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1. Foster, S. (1992, December). "Sam" Foster to create EMDR research database. EMDR Network Newsletter, 2(2), 11-12.
Language: English
Format: Newsletter
Abstract:
As Coordinator of the California Network,
I have thoroughly enjoyed the
opportunity to meet many of you
who have attended our quarterly
meetings in Sunnyvale. It has been
a pleasure to interact with such talented
people as the Special Interest
Group (SIG) members who share
their findings and new applications
during the afternoon presentations.
Accuracy Verified: Yes
2. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.
Language: Persian
Format: Journal
Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any
event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used
treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid,
relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive-
Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific
symptoms and recovery in patients suffering from PTSD due to war.
Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided
randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two
questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in
order to collect data. Data was analyzed using inferential statistical tests by SPSS 16.
Results: Scores of CBT group and EMDR group had a significant difference from control group scores.
Conclusion: Both models are effective on reduction of symptoms in PTSD.
Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3. Spuijbroek, P. (2013, April). A(S/l)S het samen kan: EMDR in de systeemtherapie [A (S / L) S together can: EMDR in the treatment system]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Bij het behandelen van kinderen met autisme wordt steeds meer een systemische aanpak gehanteerd. Daar waar het in de ouderbegeleiding vooral over psycho educatie en rouwverwerking gaat rond het autisme, staat in de gezinstherapie het systeem centraal en de samenwerking tussen de gezinsleden, rekening houdend met overeenkomsten en verschillen. Bij het gebruik van de EMDR binnen de gezinstherapie levert dit soms verrassende situaties op die op eigen wijze bijdragen aan veranderingen welke van te voren niet werden te voorzien.
In deze workshop worden een drietal casussen besproken waarbij (delen van) het gezin betrokken zijn. De aangemelde casussen zijn een jongen met laag zelfbeeld, een preverbaal trauma bij een geadopteerd meisje en een meisje dat dreigt zichzelf te beschadigen. Alle drie de kinderen zijn kinderen met ASS. Maar wat gebeurt er tijdens gecombineerde systeem-EMDR sessie?
In de presentatie neem ik deelnemers mee in woord en beeld en ga in gesprek.
When treating children with autism is becoming a systemic approach. Where in the parent guidance particularly on psychoeducation and bereavement goes around autism, family therapy is in the central system and the cooperation between family members, taking into account similarities and differences. With the use of EMDR in family therapy yields some surprising situations which in their own way contribute to changes which in advance were not providing.
In this workshop, three cases are discussed in which (parts of) the family involved. The notified cases are a boy with low self-esteem, a preverbal trauma in an adopted girl and a girl who threatens to harm himself. All three children are children with ASD. But what happens when combined system EMDR session?
In the presentation I take Participants in words and pictures and talk to them.
Keywords: Family Systems Therapy
Accuracy Verified: Yes
4. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
5. 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
6. Kaplan, S., Wolper, B., Knipe, J., Gierasch, M., & Preston, J. (2006, September). Becoming an EMDRIA approved trainer. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The members of this panel will speak about their
unique experiences in becoming Trainers of basic
EMDR and their approaches to teaching basic
EMDR to particular populations in particular
settings: EMDR-HAP training, independent
training, Medical University and University
Graduate School settings, and the challenges and
rewards of training. The panel will address the
process and requirements for becoming an
EMDRIA Approved Trainer and will describe the
networking, sharing of resources, and support that
are available for new, as well as for all, EMDRIA
Approved Trainers.
Keywords: Approved Trainer
Accuracy Verified: Yes
7. Borrelli, S. (2002). Chaper 5: Into the new millennium: Child advocacy and EMDR. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
When planning treatment for a child, we must assess carefully the developmental issues
(internal press) that seem to be ascendant at different life stages, the context (external
press) in which these issues are being accomplished and probably frustrated, and
secondary gains issues. Especially for a child, the risks of change must be prepared for.
Family therapy theories remind us that as the child improves, the status quo of the family
"crisis" will also need to adapt. We’re all aware of the obvious and subtle resistances to
change offered by family members. all of whom might be vying for survival guarantees.
A sensitive assessment of the family context, then, is an essential aspect of the treatment
process. Which family members are most likely to be allies in the quest for change, and
who are the most at risk, and likely to challenge positive changes? [Excerpt]
Keywords: Children
Accuracy Verified: Yes
8. Boèl, J. (1999, Fall). Child & adolescent issue: A closer look - The butterfly hug: Some history and updates in its use with children. EMDRIA Newsletter, 4(4), Child and Adolescent Issue, Special Edition, 11-13.
Language: English
Format: Newsletter
Abstract:
Children, Adolescents, and EMDR: A closer look
In February of 1998, about four months after the devastation wrought by Hurricane Paulina, a team of Mexican therapists along with two EMDR-HAP members as “technical advisors” (myself and Judy Albert) were working with groups of children who had witnessed tragedy and suffered great losses. Our team had only three locations to help these children, so we attempted to develop group therapy situations based on the EMDR theory and protocol as much as possible.
Keywords: Adolescents Butterfly Hug Children
Accuracy Verified: Yes
9. de Keijser, J., Denderen, M., & Verster-Bosman, M. (2013, April). Complicated grief and PTSD after murder, etiology and treatment: Research into treatment with EMDR and CBT in relatives of murder [Complexe rouw en PTSS na moord, etiologie en behandeling: Onderzoek naar behandeling met EMDR en CGT bij nabestaanden van moord]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Directe nabestaanden van slachtoffers van moord krijgen vaak te maken met een PTSS en gecompliceerde rouw. De Rijksuniversiteit Groningen is, met medefinanciering door het Fonds Slachtofferhulp, een onderzoek gestart naar de vraag of professionele hulp effectief is.
Het onderzoek kent twee doelstellingen:
In hoeverre draagt een behandeling bestaande uit EMDR en CGT voor familieleden en partners van een vermoord persoon bij aan het verminderen van symptomen van gecompliceerde rouw.
Daarnaast hoopt het onderzoek inzicht te krijgen in de mate waarin het effect van de behandeling met EMDR en CGT gemedieerd wordt door een afname van intrusies, vermijdingsgedrag, extreme woede en disfunctionele cognities.
In de presentatie komen drie sprekers aan het woord:
- Jos de Keijser, klinisch psycholoog/psychotherapeut en projectleider van het onderzoek, zal een theoretisch kader schetsen over gecompliceerde rouw en PTSS bij nabestaanden na moord, inclusief implicaties voor de praktijk.
- Mariette van Denderen, criminologe en promovendus, zal de resultaten van de behandelingen met EMDR en CGT tot nu (dan) toe presenteren.
- Moniek Verster, een van de behandelaren in het onderzoek, zal over de praktijk van het toepassen van EMDR en CGT bij nabestaanden van moord vertellen.
Casuïstiek komt aan bod, indien mogelijk met gebruikmaking van videofragmenten.
Immediate relatives of murder victims often have to deal with PTSD and complicated grief. The University of Groningen, with co-financing by the Fund Victim, launched an investigation into whether professional help is effective. The study has two objectives:
To what extent does a treatment consisting of EMDR and CBT for family members and partners of a murdered person to reducing symptoms of complicated grief.
Additionally this study aims to understand the extent to which the effect of the treatment with EMDR and CBT is mediated by a decrease of intrusions, avoidance behavior, extreme anger and dysfunctional cognitions.
During the presentation, three speakers to talk:
- Jos de Keijser, clinical psychologist / psychotherapist and leader of the research, a theoretical framework sketches about complicated grief and PTSD in survivors after murder, including implications for practice.
- Mariette of Denderen, criminologist and researcher, the results of the treatment with EMDR and CBT until now (then) to present.
- Moniek Verster, one of the practitioners in the study, will the practice of using EMDR and CBT in relatives of murder tell.
Casuistry is discussed, where possible using video clips.
Keywords: CBT Cognitive Behavior Therapy Complicated Grief Murder Posttraumatic Stress Disorder PTSD Violence
Accuracy Verified: Yes
10. Staff. (2003, June). Consortial member profile: The Human Performance Laboratory at the University of Calgary. Journal of the Canadian Chiropractic Association, 47(2), 84-92.
Language: English
Format: Journal
Abstract:
The CCCRC now has 12 members and is a network of
Canadian researchers designed to foster cross-disciplinary
research collaboration on a variety of issues that will
advance the CCA’s Research Agenda. Each issue of the
JCCA will feature a Consortial Member profile and clinicians
and researchers are invited to establish links with
those areas of interest. The first Consortial member to be
featured is Dr. Walter Herzog at the University of
Calgary.
We completed our first study in eye movement desensitization
reprocessing therapy (EMDR). The study showed
that EMDR is an effective method for helping athletes
overcome traumatic events. Athletes significantly reduced
their anxiety as a result of the therapy. We also found that
those receiving therapy have gaze control characteristics outcome
that make have an influence on the conduct and
of the therapy.
Keywords: Athletes Gaze Control Characteristics
Accuracy Verified: Yes
11. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: 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
12. 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
13. Hornsveld, H., & de Jongh, A. (2011, April). De werkgeheugentheorie: Resultaten en klinische implicaties [The working theory: Results and clinical implications]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er zijn verschillende theorieën om de gunstige effecten van EMDR te verklaren. De laatste jaren wijst onderzoek op dit terrein steeds meer in de richting van de zogenaamde werkgeheugenhypothese. Niet in de laatste plaats vanwege het onderzoek van Marcel van den Hout, Iris Engelhard en Hellen Hornsveld aan de Universiteit Utrecht. Dit onderzoek kreeg in 2010 in de VS de EMDR Award for Outstanding Research.
In deze presentatie zullen Hellen Hornsveld en Ad de Jongh samen ingaan op dit onderzoek en met name op de klinische implicaties van deze bevindingen. Ook zullen zij nieuwe data presenteren van een onderzoek naar het verschil tussen de effectiviteit van oogbewegingen en ‘klikjes’ binnen een klinische populatie. Aan dit onderzoek hebben een groot aantal leden van de Vereniging EMDR Nederland meegewerkt.
De volgende thema’s zullen in deze presentatie aan bod komen.
1. Het gebruik van klikjes in plaats van oogbewegingen.
2. Het gebruik van ‘flash forwards’ en de nieuwe toepassingen die hierdoor ontstaan binnen
het ‘linksom model’ bij de behandeling van angststoornissen.
3. Het gebruik van bilaterale stimulatie bij RDI, de veilige plek, en positief afsluiten.
Sommige van deze onderwerpen zullen worden geïllustreerd door middel van videoclips. Vanzelfsprekend zal hierbij ook gelegenheid zijn voor discussie.
There are several theories to explain beneficial effects of EMDR. In recent years research in this area points increasingly towards the so-called working memory hypothesis. Not least because of the investigation of Marcel van den Hout, Iris Engelhard and Hellen Hornsveld at Utrecht University. This study was in 2010 in the U.S. EMDR Award for Outstanding Research.
This presentation will Hellen Hornsveld and Ad de Jongh together and discuss this study in particular the clinical implications of these findings. They will also present new data from a study of the difference between the effectiveness of eye movements and "clicks" in a clinical population. In this study have many members of the Association EMDR Netherlands participated.
The following topics will be discussed in this presentation.
1. The use of clicks rather than eye movements.
2. The use of 'flash forwards' and the resultant new applications within
the 'left' model in the treatment of anxiety disorders.
3. The use of bilateral stimulation of RDI, the safe place and positive conclusion.
Some of these issues will be illustrated by video clips. Obviously this will also be opportunity for discussion.
Accuracy Verified: Yes
14. O'Connor, M., Russell, A., & Mueller, K. (2008, June). A discussion forum for child practitioners. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
The aim of this workshop is to provide participants with an opportunity to join a discussion led by a group of Child
Trained EMDR Consultants. The focus of the discussion will be on the most frequently voiced queries, issues and
concerns raised by EMDR child practitioners in the various support and supervision groups across the UK.
Participants will be invited to join the discussion amongst Panel Members as they share learning arising from
their experiences of leading support and supervision groups where the practice issues range from work with very
young children to older teenagers including those with additional support needs. Members of the Panel are from
a range of professional disciplines and practice EMDR with children and adolescents in a variety of education,
health and community settings.
Keywords: Child Therapists
Accuracy Verified: Yes
15. 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
16. 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
17. Edmond, T. E., Rubin, A., & Wambach, K. G. (1999, June). The effectiveness of EMDR with adult female survivors of childhood sexual abuse. Social Work Research, 23(2), 103-116.
Language: English
Format: Journal
Abstract:
A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse. 59 women were assigned randomly to one of three groups: (1) individual EMDR treatment (six sessions); (2) routine individual treatment (six sessions); or (3) delayed treatment control group. A MANOVA was statistically significant at both posttest and follow-up. In univariate ANOVAs for each of four standardized outcome measures EMDR group members scored significantly better than controls at posttest. In a three-month follow-up, EMDR participants scored significantly better than routine individual treatment participants on two of the four measures, with large effect sizes suggestive of clinical significance. [Author Abstract]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Empirical Study Females Follow-up Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Self Efficacy Survivors Treatment Effectiveness
Accuracy Verified: Yes
18. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. 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, Espagna.
Language: Spanish
Format: Conference
Abstract:
La pérdida de un ser querido es un evento de gran impacto emocional
que afectando a todo el sistema familiar, puede ser muy diferente en el modo
en que cada uno de sus miembros perciba, interprete, afronte y se adapte
a la nueva situación tras la pérdida y las demandas por ella creadas. Es
frecuente que una pérdida no elaborada de forma adecuada dé paso a problemas
emocionales e incluso trastornos psicopatológicos al cabo de meses
o incluso años; sin embargo, un duelo adecuadamente elaborado mejora las
capacidades futuras para enfrentarse a las situaciones de pérdida, frustración
o sufrimiento.
La premisa fundamental del modelo de procesamiento adaptativo de información
(PAI) en la que se basa la terapéutica de EMDR sería: la perturbación
que la persona sufre en la actualidad es el resultado de un almacenamiento
disfuncional de la información (Shapiro, 2001). El procesamiento
implica el forjar nuevas asociaciones con información adaptativa proveniente
de otras redes de memoria disponibles para vincularse en la red de memoria
restaurando la información disfuncional almacenada. Desde este modelo, el
duelo complicado se desarrolla cuando los componentes individuales son
tan dolorosos, que se desarrolla una alta sensibilidad cada vez que se reactiva
un fragmento del recuerdo y no se logra la integración. Los fragmentos
activados pueden competir por la atención en la mente, haciendo que ésta
vaya de atrás para adelante entre dos o más aspectos de la muerte. Esta
falta de foco impide el procesamiento de los fragmentos individuales, como
cuando el procesamiento de la pérdida en si misma se desvía por el recuerdo
de los detalles de cómo la persona murió.
En esta comunicación, presentamos el protocolo de EMDR aplicado al
duelo complicado a través del análisis de un caso clínico.
The loss of a loved one is an event of great emotional impact
that affect the entire family system, may be very different in the way
in that each of its members perceive, interpret, and adapt confronts
to the new situation after the loss and the demands created by it. this is
loss often not adequately prepared to give way to problems
psychopathology emotional and even after months
or even years, but properly prepared duel improves
future capabilities to face situations of loss, frustration
or suffering.
The fundamental premise model adaptive information processing
(AIP) which is based on EMDR therapy would be: the disturbance
the person is currently suffering is the result of a storage
Dysfunctional information (Shapiro, 2001). processing
involves forging new partnerships with adaptive information from
other networks available memory on the network to link memory
restoring the dysfunctional information stored. From this model,
Complicated grief occurs when the individual components are
so painful that develops high sensitivity reactive whenever
a fragment of memory and integration is not achieved. fragments
activated can compete for attention in the mind, causing it
go back and forth between two or more aspects of death. this
lack of focus prevents processing of the individual fragments, as
when processing the loss itself is diverted by the memory
the details of how the person died.
In this paper, we present the EMDR protocol applied to
Complicated grief through the analysis of a clinical case.
Keywords: Bereavement Case Study Grief Symposium
Accuracy Verified: Yes
19. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Complex
Post
Traumatic
Stress
Disorder
(C-‐PTSD)
is
a
psychological
injury
that
results
from
protracted
and
repeated
exposure
to
traumatic
stressor.
Though
the
literature
in
recent
years
presented
and
published
papers
on
C-‐PTSD,
the
category
is
under
consideration
for
inclusion
in
DSM
or
ICD.
PTSD
descriptions
fail
to
capture
some
of
the
core
elements
of
C-‐PTSD.
Such
elements
include
captivity,
psychological
fragmentation,
the
loss
of
a
sense
of
safety,
trust,
and
self-‐
worth,
as
well
as
the
tendency
to
be
re-‐victimized,
and
the
loss
of
a
coherent
sense
of
self.
It
is
this
loss
of
a
coherent
sense
of
self,
and
the
ensuing
symptom
profile,
that
most
pointedly
differentiates
C-‐PTSD
from
PTSD.
Six
clusters
of
symptom
have
been
suggested
for
diagnosis
of
C-‐PTSD.
These
are;
1. Alterations
in
regulation
of
affect
and
impulses
2. Alterations
in
attention
or
consciousness
3. Alterations
in
self-‐perception
4. Alterations
in
relations
with
others
5. Somatization
6. Alterations
in
systems
of
meaning
The
aim
of
this
workshop
is
to
present
C-‐PTSD
and
the
use
of
EMDR
treatment
of
a
severely
disturbed
young
woman
with
unfinished
bereavement
for
her
mother
lost
10
years
ago,
series
of
sexual
abuse
by
12
persons,
rejection
and
emotional
abuse
by
close
family
members.
The
case
will
be
presented
via
DVD
recordings
of
sessions.
El
trastorno
por
estrés
post-‐traumático
complejo
(C-‐TEPT)
es
una
lesión
psicológica
consecuencia
de
una
exposición
prolongada
y
repetida
a
un
estresor
traumático.
Si
bien
la
literatura
ha
presentado
y
publicado
trabajos
sobre
C-‐TEPT
en
los
últimos
años,
la
categoría
se
encuentra
sometida
a
debate
para
su
inclusión
en
el
DSM
o
CIE.
Las
descripciones
de
TEPT
no
captan
algunos
de
los
elementos
esenciales
de
C-‐
TEPT.
Dichos
elementos
incluyen
la
fragmentación
psicológica,
la
pérdida
de
una
sensación
de
seguridad,
confianza
y
valor
propio
de
la
persona,
así
como
la
tendencia
a
sufrir
nuevas
victimizaciones
y
la
pérdida
de
un
sentido
coherente
del
yo.
Es
precisamente
esta
pérdida
un
sentido
coherente
del
yo
y
el
perfil
sintomatológico
consecuente,
lo
que
diferencia
más
marcadamente
el
C-‐TEPT
del
TEPT.
Se
han
planteado
los
siguientes
seis
grupos
(“clusters”)
de
síntomas
para
el
diagnóstico
de
C-‐TEPT:
1. Alteraciones
de
la
regulación
del
afecto
e
impulsos
2. Alteraciones
de
la
atención
o
conocimiento
3. Alteraciones
de
la
auto-‐percepción
4. Alteraciones
de
las
relaciones
con
terceros
5. Somatización
Alteraciones
de
los
sistemas
de
significado
El
objetivo
que
persigue
este
taller
es
el
de
presentar
el
C-‐TEPT
y
el
empleo
del
tratamiento
con
EMDR
de
una
joven
gravemente
perturbada
con
duelo
incompleto
por
la
pérdida
de
su
madre
hacía
10
años,
una
serie
de
abusos
sexuales
por
parte
de
12
personas,
el
rechazo
y
abuso
emocional
por
parte
de
familiares
cercanos.
Se
presentará
el
caso
mediante
las
grabaciones
en
DVD
de
las
sesiones.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD
Accuracy Verified: Yes
20. Moses, M. D. (2002, June). EMDR and conjoint couples therapy. Presnetation at the annual meeting of the EMDR International Assocation, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation represents an integration of EMDR with Conjoint
Couples Therapy. The protocol offered is clinically and anecdotal derived,
applying EMDR with both members of a couple witnessing the other's
work. This mutual sharing around triggers and traumas, holds powerful
potential for building mutual understanding, compassion and empathy in
the relationship. As a work in progress, the presenter will welcome dialog
and empirical investigation of this protocol. The workshop will include:
guidelines; potential benefits; indications and contraindications; protocol
for EMDR and Conjoint Couples Therapy; case illustration; do's and
don'ts: coordination with other therapies/therapists; and when Conjoint
EMDR is not possible or indicated.
Keywords: Conjoint EMDR Couples Therapy
Accuracy Verified: Yes
21. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee.
Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen.
De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop.
Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ?
Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn
Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities.
In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten.
Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu.
Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen.
Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.
In select members for the treatment system involvement, here when medical professionals play a role with Cognitions.
Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals.
The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first.
How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist?
A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client
When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions.
In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist.
A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality.
A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed.
A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.
Keywords: Systems Therapy
Accuracy Verified: Yes
22. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
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.
Keywords: Case Formulations
Accuracy Verified: Yes
23. Guedalia, J. B., & Yoeli, F. (2009). EMDR emergency room and wards protocol (EMDR-ER). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 241-250). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR-Emergency Room and Wards Protocol (EMDR-ER®) was developed by Dr. Judith Guedalia, after being present at more than 26 Mass Casualty Events (MCEs). She and the other members of Shaare Zedek Medical Center's Trauma Team attended to more than 38% of the 1,623 patients injured in Jerusalem terror attacks during the "Second Intifada." The Second Intifada spanned nearly 4 years, lasting from November 2000 until September 2004. The EMDR Emergency Room and Wards Protocol (EMDR-ER) Script is provided. [PsychoINFO]
Keywords: Emergency Room Protocol Wards
Accuracy Verified: Yes
24. 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:
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.
Keywords: Asia Keynote History
Accuracy Verified: Yes
25. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
The prison system serves, among many others, one important goal: to separate those members
of society, who are dangerous to others, from the more peaceful and law-abiding majority. As
a consequence one could assume that the inmates of a prison from a, subgroup of human
beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures
for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs
in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison
would be a dangerous place to work in and that prison staff would be at a considerable risk of
being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and
10 recently traumatised staff are invited to participate in a group consultation each year. The
number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand
prison staff are regarded as a population often reluctant to engage in psychotherapy and
leaving psychotherapy prematurely, without a significant treatment effect.
On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony,
Germany. The perpetrator killed two members of staff, wounded two others severely and
committed suicide immediately afterwards. More members of staff suffered from the
psychological effects of the violence. The Critical Incident Team within the Ministry of
Justice provided intensive care and counselling. 15 members of staff were identified as a
high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for
a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left
therapy prematurely. One member of staff suffered from the effects of a civil war situation
experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation.
Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three
are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to
great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and
efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using
EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with
significant gains for this population.
Keywords: Critical Incident Prison Recent Events Riot
Accuracy Verified: Yes
26. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
27. Silver, S. (2012, October). EMDR in the military: Trauma, attachment and families. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This workshop provides participants with information on the unique nature of military service, including sources of stress and trauma not commonly found in the civilian sector. The current operational environment of the Global War on Terror as well as experiences and issues of veterans of other eras are covered. Military-based trauma can be complex and therapeutic approaches often need to take this into account as well as the value systems of military personnel. While EMDR is highly effective with service members, “fine tuning” of the protocol is often useful. Family problems in attachment are addressed.
Keywords: Attachment Families, Military Trauma
Accuracy Verified: Yes
28. Silver, S. (2004). EMDR military update. EMDRIA Newsletter, 9(3), 17.
Language: English
Format: Newsletter
Abstract:
A number of EMDRIA members have asked about
the possibility of assisting returning Iraq War
veterans possibly as volunteers working for the
military or the Department of Veterans Affairs. Steve
Silver, Ph.D, Director of the inpatient PTSD
Program at the VA Medical Center in Coatesville,
PA, provided us with the following information.
Keywords: Military
Accuracy Verified: Yes
29. Meignant, I. (2010, July). EMDR systemic approach: Application in couple's therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be
useful in the EMDR treatment of couples. This model insists on the double bind in which each member of the couple is torn
between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P) and” if someone loves me
he will leave me” (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of
any people in relationship.
The aim of EMDR practitioner is to treat the dysfunctional stored memories connected with these worldviews and give them
flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and
verifying them will guide us to the individual target that will be the Gordian knot in the present problem which the couple
come with, helping the system to evolve from a situation of crisis to a situation of equilibrium. Using EMDR will help to give
flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following
each phase of the EMDR model eight phases protocol, we will show how it will be applied to couple therapy with case studies
and practice example. This target plan can be apply to any dyad or system in crisis.
Keywords: Couples Therapy
Accuracy Verified: Yes
30. Anton, A. (1995). EMDR with couples. EMDR Network Newsletter, 5(3), 5-6.
Language: English
Format: Newsletter
Abstract:
It is generally held that EMDR is not
to be used with couples, and I agree
that it is not appropriate to do so when
the primary items being dealt with are
such issues as power, intimacy, trust,
communication, conflict, or control of
impulses and emotions. However, I
discovered recently that EMDR can be
used successfully and effectively with
couples in at least one particular type
of circumstance. The circumstance I
have in mind is that in which a couple
faces an external threat or severe loss
that creates a crisis atmosphere to
which each member of the couple is
reaching considerable anxiety and
extreme distress. However, rather
than allowing their relationship to
degenerate into mutual blaming and
fault-finding, the members of the
couplemaintain their bonding to each
other, continue to support each other,
and constitute a unified front in regard
to the threat or loss.
Keywords: Couples Couples Therapy
Accuracy Verified: Yes
31. Meignant, I. (2011, June). EMDR with couples in the context of family therapy [EMDR mit paaren im kontext der familientherapie]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
The use of both Mony Elkaïm’s systemic model and the AIP model is a new perspective for couples’therapy and for EMDR target plan and further in individual therapy where relational problems are involved. This workshop will teach present a way to do a target plan for relational problem treatment. Focusing on couples’therapy the workshop will show how to do an EMDR case conceptualization integrating the systemic model. It will propose clinical question/answer that will help to decide to use EMDR or not in the couple session, choosing the position of the other member of the couple during the reprocessing phases. It will show the use of individual safe places as a safe place for the couple during the session and at home.
What we propose here is that the understanding of Mony Elkaïm’s Systemic model for a couple in crisis guides us to find where to work on the past of each member to heal the couple in the EMDR target plan. We imagine that this understanding can be of help to build a bridge between any 2 parts of a relation: 2friends, 2 colleagues, 2 persons from different culture or religion.
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR target plan. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P) and" if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem the couple is dealing with, hence helping the system to evolve from a situation of crisis to a situation of equilibrium.
Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR model eight-phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. We will see how this target plan can apply to any dyad or system in crisis in family therapy, couple therapy and individual therapy.
Learning objectives:
•Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan.
•Being able to do the installation of EMDR safe place as a resource for the couple.
•Evaluate more clearly whether and when to use EMDR in the couple therapy session.
•Knowing specifications of each of the 8 phases EMDR protocol with couple.
Keywords: Couples Family Therapy
Accuracy Verified: Yes
32. Boèl, J. (1997). EMDR with trauma survivors in Mexico: In the aftermath of Hurricane Paulina with the Mexican Association for crisis therapy in Acapulco. EMDR Humanitarian Assistance Programs.
Language: English
Format: Other
Abstract:
Hurricane Paulina ravaged Acapulco, Mexico, in October of 1997. Two weeks of
torrential rains, floods and landslides followed. At least 2500 people died. In one poor
neighbourhood on the banks of what had been an almost dry riverbed, 400 people were
buried alive before they could escape or be rescued. Despite acts of incredible heroism
which occurred during the hurricane and floods and in the following days, the initial
rescue efforts were hampered by the lack of infrastructure for emergencies of such scale.
The firemen worked alongside volunteers for 15 days taking only 'cat naps' in their
trucks. They received no psychological debriefing from the horrors they witnessed until
three months later, when Dr. Ignacio Jarero and I (as members of the Mexican
Association for Crisis Therapy core team met to debrief with them. Some of the most
stalwart rescuers with whom we spoke still had recurring images of partial corpses of
children stuck in trees and bodies of pregnant women floating along the main streets of
old Acapulco.
Keywords: Acapulco Butterfly Hug Children: Hurricane Pauline Mexico Recent Events
Accuracy Verified: Yes
33. Bardin, A. (2004). EMDR within a family system perspective. Journal of Family Psychotherapy, 15(3), 47-61. doi:10.1300/J085v15n03_04.
Language: English
Format: Journal
Abstract:
EMDR is a method used to help the individual trauma victim process the psychological aftereffects of trauma (PTSD). The effects of traumatic experiences, however, spread throughout the victim's family. The case presented here describes the treatment from three perspectives: individual, family, and social context (eco-social). EMDR, used with a nine-year-old stabbing victim, was integrated into wider therapeutic work within the family. This integration widened the focus from the IP to other members of the system, allowing the use of EMDR to “spread” to four out of the five family members. The effects of the trauma on the family and its members were most effectively treated by a combination of individually and systemically oriented interventions.
Keywords: Clinical Case Study Emotional Trauma Empirical Study Family Family Therapy Posttraumatic Stress Disorder PTSD Therapeutic Process Trauma Victims
Accuracy Verified: Yes
34. Ordoux, I. M. (2008, June). EMDR within systemic couple therapy. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis
can be useful in the EMDR treatment of couples. He insists on the double bind in which each member of the
couple is torn between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P)
and” if someone loves me he will leave me” (W.V.). These world views are creating repetitive cycles which are
trapping the members of the couple. The aim of EMDR practitioner is to treat the dysfunctional stored memories
connected with these world views and give them flexibility to free the members of the couple from the vicious
circle in which they are caught. In this presentation we propose to show how making hypothesis about the World
view of each member of the couple and verifying them will guide us to the individual target that will be the
Gordian knot in the present problem which the couple come with, helping the system to evolve from a situation
of crisis to a situation of equilibrium. Using EMDR will help to give flexibility to the world view of each member.
Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR eight
phases protocol, we will show how it will be applied in relation to couple therapy. With case studies and practice
example, we will see how we get through each phase with couples.
Keywords: Couples Therapy
Accuracy Verified: Yes
35. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.
Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC
Accuracy Verified: Yes
36. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.
Language: French
Format: Dissertation/Thesis
Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale
(TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble.
Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants
n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.
This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy
(CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder.
The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants
who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.
Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
37. Ali, M. W., & Rana, M. H. (2008, June). Eye movement desensitization and reprocessing (EMDR) in patients of PTSD following earthquake 2005, Pakistan. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective: The purpose of the study is to asses the usefulness of EMDR in patients of PTSD who survived the
October 2005 earthquake in Pakistan. Background: On October the 8th an earthquake of 7.6 on rector scale
struck Kashmir and Northwest of Pakistan leaving millions injured and more than 80,000 dead. A survey of the
affected areas has shown a high prevalence of PTSD amongst the survivors. A selected series of patients with the
diagnosis of PTSD from amongst the survivors is enrolled for EMDR at CTRPI. The study is based on their response
to this intervention. Design and Settings: The study involves an ongoing compilation of clinical data and the study
of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre
for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health
facility is the tertiary care referral point for patients from metal health relief units located allover in earthquake
affected areas of Azad Kashmir and Northwest of Pakistan. Method: Earthquake survivors who develop
psychosocial sequelae referred to CTRPI from Kashmir, who go on to fulfill the criteria of Post-traumatic Stress
Disorder according to ICD-10 are registered for further studies and appropriate interventions. A select group who
give informed consent for EMDR are then included for detailed evaluation and follow up. Sessions are conducted
in eight phases from manuals by therapists who are trained till level 2 in the method. Pre- treatment assessment
is done by an independent assessor for scores on Impact of Event Scale and Global Assessment of Functioning
(GAF). The post treatment assessment is conducted 1 week after the treatment with the same procedures as at
pretreatment. In session Scoring of subjective unit of distress is also recorded serially. According to the degree of
improvement and severity of illness, sessions of EMDR are carried out with the duration of about 60 to 90
minutes each session and with a minimum of 6 sessions using the bilateral stimulation. The authors plan to
compile their work with ten patients who fulfill the prerequisites of the study in process. Results: The work has
been done so far on three clients which suggest that EMDR is effective in reducing the scores of IES back to
normal and there is marked difference in the GAF level after the said intervention. It has a dramatic effect on
29
within-session SUD levels .Furthermore, at a qualitative level it is observed that involvement of other family
members in the therapeutic process may improve treatment adherence. Conclusions: Ongoing results of this
study tend to suggest that the EMDR is an effective intervention for patients of PTSD following a natural disaster
like an earth quake. However, the results drawn cannot be generalized on account of their small count.
Keywords: Earthquake Pakistan Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
38. Fannin, J. L. (1998, February). Eye movement desensitization and reprocessing (EMDR) in the treatment of anxiety as it pertains to work-related issues. Walden University, Minneapolis, MN. AAT 9804439.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this study was to determine the effect Eye Movement Densitization and Reprocessing (EMDR) has as a treatment protocol on work-related stressors. Today's faster pace, the growing perception of job insecurity, greater demands on the job, and inability to juggle family and work responsibilities has left millions of Americans to experience the debilitating effects of anxiety and stress. Many people lack the knowledge, resources, and strategies to effectively deal with such problems. The issue of stressors in work-related situations is costly and negatively impacts many individuals, organizations, and families. EMDR was found to be both effective and efficient in removing or substantially decreasing anxiety associated with work-related stressors and increase the association to positive cognitions. The data indicated both statistical and clinical improvement in all four areas of measure: subjective units of disturbance (SUD), verification of cognition (VOC), emotional state, and trait anxiety, after EMDR had been administered to members of the experimental group. This study found no statistical significance with these measures as they pertain to the control group. The three null hypotheses were rejected. Several different measures were employed to evaluate the statistical significance of the data produced by this study. Process measures of the verification of cognition (VOC) and subjective units of disturbance (SUD) scales were evaluated through paired sample t-tests. Analysis of variance (ANOVA) was used to evaluate the state and trait anxiety measures. Interactional analysis tested the hypotheses for interaction using repeated measures ANOVA with method and time. Pearson's product moment correlation tested for the association between two variables. Further study is recommended in both the conceptual and theoretical foundations of the EMDR protocol. Such research could lead to more effective and cost-efficient therapy for a wide range of problems affecting the individual, family, and the organization. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(8-B), Feb 1998, pp. 4512.
Keywords: Anxiety Empirical Study Eye Movement Desensitization Therapy Occupational Stress Stress Management Treatment Outcome/Clinical Trial Workplace Stress
Accuracy Verified: Yes
39. Legg, E., O'Halloran, M. S., & Oyer, L. (2012, October). Eye movement desensitization and reprocessing in conjoint couples therapy: A grounded theory study. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR is a comprehensive evidence-based treatment, typically offered through individual therapy. Though it has been incorporated into couples therapy, limited research has examined its use within conjoint couples therapy, and none has included interviews with couples and therapists, The purpose of this qualitative grounded theory study was to explore the experience of clients and therapists during conjoint EMDR treatment.
Specific researcg questions included: 1) How do members of a couple describe their experience of conjoint couples therapy involving EMDR? 2) How do therapists describe their experience providing EMDR treatment within couples therapy? 3) What do participants perceive as valuable or meaningful about the conjoint EMDR process? 4) What do they perceive as impeding the process? 5) How does each participant describe the status of the couple prior to and following EMDR, both individually and relationally? An initial theory was developed about the conjoint EMDR process. Interviews were conducted with 21 participants, including both partners of ocuples in treatment and the therapists. interviews were analyzed using Strauss and Corbin's (1998) grounded theroy data analysis. The theory emerging from the data provides perspectives not captured in previous research and may prove useful in decision making about the appropriateness of conjoint EMDR for couples as well as methods of assessment and preparation.
Keywords: Conjoint Couples Therapy Poster
Accuracy Verified: Yes
40. Shapiro, F., Levin, C., Dunton, R., & Goldstein, A. (1992, July). Eye movement desensitization and reprocessing procedure: A rapid treatement for anxiety and related trauma. Presentation at the Fourth World Congress on Behaviour Therapy, Queesland, Australia.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitisation and Reprocessing (EMDR) procedure has been used on thousands of victims (ages 3-74) f traumatic memories, including, combat, rape/molestation, and sexual cult abuse.
Accuracy Verified: Yes
41. Affonso, S. D. S. (2012, Novembro). Família vítima de sequestro em cativeiro: Intervenção com EMDR e protocolo grupal integrativo como prevenção do transtorno de estresse pós-traumático [Family kidnap victim in captivity: Intervention with EMDR protocol and group integrative prevention of disorder like post-traumatic stress]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Caso de sequestro familiar onde pai e dois filhos pequenos ficaram em cativeiro por 19 horas. Mãe teve que acompanhar os outros assaltantes durante toda a ação criminosa sob ameaça de morte. Objetivo: Reestruturação da dinâmica familiar pós-trauma de sequestro por meio da aplicação do EMDR, Grupal (PGI) e sistêmico familiar como recurso teórico e prático da resolução do trauma. Justificativa: Aplicação do EMDR como instrumento eficaz e mediador em situações de sequestro familiar, minimizando suas consequências. Empoderar a família para uma reorganização segura reincorporando as atividades do cotidiano e as biopsicossociais. Os componentes desta família foram vítimas de violência urbana com abusos emocionais físicos e ameaças de morte constantes. Metodologia: Foram realizado sete atendimentos. O primeiro com o Protocolo Grupal Integrativo (Suds e Voc - projeção do futuro com 03 membros da família) e o restante com o EMDR individual (CN-CP-Voc-E-S-Suds) e Sistêmico Familiar. Período de julho a novembro de 2011 em consultório particular na região de São Paulo. Conclusão: ao término dos atendimentos foi possível observar a capacidade de reorganização da dinâmica familiar com a resolução dos traumas por meio da aplicação do EMDR. Possibilitando o retorno gradativo dos filhos às atividades diárias e escolares, com o término dos pesadelos e comportamentos fisiológicos decorrentes do trauma sofrido, confirmando, assim, a potencialidade que o EMDR individual, grupal fortalecem e recuperam a reestruturação familiar pós-trauma em sequestro.
Introduction: Case of kidnapping family where father and two small children were in captivity for 19 hours. Mother had to follow the other robbers throughout the criminal action under threat of death. Objective: Restructuring family dynamics posttraumatic sequestration through the application of EMDR Group (PGI) and systemic family as a resource of theoretical and practical resolution of trauma. Rationale: Application of EMDR as an effective tool and mediator in situations of family abduction, minimizing their consequences. Empower the family to secure a reorganization reincorporating everyday activities and biopsychosocial. The components of this family were victims of urban violence with physical and emotional abuse constant death threats. Methods: We conducted seven sessions. The first Protocol to the Integrative Group (Suds and Voc - projection of the future with 03 family members) and the rest with the individual EMDR (CN-CP-You-ES-Suds) and Systemic Family. From July to November 2011 in private practice in the region of São Paulo. Conclusion: At the end of the visits was possible to observe the ability of reorganization of family dynamics with the resolution of trauma through the application of EMDR. Allowing the gradual return of the children to their daily activities and school, with the end of nightmares and physiological behaviors resulting from trauma, thereby confirming the potential that the EMDR individual, group and strengthen the family restructuring recover post-trauma in kidnapping.
Keywords: Family Restructuring Trauma Victims
Accuracy Verified: Yes
42. Vanhoeck, K., & Gykiere, K. (2010). Fantasiemanagement bij seksuele delinquenten [Fantasy management in sexual offenders]. Tijdschrift voor Seksuologie, 34, 224-235.
Language: Dutch
Format: Journal
Abstract:
Fantasy management for sex offenders
Sexual fantasies of sex offenders are a complex therapeutic issue. First, there is not so much we know yet for sure
about sexual fantasies. Secondly, the question is what role
sexual fantasies play as a risk factor for sexual abuse. And
third, therapists see themselves confronted with the difficult task how to affect the sexual fantasies of their client (if
they are willing to do this at all). In part 1 of this article, we
briefly go through the scientific knowledge about sexual
fantasies of sex offenders and will primarily have to find
out that we do not know much. In part 2 we present four
ethical statements as a therapeutic framework for fantasy
management. Finally we describe six steps to make it practical to get started.
Keywords: Fantasy Management Sex Offenders
Accuracy Verified: Yes
43. Scholz, R. (2010, June). From mass trauma to chosen trauma - some discriminations and their therapeutic relevance. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The paper is about what usually is referred to as collective
trauma and specifies this term. 'Collective trauma' here
is used as a generic term that covers mass trauma, so called
'simple' large group trauma and chosen trauma. These different
types are defined and the process and conditions are explored
that is needed to transform mass suffering into large group
trauma and then into chosen trauma. Emphasis is laid on the
process' time dimension, which is connected to different types
of memory (body memories, communicative memory, cultural
memory) modes of transition and functions for the psychic life
of a group and its members.
The basic assumption is that trauma always is relational and
thus contains a group dimension that is often ignored and to a
certain degree in some cases for practical reasons is ignorable in
treatment. But in the area of collective trauma this dimension
has to be put into the foreground to gain a sound understanding
from the processes involved.
The paper tries
- to provide EMDR-therapist with a theoretical background to
discriminate between different types of collective trauma,
- to foster an understanding of different types of memories
connected to these different trauma types,
- to convey the knowledge that different types of collective
trauma due to the different dynamics involved ask for different
types of actions,
- to give a tool to understand when and to what extend EMDR treatment
is the method of choice and what else or different is
needed in heaping people to overcome collective trauma.
The innovation is a classification of collective trauma connecting
it too different types of memories that cause different processes.
That allows getting out of the sometimes gloomy use of the term
"collective trauma". The high emotional as well as moral loading
always connected to traumatic experiences tend to obscure a
clear view on the processes at work. But a sound understanding
is needed to take appropriate measures in the different areas.
Keywords: Mass Trauma Symposium
Accuracy Verified: Yes
44. Cairella, C. (2012, June). Getting to the heart of the matter: Using EMDR effectively with couples [Llegando al corazón del problema: El empleo efectivo de EMDR con parejas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This presentation outlines how EMDR and Couple's Therapy can be
integrated in the field of psychotherapy. The audience will learn how to conduct a
couple's therapy session based on the 8 Phases of the EMDR protocol. During this
presentation, video recordings will be provided to demonstrate how EMDR can be
used in the couple's therapy setting when emotionally disruptive events, such as
infidelity, attachment injuries or childhood trauma have negatively affected the
relationship.
Couples therapy examines the negative cycle that occurs within the relationship,
helps to deepen the couple's awareness of both their internal experience and the
experience of their partner, and to cultivate intimacy within the relationship.
However, if the couple is unable to tolerate their own anxiety or the distress of
their partner, their mid-brain can become emotionally charged, thus leading to
further discord within the relationship.
Based on the AIP model, if either one or both members of the relationship are
being triggered by unresolved past traumatic events both parties can become
activated. Since the initial perceptions, emotions and distorted thoughts are stored
as they were experienced at the time of the event, the couple can get caught in an
unending negative cycle that further exacerbates the anxiety and distress in the
relationship. By integrating EMDR in Couple's Therapy we hypothesize that EMDR
helps to both increase one’s ability to tolerate anxiety and decrease the intensity of
past traumatic events and present day triggers, thus decreasing the level of
distress in the relationship.
Esta
presentación
esboza
cómo
se
puede
integrar
EMDR
y
la
terapia
de
pareja
en
el
campo
de
la
psicoterapia.
Los
participantes
aprenderán
a
llevar
a
cabo
una
sesión
terapéutica
de
pareja
sobre
la
base
de
las
8
fases
del
protocolo
de
EMDR.
Durante
esta
presentación,
se
ofrecerán
vídeos
para
demostrar
cómo
se
puede
utilizar
EMDR
en
el
contexto
de
una
terapia
de
pareja
cuando
han
afectado
la
relación
de
forma
negativa
eventos
emocionalmente
perturbadores,
como
la
infidelidad,
daños
al
apego
o
trauma
infantil.
La
terapia
de
pareja
examina
el
ciclo
negativo
que
se
da
dentro
de
la
relación,
ayuda
a
profundizar
la
conciencia
de
la
pareja
tanto
de
su
experiencia
interna
y
la
experiencia
del
otro
miembro
de
la
pareja
y
a
cultivar
la
intimidad
dentro
de
la
relación.
Sin
embargo,
si
la
pareja
no
es
capaz
de
tolerar
su
propia
ansiedad
o
el
estrés
de
su
pareja,
se
les
puede
quedar
cargado
el
cerebro
medio
y
así,
provocar
más
discordia
dentro
de
la
relación.
De
acuerdo
con
el
modelo
AIP,
si
eventos
traumáticos
sin
resolver
“disparan”
a
un
miembro
de
la
relación
o
a
ambos,
pueden
activarse
ambas
personas.
Desde
las
primeras
percepciones,
se
guardan
las
emociones
y
pensamientos
distorsionados
igual
que
se
vivieron
en
el
momento
del
suceso,
la
pareja
puede
acabar
atrapada
en
un
ciclo
negativo
sin
fin
que
agudiza
aún
más
la
ansiedad
y
el
estrés
en
la
relación.
Al
integrar
EMDR
en
la
terapia
de
pareja,
nuestra
hipótesis
es
que
EMDR
contribuye
tanto
a
aumentar
la
capacidad
de
la
persona
a
tolerar
la
ansiedad,
como
a
disminuir
la
intensidad
de
los
sucesos
traumáticos
pasados
y
los
desencadenantes
actuales
y
así,
reducir
el
nivel
de
estrés
dentro
de
la
relación.
Keywords: Couples
Accuracy Verified: Yes
45. Richards, J. B. (2010, June). Group EMDR after individual trauma treatment as assistance back into everyday life. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The learning objectives are as follows;
By the end of the workshop, participants will demonstrate:
An awareness of the potential value of group EMDR for traumatised
clients.
An understanding of the place of group EMDR as a final stage
in treatment, after individual EMDR trauma therapy.
Familiarity with a range of EMDR techniques which are useful
in this mode of treatment.
This experiential workshop will commence with a short Power-
Point presentation, including some client material.
There will then follow a brief discussion, followed by an opportunity
to try out a group experience of using EMDR techniques
The use of group EMDR as a stage of EMDR trauma treatment
arose from the expressed need of clients for a sense of shared
experience, and peer support as they returned to everyday life
as a changed person. Many have physical impairments as a re^
suit of their traumatic experiences, and feel a sense of empathic
understanding when sharing their difficulties.
A further benefit has been the improved reflective functioning displayed
by the group members, which may be related to greater
Vagus nerve relaxation, and resulting increased neocortical activity.
The workshop leader is an accredited EMDR practitioner, who
has been treating traumatised people individually and in groups
for more than thirty years, and has been using EMDR in groups
increasingly in recent times.
Keywords: Group Therapy
Accuracy Verified: Yes
46. Jayatunge, R. M. (2011, May). Healing combat trauma in Sri Lanka via EMDR. LankaWeb. Retrieved from http://www.lankaweb.com/news/items/2011/05/10/healing-combat-trauma-in-sri-lanka-via-emdr/ on 5/10/2011.
Language: English
Format: Other
Abstract:
The Sri Lankan society is hugely affected by combat related stress as a result of the 30 year armed conflict. Combatants as well as a large number of civilians including members of the LTTE have undergone a tremendous amount of war related stress for the last 3 decades. There had been large military operations where the combatants were directly exposed to hostile battle conditions. Following these traumatic combat events a considerable number of soldiers became psychologically wounded. Deplorably Psychological wounds of the Eelam war were not addressed appropriately. As a result of the armed conflict in Sri Lanka a callous wave of PTSD, Depression, Somatization, and Adjustment Disorders etc has been generated. Many cases are not yet diagnosed entirely and following the late reactions of combat trauma the numbers would be high. To heal the war trauma in Sri Lanka an effective psychotherapeutic method was needed. In 2005 the EMDR HAP trained Sri Lankan mental health clinicians to use EMDR to deal with psychological trauma. EMDR was effectively used to treat Sri Lankan combatants. Many of the EMDR sessions were conducted under the supervision of the EMDR HAP facilitators. Following these treatment the Sri Lankan combatants with PTSD and Depression showed positive therapeutic outcome. Their psychological distress reduced significantly. This article reveals the efficacy of EMDR in the treatment of four combatants with PTSD and two with Depressive Disorder. After 5 to 8 sessions of EMDR most of the veterans became free of their disturbing symptoms and today living productive lives.
Keywords: Combat Trauma Eelam War Sri Lanka Veterans
Accuracy Verified: Yes
47. Sherzer, M. (2008, June). Integrating EMDR in family & couple therapy. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
In this poster I am going to raise the question of integrating EMDR in family and couple therapy. This is a
philosophical question. I actually am asking if it's possible to integrate an individual approach with a systemic
one. Those scholars who dealt with this question found some common roots in the attachment period. For
example, the Hendrix' IMAGO approach presume that the marital crisis has its roots in the childhood wounds. We
can find other approaches that enforce this assumption. The literature that deals with integrating EMDR with
couple therapy does not find differences between traumas caused by marital crisis and traumas caused by other
stimuli. This brings us to the idea it is possible that EMDR will be useful in a marital crisis also. The novelty was
that those therapists who mastered both skills, family therapists and EMDR therapists, started with protocols
that integrate EMDR in couple therapy in the presence of both spouses. From the first beginning, Francine
Shapiro mentions in her basic book on EMDR that are cases where EMDR is contra-indicated in couple therapy in
the presences of both mates. Later on we found that we can classify the cases when to use EMDR in the presence
of both spouses and when to use it individually. Of course, this categorization is based on clinical observation. We
like to refer this question to the members of this poster presentation if they have some more insights about this
Keywords: Couples Therapy Family Therapy Poster
Accuracy Verified: Yes
48. Konuk, E., & Epozdemir, H. (2010, June). The integration of EMDR and brief strategic therapy. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Directives and strategic interventions were used in
therapy for the first time almost half a century ago by a small
number of 'communication researchers' at MRI (Mental Research
institute) in Palo Alto. California.
First time in the history of therapy, the therapist was not alone
with the dent in the therapy room. He began inviting to the
sessions the family members. people who are contributing to
the problem and people who will come up and help to find
solutions.
The radical difference was that; The Palo Alto Group was not
preoccupied with searching the reasons why there is a problem.
Their emphasis was to find a solution to the problems the individual or the family is having. Therefore they always asked how
change is possible. Another major shift in therapy was that:
they focused not on the "intra-psychic" phenomena but on the
relationships. Hence the terms 'interactional' and 'systemic'.
They assumed that, if you can manage to change the interaction
(behavior) or the system (how the family gets organized
around the problem) you can overcome the problem. Another contribution was that the new map or the new paradigm was
large enough to allow the therapist to incorporate and use varieties
of techniques that belong to other approaches without
any confusion.
In '50s and '60s therapy used to take couple of sessions a week
for many years. The Interactional or the Systemic approach
heaped reduce the number of sessions per client to an average
of 7-15 sessions. They coined the term 'Brief' to described their
approach. Traditionally the new approach took several names:
Interactional Therapy, Family Therapy, Brief Strategic Family
Therapy, Systemic Family Therapy, Solution Focus Therapy and
some others.
One of the approaches that Family and Marriage Therapists integrate
efficiently into their practice is EMDR. Especially when
trauma is particularly having a role in the formation of the problem,
then EMDR 18 a "life saver" for the therapist.
Our learning objectives are:
1. to describe basic principles and techniques of EMDR and
Brief Strategic Family Therapy
2 to explain the rationale of integrating EMDR and BSFT
3 to demonstrate skills on designing and implementing an intervention.
The innovative view which stands behind this workshop is that
the BSFT and EMDR can be efficiently integrated, which has
not been frequentiy addressed in previous literature. At times
the therapist may need to intervene in the process by using interventions
other than BSFT EMDR very nicely serves this purpose
without causing any mental confusion on the part of the
therapist and the client.
Keywords: Brief Strategic Therapy
Accuracy Verified: Yes
49. Lyhus, K. E. (2003, April). Integration of EMDR with other therapeutic approaches: A survey investigation. Catholic University of America, Washington, DC. AAT 3067496.
Language: English
Format: Dissertation/Thesis
Abstract:
The present study examined assimilative integration, i.e., when techniques from various therapeutic approaches are imported into a single, consistent theoretical framework. Specifically, the aim of this study was to investigate how Eye Movement Desensitization and Reprocessing (EMDR), a manualized therapeutic approach originally developed as a treatment for traumatic memories, is incorporated into clinical practice. In assimilative integration, elements of the EMDR protocol would be expected to be conceptualized and possibly modified in ways that are consistent with the therapist's theoretical framework. A survey design, using web-based questionnaires, was implemented to gather information from therapists who use EMDR. Therapists responded to a broad range of questions regarding their theoretical orientation, involvement in EMDR organizations, and practice of EMDR. A large sample (N = 532) was obtained, and results demonstrated that most therapists integrated EMDR with other therapeutic methods. Further, there was some evidence that therapists were practicing assimilative integration. Specifically, therapists typically added methods consistent with their primary theoretical orientation and conceptualized the effective elements of EMDR as those that were most consistent with their orientation. Most therapists reported using most of the elements of the EMDR protocol, perhaps reflecting the high level of interest in EMDR among therapists in the sample. However, there were some differences related to therapists' level of commitment to EMDR. For example, members of the EMDR International Association used more elements of the protocol and were more likely to report that they did not combine other methods with EMDR when compared to nonmembers. The diagnosis of the client was also an important factor in how EMDR was integrated into treatment. For example, therapists treating clients with PTSD were more likely to report on their use of EMDR as the primary therapeutic approach and to integrate cognitive/behavioral methods than were those treating clients with other disorders. This study was among the first to examine the process of assimilative integration. The findings show that psychotherapy integration varies by therapists' base theoretical orientation, client factors, and therapists' commitment to the treatment method being integrated. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4912.
Keywords: Assimulative Integration Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Traumatic Memories
Accuracy Verified: Yes
50. Maxfield, L. (2007). Integrative treatment of intrafamilial child sexual abuse. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 344-364). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter discusses childhood sexual abuse (CSA); the role of the family after disclosure; theoretical conceptualizations; and family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of CSA. A combination of family therapy and EMDR can provide thorough comprehensive treatment for the child and nonoffending family members. The integrated treatment process developed by this author has four stages, as further discussed here. To simplify, the family situation is configured as a nonoffending protective mother with a child abused by the mother's husband or live-in boyfriend. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Childhood Sexual Abuse Family Systems Theory Family Systems Therapy Family Therapy Integrative Psychotherapy Integrative Treatment Sexual Abuse
Accuracy Verified: Yes
51. Luber, M., & Shapiro, F. (2009). Interview with Francine Shapiro: Historical overview, present issues, and future directions of EMDR. Journal of EMDR Practice and Research, 3(4), 217-231. doi:10.1891/1933-3196.3.4.217.
Language: English
Format: Journal
Abstract:
This interview with Dr. Francine Shapiro, originator and developer of Eye Movement Desensitization and
Reprocessing (EMDR), provides an overview of the history and evolution of EMDR from its inception
to current findings and utilization, as well as future directions in research and clinical development.
Dr. Shapiro discusses the psychological traditions that informed the development of EMDR and the Adaptive
Information model, as well as the implications for current treatment. The rationale for the application
of EMDR to a wide range of disorders is discussed, as well as its integration with other therapeutic approaches.
Topics include research on the role of eye movements, the use of EMDR with combat veterans,
somatoform disorders, attachment issues, and the distinct features of EMDR that have allowed it to be
used for crisis intervention worldwide.
Dr. Francine Shapiro is the originator and developer of EMDR. She is a senior research fellow at the Mental Research Institute
(MRI) in Palo Alto, California, executive director of the EMDR Institute in Watsonville, California, and the founder and
president emeritus of the EMDR Humanitarian Assistance Program, a nonprofit organization that coordinates disaster
response and supports low fee training worldwide. She has written the primary text on EMDR: Eye Movement Desensitization
and Reprocessing: Basic Principles and Procedures (Guilford Press) and co-authored or edited four others: EMDR: The
Breakthrough Therapy for Overcoming Anxiety, Stress and Trauma (Basic Books), EMDR as an Integrative Psychotherapy Approach:
Experts of Diverse Orientations Explore the Paradigm Prism (American Psychological Association Books), Handbook of EMDR
and Family Therapy Processes (Wiley), and Short-Term Therapy for Long-Term Change. She has written and co-authored more
than 60 articles and chapters and is an invited speaker at psychology conferences all over the world. Dr. Shapiro is a recipient
of the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma
Psychology, the Distinguished Scientific Achievement in Psychology Award presented by the California Psychological Association
and the International Sigmund Freud Award for Psychotherapy presented by the City of Vienna in conjunction
with the World Council of Psychotherapy. She was appointed one of the “Cadre of Experts” by the American Psychological
Association and Canadian Psychological Association Joint Initiative on Ethno-political Warfare. She has served as an
advisor to many trauma treatment and outreach organizations and journals. She has three awards bestowed in her honor.
Those given by the EMDR International Association and the EMDR-Ibero-American Association celebrate members of
the EMDR community who follow in her footsteps of creative thinking, service, and dedication to the standard of EMDR.
The EMDR Europe Association presents the Francine Shapiro EMDR-Europe Research Award in order to encourage
research in the field. In 2008, a comprehensive electronic resource for scholarly articles and other important references
related to EMDR and adaptive information processing was introduced and was named The Francine Shapiro Library in
honor of Dr. Shapiro (http://emdr.nku.edu/emdr_data.php).
Accuracy Verified: Yes
52. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
Keywords: Couples Therapy
Accuracy Verified: Yes
53. National Council on Disability (2009, March). Invisible wounds: Serving service members and veterans with PTSD and TBI. Author.
Language: English
Format: Publication
Abstract:
More than 1.6 million American service members have deployed to Iraq and Afghanistan in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). As of December 2008, more than 4,000 troops have been killed and over 30,000 have returned from a combat zone with visible wounds and a range of permanent disabilities. In addition, an estimated 25-40 percent have less visible wounds--psychological and neurological injuries associated with post traumatic stress disorder (PTSD) or traumatic brain injury (TBI), which have been dubbed "signature injuries" of the Iraq War. National Council on Disability (NCD) concurs with the recommendations of previous Commissions, Task Forces and national organizations that: (1) A comprehensive continuum of care for mental disorders, including PTSD, and for TBI should be readily accessible by all service members and veterans. This requires adequate staffing and adequate funding of Veterans Administration (VA) and Department of Defense (DoD) health systems; (2) Mechanisms for screening service members for PTSD and TBI should be continuously improved to include baseline testing for all Service Members pre-deployment and follow up testing for individuals that are placed in situations where head trauma may occur; and (3) The current array of mental health and substance abuse services covered by TRICARE should be expanded and brought in line with other similar health plans. As this report indicates, the medical and scientific knowledge needed to comprehensively address PTSD and TBI is incomplete. However, many evidence-based practices do exist. Unfortunately, service members and veterans face a number of barriers in accessing these practices including stigma; inadequate information; insufficient services to support families; limited access to available services, and a shortage of services in some areas. Many studies and commissions have presented detailed recommendations to address these needs. There is an urgent need to implement these recommendations. (Contains 4 exhibits.)
Keywords: Afghanistan Iraq Military Posttraumatic Stress Disorder PTSD TBI Traumatic Brain Injury Veterans
Accuracy Verified: Yes
54. Gambuzza, C. (2008, Novembre). L'EMDR in un trauma complesso di PN-PTSD e abuso [EMDR in a complex PN-PTSD trauma and abuse]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Propongo il caso di S. perché il PN-PTSD è poco diagnosticato e perché, attraverso una variante tecnica al floatback, il floatback-floatforward sulla timeline, sono riuscita ad aggirare la dissociazione post traumatica, a identificare i vari alter dissociati e a integrarli nella persona con l’uso del protocollo standard dell’EMDR.
A sedici anni S. fu portata in studio dai genitori che l’avevano sorpresa a inalare i fumi dell’eroina; oggi ha diciotto anni e non si droga più da quel giorno.
Guardandole le braccia piene di cicatrici mi resi conto che S. ricorreva alla pratica dell’autolesionismo, ma i genitori non se ne accorgevano.
Qual era il segreto custodito gelosamente dalla famiglia?
La storia di S. si articola intorno a due traumi: il PN-PTSD e l’abuso.
Dal trauma perinatale e dalla percezione in utero degli stati emotivi depressivi della madre sono scaturiti disturbi nell’attaccamento e, per la mancanza di mirroring e di sintonizzazione affettiva, sono falliti i processi d’internalizzazione che portano all’identità.
S. era consapevole del trauma dell’abbandono ma non dell’abuso, che definiva come un “pozzo nero impenetrabile”.
Per affrontare il trauma che minacciava la sopravvivenza, S. faceva ricorso in maniera invasiva a un meccanismo di coping: la dissociazione dell’oggetto e del Sé. Mettere in un alter l’abuso consentiva a S. di mantenere l’attaccamento ai membri della propria famiglia che avevano abusato di lei o attivamente, o passivamente con la complicità del silenzio.
Usando la scala Des non ho riscontrato risultati significativi sulla dissociazione, invece con la SCID-LIST ho rilevato valori alti.
L’autolesionismo può rappresentare l’odio per il corpo che ha subito l’abuso senza ribellarsi, o, come dice S., “un modo per punirsi della colpa di esistere o di infliggersi una sofferenza fisica per coprire l’angoscia di morte”.
L’EMDR ha rappresentato la sfida.
Propose the case of S. because the PN-PTSD is poorly diagnosed and because, through a variant technique to floatback the floatback-floatforward on the timeline, I managed to circumvent the Post traumatic dissociation, to identify the various alter-differentiated and integrate them in person using the standard EMDR protocol. At sixteen, S. was brought to the study by parents who had found to inhale the fumes of heroin; Today is eighteen years and not more drugs that day. Looking at the arms full of scars I realized that St. resorted to the practice of self, but the parents did not noticed. What was the secret guarded jealously by the family? The story of St. focuses on two traumas: the PN-PTSD and abuse. Since perinatal trauma and perception of emotional states of depression in the uterus of the mother are resulting in attachment disorders and the lack of mirroring and affective attunement, failed processes of internalization that lead to identity. S. was aware of the trauma of abandonment but not the abuse, which defined as a "well
impenetrable black. To deal with the trauma that threatened the survival, S. was used in an invasive manner coping mechanism: the dissociation of object and self. Putting an alter abuse allowed S. to maintain the attachment to family members who had abused her or actively, or passively with the complicity of silence. Using the scale Des I have not found significant results on the dissociation, but with the SCID-LIST I observed high values. The SIB may represent the hatred of the body that has suffered abuse without rebelling, or, as Saint, "a way to punish a fault to exist or to inflict physical pain
cover the anguish of death." EMDR has been the challenge.
Keywords: Complex PTSD Poster
Accuracy Verified: Yes
55. Tofani, L. R. (2006, March). Le famiglie cosiddette multiproblematiche. Trauma e intervento integrato con EMDR [The so-called multiproblematic family. Trauma and intervention integrated with EMDR]. Terapia Familiare, 80, 35-59.
Language: Italian
Format: Journal
Abstract:
Famiglie multiproblematiche sono un obiettivo difficile per qualsiasi approccio terapeutico a causa della rilevanza delle esperienze traumatiche per tutti i membri della famiglia. Essi vengono sostituiti con maltrattamenti, uso di sostanze o altri comportamenti illeciti, abusi sessuali e il problema principale è quello di superare i danni di attaccamento disorganizzato e per interrompere il ciclo della violenza psicosociale e trascuratezza. Nell'esempio riportato, terapia familiare sistemi indirizzata alla realtà ecologica di queste famiglie è stato integrato con EMDR, un approccio metodologico specifico per traumi, e questo ha rafforzato i risultati attesi solo con la terapia familiare. (PsycINFO Database Record (c) 2008 APA, tutti i diritti riservati)
Multiproblem families are a difficult target for any therapeutic approach because of the high relevance of traumatic experiences for all family members. They are overridden with maltreatment, substance use or other illegal behavior, sexual abuse and the main problem is to overcome damage from disorganized attachment and to interrupt the cycle of psychosocial violence and child neglect. In the example reported, family systems therapy addressed to the ecological reality of these families has been integrated with EMDR, a methodological approach specific for trauma, and this has strengthened the expected outcome using only family therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Family Members Family Therapy Family Integrated Services Intervention Trauma
Accuracy Verified: Yes
56. Merlis, D. (1998, June 2). Letters. Washington, DC: The Washington Post.
Language: English
Format: Newspaper
Abstract:
The Wave of a Hand "Can Trauma Be Relieved By the Wave of a Hand" {Cover Story, April 21} was a disappointment in that it failed to inform the reader about many important developments taking place not only related to Eye Movement Desensitization and Reprocessing (EMDR) therapy but in the neurosciences in general. Many leading traumatologists are using EMDR and endorse it as an important part of the multi-modal treatment of complex traumatic stress disorders. The article included a statement, "desperate people believe in desperate things," that is very disrespectful of the many thousands of trauma victims who have suffered and found relief with EMDR treatment. EMDR is not a magical and painless process. The individuals who have used EMDR to recover have worked very hard in their treatment. They should be acknowledged for their courage and determination. And far from being member of a "charismatic cult," as the story suggested, clinicians who use EMDR care are considerably diverse in terms of their theoretical orientation and world views.
Keywords: Letter
Accuracy Verified: No
57. Lucena, R. (2011, 24 de Setembro). Livro aborda terapia contra traumas [Book covers therapy for trauma]. Tribuna do Norte. Retrieved from http://tribunadonorte.com.br/noticia/livro-aborda-terapia-contra-traumas/197067 on September 25, 2011.
Language: English
Format: Newspaper
Abstract:
Um assalto, um acidente de trânsito, a separação dos pais ou mesmo uma discussão grave entre familiares. Esses são alguns exemplos de eventos causadores de traumas que podem durar muitos anos. Dependendo do tamanho da dor psicológica, é preciso recorrer às psicoterapias e uso de medicamentos para aliviar o sofrimento. Porém, uma nova técnica promete ajudar pacientes a enfrentarem seus medos. Trata-se do "Eye Movement Desensitization and Reprocessing" (Dessensibilização e Reprocessamento por meio dos Movimentos Oculares), conhecida pela sigla EMDR. A terapia, descoberta nos Estados Unidos pela psicóloga Francine Shapiro, foi introduzida no Brasil, há seis anos, pela também psicóloga Esly Regina Souza de Carvalho que lança, hoje à noite, o livro "Curando a galera que mora lá dentro - Como o EMDR e as novas terapias de reprocessamento podem tratar nossos papéis internos".
An assault, a traffic accident, her parents' separation or even a serious discussion among family members. These are some examples of events that cause trauma that can last for many years. Depending on the size of psychological pain must rely on psychotherapy and medications to relieve suffering. However, a new technique promises to help patients cope with their fears. This is the "Eye Movement Desensitization and Reprocessing" (by Desensitization and Reprocessing Eye Movement), known by the acronym EMDR. The therapy was discovered in the United States by psychologist Francine Shapiro, was introduced in Brazil six years ago, the psychologist also Esly Regina Souza de Carvalho throws tonight, the book "Healing the people that lives there - How EMDR and new therapies can treat our reprocessing internal roles. " {Excerpt]
Accuracy Verified: Yes
58. Neunuebel, C. L. (2010, July). Making EMDR user friendly for Asians. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Making EMDR User Friendly For Asians:
1. Training Asians in EMDR
• Issues of confidentiality
• Fears of being judged by colleagues
• School systems in Asia being shame based
• Shame in speaking about personal issues
• Poor knowledge of own emotions
• Issues of fate and karma
• Need for Asian facilitators to be assertive with authority figures
• Hesitancy of Asian trainees to ask questions
• Western facilitators receive more compliance but need for Asian facilitators
• Need for translated material to be in colloquial language
• Need for Asian vignettes.
2. Practicing EMDR by Asian practitioners and for Asian clients:
• Problems with extremes – SUD’s and VOC,
• Clients struggle with emphasis on individual not family,
• Loss of face for practitioner to use manual,
• Most Asian clients have poor imaginative or visualization skills,
• Physical sensations are more available than emotions,
• Lack of anger at abusive family members and authority figures,
• Issues of ghosts and superstitions.
3. Supervision of Asian EMD, • Provide supervisees of own mistakes,
• Providing supervision in countries where there are no consultants or facilitators,
• Can provide Western supervisors-but best might be co-leading supervision with a local practitioner.
My material for this presentation has been developed over 13 years of using EMDR with Asian clients and from 10 years of
providing facilitation and supervision for EMDR trainees. Also my many years in Asia, speaking the languages and having
been partly raised by Chinese nannies, have given me an understanding of Asian values, family organization and taboos. I
would like this workshop to provide a springboard for discussions with the attendees in collecting other ides for making EMDR Asian friendly.
Keywords: Asians Practice Theory
Accuracy Verified: Yes
59. Kutz, I., & Bleich, A. (2005). Mental health interventions in a general hospital following terrorist attacks: The Israeli experience. Journal of Aggression, Maltreatment and Trauma, 10(1/2), 425-437. doi:10.1300/J146v10n01_10.
Language: English
Format: Journal
Abstract:
Over three years of repeated terrorist attacks in Israel have shown that the victims suffering from acute stress syndromes constitute the bulk of the casualties. The large number of psychological victims presents an immediate problem of hospital surge capacity. The need for alleviating acute suffering and preventing chronic, disabling posttraumatic syndromes requires organizational and clinical skills. The article reviews deployment and intervention protocols for the treatment of victims and affected staff members in a general hospital setting. [Author Abstract]
Keywords: Acute Stress Disorder ASD Crisis Emergency Rooms Group Psychotherapy Israelis Posttraumatic Stress Disorder PTSD Survivors Terrorism
Accuracy Verified: Yes
60. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Narrative family therapy is the study of individuals, systems and the research on origins, development and
transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could
symbolically represent an entity, both individual and collective, and express a personal identification, a family tie,
a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is
a process to “get out” from the person any element or quality that is transformed in some with entity. In
psychotherapy, externalising is the use of language to convert problems that affect person or family on to
independent entity. This transformation allows people to fight against them or to view them from a new
perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family
entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create
a link between the child history and the family history in order to cope with difficulties that children and families
find after adoption. We use tales inside the symbolic techniques that permits families work together with
meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases
with families that have adopted a child. During the treatment we have combined EMDR and narrative family
therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and
benefices of EMDR and narrative therapy in these family processes.
Keywords: Adoption Narrative Family Therapy
Accuracy Verified: Yes
61. Prado-Gasco, V. J., Perez-Marin, M., & Molero-Zafra, M. (2010, July). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: An intervention protocol. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.
Language: English
Format: Conference
Abstract: From the model of Narrative family therapy we use tales that could symbolically represent in therapy settings a person or a legal entity, both individual and collective, and which expresses a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity (White, 1991; White y Epston, 1993). In psychotherapy, externalising is the use of language to convert problems that affect the person or family on to an independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique through the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in children adoption cases. The objective here is not to fight against the external representation of the family. We use tales inside the symbolic techniques that permits families to work together with meanings, individualism and cohesion within their members, and after adoption. We present a therapeutic protocol that combined EMDR and narrative family therapy externalisation techniques. We expose in a format of clinical case report the therapeutic work with a family that have adopted a child who suffer of a simple phobia. Using the protocol we describe above we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes. This protocol has been useful to manage the phobia symptoms and to improve the adoptive family identity and cohesion. The combined approach we describe could help adoptive families to understand and to interpret the meanings from the construction that family systems make of their own world and relieve psychological symptoms that children could present.
Keywords: Adoption Intervention Protocol Narrative Family Therapy Poster
Accuracy Verified: Yes
62. Blore, D. C. (2012, October). New directions for EMDR: The EMDR UK & Ireland, Internet-based: Positive psychology & EMDR special interest group (SIG). Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
This presentation – the first face-to-face meeting of the SIG, is an update on the status of the SIG and the effectiveness of uniquely launching the group on the www.linkedin.com website. In the first year of its existence, the SIG has attracted over 330 members from 36 countries. Although its inception was created by EMDR UK & Ireland it is clear from the current membership of over 330 from 36 countries worldwide that interest in this field far exceeds national boundaries. Nevertheless at present two thirds of members are from the UK.
The aims of the SIG are:
To bring together members of EMDR UK & Ireland who share a common interest in Positive Psychology as applied to EMDR and to foster awareness of a 'total beneficial outcome' of EMDR i.e. not just the ability of EMDR to reduce negative psychological symptomatology, but to additionally examine Positive Psychological Change including Post Traumatic Growth, Performance Enhancement and the development of the Maslowvian principle of an individual's full 'psychological height'.
The aims are to be achieved by:
Encouraging members to contribute to EMDR conferences, other related presentations, writing of papers for publication, whilst also acting as a resource/ support for EMDR researchers as well as fostering links to other appropriate organisations e.g. members of other National and International EMDR Associations as well as other Positive Psychology Associations e.g. the UK Centre for Applied Positive Psychology (CAPP).
The presentation will also set out the SIG’s agenda for the next two years up until the EMDR Europe Conference in Edinburgh 2014.
Keywords: Internet Positive Psychology & EMDR Special Interest Group SIG
Accuracy Verified: Yes
63. Zanonato, A. S., & Carvalho, E. R. (2009, Dezembro). O uso do EMDR na terapia de casais e famílias [The use of EMDR in couples and family therapy]. Pensando Famílias, 13(2), 117-129.
Language: Portuguese
Format: Journal
Abstract:
Published by Domus - Centro de Terapia de Casal e Famila (Brazil)
O presente trabalho pretende mostrar a validade do EMDR como um instrumento útil em terapias de casais e família, quando experiencias traumáticas do passado estão dificultando o relacionamento entre seus membros. Ressaltam como essa abordagem tem-se mostrado eficaz no tratamento dos Transtornos de Estresse Pós-Traumáticos (TEPT) e em todas as disfunções dele decorrentes. Discutem o conceito de trauma e a forma como, junto com as vivências traumáticas, se mantêm inalteradas as memórias e as emoções a ela associadas, bem como as crenças negativas construídas a partir delas. As autoras relatam dois casos clínicos e lustram como esse recurso pode ser utilizado. Finalmente, consideram a importância da integração de diferentes teorias e técnicas por parte dos terapeutas contemporâneos para um atendimento mais eficaz de seus pacientes.
The present paper intends to show the validity of EMDR as a useful tool in the therapies of couples and families, when traumatic experiences from the past are making difficult the relationship between its members. It stands out how this approach has revealed efficient in the treatment of post-traumatic stress disorder (PTSD) and associated dysfunctions. It talks over the concept of trauma and the way how, with traumatic experiences, the memories and the emotions connected to them as well as the negative beliefs created from the remain unchanged. The authors report two clinical vignettes and illustrate how this resource can be used. Finally, they take into account the importance of integrate different theories and approaches by contemporary therapist for a more efficient assistance of their patients.
Keywords: Couples Therapy Family Therapy Trauma
Accuracy Verified: Yes
64. Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., Heiman, M., Packwood, S., & Peterson, G. (2002, June). Open forum to share clinical use of EMDR with child/adolescent population - Facilitated by the EMDRIA EMDRIA Child/Adolescent SIG Chairs. Open forum presented at the annual EMDRIA Conference, San Diego, CA.
Language: English
Format: Conference
Abstract:
Because many clinicians struggle with applying the EMDR protocols with children and adolescents, this workshop will provide a panel of professionals from different fields of expertise to lead a discussion on this topic. The members of the panel are the current chairs of the EMDRIA Child/Adolescent SIG and will share their clinical expertise with similar clinical situations presented from the audience. This session wll also encourage participants to share their own experiences that have been successful with this population.
Keywords: Adolescents Children
Accuracy Verified: Yes
65. Becker-Fritz, T., Donovan, L., Heiman, M., Packwood, S., Peterson, G., Peck, B., & Huss, B. (2005, September). Open forum to share clinical uses of EMDR with child/adolescent population. Open forum at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population as well as focus on clinical issues that can be treated effectively with EMDR. It can feel overwhleming for the clinican to be creative within their own practice without support for what they are doing, or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3 hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating children and adolescents. The first topic will address how the EMDR protocol may need to be adjusted to accommodate the needs or limitations for children and adolescents. The second topic will focus on what specific developmental considerations need to be considered when using EMDR with attachment disorders as well as identifying guidelines and strategies for including the family in the EMDR process with this population. The final topic will address 2 commonly seen diagnoses of AD/HD and anxiety addressing the possible negative cognitions, resource installations, and cognitive interweaves that can be used when treating children or adolescents with EMDR to resolve the trauma issues when having these disorders. The members of the panel are current chairs of the EMDRIA Chld/Adolescent SIG who will share their expertise with the audience.
Keywords: Adolescents ADHD Anxiety Attachment Disorders Children Attention Deficit Hyperacitivty Disorder Developmental Considerations Open Forum
Accuracy Verified: Yes
66. Becker-Fritz, T., Donovan, L., Heiman, M., Waldon, A., Peck, B., Siegel, M., & Packwood, S. (2007, September). Open forum to share clinical uses of EMDR with child/adolescent population. Open forum (Moderator, T. Becker-Fritz) presented at the annual EMDRIA Conference, Dallas, TX.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population, as well as focus on clinical issues that can be treated effectively with EMDR. It can feel overwhelming for the clinician to be creative within their own practice without support for what they are doing or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3 hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating children and adolescents. The first topic will address identifying the challenges that children and adolescents present and understand adjustments in the EMDR protocol to accommodate the needs or limitations. The second topic will demonstrate how and when a structured format can facilitate effective EMDR treatment with children. The final topic will identify the challenges of using standard EMDR protocols with adolescents and special issues to consider when preparing them. The members of the panel are the current and immediate past chairs of the EMDRIA Child/Adolescent SIG who will share their expertise with the audience. The program will be moderated by the Executive Chair, encouraging audience participation throughout the 3 hour program.
Keywords: Adolescents Children Open Forum
Accuracy Verified: Yes
67. Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., Heiman, M., Peterson, G., & Packwood, B. (2003, September). Open forum to share clinical uses of EMDR with child/adolescent population - Facilitated by the EMDRIA Child/Adolescent Special Interest Group Chairs. Open formum presented at the annual EMDRIA Conference, Denver, CO.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population. It can feel
overwhelming for the clinician to be creative within their own practice without support for what they are doing, or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3
hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating chlldren and adolsecents. Topics that will be presented and followed with audience discussion include use of EMDR with the following: attachment disorders, children and adolescents in residential treatment, dissociative disorders, sexually reactive kids, children with AD/HD, and unresolved grief issues. The members of the panel are the current chairs of the Child/Adolescent SIG who will share their expertise with the audience.
Keywords: Adolescents Children Open Forum
Accuracy Verified: Yes
68. Dexter, B. A. (2009, January). Providing EMDR mental health services for the military - Know the facts. Austin, TX: EMDR International Association.
Language: English
Format: Publication
Abstract:
Individuals injured during U.S. military service receive world class medical care—tragically, the same cannot be said of the mental health care available for Active Duty military and Veterans with psychological injury. Even more disturbing is the fact that world class psychiatric care, such as Eye Movement Desensitization and Reprocessing (EMDR), is available and is often denied to Active Duty service members and Veterans. Although psychiatric diagnoses and treatment have generally been harder to define than diagnosis and treatment of medical conditions, such as infection, debate in mental health circles in recent years over what and how to treat seems to have deteriorated into a shark feeding frenzy. The question of “evidence-based” has become “evidence-based according to whom?” This has resulted in funding to a number of non-evidence-based experimental treatments and a complete lack of funding on two of the four recommended evidence-based treatments for Posttraumatic Stress Disorder (PTSD).
Keywords: Military
Accuracy Verified: Yes
69. Maslovaric, G., & Formenti, L. (2008, Novembre). Psicologia dell’Emergenza e EMDR: sinergia ed integrazione. Un’esperienza sul campo, il caso di Viggiù [Psychology of the emergency and EMDR: Synergy and integration. Experience in the field, the case of Viggiù]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Negli ultimi 30 anni abbiamo assistito ad un crescente interesse e sviluppo della Psicologia dell’Emergenza. Nel 1983 Mitchell e collaboratori hanno strutturato un programma sistematico e globale di gestione della crisi (Critical Incident Stress Management). L’EMDR integra, orienta e aumenta l’efficacia degli interventi psicologici nei contesti d’emergenza. All’interno di questo quadro teorico di riferimento è stato progettato e implementato l’intervento di supporto psico-sociale a seguito dell’incidente stradale del 20 gennaio 2008 avvenuto a Viggiù (VA). L’incidente Critico, avvenuto durante il rientro da una festa di paese sotto gli occhi di centinaia di persone, ha comportato 13 feriti con ospedalizzazioni e conseguenze mediche di differenti livelli di gravità e il decesso di una ragazza di 14 anni. I destinatari di tale intervento, commissionato e concordato con l’amministrazione comunale di Viggiù, sono stati: le vittime primarie dell’incidente, i loro familiari, gli operatori dell’emergenza e tutta la comunità coinvolta nel tragico evento. In base al livello di traumatizzazione delle vittime (Taylor et al.) e al timing dell’intervento sono state utilizzate diverse tecniche d’intervento quali: EMDR, primo soccorso psicologico, incontri psico-educazionali e Critical Incident Stress Debriefing. Le sessioni EMDR hanno rappresentato il cuore dell’intervento con le vittime primarie e i loro familiari. Il timing seguito per tali sessioni è stato il seguente:
1. due settimane dall’Incidente Critico: Valutazione testistica Psicodiagnostica (SCID I e IES-R) Posto al Sicuro, psicoeducazione;
2. un mese: 2-3 sessioni EMDR sul target più disturbante rispetto all’Incidente; Valutazione testistica;
3. 3 mesi: 2-3 sessioni EMDR sui trigger presenti e sul futuro; valutazione testistica.
Over the past 30 years we have witnessed a growing interest and development of Psychology emergency. In 1983, Mitchell and colleagues have a structured and systematic program
Comprehensive Crisis Management (Critical Incident Stress Management). EMDR integrates, directs and increases the effectiveness of psychological interventions in emergency contexts. Within this theoretical framework has been designed and implemented the intervention of psychosocial support Social following the road January 20, 2008 occurred in Viggiù (VA). The incident Critically, during the return from a village festival in the sight of hundreds of people, resulted in 13 hospitalizations and injuries with medical consequences of different levels of severity and
death of a girl of 14 years. The recipients of the action commissioned and agreed with the municipal administration of Viggiù, were: the primary victims of the accident, their family members, emergency workers and the whole community involved in the tragic event. Based the level of trauma victims (Taylor et al.) and the timing of the intervention were used different techniques
intervention such as EMDR, psychological first aid, psycho-educational meetings and Critical Incident Stress Debriefing. EMDR sessions have represented the heart surgery with the primary victims and their families. The timing for follow these sessions was as follows: 1. two weeks of the Accident Critical: Guest testistica Psicodiagnostica (SCID I and IES-R) safe place, psychoeducation; 2. month: 2-3 EMDR sessions on the target more disturbing than the accident; Guest testistica; 3. 3 months: 2-3 sessions EMDR triggers present and future; evaluation testistica.
Keywords: Emergency Intervention
Accuracy Verified: Yes
70. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.
Language: English
Format: Journal
Abstract:
Background:
Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high
personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no
systematic reviews of these therapies in children and adolescents.
Objectives:
To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods:
We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011.
The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane
Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked
reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria:
All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in
children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis:
Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or
referral to the review team.
We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95%
confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results
Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included
sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated
support service.
The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative,
supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a
control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological
therapy.
Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and
symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI
-1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of
completing psychological therapy compared to a control group.
The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for
up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study,
n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month:
three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01),
and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group
compared to a control. No adverse effects were identified.
No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and
other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias.
Authors’ conclusions:
There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for
up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared
to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less
likely to respond to psychological therapies than others.
The findings of this review are limited by the potential for methodological biases, and the small number and generally small size
of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by
subgroup or sensitivity analyses.
More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence
is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies
compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis
of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable
measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
71. Lee, C. (2008, February). A reply to the Institute of Medicine report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for posttraumatic stress disorder (PTSD). EMDR International Association, Austin, Texas.
Language: English
Format: Other
Abstract:
EMDRIA has submitted comments critical of the Institute of Medicine (IOM) report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for PTSD. The 2007 report concluded that “the evidence is inadequate to determine the efficacy of EMDR in the treatment of PTSD.” The response, authored by Dr. Christopher Lee, Research Chair, and reviewed by the Research Committee, details serious omissions and misinterpretations of the scientific literature that would have effected the conclusions about EMDR in the report. Dr. Lee also prepared a PowerPoint presentation for EMDRIA members to use.
Keywords: Efficacy Letter Reply
Accuracy Verified: Yes
72. Wheeler, K. (2010, September/October). Research EMDR in your practice. Presentaion at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Research in EMDR practice is critically important in determining the ‘value’ of EMDR to clients, insurers, policymakers, the general public and ourselves. This presentation will provide the EMDR clinician with levels of evidence; the elements of the research process; the how, when and where to measure outcomes; and components of a time-series case study design. Comparing the client’s own to the scores at different points in time to themselves is considered a bona fide research design that makes an empirically valid case study worthy of publication. Resources and opportunities available to the budding EMDR researcher are examined. Research consultation for your project will be available by members of EMDRIA's Research Committee from 12:15pm to 1:15pm in the same room after this presentation.
Keywords: Research
Accuracy Verified: Yes
73. Silver, S. M., & Fulcher, G. (1995, June). Researching EMDR: The state of the art so far. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This interactive presentation is for clinicians interested in conducting research into EMDR. Basic design of treatment outcome studies N of I research, and other issues wiill be examined. A brief review of research already conducted on EMDR to llustrate strengths and weaknesses will be provided. Time will be provided for panel members to respond to questions for participants and discussion on researching EMDR methodology and protocols with new problem areas will be encouraged.
Keywords: Research
Accuracy Verified: Yes
74. Smyth, N.,(Chair), Bath, K., de Jongh, A., Greenwald, R., Lee, C., & Maxfield, L. (2002, June). Setting guidelines for EMDR research: A roundtable discussion EMDRIA research committee. Roundtable discussion at the annual meeting of EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Research on EMDR has reached the stage where it is now important to have recommended directions and strategies for research on specific
applications of EMDR. This session will be a working discussion of research committee members, and any other interested participants on this topic. The goal of this session is to develop guidelines for EMDR research on PTSD, phobias, complex trauma, and components analyses/dismantling studies.
Keywords: Guidelines Research
Accuracy Verified: Yes
75. Jarero, I., & Hartung, J. (2002, March). The seven phases model for mental health interventions in disaster situations. EMDRIA Newsletter, 7(1), 30.
Language: English
Format: Newsletter
Abstract:
A seven phase trauma treatment project is being carried out in El Salvador under the coordination of Ignatio “Nacho” Jarero from
Mexico, with team members from Guatemala, Argentina, and the USA. Readers will recognize Nacho’s wife, Lucina Artigas, as
the inventor of the Butterfly Hug. Nacho and Lucina have been dedicated EMDR clinicians for a long time, and recently they
were approved by Robbie Dunton to become HAP facilitators in training with John Hartung. The El Salvador local coordinator is
Reginaldo Hernandez, psychiatrist and acupuncturist. The training has been quite successful so far and could become a model for other
countries.
Keywords: Disaster Interventions
Accuracy Verified: Yes
76. DeYoung, R. R. (2009, July). A single-case design implementing eye-movement desensitization and reprocessing (EMDR) with an ex-cult member. Presentation at the International Cultic Studies Association Conference, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This single-case study utilized a repeated-measures design with an ex-Jehovah’s Witness who was treated with EMDR over a two-month period. A brief background history and mental status, particularly relevant to a 37-year old female who was “disfellowshipped” by her entire support network and family after 28 years, served as a baseline for treatment. Symptoms relevant to the Post-Cult Trauma Syndrome, as defined by M. Thaler Singer (1979), are addressed via the Validity of Cognitions Scale (VOC) and the Subjective Units of Distress Scale (SUDS) used by practitioners of EMDR. In addition, the Beck Depression Inventory (BDI) and the Impact of Event Scale (IES) were implemented to further validate intervention results. All measures revealed significant improvement in symptoms following this brief, short-term treatment. Despite the fact EMDR is touted as one of the most effective interventions for trauma-related disorders, there are virtually no empirically based studies that explore the application of this type of therapy with individuals traumatized by cults. It is concluded that EMDR might serve as a standard therapeutic intervention in the treatment of individuals exiting from cults. Ramifications for future research are discussed.
[Author abstract]
Keywords: Cults Ex-Cult Members Single Case Design
Accuracy Verified: Yes
77. Puk, G., & Silver, S. (1997, October). Some lessons learned in the EMDR Humanitarian Assistance Program intervention in the Balkans. Behavior Online. Retrieved http://www.behavior.net/forums/evolutionary/1998/27-user=&email=&depth=8&detail=description&lastread=5-8.htm 6/10/1998.
Language: English
Format: Other
Abstract:
Mental health professionals have been trained in using EMDR with trauma victims throughout the world. However, the EMDR-Humanitarian Assistance Program (EMDR-HAP) was formed in 1995 as a nonprofit organization to provide assistance and training to local mental health professionals/psychotherapists within the United States and internationally who are managing the nearly overwhelming task of providing psychotherapy to the victims of large scale traumatic events. This includes natural disasters, e.g.: earthquakes, floods, firestorms, hurricanes; military personnel and civilians in war zones; victims of large scale accidents, e.g.: the family members of the victims of TWA flight #800; and victims of sexual assault and terrorist acts, e.g.: the Oklahoma City bombing. The EMDR-HAP personnel have been trainers and group facilitators from the EMDR Institute who have volunteered their time and expertise to provide treatment and to train local mental health professionals in EMDR.
Keywords: Balkans ERMDR-HAP EMDR Humanitarian Assistance Program
Accuracy Verified: Yes
78. Pelling, N., Brear, P., & Lau, M. (2006, June). A survey of advertised Australian counsellors. International Journal of Psychology, 41(3), 204-215, doi:10.1080/00207590544000202. .
Language: English
Format: Journal
Abstract:
As counselling is a developing profession without statutory regulation in Australia, anyone can engage in counselling practice and use “counsellor” as a professional title. Not much is known about those who call themselves counsellors in Australia. This survey research in a field setting aimed to describe Australian Yellow Pages Advertised Counsellors, thus providing a snapshot of advertised counsellors in Australia. This research was thus designed to describe those who are engaging in advertised counselling practice in Australia. Data was collected using a multiple mailing survey method and resulted in a 62.2% return rate. The counsellors' (1) demographic characteristics, (2) counselling training and development, (3) provision of counselling services, and (4) professional involvement were assessed. Advertised Australian counsellors tend to be female, mature, Caucasian, married or partnered, heterosexual, have families, and hold Christian beliefs. The majority of counsellors live in urban areas. The field could arguably benefit from increasing the diversity of its members. Nevertheless, advertised Australian counsellors are qualified professionals who tend to hold university qualifications and are likely to have received their training in counselling from a university provider. They are experienced service providers and engage in ongoing supervision as a supervisee. Moreover, these counsellors are involved in a variety of professional organizations. Advertised Australian counsellors, however, often struggle with issues related to burnout. They demonstrate their belief in the power of counselling by engaging in personal counselling. Advertised Australian counsellors actively engage in professional development, read professional journals, and report wanting further training regarding cognitive behaviour therapy, family therapy, EMDR, hypnosis, and trauma‐related difficulties. The majority of counsellors indicate making $40,000 or less per year. Survey results clearly indicate that the professionalisation of counselling is underway. Tandis que le counseling est une profession en développement sans régulation statutaire en Australie, n'importe qui peut s'engager dans la pratique du counseling et utiliser le titre professionnel de “conseiller.” Très peu est connu sur ceux qui se prétendent conseillers en Australie. Cette enquête visait à décrire les conseillers annonçant dans les pages jaunes en Australie, permettant d'avoir une image de ces derniers. Elle cherchait donc à décrire ceux qui étaient engagés dans la pratique du counseling publicisé en Australie. Les données furent collectées par le biais d'une méthode d'enquête par multiples envois postaux résultant à un taux de réponse de 62,2%. Les facteurs évalués chez les conseillers incluent: (a) les caractéristiques démographiques, (b) la formation et le développement en counseling, (c) les services desservis et (d) l'implication professionnelle. Les conseillers australiens publicisés tendent à montrer les caractéristiques suivantes: femmes, matures, caucasiens, mariés ou en couple, hétérosexuels, ayant une famille et ayant des croyances chrétiennes. La majorité des conseillers vivent dans les zones urbaines. Le domaine peut sans conteste bénéficier d'une plus grande diversité de ses membres. Néanmoins, les conseillers australiens publicisés sont des professionnels qualifiés qui tendent à posséder des qualifications universitaires et qui sont susceptibles d'avoir reçu leur formation en counseling d'une université. Les conseillers australiens publicisés sont des professionnels d'expérience et sont engagés dans de la supervision en tant que supervisés. De plus, ces conseillers sont impliqués dans une variété d'organizations professionnelles. Cependant, ils font souvent face à des problèmes reliés au burn‐out. Ils montrent leur croyance dans le pouvoir du counseling en recevant eux‐mêmes des services de counseling. Les conseillers australiens publicisés s'engagent activement dans le développement professionnel, ils lisent des revues professionnelles et ils rapportent vouloir davantage de formation sur la thérapie cognitivo‐comportementale, la thérapie familiale, la désensibilisation et le retraitement du mouvement de l'oeil, l'hypnose et les difficultés reliées aux traumatismes. La majorité d'entre eux indique faire 40,000$ ou moins par année. Les résultats de cette enquête indiquent clairement que la professionnalisation du counseling est sur la bonne voie. Debido a que en Australia el consejo es una profesión en desarrollo sin reglamentación estatutaria, cualquier persona pued.
Keywords: Counseling Counselor Characteristics Counselors Counselor Education Empirical Study Professional Development Professional Organizations Quantitative Study
Accuracy Verified: Yes
79. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220.
Language: English
Format: Journal
Abstract:
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.
Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication
Accuracy Verified: Yes
80. EMDRIA Public and Professional Relation & Standards & Training Committees. (2000). Ten compelling points. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Other
Abstract:
Written by the members of the Public and Professional Relations Committee of the EMDR International Association (EMDRIA):
Sandra Foster, Ph.D., Chair, Douglas Cybela, Ph. D., Wendy Freirag. Ph.D.. Debbie Korn, Psy.D, and Deany Laliotis, LCSW-C and
members of the Standards and Training Committee, Curt Rouanzoin. PhD.,Chair, and Byron Perkins, Psy.D
We, the above-named authors, respond to those curious about and critical of EMDR with a series of points, each of which is discussed below.
Keywords: Compelling Points
Accuracy Verified: Yes
81. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher
order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR
to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes,
and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as
emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening
to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the
Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to
facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using
EMDR and will lead a meditation to help create this no-mind state.
2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to
EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern
for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept
of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new
sense of Self in relation to others and the universe.
3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self-
Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting
commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every
individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating
organisms, each understands and values the power of being witness to the present moment, and each makes room for the
client to discover a heretofore "unimaginable outcome" to his or her work.
The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships.
Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types
correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating
preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access
points to higher states of consciousness.
5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR
especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine
types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True
Self. EMDR may be a key to the profound transformation of personality types.
6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a
question and answer period between the audience and the panel members.
Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy
Accuracy Verified: Yes
82. Mosquera, D. (2012, June). Trastorno narcisista de la personalidad y EMDR [Narcissitic personality disorder and EMDR]. Presentación en el IX Congreso Nacional de Trastornos de la Personalidad. Asociación Española para el Estudio de los Trastornos de la Personalidad. Zaragoza, Spain.
Language: Spanish
Format: Conference
Abstract:
La descripción de la DSM-IV del trastorno de personalidad narcisista se centra en las cualidades "externas" del narcisismo (grandiosidad, explotación de otros, arrogancia, problemas interpersonales y rabia) mientras que omite las características "internas" menos obvias y más sutiles (tendencia a ser sensitivos a la vergüenza, introvertidos, vulnerables, inhibidos y tendentes a la ansiedad: Gabbard, 1989). Las características narcisistas de grandiosidad son a menudo asociadas a la personalidad del abusador, pero ambas formas de narcisismo pueden ser relevantes tanto en víctimas como en familiares "no abusadores".
Una característica central del narcisismo es la falta de empatía. Los rasgos narcisistas y antisociales pueden ser el resultado final de un entorno negligente, de abuso crónico o de una valoración excesiva. Los problemas de apego con los cuidadores principales pueden dar lugar a falta de empatía y egocentrismo.
En esta presentación se realizará una descripción de diferentes perfiles caracterizados por egocentrismo, actitud egoísta y falta de empatía. Se planteará la patología narcisista desde la perspectiva del trauma y el abordaje con EMDR.
The description of the DSM-IV narcissistic personality disorder focuses on the qualities of "outside" of narcissism (grandiosity, exploitation of others, arrogance, anger and interpersonal problems) while omitting features "internal" less obvious and more subtle (tendency to be sensitive to shame, introverted, vulnerable, inhibited and prone to anxiety: Gabbard, 1989). Grandiose narcissistic characteristics are often associated with the personality of the abuser, but both forms of narcissism may be relevant to both victims and family members "not abusive".
A central feature of narcissism is a lack of empathy. Narcissistic and antisocial traits may be the end result of a negligent environment of chronic abuse or excessive valuation. The problems of attachment with primary caregivers may result in lack of empathy and self-centeredness.
This presentation will be a description of different profiles characterized by selfishness, selfish and lack of empathy. We will examine the narcissistic pathology from the perspective of trauma and EMDR approach.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
83. Figley, C. R. (1999). Traumatology of grieving: Conceptual, theoretical, and treatment foundations. Philadelphia: Brunner/Mazel.
Language: English
Format: Book
Abstract:
Conceptualizing death and trauma: a preliminary endeavor; Empirical perspectives on contextualizing death and trauma; Factors associated with effective loss accommodation; Intersections of grief and trauma: family members' reactions to homicide; Duty-related deaths and police spouse survivors: group support effects; Emotional dissociation, self-deception, and adaptation to loss; Bereavement after homicide: its assessment and treatment; The treatment of PTSD through grief work and forgiveness; Relieving the naumatic aspects of death with naumatic incident resolution and EMDR; Death-related treatment applications for the elderly; Safety reconnaissance for grieving trauma survivors. [Pilots]
Keywords: Bereavement Effects Survivors Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
84. Russell, M. C. (2008, April). Treating traumatic amputation-related phantom limb pain: A case study utilizing eye movement desensitization and reprocessing within the Armed Services. Clinical Case Studies, 7(2), 136-153. doi:10.1177/1534650107306292.
Language: English
Format: Journal
Abstract:
Since September 2006, more than 725 service members from the global war on terrorism have survived combat-related traumatic amputations that often result in phantom limb pain (PLP) syndrome. Combat amputees are also at high risk of developing chronic mental health conditions such as posttraumatic stress disorder (PTSD) and clinical depression as they deal with wartime experiences, rehabilitation, and postrehabilitation adjustments. One active-duty patient was referred to a military outpatient clinic for treatment of PLP and PTSD following a traumatic leg amputation from a noncombat-related motor vehicle accident. Four sessions of eye movement desensitization and reprocessing (EMDR) led to elimination of PLP and a significant reduction in PTSD, depression, and phantom limb tingling sensations. A detailed account of this treatment, as well as a review of the benefits of EMDR research and treatment in the military, is provided. The results are promising but in need of further research.
Keywords: Clinical Case Study Military Pain Phantom Limb Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
85. Wright, S. A., & Russell, M. C. (2013, April). Treating violent impulses: A case study utilizing eye movement desensitization and reprocessing with a military client. Clinical Case Studies, 12(2), 128-144, doi:10.1177/1534650112469461.
Language: English
Format: Journal
Abstract:
The growing attention to acts of interpersonal violence and misconduct among military members has accompanied a host of research investigating the nature and causes associated with these behaviors. As such, a robust body of literature exists lending insight into risk factors and clinical presentations associated with anger and aggression; however, such factors are multidimensional and complex, particularly for those suffering with war stress injuries. Furthermore, mental health stigma and treatment compliance with exposure and cognitive-based models, particularly in clients with aggressive presentations, can impact successful outcomes. One active-duty marine was referred to an outpatient mental health clinic for the treatment of posttraumatic stress disorder (PTSD). Four sessions of eye movement desensitization and reprocessing (EMDR) were used to significantly reduce obsessive violent impulses, traumatic grief, and depression. The benefit of EMDR therapy as a treatment for violent impulses is explored. The results are promising, but more research is needed.
Keywords: Military Misconduct Violence
Accuracy Verified: Yes
86. Cohena, J. A., Mannarino, A. P., & Rogal, S. (2001, January). Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25(1), 123-135. doi:10.1016/S0145-2134(00)00226-X.
Language: English
Format: Journal
Abstract:
Objective: This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children. Method: An anonymous survey was mailed to 207 child psychiatrists ("medical") [members of the American Academy of Child and Adolescent Psychiatry] and 460 nonphysician ("non-medical") therapists [members of the International Society for Traumatic Stress Studies] inquiring about current interventions used to treat children with PTSD. Results: 247 responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. 95% of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified. Conclusions: There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR. [Author Abstract]
Keywords: Adolescents Arousal Avoidance Children Drug Therapy Mental Health Personnel Reexperiencing Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
87. Bar-Sade, S. (2008, June). Under the shadow - Fostering children’s resilience and coping strategies in an ongoing crisis situation. Keynote presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The consistent findings on the adverse psychological effects of war and terror on
children have led to a recognized need for suitable early intervention in the immediate,
midterm and post term, of mass crisis situation. This presentation will try to overview
the clinical and empirically supported interventions operating in the last two years in
Israel, with children and families living in a constant threat of bombardment and
shelling of populated areas on both sides. This presentation will focus on the war related
stress reactions of young Israeli children exposed to these experiences and
present some creative interventions done to foster resilience and coping, as well as the
treatment of PTSD reactions.
It was estimated that during this war, 4,000 Katyusha rockets and missiles hit the
northern parts of Israel. More then 1 million people were at the danger zone for a
potential direct hit. More then 500,000 Israelis relocated during the war to live in safer
areas out of the range of the rockets. The children in the war zones experienced
sounds of sirens' explosions and sound of artillery. They spent considerable time in
bomb shelters and were exposed to sights (directly or through the media of damaged
houses and casualties). This situation continues now in the southern part of the
country along the Gaza Strip were children on both sides live under the daily reality of
bombardment, casualties and death.
Many programs and individual treatments were and are still operating as the
professionals are trying to meet the needs of communities and individuals under this
chronic ongoing stress situation. A community project is operating in the southern part
of the country, where mothers and toddlers as well as the staff members of the
kindergartens, are being supported by dyadic trauma focused play therapy and
enrolled in stress managements programs. Findings on the interrelation between the
degree of the parent's PTSD on the child's aversive symptomology,and the follow up of
dyadic treatment data, will be presented.
Another program the "Huggy Puppy", exemplifies the implementation of a
developmental appropriate intervention with children in the midst of the crisis, and
the effects of building a sense of self efficacy and relatedness. This will be illustrated in
the study done by Prof. Avi Sadhe from Tel Aviv University on the effects of the "Huggy
Puppy".
The use of the modified EMDR Group Protocol for children during the war and the
efficacy of the EMDR individual treatment in the post war situation as compared to
CBT and SE FAR will be examined in the research done by Dr. Moshe Farchi of the Tel
Chai College.
These diverse interventions and treatments represent the wide range of theoretical
and practical thinking which are necessary in order to create a comprehensive holistic
model which will serve as a guideline for interventions with children in crisis.
Keywords: Children Crisis Keynote Resilience
Accuracy Verified: Yes
88. Chambless, D.L., Sanderson, W.C., Shoham, V., Bennett Johnson, S., Pope, K.S., Crits-Christoph, P., Baker, M., Johnson, B., Woody, S.R., Sue, S., Beutler, L., Williams, D.A., & McCurry, S. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5-18.
Language: English
Format: Journal
Abstract:
In 1995 the Division 12 Task Force on Promotion and
Dissemination of Psychological Procedures published its
report in this journal. A major focus of that report was
increasing training in psychological interventions that have
been supported in empirical research by making clinical
psychologists and students more aware of these treatments
and facilitating training opportunities. To provide the basis
for a survey on the degree to which clinical programs and
internships were currently providing training in empirically
supported therapies, the task force constructed a list of
examples of treatments meeting criteria for efficacy as
established by the task force.
Based on feedback that members of the profession found
this list of interventions to be very useful in training and
clinical work, while also recognizing its very incomplete
basis, the Division 12 board charged the succeeding task
force (Task Force on Psychological Interventions), appointed
in succession by Presidents Martin Seligman and Gerald
Koocher, with adding to this preliminary list on an annual
basis. This is one purpose of the current report. In
addition, we raise several issues about the use and
limitations of empirically supported treatments as currently
identified. In keeping with the practice established by the
first task force, the members of the group who constructed
the present report are diverse in theoretical orientation and
work in a variety of settings -- psychology departments,
medical schools, and private practice.
Accuracy Verified: Yes
89. Howard, M. D., & Cox, R. P. (2006, December). Use of EMDR in the treatment of water phobia at Navy boot camp: A case study. Traumatology, 12(4), 302-313. doi:10.1177/1534765606297821.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has become one of the most scientifically researched mental health treatments in the world; yet little has been done specifically with active-duty service members. Initially used in the treatment of anxiety and posttraumatic stress disorder, it has since become popular in the treatment of addictions, relationship problems, eating disorders, panic attacks, phobias, and mood disorders. This article expands the current study of EMDR through the use of a case study approach. Specifically, it provides a detailed case study of the treatment of water phobia experienced by a U.S. Navy recruit. The unique stressors and time pressures of the recruit training environment are discussed. A detailed account of the therapist’s adherence to the eight phases of the EMDR protocol is woven in to the case study. Although the efficacy research of EMDR in the treatment of specific phobias is mixed, this article demonstrates how EMDR can be effectively utilized to treat trauma-based phobias in a time-sensitive and pressure-based environment such as that of recruit training in the United States Navy.
Keywords: Case Study Navy Phobias Trauma
Accuracy Verified: Yes
90. Allemagne, K. L. (2009, August). The use of EMDR with treatment resistant patients suffering from chronic obsessive-compulsive disorder. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
The use of Eye Movement Desensitization Reprocessing Therapy in the treatment of trauma and stress is well documented (Shapiro, 2001). Since its inception, several studies documenting the effectiveness of EMDR in the treatment of other mental health issues has also been studied (Parnell, 2006). Bae, Kim, and Ahn’s, (2006) clinical case study demonstrates no success with the use of EMDR to treat patients that developed obsessive-compulsive disorder after being diagnosed with posttraumatic stress disorder. Their article suggests little research in support of the use of EMDR in the treatment of OCD.
This presentation illustrates two case studies of men diagnosed with chronic OCD, and their inability to find relief from their symptoms from both pharmacological and psychotherapeutic interventions. The study illustrates the use of Parnell’s modified EMDR protocol with both patients, and the importance of identifying and resolving feeder memories.
Patient A is a male who was diagnosed with OCD twenty years ago. He has received both psychotherapy and psychiatric services from a major university hospital since being diagnosed. Part of the obsessive thoughts include shouting obscenities at his congregation, committing violent acts towards members of the parish, and ultimately jumping over a choir railing with the goal of killing himself.
Patient A began psychotherapy using the Parnell’s modified protocol of EMDR. The patient was able to tap into core (feeder) memories from childhood where he violated trust and confidence with a friend that had not been fully resolved. This also connected with security issues with his mother, which eventually were completely resolved through EMDR. The patient’s obsessive thoughts ceased. The patient has been free of these obsessive thoughts post therapy for one year.
Patient B sought therapy for compulsive behaviors related to exposing himself to unsuspecting victims. Additionally, this patient also engaged in compulsive masturbation behaviors for eight to ten hours a day. His actions not only were psychologically distressing to him, but also causing him problems with the local authorities. Patient B had sought psychotherapy and psychiatric services in the past on several occasions, but with no improvement.
Patient B demonstrated radical improvement using Parnell’s modified EMDR protocol. The patient identified feeder memories that were not initially discussed during the assessment phase. After successful processing, patient B has not engaged in any inappropriate sexual behaviors or compulsive masturbation for three months.
While psychodynamic principles rooted in experiences of life are not novel or innovative in the practice of psychotherapy, often therapists will focus on reducing the problematic symptoms accompanying a diagnosis of OCD, without considering the full implication of prior experiences. Continuing advances in the application of EMDR with an ever expanding array of mental and emotional disorders requires researchers to consider the importance of identifying feeder memories as a possible source of problematic symptoms. These results offer promising techniques for EMDR therapists, and new avenues in research exploring the efficacy of EMDR and OCD. This presentation will illustrate the process involved in identifying feeder memories.
Keywords: Obsessive-Compulsive Disorder OCD Poster Posttraumatic Stress Disorder PTSD Treatment Resistance
Accuracy Verified: Yes
91. Fisher, M. E. (2008). The use of psychoeducation in the treatment of PTSD with military personnel and their family members: An exploratory study from a clinician’s perspective. Social Work Research Methods, Smith College, School for Social Work.
Language: English
Format: Dissertation/Thesis
Abstract:
This qualitative study explores clinician’s use of psychoeducation in the treatment of Posttraumatic Stress Disorder (PTSD) with military personnel and their family members. Seven clinicians working with military personnel or in a military setting were asked a series of questions about psychoeducation and its use in the treatment of PTSD. Utilizing interviews, clinicians provided rich and detailed narratives outlining the following questions: (1) Is psychoeducation an appropriate intervention method in the treatment of PTSD? If so, when is it appropriate to use or incorporate psychoeducation in the treatment process with military personnel and/or their family members? and (2) What have been the outcomes in using psychoeducation as a form of treatment for PTSD with individual military personnel and/or their family members? How do you measure the effectiveness of this intervention?
Participants gave descriptive narratives of their experience and outcomes, exploring their meaning and understanding of psychoeducation, its use during the therapeutic relationship as a stand-alone entity or in conjunction with another therapy, and their perceptions on psychoeducation’s effectiveness in the treatment of PTSD. Major findings revealed that psychoeducation was used by all of the participants in this study; however treatment modality, timeframe and settings of use with psychoeducation varied. The data collected from the study supported the need for more research to be
conducted on the effectiveness and best practices of the use of psychoeducation in the treatment of PTSD.
Keywords: Military Psycheducation
Accuracy Verified: Yes
92. Toon, K., & Horsefield, C. (2007, March). Using EMDR in a therapy group to simultaneously process the traumas of group members: Preliminary findings. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.
Language: English
Format: Conference
Keywords: Group Members Groups Symposium
Accuracy Verified: Yes
93. Donovan, L. (2005, September). Using EMDR in processing grief with children and families. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Grief wears different faces and proceeds in varying paces for the different members
of a family that share a loss. Participants will be able to: 1 ) define relevant issues
and strategies for using EMDR with grieving children and their families; 2)
identify targets and necessary resources for different stages of grief and ages and
roles of family members; and 3) name criteria to guide the structure, sequence
and pacing of EMDR for processing grief within the family system. Theory-based ideas will be storied in case illustrations. Participants will be asked to actively apply each learning objective to a case of their own throughout the workshop.
Keywords: Children Families Grief
Accuracy Verified: Yes
94. O'Malley, A. (2007, June). Using EMDR in unresolved neonatal trauma in a 13 year old and in a 7 year old whose father killed their mother. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: I am presenting the case of a 13-year-old boy who was referred because of uncontrolled rage evident in his relationship with peers in one incident he had a fellow pupil’s head under water until he was gasping for air.. He had shown little remorse towards the boy and described the incident as funny. The family had experienced a series of traumatic events. They were forced to evacuate their home when criminal gangs attempted to burn them out; his was to use the house for drug-related activity. Gang members had assaulted my patient and his mother in the street after going to the police. After meeting with the parents and brother and older sister, I had identified that on top of this recent trauma L had extreme hostility towards his mother who he described as “that woman.” My initial EMDR sessions were with L and his father. During processing of the trauma, my video will show bizarre movement including rolling his head back, hypotonic posture and behavior similar to an infant. This can be understood in relation to L’s early development. He was born at 33 weeks gestation and spends his first 6 weeks in a special care baby unit (CBU) in an incubator. My presentation will discuss the neurological consequences of early trauma and how a narrative approach using EMDR can help in recovery. This approach is based on the work of Dr. Joan Lovett. She is a California-based pediatrician who has developed a protocol for working with children who have experienced significant trauma following premature birth.
My second case is J, a 7-year-old boy who witnessed his father murder his mother approx 1 year ago. He was then held hostage by his father for 6 hours with the body of his mother lying in a pool of blood in the kitchen while the police negotiated with J’s father for his release. My first involvement with J was an in depth assessment of his emotional attachment and placement needs for the court. During this process, he developed frequent infantile rages and I advised the system of care around J on their management. At one stage, he had recurrent dreams about joining his mother in heaven and he was discovered attempting to strangle himself. I will discuss how I used the safe place protocol to alleviate his distress. I am now using EMDR directly with J. I use a variety of bilateral alternating stimuli. These include drumming, musical symbols, and a xylophone. I am able to get J to draw sequentially with each new drawing generated by J performing the “Butterfly hug.” I was inspired to use this technique after I attended a wonderful workshop facilitated by Michel Silvestre entitled “integrating family therapy and EMDR.” I hope to discuss in this presentation how EMDR can be combined with other therapeutic approached in a case of extreme trauma experienced by a 6-year-old boy who is now effectively orphaned as his father is in prison probably for the rest of his natural life. I will also allude to some of the techniques discussed by Dr. Atle Dyregrov at the 5th annual UK and Ireland conference in London in March last year. He presented in depth therapeutic work with a girl who suffered the trauma of her mother’s suicide. I will discuss some of the challenges presented by traumatic grief and how the EMDR protocol can be adapted for use in children.
Keywords: Children
Accuracy Verified: Yes
95. Lovell, C. (2005). Utilizing EMDR and DBT techniques in trauma and abuse recovery groups. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 263-282). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
Marsha Linehan's dialectical behavior therapy (DBT) is a wonderfully effective treatment for people with borderline personality. It is a non-blaming, compassionate, therapeutic approach, based solidly on research data about what borderline personality disorder (BPD) is and how to treat it effectively. I have used the techniques of DBT for the past 9 years in trauma and abuse recovery groups for women. DBT provides a solid foundation for the group. EMDR, adjunct therapies, and other trauma related resources complete DBT by including the treatment of trauma within the group setting. The groups are successful in that the intensity of symptoms decreases and the group members report feeling increased competency regulating their emotions. [Adapted from Text, p. 263] [Pilots]
Keywords: Adults Borderline Personality Disorder Cognitive Therapy Comorbidity DBT Dialectical Behavior Therapy Females Group Psychotherapeutic Processes Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors
Accuracy Verified: Yes
96. Grainger, R. K. (1992, May). Variations in direction of eye movements. EMDR Network Newsletter, 2(1), 7.
Language: English
Format: Newsletter
Abstract: In working with a young woman with
multiple personality disorder, diagonal
eye movements brought about
almost immediate abreactions. (In
fact, the first time that EMDR was
conducted with this client, two heretofore
unknown, cult-induced, alters emerged.) EMDR has been used at almost every session, each time with the client-preferred diagonal direction. Sometimes it induces abreactions, and sometimes only anxiety management. For the past two sessions, with the advice, consent, and watchful eyes of 12 already
integrated alters who have
arranged to be able to talk with the
therapist as desired, a change in
the direction of eye movements has
increased the speed and thoroughness
of reprocessing.
Keywords: Eye Movements
Accuracy Verified: Yes
97. Yoeli, F. R., & Prattos-Spongalides, T. A. (2006, June). When all you have is 90 minutes: A systemic approach to EMDR case conceptualization in times of stress and/or following crisis. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
In crisis situations, hysterical and / or consultation with those working were traumatized, you have only 90 minutes and effectively EMDR should enhance the planning and conceptual. As a learned response to trauma Kuşaksal given to remove a short focused genogram format using EMDR / R will receive severe stress can increase the effectiveness in reducing. This is the case in the study group recommended the use of genogram format and now also the origin of the reaction can be, as concerns of hereditary small t traumas are revealed to the process, advice from the deeper and faster healing is to live. Case examples of different crisis situations (natural disasters, tsunami, a terrorist incident in Israel after a Greek and dysfunctional family) were taken and learned from family members kuşaksal genogram how to influence behavior patterns has been shown to occur. This systemic approach, an improved formulation suggests EMDR cases. This formulation, NC and the PC more effectively as components of EMDR are provided in the determination.
Accuracy Verified: Yes
98. Scheiner, Z. (2002). When to seek EMDR treatment. EMDRNews.com.
Language: English
Format: Newsletter
Abstract:
You've experienced a loss - your parent
died, your child died, your spouse died.
You went through the funeral and the
official mourning period. You've had
family members and fiiends by your side.
The casseroles appeared every morning;
the invitations to chat came regularly.
Everyone encouraged you to feel your
feelings, to be sad, to be angry, to be
whatever you happened to be.
Accuracy Verified: Yes
99. Grinbaum, A., & Levy, M. (2007, June). Working with child care in public service. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Work in child care in a pubic service, brings us to accept all people who come to us whatever their origin (Mediterranean, Black Africa, Asia), their social class (from the most impoverished to the upper class), or any kind of difficulty (from school and socio-educational problems to autism or serious psychosis). We are psychologists, psychoanalysts ad family therapist with more than 25 years of experience. Through our work, we learned listening, patience, neutrality, and interpretation. While sometimes our experience brought us to invent means to come in contact with them, the EMDR method gave us another mode of relation with the child which is at the same time more flexible and closer to them. Since our training in 2004, we noticed a change in our practice ad in the attitude of our colleagues and fellow workers toward us. We would like to describe in this talk the feeling of freedom we felt to work with such a rigid protocol; to work differently with problems like drugs or sexual abuse as well as difficulties in early childhood to work in turn with the parent and the children, to work with the whole family while treating one of their members in from of them. We want to present some clinical examples and share with you the enthusiasm that this new therapy arouses in us after so many years of practice.
Keywords: Children Child Care Poster
Accuracy Verified: Yes
100. Gattinara, P. C. (2009). Working with EMDR in chronic incapacitating diseases: The experience of a neuromuscular diseases center. Journal of EMDR Practice and Research, 3(3), 169-177. doi:10.1891/1933-3196.3.3.169.
Language: English
Format: Journal
Abstract:
This article examines the use of EMDR in a rehabilitation center to deal with traumatic experiences associated with serious incapacitating disease. Through clinical examples, the author describes the utility and function of EMDR treatment in helping both patients and their families overcome the frightening events related to the worsening of the illness and in helping them cope with feelings of loss and separation. The usefulness of attachment theory for a better comprehension of the dysfunctional interpersonal patterns that can arise between family members is discussed. In addition, the importance of eye movement desensitization and reprocessing (EMDR) is explored in helping to facilitate secure attachment relationships between patients and their caregivers, allowing the families to grow closer and more supportive. EMDR appears to offer specific advantages in treating this especially difficult population, affording patients who live with a chronic condition of extreme physical vulnerability a sense of greater control over their own bodies and therefore over their own lives.
Keywords: Attachment Neuromuscular Pathologies Respiratory Crisis Traumatic Events
Accuracy Verified: Yes


