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1. Twombly, J. (2001, June). Advanced adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants of this workshop will learn how to incorporate EMDR adaptations within treatment stages of Dissociative Disordered clients. They will also learn how to facilitate stability, present time, and height orientation, set up a protective format for processing traumatic material, and applications to ego state work.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
2. Twombly, J. (2000, September). Advanced EMDR adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn how to incorporate EMDR and EMDR adaptations within the stages of treatment of Dissociative Disordered (DD) clients; 2) learn how to facilitate present time, and height orientation for clients with DDs; 3) learn how to set up a protective format for processing traumatic material with DD clients; and 4) learn how to apply EMDR adaptations in ego state work.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
3. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
4. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Les techniques d’hypnose éricksonienne sont des outils très utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accès à la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix dernières années.
Dans cet atelier l’accent sera plus particulièrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire à une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <
Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces.
However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality.
The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD.
Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years.
In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination.
Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?
Accuracy Verified: Yes
5. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This paper presents the assessment and four year
psychotherapy of a Hispanic man with Complex PTSD
and Dissociative Disorder NOS. The patient’s history of
childhood sexual abuse caused significant disruptions
in normative developmental processes causing what
van der Kolk (2005) posits as a Developmental Trauma
Disorder. Based on Shapiro’s (2001) adaptive information
processing paradigm, the patient’s memories of extensive
childhood sexual victimization became blocked from
resolution from adaptive memory networks, becoming
embedded in the emotional brain and activated by the 9/11
tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled
his experiences of 9/11 and memories of severe childhood
sexual abuse, establishing a narrative of victimization,
helplessness, and confusion about his sexual orientation
(Gardner, 1999). Furthermore, there were episodes of
dissociation revealing the possibility of alters. Attempts
to access adaptive networks using EMDR protocols were
thwarted by intractable defenses. The patient’s desire
to return to work was offset by his entitlement to Social
Security Disability that was initially denied. Working through
my concordant countertransference (Racker, 1968), I
ultimately accepted his wish for SSD, which he obtained
on appeal based upon my symptom-specific evaluation.
The patient transferred to a clinic that accepted SSD.
Participants will be able to :
♦♦ identify the developmental derailing
effects of childhood sexual abuse on
normative developmental processes.
♦♦ assess how childhood trauma(s) that are
repressed or dissociated are invoked by
trauma(s) in adulthood through associative
memory networks causing Complex PTSD.
♦♦ apply methods of working with patients
dissociative defenses in psychotherapy.
Keywords: Case Study Developmental Trauma Disorder
Accuracy Verified: Yes
6. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: German
Format: Conference
Abstract:
This paper describes how trauma therapy including body awareness
can reduce the impact of the traumatic memory and can efficiently
prevent retraumatization. The goal is to achieve the ability to self-regulate
activation of the autonomic nervous system and hence, to attain access to
states in which patients can maximize their resources. This procedure is
based on neurobiological findings and exemplified with case studies. The
approach complements other trauma therapeutic interventions, regardless of
the theoretical orientation, and can be combined with techniques like, for instance,
EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
7. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .
Language: German
Format: Magazine
Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.
Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
8. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
9. Smith, T. (1993, Spring). A case study. EMDR Network Newsletter, 3(1), 19-20.
Language: English
Format: Newsletter
Abstract:
Following my Level I training, I had a long laundry list of issues that I wanted to tackle with EMDR. Bear in mind that I have received approximately three years of one- to tow-times-per-week talk therapy from three different clinicians ranging in orientation, as well as a complete psychoanalysis four times per week for 4.5 years.
Keywords: Case Study
Accuracy Verified: Yes
10. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who
are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in
maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative
clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming
disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing
images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative
abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of
affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of
EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a
procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused
EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety)
procedure, which is a method of slowing down processing, and carefully containing and controlling the
emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video
segments of a therapy session.
Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
11. Rost, C. (2008). CIPOS: Constant installation of present orientation and safety. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp.69-85). Paderborn: Junfermann.
Language: German
Format: Book Section
Keywords: CIPOS Constant Installation of Present Orientation and Safety
Accuracy Verified: Yes
12. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro.
Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato.
Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite.
In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.
The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.
Accuracy Verified: Yes
13. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]
Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization
Accuracy Verified: Yes
14. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.
Keywords: DID Dissociative Identity Disorder Distal-Proximal Process Interweave Sexual Trauma
Accuracy Verified: Yes
15. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.
Language: English
Format: Journal
Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.
Keywords: Horitzontal Eye Movements
Accuracy Verified: Yes
16. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
EMDR directly addresses the physiologically stored
memory networks that underlie both psychological problems
and mental health. This orientation to both case conceptualization
and treatment will be explored to address
diverse clinical applications, including attachment issues,
body image, chronic pain, substance abuse, sexual dysfunction,
personality disorders, and other presenting complaints.
The Integration of EMDR with family therapy
practices will also be discussed.
Keywords: Adaptive Information Processing
Accuracy Verified: Yes
17. Twombly, J. (2008, April). EMDR and EMDR adaptions in the treatment of dissociative disorders. Presentation at the 1st Bi-Annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.
Language: English
Format: Conference
Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and
Reprocessing in the treatment of clients with Dissociative Identity Disorder, Dissociative
Disorder Not Otherwise Specified and ego state work. Used carefully, EMDR and EMDR
adaptations can accelerate the treatment process. A liability is that its incorrect use can
accelerate decompensation in clients with complex trauma and attachment disordered
histories. This workshop offers suggested uses of EMDR and EMDR adaptations to
facilitate stabilization, orientation to the present, decrease some negative transferences
and to provide a protective format for processing traumatic material.
Learning objectives:
1. Participant is able to identify stages of treatment of dissociative disordered clients
where EMDR and EMDR adaptations can be used.
2. Participant is able to use EMDR adaptations to orient dissociated parts of the mind
to present time.
3. Participant has knowledge of how to develop a controlled process of using EMDR
for trauma processing.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
18. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
19. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.
Language: English
Format: Conference
Abstract:
The information processing model has been described in many different ways and is potentially the underlying
process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly
compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information
processing model and conclude that although they may use different language to describe their theories, a
unifying information processing model describes both paradigms. Human beings are meaning making machines
(Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the
more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or
internal process’s and this information goes through our filters where we delete, distort and generalise this
information based on the rules created in our information processing unit (Fig 1). This information processing
mechanism gives meaning to this filtered information and generates a response, this response interacts with this
information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do;
we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a
useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was
developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing
the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and
Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders.
One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to
control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many
clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important
feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self
and threatening information. Both EMDR and MCT describe an information management/processing system that
organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to
respond to a trauma memory Both therapies appear to change this system / process to something that is much
more adaptive for the client, as if they change the master information management control programme that runs
this system, in the same way a conductor influences the orchestra and the music they produce. Both models
describe the same process, although they utilise different language to describe this change process.
Perhaps a change of focus for the development of pychotherapy towards more process change models rather than
content change interventions.
Keywords: Metacognitive Therapy Poster
Accuracy Verified: Yes
20. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation: A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.
Language: English
Format: Journal
Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.
Keywords: Assimilative Integration Cognitive Behavior Therapy Cognitive-Behavioral Therapy Empirical Study Humanistic Psychotherapy Integrative Psychotherapy Humanistic Therapy Psychodynamic Psychotherapy Psychodynamic Therapy Psychotherapeutic Processes Psychotherapy Integration Qualitative Study Treatment Outcomes
Accuracy Verified: Yes
21. Burzynski, S. (2010, July). EMDR for anger management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The presentation examines a single case study of an indigenous Australian, diagnosed with trauma based borderline
personality disorder experiencing peremptory anger. Anger within the PTSD context and ‘survival mode’ of operation are
discussed. Treatment incorporated EMDR within a paradigm of Structural Dissociation. A targeted anger laden EP is integrated
with the ANP and results discussed. The role of time orientation (presentification) and coconsciousness (personification) in
treatment are also examined.
Keywords: Anger Management
Accuracy Verified: Yes
22. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They
discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic
explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is
reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way.
Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative
feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al.
23
(2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a
new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be
useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively
researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of
the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster
(1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced
by creative and performing artists, and for competition preparation and psychological recovery from injury in
athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential
with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It
has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show
that this EMDR optimism protocol can easily improve athletic performance.
Keywords: Optimism Protocol
Accuracy Verified: Yes
23. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
Accuracy Verified: Yes
24. Shapiro, F. (2011, August). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This adaptive information processing orientation to both case conceptualization and clinical application will be explored in relation to diverse populations. The latest research evaluating both treatment outcomes and underlying mechanisms will be addressed. In addition, clinical cases and questions collected from participants will be used to illustrate the ways in which EMDR can be applied.
Keywords: Adaptive Information Processing AIP Practice Research Theory Update
Accuracy Verified: Yes
25. Shapiro, F. (2012, October). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR therapy directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This adaptive information processing orientation to both case conceptualization and clinical application will be explored in relation to diverse populations. The latest research evaluating both treatment outcomes and underlying mechanisms will be addressed. In addition, clinical cases and questions collected from participants will be used to illustrate the ways in which EMDR can be applied.
Keywords: Plenary Practice Research Theory Update
Accuracy Verified: Yes
26. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.
Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
27. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.
Learning Objectives:
1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part.
2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client.
3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.
Keywords: Dissociative Abreaction Psychological Defenses Toolbox
Accuracy Verified: Yes
28. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in
assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients
who enter therapy do not have a simple problem of a single disturbing memory, but a
complex history. Typically, clients come to therapy with a mixed presentation, of not
only emotional disturbance, but also mental structures and actions which function to
soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial
presentation of most clients is complex and often ambivalent. In this workshop,
examples will illustrate Adaptive Information Processing methods of targeting and
resolving psychological defenses, such as avoidance, ambivalence, and idealization.
Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present
Orientation and Safety) method will be described. This method is a set of procedures
that can be used during the EMDR Desensitization Phase to therapeutically reverse
dissociative processes while preserving emotional safety. Video segments from therapy
sessions will be shown to illustrate each of these methods.
Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting
Accuracy Verified: Yes
29. Bambach, S. (1994). EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen [EMDR and active future orientation in the treatment of complex trauma human]. Author.
Language: English
Format: Other
Abstract:
Die Ausbildung in EMDR (Eye Movement
Desensitization and Reprocessing) führte
mich über längere Zeit zu einer intensiven
Auseinandersetzung über die Vereinbarkeit
von EMDR mit meiner bisherigen traumatherapeutischen
Arbeit. Diese war und ist
stark geprägt durch die lösungs- und ressourcenorientierte
Therapie, wie ich sie
von Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan und später in anderer Form
von Gunther Schmidt erlernt habe. Zentrale
Elemente der Arbeit mit traumatisierten
Menschen nach lösungsorientierten Konzepten
sind u. a. die aktive Unterstützung
der Klienten1 bei der Entwicklung einer
positiven Zukunftsvision, bei der Identifikation
der individuellen Kriterien für Therapieerfolg
und der kleinstmöglichen, aktiv
zu unternehmenden Schritte in diese Richtung.
Diese konsequent ressourcen- und
lösungsorientierte Arbeitsweise schien im
Widerspruch zur Traumafokussierung als
zentralem Moment von EMDR zu stehen.
The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.
Keywords: Complex Trauma Future Orientation
Accuracy Verified: Yes
30. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
Accuracy Verified: Yes
31. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11.
Language: English
Format: Newsletter
Abstract:
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
Keywords: Training
Accuracy Verified: Yes
32. Sack, M., Lempa, W., & Lamprecht, F. (2005, September 24). Empirische befunde zu wirkmechanismen des EMDR [Empirical evidence of mechanisms of action of EMDR]. In A. Karl & W. Lempa, (Moderators), Symposium 2 Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden .
Language: German
Format: Conference
Abstract:
Das Traumabearbeitungsverfahren EMDR (Eye Movement Desensitization and Reprocessing) kombiniert die imaginäre Exposition mit der traumatischen Erinnerung mit repetitiver Stimulation durch Augenbewegungen oder durch taktile bzw. auditive Reize. Während die Wirksamkeit des EMDR gut belegt ist, sind die spezifischen Wirkungen der bilateralen Stimulation noch weitgehend unbekannt. Wir führten ein psychophysiologisches Monitoring mittels Impedanzkardiographie aller EMDR-Behandlungssitzungen ( N= 55) bei 10 Patienten mit PTSD durch. Aufgezeichnet wurden Herzfrequenz (HR), Parasympathikotonus (RMSSD), Sympathikotonus (PEP), und Atemfrequenz (RESP). Beginn und Ende der Stimulationsperioden (N = 811) wurden markiert. Es fand sich ein steiler Anstieg des Parasympathikotonus verbunden mit einem signifikanten Abfall der Herzfrequenz zu Beginn der Stimulationsperioden, entsprechend dem psychophysiologischen Reaktionsmuter einer deutlich ausgeprägten Orientierungsreaktion. Im weiteren Verlauf der Stimulation nahm der Parasympathikotonus wieder ab und der Sympathikotonus nahm zu, was sich als Stresseffekt während der Exposition interpretieren lässt. Im Sitzungsverlauf zeigte sich jedoch eine signifikante Abnahme der Herzfrequenz und eine Zunahme des Parasympathikotonus. Unsere Befunde weisen darauf hin, dass es während EMDR-Sitzungen zu einem signifikanten psychophysiologischen Dearousal kommt. Die Stimulation durch Augenbewegungen scheint eine Orientierungsreaktion auszulösen, die über eine passagere Erhöhung des Parasympathikotonus eine Entspannungsreaktion auslöst. Es stellt sich die Frage, inwieweit die von uns beobachteten psychophysiologischen Reaktionen mit dem Therapieerfolg korrelieren.[Author abstract]
The EMDR trauma processing method (Eye Movement Desensitization and Reprocessing) combines the imaginary exposure to the traumatic memory with repetitive stimulation of eye movements or tactile or auditory stimuli. While the effectiveness of EMDR is well documented, the specific effects of bilateral stimulation are still largely unknown. We conducted a psycho-physiological monitoring using impedance cardiography of EMDR treatment sessions (N = 55) of 10 patients with PTSD. Recorded were heart rate (HR), parasympathetic tone (RMSSD), sympathetic (PEP) and respiratory rate (RESP). Beginning and end of the stimulation periods (N = 811) were selected. There was a steep increase in parasympathetic tone associated with a significant decrease in heart rate at the beginning of the stimulation periods, according to the psycho-physiological Reaktionsmuter a clearly marked orientation reaction. In the course of the stimulation of the parasympathetic tone took off again and the sympathetic tone increased, which can be interpreted as a stress effect during exposure. During the session, however, showed a significant decrease in heart rate and an increase in parasympathetic tone. Our findings indicate that occurs during EMDR sessions to significant psychophysiological Dearousal. The stimulation of eye movements seems to trigger a policy response that triggers a transient increase in parasympathetic tone a relaxation response. This begs the question of the extent to which we have observed psychophysiological responses correlate with treatment success. [Author abstract]
Keywords: Mechanism of Action
Accuracy Verified: Yes
33. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.
Language: English
Format: Dissertation/Thesis
Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.
Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness
Accuracy Verified: Yes
34. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353.
Language: English
Format: Dissertation/Thesis
Abstract:
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study
Accuracy Verified: Yes
35. Keller, M. W. (1998). Explanation of EMDR for patients. In G. J. Allen, D. A. Cónsole, & M. W. Keller, EMDR: A Closer Look Video Manual. (pp. 34-36) New York: Guilford Press.
Language: English
Format: Other
Abstract:
Brief introductory orientation information about how EMDR will help a person cope with and overcome the adverse experiences and memories which are currently causing trauma and anxieties. This discussion will cover the EMDR content, methods, and procedures which will be used during the EMDR therapy sessions.
Keywords: Manual, Video
Accuracy Verified: Yes
36. Cuppen, M. (2007, Juli). Eye movement desensitisation and reprocessing, Maakt deze bijzondere behandeling voor traumagerelateerde klachten Pesso-psychotherapie overbodig? [Eye movement desensitisation and reprocessing - Does this special treatment for trauma-related symptoms Pesso-psychotherapy redundant?]. Pesso Tijdschrift, 37-49.
Language: Swedish
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning
visats vara en effektiv behandlingsmetod av posttraumatiskt
stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen,
som är ett centralt moment i metoden, kontroversiell och dess
funktion inte klarlagd.
I föreliggande undersökning randomiserades trettiosex friska försökspersoner
till en av tre stimuleringsbetingelser: ögonrörelsestimulering,
taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen
kombinerades med imaginär exponering, negativ och positiv.
Utfallet av experimentet mättes i olika fysiologiska mätparametrar,
samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant
högre hudkonduktansnivå vid ögonrörelsestimulering jämfört
med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet.
Inga signifikanta gruppskillnader fanns i de övriga mätningarna.
Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen
utlöser eller förstärker en orienteringsrespons, vilket vissa
teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock
behövs fortsatt forskning för att förstå denna verkan, samt koppling
till terapeutisk effekt.
Eye Movement desensitization and Reprocessing, EMDR, psychotherapy research has shown to be an effective treatment of post-traumatic stress disorder, PTSD. However, ögonrörelsestimuleringen, which is the lynchpin of the method, controversial and its function is not clear. In the present study were randomized thirty-six healthy subjects to one of the three stimulation conditions: eye movement stimulation, tactile stimulation or static visual stimuli (control group). The stimulation was combined with imaginary exposure, negative and positive. The outcome of the experiment were measured in various physiological test parameters, and self-estimates the level of discomfort (SUD). The results showed significantly higher hudkonduktansnivå of eye movement stimulation compared with control group, related to the activation of the sympathetic nervous system. No significant group differences were found in the other measurements. The pattern of autonomic activation may indicate that ögonrörelsestimuleringen trigger or reinforce an orientation response, as some theorists suggested is the active mechanism in EMDR. However, further research is needed to understand this effect, and access to therapeutic efficacy.
Keywords: Pesso Psychotherapy
Accuracy Verified: Yes
37. Cole, M. (2009, October). Eye movement desensitization and reprocessing and meta-cognitive therapy - Same destination, different language. Poster presented at the 2nd annual EMDR Autumn Workshop Conference, Leeds, UK.
Language: English
Format: Conference
Abstract:
The information processing model has been described in many
different ways and is potentially the underlying process that
describes the psychotherapy change process, regardless of
orientation. In this poster I will briefly compare Eye Movement
Desensitisation and Reprocessing and Meta-Cognitive Therapy in
light of this information processing model and conclude that
although they may use different language to describe their theories,
a unifying information processing model describes both paradigms.
Keywords: Meta-Cognitive Therapy
Accuracy Verified: Yes
38. Unger, M. A. (2008). Fysiologiska korrelat av ögonrörelser och emotionell exponering hos friska individer: – En experimentundersökning av mekanismer i Eye Movement Desensitization and Reprocessing (EMDR) [Physiological correlates of eye movements and emotional exposure in healthy subjects - An experimental study of the mechanisms of eye movement desensitization and reprocessing (EMDR)]. Psykologexamensuppats, Stockholms Universersit, Psyckologiska Institutionen.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning visats vara en effektiv behandlingsmetod av posttraumatiskt stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen, som är ett centralt moment i metoden, kontroversiell och dess funktion inte klarlagd.
I föreliggande undersökning randomiserades trettiosex friska försökspersoner till en av tre stimuleringsbetingelser: ögonrörelsestimulering, taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen kombinerades med imaginär exponering, negativ och positiv. Utfallet av experimentet mättes i olika fysiologiska mätparametrar, samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant högre hudkonduktansnivå vid ögonrörelsestimulering jämfört med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet. Inga signifikanta gruppskillnader fanns i de övriga mätningarna. Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen utlöser eller förstärker en orienteringsrespons, vilket vissa teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock behövs fortsatt forskning för att förstå denna verkan, samt koppling till terapeutisk effekt.
Eye Movement desensitization and Reprocessing, EMDR, psychotherapy research has shown to be an effective treatment of post-traumatic stress disorder, PTSD. By contrast, ögonrörelsestimuleringen, which is the lynchpin of the method, the controversy and its function is not clear.
In the present study were randomized thirty-six healthy subjects to one of three stimulation conditions: eye movement stimulation, tactile stimulation or static visual stimuli (control group). The stimulation was combined with imaginary exposure, negative and positive. The outcome of the experiment were measured in various physiological measurement parameters, and self-estimates of the level of discomfort (SUD). The results showed significantly higher hudkonduktansnivå the eye movement stimulation compared with control group, related to the activation of the sympathetic nervous system. No significant group differences were found in the other measurements. The pattern of autonomic activation may indicate that ögonrörelsestimuleringen trigger or reinforce an orientation response, as some theorists suggested is the active mechanism in EMDR. However, further research is needed to understand this effect, as well as access to therapeutic efficacy.
Keywords: Eye Movements Dismantling Study Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
39. Eckers, D. (2006). Gegenwarts- und ressourcenorientierung (GRO) in der behandlung und dosierte EMDR-behandlungsschritte [Present-and resource-orientation (GRO) in the treatment and dose EMDR treatment steps]. EMDRIA Deutschland e.V. Rundbrief, 8, 28-29.
Language: German
Format: Newsletter
Abstract:
Die grundsätzliche Wahrnehmung, dass die Gegenwart sicherer und stabiler ist als die
traumatische Situation, ist die Voraussetzung dafür, eine Traumabearbeitung überhaupt in
Erwägung zu ziehen. Je komplexer, anhaltender und früher die Traumatisierung war, desto
mehr Sorgfalt muss auf eine stabile Gegenwarts- und Ressourcenorientierung (GRO)
verwendet werden.
The general perception that the present is more secure and stable than the
traumatic situation is the prerequisite for a trauma in general
Whereas draw. The more complex, persistent and once the trauma was, the
more attention is needed for a stable present and resource orientation (GRO)
be used.
Keywords: GRO Present-and-Resource Orientation
Accuracy Verified: Yes
40. Greenwald, R. (2002, June). Getting to EMDR: Structuring treatment so that EMDR fits in. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
The commonly-reported difficulty in identifying opportunties to use EMDR reflects the fact that relatively few EMDR-trained clinicians were
previously trauma specialists. This workshop will present a comprehensive model of trauma-informed treatment that will help participants to utilize their preferred orientation and methods in a manner conducive to trauma treatment and to EMDR. Participants will learn specific interventions to
help their clients understand why EMDR can help them to resolve their presenting problem. Participants will learn a conceptual framework with which to organize and sequence a range of intervention to prepare their
clients for EMDR. Participants will learn specific interventions to prepare
their clients for EMDR. This workshop is appropriate for clinicians working with children, adolescents, and adults wilth a range of presenting problems (not just PTSD).
Keywords: General Trauma-Informed Interventions
Accuracy Verified: Yes
41. Leeds, A. M. (2009). A guide to the standard EMDR protocols for clinicians, supervisors, and consultants. New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
This book serves as a resource for practicing clinicians, supervisors, clinic directors, and hospital administrators. Leeds provides clear, concise treatment guidelines on the clinical use of EMDR.
This book provides an orientation to the clinical, professional, and risk management issues. Leeds provides sample consultation agreements and forms for documenting treatment planning, case summaries, and treatment outcomes. These forms will be especially helpful for case managers and clinical supervisors in agencies and community health treatment centers.
Key features:
Includes charts, forms, illustrations, tables, and decision trees, presenting essential information clearly and concisely to guide treatment planning and documentation.
Presents case studies with transcripts illustrating the different protocols and presenting guidelines for informed decision making.
Outlines the stages of clinical skill development
Discusses ethical issues in clinical application, consultation, supervision, and research.
Keywords: Protocols
Accuracy Verified: Yes
42. Twombly, J. (2009). Height orientation. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 249-250). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Height Orientation Protocol
Accuracy Verified: Yes
43. Twombly, J. (2004, September). Incorporating EMDR and EMDR adaptations into the treatment of dissociative disorders. Presentation at the annual mmeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and Reprocessing in the treatment of clients with Dissociative Identity Disorder (DID). Dissociative Disorder Not Otherwise Specified (DDNOS) and ego state work. DID and DDNOS are complex disorders suffered by clients who have often experienced multiple childhood traumas. Used carefully. EMDR and EMDR adaptations can accelerate the treatment process. A liability is that its introject use can accelerate decompensation. This workshop offers suggested uses of EMDR and EMDR adaptations to facilitate Stabilization, orientation to the present, decrease some negative transferences and to provide a protective format far processing traumatic material.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
44. Baldwin, D. (1997). Innovation, controversy, and consensus in traumatology. Traumatology, 3(1), 7-22. doi:10.1177/153476569700300103 .
Language: English
Format: Journal
Abstract:
Controversy follows innovation and threats to the status quo in many social domains, including the sciences. This article briefly summarizes information from the philosophy of science and data from studies of conflict in diverse fields. It then introduces two independent contemporary controversies in traumatology -- a new clinical method called EMDR and the Final Report of the APA Working Group on memories of childhood abuse -- and considers them within a broader context of the historical rift between psychological research and practice. The aim is to step outside the frame of specific conflicts and identify differences in philosophical orientation and values that contribute to communication difficulties and associated conflict between partisans. Approaches are offered toward building consensus within the field. [Author Abstract]
Keywords: Child Abuse Commentary False Memory Rape Scientific Research Survivors
Accuracy Verified: Yes
45. Twombly, J. (2009). Installation and transmission of current time and life orientation. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 243-248). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Current Time and Life Orientation Protocol
Accuracy Verified: Yes
46. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.
Keywords: Attachment Repair Orientation Relational Trauma
Accuracy Verified: Yes
47. Parnell, L. (2012, June). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma [EMDR centrado en el apego: Curar el trauma relacional]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Attachment-‐focused
EMDR
is
a
new
model
of
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
developed
over
a
period
of
nineteen
years
by
psychologist
and
EMDR
trainer
Dr.
Laurel
Parnell
that
adapts
this
powerful
and
effective
trauma
therapy
to
the
needs
of
clients
with
attachment
wounds.
In
this
workshop
you
will
learn
how
the
standard
EMDR
protocol
can
be
modified
so
that
it
flows
more
easily,
supports
client
safety,
maintains
the
therapeutic
connection
and
enhances
attunement.
Attachment-‐focused
EMDR
is
client-‐centered
and
emphasizes
a
reparative
therapeutic
relationship,
using
a
combination
of
Resource
Tapping
(Parnell,
2008)
to
strengthen
clients,
EMDR
to
process
traumas
and
talk
therapy
to
help
integrate
the
information
from
the
EMDR
sessions
and
to
provide
healing
from
therapist-‐client
interaction.
In
this
workshop
Dr.
Parnell
will
present
the
five
basic
principles
of
Attachment-‐
Focused
EMDR
and
how
they
are
implemented
in
the
treatment
of
traumatized
clients
with
attachment
wounds.
Case
material
and
video
clips
of
sessions
will
be
used
to
illustrate
key
points.
El
EMDR
centrado
en
el
apego
es
un
nuevo
modelo
de
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
desarrollado
a
lo
largo
de
diecinueve
años
por
la
psicóloga
y
formadora
de
EMDR
Dra.
Laurel
Parnell
y
que
adapta
esta
terapia
de
trauma
potente
y
efectiva
a
las
necesidades
de
clientes
que
sufren
heridas
de
apego.
En
este
taller,
se
aprenderá
cómo
se
puede
modificar
el
protocolo
de
EMDR
de
tal
forma
que
fluye
con
mayor
facilidad,
apoya
la
seguridad
del
cliente,
mantiene
la
conexión
terapéutica
y
mejora
la
sintonía
(attunement).
Attachment-‐focused
EMDR
se
centra
en
el
cliente
y
refuerza
una
relación
terapéutica
reparadora,
con
una
combinación
de
Recursos
de
Tapping
(Resource
Tapping)
(Parnell,
2008)
para
fortalecer
a
los
clientes,
EMDR
para
procesar
los
traumas
y
“talk
therapy”
(terapia
hablada)
para
contribuir
a
integrar
la
información
de
las
sesiones
de
EMDR
y
para
proporcionar
la
curación
derivada
de
la
interacción
entre
terapeuta
y
el
cliente.
En
este
taller,
la
Dra.
Parnell
presentará
los
cinco
principios
básicos
de
Attachment-‐Focused
EMDR
y
cómo
se
implementan
en
el
tratamiento
de
clientes
traumatizados
y
con
heridas
de
apego.
Se
presentará
material
sobre
los
casos
y
vídeos
de
las
sesiones
para
ilustrar
los
puntos
más
importantes.
Keywords: Attachment Repair Relational Trauma
Accuracy Verified: Yes
48. Norcross, N. C., & Shapiro, F. (2002). Integration and EMDR. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 341-356). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
EMDR is a psychotherapy phenomenon that has been confronted
with multiple paradoxes. Its title explicitly invokes “eye movements,” but
the extant research now suggests that eye movements are not the only
means of invoking the central mechanism of therapeutic action (see Shapiro,
1995, 2001). The early EMDR training was criticized as closed and
unduly restrictive, yet the formal training course has now been completed
by more than 30,000 mental health professionals. The EMDR procedure
emerged from personal observations outside the scientific academy, yet
EMDR is currently the most extensively researched treatment for posttraumatic
stress disorder (PTSD; Maxfield & Hyer, 2002; Van Etten & Taylor,
1998). And EMDR originated from a rather narrow behavioral orientation
but has evolved into a leading integrative treatment.
Keywords: Psychotherapy Psychotherapy Integration
Accuracy Verified: Yes
49. Lyhus, K. E. (2003, April). Integration of EMDR with other therapeutic approaches: A survey investigation. Catholic University of America, Washington, DC. AAT 3067496.
Language: English
Format: Dissertation/Thesis
Abstract:
The present study examined assimilative integration, i.e., when techniques from various therapeutic approaches are imported into a single, consistent theoretical framework. Specifically, the aim of this study was to investigate how Eye Movement Desensitization and Reprocessing (EMDR), a manualized therapeutic approach originally developed as a treatment for traumatic memories, is incorporated into clinical practice. In assimilative integration, elements of the EMDR protocol would be expected to be conceptualized and possibly modified in ways that are consistent with the therapist's theoretical framework. A survey design, using web-based questionnaires, was implemented to gather information from therapists who use EMDR. Therapists responded to a broad range of questions regarding their theoretical orientation, involvement in EMDR organizations, and practice of EMDR. A large sample (N = 532) was obtained, and results demonstrated that most therapists integrated EMDR with other therapeutic methods. Further, there was some evidence that therapists were practicing assimilative integration. Specifically, therapists typically added methods consistent with their primary theoretical orientation and conceptualized the effective elements of EMDR as those that were most consistent with their orientation. Most therapists reported using most of the elements of the EMDR protocol, perhaps reflecting the high level of interest in EMDR among therapists in the sample. However, there were some differences related to therapists' level of commitment to EMDR. For example, members of the EMDR International Association used more elements of the protocol and were more likely to report that they did not combine other methods with EMDR when compared to nonmembers. The diagnosis of the client was also an important factor in how EMDR was integrated into treatment. For example, therapists treating clients with PTSD were more likely to report on their use of EMDR as the primary therapeutic approach and to integrate cognitive/behavioral methods than were those treating clients with other disorders. This study was among the first to examine the process of assimilative integration. The findings show that psychotherapy integration varies by therapists' base theoretical orientation, client factors, and therapists' commitment to the treatment method being integrated. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4912.
Keywords: Assimulative Integration Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Traumatic Memories
Accuracy Verified: Yes
50. Ringel, S. (2012). An integrative model in trauma treatment - utilizing eye movement desensitization and reprocessing and a relational approach with adult survivors of sexual abuse. Psychoanalytic Psychology. doi:10.1037/a0030044.
Language: English
Format: Journal
Abstract:
The aim of this article is to offer an integrative approach in the treatment of adult survivors of sexual abuse. The treatment orientation is psychodynamic and intersubjective and will draw on three conceptual models: (a) a developmental model based on current attachment research, (b) current neuroscience findings concerning traumatic memory that emphasize sensory, affective, and implicit knowing in the understanding and treatment of trauma, and (c) eye movement desensitization and reprocessing as an adjunctive technique to help access traumatic memories. The author will summarize each theoretical perspective and will provide a case illustration to demonstrate a treatment approach that incorporates all three modalities.
Keywords: Adults Relational Approach Sexual Abuse Survivors
Accuracy Verified: Yes
51. Miller, K. (2013, May). The intricacies of time orientation: Going beyond “What year is this? . Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Dual attention is necessary for successful EMDR trauma reprocessing. This implies the client has sufficient time
orientation, knowing the feelings are from a memory and the event is not happening now. Complex trauma and
PTSD’s component of flashbacks and reliving requires that clinicians have a myriad of time orientation skills
readily available when needed. EMDR therapists need to be especially attentive to this issue because of the
high intensity of affect EMDR can stimulate. This 90 minute workshop will teach the art and intricacies of time
orientation within an EMDR framework. Lecture, case transcripts and video clips will show the power, depth and
art of time orientation skills. Learning Objectives:
• Describe the theoretical reason why time orientation skills are
• Necessary when using EMDR with PTSD and complex trauma
• Describe the EMDR Standard Protocol Phase where the majority of time orientation interventions are used.
• Describe 5 ways to time orient a client
• Understand the power of time orientation to stabilize a client when using EMDR.
Keywords: Orientation Interventions Time Orientation Skills
Accuracy Verified: Yes
52. Farrell, D. (2005, June). An investigation into participants’ experiences of EMDR training and the implications for future developments in the teaching and learning of EMDR. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This study investigates the experiences of participants (N=103) who had
undertaken EMDR Level 1 or 2 training in Ireland. The audit ascertained
participant's core profession, main psychological treatment orientation,
present utilization of EMDR within current clinical practice, number of clients
treated, types of referral issues, average number of sessions, and provision
for clinical supervision. In addition participants provided feedback as to their
views on their EMDR training experience. EMDR trainings were criticised in
areas which included participant involvement, group practicum's,
competency and fitness to practice, clinical supervision, post training
professional development, and the lack of any systems of assessment of
either knowledge or application of EMDR. The findings were integrated into
the development of a university based EMDR training at Masters Degree
level with multiple modes of assessment.
Accuracy Verified: Yes
53. Robinson, N. S. (2012, June). Legacy informed EMDR: Promote positive and desensitize negative core beliefs stemming from transgenerational and cultural sources [Legado informado EMDR: Promover positivo y desensibilizar a las creencias negativas que se derivan de las fuentes principales transgeneracionales y cultural]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Ancestral, familial and cultural factors often become embedded and can
lay the foundation of core negative beliefs and symptomatology. Legacy informed
EMDR introduces the idea that EMDR can be utilized to reconsolidate
transgenerational roots of symptomatology. The workshop outlines how to use
EMDR to: 1) promote a positive core belief by accessing legacy-based resources 2)
desensitize legacy-based maladaptive beliefs, traumatic events and emotional
baggage 3)help clients develop an affirming coherent life narrative. This
integrative approach is informed by a wide range of recent, notable researchers in
the fields of neurobiology, attachment, and family systems (Siegel,1999, 2010;
Main,1990; Boszormenyi-Nagy,1984; White, M. & Epston, D,1990).
The workshop addresses how to incorporate legacy informed work into the
standard 8-phase, 3-pronged protocol. Phase 1 includes an extended genogram. A
core positive cognition is elicited and a VOC is taken as part of goal setting. Legacy
based resources are developed for preparation and RDI. The standard protocol is
used to desensitize traumatic targets. Access to ancestral, familial and cultural
beliefs and information is gained with an EMDR time-line similar to that used in
Maureen Kitchur’s Strategic Developmental Model (Kitchur, 2005).
Clinicians can complete a course of EMDR therapy by reconsolidating threads from
the distant past, remembered past, current being and future vision. Material often
emerges and is reprocessed relating to race, gender, disabilities, sexual orientation
and socio-economic dynamics as well as trauma and oppression. This legacy
workshop is practice oriented and is anecdotally based on the presenter’s clinical
work.
Factores
ancestrales,
familiares
y
culturales
en
muchas
ocasiones
se
ensamblan
y
pueden
llevar
a
la
formación
de
creencias
irracionales
y
sintomatología.
El
Legado
informado
EMDR
introduce
la
idea
de
que
el
EMDR
puede
ser
utilizado
para
reconsolidar
las
raíces
transgeneracionales
de
la
sintomatología.
El
taller
revisa
como
usar
el
EDMR
para:
(1)
Promover
las
creencias
positivas
accediendo
a
los
recursos
basados
en
el
legado
(2)
Desensibiliza
mediante
el
legado
las
creencias
desadaptativas,
eventos
traumáticos
y
bagaje
emocional.
(3)
Mantener
el
desarrollo
de
los
clientes
y
afirmar
la
coherencia
narrativa
de
la
vida.
Este
enfoque
integrativo
esta
creado
a
partir
de
un
amplio
espectro
de
recientes
e
importantes
investigaciones
en
los
campos
de
la
neurobiología,
apego
y
sistemas
familiares(Siegel,1999,
2010;
Main,1990;
Boszormenyi-‐Nagy,1984;
White,
M.
&
Epston,
D,1990).
Este
taller
muestra
como
incorporar
el
legado
informado
al
trabajo
de
las
8
fases,
con
el
protocolo
de
3
flancos.
La
fase
uno
incluye
un
árbol
genealógico.
Una
cognición
positiva
es
elicitada
y
el
VOC
es
cogido
como
parte
de
una
meta.
Los
recursos
basados
en
el
legado
son
desarrollados
para
la
preparación
y
el
RDI.
El
protocolo
estándar
es
usado
para
desensibilizar
los
recuerdos
diana.
Acceder
a
los
recuerdos
ancestrales,
familiares
y
culturales
y
la
información
proporcionada
por
el
EMDR
a
tiempo
real
es
similar
en
la
usada
por
el
modelo
de
desarrollo
estratégico
de
Maureen
Kitchur(Kitchur,
2005).
Los
clínicos
pueden
completar
el
curso
de
EMDR
reconsolidando
estos
enunciados
del
pasado
distante,
pasado
recordado,
presente
y
visión
futura.
A
menudo
el
material
surge
y
es
reprocesado
en
función
a
la
raza,
genero,
discapacidad,
orientación
sexual
y
dinámicas
socioeconómicas
como
el
trauma
y
la
opresión.
Este
taller
de
legado
es
una
práctica
orientada
y
esta
basada
de
manera
anecdótica
en
el
trabajo
clínico
del
ponente.
Keywords: Core Beliefs Cultural Transgenerational
Accuracy Verified: Yes
54. Merlis, D. (1998, June 2). Letters. Washington, DC: The Washington Post.
Language: English
Format: Newspaper
Abstract:
The Wave of a Hand "Can Trauma Be Relieved By the Wave of a Hand" {Cover Story, April 21} was a disappointment in that it failed to inform the reader about many important developments taking place not only related to Eye Movement Desensitization and Reprocessing (EMDR) therapy but in the neurosciences in general. Many leading traumatologists are using EMDR and endorse it as an important part of the multi-modal treatment of complex traumatic stress disorders. The article included a statement, "desperate people believe in desperate things," that is very disrespectful of the many thousands of trauma victims who have suffered and found relief with EMDR treatment. EMDR is not a magical and painless process. The individuals who have used EMDR to recover have worked very hard in their treatment. They should be acknowledged for their courage and determination. And far from being member of a "charismatic cult," as the story suggested, clinicians who use EMDR care are considerably diverse in terms of their theoretical orientation and world views.
Keywords: Letter
Accuracy Verified: No
55. Knipe, J. (2009). The method of constant installation of present orientation and safety (CIPOS). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 235-241). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: CIPOS Constant Installation Present Orientation Protocol Safety
Accuracy Verified: Yes
56. Eckers, D. (2009). The method of constant installation of present orientation and safety (CIPOS) for children. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 51-58). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Children CIPOS Constant Installation Present Orientation Protocol
Accuracy Verified: Yes
57. Lazarus, A. A. (1995, Issue 3). The multimodal orientation. EMDR Network Newsletter, 5(3), 3-4.
Language: English
Format: Newsletter
Abstract:
When I took the Level EMDR training,
I was impressed by the fact that it
dovetails very nicely with the
multimodal outlook and tends to cover
the same essential modalities. In Las
Vegas, while we were at the Evolution
of Psychotherapy Conference, Dr.
Francine Shapiro and I chatted about
numerous ideas, including the way in
which people familiar with EMDR
could profit from employing
multimodal assessment methods. Dr.
Shapiro perused the Multimodal Life
History Questionnaire (Lazarus &
Lazarus, 1991), for instance, and felt
that it could be a useful addendum in
the hands of well-trained EMDR
therapists and invited me to write
this very brief outline of the
multimodal therapy rationale.
Keywords: Multimodal Approach
Accuracy Verified: Yes
58. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14.
Language: English
Format: Journal
Abstract:
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values.
From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client.
Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories.
Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings.
[AAETS]
Keywords: Eriksonian Hypnosis Narrative Constructionist
Accuracy Verified: Yes
59. Bossini, L., Poliziotto, N., Tavanti, M., Calossi, S., Lombardelli, A., Vatti, G., & Castrogiovanni, P. (2006, Febbraio). Neuroimaging e PTSD: Dati morfovolumetrici e loro variazioni dopo trattamento [Neuroimaging and PTSD: Facts morfovolumetrici and their changes after treatment]. Presentazione al Congresso XI SOPSI (Società Italiana di Psicopatologia), Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Introduzione: molti studi concordano sulla riduzione del volume ippocampale nei pazienti affetti da PTSD 1 e che tale alterazione anatomica è correlata con deficit cognitivi e
con la gravità dei sintomi. Comunque ad oggi non è stato ancora chiarito se l’atrofia ippocampale rappresenta l’esito di un effetto neurotossico del trauma o, piuttosto, una condizione
preesistente che predispone allo sviluppo di alcune patologie psichiatriche. Già da tempo studi su animali dimostrano
come lo stress causi atrofia ippocampale e inibizione della
neurogenesi, con meccanismi verosimilmente legati ai glucocorticoidi, all’increzione del fattore corticotropo, all’aumento degli aminoacidi eccitatori, all’inibizione fattore
neurotrofico cerebrale con perdita della plasticità neuronale. Nell’uomo, tuttavia, i risultati non sono così lineari. Da un
lato alcuni studi hanno individuato come fattore principale l’aumento dei glucocorticoidi 2, dall’altro tale teoria è stata fortemente criticata 3. Secondo Yehuda il meccanismo di
atrofia ippocampale è dovuto ad un’alterazione dell’asse
Ipotalamo-Ipofisi-Surrene (HPA), ma in termini di una bassa
increzione di glucocorticoidi che determina un aumento del
feedback negativo dell’asse stesso ed un’ipersensibilità recettoriale.
Indipendentemente dal meccanismo d’azione, la perdita di neuroni a livello ippocampale nei soggetti che hanno subito eventi traumatici sembra sufficientemente dimostrata e, fino a poco tempo fa, era considerata irreversibile. In realtà l’ippocampo sembra presentare una inusuale e spontanea capacità rigenerativa. Questo dato è stato individuato in molte specie animali e, in un unico studio, anche nell’uomo 4. Inoltre recenti evidenze pre-cliniche e cliniche hanno indicato che gli SSRI (Selective Serotonin Reuptake Inhibitors) promuovono la neurogenesi e riducono l’atrofia ippocampale
indotta dallo stress nell’animale 5 e nell’uomo sono in grado
di ridurre i sintomi del PTSD, incrementare le dimensioni
dell’ippocampo e ridurre i deficit mnesici tipici della patologia
6 7. Un altro fattore che sembra essere in grado di stimolare la neurogenesi negli animali sembra essere “l’ambiente arricchito” verosimilmente tramite i meccanismi molecolari dell’apprendimento che sembrano in grado di attivare la trascrizione dell’mRNA per il Brain Derived Neurotrophic Factor. Questo dato della letteratura supporta il razionale dell’efficacia della psicoterapia anche se l’unico studio
che valuta le modificazioni morfostrutturali dopo psicoterapia non ha riportato risultati positivi 8. Gli scopi di questo studio sono:
– valutare la presenza di atrofia ippocampale nei pazienti affetti da PTSD (T0-drug-free);
– valutare l’effetto della terapia: farmacologica con SSRI e
psicoterapica con EMDR (Eye Movement Desensitization and Reprocessing) sia sul piano clinico e neuropsicologico,
che sul volume ippocampale, sia sulla memoria (T1). Metodologia: abbiamo analizzato un campione di 20 pazienti, di età compresa tra i 15 ed i 65 anni, reclutati nell’ambulatorio psichiatrico del Policlinico universitario di
Siena affetti da PTSD e un gruppo di controllo di soggetti
sani appaiati per sesso, età, peso e altezza. I soggetti di entrambi
i gruppi sono stati sottoposti ad uno studio morfovolumetrico
computerizzato dell’Ippocampo tramite RM (Risonanza Magnetica). Inoltre, i diciassette pazienti con PTSD sono stati valutati tramite la somministrazione di test neuropsicologici
e scale psicometriche per approfondire il quadro
psicopatologico e valutare l’eventuale presenza di deficit cognitivi. Nei soggetti affetti da PTSD dopo un periodo di sei mesi di
terapia psicofarmacologica sono stati ripetuti i test neuropsicologici,
le scale psicometriche e l’analisi morfovolumetrica dell’ippocampo tramite RM.
Tre pazienti, dopo le valutazioni al T0, hanno effettuato un protocollo terapeutico con solo EMDR e sono stati rivalutati
dopo 8 sedute (due mesi).
Risultati: i risultati della prima parte sperimentale (T0-drug-free) evidenziano che le dimensioni dell’ippocampo di
sinistra nei soggetti affetti da PTSD sono significativamente minori rispetto ai controlli sani. Dai risultati osservati al follow-up (T1-post-terapia) è possibile
evincere che la terapia nei soggetti considerati è associata ad un miglioramento della sintomatologia e ad un aumento
dei volumi ippocampali, pari al 9,87% per l’ippocampo di destra e dell’8,37% per l’ippocampo di sinistra. Questi dati
sono concordi con i dati presenti in letteratura, anche se la percentuale di recupero su base neuroplastica nel nostro studio
risulta sensibilmente superiore rispetto ai due studi presenti in letteratura incremento pari al 4,6% 6; pari al 5% 7. I tre pazienti che hanno effettuato terapia con EMDR hanno
anch’essi mostrato al T1 un miglioramento sintomatologico (CAPS non più positiva per i criteri diagnostici) ed un aumento
medio dei volumi ippocampali pari a 338,25 mm3 per
l’ippocampo DX e 357,93 mm3 per l’ippocampo SN.
Conclusioni: la terapia nei soggetti considerati si è associata ad un aumento dei volumi ippocampali (9,87%-8,37%).
L’aumento dei volumi ippocampali appare rilevante, consistente con i dati in letteratura, sebbene quantitativamente superiore, sottolineando l’efficacia degli SSRI verosimilmente tramite il meccanismo di attivazione della neurogenesi;
è ipotizzabile che l’aumento di volume non sia da imputare ad un aumento delle cellule gliali ma ad un aumento di neuroni ippocampali visto il contemporaneo miglioramento clinico. Particolarmente interessante ci sembra il dato relativo all’efficacia clinica e sulla plasticità neurale della EMDR.
Questa osservazione su solo tre casi, necessita chiaramente di essere confermata su un campione più ampio ma rappresenta la prima evidenza in letteratura di un’azione della psicoterapia
diretta alla struttura cerebrale.
Introduction: Many studies agree on the reduction of hippocampal volume in patients with PTSD and that an anatomical alteration is correlated with cognitive deficits and the severity of symptoms. However to date has not yet been clarified whether hippocampal atrophy is the result of a neurotoxic effect of trauma or, rather, an underlying condition that predisposes to the development of some psychiatric disorders. For some time animal studies show that stress causes hippocampal atrophy and inhibition of neurogenesis, by mechanisms probably related to glucocorticoids, all'increzione corticotropo factor, increased excitatory amino acid, inhibition of brain neurotrophic factor with loss of neuronal plasticity. In humans, however, the results are not so linear. On the one hand, some studies have identified as the main factor increasing glucocorticoid two other such theory was strongly criticized 3. According to Yehuda mechanism of hippocampal atrophy is due to an alteration of hypothalamic-pituitary-adrenal (HPA), but in terms of a low secretion of glucocorticoids leading to an increase of negative feedback axis and the same receptor hypersensitivity . Regardless of the mechanism of action, loss of neurons in hippocampus in people who have suffered traumatic events seems sufficiently established and, until recently, was considered irreversible. In fact, the hippocampus appears to be an unusual and spontaneous regenerative capacity. This figure has been identified in many animal species and in one study in humans 4. Moreover, recent evidence pre-clinical and clinical studies have shown that SSRIs (Selective Serotonin Reuptake Inhibitors) promote neurogenesis and reduce stress-induced hippocampal atrophy in animals 5 and humans are able to reduce symptoms of PTSD, increase the size of the hippocampus and reduce the deficit mnesic typical of the disease 6 7. Another factor that seems to be able to stimulate neurogenesis in animals seems to be "enriched environment" probably through molecular mechanisms of learning that seem able to activate the transcription of mRNA for Brain Derived Neurotrophic Factor. This finding supports the rationale of the literature of the effectiveness of psychotherapy, even if the only study that evaluates changes morphostructural after psychotherapy has shown positive results 8. The aims of this study are: - To evaluate the presence of hippocampal atrophy in patients with PTSD (T0-drug-free) - to assess the effect of therapy: pharmacological SSRI and psychotherapy with EMDR (eye movement desensitization and reprocessing) is a clinical and neuropsychological, and on hippocampal volume, and memory (T1). Methods: We analyzed a sample of 20 patients, aged between 15 and 65, recruited nell'ambulatorio Psychiatric University Hospital of Siena with PTSD and a control group of healthy subjects matched by sex, age, weight and height. Subjects in both groups were subjected to a computerized study morfovolumetrico dell'Ippocampo using MRI (Magnetic Resonance). In addition, seventeen patients with PTSD were assessed through administration of psychometric scales and neuropsychological tests to study the psychopathological picture and evaluate the possible presence of cognitive deficits. In subjects with PTSD after a period of six months of pharmacological therapy were repeated neuropsychological tests, scales psychometric analysis morfovolumetrica hippocampus by MRI. Three patients at T0 after assessments, carried out a treatment protocol with only EMDR and were reassessed after eight sessions (two months). Results: The results of the first experiment (T0-drug-free) show that the size of the left hippocampus in patients with PTSD are significantly lower compared to healthy controls. The results observed during the follow-up (T1-post-therapy) can be inferred that therapy in patients considered to be associated with improvement in symptoms and an increase in hippocampal volume, equal to 9.87% for the right hippocampus and 8, 37% for the left hippocampus. These data are consistent with the data in the literature, although the recovery rate based on neuroplastic in our study is significantly higher than in the two studies in the literature increase of 4.6% 6; 5% 7. The three patients who have treatment with EMDR have also shown an improvement in symptoms at T1 (CAPS no longer positive for the diagnostic criteria) and an average increase in hippocampal volume amounted to 338.25 mm3 for the hippocampus and DX 357, 93 mm3 for the hippocampus SN. Conclusions: Therapy in patients considered was associated with an increase in hippocampal volume (9.87% -8.37%). The increase in hippocampal volume appear to be relevant, consistent with the literature data, although quantitatively greater, stressing the effectiveness of SSRIs probably through the mechanism of activation of neurogenesis, it is conceivable that the increase in volume is attributable to an increase glial cells but an increase of hippocampal neurons seen the simultaneous clinical improvement. Seems particularly interesting given the relative clinical effectiveness of EMDR and neural plasticity. This observation on only three cases, clearly needs to be confirmed on a larger sample but represents the first evidence in the literature of action of psychotherapy directed at brain structure.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
60. Blore, D. C. (2012, October). New directions for EMDR: The EMDR UK & Ireland, Internet-based: Positive psychology & EMDR special interest group (SIG). Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
This presentation – the first face-to-face meeting of the SIG, is an update on the status of the SIG and the effectiveness of uniquely launching the group on the www.linkedin.com website. In the first year of its existence, the SIG has attracted over 330 members from 36 countries. Although its inception was created by EMDR UK & Ireland it is clear from the current membership of over 330 from 36 countries worldwide that interest in this field far exceeds national boundaries. Nevertheless at present two thirds of members are from the UK.
The aims of the SIG are:
To bring together members of EMDR UK & Ireland who share a common interest in Positive Psychology as applied to EMDR and to foster awareness of a 'total beneficial outcome' of EMDR i.e. not just the ability of EMDR to reduce negative psychological symptomatology, but to additionally examine Positive Psychological Change including Post Traumatic Growth, Performance Enhancement and the development of the Maslowvian principle of an individual's full 'psychological height'.
The aims are to be achieved by:
Encouraging members to contribute to EMDR conferences, other related presentations, writing of papers for publication, whilst also acting as a resource/ support for EMDR researchers as well as fostering links to other appropriate organisations e.g. members of other National and International EMDR Associations as well as other Positive Psychology Associations e.g. the UK Centre for Applied Positive Psychology (CAPP).
The presentation will also set out the SIG’s agenda for the next two years up until the EMDR Europe Conference in Edinburgh 2014.
Keywords: Internet Positive Psychology & EMDR Special Interest Group SIG
Accuracy Verified: Yes
61. Shapiro, F. (2009). On science, orthodoxy, EMDR, and the AIP, H. Lipke, invited response. Journal of EMDR Practice and Research, 3(2), 110-111. doi:10.1891/1933-3196.3.2.109.
Language: English
Format: Journal
Abstract:
Thank you for the invitation to respond to Dr. Lipke’s
letter. I will confine myself to statements regarding
the adaptive information processing (AIP) model and
my text. However, I would like to begin by stating
that I applaud the free exchange of ideas regarding the
model. I formulated the principles in 1990 because the
effects I was observing with “EMD” could not be explained
by my original behavioral orientation. These
AIP principles were pivotal in the development of the
current procedures and protocols of eye movement
desensitization and reprocessing (EMDR), moving it
from a technique to a psychotherapy approach, offering
a comprehensive view of the clinical picture and
successful treatment applications. [Excerpt]
Keywords: Adaptive Information Processing AIP Letter Orthodoxy Science
Accuracy Verified: Yes
62. Farrell, D., & Keenan, P. (2007, June). Participant's experiences of EMDR training within the UK and Ireland. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This study investigated the experiences of several hundreds of participants who had undertaken EMDR training in the United Kingdom and Ireland over the last ten years. The research group was drawn from both the membership of the EMDR UK and I Approved Commercial Training. The research ascertained participant’s core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. Participants were then asked to provide feedback as to their views on their EMDR training experience. Results demonstrated a significant proportion of practitioners integrated EMDR with Cognitive Behavioural Therapy more than any other paradigm. EMDR trainings were criticised in areas which included participant involvement, post training, professional development, and systems of assessment of knowledge and application of EMDR. The findings suggest a need to develop competency based curriculum training in EMDR. Arguments will be presented to support the need to teach EMDR within a wider clinical context.
Keywords: Ireland Training Treatment UK United Kingdom
Accuracy Verified: Yes
63. Foster, S., Lendl, J., & Parrett, B. (1995, June). Peak performance in the work place. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In his book, Anxietv Disorders and Phobias, Aaron Beck, MD, wrote cogently about the so-called "evaluation anxieties." He
employed the metaphor of the tightrope walker to describe the constant worry about a possible "fall from grace" experienced
by the person troubled by concern about performing well in a variety of life situations. Beck divided these situations into
three categories: social situations; school and work settings; and what he called "transactions with the outside world,"
meaning instances of shopping and traveling.
The focus of this three-hour presentation is evaluation or performance anxiety (as it is more often termed) in the workplace
and applications of EMDR to removing blocks to optimal functioning at work. The theoretical contribution of Beck and his
colleagues will shape the presenters' information about why performance anxiety develops and who is likely to be vulnerable
to it. The rationale for this extension of the EMDR model will be grounded in the theoretical framework of cognitive
therapy.
The two presenters bring their considerable experience with EMDR (five+ years) and expertise in peak performance
consulting to participants in this session. From their background, they will derive the presentation's emphasis on EMDR
applications that are immediately useful to the participants.
To begin, the presenters will provide the aforementioned theoretical understanding of "evaluation anxiety" and its
manifestation as performance anxiety in the workplace. Approximately the first quarter of the presentation will be spent in
didactic material that describes specifically how performance anxiety interferes with optimal functioning at work across a
variety of occupations. Drs. Foster and Lendl will elaborate on two situations in which performance anxiety is especially
likely to occur in work-related situations: 1) during periods of rapid change; and 2) during the performance review process.
Having established this basis of understanding, the presenters will move on to describe the most commonly observed
psychological blocks that impede optimal performance in work settings: 1) external conflicts brought into work; 2) feeling
like an 'impostor' in one's position at work, 3) perfectionism as a barrier to performance; 4) past failures that operate as
anticipatory anxieties (for example, a client's worry that a past mistake or setback might recur in the future); 5)
discrimination on the basis of gender, race, ethnicity, sexual orientation, education or age.
Using actual transcripts and videotaped excerpts of their sessions, the presenters will demonstrate how their EMDR
interventions may be applied. The presenters will show participants how to assess their own current and prospective clients
for the psychological blocks that are interfering with work performance. Efficient ways to elicit negative and positive
cognition for these work-related issues will be precisely described. The expected course of the EMDR processing will be
illustrated using the presenters' cases which include a perfectionistic dentist, a high level executive after a layoff, a female
manager desiring a promotion who is grappling with a chauvinistic boss, and performing artists struggling with stage fright
and other barriers to their optimal performance.
The presenters will then share with participants the ways in which they assist their clients in reaching and maintaining
balance in their life- and work styles, in what the presenters call "Using EMDR to meet daily challenges with optimal
response." Specific strategies for integrating EMDR into broader-based interventions will be described for assisting clients
in: 1) increasing self-trust; 2) learning to capably manage crises; 3) increasing focus and attention at work; and 4) setting
priorities and using time effectively.
Lastly, Drs. Foster and Lend will demonstrate additional EMDR applications for assisting clients in attaining and
maintaining what the presenters call "Optimal Well-Being." Citing case material, the presenters will show participants the
means by which EMDR can be employed to speed recovery from illness and to decrease the rehabilitation time needed
following an injury.
Participants will be given the opportunity to rehears several of the applications described and to receive feedback fiom the
instructors.
Reference: Beck, A.T. (1985). Anxiety Disorders and Phobias, Basic Books, New York.
Keywords: Peak Performance Performance Enhancement
Accuracy Verified: Yes
64. Gregoire, A. (2008, Mai). Pourquoi, quand et comment intégrer l’EMDR dans le processus thérapeutique [Why, when, and how to integrate EMDR in the therapeutic process]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Cette présentation explore les contributions spécifiques d’EMDR en tant que modèle d’analyse et de compréhension de la psychopathologie et en tant que technique thérapeutique. Quelles situations cliniques sont propices pour introduire l’EMDR, que le modèle soit intégré à l’intérieur du processus thérapeutique, ou encore, introduit par le biais d’une référence à un thérapeute EMDR pour une série de sessions ? Pourquoi introduire l’EMDR dans un processus thérapeutique? À quel moment l’EMDR est-il le plus approprié en tant que modèle ou comme technique? Enfin, quelle est la meilleure façon d’entreprendre un processus EMDR et quels sont les éléments cliniques pouvant servir de déclencheurs ou de préambule au protocole EMDR?
This presentation will explore the specific contributions of EMDR as model of analysis, interpretation of psychopathology and psychotherapeutic techniques within the context of the psychotherapy relationship. What
are the clinical situations in which EMDR can best be introduced either as integrated in the psychotherapy process or as we have observed, as involving a referral to an EMDR therapist for a series of sessions.
Why introduce EMDR into the psychotherapy process?,
When is an EMDR intervention most appropriate for its optimal use as model and as technique?, and
How can an EMDR process best be introduced? and what are the clinical issues which can be used as triggers and as preamble to the EMDR protocol?
Keywords: Psychotherapeutic Orientation
Accuracy Verified: Yes
65. Shapiro, F. (2002, June). Protecting the future. Plenary presented at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
In the past 12 years, EMDR has evolved into an integrative treatment approach emphasizing not only symptom elimination, but learning and
personal growth as well. However, the degree to which the client is benefited is determined by the orientation of the clinician. Likewise, the
degree to which society is benefited is determined by the orientation of our field. What have we accomplished so far and what remains to be done? This presentation will review the history of EMDR over the last 12 years and the implications of these events for the future.
Keywords: History
Accuracy Verified: Yes
66. Monticelli, M. L. (2008, Novembre). Psicoterapia cognitivo costruttivista e EMDR integrati: verso un’evoluzione mente-corpo consapevole e collettiva [Cognitive constructivist EMDR integrated into development mind-body awareness and collective]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I limiti mentali autoimposti acquisiti da copioni familiari reiterati in età evolutiva e da modelli operativi interiori acquisiti dalle autorità societarie attraverso mezzi di comunicazione di massa e regole educativo-lavorative, inducono percentuali sempre più rilevanti della popolazione europea alla vulnerabilità psicopatologica. L’esordio delle sintomatologie psichiche e somatiche di varia entità, avviene già in fasi precoci, nella primissima infanzia e spesso già nelle fasi prenatali, e il limite di età tende percentualmente a essere sempre più sensibile fin dal primo mese di vita. In età scolare si manifestano situazioni comportamentali quali il cosiddetto “bullismo” e fenomeni con campionature rilevanti di sindromi ipercinetiche con deficit attentivo e disturbi del-l’apprendimento. In adolescenza il contesto si complica e gli attacchi di panico, le sindromi depressive e i disturbi alimentari psicogeni dilagano, fino all’esordio di disturbi post-traumatici da stress che si incrementano in seguito alle difficili scelte di orientamento universitario o lavorativo. La vulnerabilità dell’età adulta si manifesta con disturbi somatoformi di diversa natura, disturbi psicocardiologici, sindromi ansioso-depressive, attacchi di panico, disturbi di coppia e relazionali, per citare i più frequenti e limitandomi solo ad accennare l’esistenza della molteplicità di disturbi iatrogeni. In tali soggetti, la consapevolezza di essere indotti in stati di shock che incrementano molteplici disturbi somatoformi e psicopatologici è praticamente assente. Essi, come pazienti, si rivolgono agli specialisti in ambito sanitario con la convinzione, spesso indotta da propagande dei mass-media, che tutto sia solo genetico, e vada "curato" con farmaci per lunghi periodi se non per tutta la vita. Anche da parte degli operatori sanitari vi sono ampie aree di inadeguatezza metodologica: ad esempio, la gravidanza viene gestita come fosse una malattia, riducendo la donna partoriente a una paziente alla quale troppo facilmente si “consiglia” il parto cesareo (statisticamente tra i più frequenti in Italia!) come metodo “veloce e sicuro” di parto, togliendo la competenza materna dell’imprinting alla nascita del bambino con le conseguenze psicologiche che ne derivano per la relazione madre-bambino e per la crescita serena di quest’ultimo, e, sempre a titolo esemplificativo, ignorano quasi del tutto gli aspetti di psicocardiologia, e il loro intervento si riduce a esami medici invasivi e a somministrazione di farmaci. Eppure, la psicoterapia cognitiva costruttivista, e specificamente modelli teorici e tecniche strategiche specialistiche note come EMDR (Eye Movement Desensitization and Reprocessing), l’utilizzo di biofeedback, l’innovativo training emotivo-cognitivo-comportamentale da me ideato nelle due versioni per la psicoterapia e per i gruppi in formazione che incrementa il riconoscimento emotivo e l’implementazione di immagini mentali idonee a modificare cognizioni e comportamenti irrazionali, quando eticamente e competentemente applicati, fanno molto per questi pazienti, sia in quanto si incrementa sensibilmente il livello della loro consapevolezza e della loro capacità di farsi protagonisti nel-l'evoluzione positiva della loro “guarigione”, sia in quanto si può intervenire in modo mirato con sperimentati protocolli per la risoluzione dello stato di trauma psichico in tempi ragionevolmente rapidi e con risultati attendibili e verificabili. Passando dalla dimensione individuale a quella collettiva, ossia alla psicopatologia collettiva cagionata dall’esposizione (anche solo mediatica) ad eventi catastrofici o angoscianti (magari associati a senso di impotenza, insicurezza, precarietà) o a diversi tipi di stress e vulnerabilità, possiamo aggiungere che, analogamente, mediante un lavoro su sistemi di neuroni specchio e sull'attivazione di nuove connessioni di reti neurali con un modello operativo non invasivo, si potrebbe migliorare la condizione di intere popolazioni rispetto a disturbi che, oggettivamente, sono in continua diffusione.
Sarebbe opportuno iniziare una sensibilizzazione collettiva partendo dalla formazione per livelli differenziati degli operatori educativi e sanitari, per poi estenderla alla popolazione suddividendola
per fasce di età e per territori di appartenenza; purtroppo la consapevolezza non è tra le aspettative primarie di committenti rivolti solo al profitto economico.
In un contesto storico-culturale dove l’etica, le relazioni umane, la cooperazione sembrano utopiche fiabe, questa è la sfida di essere una perturbatrice emotivamente orientata ad amplificare la consapevolezza attraverso un nuovo modello psicoterapeutico e formativo integrato, al quale sto lavorando da alcuni anni con risultati incoraggianti e che sarà mia premura esporre dettagliatamente durante il Congresso EMDR 2008.
The self-imposed mental limitations acquired from family scripts repeated age and developmental models inner acquired by the company operating through means of mass communication and
educational and working rules, induce percentage increasing as the population of Europe vulnerability to psychopathology. The onset of symptoms of various psychological and somatic
entity, is already in the early stages, in early childhood and often known during prenatal and age limit percentage tends to be more sensitive since the first month of life. Age
school behavioral situations occur where the so-called "bullying" and phenomena samples relevant syndromes of attention-deficit and hyperactive disorder - learning. In adolescence the context is complicated and panic attacks, the syndromes psychogenic depression and eating disorders are rampant, until onset of post-traumatic disorders stress which increases as a result of difficult choices of university or business orientation. The vulnerability of adulthood is manifested by different types of somatoform disorders, disorders psycho, anxious-depressive syndrome, panic attacks, disorders of torque and relational to cite the most frequent is limited only to mention the existence of multiplicity of disorders iatrogenic. In these subjects, conscious of being led into a state of shock that increase multiple somatoform disorders and psychopathology is virtually absent. They, like patients, addressed to specialists in the health field with the belief, often driven by propaganda media, that everything is just genetic, and must be "cured" with drugs for long periods if not for life. Including by health workers there are large areas of inadequacy
methodological: for example, pregnancy is managed as if it were a disease, reducing the woman in labor to a patient which too easily "advise" Caesarean (statistically the most frequent in Italy!) as a method of "fast and safe childbirth, removing the competence of imprinting the birth mother of the child with the psychological consequences that entailed for the mother-child and to the peaceful growth of the latter, and, also example, know little about the aspects of psycho, and their intervention reduces to invasive medical examinations and medication. Yet, cognitive psychotherapy
constructivist theoretical models and specific strategic and technical specialists known as EMDR (eye movement desensitization and reprocessing), the use of biofeedback, the innovative
emotional-cognitive-behavioral training which I designed in two versions for psychotherapy and groups in training that increases the emotional recognition and implementation of
mental images likely to change, knowledge and irrational behavior, when ethically and competently applied, do a lot for these patients, both because it increases
significantly the level of their awareness and their ability to get players in - the positive development of their "healing", both as it can intervene in a targeted manner with
tested protocols for the resolution of the state of psychic trauma in the reasonably rapid and reliable and verifiable results. Moving from individual dimension to that
collective, that is caused by exposure to psychopathology group (even the media) to distressing or catastrophic event (perhaps associated with the sense of powerlessness, insecurity, instability) or
different types of stress and vulnerability, we can add that, similarly, through a work on systems of mirror neurons and activation of new connections of neural networks with a model
operating non-invasive, it could improve the condition of entire populations than disorders that, objectively, are in constant circulation. It would be appropriate to start a collective awareness levels, starting from training differential operators' education and health, then extend it to the population divides
by age and territories belonging unfortunately the awareness is not between the expectations primary principals addressed only in profit or loss. In a historical-cultural context where ethics, human relations, cooperation seem utopian fairy tales, this is the challenge of being an emotionally disturbing oriented to amplify the awareness through a new model of psychotherapy and integrated training, which I working for several years with encouraging results and that will spell out my readiness EMDR 2008 during the Congress.
Keywords: Mind-Body Awareness Poster
Accuracy Verified: Yes
67. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.
Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
68. Sharp, I. R. (2003, August). The role of critical thinking skills in practicing psychologists' theoretical orientation and choice of intervention techniques. Drexel University.
Language: English
Format: Dissertation/Thesis
Abstract:
Over the past two decades, professional psychology has witnessed a growing
movement towards the utilization of psychotherapies that have empirical support.
Despite this development, therapies that have not been empirically supported
continue to experience widespread use. Concurrently, a collection of novel
interventions, known as Power/Energy therapies (P/ET’s), has emerged. Although
these therapies are based on questionable theoretical foundations and enjoy little or no
empirical support, their popularity with clinicians appears to be strong and growing.
There is scant research examining individual differences with respect to the practice
habits of professional psychologists. The present study examined whether critical
thinking skills are a factor in psychologists’ choice of therapeutic interventions,
including their use of P/ET’s. As hypothesized, participants who reported using a
number of techniques from Power and Energy therapies scored significantly lower on
a measure of critical thinking skills. Also as hypothesized, individuals who reported
using a number of cognitive-behavioral techniques scored significantly higher on the
measure of critical thinking skills. Implications and suggestions for future research
are discussed.
Accuracy Verified: Yes
69. Forgash, C. A., & Knipe, J. (2001, June). Safety-focused EMDR/Ego state treatment of severe ego state disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will learn 1) why emotional safety is a primary concern in the treatment of Ego State Disorders with EMDR; 2) a way to accurately monitor, using treatment, a client's orientation to present time and safety; and 3) specific innovative treatment strategies which use alternate stimulation to enhance feelings of safety, thereby facilitating processing.
Keywords: Ego State Therapy Emotional Safety Integrated EMDR/Ego State Treatment
Accuracy Verified: Yes
70. Plassmann, R. (2005, September). Stationare psychotherapie mit EMDR bei patientinnen mit anorexie und bulimie [Inpatient psychotherapy with EMDR in patients with anorexia and bulimia]. Vortrag auf der 13th International Conference on Eating Disorders, Innsbruck, Österreich.
Language: German
Format: Conference
Abstract: Ein traumatherapeuisches Konzept fur die stationare Psychotherapie von Patientinnen mit Essstorungen (Anorexie und Bulimie) wird vorgestellt. Die Behandlung ist aufgebaut in 4 Phasen (Stabilisierung, Ressourcenorganisation, Exposition, Neuorientierung). Neue methodische Elemente sind die aktive Selbstatabilisierung und die Integration von EMDR. Durch diese traumatherapeutische Konzeption haben sich die Behandlungsergebnisse sehr verbessert. Vorgestellt wird die Auswertung von insgesamt 174 abgeschlossenen stationaren Psychotherapien.
A concept for the steady traumatherapeuisches psychotherapy of patients with eating disorders (anorexia and bulimia) is presented. The treatment is structured in four phases (stabilization, resource organization, exposure, orientation). New methodological elements are active Selbstatabilisierung and integration of EMDR. Through this concept, the traumatic therapeutic treatment results have improved a lot. Presented is the evaluation of a total of 174 completed stationary psychotherapy.
Keywords: Anorexia Bulemia Eating Disorders
Accuracy Verified: Yes
71. Greenwald, R. (2000). The trauma orientation and child therapy. In K. N. Dwivedi (Ed.), Post-traumatic stress disorder in children and adolescents (pp. 7-24). London: Whurr Publishers.
Language: English
Format: Book Section
Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct disorder in conjunction with other contributing factors. Trauma history is virtually universal in this population, and trauma effects can help to account for many features of the disorder including lack of empathy, impulsivity, anger, acting out, and resistance to treatment. The current standard of care fails to fully address trauma, which may partially explain the low success rate. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training, and trauma resolution and integrates eye movement desensitization and reprocessing (EMDR). Two illustrative case examples are presented and discussed. [Author Abstract]
Keywords: Adolescents Assessment Children Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
72. Page, R. (2009, August). Trauma, invisibility, and identity development: An EMDR framwork. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
Traumatically experienced events, captured in memory and replayed like a familiar musical refrain from an operatic score, are negatively stored in the memory network. Recall of traumatic experience is characteristically difficult, despite the repetitive, nearly obsessive, refrain with which traumatic events broadcast into daily life experience. One of the sequelae of traumatic memories negatively stored is the complication of making sense of the self or self-understanding. Moreover, negatively stored memories complicate and perplex self-understanding. When viewed psychosically through the major statuses: race, sex and gender, social class and sexual orientation the affect of the environment on the self is significant. Racial and ethnic self-understanding, in particular, illuminates the way in which the self can become invisible rather than understood. EMDR an adaptive information processing theory, consistent with constructive versus essentialist conceptions of persons, is proposed, with its self-interpretation process, as a effective psychotherapy.
Keywords: Identity Development Invisibility Trauma
Accuracy Verified: Yes
73. Schubbe, O. (2006). Traumatherapie mit EMDR: Ein handbuch für die ausbildung [Trauma therapy with EMDR: A manual for the training]. Göttingen: Vandenhoeck & Ruprecht.
Language: German
Format: Book
Abstract:
"Traumatherapie mit EMDR" ist ein Trainingsmanual für Psychotherapeuten, die sich für eine Ausbildung in dieser Traumaverarbeitungsmethode interessieren oder sie in ihrer therapeutischen Arbeit bereits anwenden. EMDR steht für Eye Movement Desensitization and Reprocessing, deutsch: Desensibilisierung und Neubearbeitung mit Augenbewegungen. Es ist eine Technik therapeutischer Traumaverarbeitung und gleichzeitig eine innere Haltung und fast ein kleines Wunder. Die Methode folgt einer klaren Zielorientierung, um dysfunktionale Lernerfahrungen in funktionale verwandeln zu helfen. Ausgegangen wird davon, dass Menschen ein natürlicher Antrieb zu Wachstum und Integration von Erfahrung innewohnt. Der angeleitete EMDR-Prozess unterstützt die genaue Beobachtung und das differenzierte Erleben bewusstseinsfähiger innerer Prozesse und ein nachvollziehendes Verstehen und Akzeptieren von Zusammenhängen. Oft berichten die Klienten von spontanen inneren Einsichten, die sich mit den traumatischen Erinnerungen verbinden und anschließend zu neuen Gefühlen, Gedanken und Handlungen befähigen.
Nach einer Einführung zur allgemeinen Psychotraumatologie und zum theoretischen Hintergrund werden empirische Erfahrungen m it EMDR berichtet.
Der Schwerpunkt des Buches liegt auf der Erläuterung der praktischen Durchführung von EMDR. Dabei werden therapeutische Schwierigkeiten differenziert aufgegriffen, angemessene Umgangsweisen damit dargestellt, professionelles Affektmanagement und ressourcenorientiertes Arbeiten vorgestellt.
"Trauma Therapy with EMDR is a training manual for psychotherapists who are interested in training in this trauma processing method or apply them in their therapeutic work already. EMDR stands for Eye Movement Desensitization and Reprocessing, German: desensitization and revised edition with eye movements. It is a technique of therapeutic trauma processing, while an inner attitude, and almost a small miracle. The method follows a clear goal orientation, to help transform learning experiences into functional dysfunctional. The starting point is the fact that inherent in a natural human impulse to growth and integration of experience. The guided EMDR process supports the close monitoring and the differentiated experience of becoming conscious of inner processes and understand understanding and accepting connections. Often, clients report of spontaneous internal insights that are combined with the traumatic memories and then to new feelings, thoughts and actions qualify.
After a general introduction to psychological trauma and the theoretical background, empirical experience w ith EMDR are reported.
The focus of the book is on explaining the practical application of EMDR. These therapeutic difficulties are addressed differentiated, appropriate ways of dealing presented thus presented professional resource-management and emotional work.
Keywords: Trauma
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. Chambless, D.L., Sanderson, W.C., Shoham, V., Bennett Johnson, S., Pope, K.S., Crits-Christoph, P., Baker, M., Johnson, B., Woody, S.R., Sue, S., Beutler, L., Williams, D.A., & McCurry, S. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5-18.
Language: English
Format: Journal
Abstract:
In 1995 the Division 12 Task Force on Promotion and
Dissemination of Psychological Procedures published its
report in this journal. A major focus of that report was
increasing training in psychological interventions that have
been supported in empirical research by making clinical
psychologists and students more aware of these treatments
and facilitating training opportunities. To provide the basis
for a survey on the degree to which clinical programs and
internships were currently providing training in empirically
supported therapies, the task force constructed a list of
examples of treatments meeting criteria for efficacy as
established by the task force.
Based on feedback that members of the profession found
this list of interventions to be very useful in training and
clinical work, while also recognizing its very incomplete
basis, the Division 12 board charged the succeeding task
force (Task Force on Psychological Interventions), appointed
in succession by Presidents Martin Seligman and Gerald
Koocher, with adding to this preliminary list on an annual
basis. This is one purpose of the current report. In
addition, we raise several issues about the use and
limitations of empirically supported treatments as currently
identified. In keeping with the practice established by the
first task force, the members of the group who constructed
the present report are diverse in theoretical orientation and
work in a variety of settings -- psychology departments,
medical schools, and private practice.
Accuracy Verified: Yes
76. Barrett, W. (2011, March). Use of constant installation of present orientation & safety (CIPOS) in children and young people. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
The aim of the paper would be to present a series of case studies relating to use of the
CIPOS procedure (Eckers, 2009) with children and young people. Practice issues and areas for future
development will be considered, together with feedback from the children and parents involved in
the case studies.
Keywords: Adolescents Children CIPOS Constant Installation of Present Orientation & Safety Symposium
Accuracy Verified: Yes
77. Ross, C., & Rouanzoin, C. (2012, October). Uses of EMDR in complex dissociative disorders. 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:
EMDR can be used in the treatment of complex dissociative disorders. Both presenters have been treating dissociative disorders for decades and one is an approved EMDR trainer. This workshop will not include instruction on specific techniques: these can be learned from approved EMDR trainings which require six full days of workshop teaching, assigned readings, and 10 hours of supervision. Instead, the presenters will explain how EMDR is based on a trauma-dissociation model and is therefore highly suited to the treatment of complex dissociative disorders including DID. A brief description of EMDR will be provided, including its 8 phases, of which only one involves eye movements or other forms of bilateral stimulation. EMDR is consistent with three-stage models of trauma therapy: the eye movements are used in stage two, the active working phase of therapy. In EMDR this is called Phase 4. The work in trauma stage one (EMDR phases 1-3), in patients with DID or DDNOS, involves grounding, stabilization, system mapping, building co-consciousness, orientation of parts to the body and the present, and other elements from the dissociative disorders literature. The bilateral stimulation phase of EMDR should not be used until this phase one work is complete, or at least well underway. The presenters will then go on to provide case examples of how EMDR can be used in the psychotherapy of DID, DDNOS and the complex comorbidity that usually accompanies both.
Learning Objectives:
Participants will be able to describe how EMDR can be used in complex dissociative disorders.
Participants will be able to describe how EMDR is based on a trauma-dissociation model of mental disorders and addictions.
Participants will be able to describe the basic feaures of EMDR.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
78. Knipe, J. (2008, Maart). Using EMDR with dissociative clients: The CIPOS method. Keynote gepresenteerd op het derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: English
Format: Conference
Abstract:
During this keynote the so called CIPOS procedure will be fully explained which is helpful with clients who are vulnerable to dissociative aabreaction (e.g. DID, DDNOS). This involves first a method for measuring degree of dissociation during a session (the so-called Back-of-the-Head Scale) and then a method for maintaining present orientation during traums processing (the moeht of Constant Installation of Present Orientation and Safety)
Keywords: CIPOS Dissociation Keynote
Accuracy Verified: Yes
79. Knipe, J. (2006, June). Using EMDR with substance addictions and with behavior problems that have an addictive pattern. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in
assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial
presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present
Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
80. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.
Keywords: Dissociative Disorders Plenary
Accuracy Verified: Yes
81. Blore, D. (2011, March). Which, how and why memory networks combine: A plasticity of meaning (PoM) extension to adaptive information processing (AIP). Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
Adaptive Information Processing (AIP), the theory that underpins EMDR may seem
somewhat redundant given the burgeoning clinical database and numerous international
recommendations all of which effectively point to ‘because EMDR works, it therefore works’. Put
succinctly, does AIP serve any further purpose? The author argues that it does, but that its current
bias toward explaining the reduction of Negative Psychological Change (NPC) needs to change.
The author’s recent research has highlighted the extensive role of Figurative Language Use (FLU)
in PPC resulting in participants’ increased ability to express him/herself following EMDR. To explain
these observations, a ‘Plasticity of Meaning’ extension to AIP is proposed to account for PPC and
thus convert AIP into a unifying theory of change. The result is to propose a ‘total beneficial
outcome’ of EMDR that combines both existing evidence-based practice together with the
optimisation of the Maslowvian concept of a client’s ‘full psychological height’.
Keywords: Adaptive Information Processing AIP Figurative Language Use FLU Plasticity of Meaning PoM
Accuracy Verified: Yes
82. Sack, M. (2008, September). Wirkmechanismen von EMDR [Work mechanisms in EMDR]. Pre-Congress presentation at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.
Language: German
Format: Conference
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist ein expositionsbasiertes Verfahren zur Behandlung von Patienten mit posttraumatischen Belastungsstörungen (PTSD). Während die Wirksamkeit der EMDR-Behandlung empirisch gut nachgewiesen ist, besteht nach wie vor Unklarheit, ob die beim EMDR eingesetzte bilaterale Stimulation durch Augenbewegungen einen spezifischen Effekt hat.
Wir stellen Ergebnisse aus mehreren Studien zum Monitoring autonom-vegetativer Parameter während Traumatherapiesitzungen mit EMDR vor. Es lässt sich unmittelbar nach Beginn der Augenbewegungen ein starker Anstieg des Parasympathikotonus und ein Abfall der Herzfrequenz beobachten. Diese
Reaktion erstreckt sich über etwa 10 Sekunden und entspricht damit dem Verlaufsmuster einer so genannten Orientierungsreaktion auf einen neuen Stimulus. Im Sitzungsverlauf zeigt sich, dass die Herzfrequenz abfällt und der Parasympathikotonus ansteigt. Damit liefern unsere Befunde eine empirische Bestätigung für die Hypothese, dass es während EMDR-Sitzungen zu Orientierungsreaktionen kommt.
Nach unserer Einschätzung werden durch die bilaterale Stimulation biologische Ressourcen aktiviert, die eine Verarbeitung traumatischer Erinnerungen begünstigen.
EMDR (Eye Movement Desensitization and Reprocessing) is an exposure based method for the treatment of patients with post-traumatic stress disorder (PTSD). While the effectiveness of EMDR treatment is well established empirically, there is still uncertainty whether the bilateral stimulation used in EMDR by eye movements has a specific effect.
We present results of several studies on vegetative-autonomous monitoring parameters before, during trauma therapy sessions with EMDR. It can be observed immediately after the start of eye movement, a sharp increase parasympathetic tone and a decrease in heart rate. This reaction extends over about 10 seconds and corresponds to the pattern during a so-called orientation reaction to a new stimulus. During the session shows that decreases the heart rate and increases the parasympathetic tone. Thus our findings provide empirical confirmation for the hypothesis that during EMDR sessions is to guide responses.
In our view be activated by bilateral stimulation of biological resources, encourage the processing of traumatic memories.
Keywords: Bilateral Stimulation BLS Mechanisms Vegetative-Autonomous Monitoring Parameters
Accuracy Verified: Yes


