Francine Shapiro Library ~ EMDR Bibliography

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Your Results - you searched for the keyword Forensic 25 Results

1. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.

Language: English

Format: Journal

Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]

Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors

Accuracy Verified: Yes

2. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.

Language: English

Format: Journal

Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]

Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence

Accuracy Verified: Yes

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

Language: Dutch

Format: Book Section

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

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

Keywords: Borderline Personality Disorder BPD Posttraumatic Stress Disorder PTSD Women

Accuracy Verified: Yes

4. Adler-Tapia, R. L. (2012, June). Child psychotherapy: Integrating developmental theory into clinical practice. New York, NY: Spring Publishing.

Language: English

Format: Book

Abstract:
Children are often diagnosed and medicated without the consideration that their symptoms may actually be a healthy response to stressful life events. This integrative guide for mental health practitioners who work with children underscores the importance of considering the etiology of a child's symptoms within a developmental framework before making a diagnosis. By providing advanced training and skills for working with children, the book guides the therapist, step-by-step, through assessment, case conceptualization, and treatment with a focus on the tenets of child development and a consideration of the impact of distressing life events. The book first addresses child development and the evolution of child psychotherapy from the perspectives of numerous disciplines, including recent findings in neurodevelopment trauma, attachment, and neurobiology. It discusses assessment measures, the impact of divorce and the forensic/legal environment on clinical practice, recommendations for HIPAA compliance, evidence-based best practices for treating children, and the requirements for an integrated treatment approach. Woven throughout are indications for case conceptualization including consideration of a child's complete environment. This book provides an integrative approach to child psychotherapy from the perspective of healthy development through the lens of EMDR.

Keywords: Children

Accuracy Verified: Yes

5. Wagstaff, G. F., Cole, J., Wheatcroft, J., Marshall, M., & Barsby, I. (2007). A componential approach to hypnotic memory facilitation: Focused meditation, context reinstatement and eye movements. Contemporary Hypnosis, 24(3), 97-108. doi:10.1002/ch.334.

Language: English

Format: Journal

Abstract:
Although hypnosis is now less popular as an interviewing technique in forensic investigations than it used to be, recent evidence suggests that some of the components of hypnotic interviewing might still be useful in the development of brief memory facilitation procedures. Two experiments are described which continue this componential approach to hypnotic interviewing. In the first experiment, the effects on episodic memory of a brief context reinstatement (revivication) procedure were examined together with a focused breathing meditation technique which shares similarities with traditional hypnotic induction. A second experiment investigated the effects of horizontal eye movements which some have also associated with hypnotic responding. Results indicated that a combined context reinstatement and focused meditation procedure was more effective than context reinstatement alone in facilitating memory for an emotional event without the increase in false positive errors familiar to more traditional hypnosis techniques. In contrast, an instruction to perform horizontal eye movements was not effective in facilitating memory and, when combined with a suggestion for improved recall, produced higher confidence in incorrect responses. Implications are discussed. [Abstract from author]

Keywords: Accuracy Confidence Context Reinstatement Eye Movements Forensic Hypnosis Hypnotism Interviewing Meditation Memory Memory Facilitation Testing

Accuracy Verified: Yes

6. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag. In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn. Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt. Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen. Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.

On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior. In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance. When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration. Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease. Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.

Keywords: Forensic Examination Violent Behavior

Accuracy Verified: Yes

7. Brown, L. S. (1997, July). EMDR and the courtroom: Forensic concerns for the EMDR practitioner. Closing plenary presented at the annual meeting of the EMDR International Association, San Francico, CA.

Language: English

Format: Conference

Keywords: Courtroom Forensics Practitioner

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: TBS System of Treatment

Accuracy Verified: Yes

9. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5.

Language: English

Format: Newsletter

Abstract:
As a physician board-certified in Psychiatry, Addiction Medicine, Addiction Psychiatry, Sexology, Traumatology, and with credentials in Massage Therapy, EMDR, and as a Forensic Examiner, I have worked in almost every practice setting imaginable and with a broad variety of patients. Having been based from a hospital, community clinic, halfway-house residence, private office, Veterans Administration Medical Center, training institution, and doing outreach on the streets, I am clinically familiar with the behavioral challenges of children, adolescents, young adults, old adults, couples, families, and groups manifesting acute symptoms and exacerbations of chronic disorders, with and without chemical dependency, physical problems, and sociological impairments. I like to teach trainees, do interactive lectures, travel and experience ‘difference.’ It is thus that I have found myself a settled homeowner on Saipan, a Manhattan-sized island that, as part of the Commonwealth of the Northern Mariana Islands (U.S.), is the farthest-flung American overseas possession. Always the outsider; here among the various tan tones of complexion found among the indigenous of the western Pacific, I have experimented with several interventional strategies, both to establish rapport and some trust and also to start creating that unique and culturally competent treatment modality that will foster growth among my patients. Cognitive-behavioral approaches generally work better than insight-oriented ones because of the ‘here-and-now’ mindset of Chamorros, Carolinians, Yapese, Chukese, Pohnpeians, Kosraeans, and Filipinos who comprise the population base here. Let me briefly discuss one fascinating case. Twenty two year old Chamolinian woman, married and with three young children was involved in a minor motor vehicle accident. This accident was a spinoff of a more serious one primarily involving two other vehicles. In a large truck (Toyota T100), she was not hurt, and the two children riding with her were also unharmed.

Keywords: Case Study Micronesia

Accuracy Verified: Yes

10. Costa, C. S. (2012, Novembro). EMDR como recurso para a elaboração de laudo pericial [EMDR as a resource for the preparation of expert report]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Por meio de relato de caso clínico, objetiva-se mostrar a possibilidade da do uso do EMDR para a elaboração de laudo pericial. O caso foi enviado por uma Casa de Acolhimento Institucional, órgão público vinculado à Delegacia de Defesa da Mulher, de um município da Grande São Paulo, devido à suspeita de abuso sexual da criança pelo genitor, uma vez que outros laudos profissionais, como o psicodiagnóstico de Rorscharch e o exame clínico por perito legista não foram aceitos como conclusivos pelo juiz que autorizou a visita do pai. Diante disso, o Órgão de Proteção à Criança encaminhou o caso para nova avaliação. Após as entrevistas com a criança, que se mostrava bastante resistente às perguntas feitas pela psicóloga, aplicaram-se os seguintes recursos do EMDR: identificação da imagem, crença e emoção (ICE); som bilateral; desenhos e identificação do grau de desconforto (SUDs), que lhe possibilitaram exteriorizar a situação que a incomodava, reforçada nos vários desenhos. Encaminhados os resultados ao Órgão que solicitou a avaliação foram considerados conclusivos em relação ao abuso sofrido pela criança, o que significou seu afastamento do genitor, pelo juiz, e investigação para apurar os fatos visando a proteger a vítima. Isso permite concluir que o EMDR pode ser um instrumento auxiliar para a elaboração de laudo pericial nos casos de estresse pós-traumático, como no abuso sexual de crianças.

Through clinical case, the objective is to show the possibility of the use of EMDR for the preparation of an expert report. The case was sent by a House of Hospitality Institutional, public agency linked to the Women's Police Station, a town in Greater São Paulo, due to suspicion of child sexual abuse by parent, since other reports professionals, as psychodiagnostic of Rorschach and clinical examination by forensic expert were not accepted as conclusive by the judge who authorized the visit of his father. Thus, the Child Protection Authority referred the case for further evaluation. After the interviews with the child, that proved quite resistant to the questions asked by the psychologist, we applied the following features of EMDR: identifying the image, belief and emotion (ICE); sound bilateral; drawings and identify the degree of discomfort (SUDs ), which enabled him to externalize the situation that bothered him, strengthened in various designs. Forwarded the results to the Board requesting the evaluation were considered conclusive regarding the abuse suffered by the child, which meant being away from the parent, the judge, and investigation to ascertain the facts in order to protect the victim. This indicates that EMDR can be an auxiliary tool for the development of expert opinion in cases of post-traumatic stress, such as the sexual abuse of children.

Keywords: Expert Report Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

11. Lengua, C. (2010, January). EMDR in forensic settings. Presentation at a Seminar in the University of Newcastle-Upon-Tyne Child and Adolescent Mental Health Academic Seminar Series, North East Branch, Newcastle, England.

Language: English

Format: Conference

Keywords: Forensics

Accuracy Verified: Yes

12. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50.

Language: English

Format: Journal

Abstract:
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to 32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued to work with the recovered corpses and were continually exposed to horrific emotional stressors, with ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention, reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in a human massacre situation. It appears that the treatment may have helped to prevent the development of chronic PTSD and to increase psychological and emotional resilience.

Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events

Accuracy Verified: Yes

13. Haour, F., Meignant, I., & De Beaurepaire, C. (2012, June). EMDR treatment of sexual traumas in a child offender [Tratamiento EMDR de traumas sexuales en un pedófilo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Child offenders have been abused 3 to 6 time more than controls during childhood and these figures are probably grossly underestimated. Most of them exhibit all or many symptoms of Post Traumatic Stress Disorders (PTSD) in association with anxiety-‐depression-‐addiction. TCC treatments are useful but with limited efficacy (Brooks-‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-‐466). The treatment by the EMDR approach of the traumatic memories should be beneficial to these patients. Previous work (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-‐562) has provided preliminary results in child molesters. Clinical Case: A 40 years old male convicted and jailed for sexual abuse (pedophilia) at 33 years of age. He lives with a wife and a son (9 year old) and has a regular job. His medications are: antipsychotic, antidepressor, antiepileptic, anxiolytic and anti androgens. He sees regularly a psychologist but is submitted to anxious attacks and pedophilic desires. He usually needs to be hospitalized several weeks twice a year. Following assessment and psychological evaluation (DSM IV, PCLS, SOS, BECK 21, DES) and case conceptualisation, the traumatic events were desensitized and reprocessed through EMDR treatment: rape and sexual abuse by an older brother from 5 to 12, familial humiliations, rape under threat, at 11 year of age by an adult, accusation by a 13 years old partner at 33 years of age, prison, trial, etc. The themes of the first 8 EMDR sessions (first 3 months) were: helplessness/control, danger/ security, and will be exposed in details. The changes in the patient appreciation of himself and his symptoms were followed during this period. A sharp decline in the anxiety scores (Beck 21) and a rapid increase in the SOS (Schwartz outcome scale: quality of life) were observed. At the same time the pedophilic desires were disappearing. This allowed the psychiatrist to reduce the antiandrogenic treatments as well as antipsychotic, antiepileptic and antidepressor. Nine month after the beginning of therapy the patient was without antiandrogens. The SOS scores remained high but episodes of anxiety and depression were still present (9 to 12 months after beginning of EMDR treatment). In conclusion, desensitization of traumatic memories lied to a dramatic improvement of anxiety and changes in sexual desire in a man convicted for pedophilia.

Los abusadores sexuales han sido, durante la infancia, víctimas de abusos sexuales de 3 a 6 veces más que los controles y estos datos están lejos de aproximarse a un dato real. Muchos de ellos exhiben todos o muchos, síntomas del Trastorno de Estrés Post-‐traumático (TEPT) en asociación con ansiedad, depresión o adicciones. Los tratamiento TCC son útiles pero de limitada eficacia. (Brooks-‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-‐466). El tratamiento a través de EMDR de los recuerdos traumáticos debería ser beneficioso para el paciente. En trabajos previos (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-‐562) han mostrado resultados preliminares en pedófilos. Caso Clínico: Un convicto varón, 40 años, entró en la cárcel por abusos sexuales (Pedofilia) a la edad de 33 años. Vive con su mujer y su hijo (9 años de edad) y posee un trabajo estable. Su tratamiento farmacológico es: Antipsicóticos, antidepresivos, antiepilépticos, ansiolíticos y anti-‐andrógenos. Muestra un patrón psicológico regular pero está supeditado a ataques de ansiedad y deseos pedófilos. Normalmente necesita ser hospitalizado durante varias semanas 2 veces al año. Siguiendo las tareas y la evaluación psicológica (DSM IV, PCLS, SOS, BECK 21, DES), conceptualización del caso, los eventos traumáticos donde se ha aplicado el tratamiento EMDR: Violación y abuso sexual por su hermano mayor desde los 5 hasta los 12 años, humillaciones familiares, violación bajo amenaza por un adulto a la edad de 11 años., acusación por un niño de 13 años, ingreso en prisión, juicio… Las temáticas en las primeras 8 sesiones de EMDR (los primeros 3 meses) fueron: Desesperanza/Control, peligro/ Seguridad, y serán expuestas en detalle. Se hizo un seguimiento de los cambios apreciados por el paciente y sus síntomas. Una fuerte bajada de las puntuaciones en ansiedad (Beck21) y un rápido aumento de la SOS (Schwartz outcome scale: quality of life) fueron observadas. Al mismo tiempo que los deseos pedófilos iban desapareciendo. Esto permitía al psiquiatra reducir los tratamiento antiandrogénicos, antiepilépticos, antidepresores y antipsicóticos. Nueve meses más tarde del comienzo del tratamiento el paciente abandonó los antiandrógenos. Las puntaciones del SOS seguían altas pero los episodios de ansiedad y depresión seguían presentes (de 9 a 12 meses después del tratamiento EMDR) En conclusión, desensibilizar recuerdos dramáticos ligados a una espectacular mejora de la ansiedad y cambios en el deseo sexual del convicto por pedofilia.

Keywords: Child Offenders Sexual Trauma

Accuracy Verified: Yes

14. Rosenthal, D., & Little, K. (1999, June). EMDR: PTSD application case studies in a state inpatient forensic facility. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participant will be able: 1) describe the application of various test instruments in the appraisal of clinical EMDR response in a correctional inpatient population; 2) desribe at least two variations in EMDR treatment as applied to an inpatient correctional population; and 3) describe at least two clinical and ethical issues in the PSTD treatment of an offender-patient with concurrent psychosis.

Keywords: Correctional Population Inpatient Forensic Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

15. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.

Language: English

Format: Book Section

Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.

Keywords: Children Sexual Abuse

Accuracy Verified: Yes

16. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.

Language: English

Format: Dissertation/Thesis

Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]

Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community

Accuracy Verified: Yes

17. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.

Keywords: Eye Movements Mechanism of Action Neurobiology Poster Rorschach Test

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Forensics

Accuracy Verified: Yes

19. Gold, S., & Faust, J. (2002). The future of trauma practice: Visions and aspirations. Journal of Trauma Practice, 1(1), 1-15. doi:10.1300/J189v01n01_01 .

Language: English

Format: Journal

Abstract:
In the new and evolving field of traumatology, the need to keep practitioners apprised of emerging developments is acute. While many journals about trauma exist, most of them focus primarily on publication of empirical research studies. Applied professionals rarely read these journals because they see empirical investigations as having very little relevance to their daily practice. Regrettably, these circumstances foster divisiveness between traumatologists who identify themselves mainly as researchers and those who consider themselves chiefly practitioners. Providing an avenue for bridging and integrating the sub-cultures of trauma research and practice is one of the primary aims of the Journal of Trauma Practice (JTP). JTP also seeks to unite the diverse professions that routinely work with traumatized populations, such as emergency room personnel and other medical practitioners, attorneys and forensic specialists, law enforcement personnel, and emergency service workers. Accomplishing these objectives will require openness to innovation while maintaining high standards of scholarship. [Author Abstract]

Keywords: Editorial PTSD Scientific Research Treatment

Accuracy Verified: Yes

20. Gold, S. N., & Faust, J. (2002, January). The future of trauma practice: Visions and aspirations. Journal of Trauma Practice, 1(1), 1-15. doi:10.1300/J189v01n01_01.

Language: English

Format: Journal

Keywords: Critical Incident Stress Debriefing CISD Posttraumatic Stress Disorder PTSD Trauma Trauma Practice Trauma Research Traumatic Memory Traumatology

Accuracy Verified: Yes

21. Jarero, I., & Uribe, S. (2012). Intervención temprana en salud mental en una situación de masacre humana: Fosas clandestinas en durango 2011 [Early mental health intervention in human slaughter situation: Mass graves in 2011 Durango]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1).

Language: Spanish

Format: Other

Abstract: Resumen. La Comisión Nacional de los Derechos Humanos solicitó el apoyo de la Asociación Mexicana para Ayuda Mental en Crisis, con la solicitud de atender al personal forense de la Fiscalía General del Estado de Durango en México. Una sola sesión del Protocolo de EMDR para Incidentes Críticos Recientes fue brindada a 32 personas que estuvieron trabajando con 258 cuerpos recuperados de fosas clandestinas. Tanto los resultados estadísticos pre y post tratamiento, como el seguimiento que se hizo a los 3 y 5 meses, mostraron la mejoría de las personas atendidas y una significativa reducción en síntomas de estrés postraumático y de Trastorno por Estrés Postraumático (TEPT), a pesar de que continuaron realizando el trabajo de recuperación de cuerpos extraídos de las fosas clandestinas y estuvieron expuestos continuamente a terribles estresores emocionales. Los resultados estadísticos obtenidos sugieren que la intervención ayudó a prevenir el desarrollo del TEPT en su fase crónica y a incrementar la resiliencia psicológica y emocional. Nota: Este documento es una reseña de dos artículos publicados por Ignacio Jarero y Susana Uribe en el Journal of EMDR Practice and Research durante 2011 y 2012 titulados The EMDR Protocol for Recent Critical Incidents: Application in a Human Massacre Situation y Follow-UP Report of an Application in a Human Massacre Situation.

Summary. The National Commission on Human Rights requested the support of the Mexican Association for Crisis Assistance Mental, with the request to address the forensic staff of the Attorney General of the State of Durango in Mexico. A single session of EMDR Protocol for Recent Critical Incident was given to 32 people who were working with 258 bodies recovered from mass graves. Both statistical results before and after treatment, the monitoring was done at 3 and 5 months, showed the improvement of people served and significant reduction in symptoms of posttraumatic stress and posttraumatic stress disorder (PTSD), despite they continued doing the work of recovery of bodies extracted from the mass graves and were continuously exposed to terrible emotional stressors. The statistical results obtained suggest that the intervention helped prevent the development of PTSD in its chronic phase and increase psychological and emotional resilience. Note: This document is a review of two articles published by Ignacio Uribe Jarero and Susanna in the Journal of EMDR Practice and Research in 2011 to 2012 graduates The EMDR Protocol for Critical Incidents Recent: Application in Human Massacre Situation and Follow-Up Report of an Application in a Human Situation Massacre.

Keywords: Durango Early Intervention Human Slaughter Mass Graves

Accuracy Verified: Yes

22. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.

Keywords: Head Injury Traumatic Brain Injury Posttraumatic Stress DIsorder PTSD

Accuracy Verified: Yes

23. Pham, T., & Willocq, L. (2005, June). Psychopathy and traumatic stress in a forensic hospital. In Research Issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
It often has been theorized that psychopaths have a fundamental deficit with respect to emotions (Cleckley, 1976). They would be unable to experiment acute emotional reactions, like posttraumatic stress. The study compares posttraumatic stress between psychopaths and non psychopaths. as defined by the Hare Psychopathy Checklist (1991). The specific contribution of factor 1 (narcissistic characteristics) and factor 2 (behavioral characteristics) of psychopathy is analysed. The population includes 44 Belgian male offenders coming from a forensic hospital. Traumatic stress is assessed by the Stanford Acute Stress Reaction Questionnaire ISASRQ (Cardena, Classen, Koopman, & Spiegel, 1996). The authors will discuss the therapeutic implications.

Keywords: Forensic Hospital Research Symposium

Accuracy Verified: Yes

24. Kitchur, M. (2005). The strategic developmental model for EMDR. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 8-56). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The strategic developmental model (SDM) for EMDR originated in Canada in 1996. It is a model that was born out of desperation in the face of the overwhelming treatment needs of severe- and multiple trauma victims, forensic clients, and short-term funded high-risk individuals. It is an efficient and comprehensive method for maximally delivering the benefits of EMDR to high-needs clients before their therapy might be prematurely interrupted by the realities of funding or of a multiproblem life. Such a method, I felt, would need to effectively facilitate rapid engagement and address or circumvent the fear, hostility, anxiety, and resistance that so often undermine or sabotage therapy with high-need and high-risk populations. Clinical experience also suggested the importance of having some systematic manner of assessing and treating the often multiple fundamental underlying causes of pathology and symptomatology in order to assist these high-risk and high-need clients to break the cycles and patterns that likely would repeat in their lives. I hypothesized that any process or strategies that might facilitate healing in these ways could also be anticipated to optimize therapeutic outcome for high-functioning clients and diverse client populations. [Text, p. 8] [Pilots]

Keywords: Patient History Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

25. Kitchur, M. (2000, December). The strategic developmental model for EMDR: A sequential treatment strategy for diverse populations, facilitative of developmental recapitulation, with implications for neurobiological maturation. EMDRIA Newsletter, 5(Special Edition), 4-10.

Language: English

Format: Newsletter

Abstract:
An efficient strategic model is described, one that systematically facilitates a developmental hypothesis about the symptoms or psychopathology of clients and which then efficiently implements EMDR with that developmental perspective or template. Four major features of the model are described including a strategic history-taking format which yields a “Developmental Baseline” from which a macro treatment plan can be formulated; strategic Ericksonian (hypnotic) language to mobilize client resources and bypass resistance; flexible targeting options; and therapeutic attunement. The four features of the Model are designed to facilitate developmental recapitulation and “catch-up,” and therapeutic attunement in particular may also potentiate right-brain repair leading to increased self-regulation. The model has application with challenging adult ad adolescent client populations, such as short-term funded, multiple trauma, high-risk, forensic addicted, and chronically ill, and also with high-functioning self-referred individuals and couples.

Keywords: Strategic Developmental Model

Accuracy Verified: Yes