Francine Shapiro Library - EMDR Bibliography Links
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1. 国秋 汪永光 王义强 付素芬 曹日芳 [Zhao Guo-Qiu, Wang Yong-Guang, Wang Yi-Qiang, Fu Shu-Fen, & Fang Tsao]. (2008, August). "4•28"胶济铁路交通事故伤员心理危机的干预 [Psychological intervention in the casualties of 4 · 28 train crash on the Jiao-Ji railway line]. 中華急診醫學雜誌 17卷8期 (2008/08), 800-803 [Chinese Journal of Emergency Medicine], 17(8), 800-803 .
Language: Chinese
Format: Journal
Abstract:
目的 分析淄博铁路交通事故伤员心理行为反应特点以寻找救治交通事故后患者的心理的有效方法。方法 采用心理危机结构式访谈问卷，对2008年4月28日发生的山东淄博胶济铁路重大交通事故中的226伤员进行心理状态评估，并对22名ASD患者进行眼动脱敏再加工(eye movement desensitization and reprocessing, EMDR)治疗，比较EMDR治疗前后的心理行为反应的差异。结果 有22名达到ASD（急性应激障碍）诊断标准，本次铁路交通事故中ASD的发生率为9.73%，伤员中主要以闯人、警觉性增高表现为主，并伴随着其他的负性情绪体验。女性组ASD的发生率(14.85%)高于男性组(5.60%)，P<0.05。女性组心理行为反应结果明显重于男性组(P<0.05)，EMDR能够显著改善ASD患者的闯入、警觉性增高症状(P<0.01)，但愤怒情绪没有显著改善((P=0.227))。结论 铁路交通事故后，女性比男性更容易发生ASD。EMDR可有效地解决ASD患者除愤怒以外的心理危机。
Objective: To investigate the psychological characteristics in the casualties of 4.28 train crash on the Jiao-Ji railway track and to find a effective way to relieve the psychological crisis induced by traffic accident. Method: A total of 226 casualties were assessed in respect of psychological crisis with interview questionnaire after 4.28 train track on Jiao-ji railwayine. Twenty-two casualties meeting acute stress disorder (ASD) criteria from DSM-IV were treated with EMDR. The therapeutic effects of eye movement desensitization and reprocessing (EMDR) on ASD were assessed. Results: The incidence of ASD was 9.73% (22 casualties). The major psychological consequences in casualties were intrusive symptoms, symptoms of hyperarousal, and negative emotional symptoms. Significant differences on gender had been found in incidence rate of ASD female 14.85% and male 5.60%, P < 0.05. The women manifested more severe psychological consequences than men in this train crash accident. Significant treatment effect was found in EMDR on ASD. EMDR can significantly improve the intrusive symptoms and symptoms of hyperarousal (P < 0.05), but can not significantly improve negative emotional symptoms (P > 0.05). Conclusions: The women showed more severe psychological consequences than men after train crash accident. EMDR was effective treatment on ASD but negative emotional symptoms.
Keywords: Accident Acute Stress Disorder ASD: Crsis Intervention Psychological Crisis Intervention Traffic Accident Train Collision Train Crashes
Accuracy Verified: Yes
2. Robertson, J. M., & Williams, B. W. (2010). "Gender aware therapy" for professional men in a day treatment center. Psychotherapy Theory, Research, Practice, Training, 47(3), 316–326. doi:10.1037/a0021163.
Language: English
Format: Journal
Abstract:
High accountability men in the medical,
legal, corporate, and mental health
professions sometimes engage in behavior
that violates their fiduciary responsibilities.
These highly skilled men may
engage in disruptive or explosive behavior,
cross sexual boundaries with
clients or patients, abuse substances, or
have other psychiatric problems that
compromise their workplace performance.
When this occurs, licensing
boards, professional societies, or supervising
executives often require the dysregulated
man to seek assistance. This
article reports on ways the Professional
Renewal Center incorporates recommendations
from “Gender Aware Therapy”
in developing a male-friendly approach
to conducting comprehensive
multidisciplinary psychological assessments,
and to providing intensive, multimodal,
weeks-long treatment services.
Keywords: Assessment Masculinity Professionals Treatment
Accuracy Verified: Yes
3. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.
Language: English
Format: Dissertation/Thesis
Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.
Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress
Accuracy Verified: Yes
4. Dexter, B.A. (2007, March). An angel. EMDRIA Newsletter, 12(1), 11.
Language: English
Format: Newsletter
Abstract:
“Just wanted to share something with you all. It is more than rewarding to see the wonderful things
people do for each other here. I wrote this short story the other day, as a way to honor these young
people who have sacrifi ced all. These are your incredibly brave young men and women, out doing
patrols and convoys at extreme risk of death. It is also amazing to see the wonderful work the medical
staff does here. I am so very thankful that we can provide this kind of medical care for our troops.
Surely God works through their hands!”
Accuracy Verified: Yes
5. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.
Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.
Keywords: Complex Trauma
Accuracy Verified: Yes
6. von Knorring, L., Thelander, S., & Pettersson, A. (2005, November 21-27). Behandling av angestsyndrom. En systematisklitteraturaversikt. SBUs sammanfattning och slutsatser [Treatment of anxiety syndrome: A systematic literature review. Summary and conclusions by the SBU]. Lakartidningen , 102(47), 3561-3562, 3565-3566, 3569.
Language: Swedish
Format: Journal
Abstract:
En rapport från det svenska rådet för medicinsk utvärdering (SBU) har gått igenom, klassificeras och utvärderas den vetenskapliga litteraturen om behandling av panik-syndrom, specifika fobier, social fobi, tvångssyndrom syndrom (OCD), generaliserat ångestsyndrom (GAD) och posttraumatiskt stressyndrom (PTSD). Översynen ingår behandling av barn, ungdomar och vuxna. Rapportens slutsats är att det finns effektiv behandling tillgänglig för alla ångest syndrom. Men i allmänhet, är effekten ofta måttliga och symtomen återkommer när behandlingen perioden avbryts. För vuxna, stödjer vetenskapliga bevis användning av paroxetin och sertralin för alla syndrom utom specifika fobier. För övriga SSRI-preparat Det finns också bevis för användning av Fluoxetin i OCD och PTSD, för fluvoxamin i social fobi och tvångssyndrom och för escitalopram i social fobi. Andra antidepressiva läkemedel med ett starkt vetenskapligt stöd är venlafaxin i social fobi och GAD, imipramin i panik syndrom och chlomipramine i panik syndrom och tvångssyndrom. Bland de psykologiska behandlingar, det finns vetenskapliga bevis för kognitiv beteendeterapi (KBT) för behandling av panik-syndrom, specifika fobier, social fobi, PTSD och GAD. Exponering, med eller utan andra psykoterapeutiska interventioner har vetenskapligt stöd för effekt vid paniksyndrom (både i termer av antalet panikattacker och agorafobi för), specifika fobier, tvångssyndrom och PTSD. Användning av ögonrörelser desensibilisering och upparbetning (EMDR) har vetenskapligt stöd för behandling av PTSD.
A report by the Swedish Council on Technology Assessment in Health Care (SBU) has reviewed, classified and evaluated the scientific literature on treatment of panic syndrome, specific phobias, social phobia, obsessive-compulsive syndrome (OCD), generalized anxiety syndrome (GAD) and post-traumatic stress disorder (PTSD). The review included treatment of children, adolescents and adults. The report concludes that there is effective treatment available for all anxiety syndromes. However in general, the effect is often moderate and symptoms reappear when the treatment period is discontinued. For adults, scientific evidence supports the use of paroxetine and sertraline for all syndromes except specific phobias. For the other SSRI's there is also evidence for the use of fluoxetin in OCD and PTSD, for fluvoxamine in social phobia and OCD and for escitalopram in social phobia. Other antidepressant drugs with a strong scientific support is venlafaxin in social phobia and GAD, imipramin in panic syndrome and chlomipramine in panic syndrome and OCD. Among psychological treatments, there is scientific evidence for cognitive behavior therapy (CBT) for treatment of panic syndrome, specific phobias, social phobia, PTSD and GAD. Exposure, with or without other psychotherapeutic interventions, has scientific support for efficacy in panic disorder (both in terms of number of panic attacks and for agoraphobia), specific phobias, OCD and PTSD. Use of eye movement desensitization and reprocessing (EMDR) has scientific support for treatment of PTSD.
Keywords: Review
Accuracy Verified: Yes
7. Sinici, E., Maden, O., Ak, M., Bozkurt, A., & Ozsahin, A. (2012, February). Bir cinsel tecavuz vak'asinda emdr uygulamasi: Vak'a sunumu [EMDR application on a sexual rape case: Case report]. Yeni Symposium Journal, 50(1), 58-60.
Language: Turkish
Format: Journal
Abstract:
Travmatik bir deneyim oldu hemen herkes yoğun stres belirtileri gösterebilir. Bu tecavüz edildi, özellikle halk arasında post-travmatik stres belirtileri görmek mümkündür. Son zamanlarda, tecavüz insanlara danışmanlık sağlamak için çabalar yaygın hale gelmiştir.EMDR tedavisi bellek (duygusal, bilişsel ve fiziksel), rahatsız edici olaylara ulaşmak fonksiyonları hızlandırmak ve öğrenme sürecini iyileştirmek için kadar duyusal birimleri üzerinde duruluyor. Bu EMDR tedavisi tecavüz birinin travma sonrası stres belirtileri hafifletir düşünülmektedir. 90 dakikalık EMDR seansları uygulandı. Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Envanteri (BAE), Durumluk ve Sürekli Kaygı Envanteri-I (STAI-I) ve Olaylar ScaleRevision (IES-R) Etkisi öncesi ve tedavi ve 1 ay sonra kontrol sonrası uygulanmıştır. Bu tecavüz kişinin stres belirtileri kısa bir süre sonra arasında, EMDR tedavisi öncesi azaltmak ve 1 ay sonra kontrol ettiği görülmektedir.Çalışmada bir olgu ile gerçekleştirilmiştir rağmen, sonucu cinsel travma hastalar için, EMDR uygulaması yararlı olabilir olmasıdır.
Almost anyone who had traumatic experience might show intense stress symptoms. It is possible to see post-traumatic stress symptoms among people especially who were raped. Recently, the efforts to provide counseling for raped people have become common. The EMDR treatment focuses on the sensorial units of the memory (emotional, cognitive and physical) to reach the disturbing events, accelerate functions and to improve the learning process. It is thought that EMDR treatment relieves the post traumatic stress symptoms for the raped one. 90 minute EMDR sessions were applied. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), State and Trait Anxiety Inventory-I (STAI-I) and Impact of Events ScaleRevision (IES-R) were applied before and after treatment and 1 month-later control. It is seen that the raped one's stress symptoms decrease before the EMDR treatment, among shortly after and 1 month later controls. Although the study was conducted with one phenomenon, the result is that for patients who had sexual trauma, EMDR application might be beneficial.
Accuracy Verified: Yes
8. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
9. Lakey, J. (2007, February). Cognitive behavioral therapy and eye movement desensitization and reprocessing: A comparative analysis for the treatment of post-traumatic stress disorder. St. Gregory’s University.
Language: English
Format: Other
Abstract:
Post-Traumatic Stress Disorder is the primary mental health issue resulting in
tours of duty in combat operations. The soldiers returning home from these operations
often require treatment in dealing with many of their physical and emotional changes.
The therapist who treats these brave men and women needs to understand the treatment
methods available for the successful recovery of their clients. After identifying the terms
necessary to understand the principles and the historical and etiological background of
the disorder and the treatments available, this paper will illuminate several treatment
modalities and their success rates in the treatment of PTSD. Cognitive Behavioral
Therapy and Eye Movement Desensitization and Reprocessing will be the primary focus
of comparison through out this work.
Keywords: Comparative Analysis Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
10. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
11. Cornil, L. (2013, April). De kracht van het NU in EMDR [The power of NOW in EMDR]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze uiteenzetting brengt een theoretisch-filosofische kijk op het tijdsconcept in EMDR. Sinds het prille begin speelt het tijdsconcept een centrale rol in de EMDR benadering. Aan de basis van het AIP model ligt het idee dat geheugennetwerken vervrozen zijn in de tijd (Shapiro 1995). De informatie is op een disfunctionele manier gestockeerd in het vervrozen nu en kan op elk moment worden getriggerd. In EMDR hebben patiënten (en therapeuten) het moeilijk om het NU van de negatieve cognitie te pakken te krijgen. Patiënten begrijpen niet wat gevraagd wordt en raken verward wanneer therapeuten vragen wat ze nu over zichzelf denken als ze denken aan toen. In de EMDR basistraining wordt aangegeven dat het vinden van een adequate negatieve cognitie een moeilijk deel is van het EMDR protocol, maar wel een noodzakelijk deel.
Het NU is wat op dit moment gebeurt. Er is geen verleden, enkel de huidige perceptie van het verleden. Net zoals er geen toekomst is, enkele de huidige perceptie van mogelijkheden. Het heden is datgene waarmee men zich identificeert: wat je ziet, geloof je: wat je op een gegeven moment gewaarwordt, wordt de realiteit van het NU. Wanneer de patiënt getriggerd wordt in de perceptie van het kind, wordt de patiënt het kind en de tijdsperceptie wijzigt.
Het punt dat in deze uiteenzetting naar voor wordt gebracht, is dat verandering ontstaat wanneer de patiënt stopt met zich te vereenzelvigen met het verleden dat daardoor het NU wordt. In EMDR wordt de patiënt door de therapeut uitgenodigd om dingen te laten gebeuren en te merken wat er verandert. Tijd heeft beweging nodig om te bestaan: de wijzers van de klok, de zon in de lucht, de rimpels die verschijnen op de huid verwijzen allemaal naar tijd. In plaats van de pijnlijke informatie op een afstand te proberen houden, die zich bevindt in de niet-tijd zonder beweging, wordt de patiënt juist uitgenodigd om de beweging te observeren die kan ontstaan door de positie van de dubbele aandacht in te nemen: één voet in de reële tijd en één voet in de niet-tijd. We zullen linken met mindfullness aangeven.
This statement brings a theoretical-philosophical perspective on the concept of time in EMDR. Since the very beginning the concept of time plays a central role in the EMDR approach. At the base of the AIP model is the idea that in the memory networks vervrozen time (Shapiro, 1995). The information is stored in a dysfunctional way vervrozen now and can be triggered at any time. In EMDR, patients (and therapists) is difficult to the NOW of the negative cognition to catch. Patients do not understand what is required and get confused when therapists ask what they think about themselves when they think of when. In the EMDR basic training indicated that finding an adequate negative cognition is a difficult part of the EMDR protocol, but a necessary part.
The NOW is what is currently happening. There is no past, only the current perception of the past. Just as there is no future, some of the current perception of opportunities. The present is that with which one identifies: what you see, you believe what you become aware at any given time, the reality of the NOW. When the patient is triggered in the perception of the child, the patient is a child and time perception changes.
The point in this discussion forward is brought, is that change occurs when the patient stops to identify with the past that result it is NOW. In EMDR, the patient by the therapist invited to make things happen and to notice what is changing. Time needs movement to exist: the clockwise direction, the sun in the sky, the wrinkles that appear on the skin all refer to time. In place of the painful information try to keep at a distance, which is located in the non-time without movement, the patient is invited to precisely observing the movement which may be caused by the position of the double attention to take: a foot in real time, and a foot in the non-time. We will link with mindfulness state.
Keywords: Present Focus
Accuracy Verified: Yes
12. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
13. Hoogwerf, L. J. (2011, Februari). De werkingsmechanismen van EMDR: het effect van associeren op het desensitiseren van negatieve herinneringen [The mechanisms of action of EMDR: The effect of associating the desensitisation of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een effectieve behandeling voor posttraumatische stress stoornis (PTSS). Het maken van oogbewegingen tijdens het terugdenken
aan een negatieve herinnering is in vele voorgaande onderzoeken effectief gebleken in het verminderen van de naarheid en levendigheid van deze herinneringen. Een ander belangrijk onderdeel van deze
behandeling, associëren, is echter nog niet goed onderzocht. Een mixed design is toegepast met 40 participanten, studenten, die ieder twee nare herinneringen ophaalden. 20 participanten hebben
oogbewegingen gemaakt, waarbij tijdens één herinnering niet werd geassocieerd en tijdens de andere herinnering wel. De andere 20 participanten hebben geen oogbewegingen gemaakt (fixatie op een wit
papier) ook met en zonder associëren. Er is geen effect gevonden van oogbewegingen, maar wel een effect van associaties. Bij participanten die gestimuleerd werden om associaties te maken, daalden de
naarheid en levendigheid van de negatieve herinnering meer dan bij participanten die hiertoe niet gestimuleerd werden. Ook de aard van verschillende typen associaties is onderzocht. Uit de hiervoor
berekende correlaties komt naar voren dat de naarheid en levendigheid van de negatieve herinnering minder afnemen wanneer men inde fixatieconditie van een afstand naar de gebeurtenis kijkt. In de
oogbewegingenconditie neemt de naarheid juist meer af wanneer men van een afstand naar de gebeurtenis kijkt. De bevindingen ondersteunen het gebruik van associaties in de praktijk waarbij het van een
afstand naar de gebeurtenis kijken het meest effectief lijkt.
Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for post traumatic stress disorder (PTSD). Making eye movements during recall to a negative memory in many previous studies have proven effective in reducing the dreariness and vividness of these memories. Another important part of this
treatment, associate, has not yet been well studied. A mixed design was used with 40 participants, students, each fetched two bad memories. 20 participants have eye movements made during a memory which was not associated with and during the other memory is. The other 20 participants have made no eye movement (fixation on a white paper) with or without associate. There is no effect of eye movements, but an effect of associations. For participants who were encouraged to make associations, decreased
to nature and vibrancy of the more negative memories than participants who were not encouraged to do so. The nature of different types of associations was examined. From the above
calculated correlations show that the dreariness and vibrancy of the negative memories less gas when classification fixation condition from a distance watching the event. the
oogbewegingenconditie more precisely, the dreariness away from a distance when looking at the event. The findings support the use of associations in which the practice of
distance to the event looking like the most effective
Keywords: Mechanisms of Action
Accuracy Verified: Yes
14. Rana, M. (2010, July). Dealing with psychotrauma in war against terror: East meets West through EMDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The ‘War on Terror’ on the borders of Pakistan and Afghanistan has committed almost two hundred thousand troops on
either side with more than five million civilians directly affected by terrorist acts, bombings, blasts, drone attacks, and air
strife. Children, women, and men of all ages report to health facilities in hundreds with psycho trauma ranging from acute
stress reactions, posttraumatic stress disorders, dissociation, depression, anxiety and Medically Unexplained Symptoms
(MUS). The health professionals with hardly any training in handling of psycho trauma are clueless about how to deal with
these cases.
A handful of mental health professionals trained by EMDR UK and EMDR Europe experts, through a humanitarian assistance
programme are the only trained human resource currently available to deal with these massive numbers of survivors. A
strategic placement of this grossly limited number of trained EMDR human resource ( four females, six males), in the war zone
has helped scores of soldiers to return to the battlefield, hundreds of children to return to their schools, dozens of families to
return to normality and many adults to return to work. The elementary yet devoted and dedicated EMDR services in the war
torn regions of Swat, Wazirastan, Kohat and tertiary care services at Rawalpindi are a result of a timely collaboration between
EMDR trainers from West providing training in EMDR to psychiatrists, psychologists, nurses and social workers of Pakistan;
indeed a fine example of ‘Building Bridges between East & West through EMDR’.
Keywords: Psychotrauma Symposium: Terror War
Accuracy Verified: Yes
15. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
16. 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
17. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.
Language: English
Format: Dissertation/Thesis
Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
18. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .
Language: German
Format: Journal
Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren.
In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen.
Epidemiologie
Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit.
Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein.
Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.
Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose.
In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma.
Epidemiology
According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times.
The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance.
Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
19. Marx, C. (2007, Janvier). Éjaculation rapide: Une nouvelle piste thérapeutique avec l’eye-movement desensitization and reprocessing (EMDR) [Premature ejaculation: A new therapeutic with eye-movement and reprocessing Ddsensitizer (EMDR)]. Médecine Sexuelle, 1(1), 52-55.
Language: French
Format: Journal
Abstract:
Cet article est le fruit d’une étude personnelle basée sur
une technique psychothérapique nouvelle, l’Eye-
Movement Desensitization and Reprocessing (EMDR),
appliquée à la prise en charge de l’éjaculation précoce.
Le protocole thérapeutique a comporté trois consultations
d’une heure, à trois semaines d’intervalle environ,
précédées d’une première consultation visant à expliquer
la méthode et recevoir l’accord des patients. Parmi
11 cas traités, 8 ont vu s’améliorer leur sexualité (le critère
d’amélioration était le passage à une durée de rapport
intravaginal « acceptable » pour les deux partenaires,
avec disparition de l’anticipation négative).
Deux patients n’ont remarqué aucun changement. Le
dernier a dû interrompre son traitement pour une raison
non liée à celui-ci. Cette expérience pilote est encourageante,
et encourage à poursuivre cette recherche sur un
échantillon plus large de patients.
This is the report of a pilot study of Eye-Movement
Desensitization and Reprocessing (EMDR), a new psychotherapeutic
method initially proposed as treatment
of Post-Traumatic Stress Disorder, in 11 men with
Premature Ejaculation. After an initial visit aiming to
explain the principles and modalities of this therapy,
and to collect the patients’ consent, each man attended
3 therapeutic sessions of one hour duration at 3 weeks
interval. Eight of the 11 patients reported an increase in
the duration of vaginal penetration till a length acceptable
for both partners, and a disappearance of their
negative anticipation. These results are encouraging,
and justify to continue this research on a larger sample
of patients.
Keywords: Premature Ejaculation Sexotherapy
Accuracy Verified: Yes
20. Smith, S. F. (2000). EMDR - En kontroversiel behandling - [EMDR - A controversial treatment]. Psykolog Nyt, 14.
Language: Danish
Format: Magazine
Abstract:
Baggrund: Den 30.09.1994 fløj jeg til Amsterdam. Formålet med rejsen var at deltage i en workshop, hvor jeg skulle lære en ny behandlingsmetode til brug for klienter, der lider af Post Traumatisk Stress Syndrom (PTSD). Min interesse for dette klientel var vakt, da jeg i 1993 var blevet tilknyttet Falcks Redningskorps Psykolognetværk. Samme år deltog jeg i et seminar som Falck arrangerede. Underviseren var den karismatiske norske psykolog, Atle Dyregrov (AD). Han omtalte den amerikanske psykolog, Francine Shapiro (FS), og den særlige behandling hun havde udviklet og som hun benævnte EMDR (Eye Movement Desensitiazion and Reprocessing). AD redegjorde for, at man endnu savnede fuldgyldig videnskabelig dokumentation for behandlingens effektivitet, men at der allerede forelå så mange indikationer på behandlingens effekt, at man kunne regne med, at det kun var et spørgsmål om tid, før en sikker dokumentation var i hus.
Accuracy Verified: Yes
21. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Domestic Violence Family Therapy Integrative Psychotherapy Therapy of Social Action
Accuracy Verified: Yes
22. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
23. 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
24. ten Broeke, E. (2005, November). EMDR bij zelfbeeldbeschadigingen [EMDR and negative self-image]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
(Een) negatief zelfbeeld is geen aparte DSM-IV classificatie. Niettemin zal er weinig discussie bestaan ten aanzien van de veronderstelling dat (een) negatief zelfbeeld een wezenlijke rol speelt bij veel psychopathologie.
Voorbeelden zijn: depressie, PTSS, complexe PTSS, eetstoornissen, sociale angst, persoonlijkheidspathologie. In deze voordracht zal worden besproken hoe EMDR een rol kan spelen bij het 'repareren' van een beschadigd zelfbeeld. Hiertoe wordt geschetst hoe een negatief zelfbeeld kan worden geconceptualiseerd, hoe dit past in het EMDR-model (men
spreekt momenteel van 'rechtsom') en op welke wijze EMDR concreet kan worden ingezet bij zelfbeeld-reparatie. Tot slot komen eventuele complicaties en oplossingen aan bod, alsmede voorzorgsmaatregelen om deze complicaties te voorkomen. Dit alles wordt geïllustreerd aan de hand van één of meer specifieke stoornissen.
Er wordt naar gestreefd dat (enige) tijd overblijft voor vragen en korte (eigen) casuïstiek.
(A) negative self-image is not a separate DSM-IV classification. Nevertheless, there is little discussion regarding the assumption that (a) negative self-image an essential role in psychopathology.
Examples include: depression, PTSD, complex PTSD, eating disorders, social anxiety, personality pathology. In this lecture will discuss how EMDR can play a role in the "repair" a damaged self-image. End outlines how self-esteem can be conceptualized, how it fits into the EMDR model (one
speaks now of 'right') and how EMDR can actually be used for self-repair. Lastly, complications and solutions to bid and precautions to prevent complications. All this is illustrated by one or more specific disorders.
It aims to (some) time for questions and short (own) casuistry.
Keywords: Self-Esteem
Accuracy Verified: Yes
25. Sales, S. H. D. (2011). EMDR en de effectiviteit van tappen versus tappen en klikjes, Een onderzoek naar de efficiëntie van EMDR met betrekking tot de werkgeheugenhypothese [EMDR effectiveness in tapping vs. taps and clicks, a study of the effectiveness of EMDR in relation to the working hypothesis]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Recente onderzoeken naar Eye Movement Desensitization Reprocessing (EMDR) doen een rol van het werkgeheugen vermoeden. Met betrekking tot het effect van de bilaterale stimulatie bij EMDR-therapie, is echter nog weinig onderzoek gedaan naar het effect van tappen op het terug dringen van emotionele lading en levendigheid bij negatieve herinneringen. In het huidige onderzoek zijn deze twee aspecten onderzocht. Gebruik is gemaakt van drie condities respectievelijk (1) controle; (2) tappen en (3) tappen+klikjes. Verwacht werd dat een effect zou bestaan voor de conditie 2 en 3. Ook werk verwacht dat dit effect voor conditie 3 sterker zou zijn dan voor conditie 2. Aan het onderzoek hebben 36 vrijwillige gezonde studenten van de Universiteit Utrecht deel genomen, (24 vrouwen en 12 mannen). Gebleken is een effect in conditie 2 op zowel emotionele lading als levendigheid. Dit effect was sterker voor conditie 3. Exploratief is gekeken naar het effect voor geslacht, gebleken is dat er geen verschil is tussen mannen en vrouw met betrekking tot de effectiviteit van tappen, tappen+klikjes als bilaterale stimulatie bij EMDR therapie. Uit dit onderzoek is een effect voor de bilaterale stimulatie in de vorm van tappen en de stimulatie in de vorm van tappen+klikjes gebleken. Dit doet een rol van belasting van het werkgeheugen vermoeden. Echter kunnen hieraan geen definitieve conclusies worden verbonden, meer onderzoek is nodig naar de werkgeheugen en EMDR-therapie.
Recent studies of Eye Movement Desensitization Reprocessing (EMDR) doing a role of working memory suspicion. With regard to the effect of bilateral stimulation in EMDR therapy is still little research on the effect of tapping on reducing emotional and vibrancy to negative memories. In the present study, these two aspects. Use is made of three conditions are (1) control, (2) tapping and (3) tapping + clicks. It was expected that the effect would exist for the condition 2 and 3. Work also expects that this effect for condition 3 would be stronger than for condition 2. In the study, 36 healthy volunteer students from Utrecht University participated (24 women and 12 men). It has been an effect of condition 2 on both emotional and liveliness. This effect was stronger for condition 3. Explorative looked at the effect of gender, it appears that there is no difference between men and women with regard to the effectiveness of tapping, tapping + clicks as bilateral stimulation in EMDR therapy. This study is an effect of bilateral stimulation in the form of tapping and stimulation in the form of tapping + clicks proved. This does a role of working memory load suspicion. However, can not derive any definitive conclusions be drawn, more research is needed into the memory and EMDR therapy.DanishEnglishSwedishAlpha
Recent studies of Eye Movement Desensitization Reprocessing (EMDR) doing a role of working memory suspicion. With regard to the effect of bilateral stimulation in EMDR therapy is still little research on the effect of tapping on reducing emotional and vibrancy to negative memories. In the present study, these two aspects. Use is made of three conditions are (1) control, (2) tapping and (3) tapping + clicks. It was expected that the effect would exist for the condition 2 and 3. Work also expects that this effect for condition 3 would be stronger than for condition 2. In the study, 36 healthy volunteer students from Utrecht University participated (24 women and 12 men). It has been an effect of condition 2 on both emotional and liveliness. This effect was stronger for condition 3. Explorative looked at the effect of gender, it appears that there is no difference between men and women with regard to the effectiveness of tapping, tapping + clicks as bilateral stimulation in EMDR therapy. This study is an effect of bilateral stimulation in the form of tapping and stimulation in the form of tapping + clicks proved. This does a role of working memory load suspicion. However, can not derive any definitive conclusions be drawn, more research is needed into the memory and EMDR therapy.
Keywords: Therapy
Accuracy Verified: Yes
26. Liz Royle, L., & Kerr, C. (2012). EMDR i klinisk praktik [EMDR in clinical practice]. Studentlitteratur, Holmberg: Lund.
Language: Swedish
Format: Book
Abstract:
EMDR är en evidensbaserad metod för att behandla PTSD (Post Traumatic Stress Disorder). Emellertid kan EMDR tillämpas på ett betydligt bredare sätt. Många av de besvär som människor bär på har inte orsakats av något livshotande trauma men kan förstås utifrån att plågsamma minnen inte kunnat bearbetas. Författarna använder en enkel, rättfram framställning med många kliniska exempel. Vanliga nybörjarfel och missuppfattningar illustreras, men boken lyfter också fram sådant som underlättar bearbetningen av plågsamma minnen. Terapeuter och klienter berättar om egna erfarenheter på ett instruktivt sätt. Läsaren får följa tillämpningen av EMDR-protokollet genom samtliga åtta faser – från den första anamnesdelen till den avslutande behandlingsutvärderingen, och får praktiska råd såsom ”Vad du än gör, gör inte så här!” Boken ersätter inte en grundkurs i EMDR eller Francine Shapiros ursprungliga bok, men är ett utmärkt komplement, en handbok med konkreta förslag, väsentlig vägledning, och strategier för att undvika vanliga fallgropar i EMDR- arbete med vuxna klienter.
EMDR is an evidence-based approach to treating PTSD (Post Traumatic Stress Disorder). However, EMDR applicable to a much broader way. Many of the problems that people carry has not been caused by something life-threatening trauma but can be understood from the painful memories could not be processed. The authors use a simple, straightforward production with many clinical examples. Frequently nybörjarfel and misconceptions illustrated, but the book also highlights things that facilitate processing of painful memories. Therapists and clients talk about their experiences in an instructive way. The reader may follow the application of the EMDR protocol through all eight phases - the first history part of the final treatment evaluation, and get practical advice such as "Whatever you do, do not do this!" The book does not replace a basic course in EMDR or Francine Shapiro's original book, but is an excellent addition, a handbook of practical suggestions, guidance material, and strategies for avoiding common pitfalls in EMDR work with adult clients.
Keywords: Practice
Accuracy Verified: Yes
27. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..
Language: English
Format: Other
Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren
traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen
von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung
betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2
Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 -
6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig
häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter.
In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen
Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch
und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel,
2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer
komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).
The probability that we are in the course of our lives one or more
traumatic events are exposed, is relatively high: the lifetime prevalence
of traumatic events and posttraumatic stress disorder
be in international epidemiological studies for women from 17.7 to 74.2
Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 -
6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance
often violence and abuse experiences in childhood, adolescence and adulthood.
In many cases, a connection between the traumatic
Event, the development of post traumatic stress disorder and alcohol abuse
and are derived dependence (Perkonigg et al., 2000; Zobel,
2006). In the event of a PTSD is a risk of addiction or other
comorbid disorders at the 4-5-fold increased (Breslau, 2002).
Keywords: Addictions Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
28. Konuk, E., Epözdemir, H., Hacıömeroğlu Atçeken, S., Aydın, Y. E., & Yurtsever, A. (2011). EMDR treatment of migraine. Journal of EMDR Practice and Research, 5(4), 166-176. doi:10.1891/1933-3196.5.4.166.
Language: English
Format: Journal
Abstract:
This pilot study was conducted at Gaziosmanpaşa Hospital, Istanbul, to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) on migraine headache by specifically treating traumas related to headaches. The sample consisted of 11 Turkish participants with chronic daily headache: 9 women (mean age of 31.7 years) and 2 men (mean age of 30.5 years). Participants had a history of migraine ranging from 2 to 30 years (mean = 12 years). Variables included participant daily ratings of headache frequency, duration, and intensity; medication intake; hospital emergency room (ER) visits; and scores on the Symptom Assessment-45 Questionnaire. The results showed a significant decrease in headache frequency and duration with no reduction in pain intensity. There was a significant decrease in the use of painkillers and ER visits. All results were maintained at 3-month follow-up, providing some preliminary evidence that EMDR may be effective and useful as an alternative treatment for migraine.
Keywords: Headache Protocol Migraine
Accuracy Verified: Yes
29. Konuk, E., & Epozdemir, H. (2011, June). EMDR treatment of migraine and chronic daily headache. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
The prevalence of chronic migraine headache in western societies ranges between 12-24% for women and 5-12% for men. In Turkey, about 21% of women and 11% of men suffer from migraine. It is one of the most disabling problems that a person can have.
Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine. The term ‘chronic’ implies that the problem is not solvable. In this case it means that although pharmacological treatments and behavioral interventions meaningfully reduce the pain for some of the patients, there remains a population of headache sufferers who get large amounts of medicine, have to go to the emergency room frequently because of too much pain prolonged over many hours and at times days. Furthermore, some medications have moderate to severe adverse effects or contraindicate with clients’ existing conditions.
Eye movement desensitization and reprocessing (EMDR) is an integrative psychotherapy approach that was developed to reduce or eliminate the symptoms resulting from unresolved traumatic memories. Recently EMDR treatment has provided promising results in alleviating chronic pain and increasing sufferers’ psychological wellbeing. Research pointing out the neurobiological similarities found in patients who suffers PTSD and chronic pain, encouraged many clinician and researcher to explore the utilization of EMDR in the treatment of chronic pain.
We developed the EMDR Chronic Migraine Headache Protocol in order to obtain and maintain a high level of treatment fidelity and stick to scientific rigor and as a guide for future research. In collaboration with a public hospital in Turkey, we conducted a pilot study with chronic migraine patients diagnosed also as having chronic daily headache. The study continues with an enlarged sample and the present analyses revealed that there was a significant decrease in the frequency, the duration and the strength of the headaches of patients treated with the EMDR Chronic Headache Protocol. Besides, the number of the Emergency Care visits and the amount of medication taken were also decreased significantly in patients treated with EMDR.
Learning objectives:
The major aim of this workshop, is to present to the participants, how to use The EMDR Chronic Headache Protocol in the treatment of patients diagnosed as having both Chronic Migraine and Chronic Daily Headache (CDH). Participants will gain detailed information about how to use EMDR Chronic Migraine Headache Protocol in emergency cases too. There will be DVD recordings of sessions demonstrating how to intervene a migraine attack during a session and also how the EMDR Chronic Headache Protocol is used for the treatment of chronic migraine headache.
Accuracy Verified: Yes
30. Konuk, E., Epozdemir, H., & Haciomeroglu, S. (2012, June). EMDR treatment of migraine and chronic daily headache [Tratamiento de migrañas y cefalea diaria y crónica con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
prevalence
of
chronic
migraine
headache
in
western
societies
ranges
between
12-‐24%
for
women
and
5-‐12%
for
men.
In
Turkey,
about
21%
of
women
and
11%
of
men
suffer
from
migraine.
It
is
one
of
the
most
disabling
problems
that
a
person
can
have.
Pharmacological
treatment
and
behavioral
interventions
are
the
most
widely
used
approaches
for
migraine.
The
term
‘chronic’
implies
that
the
problem
is
not
solvable.
In
this
case
it
means
that
although
pharmacological
treatments
and
behavioral
interventions
meaningfully
reduce
the
pain
for
some
of
the
patients,
there
remains
a
population
of
headache
sufferers
who
get
large
amounts
of
medicine,
have
to
go
to
the
emergency
room
frequently
because
of
too
much
pain
prolonged
over
many
hours
and
at
times
days.
Furthermore,
some
medications
have
moderate
to
severe
adverse
effects
or
contraindicate
with
clients’
existing
conditions.
Eye
Movement
Desensitization
and
Reprocessing
(EMDR)
is
an
integrative
psychotherapy
approach
that
was
developed
to
reduce
or
eliminate
the
symptoms
resulting
from
unresolved
traumatic
memories.
Recently
EMDR
treatment
has
provided
promising
results
in
alleviating
chronic
pain
and
increasing
sufferers’
psychological
wellbeing.
Research
pointing
out
the
neurobiological
similarities
found
in
patients
who
suffers
PTSD
and
chronic
pain,
encouraged
many
clinician
and
researcher
to
explore
the
utilization
of
EMDR
in
the
treatment
of
chronic
pain.
We
developed
the
EMDR
Chronic
Migraine
Headache
Protocol
in
order
to
obtain
and
maintain
a
high
level
of
treatment
fidelity
and
stick
to
scientific
rigor
and
as
a
guide
for
future
research.
In
collaboration
with
a
public
hospital
in
Turkey,
we
conducted
a
pilot
study
with
chronic
migraine
patients
diagnosed
also
as
having
chronic
daily
headache.
The
study
continues
with
an
enlarged
sample
and
the
present
analyses
revealed
that
there
was
a
significant
decrease
in
the
frequency,
the
duration
and
the
strength
of
the
headaches
of
patients
treated
with
the
EMDR
Chronic
Headache
Protocol.
Besides,
the
number
of
the
Emergency
Care
visits
and
the
amount
of
medication
taken
were
also
decreased
significantly
in
patients
treated
with
EMDR.
The
major
aim
of
this
workshop,
is
to
present
to
the
participants,
how
to
use
The
EMDR
Chronic
Headache
Protocol
in
the
treatment
of
patients
diagnosed
as
having
both
Chronic
Migraine
and
Chronic
Daily
Headache
(CDH).
Participants
will
gain
detailed
information
about
how
to
use
EMDR
Chronic
Migraine
Headache
Protocol
in
emergency
cases
too.
There
will
be
DVD
recordings
of
sessions
demonstrating
how
to
intervene
a
migraine
attack
during
a
session
and
also
how
the
EMDR
Chronic
Headache
Protocol
is
used
for
the
treatment
of
chronic
migraine
headache.
The
assessment
tools
used
for
the
project
will
be
given
to
participants
as
hand
outs
La
prevalencia
de
migraña
crónica
en
las
sociedades
occidentales
oscila
entre
el
12-‐24%
entre
las
mujeres
y
el
5-‐12%
en
los
hombres.
En
Turquía,
alrededor
del
21%
de
las
mujeres
y
11%
de
los
hombres
sufren
jaquecas.
Es
una
de
las
dolencias
más
discapacitantes
que
se
pueda
tener.
Los
tratamientos
más
habituales
para
tratar
las
migrañas
son
de
tipo
farmacológico
e
intervenciones
conductuales.
El
término
‘crónico’
implica
que
el
problema
no
tiene
solución.
En
este
caso,
significa
que
aunque
los
tratamientos
farmacológicos
y
conductuales
reducen
el
dolor
significativamente
en
algunos
pacientes,
sigue
habiendo
una
población
de
individuos
que
sufren
cefaleas
y
que
reciben
grandes
cantidades
de
medicamentos,
que
tienen
que
acudir
a
urgencias
con
frecuencia
debido
a
que
sufren
demasiado
dolor
que
se
prolonga
durante
muchas
horas
y,
en
ocasiones,
días.
Es
más,
algunos
fármacos
tienen
efectos
secundarios
entre
moderados
y
graves
o
cuyas
contraindicaciones
incluyen
afecciones
que
padecen
los
clientes.
La
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
supone
un
planteamiento
psicoterapéutico
integral
desarrollado
para
reducir
o
eliminar
los
síntomas
que
son
consecuencia
de
recuerdos
traumáticos
sin
resolver.
Hace
poco,
se
ha
visto
que
el
tratamiento
con
EMDR
ha
logrado
resultados
prometedores
en
el
alivio
del
dolor
crónico
y
que
aumenta
el
bienestar
psicológico
de
las
personas
afectadas.
Las
investigaciones
que
señalan
las
similitudes
neurobiológicas
detectadas
entre
los
pacientes
que
sufren
TEPT
y
los
que
padecen
el
dolor
crónico
han
animado
a
muchos
clínicos
e
investigadores
a
explorar
el
empleo
de
EMDR
en
el
tratamiento
del
dolor
crónico.
Hemos
desarrollado
el
protocolo
de
EMDR
para
tratar
la
migraña
crónica
para
conseguir
y
mantener
un
alto
nivel
de
fidelidad
terapéutico
y
para
mantener
el
rigor
científico,
además
de
para
que
sirva
para
orientar
la
investigación
en
el
futuro.
En
colaboración
con
un
hospital
público
en
Turquía,
hemos
llevado
a
cabo
un
estudio
piloto
en
pacientes
con
un
diagnóstico
de
migraña
crónica
diaria.
El
estudio
sigue
en
curso
con
una
muestra
ampliada
y
los
análisis
actuales
han
mostrado
que
ha
habido
una
disminución
significativa
en
la
frecuencia,
duración
e
intensidad
de
las
cefaleas
de
los
pacientes
tratados
con
el
protocolo
de
EMDR
para
tratar
la
cefalea
crónica.
Es
más,
el
número
de
visitas
a
urgencias
y
la
cantidad
de
fármacos
administrados
también
se
redujo
de
forma
significativa
en
los
pacientes
tratados
con
EMDR.
Accuracy Verified: Yes
31. Wachter, M. (2002). EMDR — inte bara traumabehandling [EMDR - not just trauma treatment]. Föreningen Psykisk Hälsa, (43)3, 256-266.
Language: Swedish
Format: Journal
Abstract:
Jag har arbetat de senaste tio åren med behandling av barn och ungdomar på en BUP-mottagning i Stockholm i ett invandrartätt område. Jag träffar därför många barn/ungdomar med olika typer av krigstrauman men naturligtvis också klienter med andra trauman och mer "vanliga" svårigheter. Med denna artikel skulle jag vilja visa hur jag har inlemmat EMDR-metoden (Eye Movement Desensitization and Reprocessing) i behandlingen av två barn med sinsemellan helt olika livshistoria och symtom. Min erfarenhet är att EMDR förutom vid trauma är effektiv vid olika typer av problem. Den kan dessutom användas för att förstärka jagresurser och självkänsla. [Excerpt]
I have worked the last ten years with children and young people on a BUP reception in Stockholm in an ethnic community. I see why a lot of children / adolescents with different types of war traumas but of course also clients of other traumas and more "normal" difficulty. With this article I would like to show how I have incorporated EMDR method (Eye Movement Desensitization and Reprocessing) in the treatment of two children with one another completely different life history and symptoms. My experience is that EMDR except in trauma is effective in various types of problems. It also can be used to enhance jagresurser and self esteem.
Accuracy Verified: Yes
32. Slootstra, F. (2011). EMDR, het wonder van een zichzelf genezend brein [EMDR, the miracle of self-healing brain]. Maastricht: Shaker Media.
Language: Dutch
Format: Book
Abstract:
Inleiding in EMDR, een eenvoudige therapeutische behandelmethode die ingezet kan worden wanneer men blijvend last heeft van traumatische gebeurtenissen.
Introduction to EMDR, a simple therapeutic method that can be used when permanently suffer from traumatic events.
Keywords: Trauma
Accuracy Verified: Yes
33. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
Keywords: Adolescents Children: Psychotherapy Trauma Treatment
Accuracy Verified: Yes
34. Pacheco, J. Q. (2010, Febrero-Marzo). EMDR: Tratamiento de la fobia social [EMDR: Treatment of social phobia]. Communicacion presentada en: 11º Congreso Virtual de Psiquiatría, Trujillo, Peru, Interpsiquis 2010. Psiquiatria.com..
Language: Spanish
Format: Conference
Abstract:
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and
Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Social phobia is one of the most common diseases in the general population, according to
American Psychiatric Association (2000) cited by Olivares-Rodríguez (2006) (1) shows a
prevalence ranges from 1% to 15.6% in Europe, being higher in women than in men
(Olivares, J., 2003) (2), has its onset most frequently in middle adolescence (Olivares-Olivares and Other, 2007) (3) in these patients presenting symptoms associated with other disorders
anxiety, depression and substance abuse such as alcohol or other legal and illegal drugs
(Olivares, J., 2003) (2), constituting a serious public health problem or suffering
ever had in your life for 9.5% of the population (Olivares, J., 2003) (2)
Keywords: Social Phobia Treatment
Accuracy Verified: Yes
35. Samec, J. R. (2007, Maj). Externalisering med EMDR för behandlingen av svår enkopres och traumatiserade barn med aggressivt beteende [Externalisation with EMDR for treatment of severe elimination and traumatized children with aggressive behavior]. Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(1), 7-9.
Language: Swedish
Format: Newsletter
Abstract:
Enligt min erfarenhet, är Michael Whites
(1991) externaliserings metod för behandling
av enkopres (se bilagan för en beskrivning)
effektiv. Men med en mer komplicerad form av
enkopres, t.ex. långvarig enkopres hos äldre
barn, räcker externalisering inte alltid till.
Genom att kombinera externalisering med Eye
Movement Desensitization and Reprocessing
(EMDR), kan svårigheterna bearbetas snabbt
och effektivt med bestående resultat. Metoden
förutsätter att barnet har undersökts av en
läkare. Terapeuten bör vara uppmärksam på
eventuella trauman eller andra stressfaktorer
under anamnestagning. Metoden ger också bra
resultat med traumatiserade barn med
aggressivt beteende.
In my experience, Michael White
(1991) externalizing adjustment method for treatment
of enkopres (see annex for a description)
effective. However, a more complex form of
enkopres, e.g. prolonged enkopres elderly
children, enough externalization not always.
By combining outsourcing with Eye
Movement desensitization and Reprocessing
(EMDR), the difficulties can be processed quickly
and effectively with lasting results. The method
assumes that the child has been examined by a
doctor. The therapist should be aware of
any trauma or other stress factors
during history taking. The method also gives good
results with traumatized children
aggressive behavior.
Accuracy Verified: Yes
36. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.
Language: English
Format: Journal
Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
Accuracy Verified: Yes
37. Vyas, K. J. (2008, April). Eye movement desensitization and reprocessing (EMDR) to decrease human immunodefiency virus (HIV) risk behaviors among Latino men who have sex with men (MSM). Presentation at the National Conference on Undergraduate Research, Salisbury University, MD.
Language: English
Format: Conference
Abstract:
Among Latino MSM, those who have reported early childhood sexual abuse continually report high levels of HIV risk behaviors. The objective of this study was to test if EMDR can be more effective as an HIV risk reduction behavioral intervention than a non-trauma based comparison, the Explore Study intervention. At a university-based outpatient clinic, 35 Latino MSM were randomized into Explore (n=13) and EMDR (n=22). The main outcome measure was a self-report questionnaire assessing unprotected anal sex, number of sexual partners, and use of substances before or during sexual activity during the previous month. Sexual risk behaviors were assessed at baseline, before randomization, and at one week post-intervention. Compared to baseline rates, participants who didn’t report unprotected receptive anal intercourse increased by 11% in Explore and decreased by 12% in EMDR. The corresponding comparisons for number of sexual partners were a 4% increase for Explore and a 41% decrease in EMDR. Explore and EMDR participants showed an increment of 25% and 9%, respectively, in those who denied having used alcohol or drugs before or during sexual activity. Follow-up data at 2 and 6 months post-intervention are being collected. This preliminary analysis suggests that certain HIV risk behaviors can be reduced by EMDR, while others can be equally reduced by more conventional interventions.
Accuracy Verified: No
38. Shapiro, F., & Maxfield, L. (2001). Eye movement desensitization and reprocessing (EMDR): Clinical implications of an integrated psychotherapy treatment. Directions in Clinical and Counseling Psychology, 11(6), 59-71.
Language: English
Format: Journal
Abstract:
Directions in Clinical and Counseling Psychology: A collection of 12 lessons, this volume covers a wide range of concerns in mental health counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Perspectives on the Essentials of Clinical Supervision" (Stephen A. Anderson); (2) "Adlerian Group Psychotherapy: A Brief Therapy Approach" (Manford A. Sonstegard, James Robert Bitter, Pari Peggy Pelonis-Peneros, and William G. Nicholl); (3) "Substance Abuse Treatment for Pregnant and Parenting Women" (Rivka Greenberg, Judith Fry McComish, and Jennifer Kent-Bryant); (4) "Family Therapy for with Lesbians and Gay Men" (Maeve Malley and Fiona Tasker); (5) "Psychological and Cognitive Correlates of Coping by Patients with Multiple Sclerosis" (William W. Beatty and Brian T. Maynard); (6) "Eye Movement Desensitization and Reprocessing (EMDR): Clinical Implications of an Integrated Psychotherapy Treatment" (Francine Shapiro and Louise Maxfield); (7) "Counseling Strategies with Women Survivors of Child Sexual Abuse" (Kathleen M. Palm and Victoria M. Follete); (8) "Identifying and Treating Body Dysmorphic Disorder" (Dean McKay); (9) "Masochistic Phenomena Reconceptualized as a Response to Trauma: Recovery and Treatment" (Elizabeth Howell); (10) "Counseling Poor, Abused, and Neglected Children in Fair Society" (Brenda Geiger); (11) "Chronic Fatigue Syndrome: Assessing Symptoms and Activity Levels for Treatment" (Constance W. Van der Eb and Leonard A. Jason); (12) "The Limitations of the DSM-IV as a Diagnostic Tool" (G. J. Tucker); and (Special Report) Jealousy, Communication, and Attachment Style (Laura K. Guerrero). Each lesson contains references. (ERIC ED464 291)
Keywords: Integrative Psychotherapy Approach
Accuracy Verified: Yes
39. Reicherzer, S. (2011). Eye movement desensitization and reprocessing in counseling a male couple. Journal of EMDR Practice and Research, 5(3), 111-120. doi:10.1891/1933-3196.5.3.111.
Language: English
Format: Journal
Abstract:
This practice-based article discusses the use of eye movement desensitization and reprocessing (EMDR) in counseling “Paul“ and “Eddie“ (aliases), a couple for 4 years who presented with what they identified as “communication problems.“ Through the use of psychosocial assessments of the men's personal histories, it was determined that Paul's experience of feeling controlled and Eddie's struggles to believe that he mattered in the relationship were linked to traumatic memories in each man's childhood that related to his sexual identity development. EMDR was used to target the men's traumatic memories, alternating between Paul and Eddie. Following each EMDR treatment series, the work was integrated by talking through how the reprocessed material integrated into the overall couple experience, leading to both men's increased satisfaction in the relationship.
Keywords: Couple Counseling Gay Sexual Abuse
Accuracy Verified: Yes
40. Balcom, D. (2000, December). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. Journal of Gay and Lesbian Social Services, 12(1/2), 75-89. doi:10.1300/J041v12n01_04 .
Language: English
Format: Journal
Abstract:
Gay men suffering from traumatic experiences can benefit from Eye Movement Desensitization and Reprocessing treatment (EMDR). In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. Through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. EMDR can also be useful for developing internal resources and for exploration of relevant themes for the client. Further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. [Author Abstract]
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
41. Balcom, D. (2001). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. In J. Cassese (Ed.), Gay men and childhood sexual trauma: Integrating the shattered self (pp. 75-89). Binghamton, NY: Harrington Park Press/The Haworth Press.
Language: English
Format: Book Section
Abstract:
Describes the theory and practice of eye movement desensitization and reprocessing treatment (EMDR), presents a survey of its applications to traumatized gay male clients, and offers an illustrative case study to highlight the utility of EMDR. In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. The author suggests that gay men suffering from traumatic experiences can benefit from EMDR. It is noted that through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. It is concluded that further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
42. Kavakci, Ö., Semyz, M., Kaptanoðlu, E., & Ozer, Z. (2012, Ocak). Fibromiyaljide EMDR'nin etkinliðinin araþtýrýlmasý: Yedi olguyu içeren bir klinik çalýþma [EMDR treatment of fibromyalgia, a study of seven cases]. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 13(1), 75-81.
Language: Turkish
Format: Journal
Abstract:
Fibromiyalji sendromu (FMS) etiyolojisi belli olmayan, yaygın vücut ağrıları, belirli anatomik bölgelerde
duyarlılık, azalmış ağrı eşiği, uyku bozuklukları, yorgunluk ve sıklıkla ruhsal sıkıntı ile karakterize eklem dışı romatizmal
bir hastalıktır. Çeşitli yaklaşımlar denenmesine rağmen etkili bir tedavisi yoktur. FMS ile psikiyatrik bozuklukların
ilişkisine sıklıkla vurgu yapılmakta ve FMS hastalarında ruhsal travma yaygınlığı dikkat çekmektedir.
Kronik ağrılı durumlar için tedavi arayışları giderek daha fazla psikoterapi yaklaşımlarına yönelmiştir. Bu çalışmada
FMS tanısı konan yedi hastanın EMDR yaklaşımı ile tedavisine yanıtları araştırılmıştır. Yöntem: FMS tanısı
konmuş 22-41 yaşları arasındaki altı kadın ve bir erkek olgunun tedavi öncesi ve sonrasında duyarlı nokta sayıları
(DNS) belirlendi, Vizüel Ağrı Skalasında (VAS) bildirdikleri ağrı düzeyleri kaydedildi. Hastalar tedavi öncesi ve
sonrasında Fibromiyalji Etki Anketi (FEA), Beck Depresyon Ölçeği (BDÖ), Travma Değerlendirme Ölçeği (TDÖ),
Pittsburg Uyku Kalitesi Ölçeği (PUKÖ), Öfke Tarzı Ölçeğini (SÖÖTÖ) doldurdu. Hastalara varsa yaşadıkları travmalara
yönelik, saptanamadı ise ağrılarına yönelik beş-sekiz seans arasında EMDR tedavisi uygulandı. Bulgular:
Tedavi sonunda hastaların bildirdikleri VAS, PUKÖ, FEA, TDÖ, BDÖ puanlarında anlamlı azalma olmuştur. Fizik
muayene ile DNS’de anlamlı azalma bulunmuştur. SÖÖTÖ’de sürekli öfke, öfke içe ve öfke dışa puanlarında
anlamlı değişme olmazken; öfke kontrol puanında görülen artma anlamlıdır. Tedavi sonunda altıncı olgu dışındaki
hastaların FMS ölçütlerini karşılamadığı gözlenmiştir. Sonuç: Bu hasta grubunda FMS tedavisinde EMDR tedavisinin
etkili olduğu düşünülmektedir.
Objective: Fibromyalgia syndrome (FMS) is a nonarticular rheumatic disease with unknown etiology and is characterized by widespread pain, increased tenderness in some anatomical regions, increased pain sensitivity, sleep disorders, fatigue and frequently by psychological distress. Though many approaches have been tried there is no effective treatment for FMS. The relationship between FMS and psychiatric disorders is known, recently some researches point to the frequency of psychological trauma in patients with FMS. The search for treatment for chronic painful conditions has more and more focused to psychotherapeutic approaches. In this study, seven patients diagnosed were attempted to be treated with EMDR approach. Methods: 22-41years aged six women and one man diagnosed with FMS were admitted to the study. Before and after the treatment tender point count was identified and patients scored their pain levels at Visuel Analog Scale. Patients filled in Beck Depression Inventory (BDI), The Posttraumatic Diagnostic Scale (PDS), Pittsburg Sleep Quality Index (PSQI), State-Trait Anger Scale (STAS). If the patients have reported, trauma was focused on, if they have not reported any trauma, pain was focused. Five-eight sessions of EMDR was applied to the patients. Results: After the treatment, there were statistically significant reduction in patient reported VAS, PSQI, FIQ, PDS, and BDI scores.There was signify-cant decrease in tender point counts. Though there was no change in trait anger, anger-in and anger-out subscores of STAS, the increase in anger management subscore was significant. After the treatment, none of the patients met the FMS criteria but one patient (6th patient). Conclusion: EMDR therapy was effective in the treatment of these patients with FMS.
Keywords: Fibromyalgia Pathological Psychology Psychiatric Rating Scale Psychotherapy Visual Analog Scale
Accuracy Verified: Yes
43. Mankuta, D., Aziz-Suleyman, A., Yochail, L., & Allon, M. (2012, November). Field evaluation and treatment of short-term psycho-medical trauma after sexual assault in the Democratic Republic of Congo. Israel Medical Assocation Journal, 14, 653-657.
Language: English
Format: Journal
Abstract:
Background: During the horrific war in the Democratic
Republic of Congo during the years 1996–2007 the number
of casualties is estimated to be 5.4 million. In addition, 1.8
million women, children and men were raped, many as a
social weapon of war. Many of these women still suffer
from post-traumatic stress disorder (PTSD) and mutilated
genitals.
Objectives: To assess a short-term interventional team for
the evaluation and treatment of sexual trauma victims.
Methods: The intervention program comprised four components:
training the local staff, medical evaluation
and treatment of patients, psychological evaluation and
treatment of trauma victims, and evacuation and transport of
patients with mutilated genitals. A diagnostic tool for posttraumatic
stress disorder (PTSD) – the Impact Event Scale
(IES) – was used. The psychological treatment was based
on EMDR (eye movement desensitization and reprocessing)
principles. Using questionnaires, the information was
obtained from patients, medical staff and medical records.
Results: Three primary care clinics were chosen for intervention.
Of the 441 women who attended the clinics over
a period of 20 days, 52 women were diagnosed with severe
PTSD. Psychological intervention was offered to only 23
women because of transport limitations. The most common
medical problems were pelvic inflammatory disease
and secondary infertility. Nine patients suffered genital
mutilation and were transferred for surgical correction. The
32 local nurses and 2 physicians who participated in the
theoretical and practical training course showed improved
knowledge as evaluated by a written test.
Conclusions: With the short-term interventional team model
for sexual assault victims the combined cost of medical and
psychological services is low. The emphasis is on training
local staff to enhance awareness and providing them with
tools to diagnose and treat sexual assault and mutilation.
Keywords: Congo IES Impact of Event Scale Sexual Assault Trauma Violence
Accuracy Verified: No
44. Shapiro, F. (2012, March 19). Getting past the past: Healing the suffering heroes of war. Big Think. Retrieved from http://www.bigthink.com/ideas/getting-past-the-past-healing-the-suffering-heroes-of-war?page=1 on 3/19/2012.
Language: English
Format: Other
Abstract:
As a psychologist for the last 20 years, the first combat veterans I treated were those of the Vietnam War. When I walked into my local Veterans Outreach Center, I was startled to see how much suffering still existed. Although the war had ended twenty years earlier, these men were still haunted by their experiences. It was then that I learned about the depth of their suffering. The memories they often talked about, ones that still awoke them screaming from nightmares, involved the people who had died. One veteran spoke of the guilt he felt because, after going to war at the age of 19 to serve his country and help his fellow soldiers, he discovered that to do that he had to take lives. He cried as he recounted his fear that the artillery he had called in to save his battalion might have killed children in a nearby village. Others spoke of being powerless as they watched a friend die. They felt anger, fear, powerlessness and above all guilt. [Excerpt]
Keywords: Posttraumatic Stress Disorder Veterans War
Accuracy Verified: Yes
45. Oldenburg, D. (1994, May 19). Helping to forget, trauma victims may find peace through a new procedure. Dayton, OH: Dayton Daily News, 3.
Language: English
Format: Newspaper
Abstract:
Eric Smith remembers the
crack of gunfire clearly now,
how the fusillade startled
him from light sleep sometime
after midnight. This
was Vietnam, north of Saigon,
1968. Dug in following heavy fighting,
his squad had orders to guard
a prisoner until morning. They had
lost a lot of men. They were angry.
Some pretended to fall asleep
knowing the prisoner would try to
escape.
Keywords: Dayton General Overview
Accuracy Verified: Yes
46. Havelka, J. (2006). Hoe groot ben jij naast een brandweerman?' Traumaverwerkingmet EMDR als een episode in een kindertherapie [When you stand next to a fireman: Dealing with trauma using EMDR in therapy with children]. Tijdschrift Cliëntgerichte Psychotherapie, 44 (3), 191-208.
Language: Dutch
Format: Magazine
Abstract:
Dit artikel tracht te illustreren hoe traumaverwerking deel kan uitmaken van een langdurige individuele therapie. Wanneer één, of meerdere traumatische gebeurtenissen het therapieproces blokkeren, is het mogelijk een episode van traumaverwerking in therapie in te bouwen waarbij men - als aanvulling van de gesprekstherapie - gebruik kan maken van EMDR. Het eerste deel van dit artikel is een kort overzicht van de belangrijkste kenmerken van het PTSS-syndroom en er wordt uitvoerig ingegaan op de geschiedenis, theorie en praktijk van EMDR en meer specifiek het gebruik ervan bij kinderen. Vervolgens wordt de parallel getrokken tussen cliëntgerichte therapie, cognitieve gedragstherapie en traumaverwerking met EMDR. Het tweede deel van dit artikel is een casusbespreking van een 11-jarige jongen wiens moeder voor zijn ogen verbrand werd door gloeiende frituurolie, waarin het gebruik van EMDR bij kinderen wordt uitgewerkt.
This article tries to illustrate how trauma can be part of a long-term individual therapy. If one or more traumatic events of the therapy process to block, it is possible one episode of trauma therapy model using in one - an addition to the conversation therapy - may use EMDR. The first part of this article is a brief overview of the main characteristics of the PTSD syndrome, and a full explanation of the history, theory and practice of EMDR and more specifically its use in children. Then, the parallel between client-centered therapy, cognitive behavioral therapy and trauma with EMDR. The second part of this article is a case review of a 11-year-old boy whose mother before his eyes burned by hot cooking oil in which the use of EMDR in children is developed.
Keywords: Children Therapy Trauma Treatment
Accuracy Verified: Yes
47. Rijkes, A., & Smeele, G. (2012, March). Hoofdzaken, EMDR behandeling van migraine en hoofdpijn [Basics, EMDR treatment of migraine and headache]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Naast een op de toepassing gerichte theoretische inleiding krijgt u meerdere demonstraties voorgeschoteld van de EMDR behandeling van migraine en hoofdpijn. Live en video. U kunt zich een eerste indruk vormen van methode, werkwijze en effectiviteit van de behandeling. Circa 15% van de mensheid heeft last van deze pijnsoort. Migraine komt bij vrouwen ongeveer driemaal zo vaak voor als bij mannen. De meeste medicijnen bieden geen oplossing op langere termijn, hebben bovendien als bijwerking hoofdpijnklachten. De Wereld Gezondheid Organisatie, WHO, heeft in 2011 aandacht gevraagd voor de ontwikkeling van nieuwe behandelmethoden, mede gelet het enorme productiviteitsverlies in de wereld. Werkgevers en Arbo-diensten hebben interesse in deze vorm van behandelen van werknemers.
De geïntegreerde EMDR behandeling bestaat uit twee fasen; fase 1 is gericht op repressie: de behandeling van acute pijnklachten. Fase 2 is gericht op preventie: het voorkomen van pijnaanvallen in de toekomst. Cliënten hebben onmiddellijk baat bij de behandeling. Tijdens de workshop wordt tot slot informatie gegeven over de Nederlandse Special Interest Group (SIG) EMDR en Hoofdpijn.
Besides a theoretical introduction on the dedicated you presented several demonstrations of the EMDR treatment of migraine and headache. Live and video. You can first impression of method, process and effectiveness of treatment. Approximately 15% of humanity suffers from this kind of pain. Migraine affects women about three times as often as men. Most drugs do not address the longer term, also have as a side effect headaches. The World Health Organization, WHO, in 2011 has drawn attention to the development of new treatment methods, taking into account the enormous loss of productivity in the world. Employers and occupational health services are interested in this form of treatment of workers. The integrated EMDR treatment consists of two phases: Phase 1 focused on repression: the treatment of acute pain. Phase 2 focuses on prevention: prevention of pain attacks in the future. Clients benefit directly from the treatment. During the workshop, finally, information about the Dutch Special Interest Group (SIG) EMDR and Headache.
Accuracy Verified: Yes
48. Gaarde Madsen, P-E. (2009). I patientens tjeneste: NLP, hypnose og EMDR i kombination og samspil som en mulig virksom form for psykoterapi i det 21. århundrede [Inpatient services, NLP, hypnosis and EMDR in combination and interaction as a possible form of psychotherapy in the 21st century]. Udgave: 1, Oplag: 1 [1st ed] , Copenhagen, Dansk: Frydenlund.
Language: Danish
Format: Other
Abstract:
Beskrivelse
Det etablerede systems opfattelse af sig selv og af såkaldt alternativ terapi debatteres i denne bog. Forfatteren har valgt at sætte fokus på problemerne med spiseforstyrrelser. Kritikken af de eksisterende forhold i det etablerede system på dette område er meget skarp, men derimod er de beskrevne terapeutiske forslag om en mulig virksom terapi generøse. Disse nye muligheder er terapeutiske tiltag, der stadig betragtes som alternative, men de kan ikke desto mindre anvendes på alle de områder, hvorom man i dag mener, der kan bedrives psykoterapi. Det kræver dog, at man forlader illusionen om, at terapi baseret på samtale med såkaldt sund fornuft har nogen som helst terapeutisk effekt. Den omfattende, mulige terapeutiske værktøjskasse beskrives. Det drejer sig om NLP som basis for hypnose. Denne metode kan kombineres med modificeret EMDR. Der fremlægges i bogen mange forskellige paradigmer; det drejer sig bl.a. om tilknytningsteorier, affectteorier, den tredelte hjerne og ikke mindst også de resultater, som den moderne hjerneforskning har produceret i de sidste femten år. Dette omfattende materiale bliver sat sammen til en klinisk enhed, der er fleksibel og mangfoldig. Desuden rummer bogen detaljerede beskrivelser af terapiforløbet for flere patienter med en spiseforstyrrelse. --
Description: The system established perceptions of themselves and the so-called alternative therapies discussed in this book. The author has chosen to focus on problems with eating disorders. Criticism of the existing conditions in the established system in this area is very sharp, but they are described therapeutic suggestions about a possible business therapy generous.
These new opportunities are therapeutic interventions that are still considered alternative, but they can nevertheless be applied to all areas on which we now believe there may commit psychotherapy. It requires that you leave the illusion that therapy based on interviews with "common sense has any therapeutic effect.
The extensive potential therapeutic tool sets. It is about NLP as a basis for hypnosis. This method can be combined with modified EMDR.
Presented in the book many different paradigms, namely, inter alia, on related theories affectteorier, the triune brain, and not least also the results of modern brain research has produced over the last fifteen years. This extensive material is put together to form a clinical entity that is flexible and diverse. In addition the book contains detailed descriptions of therapy for more patients with an eating disorder.
Keywords: Hypnosis Neurolingquistic Programming NLP
Accuracy Verified: Yes
49. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.
Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.
Keywords: Infertility
Accuracy Verified: Yes
50. Oldenburg, D. (1994, April 12). In the eye of the beholder: Is a controversial technique that heals trauma victims too good to be true?. Washington, DC: The Washington Post, E5.
Language: English
Format: Newspaper
Abstract:
Eric Smith remembers the
crack of gunfire clearly now,
how the fusillade startled
him from light sleep sometime
after midnight. This
was Vietnam, north of Saigon,
1968. Dug in following heavy fighting,
his squad had orders to guard
a prisoner until morning. They had
lost a lot of men. They were angry.
Some pretended to fall asleep
knowing the prisoner would try to
escape.
Keywords: General Overview Washington, DC
Accuracy Verified: Yes
51. MacDonald, D. J. (2006, November 13). Insight into PTSD. U.S. News & World Report, 141(18).
Language: English
Format: Magazine
Abstract:
"Treating War's Toll on the Mind" [October 9] was helpful in illuminating the enormous toll that post-traumatic stress disorder is taking on the lives of the men and women involved in war. Untreated PTSD damages the lives of the soldiers. Unfortunately, your article mentioned but failed to accurately represent an effective treatment for PTSD called eye movement desensitization and reprocessing. EMDR is actually a treatment of choice for combat-related PTSD and has been listed in the Department of Veterans Affairs and the Department of Defense's Practice Guidelines as "highly recommended" for the treatment of trauma.
Accuracy Verified: No
52. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author.
Language: English
Format: Other
Abstract:
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system.
Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.
Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder
Accuracy Verified: Yes
53. Aloisio, T. M. F. (2012, October). Integrating structural Bowen theory and EMDR: Healing trauma and sexual disorders after a rape suffered. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
The couple was assaulted by four men, one appeared to be a minor. They forced the couple into their own car and raped the wife, forcing the husband to watch the rape under gunpoint.
With both parents assaulted and raped, the family reported a history of sexual trauma and underwent an EMDR therapy in addition to Bowen theory.
They presented the following symptoms: The wife: episodes of panic, depression, insomnia and nightmares, anorgasmia and vaginismus. The husband: anxiety disorder, insomnia, intrusive negative thoughts, premature ejaculation and erectile difficulties. The children: Larissa - difficultues in sleeping and concentrating in her studies. Yago - nocturnal enuresis and difficulty sleeping alone in his bedroom.
The EMDR standard protocol was used to clear the trauma within the relationship as well as with outside relationships. Experiences from before and after the rape were also targeted, as well as differentiation in the couple, including unsatisfactory sex.
There were nine encounters, during nine weeks, with an average of three hours each.
Follow up data from the couple was obtaained after six months.
Keywords: Bowen Theory Poster Rape Sexual Disorders Victim
Accuracy Verified: Yes
54. Chang, S. H. & Lee, Y. H. (2006, September). Interference of spontaneous eye movements during recollections changes the vividness and emotionality of autobiographical memories?: A crucial test of possible EMDR mechanisms. Presentation at the 36th annual congress of the EABCT (European Association for Behavioural and Cognitive Therapies), Paris, France.
Language: English
Format: Conference
Abstract:
This study examined possible therapeutic mechanism of eye movements in Eye
Movement Desensitization and Reprocessing (EMDR). Several studies have reported
that bilateral eye movements during imagery could decrease vividness and
emotionality of recollections. This study proposed a hypothesis, that was, the
reduction of recall was due to the interference of spontaneous eye movements
including conjugate lateral eye movements (CLEMs). 110 undergraduate students
(47 men, 63 women) recalled two positive and two negative memories (the CLEMs of
these memories were recorded by a digital camera at the same time) and rated their
vividness and emotionality of the recollections. Next, participants recalled the
memories while they were engaging in five between-group conditions (bilateral eye
movements, left gaze, right gaze, central gaze, and mere imagery condition). Then
participants recalled the event again and rated its vividness and emotionality. The
results showed that the bilateral eye movements made autobiographical memories less
vivid and less emotive, while mere image increased the vividness and emotionality of
autobiographical memories (ps < .05). Importantly, there was only one significant
Valence × Time interaction effect (p < .05) in the left gaze condition. It showed that
right hemisphere involved more negative emotions than positive, whereas left
hemisphere involved no differences between negative and positive emotions. With
regard to CLEMs, there were no different lateral eye movements between negative
and positive memories. The study supported the idea that bilateral eye movements
during imagery could decrease vividness and emotionality of recollections, and that
interfering spontaneous eye movements changed vividness and emotionality of
autobiographical memories. The role of eye movements in the EMDR was discussed.
Keywords: Autobiographical Memory CLEM Eye Movements Gaze Direction
Accuracy Verified: Yes
55. Goorani, S., & Tomner, I. (2008). Karaktäristiska drag vid ihågkomst av obehagligt minne under sensorisk stimulering - En kvalitativ analys [Idiosyncrasy in remembrance of unpleasant memory for sensory stimulation]. Psykologexamensuppsats, Stockholms Universitet Psykologiska Institutionen.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Obearbetade traumatiska minnen kan ge sig till känna som olika former av besvär såväl
kroppsliga som kognitiva. Eye movement desensitization and reprocessing (EMDR) är en
behandlingsmetod för traumatiska minnen och deras psykologiska konsekvenser. EMDR
utvecklades 1987 av den amerikanska psykologen Francine Shapiro, som upptäckte ett
samband mellan spontana snabba ögonrörelser och en minskning av störande känslor i
samband med traumatiska minnen. Under de kommande åren utvecklades upptäckten till
en systematisk psykoterapeutisk behandlingsmetod, EMDR. Men vad som specifikt gör
metoden verksam är ovisst (Bergh Johannesson, 2007). Nedan redovisas bakomliggande
hypoteser i form av bilateral sensorisk stimulering och interhemisfärisk aktivitet, som
avslutningsvis knyts ihop i en problemformulering.
Unprocessed traumatic memories can make themselves known to various forms of trouble as well
somatic and cognitive. Eye movement desensitization and Reprocessing (EMDR) is a
treatment of traumatic memories and their psychological consequences. EMDR
was developed in 1987 by the American psychologist Francine Shapiro, who discovered a
correlation between spontaneous rapid eye movements and a reduction in disruptive feelings in
associated with traumatic memories. In the years developed the discovery to
a systematic psychotherapeutic treatment, EMDR. But what specifically makes
method works is undecided (Bergh Johannesson, 2007). Below are the underlying
hypotheses in the form of bilateral sensory stimulation and interhemisfärisk activity, which
Finally, tied together in a problem.
Keywords: Sensory Stimulation Unpleasant Memory
Accuracy Verified: Yes
56. Holm, O. (2012, October). On the path of shame affect: Its management in traumatized and dissociative patients with the compass of shame and EMDR special interventions and/or IFS ego states. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Five traumatized patients grouped this way: 2 males, 2 females, one boy of 11. The two men had received treatment with CBT, 1 of females Gestalt therapy, the other female with EMDR, and the 11 years old boy with IFS; they had come to a point of stuck in their therapy because of the therapists not being able to manage Shame Affect during trauma confronting; also, when alters appeared during some therapy sessions in one of the adult females. Four of the patients had already worked on some traumatic memories with previous therapists. According to Compass of Shame 2 of the male patients had a rather high urge to enter into Attacking others pole with rage, and one of them, also, into Avoidance pole with drug abuse, compulsive sex and gamble; two females were more urged to enter into Attack self pole and in 1 of the females, her alter and patient described herself as being very upset and paralyzed with Shame. The 11 years old boy was stuck in Withdrawn pole; a highly Shamed Negative Part was so paralyzed that the Integrating Strategy was stopped until the child Ego state was released from Shame.
Learning Objectives:
EMDR/and not EMDR participants will able to perform interventions characterized by working with Shame or preparing patients to tolerate Shame.
Participants will be able to define the scripts inside each pole of the Compass
Participants will be able to identify the different poles of Compass of Shame.
Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect
Accuracy Verified: Yes
57. Jaspers, J. (2011, March). Over behandeleffectiviteit en verandermechanismen [About treatment effectiveness and change mechanisms]. Psychologie & Gezondheid, 39(1), 3-4. doi:10.1007/s12483-011-0001-0.
Language: Dutch
Format: Journal
Abstract: In het vorige nummer van Psychologie & Gezondheid schreef Remco Havermans een kritische forumbijdrage over mindfulness. Zijn stelling, dat de werkzaamheid van mindfulnessmeditatie nog onvoldoende is aangetoond om de toepassing ervan in de gezondheidszorg te rechtvaardigen, wordt in dit nummer beargumenteerd tegengesproken door Maya Schroevers en haar collega’s en door Ivan Nyklíček. Zijmenen dat het effectonderzoek naar mindfulness weliswaar nog uitgebreider en beter kan, maar dat het onderzoek tot nu toe voldoende evidentie heeft opgeleverd om toepassing te rechtvaardigen. Nyklíčekmerkt hierbij op dat in de psychologie een nieuwe therapie meestal eerst in de klinische praktijk jarenlang wordt toegepast voordat wetenschappelijk deugdelijk wordt onderzocht of de therapie wel werkt. Havermans blijkt verre van overtuigd en fileert de aangedragen evidentie genadeloos. Deze interessante discussie roept de vraag op wanneer we een behandeling evidence based mogen noemen. Het standpunt dat hiervan pas sprake kan zijn als gecontroleerd onderzoek de effectiviteit van de behandeling heeft aangetoond, zal door de meeste vakgenoten worden onderschreven. Maar wat is ‘gecontroleerd onderzoek’? Volstaat een wachtlijstcontrolegroep of moet de (nieuwe) behandeling worden vergeleken met andere actieve interventies, waarvan al eerder de effectiviteit is aangetoond?
Ook de relatie tussen praktijk en theorie is interessant. Afgezien van de vraag of de opmerking van Nyklíček nog steeds hout snijdt in deze tijd van evidence based interventies, is het wel verantwoord om op grote schaal een nieuwe psychologische interventie toe te passen als de effectiviteit of specifieke werkzaamheid nog niet is aangetoond? Havermans meent dat men een nieuwe gedragstherapeutische interventie ontwikkelt op basis van veelbelovende klinische observaties en gedragswetenschap, met andere woorden er moet ook een theoretische onderbouwing van de interventie zijn. Voor dit laatste is inderdaad veel te zeggen, maar de geschiedenis leert dat de theorieën die aanvankelijk als verklaring voor de werkzaamheid van de interventie werden geformuleerd, meestal bij nader inzien de toets van de wetenschappelijke kritiek niet konden doorstaan. Onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) heeft al heel wat reinigend werk verricht op theoretisch gebied.
Op de keper beschouwd is van heel wat evidence based interventies aangetoond dat deze effectief zijn, maar hoe deze werken is veelal nog onduidelijk of voor de theoretische onderbouwing ervan is nog onvoldoende steun gevonden. Het laatste Najaarscongres van de Vereniging voor Gedragstherapie en Cognitieve Therapie (VGCT) had als thema ‘Change. Verandermechanismen en cognitieve gedragstherapie’. Tijdens het congres werd duidelijk dat over de verandermechanismen van evidence based interventies nog veel onduidelijkheid bestaat en dat het onderzoek hiernaar soms verrassende resultaten laat zien (Jaspers, 2011). Het is bepaald niet alleen EMDR (eye movement desensitization and reprocessing), waarover de theoretische inzichten zijn veranderd, ook al bestaat over de werkzaamheid van de interventie geen twijfel. In het volgend nummer van Psychologie & Gezondheid leest u hier meer over.
In dit nummer vindt u nog een forumbijdrage, waarin de spreekwoordelijke knuppel in het hoenderhok wordt gegooid. De prikkelende titel ‘Huidige behandeling depressie is weggegooid geld’ nodigt op zijn minst uit tot lezing. Hoezo weggegooid geld? Als er een probleem is waarvoor evidence based behandelingen bestaan, is het immers depressie. Kok en collega’s laten echter zien dat ondanks de enorme bedragen die jaarlijks in Nederland worden uitgegeven aan de behandeling van depressie, in de huidige financiering van de gezondheidszorg nog onvoldoende rekening wordt gehouden met het hoge risico op terugval bij depressie. Het door velen, om uiteenlopende redenen verfoeide DBC-systeem (Diagnose Behandel Combinatie) ontmoedigt om langdurig met behandelingen door te gaan. Bestaande effectieve interventies om het risico op terugval te verminderen worden nauwelijks toegepast, terwijl deze bij de behandeling van een vaak chronische aandoening als depressie uitdrukkelijk zijn aangewezen. Hiermee wijzen de auteurs impliciet op een belangrijke tekortkoming van het bestaande effectonderzoek: het gebrek aan evaluatie van de langetermijneffecten van de onderzochte interventie. Ook voor psychologische interventies bij depressie is duidelijk dat deze werkzaam zijn. En al geldt ook voor depressie dat we nog lang niet weten wat de specifieke werkingsmechanismen zijn (hoe deze werken), de noodzaak van implementatie van evidence based interventies om terugval te vermijden of uit te stellen kan niet genoeg worden benadrukt. Het recidiverend karakter maakt depressie immers tot een aandoening met zowel hoge maatschappelijke kosten als een zeer hoge ziektelast, lijdensdruk en risico op suïcide.
In the previous issue of Psychology & Health Havermans Jim wrote a critical forum posting about mindfulness. His thesis, that the efficacy of mindfulness meditation is insufficient evidence to its application in health care to justify, this issue argued contradicted by Schroevers Maya and her colleagues and by Ivan Nyklicek. Zijmenen mindful that the impact study, while still more extensive and better, but that the investigation so far has yielded enough evidence to justify the application. Nyklíčekmerkt in psychology here that a new therapy in clinical practice usually first applied for years before being properly scientifically investigated whether the therapy works. Havermans appears far from convinced the fillets and put forward evidence mercilessly. This interesting discussion raises the question if we may call evidence-based treatment. The view that this only if there can be controlled study the efficacy of treatment has shown, most colleagues will be endorsed. But what is 'controlled study'? Is a waiting list control group or to the (new) treatment are compared with other active interventions whose effectiveness has already been demonstrated?
The relationship between practice and theory is interesting. Apart from the question whether the remark Nyklicek still holds water in this era of evidence-based interventions, it is widely recognized for a new psychological intervention should be as specific activity or effectiveness is not proven? Havermans believes that a new behavioral intervention developed on the basis of promising clinical observations and behavioral science, in other words, there is also a theoretical justification for the intervention. For the latter is indeed much to say, but history shows that the theories initially as an explanation for the efficacy of the intervention were formulated, mostly on closer inspection the test of scientific criticism could not stand. Research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) has a lot of work cleaning the theoretical field.
On closer examination of many evidence-based interventions shown to be effective, but how they work is often unclear whether the theoretical substantiation is found insufficient support. The last Autumn Congress of the Association for Behavioral and Cognitive Therapy (VGCt)'s theme was "Change. Change mechanisms and cognitive behavioral therapy. During the conference it became clear that the change mechanisms of evidence-based interventions much uncertainty and that the research on this surprising results show (Jaspers, 2011). It provides not only EMDR (Eye Movement Desensitization and Reprocessing), which the theoretical views have changed, even as to the efficacy of the intervention no doubt. In the next issue of Psychology & Health You can read more about.
In this issue you will find a forum posting where the proverbial cat among the pigeons thrown. The provocative title "Current treatment depression is a waste of money 'invites at least into reading. Why wasted? If there is a problem for which evidence-based treatments exist, it is indeed depression. Cook and colleagues reveal that despite the enormous sums spent each year in the Netherlands for the treatment of depression in the current financing of health care is still insufficiently taken into account the high risk of relapse in depression. By many, for various reasons detested system DBC (Diagnosis Treatment Combination) discourages long-term treatments to continue. Existing effective interventions to reduce the risk of relapse are rarely used, while in the treatment of a chronic condition such as depression often explicitly designated. This, the authors implied a major weakness in the current outcome research: the lack of evaluation of the long-term effects of the tested intervention. For psychological interventions for depression is clear that this work. And already includes a long depression that we do not know the specific mechanisms of action (how they work), the necessity of implementation of evidence-based interventions to prevent relapse or delay can not be overstated. The recurrent nature makes depression after a disease with both high social cost as a very high disease burden, distress and risk of suicide.
Keywords: Change Mechanisms
Accuracy Verified: Yes
58. Park, S.-C., Park, Y.-C., Lee, M.-S., & Chang, H. S. (2012, March). Plasma brain-derived neurotrophic factor level may contribute to the therapeutic response to eye movement desensitisation and reprocessing in complex post-traumatic stress disorder: A pilot study. Acta Neuropsychiatrica. doi:10.1111/j.1601-5215.2011.00623.x.
Language: English
Format: Journal
Abstract:
We investigated the relationship between plasma levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) and responses to eye movement desensitisation and reprocessing (EMDR) in complex PTSD. Before and after EMDR, plasma levels of neurotrophic factors and scores in the indices of self-questionnaires were obtained for 8 men with complex PTSD. Baseline plasma levels of BDNF and NGF of responders and of non-responders were compared. The plasma BDNF levels of responders were higher than those of non-responders. However, plasma NGF levels did not differ in two groups. Plasma BDNF level might contribute to the therapeutic response to EMDR in trauma-related psychiatric disorders, such as complex PTSD. [Text]
Keywords: Pilot Study Plasma Brain-Derived Neurotrophic Factor Level Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
59. Herbert, J. D., & Forman, E. M. (2006). Posttraumatic stress disorder. In J. E. Fisher & W. T. O'Donohue (Eds.), Practitioner's Guide to Evidence-Based Psychotherapy (pp. 555-566). New York: Springer.
Language: English
Format: Book Section
Abstract:
What is Posttraumatic Stress Disorder?
Posttraumatic Stress Disorder (PTSD) is a syndrome characterized by persistent anxiety-related symptoms provoked by a traumatic event. These symptoms are comprised of three clusters: Re-experiencing symptoms such as recurrent intrusive thoughts about the trauma, nightmares, and flashbacks, numbing symptoms such as detachment from others and loss of interest in usual activities, and a third cluster of miscellaneous symptoms including an exaggerated startle response, sleep disturbance, and memory impairment. Estimates of the prevalence of PTSD vary widely; the National Comorbidity Survey found rates of 8.2% among men and 20.4% among women (Kessler et al., 1995). The National Vietnam Veterans Readjustment Study (NVVRS, Kulka et al., 1990) reported that 30.9% of American soldiers who served in Vietnam developed PTSD; this figure rose to 50% if subsyndromal PTSD was counted. Although these figures continue to be widely cited, the NVVRS has been widely criticized on several grounds, including reliance on undocumented, retrospective self-reports of trauma, lack of measurement of impairment, and most importantly the simple fact that only 15% of those serving in Vietnam were actually in combat units.
Keywords: Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
60. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora.
L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini.
IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati.
Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.
The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more.
The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men.
IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared.
So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.
Keywords: Cancer Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
61. Goransson, I. (2010 ). Rapporter från regionerna, södra, nya behandlingsmetoder [Reports from the regions, southern, new treatments]. Senior Psykologen, 12(1), 14-15.
Language: Swedish
Format: Magazine
Abstract:
Vid vårt novembermöte presenterade leg. psykolog Gunvor Ingemansson sin erfarenhet av behandling med EMDR-Eye Movement Desensitization and Reprocessing vid enstaka och komplexa traumatillstånd.
Under 90-talet arbetade Gunvor Ingemansson inom psykiatrin i Malmö med Rosengård som upptagningsområde. Där mötte hon många människor, som hade svåra och traumatiserande krigsupplevelser. Hon använde sig av krisbearbetande samtal och symboldramaterapi. Dessa arbetssätt hade hon lång erfarenhet av. Hon märkte emellertid att hon inte riktigt kom åt traumat i botten.
Pröva nytt
Detta ledde till att hon måste pröva något annat. 1994 hade metoden EMDR kommit till Sverige och introducerats av Roger Salomon. Han i sin tur hade en förstahandserfarenhet av metoden, eftersom han utbildats och samarbetar med Francine Shapiro, som skapat metoden. Hennes grundläggande bok är ”Eye Movement Desensitization and Reprocessing”, utgiven på Guilford förlag. Shapiro har senare benämnt metoden ”Adaptive Information Processing Model”. I vardagligt språk i Sverige benämns metoden ofta som ögonrörelseterapi.
Shapiro utvecklade ett sätt att arbeta med traumatiska erfarenheter till följd av egna upplevelser. Hon drabbades nämligen av en svårbotad cancer, som läkaren inte kunde ge besked om hur den skulle utvecklas. Hon lade märke till att när hon under sina promenader rörde ögonen på ett visst sätt hände någonting i hennes kropp. Hon undersökte detta vidare och successivt växte den behandlingsmetod fram som i dag spridit sig till många länder för att behandla bl a traumatillstånd.
Det finns på sina håll ett visst ifrågasättande av metoden, men de evidensbaserade studier som gjorts visar på effekt av behandlingen.
Nya behandlingsmetoder.
At our November meeting presented the leg. Psychologist Gunvor Ingemansson his experience with EMDR-Eye Movement desensitization and Reprocessing of single and complex trauma condition.
During the 90's worked Gunvor Ingemansson in psychiatry in Malmö with Rosengard that catchment area. There she met many people who had difficult and traumatic war experiences. She used the emergency call processing and symbolic drama therapy. These practices, she had extensive experience. She noticed that she does not really come to the trauma of the bottom.
Try again
This led her to try something else. 1994 Approach EMDR come to Sweden and introduced by Roger Solomon. He in turn had a first hand experience of the method, since he trained and working with Francine Shapiro, who created the method. Her basic book is "Eye Movement desensitization and Reprocessing", published by Guilford publishers. Shapiro was later called the method "Adaptive Information Processing Model". In everyday language in Sweden method is referred to often as eye movement therapy.
Shapiro developed a way to work with traumatic experiences resulting from their own experiences. She suffered from a severe namely cured cancer, the doctor could not provide information on how it would evolve. She noticed that when she walks in their eyes moved in a certain way something happened to her body. She investigated this further and gradually grew the treatment up to now spread to many countries to treat conditions including trauma.
There are some places a particular challenge to the method, but the evidence-based studies show the efficacy of treatment.
New treatments
Keywords: History
Accuracy Verified: Yes
62. Mason, P. (2013, March 5). The realities of PTSD: Healing in small doses. LivingWithAnxiety.com. Retrieved from http://www.livingwithanxiety.com/lifestyle/ptsd/the-realities-of-ptsd-healing-in-small-doses 3/13/2013.
Language: English
Format: Other
Abstract:
A lot of VAs do offer EMDR these days, and it works for many people. Processing the trauma may only be the beginning of recovery, however, if you grew up in a home where there was a war between men and women. EFT offers the chance to make your home a sanctuary instead of a battleground. So does applying the principles of Al-anon to life with PTSD, and I'm sure there are other effective therapies, but this is the one that I know about. [Excerpt]
Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans
Accuracy Verified: Yes
63. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made
to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.
Keywords: Debriefing Research, Symposium Workplace Accidents
Accuracy Verified: Yes
64. Hurley, E. C. (2010, November). A response to the meta-analysis by Albright & Thyer: What best serves our troops?. Behavioral Interventions, 25(4), 349-353. doi:10.1002/bin.314.
Language: English
Format: Journal
Abstract:
Comments on Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans? by David L. Albright and Bruce Thyer (see record 2010-02408-001). As an Army Chaplain and psychotherapist for 30 years, I have used a variety of psychotherapy modalities to treat soldiers and military families in various combat zones, as well as military installations in the United States. In this capacity I have found eye movement desensitization and reprocessing (EMDR) to be efficacious in the treatment of both trauma and life adjustment issues. In my present position as Director of Soldier Center, Clarksville, TN, I use EMDR on a daily basis to treat soldiers and veterans recovering from combat trauma. Based on my extensive experience in the successful application of EMDR, I am dismayed by the pre-suppositional bias against and potentially serious misrepresentations of EMDR that are evident in the Albright and Thyer article from the authors' very first mention of it. The authors have done a great disservice to clinicians, as well as to veterans, with their paper. In summary, the best way to serve our troops is to urge comparative research between EMDR and the extant cognitive behavioral therapy (CBT) treatments. Our men and women in uniform deserve the best treatment possible. EMDR has amply demonstrated its efficacy with multiple trauma populations and should not be minimized because of subjective biases and misinformation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: Albright Letter Thyer Troops
Accuracy Verified: Yes
65. Lansing, K. (2013, September). The rite of return: Coming back from duty-induced PTSD. High Ground Press.
Language: English
Format: Book
Abstract:
The Rite of Return: Coming Back from Duty-Induced PTSD is written for men and women in law enforcement, first response, and the military who are struggling with duty-induced PTSD. In a field-guide format, it presents an overview of a proven treatment approach adapted specifically for this population. The book offers clear teaching on PTSD and its effects on the brain. It also provides practical training in containment techniques for increased control of symptoms and motivation for battling the tendency to isolate. The successful case outcomes described throughout the book give substantive hope for recovery from PTSD. The message throughout is that duty-induced PTSD cannot be resolved in isolation or by reading self-help books.
The author’s depth of knowledge and scope of experience evident in every chapter draws the reader confidently into places where the clinical generalist cannot tread. Karen Lansing’s understanding of duty-induced PTSD goes beyond a simply clinical perspective. She has been trained in public order, ridden extensively on patrol, done 48-hour tours of duty with firefighters, and has resided and trained alongside special weapons teams on military bases. She has “kitted up” and been stuck into flashpoint sectors in “exotic places” with tactical advisors in troubled regions.
The benefits emerging from that cross-pollination of disciplines are apparent in the author’s respect and understanding of the specific clinical needs of Warriors and Rescuers. It's seen in her identification of and clinical protocol for the treatment of a rare but deadly post-shooting symptom that she refers to as transitory shooter's apraxia. The benefits are also clearly seen in the clinical outcomes of those featured in this book.
The Rite of Return presents a powerful argument that PTSD need not lead to an end of mission or tour of duty, or to a lifelong injury. Instead, case account after case account indicates that Lansing's treatment approach leads to quite the opposite: officers consistently emerging stronger. These outcomes are confirmed throughout the book by the testimony of SPECT brain images before and after treatment. Accompanying them are accounts of subjects after treatment responding successfully to incidents very similar to those that had culminated in their PTSD. These unsung heroes recovered, becoming more competent, more tactically skilled and more mentally resilient than they had been prior to its time-limited, but significant, intrusion into their lives.
Reading between the lines of this book, it's apparent that careers and lives have been saved because of the author’s innovative approach. Her only regret is that so many have been lost to the devastation of untreated or ill-treated, duty-induced PTSD. The publication of The Rite of Return couldn’t be better timed.
Keywords: Containment Techniques Duty-Induced PTSD Military Posttraumatic Stress Disorder PTSD Transitory Shooter's Apraxia
Accuracy Verified: Yes
66. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.
Language: English
Format: Journal
Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma
Accuracy Verified: Yes
67. Pasternak, J. (2009). Skuteczność terapii odwrażliwiania za pomoca̧ ruchów gałek ocznych (EMDR) u leczonych ambulatoryjnie pacjentów z zaburzeniem stresowym pourazowym [Eye movement desensitization and reprocessing effectiveness in outpatient psychotherapy for posttraumatic stress disorder]. Postepy Psychiatrii i Neurologii, 18(3), 247-254 .
Language: Polish
Format: Journal
Abstract:
Objectives. The psychological study was aimed at evaluation of the Eye Movement Desensitization and Reprocessing (EMDR), hypothesized to be effective in PTSD treatment. Method. Participants in the study were 60 outpatients (16 men and 44 women) aged 18-55, diagnosed with posttraumatic stress disorder (PTSD). They were treated with psychotherapy at the Outpatient Mental Health Clinic in Rzeszów. The patients were randomly divided into two equinumerous groups: "immediate", starting treatment directly after the initial diagnostic assessment, and "delayed", receiving the same treatment after one month delay. In the pre-and post-treatment assessment a PTSD questionnaire by Pasternak was used (in the "delayed" group an additional assessment was made 1 month after the initial one, i.e. directly preceding therapy). Results. In a vast majority of patients a statistically significant reduction in PTSD symptoms severity was noted. Three subgroups differing in treatment outcome (as measured by the Pasternak PTSD Scale scores) were identified, whose therapy was: successful (n = 37), moderately effective (n = 14), or unsuccessful (n = 9). Conclusions. The findings suggest that Eye Movement Desensitization and Reprocessing turned out to be an effective technique in the treatment for PTSD, both in the whole sample under study, and in the subgroups ("immediate" and "delayed"). © 2009 Instytut Psychiatrii i Neurologii
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
68. de Roos, C., & de Jongh, A. (2006). Slikken of stikken - EMDR bij kinderen en jongeren met een slikfobie [Do or die - EMDR in children and adolescents with a mud phobia]. Kinder- & Jeugdpsychotherapie, 33(3), 83-102.
Language: Dutch
Format: Journal
Abstract:
In de kindertijd zijn ontwikkelingsgerelateerde angsten normaal. Wanneer een
angst echter aanhoudt en uitgelokt wordt door de aanwezigheid van of
anticipatie op een bepaald voorwerp of een specifieke situatie spreekt men van
een specifieke fobie (American Psychiatric Association, 2003). De in de
literatuur gerapporteerde prevalentiepercentages lopen nogal uiteen en variëren
van 1,7 tot 16 procent, maar de meeste studies komen uit op een percentage
tussen de 7 en 9 procent (Silverman & Moreno, 2005).
In childhood development-related fears are normal. When a
But fear persists and is triggered by the presence or
anticipation of a certain object or a particular situation is called
a specific phobia (American Psychiatric Association, 2003). In the
literature reported prevalence rates vary considerably, ranging
from 1.7 to 16 percent, but most studies come up with a percentage
between 7 and 9 percent (Silverman & Moreno, 2005).
Keywords: Adolescents Children Mud Phobia
Accuracy Verified: Yes
69. Foreningen EMDR Sverige. (2009). Synpunkter akutstressyndrom och PTSD [EMDR Sweden Association comments acute stress syndrome and PTSD]. In Foreningen EMDR Sverige, Inkomna synpunkter, Nationella riktlinjer för depressionssjukdom och ångestsyndrom preliminär, (pp. 163-164). Denmark: Riksforeningen Psykoterapi Centrum.
Language: Swedish
Format: Newsletter
Abstract:
Föreningen EMDR Sverige vill lämna följande kommentarer till
utkastet till riktlinjer avseende behandling av akut stressyndrom
och posttraumatiskt stressyndrom.
International Society for Traumatic Stress studies gör regelbundet sammanställningar
av evidensläget [1]. Det är viktigt att beakta att psykologiska
behandlingsformer i form av traumafokuserad KBT och EMDR är de viktigaste
och mest effektiva behandlingar. EMDR har varit kontroversiell men
är det inte längre, utan är en internationellt accepterad behandlingsmetod för
PTSD. Det är fortfarande inte allmänt accepterad att ögonrörelser har betydelse,
men nyligen har svensk och australisk forskning visat att ögonrörelser
under EMDR har tydliga fysiologiska effekter som är meningsfulla [2, 9],
dessutom har alla studier av fysiologi vid EMDR hittills samstämmande
visat dessa effekter, enligt en litteratursammanställning [3].
Under senaste åren har forskning om minnesfunktion och sakkadiska
ögonrörelser visat att minnessystem som till exempel episodminne (som ofta
är störd vid PTSD) påverkas på ett gynnsamt sätt av ögonrörelser [4-8]. Således
finns det i dag mycket som stödjer att ögonrörelser är meningsfulla
även om det kan vara svårt att förstå vid första anblicken. EMDR och exponeringsbehandling
är lika effektiva enligt metastudier, bland annat Cochrane
och i ISTSS aktuella genomgång av effektiva behandlingsmetoder för
PTSD.
Referenser
1. Foa E, Keane TM, Friedman MJ & Cohen JA. 2009. Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford,New York.
2. Elofsson, U.O., et al., Physiological correlates of eye movement desensitization
and reprocessing. Journal of anxiety disorders, 2008.
22(4): p. 622-34.
3. Söndergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2(4): p. 282-288.
4. Stickgold, R., EMDR: A putative neurobiological mechanism of action.
Journal of Clinical Psychology, 2002. 58(1): p. 61-75.
5. Parker, A. and N. Dagnall, Effects of bilateral eye movements on
gist based false recognition in the DRM paradigm. Brain and cognition,
2007. 63(3): p. 221-5.
6. Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
on the retrieval of item, associative, and contextual information.
Neuropsychology, 2008. 22(1): p. 136-45.
EMDR Association of Sweden makes the following comments to
Draft Guidelines for the treatment of acute stress disorder
and post-traumatic stress disorder.
International Society for Traumatic Stress Studies makes regular summaries
of evidence-mode [1]. It is important to note that psychological
treatments in the form of trauma-focused CBT and EMDR is the most important
and most effective treatments. EMDR has been controversial but
it is no longer, but is an internationally accepted method of treatment for
PTSD. There is still no generally accepted that eye movements are important,
but lately, Swedish and Australian research has shown that eye movements
during EMDR has clear physiological effects that are meaningful [2, 9],
Moreover, all studies of physiology at the convergence of EMDR to date
shown these effects, according to a literature review [3].
In recent years, research on memory function and Sakka wash
eye movements showed that memory systems, such as episodic memory (which is often
is disturbed in PTSD) is affected in a favorable way of eye movements [4-8]. Thus
today there are a lot of support that eye movements are meaningful
although it may be difficult to understand at first glance. EMDR and exposure therapy
are as effective as meta-studies, including Cochrane
and in ISTSS current review of effective treatments for
PTSD.
References
1st Foa E, Keane TM, Friedman MJ & Cohen JA. 2009th Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford, New York.
2nd Elofsson, UO, et al., Physiological correlator of eye movement desensitization
and Reprocessing. Journal of Anxiety Disorders, 2008.
22 (4): p. 622-34.
3rd Sondergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2 (4): p. 282-288.
4th Gold Stick, R., EMDR: A putative neuro Biological mechanism of action.
Journal of Clinical Psychology, 2002. 58 (1): p. 61-75.
5th Parker, A. and N. Dagnall, Effects of bilateral eye movements on
GIST-based false recognition in the DRM paradigm. Brain and Cognition,
2007th 63 (3): p. 221-5.
6th Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
On the retrieval of item, associative, and contextual information.
Neuro-Psychology, 2008. 22 (1): p. 136-45.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
70. Tarquinio, C., Fayard, A., & Tarquinio, P. (2007, Juin). Thérapie EMDR chez des vicimes d'accident d'automobile: Une suivi de 6 mois [A 6 month follow-up if victims of automobile accidents undergoing EMDR therapy]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Objectif: présenter les résultats d'une étude réalisée dans le cadre du traitement des victimes de la route. Nous avons fait la distinction entre les sujets qui ont présenté un (complet n = 16) ou une forme partielle (n = 8) du syndrome de stress post-traumatique (définie par la présence de grappes A et B et l'un des groupes C ou D ).
Sujets: Toutes les victimes (âge moyen: 34,3, s = 4,19; 17 hommes et 7 femmes) ont subi une thérapie EMDR pour quatre séances de 90 minutes. Les sujets ont été inclus dans le projet thérapeutique de 18 mois et ont été suivis pendant 6 mois après la fin de la thérapie.
Procédure: Les sujets ont été envoyées par différentes associations de victimes de consulter l'un des auteurs qui ont pris en charge tous les traitements, après la première consultation, une proposition a été faite au sujet de faire partie d'un protocole de recherche. Après des explications ont été données au diagnostic (complet vs partielle SSPT) a été faite par les deux autres co-auteurs qui ont également participé à l'évaluation des différentes phases.
Les sujets devaient ensuite répondre aux questions de l'échelle d'impact de l'événement d'Horowitz (Horowitz et al, 1979) et la State-Trait Anxiety Inventory - STAI (Spielberger et al 1983). Dans le cadre du protocole thérapeutique, les sujets devaient faire une évaluation SUDS (Wolpe, 1990) qui mesure l'état de détresse concevable par le patient, évalué sur un formulaire échelle de 0 (aucun) à 10 (le pire). Ces différentes mesures ont été administrés à tous les sujets avant de commencer le traitement (T1), après quatre séances de l'EMDR (T2), et six mois plus tard (T3).
Principaux résultats: En raison de la petite taille de l'échantillon et une distribution non normale, les données ont été traitées avec des tests non paramétriques (Mann et Whitney pour les groupes indépendants et de Wilcoxon pour les mesures appariées). [Tableau 1 de l'étude des données du Programme de la conférence originale abstraite ne figurent pas ici.]
Les différences entre le prétest, post-test et l'évaluation après six mois sont montrés également très importante, indiquant un effet très positif avec l'EMDR sur la réduction des symptômes intrusifs et d'évitement. Les effets positifs du traitement sur l'anxiété de la victime peuvent également être des notes, ainsi que sur la réduction de la mousse.
Objective: To present the results of a study carried out in the framework of treating road victims. We have made the distinction between the subjects who presented a complete (n=16) or a partial form (n=8) of post-traumatic stress disorder (defined by the presence of clusters A and B and one of the clusters C or D).
Subjects: All the victims (mean age: 34.3, s=4.19; 17 men and 7 women) underwent EMDR therapy for four 90 minute sessions. The subjects were included in the therapeutic project for 18 months and were followed for 6 months after the end of the therapy.
Procedure: The subjects were sent by different associations of victims to consult with one of the authors who took charge of all of the treatments, After the first consultation, a proposal was made to the subject to be part of a research protocol. After explanations were given the diagnosis (complete vs. partial PTSD) was made by the other two co-authors who also participated in evaluations of the different phases.
The subjects then had to answer questions from Horowitz’s Impact Event Scale (Horowitz et al, 1979) and the State-Trait Anxiety Inventory – STAI (Spielberger et al 1983). In the framework of therapeutic protocol, the subjects had to do a SUDS evaluation (Wolpe, 1990) which measures the state of distress conceivable by the patient, evaluated on a scale form 0 (none) to 10 (the worst). These different measures were administered to all of the subjects before beginning the therapy (T1), after four sessions of EMDR (T2), and six months later (T3).
Main results: Because of the small size of the sample and a non-normal distribution, the data was processed with non-parametric tests (Mann and Whitney for the independent groups and Wilcoxon for the paired measures). [Table 1 of study's data from the original Conference Program abstract not included here.]
The differences between the pretest, the posttest and the evaluation after six months are shown to be equally very significant, indicating a very positive effect with EMDR on the reduction of intrusive symptoms and avoidance. The positive effects of the treatment on the victim’s anxiety can also be notes, as well as on the reduction of the SUDS.
Keywords: Automobile Accident Motor Vehicle Accident
Accuracy Verified: Yes
71. Brandon, M., & Goldstein, A. T. (2007). Therapy update for women: The treatment of low libido in women using an integrated biopsychosocial approach. In A. F. Owens & M. S. Tepper (Eds.), Sexual health V. 4: State-of-the-art treatments and research (pp. 107-130). Westport, CT, US: Praeger Publishers/Greenwood Publishing Group.
Language: English
Format: Book Section
Abstract:
For men and women alike, libido represents a primary aspect of sexual health. In fact, low libido is the most frequently reported sexual concern among women. Women of all ages, ethnic backgrounds, and education levels report concerns about low desire. Regardless of whether a woman is actually diagnosed with hypoactive sexual desire disorder (HSDD), if she seeks help for the subjective experience of a decreased libido, practitioners must embrace a theoretical framework for her care. In this chapter, we explore a holistic, integrative, biopsychosocial model for such treatment. We will outline first why we believe the traditional treatment model involving a sole practitioner providing the majority of patient care does not optimally serve patients with low libido. Second, we will review some of the benefits for both patients and clinicians of practicing within a biopsychosocial treatment paradigm. Third, we will describe our particular framework for treating low libido in women. This integrated biopsychosocial treatment model addresses four quadrants of a woman's experience; namely, her physical, emotional, intellectual, and spiritual health, as they relate to her libido. Finally, we find eye movement desensitization and reprocessing (EMDR) to be a helpful therapeutic tool in these circumstances. EMDR utilizes repetitive eye movements to assist patients in exploring and processing difficult emotional material. It can be utilized for women with low libido in a variety of ways, including the exploration and redefinition of negative thinking patterns. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Biopsychosocial Approach Cognitive Techniques Female Sexual Dysfunction Holistic Health Inhibited Sexual Desire Low Libido Models Sex Drive Treatment Matching
Accuracy Verified: Yes
72. Rijkes, A. (2012, June). Treating headaches / migraines with IEMDR - Integrated EMDR [Tratamiento de dolores de cabeza/migrañas con IEMDR-‐EMDR integrado]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Headaches
are
a
worldwide
problem.
Around
10-‐15%
of
all
human
beings
are
more
or
less
frequently
suffering
from
headaches.
And
women
are
suffering
from
migraine
almost
3
times
more
than
men.
In
the
long
run
the
majority
of
all
medication
doesn’t
provide
a
solution
for
headaches.
Besides
they
all
have
side
effects
which
include
inducing
(!)
headaches.
Headaches
not
only
cause
personal
suffering
they
also
have
big
consequences
for
society.
Due
to
headaches
there
is
an
enormous
loss
of
productivity.
In
2011
the
WHO
asked
attention
to
the
need
for
new
treatments.
Integrated
EMDR
(I-‐EMDR)
is
a
relatively
new
method
for
treating
headaches
and
migraine.
There
is
some
research
and
the
results
are
promising.
After
a
more
theoretical
introduction
in
headaches
you
are
introduced
to
basic
aspects
of
I-‐EMDR.
You
will
get
an
impression
of
the
method,
procedure
and
effectiveness
of
this
treatment.
This
will
be
illustrated
with
some
video
demonstrations.
In
The
Netherlands
employers,
reintegration
doctors
and
occupational
physicians
are
interested
in
this
form
of
treatment
for
headaches
of
their
employees.
I-‐EMDR
has
two
applications;
one
for
the
treatment
of
acute
headache,
and
one
that
focuses
on
preventing
headaches
in
the
future.
You
will
also
get
some
information
of
a
Special
Interest
Group
on
EMDR
and
Headaches.
Las
cefaleas
suponen
un
problema
a
nivel
mundial.
Alrededor
del
10-‐
15%
de
todas
las
personas
sufren
cefaleas
con
mayor
o
menor
frecuencia.
Las
mujeres
sufren
de
migrañas
casi
tres
veces
más
que
los
hombres.
A
largo
plazo,
la
mayoría
de
los
fármacos
dejan
sin
solucionar
el
problema
de
los
dolores
de
cabeza.
Es
más,
tienen
efectos
secundarios
que
incluyen
(!)
cefaleas.
Los
dolores
de
cabeza
no
solo
son
fuente
de
sufrimiento
personal,
sino
que
también
tienen
consecuencias
importantes
para
la
sociedad.
Las
cefaleas
conllevan
una
tremenda
pérdida
de
productividad.
En
el
año
2011,
la
OMS
pidió
que
se
prestara
atención
a
la
necesidad
de
nuevos
tratamientos.
EMDR
integral
(I-‐EMDR)
es
un
método
relativamente
nuevo
para
el
tratamiento
de
cefaleas
y
migrañas.
Hay
investigaciones
en
curso
y
los
resultados
son
prometedores.
Tras
una
introducción
más
teórica
a
las
cefaleas,
se
les
introduce
a
los
participantes
a
los
aspectos
básicos
de
I-‐EMDR.
Se
les
dará
una
impresión
del
método,
procedimiento
y
efectividad
de
este
tratamiento.
Esto
se
verá
ilustrado
con
grabaciones
en
vídeo.
En
los
Países
Bajos,
los
empleadores,
médicos
de
reintegración
y
clínicos
ocupacionales
tienen
interés
en
esta
forma
de
tratamiento
para
los
dolores
de
cabeza
de
sus
empleados.
I-‐EMDR
tiene
dos
aplicaciones.
Una
es
para
el
tratamiento
de
la
cefalea
aguda
y
una
que
se
centra
en
la
prevención
de
las
mismas
en
el
futuro.
También
se
dará
información
acerca
de
un
Grupo
de
interés
especial
en
EMDR
y
cefaleas.
Accuracy Verified: Yes
73. Armstrong, M. (1998). Treating trauma with focusing and EMDR. The Folio: A Journal for Focusing and Experiential Therapy, 17(1), 23-30.
Language: English
Format: Journal
Abstract:
"..at least 20% of American women and 5% of American men have experienced some form of sexual abuse in childhood.. without regard to race, ethnicity, or socioeconomic status."
(APA Working Group on Investigation of Memories of Childhood Abuse - Final Report, 1996 p.20)
This statement from the American Psychological Association gives a conservative estimate for the prevalence of child sexual abuse in our society. In Canada, the federal government commissioned the 1984 Badgley Report on Sexual Offences Against Children and Youth. It found that as many as one in two females and one in three males under the age of 21 years reported experiencing some sort of unwanted sexual touching by a perpetrator older than themselves. Yet, thirty years ago child abuse was considered rare. Child sexual abuse was thought to be practically non-existent. Child psychiatrists had never heard of it. There was nothing in the academic literature and there were no statistics or studies available about this unacknowledged endemic problem. (Steed, 1994.)
Keywords: Focusing
Accuracy Verified: Yes
74. Carbone, D. (2005, July). Treating trauma, depression and anxiety in gay men with childhood trauma histories using EMDR. Presentation at the World Congress of Sexology, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Mental health research tells us that gay men use psychological services in far more greater numbers than their heterosexual counterparts. Gay men typically present themselves in treatment for problems relating to depression and anxiety, often the result of past and present social stigma. Quite frequently in treatment, it has been noted that these men report frequent childhood experiences of peer and familial ridicule, experienced during formative periods in the development of identity. This ridicule may be conceptualized as a chronic stressor that often results in traumatic responses in adulthood such as substance abuse and self-destructive sexual behavior. This presentation puts forth a treatment model for assisting gay men in overcoming their tramatic responses to childhood ridicule that take the form of self-destructive behaviors in adulthood. Participants will become familiar with the special mental health needs of the gay client and through the presentation of case studies, will become familiar with therapeutic techniques designed to releave the resulting depression and anxiety by employing cognitive restructuring techniques. Participants will come to understand the value of gay affirmative psychotherapy, the need for advocacy outside of the gay community and ancillary treatment options for therapists.
Keywords: Anxiety Depression Homosexuality Sexual Orientation Sexuality
Accuracy Verified: Yes
75. de Roos, C., Veenstra, A., de Jongh, A., den Hollander-Gijsman, M., van der Wee, N., Zitman, F., & van Rood, Y. R. (2010, March/April). Treatment of chronic phantom limb pain using a trauma-focused psychological approach. Pain Research & Management, 15(2), 65-71.
Language: English
Format: Journal
Abstract:
Background: Chronic phantom limb pain (PLP) is a disabling chronic pain syndrome for which regular pain treatment is seldom effective. Pain memories resulting from long-lasting preamputation pain or pain flashbacks, which are part of a traumatic memory, are reported to be powerful elicitors of PLP. Objective: To investigate whether a psychological treatment directed at processing the emotional and somatosensory memories associated with amputation reduces PLP. Methods: Ten consecutive participants (six men and four women) with chronic PLP after leg amputation were treated with eye movement desensitization and reprocessing (EMDR). Pain intensity was assessed during a two-week period before and after treatment (mean number of sessions = 5.9), and at short- (three months) and long-term (mean 2.8 years) follow-up. Results: Multivariate ANOVA for repeated measures revealed an overall time effect (F[2, 8]=6.7; P<0.02) for pain intensity. Pairwise comparison showed a significant decrease in mean pain score before and after treatment (P=0.00), which was maintained three months later. All but two participants improved and four were considered to be completely pain free at three months follow-up. Of the six participants available at long-term follow-up (mean 2.8 years), three were pain free and two had reduced pain intensity. Conclusions: These preliminary results suggest that, following a psychological intervention focused on trauma or pain-related memories, substantial long-term reduction of chronic PLP can be achieved. However, larger outcome studies are required.
Keywords: Phantom Limb Pain
Accuracy Verified: Yes
76. Carbone, D. J. (2008). Treatment of gay men for post-traumatic stress disorder resulting from social ostracism and ridicule: Cognitive behavior therapy and eye movement desensitization and reprocessing approaches. Archives of Sexual Behavior, 37(2), 305-316. doi:10.1007/s10508-007-9239-3.
Language: English
Format: Journal
Abstract:
This report describes the clinical treatment of a sample of 4 gay men suffering from PTSD attributed to their repeated experiences with peer ridicule and ostracism throughout childhood and adolescence, caused by their gender variant appearance and behavior. All of the men in the sample shared the following features: (1) a childhood history of ridicule and ostracism from both peers and adults focused on their gender variant presentation designed to elicit gender norm compliance; (2) a lack of social support networks to assist them in coping with the stress; (3) self-destructive coping responses that began in childhood and continued into adulthood in an attempt to lessen the experience of shame; and (4) symptoms of PTSD. A treatment model utilizing cognitive-behavioral therapy and eye movement desensitization and reprocessing was discussed. [Author Abstract]
Keywords: Adults Americans Case Report CBT Cognitive Behavior Therapy Cognitive Therapy Gay Men Homosexuals Males Persecution Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors
Accuracy Verified: Yes
77. Wu Pei-Lu, Hsieh Hsin-Yi, Chu Pin-Cheih, & Huang Chao-Hui (2011, August). The use of EMDR to the middle-aged men in taiwan: A case study. Poster presented at the annual conference of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
The purpose of this study is to explore
treatment outcomes of EMDR in Taiwan.
Through in-depth understanding of clients' subjective experiences and changing
courses throughout the therapeutic process,
this study demonstrated how EMDR
efficaciously helped clients overcome trauma and loss and regain confidence and
vitality.
Keywords: Case Study Men Middle Age Poster Taiwan
Accuracy Verified: Yes
78. 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
79. Carbone, D. (2004, September). Using EMDR to treat trauma as a result of childhood ridicule in gay men. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This training will enable participants to identify trauma responses in sexual minority clients (Gay, Lesbian, Bisexual, Transgender) and the developmental origins of these responses. The trauma addressed is a result of a long-term pattern of childhood social ridicule. Participants will learn how to screen for certain psychological disorders that are more common in this population and situations whereby supplemental therapies are needed. The effectiveness of EMDR in reprocessing the trauma will be demonstrated through a presentation of 6 cases. Participants will become familiar with the importance of gay affirmative psychotherapy and referral sources.
Keywords: Gay Men Homosexuals Ridicule
Accuracy Verified: Yes
80. de Jongh, A., & ten Broeke, E. (2002). Verwerking van schokkende gebeurtenissen met eye movement desensitization and reprocessing (EMDR) [Processing of shocking events in eye movement desensitization and reprocessing (EMDR)]. Psychopraxis, 4(1), 18-20. doi:10.1007/BF03071976.
Language: Dutch
Format: Journal
Abstract:
Een verkrachting, een gewapende overval of de plotselinge dood van een dierbaar persoon, is een gebeurtenis die in het algemeen diep ingrijpt in het leven van betrokkenen. In eerste instantie kan dit leiden tot klachten als ontreddering, hulpeloosheid en gevoelens van angst en verdoving. Op langere termijn kan men last krijgen van indringende beelden (herbelevingen) van het gebeurde, vermijding van zaken die ermee te maken hebben en extreme schrikachtigheid. We spreken dan vaak van een posttraumatische stress-stoornis (PTSS). Een PTSS is een invaliderende aandoening die echter goed te behandelen is als dit op de juiste manier gebeurt.
Rape, armed robbery or the sudden death of a loved one, an event which is generally far reaching effects on the lives of those involved. Initially this can lead to symptoms such as confusion, helplessness and feelings of fear and numbness. In the longer term, can suffer from intrusive images (flashbacks) of the event, avoidance of things that have to do, and extreme nervousness. We often speak of a post-traumatic stress disorder (PTSD). PTSD is a debilitating disease but is treatable if properly done.
Keywords: Trauma
Accuracy Verified: Yes
81. van der Landen, M. E. (2012). Zijn de effecten van EMDR en imagination inflation tegengesteld bij herinneringen? Een onderzoek naar levendigheid en emotionaliteit van herinneringen bij geconcentreerde imaginatie en oogbewegingen [Are the effects of EMDR and imagination inflation opposed to memories? A study of vividness and emotionality of memories with concentrated imagery and eye movements]. Universiteit Utrecht, Utrecht.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een veelgebruikte, effectieve therapievorm voor posttraumatische stressstoornis (PTSS). Imagination Inflation (II) kan optreden na geconcentreerde imaginatie. Bij EMDR worden herinneringen minder levendig en minder emotioneel. Het omgekeerde gebeurt bij II; door geconcentreerde imaginatie lijken herinneringen juist levendiger en emotioneler te worden. De vraag is of EMDR begrepen kan worden als de inverse van II. De effecten van EMDR zijn goed te modelleren onder laboratorium condities. Als II het omgekeerde is van EMDR zouden onder dezelfde lab condities, maar met het vervangen van oogbewegingen door geconcentreerde imaginatie er omgekeerde effecten op moeten treden van EMDR. Namelijk een toename van levendigheid en emotionaliteit van de herinneringen. Methoden: In totaal participeerden 60 personen verdeeld over twee groepen. Bij de ene groep werd 1) ophalen + oogbewegingen en 2) alleen ophalen toegepast, waarbij men twee negatieve herinneringen kreeg. De andere groep kreeg 1) ophalen + geconcentreerde imaginatie en 2) alleen ophalen toegepast met twee neutrale herinneringen. Resultaten: Geconcentreerde imaginatie leidde tot meer levendigheid van de neutrale herinnering, maar leidde niet tot toename van de emotionaliteit van de herinnering. Bij oogbewegingen zijn er geen statistisch significante resultaten gevonden. Conclusie: In tegenstelling tot eerdere literatuur, kon er geen significant effect van oogbewegingen aangetoond worden. Verondersteld is dat dit mogelijk een toevalsfluctuatie betreft. Geconcentreerde imaginatie leidde wel tot een significante toename van levendigheid van een neutrale herinnering. Vervolgonderzoek is nodig om dit verder te onderzoeken.
Eye Movement Desensitization and Reprocessing (EMDR) is a widely used and effective form of therapy for post-traumatic stress disorder (PTSD). Imagination Inflation (II) can occur after concentrated imagination. In EMDR memories are less vivid and less emotional. The reverse happens when II by concentrated imagination seem more vivid and emotional memories just be. The question is whether EMDR can be understood as the inverse of II. The effects of EMDR are well modeled under laboratory conditions. If II is the opposite of EMDR would under the same laboratory conditions, but with the replacement of movements by concentrated imagination is opposite effects have occurred in EMDR. Namely an increase of vividness and emotionality of memories. Methods: A total of 60 people participated divided into two groups. In one group, 1) + pick eye movements, and 2) only applied retrieval, where one received two negative memories. The other group received 1) + pick concentrated imagination and 2) only get applied with two neutral memories. Results: Concentrated imagination led to greater vividness of the neutral memory, but did not lead to increased emotionality of memory. When eye movements are no statistically significant results were found. Conclusion: Contrary to previous literature, there could be no significant effect of eye movements demonstrated. It is assumed that this may be a chance fluctuation concerns. Concentrated imagination did lead to a significant increase vibrancy of a neutral memory. Further research is needed to investigate this further.
Keywords: Emotionality Eye Movements Imagery Imagination Inflation Vividness
Accuracy Verified: Yes
82. Staff. (2007). Ögonrörelseterapi aktiverar REM-systemet [Eye movement therapy activate REM system]. Medicinsk Access Online, Källa: Karolinska Institutet.
Language: Swedish
Format: Other
Abstract:
Behandlingsmetoden EMDR – så kallad ögonrörelseterapi – mot posttraumatisk stress (PTS) har länge varit omdiskuterad. Men en ny studie från Karolinska Institutet visar nu att metoden troligen aktiverar REM-systemet, vilket underlättar för patienten att bearbeta de plågsamma minnena.
– Vi vet att EMDR fungerar bra som behandling vid posttraumatisk stress, säger docent Hans-Peter Söndergaard vid Institutionen för folkhälsovetenskap.
EMDR treatment method - so-called eye movement therapy - to post-traumatic stress (PTS) has long been controversial. But a new study from Karolinska Institutet now shows that the method is likely to activate the REM system, enabling the patient to process the painful memories.
- We know that EMDR works well as a treatment for post-traumatic stress, says Dr. Hans-Peter Sondergaard at Department of Public Health.
Keywords: Rapid Eye Movement REM
Accuracy Verified: Yes