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1. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation. Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma, and provides a dynamic and adaptive tool to navigate through therapy.

Keywords: 6 Gear Mechanics  Complex Trauma  

Accuracy Verified: Yes


2. Struik, A. (2009). Casus 18 – Getraumatiseerd door een eigen misdrijf: Behandeling van een 15-jarig meisje dat vrijkomt uit de jeugdgevangenis [Case 18 – Traumatized by my own crime: Treatment of a 15-year-old girl who is realeased from a youth detention center]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 259-264). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_26.

Language: Dutch

Format: Book Section

Abstract:
Gea is een meisje van 15 jaar met PDD-NOS (een stoornis in het autistisch spectrum; zie kader in de inleiding bij deel VI), waarvoor ze in behandeling is binnen de kinder- en jeugdpsychiatrie. Ze heeft gesprekken met een van mijn collega's waarin psycho-educatie centraal staat. Haar ouders hebben ouderbegeleiding omte leren omgaanmet de handicap van hun dochter. Gea leeft in haar eigen wereld en het is voor haar moeilijk om zich in te leven in gedachten en gevoelens van de mensen om haar heen. Ze reageert vaak vanuit haar eigen behoeften en gevoelens op anderen.

Gea is a girl of 15 years with PDD-NOS (a disorder in the autistic spectrum, see box in the introduction to Part VI), which it is pending in the juvenile and adolescent psychiatry. She talks with one of my colleagues that psychological education is central. Her parents learn to parent guidance omte omgaanmet their daughter's disability. Gea lives in her own world and it is difficult for her to act to live in thoughts and feelings of the people around her. She often responds from its own needs and feelings to others.

Keywords: Adolescents  Crime  Detention Center  PDD-NOS  

Accuracy Verified: Yes


3. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach to assist children in identifying EMDR targets as well as to provide an opportunity for containment. Safe place, as well as other types of resource development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By using stones and metaphors, children can also maintain emotional distance from their own struggles. One of the main goals of this workshop is to help clinicians learn to communicate more effectively with children by using metaphors, stones and play. How to talk to children about EMDR and how to prepare children for the outcome of EMDR will be addressed. By making the process more predictable, the likelihood of children stopping the process when they experience the difficult feelings associated with the trauma might be minimized. Participants will also learn to use creative, fun and playful ways to assist children in understanding and using the measure scales of the EMDR protocol (SUDS and VOC).

Keywords: Children  Metaphors  Play Therapy  Storytelling  Targets  

Accuracy Verified: Yes


4. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.

The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


5. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4.

Language: English

Format: Newsletter

Abstract:
Besides the correct application of the basic EMDR protocol, one of the most important factors involving the treatment of trauma related conditions, is the way the traumatic material is targeted. For example, if clients have trouble processing, this could be due to a lack of focus which prevents the client from successfully tapping into his memory network. It’s our experience that, to adequately tap into the memory network, it is most useful to use a somewhat different strategy for ‘going back to target’ than which is described as part of the standard EMDR procedure. We would recommend the following procedure (see Box I).

Keywords: Targets  

Accuracy Verified: Yes


6. Hornsveld, H., & Berendsen, S. (2009). EMDR werkt! Maar hoe? [EMDR works! But how?]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR 25 voorbeelden uit de praktijk, (pp. 41-52). Houten: Bohn Stafleu Van Loghum, 358 pages. doi:10.1007/978-90-313-7358-1_3.

Language: Dutch

Format: Book Section

Abstract:
EMDR werkt. Zoveel is duidelijk. Er is veel onderzoek verricht naar het effect van EMDR bij mensen met een posttraumatische stressstoornis. Er zijn de afgelopen twintig jaar ruim veertig studies verschenen waarin EMDR werd vergeleken met onder andere imaginaire exposure (zie kader), stressreductieprogramma's, cognitieve gedragstherapie, hypnose, psychodynamische therapie en diverse farmacologische interventies.

EMDR works. This much is clear. Much research on the effects of EMDR in people with post traumatic stress disorder. In the last twenty years more than forty published studies in which EMDR was compared including imaginal exposure (see box), stress reduction programs, cognitive behavioral therapy, hypnosis, psychodynamic therapy and various pharmacological interventions.

Keywords: Practice  Theory  

Accuracy Verified: Yes


7. Kitchiner, N. J., Bisson, J. I., & Robert, N. (2005, October). Eye movement desensitisation and reprocessing is now recommended as one of the first-line treatments for post-traumatic stress disorder. Mental Health Practice, 9(7), 19-22.

Language: English

Format: Magazine

Abstract:
Interest in the area of traumatic stress has grown considerably since post-traumatic stress disorder (PTSD) was first classified as a mental health condition in 1980 by the American Psychiatric Association (APA 1980). The current classification can be viewed in Box 1. There is now a well-established literature on the effects of traumatic experience following a range of traumatic events. The National Institute for Health and Clinical Excellence (NICE 2005) has reviewed the evidence base for the treatment of PTSD and recommended trauma-focused cognitive behavioural therapy (TFCBT) and EMDR as the two first-line treatments for PTSD.

Keywords: Posttraumatic Stress Disorder  Professional Training  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


8. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR with people suffering from complex trauma often leads to difficulties regarding the treatment plan, but also during desensitization, reprocessing, with a risk of major destabilization, and treatment drop outs. Often, many targets, especially those coming from early childhood, are pre-­‐verbal in nature and stay therefore implicit. Should we then renounce in doing EMDR with these people? Is it possible to apply EMDR safely and without getting lost, adjusting to each person, so different from another, and their life events somewhat chaotic? The gearbox, through the metaphor of a journey by car, suggests a hierarchical processing structure to navigate through therapy with people suffering from complex trauma, which allows the therapist to adapt to the client, his/her life context, knowing what to do, and why. The result is a more self-­‐confident therapist, who is able to adapt to the client, being so more flexible and safe while doing EMDR. By integrating the current knowledge of EMDR for complex trauma, the gearbox is a dynamic and adaptive tool.

EMDR en personas que sufren trauma complejo a menudo conlleva dificultades respecto al plan terapéutico y también durante la desensibilización y reprocesamiento, con el riesgo de una desestabilización mayor y el abandono del tratamiento. Con frecuencia, muchos de los objetivos y, muy especialmente los que tienen su origen en la primera infancia, son preverbales y, por lo tanto, permanecen implícitos. ¿Deberíamos renunciar al uso de EMDR con estas personas? ¿Es posible aplicar EMDR de forma segura y sin perderse, adaptándose a cada persona, tan distintas unas de otras, así como a sus eventos de vida, algo caóticos? “Gearbox”, a través de una metáfora de un viaje en coche, sugiere una estructura jerárquica de procesamiento para navegar por la terapia con personas que sufre trauma complejo, lo que permite al terapeuta a adaptarse al cliente, el contexto de su vida, sabiendo qué hacer y por qué. El resultado es un terapeuta con más confianza en sí mismo, capaz de adaptarse al cliente, con mucho más flexibilidad y seguridad mientras utiliza EMDR. Al integrar los conocimientos actuales de EMDR en casos de trauma complejo, “la caja de cambios” es una herramienta dinámica y adaptativa.

Keywords: Gear Box  

Accuracy Verified: Yes


9. Selvini, M. (2011, Settember). L'Impatto delle terapie del trauma e dell'EMDR sul modello sistemico familiare-individuale [The impact of EMDR treatment of trauma and the family systems model-independent]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Uno dei limiti di fondo del modello sistemico classico (si veda La pragmatica della comunicazione di Watzlawick, 1967, o Paradosso e contro paradosso, 1975, fino agli epigoni post-moderni) è dato dal semi-annullamento della dimensione individuale (la famosa scatola nera), tra cui come ovvia conseguenza quella dell’elaborazione del trauma. Il movimento EMDR impatta così utilmente sui terapeuti sistemici nell’aiutarli a riscoprire/approfondire/integrare i temi dell’elaborazione/difesa della sofferenza e dei diversi tipi di personalità/funzionamento. Le mie scuole da qualche anno stanno formando all’EMDR tutti i docenti e tutti gli allievi del quarto anno: perché solo circa un terzo dei formati al primo livello utilizza poi effettivamente questa tecnica? Lo stiamo studiando con incontri a piccolo gruppo subito dopo i tre giorni del primo livello, appare infatti chiaro che chi non utilizza subito la tecnica non lo farà più.

One of the limitations of the underlying classical system model (see The pragmatics of communication of Watzlawick, 1967, or Paradox and counter paradox, 1975, until the post-modern successors) is given by the semi-annulment of the individual dimension (the famous black box ), including the drawing as an obvious consequence of trauma. The movement thus usefully EMDR impacts on systemic therapists in helping them to discover / learn / integrate the development issues / defense of the suffering and the different personality types / functions. My schools a few years being trained EMDR all teachers and all pupils in the fourth year, because only about one third of the formats on the first level then actually uses this technique? We're studying with small group meetings in the three days immediately after the first level, it seems clear that those not using the technique just will not do it anymore.

Keywords: Family Systems  

Accuracy Verified: Yes


10. Aasen, B. (2010, July). Practical work with dissociated parts with EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
When working with complex trauma, where there is secondary or tertiary or dissociation, the EMDR therapist must be cautious or emotional parts that are overwhelming to the client can be evoked. Care must be taken to provide sufficient assessment and stabilization and knowledge of the personality system or there is the risk of opening Pandora’s box and overwhelming the client. However, there are ways to safely work with emotional parts of the personality. If the ANP is able to stay present, the client has sufficient emotional stabilization and strategies to lower emotional arousal, then integration can place. This workshop will provide guidelines on assessment and stabilization, and then discuss strategies to work with EPs. Video tapes of client sessions will illustrate teaching points.

Keywords: Dissociation  

Accuracy Verified: Yes


11. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use in the beginning, middle and end of EMDR sessions. In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response. Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another reason but uncover what they believe to be sexual abuse memories with EMDR. There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been uncovered and preparation for life outside of therapy. Interweaves can be utilized in the beginning, middle and end of EMDR sessions. In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week. What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing). A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork. Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established along with the EMDR protocol. In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator can hurt me), look for blocking images, and talking to the child part (what does he/she need?). Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc. It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling too overwhelmed. There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the . safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the session, installing their response with eye movements. It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work, exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for teaching self soothihg to adult survivors of sexual abuse.

Keywords: Cognitive Interweave  Imaginal Interweave  Sexual Abuse  Survivors  

Accuracy Verified: Yes


12. Crystal, S. (2009, March). “And they lived happily ever after”: EMDR and the use of stories for traumatized children and adolescents. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
The use of EMDR with younger age children presents extra challenges for the practitioner who often needs to include the child’s parents/carers as a resource in the treatment process. Parents /carers can become the child’s spokesperson through creating a narrative of the child’s story. Based on the work of Joan Lovell, the EMDR protocol is assimilated and adapted to suit the diversity of each child’s unique experience through the process of story writing where the traumatic events are digested and processed with the help of the protective parental figure(s). The presentation will illustrate through the use of clinical material (video; drawings; collage; etc) how the practitioner can develop a multitude of creative means to access the pre-verbal or the severely traumatized young child; for whom we need to step “outside the box” and transform the EMDR protocol to suit each child’s needs.

Keywords: Adolscents  Children  Stories  Symposium  

Accuracy Verified: Yes