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1. Lovett, J. M. (2002, June). "Hospital trauma" in children:  When hurting is actually helping. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
"Hospital trauma" may result when medical procedures are painful or frightening, making a child feel threatened or helpless. This presentation will describe three cases of trauma resulting from necessary medical treatment. Participants will watch videos of clinical sessions and view slides which demonstrate ways to integrate EMDR with stories, artwork, and play for treating "hospital trauma." Treatment is aimed at reframing painful and frightening medical interventiions as actually helpful and important. Participants will be able to trace behaviors to their traumatic beginnings and to use EMDR-facilitated stories, plays, and artwork to help children recover from "hospital trauma."

Keywords: Children  Hospitals  Trauma  

Accuracy Verified: Yes


2. 仁木 啓介 [Niki Keisuke]. (2008年6月). 精神科病院でのEMDR―犯罪被害者と解離性同一性障害の治療について― 仁木啓介 [EMDR at psychiatric hospitals: Therapy for criminal victims and dissociative identity disorder] . こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 263-269].

Language: Japanese

Format: Journal

Keywords: Criminal Victims  DID  Dissociative Identity Disorder  Psychiatric Hospitals  

Accuracy Verified: Yes


3. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come : - la velocità di intervento; - l’ esigenza di applicare protocolli rapidi ed efficaci. La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia); l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici. Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali: -PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione). -disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie). Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate. Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.

Psychological intervention in the hospital has special features that meet certain characteristics such as: - The speed of intervention; - 'S need to implement protocols for rapid and effective. The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography); effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms. Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as: -PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) . -Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy). In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations. Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.

Keywords: Hospitals  Treatment  

Accuracy Verified: Yes


4. Mevissen, E. (2009). Casus 15 – Groetjes van de tandarts: Meisje met ernstige verstandelijke beperking en ingrijpende medische voorgeschiedenis [Case 15 - Greetings from the dentist: Girl with severe intellectual disabilities and a comprehensive medical history]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 229-241). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_23.

Language: Dutch

Format: Book Section

Abstract:
Nina is 10 jaar oud als ze bijmij wordt aangemeld. Voor de ouders zijn Nina's hevige angsten het kernprobleem. Ze hebben altijd overal oplossingen voor kunnen vinden, maar als de paniek bij Nina toeslaat en Nina blokkeert, dan helpt geen enkel pedagogisch middel meer. Nina heeft last van paniekaanvallen als ze (para)medische behandelingen moet ondergaan. De angst voor ziekenhuizen en artsenbezoeken is het sterkst. In verband met haar aandoening moet zij iedere zes weken naar de oorarts. Deze bezoeken zijn het allermoeilijkst. Haar angsten zijn ook het gewone dagelijkse leven gaan beheersen. Dan is de aanleiding voor een paniekaanval niet altijd zichtbaar.

Nina is 10 years old when they bijmij notified. For Nina's parents are strong fears the core problem. They have always been able to find solutions for anywhere, but when the panic strikes and Nina Nina blocks will help any teaching tool anymore. Nina suffers from panic attacks if they (para) medical treatments. The fear of hospitals and medical care is the strongest. Due to her condition must every six weeks to the audiologist. These visits are the most difficult. Her fears are normal everyday life to dominate. Then the reason for a panic attack is not always visible.

Keywords: Dentistry  Intellectual Disability  

Accuracy Verified: Yes


5. de Jongh, A. (2009). Casus 9 - Angst voor misselijkheid en braken: Een 35-jarige vrouw wier leven wordt beheerst door haar angsten [Case 9 - Fear of nausea and vomiting: A 35-year-old woman whose life is governed by her fears ]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 147-155). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_15.

Language: Dutch

Format: Book Section

Abstract:
Marijke, 35 jaar, getrouwd met Joop (38 jaar) en moeder van twee jongens (6 en 8 jaar), heeft via-via gehoord dat ik mensen behandel met braakangst. Ze heeft al bijna haar hele leven een extreme angst voor overgeven, maar heeft hier nooit hulp voor gezocht. Zij wist bijna niet beter en deed er daaromalles aan om te voorkomen dat ze zou zien dat anderen, bijvoorbeeld haar eigen kinderen, over hun nek zouden gaan. Ze was bang dat ze daardoor zelf misselijk zou kunnen worden en zou moeten braken. Marijke vermeed allerlei situaties, waaronder bezoek aan ziekenhuizen. Ook durfde ze niet naar bepaalde tv-programma's en films te kijken uit angst dat dit haar zou confronteren met mensen die ziek zouden kunnen zijn (en dus zouden kunnen braken). DoordatMarijke in haar leven langzamerhand steeds meer van deze situaties uit de weg was gegaan, was haar leefwereld behoorlijk ingeperkt geraakt.

Maria, 35 years old, married with Joop (38 years) and mother of two boys (6 and 8 years), has over-heard from people that I treat with breaking fear. She has most of her life an extreme fear of vomiting, but this has never sought help for. She did not get much better and so did everything to prevent them would see that others, including her own children were going about their necks. She was anxious about itself could be sick and should vomiting. Marijke avoided all situations, including visits to hospitals. Also, she dared not go to certain TV programs and watch movies for fear that it would lead to people who might be sick (and thus might vomit). DoordatMarijke in her life slowly increasing number of these situations from the road was gone, her world had become quite restricted.

Keywords: Fears  Nausia  Vomiting  

Accuracy Verified: Yes


6. Arnold, C. (2002). David Lister's 1999 paper. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
"I concur with David Lister's model of utilising EMDR in Medical Practice. My own personal trauma has been around radical surgery when I was 24, which was life saving but nonetheless changed the course of my life. The possibilities for healing are endless if EMDR could be incorporated into complementary care units of hospitals that are becoming popular here in the USA. (Complementary care units are quite unlike British health centres, complementary care units offer yoga, meditation, message, visualization, relaxation techniques, hypnosis and biofeedback to patients suffering from a broad range of medical problems, including those with catastrophic illness. Some include homeopathy and herbal medicine as part of the treatment plan. These units have not been without controversy, and administrators have waged a long and hard battle against the medical establishment.)

Keywords: David Lister  Letter  

Accuracy Verified: Yes


7. Bluthgen, C., & Ingratta, A. (2009, Junio). Diseño de intervenciones con EMDR en situaciones de emergencia (guardias, hospitales.) [EMDR design interventions in emergency situations (such as guards, hospitals.)] . Presentación en el X Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina.

Language: Spanish

Format: Conference

Keywords: Design Interventions  Emergency  Guards  

Accuracy Verified: Yes


8. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.

Language: English

Format: Magazine

Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.

Keywords: MPD  Multiple Personality Disorder  

Accuracy Verified: Yes


9. Botkin, A. L., & Hogan, R. C. (2005). Induced after-death communication: A new therapy for healing grief and trauma. Charlottesville, VA: Hampton Roads Publishing Co.

Language: English

Format: Book

Abstract:
"Relates the story of how Dr. Botkin, while using a variation of EMDR therapy, discovered a new therapy for helping patients permanently overcome grief and trauma. Dr. Botkin used this therapy primarily with Vietnam War veterans in his work at a VA hospital"--Provided by publisher.

Keywords: After Death Communication  Hospitals  Posttraumatic Stress Disorder  Psychic Trauma  PTSD  Trauma  Treatment  Vietnam War Veterans  

Accuracy Verified: Yes


10. Brown, S. (2003). The missing piece: The case for EMDR-based treatment for post traumatic stress disorder and co-occurring substance use disorder. Author.

Language: English

Format: Other

Abstract:
Jails and juvenile halls are filled with them, hospitals and clinics are filled with them, counseling and psychiatric offices are filled with them. They are the dually diagnosed, also known as co-occurring disorders. It means the presence of more than one psychiatric problem occurring at the same time, such as (for the purpose of this article) Substance Use Disorders and Posttraumatic Stress Disorder (PTSD). Accurate diagnosis can be difficult, effective treatment even more difficult. It is emotionally challenging simply to cope with one psychiatric illness. Imagine the complicating factors of managing two, both for the client and the treatment provider.

Keywords: Posttraumatic Stress Disorder  PSTD  Substance Use Disorder  

Accuracy Verified: Yes


11. Calero, M. (2011, November). Psychotraumatologic unit for the treatment of severe psychiatric patients in a public hospital in Uruguay. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
In Uruguay, South America, in a public psychiatric hospital unit, a clinic has been developed for the treatment of patients with simple and complex PTSD with promising results. As an example, we can mention a patient with a diagnosis of brain injury with a poor outcome who turned out to have a severe dissociative disorder, and who had a favorable evolution with the right treatment. The population treated is very poor and heterogeneous. Some patients are hospitalized for crimes commited during psychiatric decompensation (theft, murder, rape). This paper will present the basics for creating such unit in a psychiatric treatment setting and describe the work with such difficult hospital inpatients and outpatients. In South American countries it is very hard to develop specific psychiatric care units in public hospitals because patients psychological problems also have serious social and economic problems. The theorical approach in the clinic is cognitive behavioral and EMDR, based on the fact that psychotraumatology is a discipline that has had a rapid development in recent years and its knowledge has become indispensable for the treatment of severe psychiatric illness.

Keywords: Psychotraumatologic Unit  Posttraumatic Stress Disorder  PTSD  Public Hospitals  Uruguay  

Accuracy Verified: Yes


12. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.

Keywords: Debriefing  Research, Symposium  Workplace Accidents  

Accuracy Verified: Yes


13. Russell, M. C. (2006). Treating combat-related stress disorders: A multiple case study utilizing eye movement desensitization and reprocessing (EMDR) with battlefield casualties from the Iraqi war. Military Psychology, 18(1), 1-18. doi:10.1207/s15327876mp1801_1.

Language: English

Format: Journal

Abstract:
Casualties from the Iraqi War were evacuated to a field hospital in Rota, Spain, and were screened for combat-related stress conditions. Four combat veterans requested immediate relief of their posttraumatic symptoms prior to returning to the United States. A single session of Eye Movement Desensitization and Reprocessing (EMDR) led to significant improvement in their acute stress disorder and posttraumatic stress disorder symptoms. A detailed account of those treatment sessions, as well as the proposed alterations of standard protocols for time-limited fieldwork, is presented. Compared to other early interventions, EMDR may be better suited for combat veterans. The results are promising but in need of further research.

Keywords: Acute Stress Disorder  ASD  Battlefield Casualties  Combat Experience  Combat Related Stress Disorders  Empirical Study  Eye Movements  Follow-up Study  Hospitals  Iraqi War  Posttraumatic Stress Disorder  Posttraumatic Symptoms  PTSD  Quantitative Study  War  

Accuracy Verified: Yes


14. Salomonsen, L. J., Skovgaard, L., la Cour, S., Nyborg. L., Launsø, L., & Fønnebø, V. (2011, January). Use of complementary and alternative medicine at Norwegian and Danish hospitals. BMC Complementary and Alternative Medicine, 11(4), 8 pages. doi:10.1186/1472-6882-11-4.

Language: English

Format: Journal

Abstract:
Background: Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001. Methods: A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed. Results: CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially. Conclusions: The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system.

Keywords: Alternative Medicine  Complementary Medicine  Denmark  Norway  

Accuracy Verified: Yes


15. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster. Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay. Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38 and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data presented is only preliminary and is based on a small number out of a larger sample.

Keywords: Military  Posttraumatic Stress Disorder  PTSD  Terrorism  

Accuracy Verified: Yes


16. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.

Language: English

Format: Conference

Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.

Keywords: Adults  Children  Trauma Attachment  

Accuracy Verified: Yes