia. All 3 are now over 2 years post-EMDR. Of specific note the
man who presented with schizophrenia remains free of medication and symptoms.
The workshop will discuss the role of EMDR in the treatment of psychosis, including
schizophrenia and discuss case selection and protocol development in this area of practice.
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze.
Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden.
In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.
When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice.
This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed.
The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.
EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Menschen geholfen, die von schrecklichen Mißbrauchserlebnissen oder von Traumata verfolgt wurden. Die neue Methode vermag auch Patienten zu helfen, bei denen andere Therapieformen versagt haben, darunter Menschen, die an chronischen Problemen wie Eßstörungen, Angstzuständen, einem schwachen Selbstwertgefühl, Depressionen und Störungen ihrer Leistungsfähigkeit leiden. EMDR bringt Millionen von Menschen neue Hoffnung, denen gesagt wurde, ihre Genesung werde sich wohl über ihr ganzes weiteres Leben hinziehen.
Die EMDR-Therapie bettet die Technik der Augenbewegung in einen umfassenden Ansatz ein, durch den Informationen verarbeitet werden, die sich in unverarbeiteter Form in Körper und Geist des Patienten verkapselt haben. Dadurch werden die Betroffenen von belastenden Bildern und Körperempfindungen, bedrückenden Emotionen und Einschränkenden Überzeugungen befreit. Bei Anwendung dieser Methode tritt die Heilung nicht nur wesentlich schneller ein als in der traditionellen Therapie, sondern die Klienten erleben auch ein Gefühl der Freude, Offenheit und tiefen Verbundenheit mit anderen. Laurel Parnell veranschaulicht uns auf fesselnde Weise die Wirkung von EMDR. In ihren mutmachenden Heilungsberichten versetzt sie die Leser in die Psyche ihrer Klienten, wo die Traumata, die jene in der Vergangenheit erlebt haben, erstarrt sind. Die Autorin veranschaulicht auf sorgsame, persönliche und verständliche Weise, wie EMDR es Menschen ermöglicht, über das bloße Überleben eines traumatischen Erlebnisse hinaus zu einer Erfahrung des Wohlbefindens und der Ganzheit zu gelangen.
Ein allgemeinverständlich geschriebenes Buch, das allen, die sich erstmals mit dieser neuen revolutionären Therapieform beschäftigen wollen, einen umfassenden Einblick über die Methodik, den Ablauf, die vielfältigen Einsatzmöglichkeiten und die ungezählten erfolgreich durchgeführten Therapien vermittelt: Informativ. Fesselnd geschrieben. Hoffnung auf Heilung vermittelnd. Ein idealer Einstieg in EMDR.
EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of people who were haunted by terrible abuse experiences or trauma. The new method can also help patients who have not responded to other therapies, including people who suffer from chronic problems such as eating disorders, anxiety, a low self-esteem, depression and disturbances of their capabilities. EMDR brings new hope to millions of people who have been told, their recovery will probably drag on through its entire life. The EMDR therapy embeds the technique of eye movement in a comprehensive approach that will be processed by the information, which have encapsulated in the natural state of body and mind of the patient. Thus the person concerned of incriminating images and body sensations, emotions and limiting beliefs are oppressive, free. In applying this method, the healing occurs not only much faster than in a traditional therapy, but the clients also experience a feeling of joy, openness and deep connection with others. Laurel Parnell are illustrated with fascinating way, the effect of EMDR. In its encouragement healing reports, they leave readers into the psyche of their clients, where the traumas, the former have experienced in the past freezes are. The author demonstrates in careful, personal and understandable way, such as EMDR allows people to reach beyond the mere survival of a traumatic experience also an experience of wellness and wholeness. A book, written in generally understandable to all, who would first deal with this revolutionary new form of therapy, provides a comprehensive insight into the methodology, process, the various applications and successfully executed countless therapies: Informative. written captivating. Hope for healing mediator. An ideal introduction to EMDR.
Eye Movement Desensitization
and Reprocessing (EMDR) är en
behandlingsmetod för plågsamma
minnen och dess psykologiska konsekvenser.
Metoden kom till mera
av en slump än utifrån teoretiska överväganden.
Den amerikanska psykologen Francine Shapiro
fann utifrån en personlig erfarenhet att obehagliga
och problematiska tankar tycktes blekna
bort när hon rörde ögonen snabbt från sida till
sida. Hon utvecklade dessa iakttagelser till en ny
behandling för posttraumatisk stress, i dag känd
som Eye Movement Desensitization and Reprocessing,
EMDR (1).
Eye Movement Desensitization
and Reprocessing (EMDR) is a
treatment for painful
memories and its psychological consequences.
The method came to more
by accident than from theoretical considerations.
The American psychologist Francine Shapiro
found from personal experience that unpleasant
and problematic thoughts seemed to fade
away when she moved her eyes rapidly from side to
side. She developed these observations into a new
treatment of post traumatic stress disorder, today known
as Eye Movement Desensitization and Reprocessing,
EMDR (1). [Excerpt]
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
L’amélioration continue de nos expertises pose un défi immense en
sciences cliniques. Si l’Art clinique s’affine avec l’expérience, la
Science avance aussi de son côté. À titre d’éducateur et de concepteur
de projets éducatifs, on demeure perplexe devant l’écart entre les intérêts
et les besoins réels de formation. Sans parler de la difficulté d’introduire
de nouvelles connaissances, face aux chapelles de gens « qui savent
mieux » ; ni, ce qui compte le plus, du défi de modifier les pratiques au
bénéfice des patients, enjeu éthique immense et souvent mal perçu.
Continuous improvement of our expertise poses a huge challenge in
Clinical Sciences. If Art is refined with clinical experience,
Scientific progress is also on his side. As an educator and designer
educational projects, we remain puzzled by the discrepancy between the interests
and the actual training needs. Not to mention the difficulty of introducing
new knowledge, meet the chapels of people "who know
better "or, what matters most, the challenge of changing practices in
benefit of patients, ethical issue, and largely unwelcome.
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]
This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]
Posttraumatiskt stressyndrom (PTSD)
inträffar efter förlossning hos 1–3 procent.
Hos omföderskor med förlossningsrädsla
förekommer i stor utsträckning
en tidigare traumatisk förlossningsupplevelse.
Ögonrörelsebehandling,
eye movement desensitization and
reprocessing (EMDR), är en evidensbaserad
behandlingsmetod för PTSD [Läkartidningen.
2007;104:782-3; Nord J
Psychiatry. 2007;61:54-61].
Post-traumatic stress disorder (PTSD)
occurs after birth in 1-3 per cent.
In multipara with fear of childbirth
occurs to a large extent
a previous traumatic birth experience.
Eye movement therapy,
eye movement desensitization and
Reprocessing (EMDR), is an evidence-based
treatment for PTSD [Lakartidningen.
2007, 104:782-3; North J
Psychiatry. 2007; 61:54-61]
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.
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag.
In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn.
Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt.
Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen.
Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.
On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior.
In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance.
When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration.
Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease.
Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
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.
In its 20-year history, Eye Movement Desensitization and Reprocessing (EMDR) has evolved from a simple technique into an integrative psychotherapy approach with a theoretical model that emphasizes the brain's information processing system and memories of disturbing experiences as the basis of pathology. The eight-phase treatment comprehensively addresses the experiences that contribute to clinical conditions and those that are needed to bring the client to a robust state of psychological health. The concept of the transformation of the stored experience through a rapid learning process is the key to understanding the basis and application of EMDR and its guiding Adaptive Information Processing model (Shapiro, 1995, 2001, 2002). The purpose of this chapter is to provide an overview of both theory and practice. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
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.
Introduction:
This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated.
Literature and clinical findings:
Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated.
Discussion and conclusion:
It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.
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.
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.
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.
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.
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
During the past decade, EMDR has emerged as a very promising therapeutic approach for treating trauma-related problems. It seems to allow for the integrated processing of experiential learning that has been "stuck" or "frozen" in the course of a person's experience. Although its effectiveness seems clear, many questions still remain regarding the way it works and its relationship to other therapeutic modalities. This chapter examines whether EMDR is related to a hypnotic trance and whether hypnotic forms of treatment can be used in conjunction with EMDR. [Text, p. 225]
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.
The information processing model has been described in many different ways and is potentially the underlying
process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly
compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information
processing model and conclude that although they may use different language to describe their theories, a
unifying information processing model describes both paradigms. Human beings are meaning making machines
(Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the
more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or
internal process’s and this information goes through our filters where we delete, distort and generalise this
information based on the rules created in our information processing unit (Fig 1). This information processing
mechanism gives meaning to this filtered information and generates a response, this response interacts with this
information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do;
we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a
useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was
developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing
the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and
Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders.
One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to
control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many
clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important
feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self
and threatening information. Both EMDR and MCT describe an information management/processing system that
organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to
respond to a trauma memory Both therapies appear to change this system / process to something that is much
more adaptive for the client, as if they change the master information management control programme that runs
this system, in the same way a conductor influences the orchestra and the music they produce. Both models
describe the same process, although they utilise different language to describe this change process.
Perhaps a change of focus for the development of pychotherapy towards more process change models rather than
content change interventions.
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)
This article reviews the literature on EMDR treatment of somatic complaints and describes the application of Shapiro's Adaptive Information Processing (AIP) model in the treatment of phantom limb pain. The case study explores the use of EMDR with a 38-year-old man experiencing severe phantom limb pain 3 years after the loss of his leg and part of his pelvis in an accident. Despite treatment at several rehabilitation and pain centers during the 3 years, and the use of opiate medication, he continued to experience persistent pain. After 9 EMDR treatment sessions, the patient's phantom limb pain was completely ablated, and he was taken off medication. Effects were maintained at 18-month follow-up. The clinical implications of this application of EMDR are explored. [Author Abstract]
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from
the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience
and the present through play to help them connect the pieces of experience into a narrative that is
understandable for them. Every piece of trauma in the past is integrated into their life and may adversely
influence their personality formation. Trauma work with children through play and EMDR techniques can be
helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years
old boy with learning disability. He was separated from his family and stayed at the residential home. He had his
past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had
caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play
with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods.
Because of his limitation, he preferred to communicate his emotions through action and play rather than
verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the
play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied
corresponding with the event in play, for example checking through the worst event, the negative event, the
positive event, the strength, the changes taking place in their mind and the play. Most of his play started with
the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were
monitored at the residential home and at the school. It was found later that he could control his anger better and
he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion
can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours,
affects, and communication.
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
EMDR can be utilized shortly after a traumatic event as described by the
protocol from Shapiro and Solomon (1992 and 1995). Even if there is no
controlled study finalized, there is sufficient experience with the protocol to
guide further research. Experiences from research studies and clinical
experiences on EMDR and acute trauma will be presented. Discussion will
focus on issues of client selection, client readiness for EMDR. and timing of
EMDR. The EMDR recent event protocol and experimental protocols for
extreme dissociation following a traumatic event will be presented. A
European network for developing more research regarding the diversity of
acute trauma reactions are proposed.
One of the most difficult issues in
an EMDR session is when a patient is
not able to "let go" and experience the
process. There are a variety of reasons
for this happening, one of which
involves the shame patients sometimes
feel in both reexperiencing the
memories and of sharing them with
us. Despite assurances that they do
not have to share content, some patients
have still reported difficulty in
letting past material arise to be reprocessed
because of fear of embarrassment
and humiliation.
Schizophrenia is challenging to treat and has a heavy burden with life expectancy being reduced by 10 years, mostly through suicide. The genetic epidemiological work of Professor K Kendler has informed a rigorous phenotype for schizophrenia. However, after over 100 years of experience only a minority make a full recovery. The ICONN protocol for EMDR has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.
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.
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include
an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent
acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including
perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic
violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations
in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent
behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and
manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case
formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case
formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning
including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the
trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of
targets for processing will be outlined. This will include use of the cycle of violence model for target
identification. Multiple clinical examples will be offered to illuminate points including video taped case material.
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients
suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization
and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been
proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more
complex cases has been less widely studied. This article examines the body of literature on the treatment
of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research.
Despite a still limited number of randomized controlled studies of any treatment for complex PTSD,
trauma treatment experts have come to a general consensus that work with survivors of childhood abuse
and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented
EMDR model for working with these patients is presented, highlighting the role of resource development
and installation (RDI) and other strategies that address the needs of patients with compromised
affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the
various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are
reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD
are offered along with suggestions for future investigations.
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.
Here we are in 2002, no less than 13 years on from Francine Shapiro's first publishetl
article on Eye Movement Desensitisation. Now called EMDR, the intervention came:son
despite those with agendas to the contrary. The author nears 10 years use of EMDR
himself and reflecting upon the cases seen, finds that over half of the 500+ EMDR cases
during that time have had significant connectionswith the workplace. It is the benefit of
experience that I wish to pass on here. Please forgive me for starting with some basic:
issues which are likely to be obvious to many and could be described as 'common sense'.
The problem is that 'common sense' could be described as 'not common enough' and in
any case, preparation - like preparation in EMDR - can and does play a major role in the
success or otherwise of any enterprise.
The study shows use of EMDR therapeutic method in treatment of eating disorders with binge eating episodes with and without purging with clients treated with cognitive-behavioral psychotherapy.
Dissatisfaction with the client’s own body and inadequacy stemming from the influence of cultural elements seem to be the highest maintenance factors of eating disorders associated with binge eating episodes.
The study analyzes n.10 cases of clients with various dysfunctional ideas caused by distorted constructions with respect to their self-esteem, self-acceptance and personal value, as shown both in their EDI 2 (Eating Disorder Inventory – 2 by David M. Garner) scores and the analysis of their life histories.
The SQ (Symptom Questionnaire by R. Keller) was also administered since it is particularly indicated for administration at short intervals.
The EDI 2 and SQ tests have been administered after n.6 EMDR sessions.
Results: Use of EMDR on the negative cognitions formulated, learnt and maintained by clients in their experience, as well as on alternatives to binge eating, has produced a considerable reduction of their dysfunctional ideas, and binge eating behaviors showing additionally an increase of the drive to change, leading to an increased compliance and autonomy in therapy progress.
The results obtained shall be presented and discussed.
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
This field study explores the effectiveness of EMDR (eye movement desensitisation and reprocessing) for the post-traumatic reactions of child victims in the post-emergency context of an earthquake that occurred in 2002 in Molise, a region of Central Italy. EMDR was chosen as the treatment for the children of the San Giuliano Primary School in Molise. Twenty-two of the children who experienced the traumatic event, being suddenly buried under the debris of their collapsed school and in contact with the bodies of their dead classmates for hours, received three cycles of EMDR treatment over one year, with a total average of 6.5 sessions of EMDR each. The results show that EMDR contributed to the reduction or remission of PTSD symptoms and facilitated the processing of the traumatic experience. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in
mass disasters (natural disasters, accidents and intentionally provoked). EMDR treatment was part of a
comprehensive treatment with the population and was the elective treatment for the children of elementary
schools which were the most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were
organized at one month, three months and a year from the critical event. Individual sessions were used for the
school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and
sibling. Psychological support and EMDR treatment were provided to parents and school personnel and this
aspect has been considered in the last interventions fundamental to enhance treatment results in children.
Results of questionnaires and clinical interviews to assess post-traumatic symptomatology before and after
treatment will be shown, along with follow up data. Treatment group show a significant improvement after
EMDR treatment. Statistical analysis of results will be discussed. The author will highlight clinical aspects of using
EMDR with children following recent trauma of great magnitude. The post-traumatic stress reactions of this
group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the
disaster has proved to be critical when dealing with children’s symptomatology. Guidelines and indications for
structured interventions coming from our field studies will be presented.
Beyond the talking cure: somatic experience and subcortical imprints in the treatment of trauma; The developing mind and the resolution of trauma: some ideas about information processing and an interpersonal neurobiology of psychotherapy; EMDR and psychoanalysis; EMDR and cognitive-behavior therapy: exploring convergence and divergence; Combining EMDR and schema-focused therapy: the whole may be greater than the sum of the parts; EMDR: an elegantly concentrated multimodal procedure?; EMDR and hypnosis; EMDR and experiential psychotherapy; Feminist therapy and EMDR: theory meets practice; EMDR in conjunction with family systems therapy; Transpersonal psychology, eastern nondual philosophy, and EMDR; Integration and EMDR.
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Psychotherapeut Stöfsel beschrijft de bevindingen van het Sinai Centrum met de toepassing van EMDR bij cliënten die hebben ervaren traumatische ervaringen die zich herhaaldelijk voorgedaan of gedurende een langere periode. De verschillende traumatische ervaringen worden afzonderlijk behandeld. Voorwaarde is wel dat er moet een traumatische beeld. [Cogis]
Psychotherapist Stöfsel describes the findings of the Sinai Centre with the application of EMDR at clients who have experienced traumatic experiences which occurred repeatedly or during a longer period. The different traumatic experiences are treated separately. Condition is that there must be a traumatic picture. [Cogis]
In der Arbeit mit kleinen Kindern ist bei EMDR der Einsatz von therapeutischen Erzählgeschichten hilfreich um eine Traumabearbeitung zu ermöglichen, auch wenn die Kinder nur wenig sprechen können. Aber auch bei größeren Kindern und Erwachsenen bieten sich durch das Narrativ Möglichkeiten, die eigene Geschichte traumatherapeutisch zu bearbeiten, selbst wenn die frühe Entwicklungsgeschichte (wie bei Adoptiv- und Pflegefamilien) regulär wenig zugänglich ist oder die Kinder eine Bearbeitung mit dem Standardprotokoll phobisch vermeiden. Durch hypnotherapeutische Einbettung kann das Traumanarrativ dem Kind auch schonend vermittelt werden.
Learning objectives:
Im Workshop sollen anhand von vielen Fallbeispielen und Videoausschnitten die verschiedenen Einsatzmöglichkeiten von Traumanarrativen und EMDR illustriert werden.
In working with young children is on EMDR allows the use of therapeutic Tell stories to help a trauma, even if the children can speak only a little. But even in older children and adults are offered by the narrative possibilities to deal with their own history trauma therapy, even if the early developmental history (as with adoptive and foster families) are regular little accessible or prevent the children worked on with the standard protocol phobic. By embedding hypnotherapy can also be conveyed to the child Traumanarrativ gently.
Learning objectives:
The workshop will be the basis of many case examples and video clips of the various uses of EMDR Traumanarrativen and illustrated.
Der Workshop gibt einen kurzen systematischen Überblick über die Techniken, die speziell EMDR in der Psychotherapie mit Kindern und Jugendlichen eingesetzt. Alter angemessenen Formen der bilateralen Stimulation und der Aktualisierung der Ressourcen und ungelösten Erinnerungen werden erläutert. Kleine Gruppe Übungen sollen den Teilnehmern eine praktische Lernerfahrung. Bewerber für die EMDR-Seminare mit Oliver Schubbe in Linz oder Graz kann dieser Workshop als Schnupperkurs nutzen. Die Teilnehmer sollten bereit sein, die Rolle der ein Kind oder Jugendlicher Client innerhalb einer kleinen Gruppe zu spielen.
The workshop will give a brief systematic overview over the EMDR techniques specifically used in psychotherapy with children and adolescents. Age appropriate forms of bilateral stimulation and of the actualization of ressources and unresolved memories will be explained. Small group exercises are intended to give participants a practical learning experience. Applicants for the EMDR seminars with Oliver Schubbe at Linz or Graz can use this workshop as a taster course. Participants should be willing to play the role of a child or adolescent client within a small group.
Ouderen en allochtonen met PTSS zijn groepen patiënten die kunnen profiteren van behandeling met EMDR. Bied je echter, conform de multidisciplinaire richtlijn angststoornissen EMDR aan, dan stuit je op een aantal problemen. Voorbeelden daarvan zijn: geen eigen wens voor deze behandeling, sterke vermijding van het oprakelen van traumatische ervaringen, afzeggen en wegblijven, heftige lichamelijke ervaringen en afbreken van de sessie én taal als hindernis.
In deze workshop worden ervaring besproken met ouderen (N=10; 62-82 jaar) en met een gevarieerde groep allochtonen (N=10) binnen een reguliere 2e lijns GGZ instelling.
Allereerst worden enkele mislukkingen geanalyseerd. Het blijkt lastig te zijn om patiënt in de EMDR-procedure te krijgen en te houden. De rol van cultuur, van motivatie en committent en van taal wordt bekeken.
Vervolgens worden aanpassingen getoond in: de voorbereiding, de uitleg en het te bereiken resultaat. Tevens wordt het belang aangegeven van het werken ‘als team’ met een vaste tolk. Alle inspanningen zijn gericht op het ‘gewoon’ uit kunnen voeren van EMDR.
Elderly and immigrants with PTSD groups of patients who may benefit from treatment with EMDR. However, your bid, according to the multidisciplinary guidelines for anxiety disorders EMDR, then you hit a number of problems. Examples include: no own desire for this treatment, avoiding the sharp rake of traumatic experiences, cancel and stay away, intense physical experiences and abort the session and language barrier.
This workshop experience will be discussed with older people (N = 10, 62-82 years) and with a diverse group of immigrants (N = 10) in a regular second-line mental health institution.
First, some failures analyzed. It seems difficult to be patient in the EMDR procedure to get and keep. The role of culture, motivation and Principals and language is viewed.
Then adjustments shown in: the preparation, interpretation and results to be achieved. It also indicated the importance of working 'as a team "with a fixed interpretation. All efforts are aimed at 'ordinary' can perform EMDR.
Er zijn diverse behandelmogelijkheden beschreven voor kinderen met enuresis
nocturna (Azrin, 1974; van Londen, 1984; Hira Sing, 2004; Richtlijn Enuresis
van de PAZ; NHG standaard Enuresis Nocturna). Ondanks deze
behandelmogelijkheden is er een groep kinderen die tot in de adolescentiefase
kampt met een zeer hardnekkige vorm van primaire enuresis nocturna.
Epidemiologisch onderzoek wijst op een prevalentie van enuresis nocturna bij
adolescenten van 1.2% (Nappo, 2002; Chiozza, 1998). De behandeling van
deze groep wordt belemmerd door een fors gedaalde motivatie voor
behandeling zowel als gevolg van de vele faalervaringen met eerdere
behandelpogingen, als door een toegenomen negatief zelfbeeld en gebrek aan
zelfvertrouwen.
Dit artikel laat zien hoe EMDR (Eye Movement Desensitization and
Reprocessing) op experimentele basis werd gebruikt bij enkele adolescenten
met zeer hardnekkige enuresis nocturna. Het traumatiserende effect van
langdurende enuresis nocturna wordt omschreven. Met een casus wordt
geïllustreerd hoe EMDR wordt ingevlochten in de gedragstherapeutische
behandeling. Ten slotte worden de bevindingen beschreven bij de adolescenten
waar inmiddels ervaring mee is opgedaan.
There are several treatment choices for children with enuresis
nocturnal (Azrin, 1974, London, 1984, Hira Sing, 2004, Directive Enuresis
the PAZ, NHG standard nocturnal enuresis). Despite these
treatment options, there is a group of children into adolescence
faced with a very stubborn form of primary nocturnal enuresis.
Epidemiological research indicates a prevalence of nocturnal enuresis in
1.2% of adolescents (Nappo, 2002; Chiozza, 1998). The treatment of
This group is hindered by a sharp fall in motivation
treatment both because of the many failures of previous experiences
treatment attempts, and by an increased self-esteem and lack of
confidence.
This article shows how EMDR (Eye Movement Desensitization and
Reprocessing) was used on an experimental basis in some adolescents
very persistent nocturnal enuresis. The traumatic effects of
long-term nocturnal enuresis is defined. With a case is
illustrate how EMDR is interwoven in the behavioral
treatment. Finally, the findings described in adolescents
now that experience has been acquired.
Na een korte inleiding over de speciale problemen die mensen met een Verstandelijke en/of Meervoudige (visueel-en-verstandelijke) Beperking in hun leven ontmoeten en de vele vormen van psychotrauma, die voor hen ontstaan door situaties die door anderen vaak niet als traumatisch worden ervaren (door het vermogen ervaringen zin en plaats te geven), zal vooral aan de hand van casuïstiek worden toegelicht hoe het EMDR standaardprotocol en de werkwijze aangepast kunnen worden aan de meer beperkte vaardigheden van de mensen in deze doelgroep. Hierbij zal ook gerefereerd worden aan de aanpassingen van het protocol zoals die voor jonge kinderen door diverse therapeuten is ontwikkeld, en die voor de onderhavige doelgroep vaak ook zeer relevant zijn.
De behandeling van een vrouw met een sterke visuele beperking plus een verstandelijke handicap zal d.m.v. een video gedemonstreerd worden, nadat kort gewezen is op de problemen die iemand heeft met een dubbele
handicap: er staan dan immers minder compensatiemogelijkheden voor de
handicap(s) ter beschikking.
Doelstelling:
Deelnemers leren zien dat EMDR ook bij de genoemde doelgroep(en) toegepast kan worden en maken kennis met enkele voorbeelden van hoe de behandeling specifiek vorm gegeven kan worden.
Maar belangrijkste doelstelling van deze workshop is dat behandelaars enthousiast kunnen worden voor de toepassing van EMDR juist ook voor deze kwetsbare mensen!
After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant.
Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a double
Disabled: There are after all less than redress for disability (s) available.
Objective:
Participants learn that EMDR also said the target group (s) can be applied and become familiar with some examples of how the specific form of treatment can be given.
But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!
After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a doubleDisabled: There are after all less than redress fordisability (s) available.
Objective:Participants learn that EMDR also said the target group(s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand.
De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS...
Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken.
Vorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development?
Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious.
The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ...
Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment.
Form
In the presentation combining theory and practice. Video images support the story.
Using EMDR to treat children diagnosed with ADHD is challenging on many levels. Differentiating the effects of trauma versus pure ADHD or other diagnoses such as OCD, learning disabilities, and even autism is difficult at best because these symptoms could be present as the result of early trauma (Tinker, 1999). These experiences include birth trauma, illness, medical procedures and surgery as well as abuse or neglect (Becker, 2000). These children may be unintentionally further traumatized on a daily basis by parents, teachers, coaches and peers for missing social cues, being impulsive and disruptive and no paying attention or cooperating. They may not easily engage in therapy and tend to avoid new situations due to past failures and harbor negative views of themselves because of their belief that they somehow need to be “fixed.” These response could also be due to attachment disorders or to a “poor match” between temperament of parent and child (Bowlby, 1973).
This is an EMDR skills refresher course designed for clinicians who have not had the ability to practice EMDR. This course is perfect for the clinician who took some time off following EMDR Basic Training or would like some hands on practice to build technical competence. Build confidence through a review of the AIP model, the 8 phases and 3 prong approach followed by a guided practicum experience to build your proficiency. With EMDR Boot Camp you will get a personal, hands on experience that will activate your Adaptive Information Processing and allow you to practice EMDR with confidence.
Many clinicians seek guidance with case formulation and predicting responses to EMDR reprocessing. This presentation integrates the AIP Model with adult attachment classification. Case examples illustrate clinical strategies for assessing attachment classification as a foundation for case formulation. This presentation proposes a symptom informed approach for cases with an Axis I focus – PTSD, depression, specific phobias and panic – from parallel models of de Jongh (2010), Korn (2004) and Leeds (2004, 2009). Criteria from Korn (2004, 2009), Leeds (2009) and Hofmann (2004, 2005) indicate when to consider containing and deferring reprocessing early life experiences in complex cases – personality disorders and complex PTSD.
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases.
The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of
protocols, targets and cognitions. Time will be allowed to discuss problem cases.
The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated
information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning
indicators fiom cognitions and the history taking of potential blocked responses.
A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and
cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma
with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of
the early environment to provide healthy models of self-other interaction.
Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources
present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies.
Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting
disturbing memories.
Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the
Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the
biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect
theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and
emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization
and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts
is a central problem in PTSD and other pervasive traumageric disorders.
Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry
Wildwind's speciality and conference presentations on working with chronic depression and personal communications with
Marguerite McCorkle.
Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental
issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to
a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.
As a physician board-certified in Psychiatry,
Addiction Medicine, Addiction
Psychiatry, Sexology, Traumatology, and with
credentials in Massage Therapy, EMDR, and
as a Forensic Examiner, I have worked in
almost every practice setting imaginable and
with a broad variety of patients. Having been
based from a hospital, community clinic,
halfway-house residence, private office,
Veterans Administration Medical Center,
training institution, and doing outreach on the
streets, I am clinically familiar with the
behavioral challenges of children, adolescents,
young adults, old adults, couples, families, and
groups manifesting acute symptoms and
exacerbations of chronic disorders, with and
without chemical dependency, physical
problems, and sociological impairments. I like
to teach trainees, do interactive lectures, travel
and experience ‘difference.’ It is thus that I
have found myself a settled homeowner on
Saipan, a Manhattan-sized island that, as part
of the Commonwealth of the Northern Mariana
Islands (U.S.), is the farthest-flung American
overseas possession. Always the outsider; here
among the various tan tones of complexion
found among the indigenous of the western
Pacific, I have experimented with several
interventional strategies, both to establish
rapport and some trust and also to start creating
that unique and culturally competent treatment
modality that will foster growth among my
patients. Cognitive-behavioral approaches
generally work better than insight-oriented
ones because of the ‘here-and-now’ mindset
of Chamorros, Carolinians, Yapese, Chukese,
Pohnpeians, Kosraeans, and Filipinos who
comprise the population base here. Let me
briefly discuss one fascinating case. Twenty two
year old Chamolinian woman, married and
with three young children was involved in a
minor motor vehicle accident. This accident was
a spinoff of a more serious one primarily
involving two other vehicles. In a large truck
(Toyota T100), she was not hurt, and the two
children riding with her were also unharmed.
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
This workshop introduces 'dyadic resourcing,' a form of
resourcing designed to facilitate the processing of very early trauma
with severely deprived clients, including those with attachment
disorders. The goal of this process is to help a client connect
affectively to the experience of being in a nurturing relationship
Through this process clients experience both roles, the role of the
adult who loves them and the role of the child who is lovable
and loved. These roles become increasingly real to them and clients
come away with access to a loving non-judgmental view of
themselves as a child. Clients whose original trauma was a result
of or exacerbated by a lack of a strong connection to a nurturing
caregiver will benefit from a variety of resources, but the resource
that is essential is access to a secure internal nurturing relationship,
which this process provides. This procedure is particularly
useful for clients who think they were bad or worthless as children,
who think the abuse or neglect they suffered chronically
was deserved, who are overwhelmed by the intensity of their
pain from early childhood experiences, or who cannot view their
child selves in an accepting nurturing way. In other words, this
type of resourcing is ideal for some of the most difficult EMDR
clients, and helps to prepare them for trauma processing.
Once developed, these resources allow the EMDR clinician to
utilize cognitive interweaves in which the adult client is able
to support the child self. Dyadic resourcing is typically a five step process: identifying a nurturing adult resource, make the
resource real for the client, formulating a parent-child relationship involving the resource, intensify the client's experience of
that relationship, and helping the client to have the experience
of both the child and adult in the resource dyad. This workshop
will address each of these steps, covering the basic principles
and processes central to this form of resourcing. The process
will be illustrated using clinical videos, transcripts, and a live
demonstration. Techniques borrowed from Eidetic Psychotherapy,
Neuro-Linguistic Programming, Gestalt Therapy, hypnotic
phrasing and other disciplines will be addressed Links to free
downloadable explanatory material from the presenter's book.
EMDR Clinical Skills: Case Conceptualization and Dyadic re^
sourcing will be offered for those interested in sharpening their
skills in this useful resourcing approach.
Learning objectives: Participants will be able to
- Explain why cognitive Interweaves are often not helpful to
clients with attachment disorders
-List 15 possible sources of resource figures
- List 8 techniques that can be used to help a client feel more
intensely connected to a resource.
- Describe 4 indications that clients are NOT assuming an outside
observer role and are instead overly identifying with their
child selves.
Secondo Bowlby, le esperienze precoci del bambino con le proprie figure di attaccamento determinano rappresentazioni mentali - denominate Modelli Operativi Interni della relazione - che regolano aspetti centrali dello sviluppo come la regolazione degli affetti e la fiducia interpersonale. Analogamente, il modello AIP di Shapiro ipotizza l’effetto di esperienze precoci sullo sviluppo futuro del bambino. Ricordi di eventi particolarmente stressanti o traumatici tendono ad essere immagazzinati in modo disfunzionale nel cervello in uno stato non metabolizzato, sotto forma di “network mnestici” contenenti costellazioni di percezioni, aspettative negative, affetti e sensazioni corporee che possono essere riferite all’esperienza di caregiving. In situazioni infantili all’interno di accudimento particolarmente disfunzionali, il modello di attaccamento sviluppato dal bambino conterrà quindi network mnestici caratterizzati dall’esperienza del rifiuto e/o del maltrattamento. Il modello AIP prefigura perciò interventi, realizzati attraverso l’approccio dell’EMDR, che agiscono in senso trasformativo sulle peculiarità dei Modelli Operativi Interni della relazione. Le implicazioni di tale premessa sono l’oggetto della relazione presentata.
According to Bowlby, the child's early experiences with attachment figures determine their mental representations - called internal working models of the report - that regulate key aspects of development such as affect regulation and interpersonal trust. Similarly, the model AIP Shapiro assumed the effect of early experience on the future development of the child. Memories of traumatic or stressful events tend to be stored in a dysfunctional brain in a non-metabolized form of "network mnemonic" containing clusters of perceptions, expectations, negative emotions and bodily sensations that may be related to the experience of caregiving . In situations in caregiving particularly dysfunctional childhood, the attachment model developed by the child will then contain mnemonic networks characterized by the experience of rejection and / or mistreatment. The model therefore anticipates AIP intervention, achieved through the approach of EMDR, which act in the sense of transformation on the peculiarities of the internal working models of the relationship. The implications of this premise are the subject of the report.
L’EMDR (acronimo di Eye Movement Desensitization
and Reprocessing) è un metodo clinico ben strutturato
che può integrare i programmi terapeutici aumentandone
l’efficacia. Francine Shapiro ha scoperto che alcuni tipi
di stimolazione esterna possono aiutare molto efficacemente
una persona a superare un evento traumatico o
emotivamente disturbante. Il metodo utilizza principalmente
i movimenti oculari prodotti in un paziente invitandolo
a seguire il movimento della mano del terapeuta
(ma anche altre forme di stimolazione destro/sinistra come,
ad esempio, il tapping sulle mani). L’EMDR si basa
sull’ipotesi che l’evento traumatico “congeli” l’informazione
nella sua forma ansiogena originale, nello stesso
modo in cui è stato vissuto. L’informazione bloccata,
“congelata” nelle reti neurali, continua a provocare vari
disturbi psicologici. Pensare ad un evento traumatico
mentre contemporaneamente il paziente esegue determinati
movimenti oculari, invece, genera l’effetto di riprendere
o accelerare l’elaborazione dell’informazione. L’EMDR
provoca una migliore comunicazione tra gli emisferi
cerebrali ristabilendo l’equilibrio eccitatorio/inibitorio e
permette il raggiungimento di una risoluzione adattiva,
integrata in uno schema cognitivo ed emotivo positivo,
dell’esperienza del paziente. Il metodo, quindi, permette
una desensibilizzazione rapida dei ricordi traumatici e
una ristrutturazione cognitiva che porta a una riduzione
significativa dei sintomi del paziente.
EMDR (which stands for Eye Movement desensitization
and Reprocessing) is a well-structured clinical method
that can integrate treatment programs increasing
effectiveness. Francine Shapiro discovered that certain
of external stimulation can help most effectively
a person to overcome a traumatic event or
emotionally disturbing. The method mainly uses
eye movements produced in a patient requesting
to follow the movement of the hand therapist
(But also other forms of stimulation right / left as,
For example, tapping on your hands). EMDR is based
on the assumption that the traumatic event "freeze" information
anxiety in its original form, the same
way it was lived. Information blocked
"Frozen" in neural networks, continues to cause various
psychological disorders. Think of a traumatic event
simultaneously while the patient performs certain
eye movements, however, creates the effect of return
or accelerate the processing. EMDR
leads to better communication between the hemispheres
restoring brain balance excitatory / inhibitory and
allows the achievement of adaptive resolution,
embedded in a positive emotional and cognitive schema,
experience of the patient. The method, therefore, allows
a rapid desensitization of traumatic memories and
a cognitive restructuring that leads to a reduction
significant symptoms of the patient.
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi
utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.
Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was
used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen.
Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting
Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren
-hoe EMDR geplaatst kan worden in de context van C.G.T.,
-waarom het aantrekkelijk is voor adolescenten (“een coole combi”),
-welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld),
-hoe deze targets bewerkt kunnen worden,
-en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.
Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders.
This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary
Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain
-How EMDR Can Be Placed in the context of CBT,
-Why is it Attractive for adolescents ("a cool combination)
Targets, Which Are Eligible (e.g. trauma, body image and self-image)
How-thesis targets Can be edited
And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.
El modelo de intervención psicoterapéutica EMDR integra elementos de distintas
escuelas de psicoterapia, haciendo de este acercamiento una herramienta eficaz aplicable a
una enorme variedad de patologías y accesible a terapeutas de distintas orientaciones
dentro de una serie de protocolos estandarizados (Van der Kolk, B., 1997). Es el caso del
dolor crónico, donde EMDR ha desarrollado un protocolo específico para el tratamiento del
mismo.
La comprensión científica del dolor va evolucionando rápidamente. Antes se
pensaba que su presencia implicaba únicamente la existencia de un daño físico, sin
embargo, actualmente la ciencia nos ha llevado a descubrir la importancia que tienen las
consecuencias de la vivencia del dolor. Porque el dolor genera importantes reacciones
emocionales que pueden potenciar el sufrimiento que lleva asociado (García, J.A. 2009).
Desde el modelo de procesamiento de la información, el dolor puede concebirse
como una señal de que hay algo que no va bien, independientemente de la
multifactorialidad de su etiología. Sin embargo, el dolor puede continuar a veces más de lo
que puede ser funcional. En este sentido, el dolor a largo plazo puede conducir a cambios
en el sistema nervioso, que pueden cronificar el dolor o intensificarlo. Según el modelo de
procesamiento adaptativo de la información desde el que trabaja EMDR, el dolor se
mantiene porque "se trabó" en el sistema nervioso, se dio un bloqueo de la información en
la red de memoria somática. El EMDR se presenta como una herramienta eficaz para tratar
el dolor, de manera que es un medio de estimular el sistema nervioso para ayudarle a la
persona cambiar las respuestas al dolor.
En esta comunicación se presenta la conceptualización y tratamiento del dolor
crónico desde esta perspectiva a través de la presentación de un caso.
The EMDR intervention model integrates various elements
schools of psychotherapy, making this an effective approach applicable to
a huge variety of pathologies and accessible to therapists of different orientations
within a set of standardized protocols (Van der Kolk, B., 1997). This is the case
chronic pain, where EMDR has developed a specific protocol for the treatment of
same.
Scientific understanding of pain is evolving rapidly. before you
thought his presence meant only the existence of a physical injury, without
But now science has led us to discover the importance of
consequences of the experience of pain. Because pain reactions generates significant
can enhance emotional suffering associated with it (Garcia, JA 2009).
From the model of information processing, the pain can be conceived
as a sign that something is wrong, regardless of the
multifactorial in its etiology. However, the pain can sometimes continue more than
which may be functional. In this regard, the long-term pain can lead to changes
in the nervous system, which can become chronic pain or intensify. According to the model of
adaptive processing of information from which EMDR works, the pain
maintains that "locked" in the nervous system, there was an information blockade in
somatic memory network. The EMDR is presented as an effective tool for treating
pain, so that is a means to stimulate the nervous system to help the
person changing responses to pain.
This communication presents the conceptualization and treatment of pain
chronic from this perspective through the presentation of a case.
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.
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.
The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and presented them here as the Underground Trauma Protocol (UTP). The UTP is intended to provide a rapid and effective method of conducting EMDR with traumatized miners and other similar, very specific, client groups. The principal use of the UTP is for traumatized miners of coal, gold, nickel, gems, and so forth. It has also been used with the following populations: traumatized tunnelers (e.g., excavators of tunnels in both war and peace); those traumatized in rail accidents in tunnels (e.g., fire in Channel Tunnel, Kings Cross tube fire); those traumatized in underground leisure pursuits (e.g., exploration of caves, pot holing); those traumatized by being trapped (e.g., in collapsed buildings as in Turkish earthquakes); and those traumatized during 9/11 in New York and the 7/7 bombings in London. The author recommends that the treatment of this client group only be undertaken by fully trained EMDR clinicians who have experience with modifying protocols and existing clinical experience of using cognitive interweave. The Underground Trauma Protocol Script is provided. [PsycINFO Datab]
EMDR (Eye Movement Desensitization and Reprocessing) is an approach that combines elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although eye movement stimulation has garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions which are organized into eight phases of therapy. EMDR is based on the assumption that specific experiences from the past continue to guide the client's responses in the present. To influence such experiences from the past, EMDR draws on an information processing model of behavior. Disturbing trauma-related information is believed to be held in the patient's nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information so that what is useful from the experience can be learned; stored appropriately, cognitively and affectively; and made available for behavioral guidance in the future. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. The goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable. [Videorecording : DVD video 1 videodisc (53 min.) : sd., col. ; 4 3/4 in.]
EMDR’s Protocol is a powerful intervention that can impact many kinds of depression. Participants will learn about Bessel van der Kolk’s research, other research and clinical experience to bring the EMDR Protocol to the treatment of trauma-based, attachment-based and endogenous depression and mood disorders. They will understand the etiology, assessment, and treatment for each kind of depression. They will take home EMDR skills to work with mood disorders and endogenous depression. The AIP is cited throughout. Other interventions, including ego-state and biological are described, when appropriate. The presentation is user-friendly, with interventions that can be implemented immediately.
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?
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 may have part of their origins in stressfull memories. One of these disorders is chronic depression. Severe depression
is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes.
Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression,
the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and
suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (like abuse
experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study
that tries to explore the potential use of trauma specific treatments like EMDR with depressive patients with trauma history.
The presenter will report the status of research on the subject and on a current controlled study underway to explore the
use of EMDR in depressive patients.
It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing #EMDR#. Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. #PsycINFO Database Record (c) 2010 APA, all rights reserved)
Comments on an article by E. B. Foa and G. P. Street,"Women and Traumatic Events, Journal of Clinical Psychiatry, Vol 62(Suppl 17), 2001. Special issue: Understanding posttraumatic stress disorder, pp. 29-34 regarding psychotherapeutic interventions for women with PTSD. It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing (EMDR). Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
To know the present status of EMDR in Asian countries:
Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people
were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India,
Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand.
Questions were on the origin of EMDR, the first training, the number of trainings so far, the number
of trained practitioners, credentials, academic organization, acceptance from government, media, and
professional world, future possibilities, and difficulties expected.
Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems
to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization
started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started
publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on
trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early
stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural
disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could
be a good opportunity to start mutual understanding and cooperation in Asia.
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
The field of family therapy seemed to coalesce around 1960, although some of the early pioneers were already conducting and writing about family systems and treating multipatient units before then. This chapter offers a brief overview of the field and then provides case studies in which EMDR is the primary treatment methodology, used within a family systems perspective, or both. [Text, p. 289]TOPICS TREATED: Evolution of the field (key concepts; various conceptual models); EMDR and family systems therapy (Case studies: EMDR used to break an impasse, EMDR used to facilitate effective coparenting during a divorce, EMDR used in a transgenerational transmission process; additional uses of EMDR with family systems therapy); EMDR and traditional thought in family systems therapy; Description of positive treatment effects of EMDR; How EMDR lets family therapists use what they know; How EMDR extends the outcomes of family therapy; Suggestions for strengthening EMDR; Using EMDR to investigate interesting areas in family therapy.
Dit artikel beschrijft het belang van het inzetten van eye movement desensitization and reprocessing (EMDR) om traumatisering te voorkomen of te behandelen bij kinderen en adolescenten. Paediatric medical traumatic stress en posttraumatische stressstoornis worden besproken om de relevantie van EMDR voor de kindergeneeskunde toe te lichten. Er volgt een korte beschrijving van het behandelprotocol en twee verklaringsmodellen voor het effect van EMDR. Ter illustratie worden er in het artikel twee casussen beschreven. Er wordt gepleit voor vroege risicosignalering en tijdige doorverwijzing door kinderartsen en medische teams. Geconcludeerd wordt dat EMDR een kindvriendelijke en breed toepasbare methode is om de negatieve gevolgen van traumatische ervaringen die kinderen in een medische setting opdoen te behandelen of te voorkomen.
This article describes the importance of the use of Eye Movement Desensitization and Reprocessing (EMDR) for trauma to prevent or treat in children and adolescents. Paediatric medical traumatic stress and posttraumatic stress disorder are discussed the relevance of EMDR for pediatrics to explain. There follows a brief description of the treatment protocol and two explanatory models for the effect of EMDR. For illustration, there are two cases described in the article. There are calls for early risk detection and timely referral by pediatricians and medical teams. It is concluded that EMDR is a child-friendly and widely applicable method is to reduce the negative effects of traumatic experiences that children experience in a medical setting to treat or prevent.
Mit den zunehmenden Erfahrungen und Forschungsergebnissen
im Bereich psychotraumatischer
Reaktionen gelangte in den Jahren nach
der Entwicklung der Konzepte über die chronischen
traumatischen Störungen auch der Bereich
der akuten Traumatisierungen in das Blickfeld
systematischer Studien und Interventionsversuche.
So wurden zunehmend diagnostische und
therapeutische Konzepte entwickelt, in denen versucht
wird, Opfern von z. B. krimineller Gewalt,
schweren Unfällen oder kritischen Zwischenfällen
im polizeilich/militärischen Bereich bereits kurz
nach den traumatischen Ereignissen hilfreich zur
Seite zu stehen und – wenn möglich – sogar die
Entwicklung schwerer Störungen zu verhindern.
Als günstig erwies sich dabei, dass sich die
Mehrzahl der Opfer akuter Traumatisierungen innerhalb
einer Zeit von mehreren Wochen bis Monaten
ohne äußeres therapeutisches Eingreifen
spontan erholen und das Ereignis seelisch bewältigen
können (Rothbaum u. Foa 1993).
Als problematisch zeigte sich aber einerseits die
Vielfalt möglicher Symptome direkt nach einem
traumatischen Ereignis, andererseits der zunehmende
Übergang in eine posttraumatische Symptomatik
(aber auch andere) bei einer meist
kleineren Gruppe der Traumatisierten (Orner u.
Schnyder 2003).
Forscherische und therapeutische Bemühungen
versuchen derzeit, die Gruppe der Traumaopfer,
die ein erhöhtes Risiko haben könnten, später eine
posttraumatische Störung zu entwickeln, zu identifizieren
und ihnen – wenn möglich – schon frühzeitig
gezielt Hilfe zukommen zu lassen.
Auf der anderen Seite wird so versucht, die
Traumaopfer, bei denen eine Bewältigung des
traumatischen Ereignisses ohne spezifische therapeutische
Hilfe erwartet werden kann, nicht unnötig
zu pathologisieren, ihnen aber ausreichend
Unterstützung und Hilfe zu gewähren, sodass sie
den Verarbeitungsvorgang ohne äußere Irritationen
abschließen können (Fischer et al. 1998).
Diese diagnostischen und therapeutischen Forschungen
sind derzeit noch in vollem Gange, gesicherte
Forschungsergebnisse liegen bisher nur in
wenigen Bereichen der Behandlung akuter Traumatisierungen
vor (Barre u. Biesold 2002, Orner u.
Schnyder 2003, Yehuda 1998). Dennoch liegen bereits
Modellrechnungen der Kostenträger vor, die
belegen, dass frühe, fundierte Interventionsansätze
bei akut Traumatisierten (z. B. Überfallopfern)
erhebliche Kosteneinsparungen der Kostenträger
bewirken (Wiessmann 2002).
Angesichts der großen Zahl der täglich bei
schweren Unfällen oder Verbrechen akut traumatisierten
Menschen, die derzeit mit einer Vielzahl
empirisch wenig validierter Konzepte behandelt
werden müssen, wird der hohe Handlungsdruck
einerseits, die Einschränkung vieler der folgenden
Anhaltspunkte für therapeutische Intervention andererseits,
deutlich.
Auch Hinweise und Empfehlungen bezüglich
eines Einsatzes der EMDR-Methode bei diesen Patienten
sollten mit diesen Einschränkungen verstanden
werden. Auch wenn es einige erste Hinweise
auf einen erfolgversprechenden Einsatz der
EMDR-Methode bei akut Traumatisierten gibt, so
sollte eine Therapie mittels EMDR in einen umfassenden,
z. B. dynamisch-behavioralen, Behandlungsplan
dieser Patienten eingebettet werden
(Bisson 2003, McNally u. Solomon 1999). Weiterhin
sollte der systematische Einsatz der EMDR-Methode
derzeit – wenn irgend möglich – an hohen
Qualitätsstandards orientiert und forschungsmäßig
evaluiert werden, um die Nutzen-Risiko-Abwägung
bezüglich bestimmter Patientengruppen
sowie den optimalen Einsatzzeitpunkt konfrontierender
Verfahren systematisch verbessern zu können.
With increasing experience and research results
in the field of psycho-traumatic
Responses came in the years after
the development of concepts about the chronic
traumatic disorders, the area
of acute trauma in the field of view
systematic studies and intervention trials.
Thus, more diagnostic and
therapeutic concepts developed in which attempts are
is, for example, victims of criminal violence,
serious accidents or critical incidents
the police / military shortly
after the traumatic events to help
Page is available and - if possible - even the
to prevent development of severe disorders.
Proved to be favorable, that the
Most of the victims of acute trauma in
a period of several weeks to months
without an external therapeutic intervention
spontaneously recover and cope with the emotional event
can (Rothbaum and Foa 1993).
One problem was but one part of the
Variety of possible symptoms immediately after a
traumatic event, on the other hand, the increasing
Transition to a post-traumatic symptoms
(And others) usually at a
smaller group of traumatized (and Orner
Schnyder 2003).
Research and therapeutic efforts
currently trying the group of trauma victims,
an increased risk could later
to develop post-traumatic disorder to identify
them and - if possible - early
to be targeted to come help.
On the other hand, will attempt to
Trauma victims, where a managing
traumatic event without specific therapeutic
Assistance can be expected not unnecessarily
pathologization them but enough
to provide support and assistance so that they
the processing operation without external irritation
can conclude (Fischer et al. 1998).
These diagnostic and therapeutic research
are still in full swing, secured
Research results are presently available in
few areas of acute trauma
and before (Barre and Biesold 2002, Orner
Schnyder 2003, Yehuda 1998). Nevertheless, there are already
Model calculations of the cost modes, in the
Demonstrating that early, in-depth intervention approaches
in acute trauma (such as assault victims)
significant cost savings for payers
cause (Wiesmann 2002).
Given the high volume of daily at
serious accidents or crimes acutely traumatized
People currently with a variety
empirically validated concepts treated less
must be the high pressure to act
one hand, the restriction of many of the following
Indications for therapeutic intervention on the other,
significantly.
Also advice and recommendations regarding
of using the EMDR method in these patients
should understand these limitations
be. Although there are some initial indications
a promising application of
EMDR method in acutely traumatized people are so
should be a therapy using EMDR in a comprehensive,
such as dynamically-behavioral, treatment plan
these patients are embedded
(Bisson 2003, McNally and Solomon 1999). Furthermore,
should be the systematic use of the EMDR method
now - if possible - to high
Quality standards and research-oriented terms
is assessed to the benefit / risk ratio
with respect to specific patient groups
and the optimal use time of confrontational
Method to improve systematically.
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.
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
EMDR ist eine psychotherapeutische Methode zur Behandlung traumatischer Erinnerungen. In seinem sehr gut lesbaren und informativen Buch beschreibt Ricky Greenwald, ein Pionier in der Anwendung von EMDR und einer der aktivsten Erforscher dieser Methode, wie EMDR zur Behandlung von Verlusterfahrungen, Ängsten, somatischen Problemen, Depression und Verhaltensproblemen von Kindern und Jugendlichen angewendet werden kann. "Das vorliegende Buch konzentriert sich auf den Einsatz von EMDR bei Kindern und Jugendlichen. EMDR ist eine noch recht neue Methode, und die meisten bei Kindern und Jugendlichen benutzten Varianten dieser Methode sind noch jüngeren Ursprungs. Der größte Teil des methodischen Materials, das in diesem Buch beschrieben wird, wurde bisher noch nicht veröffentlicht. Ich habe das Buch für all jene geschrieben, die lernen wollen, therapeutisch mit Kindern und Jugendlichen zu arbeiten, oder die ihre diesbezüglichen Kenntnisse erweitern wollen. Aus der Trauma-Orientierung bei der Durchführung einer Therapie in Verbindung mit verschiedenen Anwendungsbereichen von EMDR sind einige innovative und effektive Ansätze zu gängigen Behandlungsbereichen entwickelt worden. Die Anwendung von EMDR in der Therapie erfordert eine formelle Ausbildung und Supervision, wie sie ein Buch allein niemals leisten kann. Doch können Leser, die bereits an einer EMDR-Ausbildung teilgenommen haben, dieses Buch auch als Leitfaden für die Anwendung von EMDR zur Behandlung von Kindern und Jugendlichen benutzen." - Ricky Greenwald
EMDR is a psychotherapeutic method for the treatment of traumatic memories. Describes in his very readable and informative book Ricky Greenwald, a pioneer in the use of EMDR and one of the most active explorers of this method, how EMDR for treatment of loss experience, anxiety, somatic problems, depression and behavior problems in children and adolescents are applied. "This book focuses on the use of EMDR in children and adolescents. EMDR is still a very new method, and most children and adolescents used variants of this method are even more recent origin. The bulk of the methodological material, which in this Paper describes has not yet been published. I wrote the book for those who want to learn therapeutically with children and young people to work, or want to extend their knowledge in this regard. From the trauma reference for the implementation of a therapy in connection with different applications of EMDR are some innovative and effective approaches to common treatment areas have been developed. The use of EMDR in the treatment requires a formal training and supervision as a book alone can never achieve. But to readers who are already suffering from EMDR have participated without training to use this book as a guide for the application of EMDR to treat children and adolescents. " - Ricky Greenwald
Participants will: 1) understand the necessity of eliciting material from children in indirect, projective ways; 2) understand the meaning of "creative processing" in the EMDR context as a method of both accessing and treating children's problems where direct methods may fail to produce desired outcome; 3) learn specific skills which apply the EMDR method through the medium of fantasy, play, story, metaphor, sensory experience, and enactment; 4) learn how to apply the creative process to separate elements of the standard EMDR protocol, and to make adjustments appropriate to the age and developmental stage of the individual child; 5) observe direct use of EMDR creative processing techniques via case material and videotaped therapy sessions; and 6) recognize the importance of integrating family systemic issues into use of the techniques, as well as embedding the method into a total contextual treatment of the child.
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a
infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and
post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic
stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR)
in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment
design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using
the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative
data from individual interviews with the participants was collected. Participants in the study were four out-patient women
with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in
an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after
treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only
had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants
completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories.
They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might
be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after
stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This is in accordance with the experience that the addiction memory can be activated at any time by relapse-endangering complexes as well as internal and/or external situations, which are experienced as cravings by the person in question. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
Without adequate therapeutic interventions, it is hardly extinguishable, as shown in the animal model where a re-imprinting of the AM facilitated by steroids extinguished craving in opiate addicted rats. Thus, altering or extinguishing the AM in human addicts could add an important component to well-established treatment modalities. The reprocessing of the AM with EMDR should, thus, lead to measurable changes in addiction symptoms, if the AM qualifies for maladaptive memory within the AIP model. As the AM includes the urge to consume the drug being abused, more aptly named craving, reprocessing of the AM should lead to a reduction in craving.
Preliminary data demonstrates the efficacy to reduce craving in alcohol-addicted patients. Anecdotal reports from clinicians seem to indicate an effect of the reprocessing of the addiction memory in patients addicted to heroin or psycho-stimulants. According to research in the animal model, the same principles should apply.
There are, however, other aspects to addiction. Is there a difference between chemical dependency and other addictive behaviour? How much do we know already? What have we yet to discover? These questions lead to the direction of developing a comprehensive EMDR approach in the treatment of addictions.
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive
internal resource images, such as the inner advisor child-self – adult-self assessment and
development, nurturer and protector figures,
spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories;
TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]
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 may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma-specific treatments like EMDR with depressive patients.
The presenter will report the status of research on the subject, and will talk about possible EMDR strategies that have shown to be useful in depressive patients.
Learning objectives:
Understanding the relationship of trauma and depression;
Creating a treatment plan for depressive patients following the AIP model; and
Find strategies to deal with relapsing and chronic depression
The experience of imprisonment and torture of exposure to psychophysical stress is the highest intensity, which leads to high percentage of post-traumatic stress disorder (PTSD), and has a tendency hronifikacije. The program of assistance to victims of torture at the Centre for Rehabilitation of Torture Victims-IAN Belgrade apply the method of cognitive behavioral desensitization and reprocessing rapid eye movements (Eye Movement Desensitization and Reprocessing - EMDR), which has proven successful in treatment and is part of an integrative therapeutic procedures. The paper presented a theoretical concept of this method with some specific work with victims of torture and the case [Author]
This lecture will provide an overview of a comprehensive psychotherapy treatment approach called EMDR by two Certified EMDR Approved Consultants who each have over 25 years of clinical experience. EMDR is one of the most widely researched psychotherapies for Post-traumatic Stress Disorder (PTSD) and it also has research support for the treatment of other trauma-driven disorders including substance abuse and behavioral addictions, depression, panic disorder, generalized anxiety disorder, borderline personality disorder and phantom limb pain. This workshop will focus on the application of EMDR with PTSD, trauma, and co-occurring substance use disorder.
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).
The eye movement desensitization and reprocessing (EMDR) individual protocol for paraprofessional use in acute trauma situations (EMDR-PROPARA) is part of a project developed at the initiative of Dr. Francine Shapiro. This randomized clinical trial examined the effectiveness of the protocol administered by experienced EMDR therapists. There were 39 traumatized first responders on active duty randomly assigned to receive two 90-min sessions of either EMDR-PROPARA or of supportive counseling. Participants in the EMDR-PROPARA group showed benefits immediately after treatment, with their scores on the Short PTSD Rating Interview (SPRINT) showing further decreases at 3-month follow-up. In comparison, supportive counseling participants experienced a nonsignificant decrease after treatment and an increase in the SPRINT scores at the second follow-up. The significant difference between the two treatments provides preliminary support for EMDR-PROPARA's effectiveness in reducing severity of posttraumatic symptoms and subjective global improvement. More controlled research is recommended to evaluate further the efficacy of this intervention.
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.
The present study is carried out within a psychological
counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects
of EMDR Integrated Group Treatment Protocol (EMDR-ICTP:
on the child victims of a terrorist bombing in Gun Goren, Istanbul.
In this study the EMDR-IGTP was used with 60 children
who are in 5th, 3rd and 4th grade and effected by the event
(exposed, witnessed or their relatives harmed, etc.) with high
scores on the Turkish version of 'Impact of Event Scale' (IES).
Before the group session. Child Report of Post-Traumatic Symptoms
(CROPS) and a survey asking 5 stress-related symptoms
of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma,
psychological debriefing, EMDR (Installing the safe place, assessment,
drawing the first picture, drawing the second and the
third picture, tapping, relaxation), healing story and art therapy.
Participants completed another survey about what they have
realized during and after their group experience.
The study is completed with a re-evaluation of one and three
months follow-up. Analyses of the data collected from the participants
will demonstrate the effectiveness of EMDR in group
setting with children for reducing traumatic symptoms and developing
new resources to handle problems. In this study the
effectiveness of EMDR is examined according to the difference
between the ages of children, and the level of exposure (witnessing,
watching on TV etc.) to the traumatic event.
Introduction:
This paper presents an overview of the Eye Movement Desensitization and Reprocessing – Integrative Group Treatment Protocol (EMDR-IGTP) that has been used since 1998 with both children and adults in its original format or with adaptations to meet the circumstances in numerous settings around the world for thousands of survivors of natural or man-made disasters and during ongoing geopolitical crisis.
Method:
The author's intention is to highlight and enlightened the reader of the existence of this protocol that combines the eight standard EMDR treatment phases with a group therapy model and an art therapy format and use the Butterfly Hug as a form of a self-administered bilateral stimulation, thus providing more extensive reach than the individual EMDR application.
Conclusion:
Randomize Controlled Trial Research is suggested to establish the efficacy of this intervention.
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress.
As a pilot experience, we have been able to use this EMDRIT framework with 64 clients.
Their complex disorders included, for each of them, at least 3 of the following symptoms:
Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions.
For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis:
•Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN).
•The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN).
•The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system.
•Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent.
•Need to standardize appropriate scale for database, in order to foster international research and results sharing.
We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.
Eye Movement Desensitization and Reprocessing (EMDR) has established itself as an evidence-based psychotherapy for the treatment of trauma and other related mental health disorders. Despite the numerous studies touting EMDR’s efficacy, it is still largely regarded as too complicated to understand, a major factor in why many who have been trained in EMDR no longer use it. EMDR Made Simple: 4 Approaches to Using EMDR with Every Client offers a fresh approach to understanding, conceptualizing, and ultimately implementing EMDR into clinical settings.
Dr. Jamie Marich brings in her clinical experience from other modalities and disciplines to show that EMDR is more than just a series of protocols that need to be mastered in order for it to be effective. Using common sense language, clinical cases, and practical examples, EMDR Made Simple will give you the tools to build on your existing clinical knowledge and make EMDR work for you and your clients.
This workshop will address the challenges of working with clients raised in invalidating environments marked by deprivation and neglect. With significant disruptions in attachment (caregivers who were unpredictable, rejecting, frightening or frightened) and without the experience of a secure base from which to explore the world, such individuals often fail to develop a sense of object constancy and permanence and the capacity for reflection and metacognition. They lack self-compassion, self-confidence, and the capacity to self-regulate. They are often plagued by a profound sense of aloneness, shame, and self-hatred, denying their needs or convinced that their needs can never be met. Together, we will examine the ways in which EMDR can be utilized to promote the development of a secure, coherent sense of self. Protocol adaptations and cognitive interweaves to address feelings and beliefs associated with invisibility, unworthiness, and core badness will be highlighted. Cases will be presented with accompanying videotape segments, highlighting EMDR developmental repair strategies.
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997).
EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation
will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests
the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001).
Current practice is that UK personnel who are having significant difficulties in functioning after exposure to
trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental,
both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this
problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst
serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he
was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for
treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little
evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate
this novel application of EMDR is planned. This presentation will introduce participants to the challenges of
providing psychological treatment during military operations and the potential value of EMDR in this setting.
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories; and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
Finally, I am able to sit down and tell you a bit about the wonderful learning experience at the
Crete seminar.
Iwill not go into details of the lessons as you all will have the opportunity to attend similar
seminars - of course, not in such a beautiful location as Crete.
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]
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the
application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical
Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to
32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working
with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for
both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and
Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was
conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results
were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress
and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued
to work with the recovered corpses and were continually exposed to horrific emotional stressors, with
ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention,
reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in
a human massacre situation. It appears that the treatment may have helped to prevent the development
of chronic PTSD and to increase psychological and emotional resilience.
The subject of this paper is a woman with obsessive-compulsive disorder who had previously
worked as a nurse, and underwent EMDR treatment. She obsessively blamed herself, stating "The
patient might have died as a result of my mistake". Being convinced of her own guilt, she started
showing maladjustment, and subsequently quit working.
Her treatment showed modification that strayed from the regular course of standard EMDR
sessions due to the uniqueness of the target memories. In all EMDR sessions. she checked the
traumatic memories from first to last. The therapist had her visualize images of happiness from
her own experience and taught her a technique to suppress negative images. By expressing her
feelings in a protected clinical environment, she was able to recover the self-esteem.
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
This question is often asked by clinicians who are motivated
to do a comprehensive job. It can be an organizational
nightmare to keep track of the targets that require
reprocessing in a longer, more complex case. It is a common
experience that the best-laid treatment plans begin to
get fuzzy after several reprocessing sessions, as it is impossible
to predict each and every target prior to the onset of
reprocessing.
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This neurobiological-based, imprinted, addictive behaviour seems to resist change under normal circumstances. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
In a pilot-study group, 34 patients with chronic alcohol dependency in in-patient treatment for detoxification were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU+EMDR. In the TAU+EMDR group, patients received two sessions of EMDR focussing on memories of intense craving or relapse in order to activate and reprocess the addiction memory. The craving for alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre, post, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving post-treatment and 1 month after treatment whereas TAU did not. The TAU+EMDR group showed lower relapse rates at the six-month follow-up. The results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving (Hase et al. 2008). Anecdotal reports show results with opiate and stimulant addicted patients.
This Workshop will address the EMDR treatment of comorbid PTSD and focuses on the application of EMDR as an adjunct in addiction treatment. Targets for a comprehensive EMDR treatment plan will be explained. A video demonstration, self-experience and discussion of cases shall contribute to learning.
REFERENCES
Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6): 755-65.
Hase, M., Schallmayer, S. and Sack, M (2008). "EMDR reprocessing of the addiction memory: Pre-treatment, post-treatment, and 1-month follow-up" J EMDR 2 (3), 170-179.
Alcohol afhankelijkheid en haar gevolg op betekenen vaak intens lijden voor het individu en enorme kosten voor de samenleving. Gevestigde behandelmethoden, zo goed als ze zijn, gebrek aan effectiviteit. Uit recent onderzoek op het gebied van de neurowetenschappen is gebleken dat de meeste ervaring wordt automatisch verwerkt op subcorticaal niveau, dat wil zeggen door 'onbewust' interpretaties die buiten bewustzijn gemaakt. Inzicht en begrip hebben slechts een beperkte invloed op de werking van deze subcorticale processen. Deze bevindingen zijn ook van toepassing op verslaafde mensen een bijdragen aan een nieuwe aanpak te creëren. Het concept van een addicition geheugen is behulpzaam (Wolffgramm 2000; Wolffgramm 2002). Het kan worden opgevat als een vorm van onaangepast geheugen en EMDR is het hulpmiddel voor de resolutie (Shapiro 2001). De presentatie richt zich op theorie en praktijk van een EMDR aanpak van de verslaving opwerken geheugen (Hase 2006). Gegevens van een klinische studie zullen worden gepresenteerd en besproken.
Alcohol dependency and its sequela often mean intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Recent research in the field of neuroscience has shown that most experience is automatically processed on subcortical levels, i.e. by “unconscious” interpretations that are made outside of conscious awareness. Insight and understanding have only a limited influence on the operation of these subcortical processes. These findings are also applicable on addicted people an help to create a new approach. The concept of an addicition memory is helpful (Wolffgramm 2000; Wolffgramm 2002). It can be understood as a form of maladaptive memory and EMDR is the tool for resolution (Shapiro 2001). The presentation focusses on theory and practice of an EMDR approach to reprocess the addiction memory (Hase 2006). Data of a clinical study will be presented and discussed.
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.
Body Dysmorphic Disorder presents a preoccupation with imagined ugliness, typically
involving facial flaws, such as spots or wrinkles, or the shape of the face, nose, mouth or jaw.
More rarely the complain involves the appearance of the feet, hands, breasts or genitalia. It is
frequently chronic and may lead to marked disruption of the patients social, marital and
occupational life (Phillips, 1991).
The disorder is fairly unremitting with few symptom-free periods, although the body part
focused upon may change over time. It is generally regarded as a condition that is difficult to
treat (Phillips, 1991). A variety of cognitive and behavioural techniques have been described
to have some effect but all tend to be lengthy. To the author's knowledge here are no reports
on the use of Eye Movement Desensitisation and Reprocessing (EMDR) in its treatment.
Here we describe our use of EMDR in fourteen consecutive patients with body dysmorphic
disorder. Outcome data is presented.
The treatment time is much less than the combination of treatment and homework used in
imaginal exposure (Vaughan et al, 1994). Such homework was not given to our patients.
Furthermore, as EMD leads to involuntary changing images throughout a session, the
exposure element is further reduced. In contrast to exposure, EMDR does not involve
exacerbating or increasing the patients level of anxiety and, whilst patients experience a rapid
positive shift in cognitions during EMDR, this has not been found in treatments with
exposure only (Kilpatrick, Veronen & Resnick, 1982).
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Psychotic phenomena are challenging to treat; the most severe being schizophrenia, which has a heavy burden: life expectancy being reduced by 10 years, mostly through suicide. After over 100 years of experience only a minority make a full recovery. This workshop will examine the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work of Professor Kenneth Kendler - and follows three patients treated with EMDR; one met strict criteria for schizophrenia and remains in recovery after 3 years. The workshop will discuss case selection and protocol development.
Psychotic phenomena are challenging to treat. The most severe psychosis is schizophrenia, which has a heavy burden and reduced life expectancy through physical illness and suicide. Psychotherapy in psychosis is experiencing a renaissance and this workshop will discuss case selection and the application of the ICONN protocol for EMDR with psychosis. The ICONN protocol has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.
Although eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in treating chronic posttraumatic stress disorder and old trauma memories, EMDR treatment of recent traumatic events has not received adequate attention from EMDR researchers or clinicians. This article presents current thinking and findings about early psychological intervention following recent traumatic events and examines the status of early EMDR intervention (EEI) concepts and research. It is contended that this area has not developed sufficient awareness and definition among EMDR clinicians. Francine Shapiro's theoretical adaptive information-processing model predicts that dysfunctionally stored trauma memories underlie many current psychological disorders. Consequently, the assumption that memories of a recent traumatic event and its sequelae are not fully consolidated offers a unique role for EEI not only in reducing acute distress but also in preventing the sensitization and accumulation of trauma memories. A call is made for a more comprehensive approach to the field of EEI to promote interest and awareness among EMDR practitioners and to generate research.
The prevalence of sexual dysfunction in women within primary care settings is often
estimated to be as high as 42% with vaginismus, pain with intercourse, anorgasmia and lack
of sexual desire being most commonly reported. Additionally, major clinical complaints
among women often centre on their dissatisfaction with such non-genital behaviours as
affection, communication, and non-genital touching, as well as issues of attraction and
passion. Despite this high prevalence of sexual disorders, and the use of psychotherapy and
sexual therapy in treatment the problems women experience,this is a frequently neglected
area of both research and development of new treatment tdchniques. In fact, referring to
vaginismus, some authors conclude the basic strategies and methods for assessing and
treating vaginismus were proposed by the early 20th Century and have not essentially
changed.
This paper discusses an alternative approach to treatment vaginismus and "sexual phobia" in
women. By way of case study material, the use of EMDR in combination with sensate focus
techniques with partner involvement, is discussed. In a significant number of cases, past
trauma and severe body image disturbances were detected. EMDR was successful not only in
resolving such trauma, but also in correcting distorted body image and enabling imaginary
exposure to appropriate sexual behaviour.
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.
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.
EMDR (Eye Movement Desensitization and Reprocessing) wurde vor mehr als zehn Jahren von Dr. Francine Shapiro entwickelt und galt anfangs insbesondere aufgrund nachweislich sehr schneller und überzeugender Behandlungserfolge als eine der ungewöhnlichsten psychotherapeutischen Methoden überhaupt. Aufgrund der positiven Ergebnisse wissenschaftlicher Untersuchungen wird EMDR mittlerweile von vielen Therapeuten erfolgreich eingesetzt.
Im Mittelpunkt des Buches steht das von Lipke entwickelte Vier-Aktivitäten-Modell, eine Ergänzung zu dem von Francine Shapiro (1995) entwickelten AIP-Modell der beschleunigten Informationsverarbeitung. Damit schafft Lipke einen Rahmen für das Verständnis psychotherapeutischer Arbeit im allgemeinen und für die Integration von Shapiros Theorie über die Verarbeitung dysfunktionaler Erinnerungen in die bisherigen Formen psychotherapeutischer Arbeit. Das vorgestellte Modell liefert eine Handlungsanleitung für die Anwendung von EMDR in der therapeutischen Praxis. Dabei kann Lipke auf seine fast dreißigjährige klinische Erfahrung mit traditionelleren Behandlungsansätzen ebenso zurückgreifen wie auf seine über zehnjährige Praxis in der Anwendung und Vermittlung von EMDR. Das Buch ist nicht als Einführung in die Theorie und Praxis von EMDR, sondern eher als Erläuterung der Arbeit mit dieser Methode in einem umfassenderen therapeutischen Zusammenhang gedacht.
EMDR (Eye Movement Desensitization and Reprocessing) was developed more than ten years ago by Dr. Francine Shapiro and was initially due in particular proved very fast and impressive treatment success as one of the most unusual methods of psychotherapy in general. Due to the positive results of scientific studies EMDR is now used by many therapists successfully. The focus of the book which is developed by Lipke four activities model, a complement to the Francine Shapiro (1995) developed the AIP model of accelerated information processing. This creates a framework for understanding Lipke psychotherapeutic work in general and for the integration of Shapiro's theory about the dysfunctional processing of memories in the previous forms of psychotherapeutic work. The proposed model provides a guide to action for the application of EMDR in therapeutic practice. It can draw on his nearly thirty years Lipke clinical experience with more traditional treatment approaches as well as on its more than ten years of practice in the use and placement of EMDR. The book is not intended as an introduction to the theory and practice of EMDR, but rather as an explanation of the work with this method in a wider therapeutic context.
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.
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf.
EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen).
In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16).
EMDR ist dementsprechend in der familientherapeutischen Literatur und den einschlägigen Fachzeitschriften bisher so gut wie nicht zur Kenntnis genommen worden. Eine Ausnahme bildet The Family Therapy Networker im Jahr 1993, der dem Thema EMDR ein Special Feature widmet (vgl. Butler (1993) und O'Brien (1993)).
Von Seiten der EMDR Praktizierenden gibt es durchaus Hinweise auf die Vereinbarkeit. Tinker & Wilson (2000, 229) verweisen auf die Nützlichkeit der Ergänzung der EMDR-Arbeit durch familientherapeutisches Vorgehen. Lempa (2000) beschreibt die Verbindung der EMDR-Einzelbehandlung mit familientherapeutischen Gesprächen innerhalb des stationären Settings und berichtet über positive Erfahrungen im Hinblick auf die Akzeptanz der Behandlung in den Familien.
Ich halte die wechselseitige Betrachtung der Ansätze für sehr fruchtbar und möchte hier einige Gedanken und Erfahrungen dazu darstellen.
In the common view of EMDR with family therapy approaches, first fall to the opposition.
EMDR is usually applied in individual settings. Treatment is usually in the context of specific disease diagnoses (typically from trauma-related - errors - but also others).
In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms in terms of their effect in the (family) system were investigated. For example, a patient is a "symptom carrier" within the family. Therefore, we look for the meaning or benefit that the symptoms for the family. In this respect it is quite far from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy not declared excluded (see, for example, Stierlin et al. 1977, 16).
EMDR has been accordingly in the family therapy literature and the relevant journals previously taken almost no notice. The Family Therapy Networker an exception is in 1993, the subject of EMDR devotes a special feature (see Butler (1993) and O'Brien (1993)).
Sides of the EMDR practitioner, there are indications of the compatibility. Tinker & Wilson (2000, 229) point to the usefulness of supplementing EMDR work with family therapeutic approach. Lempa (2000) describes the connection of individual EMDR treatment with family therapy calls within the inpatient setting and reported positive experiences with regard to the acceptance of the treatment in the home.
I think the mutual inspection of approaches for very fruitful and would like to present some thoughts and experience to do so.
This workshop is for any clinician who has received the Basic Training in EMDR through an EMDRIA-Approved Training. The workshop will review and update information on: AIP case conceptualization; the 8 phases of EMDR treatment; developing the Target Sequencing Plan; the three prongs of EMDR treatment; and the use of cognitive interweave for stuck processing.
The participants will also have an opportunity to improve their skills in the use of Floatbacks and Affect Scans. A practicum experience will help further consolidate these concepts.
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.”
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
This paper aims to discuss some of the issues of working using EMDR, as a part of the
integrated treatment process of children, who have been exposed to chronic abuse and
domestic violence. These children are all in the care system and are living with foster parents
who know very little about their previous lives. Often the professionals caring for them also
have little of the child's history and many details of what they have been exposed to are not
known. The children are frequently detached, dissociated and shut down from their past
experiences, though their traumatised behaviours continue to blight and dominate their entire
lives and present major difficulties in their daily management and future planning. Their
emotional and social development appears to be arrested by their chronic multiple
traumatisation. They are also kept in transitional placements for long periods of time, whilst
their long-term needs are assessed. There is a struggle to identify appropriate long-term
placements for such damaged children as their severe multiple traumatisation prevents them
from being able to trust or begin to form new attachments or even to develop a sense of
safety. There is a nee for early intervention to treat their severely traumatised symptoms and
memories, to help rid them of their overwhelming terror and fears of the adult world and to
free them to begin to form healthier more appropriate behaviours and attachments. How
using EMDR to enable these children to develop and progress emotionally and socially
towards a more positive future is described.
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions.
Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs
children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily
increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life
experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events.
Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may
be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome
for the child may depend on the parents' reprocessing of traumatic material.
Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with
play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative
interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.
Until recent times those with the dual diagnosis of mental retardation and mental health issues were deemed inappropriate candidates for counseling or psychotherapy. Dysfunctional behaviors and emotional displays generated by mood disorders, grief, or trauma were often written off as part of the mental disability, in what has come to be known as diagnostic overshadowing. Time, experience, and compassion have changed this. Counseling and psychotherapy have been shown to be "feasible and successful" with this population. Most effective are approaches that utilize and integrate concrete, experiential, and behavioral aspects of the treatment. The task and responsibility of the therapist is to follow the client's internal and interpersonal process as it reveals itself and find the ways, means, and language to facilitate this organic movement toward well-being. [Text, p. 293] [Pilots]
This presentation will outline the utilisation of EMDR with deaf clients exploring the
challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case
examples this session will outline the ways in which EMDR needs to be adapted for this population
Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to
some of the abstract ideas used and the heavy reliance on spoken language. Many people, both
hearing and deaf find it difficult to think about thinking, and develop levels of insight into their
emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse
at a much higher rate than hearing people, but there are few established therapies to help them.
As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult
experiences that bring them to therapy may have been stored visually or kinaesthetically rather than
linguistically. Trauma may also be caused by smaller events due to lack of information available to
them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic
memories and their triggers. It does this through a combination of physical stimulation and the
recollection and discussion of memories. As such, it seems ideally suited for use with people who are
Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use
with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf
children in British Sign Language.
This workshop introduces "dyadic resourcing," a resourcing approach designed to facilitate EMDR processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child relationship. This workshop will address the basic principles and processes central to this form of resourcing, including each of the five steps involved in establishing this resource. The process will be illustrated using clinical videos, resourcing transcripts, and a live demonstration.
For most people, childbirth is a time for celebration and joy. However, for some women it can prove a harrowing and traumtising experience. This may result in mothers developing Peri-Natal Post Traumatic Stress Disorder (PN-PSTD), (Slade, 2006)). The reported prevalence of PTSD following childbirth ranges from 1.5% to 6% (Beck, 2004). However, there is a general lack of awareness of this issue, encompassing all health care professions (General Practitioners, Health Visitors, Obstetricians, and non-specialist Psychiatrists) (Robinson, 2003)). This can lead to misdiagnosis and inappropriate treatments being offers (Czamocks & Slade, 2000). This paper will critically examine some of the common themes associated with PN-PTSD. It will explore how Eye Movement Desensitization and Reprocessing (EMDR) can and should be used as an effective treatment intervention (Madrid, Skolek, and Shapiro 2007). Evidence based practice and practice based evidence (case studies) will show how EMDR can be adapted for this client group. The presentation will also reflect on future training needs and research implications.
“Translating Research Into Practice“ is a new regular journal feature in which clinicians share clinical case examples that support, elaborate, or illustrate the results of a specific research study. Each column begins with the abstract of the study, followed by the clinician's description of their own application of standard eye movement desensitization and reprocessing (EMDR) procedures with the population or problem treated in the study. The column is edited by the EMDR Research Foundation with the goal of providing a link between research and practice and making research findings relevant in therapists' day-to-day practices. In this issue's column, Lisa Bellecci-St. Romain references Engelhard et al.'s (2011) study examining the impact of eye movements on recurrent, intrusive visual images about potential future catastrophes-“flash-forwards.“ Illustrating the findings by Engelhard et al., Bellecci-St. Romain describes the successful use of the EMDR standard protocol in two cases-a woman fearful of returning to work even after past memories are cleared and a young man in early sobriety whose reprocessing of the past is interrupted by concerns of an imminent court appearance. The case examples are followed with a discussion of the importance of recognizing and targeting flash-forwards as present triggers in the three-pronged EMDR standard protocol.
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.
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas.
Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.
During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.
El EMDR se ha desarrollado como una psicoterapia integrada que se ha
utilizado a nivel mundial en la última década como tratamiento empíricamente
validado para el trauma. A lo largo de este tiempo, se ha hecho evidente
que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y
abordar los devastadores efectos de la transmisión generacional.
Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento
para acceder a los sucesos vitales perturbadores, los disparadores actuales
y las experiencias futuras proyectadas, y procesarlas con una resolución
adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia
(imaginación, creencias, afecto y sensaciones corporales), mientras de
forma simultánea se da estimulación dual de la atención, por movimientos
oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias
perturbadoras indica un cambio simultáneo en la cognición, el afecto
y las sensaciones físicas, dando como resultado una integración adaptativa
de la experiencia.
Este acercamiento integra elementos de distintas escuelas de psicoterapia,
haciendo del EMDR aplicable a una enorme variedad de patologías
y accesible a terapeutas de distintas orientaciones dentro de una serie de
protocolos estandarizados (Van der Kolk, B., 1997).
En esta presentación exponemos las líneas generales de este modelo
psicoterapéutico a partir de la descripción del protocolo básico en EMDR
que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente;
2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes
de la diana de tratamiento 4) desensibilizar el material traumático
objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición
positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual
sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del
evento reprocesado.
EMDR has been developed as an integrated psychotherapy has
used worldwide in the last decade as a treatment empirically
validated for trauma. Throughout this time, it has become evident
it is possible to alleviate suffering, help stop the cycle of violence and
address the devastating effects of the generational transmission.
This approach uses a psychotherapeutic treatment protocol
accessing disruptive life events, current triggers
and projected future experiences, and process them with a resolution
Adaptive (Shapiro, 2002). Access to all aspects of the experience
(Imagination, beliefs, affection and bodily sensations), while in
simultaneously gives dual attention stimulation for movement
bilateral eye tones or tactile stimulation. The processing of memories
disturbing indicates a simultaneous change in cognition, affection
and physical sensations, resulting adaptive integration
experience.
This approach integrates elements from different schools of psychotherapy,
doing the EMDR applicable to a wide variety of pathologies
therapists and accessible to different orientations within a range of
standardized protocols (Van der Kolk, B., 1997).
In this paper we present the outlines of this model
psychotherapeutic from the description of the basic EMDR protocol
which is divided into eight phases: 1) collection on the history of the client;
2) preparing the client for the work to be performed, 3) evaluate all components
treatment of the target 4) desensitize traumatic material
object of the target by bilateral stimulation; 5) install cognition
positively identified; 6) reviewing the body to locate any residual material
unresolved; 7) logoff and 8) reassessment of the impact of
reprocessed event.
Posttraumatiskt stressyndrom (PTSD)
inträffar efter förlossning hos 1–3 procent.
Hos omföderskor med förlossningsrädsla
förekommer i stor utsträckning
en tidigare traumatisk förlossningsupplevelse.
Ögonrörelsebehandling,
eye movement desensitization and
reprocessing (EMDR), är en evidensbaserad
behandlingsmetod för PTSD [Läkartidningen.
2007;104:782-3; Nord J
Psychiatry. 2007;61:54-61].
inträffar efter förlossning hos 1–3 procent.
Hos omföderskor med förlossningsrädsla
förekommer i stor utsträckning
en tidigare traumatisk förlossningsupplevelse.
Ögonrörelsebehandling,
eye movement desensitization and
reprocessing (EMDR), är en evidensbaserad
behandlingsmetod för PTSD [Läkartidningen.
2007;104:782-3; Nord J
Psychiatry. 2007;61:54-61].
Post-traumatic stress disorder (PTSD)
occurs after birth in 1-3 per cent.
In multipara with fear of childbirth
occurs to a large extent
a previous traumatic birth experience.
Eye movement therapy,
eye movement desensitization and
Reprocessing (EMDR), is an evidence-based
treatment for PTSD [Lakartidningen.
2007, 104:782-3; North J
Psychiatry. 2007; 61:54-61].
occurs after birth in 1-3 per cent.
In multipara with fear of childbirth
occurs to a large extent
a previous traumatic birth experience.
Eye movement therapy,
eye movement desensitization and
Reprocessing (EMDR), is an evidence-based
treatment for PTSD [Lakartidningen.
2007, 104:782-3; North J
Psychiatry. 2007; 61:54-61].
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
Substance abuse is always a challenge for the therapist. Substance abuse
and its sequelae often mean intense suffering for the individual and huge
costs for society. Established treatment modalities, as good as they are, lack
effectiveness. Recent research in the field of neuroscience has shown that
most experience is automatically processed on sub cortical levels, i.e. by
"unconscious" interpretations that are made outside of conscious awareness.
Insight and understanding have only a limited influence on the operation of
these sub cortical processes. These findings are also applicable on addicted
people and help to create a new approach. The concept of an addiction
memory is helpful (Wolffgramm 2000: Wolffgramm 2002). It can be
understood as a form of maladaptive memory and EMDR is the tool for
resolution (Shapiro 2001). In this workshop an overview over theory and the practical aspects of EMDR treatment for substance abusers will be given.
Theory in combination with video demonstration will facilitate the transfer of
knowledge into everyday therapy.
Jag har arbetat de senaste tio åren med behandling av barn och ungdomar på en BUP-mottagning i Stockholm i ett invandrartätt område. Jag träffar därför många barn/ungdomar med olika typer av krigstrauman men naturligtvis också klienter med andra trauman och mer "vanliga" svårigheter. Med denna artikel skulle jag vilja visa hur jag har inlemmat EMDR-metoden (Eye Movement Desensitization and Reprocessing) i behandlingen av två barn med sinsemellan helt olika livshistoria och symtom. Min erfarenhet är att EMDR förutom vid trauma är effektiv vid olika typer av problem. Den kan dessutom användas för att förstärka jagresurser och självkänsla. [Excerpt]
I have worked the last ten years with children and young people on a BUP reception in Stockholm in an ethnic community. I see why a lot of children / adolescents with different types of war traumas but of course also clients of other traumas and more "normal" difficulty. With this article I would like to show how I have incorporated EMDR method (Eye Movement Desensitization and Reprocessing) in the treatment of two children with one another completely different life history and symptoms. My experience is that EMDR except in trauma is effective in various types of problems. It also can be used to enhance jagresurser and self esteem.
EMDR心理治疗──治疗抑郁与创伤的新方法范红霞,王援朝山西大学教育系心理室北京医科大学医学心理教研室EMDR(EyeMovementDesensitizationandReprocessing),即眼动脱敏和再加工,是目前对抑郁与创伤的心理治疗的新方法,这种方法产生于1987年,创始人是美国哲学博士夏皮诺(Francineshapiro)。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:“创伤”事件(即经验中的痛苦而难忘的事件)破坏了大脑信息加工系统的生化平衡,干扰了信息加工系统原本具有的适应性处理功能,并把个体关于这一事件的感知“锁定”在神经系统中。反复眼动,能活化大脑这一自动信息处理系统。支持这一理论的神经生物学的研究发现:持续的低电流刺激对突触电位会产生同样的持久效应而且呈现出有益的记忆。EMDR也可被看作是一种再加工方法,其基本干预步骤是图像再现、认知......(本文共计2页)
EMDR psychotherapy to treat depression and trauma ─ ─ a new method Fan Hongxia, Wang Yuanchao Shanxi University Psychology Department of Education Department of Medical Psychology, Beijing Medical Room EMDR (EyeMovementDesensitizationandReprocessing), the eye movement desensitization and reprocessing, is currently on the treatment of depression and psychological trauma the new method, which produced in 1987, is the founder of the American Philosophical 博士夏皮诺 (Francineshapiro). 1990, EMDR officially as a new method of treatment is to teach. Currently there are about 9000 people in the United States using this method, but the first time was introduced in our country. First, on the theoretical and experimental EMDR had a variety of hypotheses have been proposed to explain the mechanism of action of EMDR psychotherapy, but so far there is no conclusive evidence to fully confirm it. There are hypotheses that: "traumatic" event (ie, the experience of traumatic events) destroys brain biochemical balance of information processing systems, interference with an information processing system was originally adaptive processing functions, and to individuals about this event perception "locked" in the nervous system. Repeated eye movement, can activate the brain that automated information processing systems. Support this theory neurobiological findings: Continuous low current stimulation on synaptic potentials would produce the same effect but also presents useful lasting memories. EMDR can also be seen as a re-processing method, the basic procedure is the image reproducing intervention, cognitive ...... (article 2 Pages)
回想療法と検証療法などの非薬物療法が
BPSD(の行動と精神的症状の治療に過去の記憶へのアクセス
認知症)が有効であることが証明されている。眼球運動脱感作と再処理
(はEMDR)また、メモリにアクセスする治療の別のフォームは、効果が証明されています
外傷性記憶の処理。本論文では、2つのBPSDの場合はによって引き起こされると考えられて
traumaric思い出とEMDRによる処理が記載されている:最初の67歳女性歳
アルツハイマー病の早期発症に苦しむ患者と、2番目の85歳の男性歳
血管性認知症の患者。外傷性記憶を処理の結果
EMDR、女性患者ののろいが低下慢性的な、彼女は多くの場合、笑顔。と男性
患者の不安と大きな声を大幅に削減されます。これらの結果は衝撃的な記憶によって引き起こされるいくつかのBPSDの場合に効果的な心理療法としてEMDRを示す
Non-pharmacological therapies such as Reminiscence therapy and Validation therapy which
access to past memories in the treatment of BPSD (behavioral and psychological symptoms of
dementia) have been proven to be effective. Eye movement desensitization and reprocessing
(EMDR), another form of therapy which also accesses to memory, has been proven effective in
the processing of traumatic memories. In this paper, two BPSD cases believed to be caused by
traumaric memories and treated by EMDR are discussed: the first with a 67-year-old female
patient suffering from early-onset Alzheimer's disease, and the second with an 85-year-old male
patient suffering from vascular dementia. As a result of processing traumatic memories with
EMDR, the female patient's chronic cursing decreases and she smiles more often. and the male
patient's restlessness and loud voice are drastically reduced. These results indicate EMDR as an effective psychotherapy for some BPSD cases which are caused by traumatic memories.
EMDR(眼動身心重建法)的研究探討
眼物质重建法(眼动脱敏和再加工)在过去10年来,作为一个新兴的心理治疗方法,并正成为越来越受欢迎,并确保特别是对创伤后应激综合征的治疗,是新兴的治疗方法,根据Greewald回想起来,一个文献研究指出,“它已被用于治疗许多人的选择”(由约翰库萨克和斯帕茨,1999年报价),因为传统的治疗心理咨询技术的使用往往需要耗费时间,对于一些不长的治疗或治疗病人的具有时间限制并不适用,而且还描述伤痛的经历,以repeat简单动作usually只会使病情恶化,最后连药物也无效,所以今天非常受欢迎并EMDR可应用于其他精神疾病,如:恐惧,疼痛疾病,性虐待的创伤,手术后感情伤害,而且由于其方法和结果仍在广泛讨论,因此对EMDR in treatment和谐促进more 。
Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.
EMDR is an integrative, client-centered psychotherapy approach that emphasizes the brain's information processing system and memories of disturbing experiences as the bases of those pathologies not caused by organic deficit or insult. EMDR addresses the experiences that contribute to clinical conditions and those needed to bring the client to a robust state of psychological health. Overviews of the history, development, and research that have established EMDR as an empirically supported treatment are provided. Subsequent to an explanation of the adaptive information processing model, an extended case example is used to illustrate the recommended EMDR case conceptualization and eight phases of treatment. This approach is used to process the early memories that set the foundation for the pathology and the present situations that trigger the dysfunction, while providing templates for appropriate future action that incorporate the information and behaviors needed to overcome skill and/or developmental deficits. The benefits of integrating EMDR and family systems perspectives to provide the most comprehensive therapeutic effects are described. [Author Abstract]
In the November, 1992 EMDR training, Dr. Shapiro stated that using EMDR in grief and mourning challenges the concept of how long mourning “should” last. This case example shows how EMDR has assisted in the process of mourning by dealing with some of the self-messages that create pain without denying the reality of the loss experience.
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.
Children who have experienced early maltreatment and who have been relinquished or removed from birth families frequently exhibit severe and challenging behaviors. Therapists are caught in a Catch-22, as children require an emotionally supportive environment from caregivers to open up emotionally and address the traumas underlying their behaviors, and yet the child behaviors create feelings in the the parents that prevent them from being able to provide emotional support. The EMDR Integrative Team model allows for collaboration between a family therapist and an EMDR therapist in order to change parent-child patterns and create a “secure holding environment” for trauma therapy.
During the last decade, it has been recognized by research that a traumatic experience of childbirth can cause PTSD. What has also been shown is that these women do not spontaneously recover. No studies have been made before on psychotherapeutic treatment of this group.
The aim of our pilot study was to explore the possibility to use EMDR in the treatment of women who suffered from posttraumatic stress after childbirth. Because most pregnant women invited declined to participate, also non-pregnant women were included. One pregnant and three not pregnant women with PSTD after childbirth were treated with EMDR. All clients reported reduction of posttraumatic stress after treatment. The results suggest that EMDR might be a useful tool in the treatment of non-pregnant women severely traumatic by childbirth, but our study has several limitations. Further research and a randomized controlled study are recommended.
(In both English and Serbian)
The experience of confinement to prison with exposure to psychophysical torture is the stress of the highest intensity frequently leading (48.4% in our research) to the development of PTSD with a tendency towards chronicity. In the programme for torture victims at the Stress Clinic we also use EMDR-cognitive behavioral method of desensitization and reprocessing (cognitive restructuration) by rapid eye movements which proved to be very effective and became the part of the integrative therapeutic procedure. The paper discusses the theoretical concept of this method and provides case presentation. [Author Abstract]
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
The use of EMDR with children aged 4 years and over who have been exposed to physical abuse, disasters and other traumatic incidents in their infancy and early childhood is beginning to reveal some interesting material. The characteristics of the play and behaviours of traumatized young children were described by Terr (1991). It is suggested that the use of EMDR as a treatment approach is indicative that long-term retention for pre-verbal traumatic events does occur for children traumatised in infancy and perhaps even in the womb. This presentation presents two cases treated by EMDR in which it appears that the children are accessing and processing experiences that occurred too early in development to be encoded with language. EMDR helps these children access and process very early traumatisation and in some cases they are then able to report on them verbally. It is hypothesized that the EMDR technique helps create a verbal narrative for the early memories, and that this allows the child to process and integrate their sensations, emotions and cognitions within a more coherent personal biography. The ability of EMDR to help a child to process and bring to resolution hitherto almost inaccessible infantile memories particularly those relating to abuse, has enormous implications for the child's ability to move on and form healthier attachments and more construction behaviour patterns. It suggests new avenues for research into infantile traumatic memories and their impact on the developing child.
Learning Objectives:
1. Participants will identify the importance of containment in EMDR and its implications with respect to dual attention and trauma reprocessing
2. Participants will identify some key strategies for completing Phase 2 (Preparation) with respect to building the affect regulation skill necessary for maintaining dual awareness during trauma reprocessing (Phases 3-7)
3. Participants will be able to define and describe the essentials of Phase 7 (Closure) of the EMDR protocol, in particular, the need to ensure containment of remaining negative affect in the case of incomplete protocols.
4. Participants will develop knowledge of several effective closure methods
5. Participants will acquire mastery of at least one new closure method through practicum experience
The use of Eye Movement, Desensitisation and Reprocessing (EMDR) with the addition of a Mental Videotape with any disturbance experience by the client reprocessed with EMDR has been trialled within this research document as an alternative to exposure and response prevention (Ex/RP) or a combination of Ex/RP and CBT, for the treatment of OCD. The main hypothesis addressed was that an adapted form of EMDR with the inclusion of a Mental Videotape could also address OCD, where the Mental Videotape would replace the Exposure and the EMDR used to reprocess the response. (Author abstract)
This film weaves personal stories into discussion about Eye Movement Desensitization and Reprocessing's evolution and remarkable development. Researchers and practitioners from across the world share their reflections about EMDR's early days when founder Francine Shapiro began honing the therapy's methodology as well as how EMDR has transformed their practices in the decades since. Interviews explore the acute need for PTSD and trauma treatment that works efficiently and quickly to address the needs of the millions upon millions in need.
Through interviews with the top EMDR community memebers, this documentary introduces and explains this therapy's components. Combining powerful personal stories from the military and civilian worlds, the film explores the ability of the human brain to re-wire itself when given the opportunity. More and more people every day, are affected by trauma personally. Many more feel the ripple-effects as family, friends, and co-workers of a traumatized person. This project's premise is that the trajectory of lives touched by tragedy and pain need not be predetermined.
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.
Πρόκειται για μια καινούργια μέθοδο ψυχο-τραυματο-θεραπείας και όχι
για μια νέα ψυχοθεραπευτική προσέγγιση, καθώς η άσκησή της γίνεται
αποκλειστικά από ψυχολόγους με κλινική εμπειρία, στους οποίους
απαραίτητα πρέπει να έχει προηγηθεί βασική εκπαίδευση σε μια από τις
ποικίλες ψυχοθεραπευτικές κατευθύνσεις.
Εμπνεύστρια της μεθόδου είναι η Francine Shapiro το 1989, ανώτερη
επιστημονική ερευνήτρια στο Ινστιτούτο Πάλο Άλτο στην Καλιφόρνια,
συγγραφέας του πρώτου εγχειριδίου για το EMDR, η οποία έχει τιμηθεί για
το έργο της με το βραβείο "Διακεκριμένου επιστημονικού επιτεύγματος
στην ψυχολογία".
This is a new method of psycho-traumatic therapy and not
for a new psychotherapeutic approach, as the exercise becomes
exclusively by psychologists with clinical experience, which
necessarily be preceded basic training in one of the
various psychotherapeutic orientations.
Conceived method is the Francine Shapiro 1989, upper
scientific researcher at the Institute of Palo Alto, California,
author of the first handbook for EMDR, which has been honored for
her work with the award for "Outstanding Scientific Achievement
in psychology. "
Inhoud van de workshop: EMDR (eye movement desentization and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(en). Een deel van de getroffenen verwerkt deze ervaringen op eigen kracht, anderen ontwikkelen psychische klachten. Juist deze klachten in het hier en nu als gevolg van een schokkende gebeurtenis in het verleden maken de gebeurtenis tot een traumatische gebeurtenis. Een ogenschijnlijk eenvoudige medische ingreep kan leiden tot reactivering van eerdere traumatische ervaringen. De kern van deze workshop is het leren herkennen en vaststellen van de 'ontwrichtende ervaringen' die van blijvende invloed zijn op het functioneren van de patiënt. Verder wordt aandacht besteed aan het diagnostisch leren kijken met een 'traumabril' en het leren kennen van het indicatiegebied van emdr binnen de ziekenhuispsychiatrie. emdr is volgens internationale en nationale richtlijnen de behandeling van eerste keus bij PTSS. EMDR kan ook toegepast worden bij traumagerelateerde stoornissen die niet per se hoeven te voldoen aan de diagnose ptss, zoals bij angststoornissen, eetstoornissen, pijnstoornissen, somatoforme stoornissen, seksuele stoornissen en verslaving. De bijzondere kenmerken en effecten van emdr worden besproken. Gecontroleerde effectstudies laten zien dat EMDR even effectief of effectiever is dan de huidige meest effectieve therapievorm, de cognitieve gedragstherapie. EMDR-behandeling is bovendien sneller en minder belastend voor patiënten.
Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie.
Leerdoelen: Na de workshop kunnen de deelnemers kijken met de diagnostische 'traumabril', hebben zij inzicht in het brede indicatiegebied van EMDR en hebben zij kennis van deze vorm van psychotherapie en de plaats van EMDR binnen de psychotherapie.
Contents of the workshop: EMDR (eye movement desentization and reprocessing) is an intensive form of psychotherapy for people to suffer from the effects of one (or more) shocking experience (s). Some of the affected processes these experiences on their own, others developed psychological problems. Precisely these problems in the here and now because of a shocking event in the past to make the event a traumatic event. A seemingly simple medical intervention can lead to reactivation of previous traumatic experiences. The core of this workshop is learning to recognize and identify the "disruptive experiences" of lasting impact on the functioning of the patient. Attention is paid to the diagnostic learning to look with an "eye trauma 'and getting to know the indication of EMDR in the psychiatry hospital. EMDR has been under international and national guidelines the treatment of choice for PTSD. EMDR can also be applied to trauma-related disorders that do not necessarily have to meet the PTSD diagnosis, such as anxiety disorders, eating disorders, pain disorders, somatoform disorders, sexual disorders and addictions. The particular characteristics and effects of EMDR are discussed. Controlled Impact studies show that EMDR is as effective or more effective than the current most effective form of therapy, cognitive behavioral therapy. EMDR treatment is faster and less stressful for patients.
Methods: Presentation, illustrated with video, an interactive time for questions and discussion.
Objective: After the workshop the participants can see the diagnostic trauma spectacles, they understand the broad indication in EMDR and have knowledge of this form of psychotherapy and the place of EMDR in psychotherapy.
Because EMDR is a powerful short-term therapy effective for confronting and overcoming stress, anxiety, and
trauma which could be its role in an intensive rehabilitation multidisciplinary programme? As well-known PTSD is
the most common diagnostic category used to describe symptoms arising from emotionally traumatic
experience.This disorder presumes that the person experienced a traumatic event involving actual or threatened
death or injury to themselves or others. Some research shows that EMDR is rapid, safe and effective in helping
those who suffer from anxiety, distressing memories, nightmares, insomnia, as consequences from traumatic
events. Several recent reviews have looked at the relationship between medical illness and subsequent PTSD.
Moreover Spindler(2005) published a review with focal point on subjects after cardiovascular disease and mainly
with a focus on prevalence rates, risk factors, and future. Should be possible catch a trauma event right through
in-hospital and use the EMDR when appropriate? Hence how should be tailored an appropriate assessment
procedures during the rehabilitation in-hospital? Anxiety (using a the STAI) and Depression (measured with
Depression Questionnaire) with clinical cut-off score might be useful in screening and an adequately structured
interview could complete in-hospital screening. In a more wide assessment screening a device for
psychophysiological assessment measuring electrodermal activity and heart rate/pulse wave. An elevated
cardiovascular and electrodermal activity during the interview should be an index for selecting a clinical simple of
patients where carry out a deeper assessment in search for a trauma connect to the pre-rehabilitation period or
older. The aforementioned could be a wished-for screen subjects with trauma events both at short or long term
insurgence.
“ Quando si vive un’esperienza davvero sgradevole, due sono le cose che si possono
fare, due sono le strade che si possono percorrere. Una è quella di guardare in faccia il
ricordo di quell’esperienza, continuare a pensarci, a parlarne e a provare sensazioni al
riguardo: può essere difficile, ma è come se ogni volta si desse a quel ricordo un
piccolo morso, lo si masticasse per bene e lo si digerisse. Esso allora entra a far parte
del nostro nutrimento e ci aiuta a crescere. E la parte che fa male si riduce sempre di
più. Quando si dice che attraverso i momenti difficili si diventa più forti, e a questo che
ci si riferisce. Purtroppo a volte la gente percorre l’altra strada. Il ricordo è così
doloroso, fa così male che lo si vuole solo scacciare, si vuole mettere un muro tra noi e
lui, ci si vuole soltanto sentire bene e riuscire a tirare avanti la giornata. Questo
funziona, almeno per un po’; ci dà sollievo. Ma il problema è che il ricordo non va via,
è sempre lì, fresco come il giorno in cui il fatto è accaduto, sempre pronto a
ripresentarsi per essere masticato completamente e digerito in modo da diventare parte
del passato. E poi, ogni volta, c’è qualcosa che ci fa ripensare a quel ricordo, come se
questo dicesse: ‘Ehi, ci sono anch’io, mi fai entrare adesso?’. Ecco un esempio, quasi
tutti noi, se camminando veniamo urtati incidentalmente da qualcuno, be’, forse ci
secchiamo un po’ per qualche secondo, ma non di più, basta un: ‘Mi scusi’, e tutto
finisce. Ma se la persona che viene urtata ha un mucchio di rabbia compressa dietro a
quel muro, avrà la nostra stessa minima normale reazione, con in più tutto quel
materiale che sta dietro al muro e che dice: ‘Anch’io’, per cui la persona sarà talmente
fuori dai gangheri da essere pronta a litigare. E’ questo il problema: il materiale che
sta dietro al muro; ci può saltare addosso in ogni momento e provocare in noi reazioni
eccessive, rendere difficili le cose facili. Così a volte la gente, quando si ammala per
via di questi problemi, va da un terapeuta per farsi aiutare. E con il suo aiuto riesce a
riafferrare ciò che ha cacciato dietro al muro: prende un pezzetto di quel ricordo, lo
mastica per bene, lo digerisce e diventa molto più forte. Con l’EMDR accade qualcosa
di molto simile a quanto succede con le altre terapie: si riesce a riprendere ciò che sta
dietro al muro, se ne prende un pezzo, lo si mastica per bene, tutto qui. Solo che con
l’EMDR si rivivono i vari pezzi del brutto ricordo molto più in fretta, magari si
ripercorre un intero ricordo in sole due sedute, talvolta in più, talvolta in
meno”(Greenwald, 2000, p.35).
"When you live a truly unpleasant experience, there are two things that you can
do, there are two ways you could go. One is to face the
memory of that experience, continue to think about it, talk about it and try to sensations
about it: it can be difficult, but it's as if every time you gave at the memory a
small bites, chew it well and it is digested. It then becomes part
of our nourishment and helps us grow. And the part that hurts is reduced more
more. When it is said that through the tough times you become stronger, and that this
it refers. Unfortunately sometimes people runs the other way. The memory is so
painful, it hurts so much that you just want to drive, you want to put a wall between us and
him, you only want to feel good and be able to get by the day. This
works, at least for a while ', gives us relief. But the problem is that the memory does not go away,
is always there, as fresh as the day on which the event took place, always ready to
recur to be chewed and digested completely in order to become part
of the past. And then, every time, there is something that makes us realize that memory, as if
this should say, 'Hey, I'm here too, let me in now?'. Here's an example, almost
all of us, if we come walking accidentally bumped by someone, well, 'maybe there
secchiamo a little 'for a few seconds, but no more, just a:' Excuse me ', and all
ends. But if the person who is hit has a bunch of repressed rage behind
that wall will have our very minimal normal reaction, plus all that
material behind the wall and says: 'I too', for which the person will be so
off the hinges to be ready to fight. And 'This is the problem: the material
behind the wall, there could pounce at any time and cause reactions in us
excessive, make difficult things easy. So sometimes, when people get sick for
Because of these problems, go to a therapist for help. And with his help can
recapture what has driven behind the wall: it takes a little bit of that memory, the
chew well, digests it, and it becomes much stronger. With EMDR something happens
very similar to what happens with other therapies: you can not take back what is
behind the wall, it takes a piece, chew it well, that's all. Only with
EMDR is reliving the various pieces of the bad memory much faster, maybe you
retraces an entire memory in just two sessions, sometimes more, sometimes in
less "(Greenwald, 2000, p.35).
Inhoud van de workshop: EMDR
(eye movement desensitisation and reprocessing) is een
intensieve vorm van psychotherapie voor mensen
die last houden van de gevolgen van een (of meerdere)
schokkende ervaring(EN). Over het effect van
emdr is wetenschappelijk aangetoond dat het mogelijk is kwellende herbelevingen van vroegere
gebeurtenissen kwijt te raken.
emdr is, volgens (inter)nationale richtlijnen,
de eerste keus bij behandeling van posttraumatische
stressstoornis (PTSS).
emdr maakt de in het geheugen opgeslagen
traumatische ervaringen toegankelijk en activeert
het natuurlijk verwerkingsproces zodat deze
gebeurtenissen worden ontdaan van hun emotionele
lading en een nieuwe betekenis krijgen.
emdr kan ook toegepast worden bij traumagerelateerde
stoornissen zoals bij angststoornissen,
eetstoornissen, somatoforme stoornissen,
seksuele stoornissen, verslaving en chronisch pijn.
EMDR is een relatief nieuwe therapie, overigens
alweer 20 jaar oud. Grondlegster is de Amerikaanse
Francine Shapiro, die in 1989 een eerste
versie van emdr beschreef. Door Shapiro zelf en
later ook door andere therapeuten is het EMDRprotocol
aangescherpt en verbeterd.
Halverwege de jaren ’90 van de vorige eeuw
introduceerden Ad de Jongh en Erik ten Broeke
emdr in Nederland. De laatste jaren wordt er
nauwelijks nog iets aan het basisprotocol veranderd
of toegevoegd.
De belangrijkste ontwikkelingen vinden
plaats in de theorievorming en de toepassingsmogelijkheden.
Hoe werkt EMDR, welke hersengebieden
zijn erbij betrokken, wat is het werkzame
mechanisme en bij welke stoornissen kan deze
therapie worden toegepast.
De kern van deze workshop is het leren kennen
van recente verklaringsmodellen over de werking
van emdr. De bijzondere kenmerken en
effecten van EMDR en de verschillende toepassingsgebieden
worden besproken.
Vorm: Presentatie, geïllustreerd met
videobeelden, tijd voor vragen en een interactieve
discussie.
Leerdoel: Na de workshop heeft de deelnemer
zicht op de verschillende recente theoretische
verklaringsmodellen van emdr en heeft hij
kennis van het brede indicatiegebied van EMDR en
de plaats van emdr binnen de psychotherapie.
Contents of the workshop: EMDR
(Eye Movement Desensitisation and Reprocessing) is a
intensive form of psychotherapy for people
that to suffer the consequences of one (or more)
shocking experience (S). On the effects of
EMDR has been scientifically proven that it is possible agonizing reliving past
losing events.
EMDR is, according to (inter) national guidelines,
The first choice of treatment for posttraumatic
stress disorder (PTSD).
EMDR allows the memory
traumatic experiences accessible and activates
the natural process so that
events are stripped of their emotional
charge and a new meaning.
EMDR can also be applied in trauma-related
disorders such as anxiety disorders,
eating disorders, somatoform disorders,
sexual disorders, addiction and chronic pain.
EMDR is a relatively new therapy, however
already 20 years old. Founder is the U.S.
Francine Shapiro, who in 1989 first
version of EMDR described. By Shapiro himself and
later by other therapists is EMDRprotocol
strengthened and improved.
Mid-90s of the last century
Ad de Jongh introduced and Erik ten Broeke
EMDR in the Netherlands. In recent years there
hardly anything to change the basic protocol
or added.
The main developments are
place in the theory and application.
How does EMDR, which brain areas
are involved, what is the active
mechanism and disorders which can
therapy administered.
The core of this workshop is to learn
Declaration of recent models on the operation
EMDR. The particular characteristics and
EMDR and the effects of different application
are discussed.
Methods: Presentation, illustrated with
video, time for questions and an interactive
discussion.
Objective: After the workshop, the participant
view of the various recent theoretical
explanatory models of EMDR and has
broad knowledge of the indication area of EMDR and
the location of EMDR in psychotherapy.
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
In psychotherapy, the solving of a client’s problems is usually connected with the transformation of his or her personal features or some aspects of his or her experience. These could be changes in his or her systems of values, personal meanings and rules, habitual behavioral patterns, etc. These changes derive from the complex of deep transformations involving while systems of psychics. The system analysis of the multilevel hierarchical; structure formed by connections between the conscious and unconscious allows us to detest both the changing mechanisms and main functions providing the transformation, e.g., to solve a problem.
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
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.
EMDR has become an important tool for
treating the trauma that so frequently
characterizes the personal histories of
patients with Borderline Personality Disorder
(BPD). This patient population presents
extraordinary risks in the face of treatment
techniques that evoke powerful emotions.
When applied judiciously, however, EMDR can
bring extraordinary benefits to these same
patients.
EMDR tends to work most efficiently and effectively when the core trauma is accessed and is targeted for reprocessing. The standard protocol of asking the client to recall the “first and worst” incident of a series of related traumas works effectively in tracking down a core trauma. When the original core has been identified, reprocessing tends to proceed smoothly and fluidly. There are times, however, when a client is mainly concerned with a present issue or experience and is unable or unwilling to explore earlier life experiences as per the standard protocol.
EMDR constitutes a valuable tool for couples
therapists when one or both partners are stuck in
repetitive, reactive cycles. This workshop describes
the circumstances in which EMDR is most likely to
be helpful in couples therapy. It examines the
benefits of EMDR through the lens of the repetition compulsion, with pariicular emphasis on common - and often intractable - impasses in in the treatment of couples. The origins of the repetition compulsion
in early failures of attunement are described, as in
the re-enactment of these experiences in the adult
couples relationship. Working with EMDR is nested
within the context of a resource-based approach to
couples therapy, emphasizing how emotional
reactivity and defensive withdrawal impede the
expression of empathy, trustworthiness, intimacy and repair in the couples relationship. Different formats for conducting EMDR (separately with one partner; separately with both partners; conjointly with both partners; or adjunctively with another therapist) are
presented, along with indicators, advantages and
disadvantages of each format. Special
considerations (such as when to introduce EMDR,
balancing alliances, sequencing sessions and
instructions to an observing partner) and
modifications of the standard protocol when EMDR
is used in the context of couples treatment are also
clarified. Finally, circumstances in which EMDR
is unlikely to be helpful or in which it is contraindicated are examined.
EMDR can help couples in therapy when one or both partners experience distress which creates obstacles or impasses in treatment. The benetits of EMDR are
examined through the lens of the repetition compulsion and nested within a
resource~based approach to couples therapy (fostering attunement, trustworthness
and vitality). Different formats for conducting EMDR (conjointly, separarely, and
adjunctively) are presented along with their indicators, advantages and disavantages.
Special considerations (such as, when to introduce EMDR, balancing alliances, sequencing sessions and instructions to an observing partner) and modifications the standard protocol are clarified. Contraindications for EMDR in couples therapy are also examined.
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that
PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been
used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent
terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance
Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within
hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the
immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the
event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR.
Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress
during initial treatment by first responders at the scene of an accident or in ambulances en route to medical
facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD)
with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in
Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying
the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be
presented and followed by a practicum. [There are 2 PDF files.]
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.
"Dan" was a 48-year old married man who, despite ten years of psychoanalytic treatment, awakened every morning with the image of lying dead in a coffin. This dovetailed with his experience of daily life as devoid of meaning and pleasure. Despite his apparent relentless suffering and preoccupation with death, Dan reported never having been actively suicidal. In fact, his life appeared to be oddly homeostatic. He sought out therapy at the urging of his wife, who was exasperated by his pervasive negativity. This case illustrates the successful use of longer-term EMDR charactered by the multiple sessions and many months to fully reprocess individual protocols. Treatment was completed, with Dan free of coffin fantasies and capable of experiencing hope, joy and purpose for the first time in his life. His positive response, over time, indicates that individuals with characterological defenses can process, albeit incrementally, difficult material and ultimately reach a level of full resolution. Since my success with Dan, I have replicated this startling outcome with numerous clients in periods ranging from 9 to 18 months. This was inconceivable for me in my pre-EMDR days when many years of treatment yielded far more limited results. [Text, pp. 66-67]


