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1. 市井雅哉, 熊野 宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用 ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].

Language: Japanese

Format: Journal

Abstract:
著者らは、EMDを(眼球運動脱感作)阪神淡路大震災から受けたとのASD(急性ストレス障害)の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像(例えば、火)、8の初期SUDにレベルを訴えた。眼球運動(EM)の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。

Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.

Keywords: Acute Stress Disorder  ASD  Earthquake  Kobe  

Accuracy Verified: Yes


2. マギーフィリップス(田中究、穂積由里子、浅田雅子(翻訳) [Maggie Phillips (Tanaka Kiwamu, Hozumi Yuriko, Asada Masako (translators)] (2002). 最新心理療法―EMDR・催眠・イメージ法・TFTの臨床例 [単行本] [Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help resolve health problems]. 東京:春秋社。 392 pp [Tōkyō: Shunjūsha. 392 pp.].

Language: Japanese

Format: Book

Abstract:
マギー・フィリップス著 ; 田中究監訳 ; 浅田仁子,穂積由 最新心理療法: EMDR・催眠・イメージ法・TFTの臨床例 Saishin shinri ryōhō: Īemudīāru saimin imējihō tīefutī no rinshōrei 春秋社

A groundbreaking book that applies the principles of energy psychology and medicine to mind/body healing. Eastern healing focuses on correcting imbalance so that qi (life force energy) can flow freely again. This book proposes that various therapies can similarly address energies in mind/body systems and restore health. These tools can open inner, healing pathways that have been frozen by stress, trauma, and unresolved developmental issues.

Keywords: Body-Focused Therapy  Hypnosis  Imagery  TFT  Thought Field Therapy  

Accuracy Verified: Yes


3. 張素凰、李元華 [Chang Sue-Hwang, & Li Yuan-Hua]. (2003年,10月). 眼動和情緒:眼球運動的作用在治療機制 EMDR的。 [Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR]. 論文發表在第42屆大會的中國心理學會,輔仁大學,台灣 [Presentation at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan] NSC 91-2815-C-002-125-H.

Language: Chinese

Format: Conference

Abstract:
Shapiro 認為演動訊息在處理法(EMDR)治療程序中規 律的多次快速動眼作業有助於創傷記憶的處理 (Shapiro, 1989a),但其可能涉及的療效機制之研究尚 少。本研究擬從工作記憶模式的角度來探討動眼作業在 EMDR 的療效機制。根據工作記憶模式(working memory model),動眼作業可視為一種爭奪工作記憶中視覺和空 間訊息處理能力(VSSP)系統資源的干擾作業。因此,當 回憶創傷事件時,施以動眼作業可降低創傷受害者對於 創傷事件記憶的清晰程度,並降低患者對於創傷事件的 情緒反應,以達到某種程度的治療目的。實驗一(N = 120) 採動眼作業(有、無)× 圖片的性質(正向、負向)× 時 間(前測、後測)的三因子混合設計,依變項 為圖片 影像的清晰度與情緒感受度。實驗二(N = 120)採動 眼作業(有、無)× 刺激材料的性質(圖片、影片)× 時 間(前測、後測)的三因子混合設計,依變項同實驗一。 實驗一與實驗二的結果皆顯示,如同工作記憶模式的預 期,動眼作業造成VSSP 所同時處理的影像訊息的清晰 度降低,此結果與工作記憶模式的預期一致。另外,本 研究亦顯示動眼作業亦造成情緒感受度降低。上述結果 顯示動眼作業可能具有臨床治療上的功效,且可藉由工 作記憶模式瞭解其療效機制。本研究亦對結果所顯示的 意義與未來研究方向提出討論

Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component. According to the working memory model, eye‐movements could reduce the vividness of distressing images and the intensity of the emotion associated with the images. In this study, we designed two experiments to test the effects of eye‐ movements on vividness and emotionality of imagery. In Experiment 1, with positive and negative photos as stimuli, the results showed that eye movements significantly reduced the vividness and emotionality of traumatic images. In Experiment 2, with negative photos and negative films as stimuli, we also found eye‐movements significantly reduced the vividness and emotionality of traumatic images. The implications and future research possibilities are discussed.

Keywords: Emotionality  Eye Movements  Posttraumatic Stress Disorder  PTSD  Vividness  Working Memory  

Accuracy Verified: Yes


4. 李元華 [Li Yuan-Hua]. (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The therapeutic mechanism of eye movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學心理學研究所,台灣 [National Taiwan University Graduate Institute of Psychology, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
李元華眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 臺灣大學
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向,此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.[Author abstract]

Keywords: Autobiographic Memory  Eye Movement  Valence-Specific Hypothesis  

Accuracy Verified: Yes


5. 李元華 [Li YuanHua] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The Therapeutic Mechanism of Eye Movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學,台灣 [National Taiwan University, Graduate Institute of PsychologyTaiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討的作用眼球運動在眼動脫敏和再加工(EMDR的)。以往的研究指出,眼球運動能降低生動性和情感中的圖像。除了複製以前的研究,本研究提出一個假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。參加者為 132台大本科生參加了普通心理學課程。本研究操縱三個條件眼球運動,以實現不同的效果中斷生動,情緒和心率在正面和負面的自傳回憶。它也記錄眼球運動方向的自發召回期間,即克萊姆斯(共軛側眼動)。這三個條件的實驗是眼球運動,僅僅是圖像的目光和條件。眼動條件分為水平和垂直運動的團體和凝視條件分為左,右的目光群體。結果表明,該方向的克萊姆斯在正面和負面的回憶是一致的,但數字的右向左凝視超過凝視。價的具體偏側假說和右半球假說的情感都是不支持的調查結果克萊姆斯。此外,最強的中斷生動,情感的是眼睛的運行狀況,其次是凝視條件,而僅僅是提高圖像的條件。生動性和情緒之間沒有顯著不同的水平和垂直眼球運動團體在眼球運動狀況,但是,中斷的生動性和情緒在右凝視組強於左側凝視小組。根據這些發現,特效水平眼球運動不支持,也不是價的具體偏側假說。然而,右半球假說可能得到支持。在負的回憶,心率沒有任何的趨勢,在眼球運動的條件,但越來越多的目光幾乎增加條件和單純的意象條件。總之,結果支持這一假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。最後,本研究探討的理論眼球運動在EMDR的,並提出一個綜合觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: Autobiographic Memory  Valence-Specific Hypothesis  

Accuracy Verified: Yes


6. 李元華, 張素凰 [Li Yuan-Hua, & Chang Sue Hwang] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然 [The therapeutic mechanism of eye movements in EMDR: the effect of interrupting spontaneous eye movements during recollections]. 臺灣大學:心理學研究所 [Taiwan: Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低 回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提 出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低 其在回憶時的影像畫面清晰度以及情緒強度。參與者為132 名的修習普通心理學 的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向 自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與 者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。 本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水 平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果 顯示CLEMs 的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向, 此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮 明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼 動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右 凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並 不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右 腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組 則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動, 進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論 做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: autobiographic Memory  Eye Movements  Valence-Specific Hypothesis  

Accuracy Verified: Yes


7. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、(24)、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].

Language: Japanese

Format: Journal

Abstract:
市井 雅哉 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法 バイオフィードバック研究 日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.

The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.

Keywords: Acute Stress Disorder  Clinical Case Study  Earthquake  Empirical Study  Females  Natural Disasters  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


8. [Zhang, S. H. (Moderator)]. (1992). 角色認知素質和眼球運動創傷後應激障礙在情感的記憶(1/ 3) [The role of cognitive diathesis and eye movement in emotive memories of PTSD (1/3)]. 國立台灣大學理學院心理學系 [National Taiwan University, College of Science, Department of Psychology] NSC 91-2413-H-002-009-SSS-.

Language: Chinese

Format: Dissertation/Thesis

Keywords: Cognitive Diathesis  Imagery Vividness  Negative Emotiveness  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


9. Browning, C., & Omaha, J. (2001, June). Affect management skills training (AMST):  Basic and advanced techniques. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
AMST blends EMDR, imagery, and ego state therapy to assist clients in developing affect tolerance and can be used with extremely vulnerable clients to prepare them for safe EMDR processing. Practicum and video demonstration will be used.

Keywords: Affect Management Skills Training  Affect Tolerance  AMST  Ego State Therapy  

Accuracy Verified: Yes


10. Mehrotra, S., Raja, T., & Sawant, B. (2001). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. Presentation at the Annual Conference of Bombay Psychological Association, Gujarat, India.

Language: English

Format: Conference

Abstract:
This study was based on the analysis of drawings produced during visual imagery as part of EMDR therapy with children of Bhuj and Bhachao. This study was conducted to understand the impact of a specific traumatic event and its expression in children in their drawings. The drawings used for the purpose of analysis were the protocols of reproduction of visual imagery brought out during therapy.

Keywords: Bhachao  Bhuj  Children  Drawings  Visual Imagery  

Accuracy Verified: No


11. Mehrotra, S., Raja, T., & Sawant, B. (2002). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. The Bombay Psychologist.

Language: English

Format: Journal

Abstract:

Keywords: BHUJ Experience    

Accuracy Verified: No


12. Darker-Smith, S. (2008, June). Anorexia nervosa: CBT versus EMDR (A preliminary study). Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
In treating clients with Anorexia Nervosa, what does appear to be consistent is the general view (e.g. Waller; Treasure; Brewer) that recovery will take on average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery. 16 clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of between 16.5 � 18 and still meeting criteria of Anorexia Nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N. 6). No therapeutic emphasis was placed directly on food in either the CBT or the EMDR group (e.g. Fairburn). Those receiving EMDR recovered substantially quicker once the target memory precipitating the Anorexic Onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the �feeder-memory� had been adapted in 8 out of the 10 EMDR clients. Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly. Although this is only a preliminary study, the EMDR group reached �recovery� at around the 3 � 4 month mark, compared to the CBT group, who still reported phobic reactions to both body-image and food at the 4 month mark. At the initial 1- month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet / weight compared to the EMDR group, who had reached normal BMI ranges (N. 9) and all reported little to no pre-occupation with diet / weight. It would appear, on the basis of this preliminary study that the precipitators to the development of Anorexia respond well to EMDR treatment targeting the precipitant memory. Furthermore, 6 of the EMDR group reported using the safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor in their recovery.

Keywords: Anorexia Nervosa  CBT  Cognitive Behavioral Therapy  

Accuracy Verified: Yes


13. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.

Keywords: Impulse Control  Mindfulness  Poster  Self Harm  

Accuracy Verified: Yes


14. Cocco, N. (1995, June). Applications of EMDR to children:  EMDR in the treatment of darkness phobia in children. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR in the treatment of darkness phobia in children: 1. Overview of Darkness Phobia: A. Assessment of Childhood Phobias; B. Definition; C. Prevalence; D. Consequences.
2. Treatment Literature on Darkness Phobia: A. Invivo Exposure; B. Imaginal Desensitization; C. Modeling Symbolic and Participant; D. Coping Self Talk; E. Emotive Imagery.
3. [Preliminary Data on Controlled Comparison Between Emotive Imagery and EMDR: A. Aims of Study; B. Method: Subject, Design, Procedure: Assessment, Treatment Protocols; C. Results; D. Discussion.
4. EMDR Protocol: A. Assessment of Darkness Phobia; B. Hero Interview; C. EMDR Target Selection; D. Fantasy Based Cognitive Interweave: Linking Cues/Cognition/Affect Superheros to Change Cognition and Affect.]

Keywords: Children  Darkness Phobia  

Accuracy Verified: Yes


15. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.

Keywords: Aachen  Horses  Poster  Sports  World Equestrian Games  

Accuracy Verified: Yes


16. Tobin, B. (2006, Fall). Art therapy meets EMDR:  Processing the paper-based image with eye movement. Canadian Art Therapy Association Journal, 19(2), 27-38.

Language: English

Format: Journal

Abstract:
This paper examines the role of the visual image in psychotherapy, and explores connections between how art therapists use physical images, and how EMDR practitioners use mental images in assisting emotional growth and healing. It outlines a clinical program in which EMDR eye-movement activity is integrated with the art therapist's use of paper-based images, and considers the merits of such a synthesis. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Art Therapy  Eye Movements  Imagery  Psychotherapy  Visual Perception  

Accuracy Verified: Yes


17. Sack, M., Lempa, W., & Lamprecht, W. (2007). Assessment of psychophysiological stress reactions during a traumatic reminder in patients treated with EMDR. Journal of EMDR Practice and Research, 1(1), 15-23. doi:10.1891/1933-3196.1.1.15.

Language: English

Format: Journal

Abstract:
This study investigates changes of stress-related psychophysiological reactions after treatment with EMDR. 16 patients with PTSD following type I trauma underwent psychometric and psychophysiological assessment during exposure to script-driven imagery before and after EMDR and at 6-month follow-up. Psychophysiological assessment included heart rate (HR) and heart rate variability (HRV) during a neutral task and during trauma script listening. PTSD symptoms as assessed by questionnaire decreased significantly after treatment and during follow-up in comparison to pretreatment. After EMDR, stress-related HR reactions during trauma script were significantly reduced, while HRV indicating parasympathetic tone increased both during neutral script and during trauma script. These results were maintained during the follow-up assessment. Successful EMDR treatment may be associated with reduced psychophysiological stress reactions and heightened parasympathetic tone. [Author Abstract]

Keywords: Adults  Germans  Manual-Based Treatments  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


18. van den Hout, M., Muris, P., Salemink, E., & Kindt, M. (2001). Autobiographical memories become less vivid and emotional after eye movements. British Journal of Clinical Psychology, 40(2), 121-130. doi:10.1348/014466501163535.

Language: English

Format: Journal

Abstract:
Objectives: To test (1) whether eye movements during retrieval of emotional memories are followed by less vividness and less emotionality of future recollections, (2) whether this effect, if present, is stronger than the effects of a control activity (finger tapping), (3) whether the alleged effects of tapping and eye movements are stronger than a no-movement, control condition (mere imagery), (4) whether reductions in vividness and emotionality after eye movements (and finger tapping) are specific to negative memories or also occur in the case of positive memories. Method: 60 healthy volunteers recalled either positive or negative memories and scored the vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing rapid eye movements, finger tapping, or not performing a dual task. Then participants were asked to recall the event again and to rate its vividness and emotionality. Results: Compared to finger tapping and the no-dual-task condition, recollections after eye movements made future recollections less vivid. After eye movements, but not after the other interventions, negative memories became less negative, and positive memories became less positive. Conclusion: The findings show that eye movements not only reduce vividness and emotionality of memories during the eye moving, but also affect future recollections, during which no eye movements are made. Some theoretical explanations are discussed. As to clinical implications, it is suggested that if there is a role for eye-movement-based treatments, it is very limited. [Author Abstract]

Keywords: Adolescents  Cognitive Processes  College Students  Dutch  Exposure Therapy  Memory Impairment  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  Young Adults  

Accuracy Verified: Yes


19. Lendl, J. (2006, September). Back to basics:  The positive template & affect bridge. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
One of the reasons EMDR is such a powerful treatment method is the eight phase, three prong protocol. The robustness of the method is not achieved if any part of the protocol is dismissed. Dr. Shapiro's recent trainings have emphasized the need for the future template. The future template is a combination of the use of imagery, and used successfully in sport performance and health recovery, and bi-lateral stimulation. Back fo Basics: The Positive Template is a workshop to remind participants of the importance of positive templates in complete and incomplete EMDR protocol sessions. The future template, which addresses avoidance, adaptation, and actualization, is a part of phase eight/reevaluation and the third prong (future) of the EMDR protocol. Preliminary research will be presented that suggests positive templates are useful before phase eight. Participants will learn to integrate the positive template to help maintain skills between sessions, encourage new skills and practice ways to handle resistance. There will be supervised practica for using the future template and ESP (End Session Positive) template. Additionally, this workshop has been expanded to go over the Affect Bridge and practice will be included.

Keywords: Affect Bridge  Future Template  Positive Template  

Accuracy Verified: Yes


20. Sachsse, U., & Tumani, V. (1999, November). Be borderline! A successful inpatients’ treatment program for (type II) traumatized female patients with PTSD/DES/BPD and the symptom of self-mutilation. Presentation at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Using therapeutic experiences from the USA (Herman, Putnam, Ross) and the Netherlands (Olthuis, van der Hart) Luise Reddemann (Bielefeld) and Ulrich Sachsse(Goettingen) developed an inpatients’ program for female and some male patients with symptoms, that result from type II traumata, fulfill the phenomenological criteria of BPD and are understood as chron. PTSD/DES. The program utilizes the coping strategies of the patients for stabilisation: splitting (building up an only good world of safety, support and shelter against the only bad, demonized world of trauma); derealisation, dissociation(imagery); depersonalisation (Qi Gong, Feldenkrais). We tell and teach our patients: Be Borderlines- but inside, not in your outer social life or your therapeutic relationship! Trauma-synthesis is done after stabilisation by trauma-exposition every two weeks (EMDR, screen-technique). The patients stay for 3-5 month, sometimes twice, with very good results.

Keywords: BPD  Borderline Personality Disorder  DES  Females  Inpatient Treatment  Posttraumatic Stress Disorder  PSTD  Self-Mutiliation  

Accuracy Verified: Yes


21. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.

Language: English

Format: Journal

Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.

Keywords: Nightmares  Posttruamatic Stress Disorder  PSTD  

Accuracy Verified: Yes


22. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice. Learning objectives: 1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method) 2.To identify with the experience of a new client presenting for and experiencing EMDR treatment 3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice

Keywords: Practice  Theory  

Accuracy Verified: Yes


23. Thompson, J., Cohn, L., & Parnell, L. (1996, June). Beyond the cognitive interweave:  The use of metaphors, dreams, art, and imagery in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: Art Therapy  Cognitive Interweave  Dreams  Imagery  Metaphors  

Accuracy Verified: Yes


24. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological systems. However little research has been done on whether it is possible to “reset” these biological systems with effective psychotherapy of pharmacological therapy. This symposium will present data on neuroendocrine and neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome study comparing EMDR, fluoxetine and pill placebo and demonstrate how effective treatment resulted in changes in memory processes, utilizing the Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine, the change in traumatic memory towards an integrated narrative was linearly correlated with physiological arousal in response to script driven imagery. This presentation will also present the relationship between clinical improvement in the three conditions and change in the cortisol response to a dexamethasone challenge.

Keywords: Fluoxetine  Pill Placebo  Posttraumatic Stress Disorder  PSTD  Symposium  

Accuracy Verified: Yes


25. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Alpha Rhythm  Brain Imaging  MEG Technique  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes


26. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Magnetoencephalography  MEG  Memory Recall  Posttraumatic Stress Disorder  PTSD  Research  Rhythms  Symposium  

Accuracy Verified: Yes


27. Gannon, J. P. (2011, April). A brain-based peak performance model using meditation, EMDR and cardio imagery and rehearsal. Peak Performance Systems, San Francisco.

Language: English

Format: Other

Abstract:
This pilot study investigated the effectiveness of a new model of peak performance training based on applications of brain research to stimulate mental skill acquisition leading to enhanced performance capabilities. Brain-based techniques such as Mindfulness Meditation (MM), Eye Movement Desensitization and Reprocessing (EMDR) and Cardio Imagery and Rehearsal (CIR) appear to stimulate various neurological processes including alpha and theta brain waves, higher interhemispheric coherence and reduced sympathetic nervous system arousal. Clinical application of these techniques in a preliminary pilot study with a variety of performers was shown in follow-up self-assessments to have enhanced performance outcomes on seven measures including reduced performance anxiety and self-consciousness, enhanced concentration and focus, improved memorization of performance routines and enhanced overall performance goals. The idea that specific performance routines can be installed using these brain-based techniques that enhance peak performance functioning on demand was supported by these findings.. However, the results of this pilot study are preliminary and further studies using a larger subject sample, empirically validated test measurements and independent control groups are necessary before these findings can be corroborated.

Keywords: Brain-Based Peak Performance  Brainscripting  Cardio Imagery and Rehearsal  Flow  Interhemispheric Coherence  Mindfulness Meditation  Neurofeedback  Neuroplasticity  Performance Anxiety  Pilot Study  

Accuracy Verified: Yes


28. Chikako, K. (2005). A case study of EMDR and imagery-based cognitive behavior therapy which took effect on reprocessing anger from traumatic memory. Kaunseringu Kenkyu, 38(Part 4), 353-360.

Language: English

Format: Journal

Abstract:
No abstract available.

Keywords: Anger  CBT  Cognitive Behaviorial Therapy  Imagery    

Accuracy Verified: No


29. Davis, N. (1998, July). Combining visual imagery and EMDR to treat traumatic symptoms of rape, child abuse, and sudden loss of a loved one. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) how to use visual imagery are a part of EMDR with rape victims who are terrified of their rapist; 2) how to use visual imagery as a part of EMDR with adults, adoelscents, and children who have been abused as a way of empowering them; and 3) how to implant a positive memory of a loved one who died suddenly once EMDR has eliminated the negative flashbacks or images associated wth death.

Keywords: Child Abuse  Loss  Rape  Visual Imagery  

Accuracy Verified: Yes


30. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.

Language: English

Format: Dissertation/Thesis

Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.

Keywords: Depression  Female  Guilt  Posttraumatic Stress Disorder  PTSD  Sexual Assault  Survivors  

Accuracy Verified: Yes


31. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]

Keywords: Adults  Arousal  Child Abuse  Exposure Therapy  Posttraumatic Stress Disorder  PTSD  Rape  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


32. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.

Language: English

Format: Journal

Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).

Keywords: Americans  College Students  Empirical Study  Experimental Stressors  Females  Phobia  Psychophysiology  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


33. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.

Language: English

Format: Dissertation/Thesis

Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]

Keywords: Adults  Americans  Effects  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


34. Various. (2000, November - December). Dibattito sulla EMDR (Eye movement desensitization and reprocessing) [Debate on EMDR (Eye movement desensitization and reprocessing)]. Avvenuto nelle liste "Psicoterapia" di Psychomedia (PM-PT) e Ipsico.

Language: Italian

Format: Other

Abstract:
Estratto: Ho letto con interesse questo scambio annunci sulla tecnica EMDR. L'EMDR ha anche parlato della recente riunione di Moiano, organizzata da Psicologi per i PeopleOn "modelli di intervento in psicologia di emergenza". Come Moiano, vorrei che potesse approfondire un discorso sul tema, proprio perché in psicologia dello stress post-traumatico, l'EMDR è uno dei temi più controversi discussi da una dozzina di anni. A partire dal accuse "scioccanti" di Francine Shapiro, il creatore del metodo con cui la grande maggioranza delle forme di PTSD regrediti rapidamente con alcune sessioni sono associati con i movimenti oculari saccadici evento traumatico 'immagini, ha sviluppato una linea di grandi dimensioni di ricerca si propone di empiricamente testare la reale efficacia del metodo. I risultati di questi studi sono almeno ambigui. Ciò è sottolineato con forza, come in diverse occasioni i ricercatori indipendenti riuscito a replicare i risultati eccezionali che l'insegnamento EMDR IncorporatedThe azienda vende negli Stati metodo di insegnamento Uniti, hanno pubblicato.

Excerpt: I read with interest this exchange listings on the EMDR technique. EMDR has also spoken of the recent meeting of Moiano, organized by Psychologists for the PeopleOn "models of intervention in emergency psychology". As Moiano, I wish it could deepen a discourse on the subject, precisely because in the psychology of post-traumatic stress, EMDR is one of the most controversial topics discussed by a dozen years now. Starting from the allegations "shocking" of Francine Shapiro, the creator of the method by which the vast majority of forms of PTSD regressed rapidly with some sessions are associated with eye movements saccadic 'imagery traumatic event, has developed a large line of research seeks to empirically test the real effectiveness of the method. The results of these trials are at least ambiguous. This is strongly emphasized, as on several occasions independent researchers failed to replicate the outstanding results that teaching EMDR IncorporatedThe company sells in the United States teaching method, have published.

Keywords: Practice  Theory  

Accuracy Verified: No


35. Hopper, J., Spinazzola, J., Blaustein, M., Yehuda, R., van der Kolk, B. A., & Simpson, W. (2003, October-November). Differential biological outcomes of EMDR and fluoxetine for PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment outcome studies using four different treatment modalities (CBT, EMDR, psychopharmacology and Cognitive Processing) and presents data on comparative efficacy, treatment responsiveness and resistance, effects on comorbidity, quality of life, and biological changes that accompany symptom improvement.

Differential Biological Outcomes of EMDR and Fluoxetine for PTSD: Two major developments in PTSD research have been the development of effective treatments and the delineation of pathophysiology. While major gains have been made in both of these areas, they have occurred in parallel. There is a need for investigations of possible differential effects of different treatment modalities on biological aspects of PTSD. In this randomized controlled trial (N = 105), we compared the exposure treatment Eye Movement Desensitization and Reprocessing, the serotonergic reuptake inhibitor fluoxetine, and pill placebo for their effects on both PTSD symptoms and biological parameters. The outcome measures were severity of reexperiencing, avoidant/numbing, and hyperarousal symptoms; psychophysiological reactivity to script-driven imagery; basal salivary cortisol and dexamethasone suppression test (DST). At pre-treatment, post-treatment and 3-month follow-up, saliva samples were acquired at 8 a.m., 11 p.m. (immediately followed by dexamethasone) and 8 a.m.. Participants also underwent a script-driven imagery protocol utilizing four 30s scripts, each followed by a 60s script imaging period and 2 minute recovery periods (fixed order: neutral, trauma, neutral, trauma). Preliminary analyses partially support hypothesizes concerning differential efficacies of pharmacological and psychological treatments on different symptom clusters and biological markers of the disorder, at post-treatment and 3- month follow-up. Potential implications for treatment and future research will be discussed.

Keywords: Fluoxetine  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes


36. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
In keeping with the theme of bridging gaps across disciplines, the Dissociative Table Technique brings to this trauma conference a strategy from the field of dissociative disorders. This therapeutic adjunct has been used by many therapists over the past 10 years for managing dissociated ego states in trauma victims who also have dissociation as part of their clinical picture. This strategy has been used with dissociative disorders, Ego-State therapy and more recently in conjunction with EMDR for patients having dissociative state alterations in addition to their PTSD. This guided imagery strategy provides a protocol for clinical intervention in such clients and will provide an additional therapeutic adjunct for trauma workers when PTSD is complicated by dissociative pathology. Based on gestalt, guided imagery and hypnosis strategies, the Dissociative Table Technique assists the clinician to bring order to the random dissociation which can complicate therapy in such cases. Also clients can be taught to become aware of and integrate dissociated ego states. This strategy must be carefully considered as it can have a profound effect on the dissociative processes. It is advised that it only be employed by clinicians whose fields permit hypnosis-based therapy.The workshop will commence with a therapeutic rationale for this technique followed by an outline of the clinical application. Included will be a video introducing the technique in a clinical case. The video will be followed by a second speaker discussing possible applications to EMDR. Useful suggestions for utilizing EMDR in this trance-prone population (those with dissociation in addition to PTSD) will be addressed in addition to presenting clinical examples in which the Dissociative Table Technique was integrated with EMDR in appropriate clinical groups.

Keywords: Dissociative Table Technique  Dissociation  Guided Imagery  Poster  Posttraumatic Stress Disorder  PSTD  

Accuracy Verified: Yes


37. Tallis, F., & Smith, E. (1994, May). Does rapid eye movement desensitization facilitate emotional processing?. Behaviour Research and Therapy, 32(4), 459-461. doi:10.1016/0005-7967(94)90010-8 .

Language: English

Format: Journal

Abstract:
Recent years have seen considerable interest in rapid eye movement desensitization (REMD), a novel procedure for the treatment of traumatic memories and related conditions. REM is usually administered as a component of a broader therapeutic procedure, now termed eye movement desensitization and reprocessing (EMDR). On the basis of previous and largely uncontrolled work, it is not clear to what degree therapeutic gains can be attributed exclusively to REMD. Following exposure to a contrived trauma, Ss were allocated to one of three conditions: REMD; slow eye movement desensitization (SEMD); and stationary-imagery (SI; i.e. no eye movement). Emotional processing was significantly impaired in the REMD group compared to the SEMD and SI groups. No significant differences were found between the SEMD and SI groups. [Author Summary]

Keywords: Experimental Stressor  Random Clinical Trial  RCT  Survivors  Young Adults  

Accuracy Verified: Yes


38. Rogers, S. (2006, December). Drifting away from EMDR. EMDRIA Newsletter, 11(4), 7-8.

Language: English

Format: Newsletter

Abstract:
Those who have attended Francine Shapiro’s Plenary Addresses in recent EMDRIA Conferences are aware of her wish that EMDR clinicians accurately reproduce the EMDR procedure and understand her Adaptive Information Processing model. This concern was sparked by the frequency of phone calls to the EMDR Institute from clients who had been treated with variations of the EMDR protocol with poor results. Also, here in Pennsylvania, we have had several veterans come into our treatment program claiming that they had been treated with EMDR and it didn’t work. When we asked for a description of the treatment, it was clear that the therapist had added elements to the desensitization phase, such as affi rmations, positive imagery, and relaxation techniques.

Keywords: Cautions  Practice  Theory  

Accuracy Verified: Yes


39. Graham, L. B., & Robinson, E. M. (2007, Spring). Effect of EMDR on anxiety and swim times. Journal of Swimming Research, 17, 1-9.

Language: English

Format: Journal

Abstract:
This study investigated the effect of Eye Movement Desensitization and Reprocessing (EMDR) on swimmers who had experienced a traumatic swimming event. Measures of performance, anxiety, and self-perception in (N = 65) competitive college and high school swimmers were collected Swimmers were randomly assigned to one of three conditions; EMDR, imagery or no treatment. All participants took the State-Trait Anxiety Scale and performed a 100 yd freestyle swim pretreatment and posttreatment. The EMDR and imagery group had two additional anxiety measures: [heart rate and Subjective Units of Distress, (SUDS)] and one cognition scale the Validity of Cognition Scale. These two groups had three sessions of either EMDR or imagery. Trait anxiety scores did not differ among groups as expected but the EMDR group's state anxiety decreased compared to the no treatment group p = .002. Heart rate and SUDS decreased as a consequence of group, with EMDR showing a drop in rate p < .001. Swim times were not different for all the groups, but EMDR improved compared to the no treatment p = .043. The EMDR group endorsed greater coping beliefs than the imagery group p < .01. EMDR may provide coaches with an alternative to imagery to help the athlete who has a "mental block" (negative thoughts indicating inability to cope with the swimming event) secondary to a traumatic sport

Keywords: Anxiety  Swimming  

Accuracy Verified: Yes


40. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687

Keywords: Adults  Emotional Trauma  Empirical Study  Evaluation  Male  Memory  Military  Treatment Effectiveness Treatment Outcome/Clinical Trial  Veterans  

Accuracy Verified: Yes


41. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Despite the emergence of many theories on biological EMDR mechanisms, research is still needed to understand the healing processes of EMDR. We conducted four experiments to explore the effects of EMDR on PTSD with 17 to 22 patients suffering from one unique trauma. The first experiment evidenced attentional bias in PTSD towards negative words that disappeared after successful EMDR Therapy. The second experiment has shown a less efficient control of emotion in PTSD as compared to healthy controls. This altered emotional suppressing measured through psychophysiological responses was restored after symptoms disappearance following EMDR. The third experiment also using psychophysiological measures confirmed the increased fear sensitization and delayed fear extinction in PTSD and again the restoration of a normal fear conditioning and extinction processes after EMDR. The last experiment explored the negative emotional cerebral mechanisms using functional magnetic resonance imagery in PTSD. Activities in prefrontal structures were modified in PTSD as compared to healthy controls. After the EMDR treatment accompanied by symptoms removal, the prefrontal responses were not different between PTSD patients and their controls. Theoretical issues of these results will be discussed in order to integrate cognitive, psychophysiological and cerebral mechanisms observations.

A pesar del emerger de muchas teorías sobre los mecanismos biológicos del EMDR, la investigación aún necesita entender el proceso de curación que se produce en EMDR. Hemos realizado 4 experimentos para explorar los efectos del EMDR en TEPT de 17 a 22 pacientes que sufrieron un único trauma. El primer experimento evidencia un sesgo atencional del TEPT ante las palabras negativas que desaparecen después de una terapia exitosa de EMDR. El Segundo experimento mostró una baja eficiencia del control de las emociones en los TEPT comparados con el control de individuos sanos. Esta alterada supresión emocional medida a través de respuestas psicofisiológicas fue restaurada después de una desaparición de los síntomas realizando EMDR. El tercer experimento también confirma mediante medidas psicofisiológicas el aumento de la sensación de miedo y un retraso en la extinción del mismo en el TEPT. De nuevo tras administrar una terapia EMDR se produjo una restauración a una condición normal de miedo y un proceso de extinción. El último experimento explica los mecanismos negativos emocionales cerebrales usando resonancia funcional magnética en TEPT. La actividad en las estructuras prefrontales fue modificada en el TEPT comparado con el control. Después del tratamiento de EMDR acompañado de una remisión de los síntomas, las respuestas prefrontales no fueron diferentes entre los pacientes con TEPT y los controles. Cuestiones teoréticas sobre estos resultados serán discutidas con el fin de integrar cognitivamente, psicofisiológicamente y observar los mecanismos cerebrales del EMDR.

Keywords: Cognition, Psychophysiology and Cerebral Mechanisms  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


42. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]

Keywords: Clinical Trial  Partial Dismantling  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


43. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.

Keywords: Analyitical Psychology  Case Study  Imagery  Imaginal  Jungian Analysis  Mind-Body Observation  Symposium  

Accuracy Verified: Yes


44. Foster, S. (1999). EMDR and assisting athletes in coping with a critical incident. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
This symposium presentation focuses on Eye Movement Reprocessing and Desensitization (EMDR) as an intervention to assist an athlete in recovering from the distressing effects of a critical incident and the adverse impact that such an event can have on the athlete's performance. Two cases will be presented; that of a major league baseball player and a male pair skater and national competitor. Each experienced a life threatening critical incident which triggered symptoms of posttraumatic stress disorder. The EMDR methodology was first used as a treatment for trauma, its original utilization. However, the extension of the EMDR protocol for performance enhancement was also employed, to help restore the athlete's desire for engaging in his sport and to provide mental rehearsal for future participation. The presenter will also discuss the current EMDR neurophysiological research, and the relevance of this method of enhancing athlete performance.

Keywords: Athletes  Critical Incident  Recent Events  Symposium  

Accuracy Verified: Yes


45. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


46. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This presentation addresses how creativity has been interwoven into the discovery and development of EMDR, as well as how EMDR is an effective tool in unblocking and enhancing creativity. Dr. Shapiro's discovery of EMDR and her development of the EMDR Protocol, are examined as underpinnings of EMDR and Creativity. EMDR processing will also be examined as an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR is discussed as a co-creative process. This presentation addresses creative enhancements EMDR's healing tools including: "open listening" - avoiding assumptions while attending to all in-the-moment verbal and non-verbal client communications, creative use of eye movements with flowing hand movements and shifting rates of speed, integrating music and nature sounds into left/right auditory stimulation and enhancing of body sensations with color and imagery. This presentation also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of diallng living of non-artists. Using EMDR protocol to target creative blocks is discussed, as well as the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists. Mini-practica and demonstrations are used to operationalize the concepts presented in lecture and handout format.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


47. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR. EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation addresses creative enhancements of EMDR's healing tools: ''open listening." eye movements, integrating music and nature sounds into auditory stimulation and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed. Mini-practica and demonstrations also used.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


48. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.

Keywords: Creativity  

Accuracy Verified: Yes


49. McNeal, S. A. (2001, July). EMDR and dream interpretation. Presentation at the International Association for the Study of Dreams, Santa Cruz, CA.

Language: English

Format: Conference

Abstract:
This paper describes a method of dream interpretation useful in psychotherapy.The therapist can use the treatment method EMDR (eye-movement desensitization and reprocessing) for processing dream images. The associations elicited in this manner provide a wealth of significant material for psychotherapy as well as resulting in meaningful dream interpretation. Learning Objectives: 1) To present a new method of dream interpretation 2) To describe the protocol so that others could use it 3) To indicate how this method can enhance therapeutic results Evaluation questions: 1) How does this use of EMDR differ from the standard use of EMDR with dream imagery? 2) Summarize briefly how EMDR is used for dream interpretation? 3) What are the advantages and disadvantages of this method of dream interpretation? EMDR and Dream Interpretation When utilizing EMDR to resolve a trauma, one of the four target areas in the standard EMDR protocol is the nightmare image. During reprocessing, the nightmare image often changes to reveal the real life experiences that are part of the traumatic material. If processing is complete, the nightmare image will not reoccur. Theoretically, the periods of REM sleep when dreaming occurs are thought to be natural survival mechanisms whereby experiences from the day are synthesized and stored in memory. It has been speculated that nightmares are the mind's attempts to metabolize trapped information. Because trauma can also produce interrupted and dysfunctional REM sleep, nightmares may reoccur indefinitely without resolution taking place. EMDR has been shown to effectively process nightmare images so that reoccurring nightmares cease. Less has been reported in the EMDR literature regarding dream images that are not nightmarish and do not reoccur. It is usually assumed that if the dreaming process is natural and healthy without nightmares or interrupted sleep, then it is not to be tampered with and is not a focus of treatment. However, EMDR can be very helpful in processing information from dreams, even when the dream images may not appear to be relevant. Case material will be presented to demonstrate how EMDR can be useful in processing dream images during the normal course of treatment as well as contributing to the resolution of specific traumas.

Keywords: Dreams  

Accuracy Verified: Yes


50. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.

Keywords: Body-Cognitive Interweave  Left-Right Brain  Hemispheres of the Brain  Poster  

Accuracy Verified: Yes


51. Siegel, I. (2001, June). EMDR and the psychology of consciousness. Presentation at the annual meeting of the EMDR International Association EMDRIA Conference, Austin, TX .

Language: English

Format: Conference

Abstract:
Participants will: 1) develop an understanding of the role of EMDR as a bridge between esoteric concept of consciousness and the western concept of psychotherapy; 2) be able to understand how the role of consciousness, imaqery, and intuition can be applied within the EMDR process; 3) demonstrate an ability to access their own inner vision and higher consciousness, and 4) learn the clinical applications, as an EMDR practitioner, of accessing their own intuition, higher inner senses, and evolving consciousness.

Keywords: Consciousness  Imagery  Intuition  Psychotherapy  

Accuracy Verified: Yes


52. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical pain and living with chronic pain. Participants in this workshop will learn: (a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain; (b) a guided pain healing meditation; (c) an EMDR protocol for installing pain relief imagery and self-care techniques; (d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories; (e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating, drinking) and dependence on pain medication in this population. The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer will be presented. Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the "C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed. The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing will be discussed. The presentation will then cover (with clinical case examples): (1) Red flags and cautions to consider before proceeding with EMDR- (2) What to do and what not to do if the patient is dissociative; (3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with "secondary gains" minus primary losses; (4) Teaching the distinction between pain sensations and suffering; (5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy self-care behaviors; (6) How to directly address with the patient the application of "cognitive psychology" and imagery for pain reduction; (7) EMDR reprocessing of memories around the pain's origins; (8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences, internalized self-identifications, self-punitive tendencies and self-defeating behaviors; (9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient; (10) EMDR reprocessing of negative cognitions associated with depression and anxiety. (11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers; (12) Material that often comes up in using EMDR with pain patients; (13) Strategically restructuring patient "resistance" with coanitive interweave; (14) Managing narcotic and pain medication seeking behavior and substance abuse; (15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in this population; (16) Treating pain patients who also have PTSD. Videotaped case excerpts will be shown that illustrate important points covered. If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.

Keywords: Chronic Pain  Pain  Pain Management  

Accuracy Verified: Yes


53. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Chronic Pain  Protocol  

Accuracy Verified: Yes


54. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories; and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Pain Control  

Accuracy Verified: Yes


55. Murray, K. (2010, September/October). EMDR to reduce fears of recurrence of breast cancer. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
How can we support women with breast cancer (BC) in their bio-psycho-social healing? Are fearsof recurrence inevitable or a re-experiencing of unresolved BC diagnosis and treatment experiences? Participants will identify traumatic stress symptoms in women with BC, and the impacton treatment, quality of life, and fears of recurrence; review the seven cancer treatment stages, and potential traumas, triggers, and EMDR interventions of each; describe phase two interventions to manage worry, develop healing imagery and promote coping and positive health behaviors; and explain how past-present-future targeting can address fears of recurrence. Expanded from 2008, this workshop draws on psycho-oncology literature, clinical observations, and one client’s EMDR journey from “coping” to “living”.

Keywords: Breast Cancer  

Accuracy Verified: Yes


56. Darker-Smith, S. (2007, June). EMDR vs CBT in the treatment of anorexia nervosa: A preliminary study. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In working with clients with anorexia nervosa for the past 18 months, it has become apparent that while many clinicians continue to utilise a variety of treatment means, CBT or systemic family therapy are often treatments most frequently offered to the sufferer. However, what does appear to be consistent is the general view (e.g., Waller; Treasure; Brewer) that ‘recovery’ will take an average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery.
With this in mind, sixteen clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of 16.5 – 18 and still meeting the mental criteria of anorexia nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N.6). Starting with the premise that most sufferers of anorexia nervosa argued that simply ‘eating’ is not the answer – but rather the mechanism by which control is maintained – it was agreed that regular weigh-ins and the use of food journals would form part of the study – however, no therapeutic emphasis would be placed directly on food in either the CBT or the EMDR group.
Those receiving EMDR recovered substantially quicker and with less food-related exposure, once the target memory precipitating the anorexic onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the ‘feeder’ memory had been adapted in 8 out of the 10 EMDR clients. In the remaining two clients, behavioural experiments targeting the “practice of behaving (and eating) normally’ one day a week in order to reduce the fear of ‘normality’ was used with good effect.
Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly.
Although the trial lasted for 6 months duration, on average, the EMDR group reached ‘recovery’ at around 3-4 month mark, compared to the CBT group of which five noticed ‘improvement,’ however, did not appear to have increased weight and still reported phobic reactions to both body-mage and food at the 4 month mark. One in the CBT group did make a significant improvement based on cognitive restructuring alone and this client did increase weight and intake significantly at the same ratio as the EMDR group.
At the initial 1-month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet/weight compared to the EMDR group who had reached normal BMI ranges (N.9) and all reported little to no pre-occupation with diet/eight.
Although this study is still pending follow-ups of all clients, there would appear, on the basis of this preliminary study that anorexia nervosa appears to respond better to EMDR in shorter treatment duration than CBT.
Furthermore, six of the EMDR group reposed using safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor.

Keywords: Anorexia Nervosa  CBT  Cognitive Behavioral Therapy  

Accuracy Verified: Yes


57. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming the client’s capacity and resources. Practitioners must screen for dissociation and use special procedures to safely use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot EMDR with dissociative clients within the phased treatment model, for clients ranging from DDNOS to DID. Assessment and stabilization are key to preparing clients for trauma work. The workshop offers methods to increase affect tolerance, establish a two-step containment habit, and orient personalities to person place and time. Other topics include: increasing tolerance of body sensation and affect, and enhancing compassion for self and others, directly working with introjects or other “monstrous” shame-laden parts, essential to reducing internal conflict and resistance to therapy. The workshop instructs in specific ego state strategies and imagery to provide sufficient resources, maintain an observing ego. Rooted in the hypnotic tradition, stabilization methods to pace and fractionate the work within EMDR while interspersing trauma work with sessions that consolidate gains. The workshop also describes the conference room method and means to trouble-shoot stuck processing. Finally, the workshop describes the final phases of therapy, skills building, integration and fusion.
Participants will be able to : ♦♦ explain why and when to assess every client for degree of dissociation and choose an appropriate protocol. ♦♦ list six tactics for stabilizing clients, prior to doing EMDR for dissociative clients, to increase rapport, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources. ♦♦ structure EMDR sessions using imagery and ego state interventions for pacing, fractionating and trouble-shooting the work.

Keywords: Dissociation  

Accuracy Verified: Yes


58. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli. The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions. Learning objectives: This workshop will provide you with the following information: •a short review of current research and literature •the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations by working with flashforwards, future template and video check •ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.

Keywords: Dentophobia  

Accuracy Verified: Yes


59. Faust, T. (2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
We present a case of Test Anxiety, handled using a combination of EMDR and Ego State Short Term Therapy. Shira, aged 27, is a bright science student. She recently failed a math test due to an anxiety attack. Shira feels that her ability to complete her degree studies is under a real threat. Reported symptoms: great stress, chest pain, pessimistic thoughts, and a general feeling of low self-­‐esteem. The treatment consisted of four sessions before her forthcoming math exam, and a fifth follow-­‐up session after it. The therapeutical approach Psycho-­‐educational counseling, self-­‐relaxation and guided imagery, EMDR phobia protocol (Shapiro F.), use of puppets for work on Ego States (Cohen-­‐Posey K.) based on Voice Dialogue (Stone). During her EMDR processing, Shira chose different puppets to represent both her negative and positive cognitions (PC, NC). A Policeman puppet (NC) represented the "protecting part" of the vulnerable child. This failed part lacks in self-­‐confidence and blocks her progress. Shira's successful PC part is represented by the Queen puppet. She is sure Shira will succeed, because she's able to. During the desensitization process, Shira created a dialogue between her different parts, and empowered the successful, functioning, Queen part. This reinforced her self-­‐esteem and her Ego Awareness The awareness of these parts in her becomes a resource used by Shira for a successful performance in her math exam, in which she gets the highest grades. We shall present the protocol of our sessions, and the use of puppets as projection tools of the Ego parts.

Presentamos un caso de ansiedad ante exámenes, llevado a través del uso del EMDR y la terapia breve de estados del Ego combinados. Shira, tiene 27 años, es una brillante estudiante de ciencias. Recientemente suspendió un test de matemáticas debido a un ataque de ansiedad. Shira siente que su habilidad para completar sus estudios de grado esta bajo una amenaza real. Síntomas registrados: Gran estrés, dolor de pecho, pensamientos pesimistas, y sentimientos generales de baja autoestima. El tratamiento consistió en cuatro sesiones antes de su siguiente examen de matemáticas, y un seguimiento de 5 sesiones después de este. El enfoque terapéutico. El consejo psico-­‐educacional, auto-­‐relajación e imaginación guiada, protocolo EMDR para fobia(Shapiro F.), uso de marionetas para trabajar con los estados del Ego (Cohen-­‐Posey K.) basado en el la voz del dialogo (Stone). Durante su procesamiento EMDR, Shira escoge diferentes marionetas para representar sus cogniciones negativas y positivas (PC, NC). Una marioneta de agente de policía (NC) representaba la “parte protectora” de un niño vulnerable. Esta parte fallo en su autoconfianza y bloque su progreso. La parte que representaba el éxito de Shira PC era la marioneta de la Reina. Ella estaba segura de que Shira Durante el proceso de desensibilización, Shira creó un dialogo entre sus diferentes partes, y reforzó el existo, y el funcionamiento de la parte de la Reina. Esto reforzó su autoestima y su conciencia del Ego. La conciencia de estas partes se convirtió en un recurso usado por Shira para el existo en la realización de su examen de matemáticas, en donde saco las notas más altas. Presentaremos el protocolo con nuestras sesiones y el uso de marionetas como herramientas de proyección de las partes del ego.

Keywords: Ego States  Policement, Queens  Test Anxiety  

Accuracy Verified: Yes


60. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations:  Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.

Keywords: 9/11  Disaster  Ego State Therapy  September 11th  Survivors  World Trade Center  WTC  

Accuracy Verified: Yes


61. U.S. Department of Veterans Affairs, National Center for PTSD. (2001). Empirical evidence regarding behavioral treatments for PTSD, Factsheet. Washington, DC.

Language: English

Format: Publication

Abstract:
EMDR involves having the patient bring to mind images of the trauma while engaging in back-and-forth eye movements (or while alternating oneâs attention back and forth using taps or sounds). It also addresses trauma-related negative beliefs. It has been shown to be more effective than psychodynamic, relaxation, supportive, or placebo wait list therapies (where patients are put on a waiting list to receive treatment but don't actually receive it by the time they are tested). Research comparing EMDR to the more generally accepted cognitive-behavioral techniques shows significantly better results with CBT than with EMDR, particularly at three-month follow-up. CBT results also show greater sustainability. Research looking at the different components of EMDR shows that the eye movement component adds no additional treatment effect to the imagery exposure and the process of dealing with negative beliefs.

Keywords: Behavioral Treatments  Fact Sheet  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


62. Corrigan, F. M., & Jennett, J. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder. Acta Psychiatrica Scandinavica, 110(2), 158. doi:10.1111/j.1600-0047.2004.00368.x.

Language: English

Format: Journal

Abstract:
Letter to the editor commenting on an article by E. Ernst (see record 2003-05653-002). We report the case of a patient who was effectively treated for severe obsessive compulsive disorder but relapsed briefly following ingestion of herbal products containing ephedra alkaloids that she bought to facilitate weight loss. The patient was a 29-year-old woman with a 10-year history of obsessive compulsive disorder who was referred for Eye Movement Desensitisation and Reprocessing (EMDR) when her condition had not responded to cognitive behavior therapy nor to various medications including Fluoxetine, Paroxetine, Clomipramine and Amitriptyline. Her score on the Dissociative Experiences Scale was low and there was nothing in the clinical history to suggest major dissociative disorder, so after preparation with mindfulness, relaxation and safe place imagery she proceeded to treatment with EMDR. Nine months later she reported a relapse into increased anxiety with a partial return to compulsive thoughts and behaviours after she had obtained a herbal health product sold to promote weight loss. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Comment  Desensitization  Ephedra  Letter  Luvoxamine  Obsessive Compulsive Disorder  OCD  Plant Preparations  Relapse  Reply  Review  Serotonin Uptake Inhibitors  

Accuracy Verified: Yes


63. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved. Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma

Keywords: Art Therapy  Treatment  

Accuracy Verified: Yes


64. Rose, L. (2012). Eye movement desensitization and reprocessing: An exploration from science to soul. Pacifica Graduate Institute, Carpinteria, CA. 1507791.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a treatment for trauma that has been approached primarily from cognitive-behavioral and neurobiological perspectives. This thesis explores the notion that much of EMDR's effect in the way of transformation and healing trauma is due to its ability to provoke imagination. The possibility of EMDR's connection with the imaginal faculty of the psyche is investigated with an emphasis on the qualities of EMDR that are grounded in depth psychology principles. Trauma and the importance of imagination in the healing process are discussed from the approach of the analytical and archetypal schools of psychology in addition to current bioscience perspectives. The research methodology used is alchemical hermeneutics, which facilitates the mining of unconscious material through transference dialogues. The thesis demonstrates that EMDR, when practiced within the context of depth psychology, is one avenue for activating significant, transformative imagery and accessing the unconscious to facilitate healing.

Keywords: Archetype  Biological Sciences  Dream  

Accuracy Verified: Yes


65. Lee, G., Beaton, R., & Ensign, J. (2003, June). Eye movement desensitization and reprocessing:  A brief and effective treatment for stress. Journal of Psychosocial Nursing and Mental Health Services, 41(6), 22-31.

Language: English

Format: Journal

Abstract:
1. Eye movement desensitization and reprocessing (EMDR) is an integrative therapy that "unlocks" disturbing memories or beliefs and reprocessess them, in some way, so they are no longer as disabling. 2. EMDR can be used for any experientially based psychological problems and has proven especially effective for traumatic imagery associated with posttraumatic stress disorder. 3. A primary benefit of EMDR is its time efficiency, requiring as few as 3 to 5 hours of treatment. 4. Many potential mechanisms (i.e., cognitive, hypnotic, self-disclosure, biological) may account for the effectiveness of EMDR.

Keywords: Posttraumatic Stress Disorder  PTSD  Review  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Eye Movements  Mechanism of Action  Neurobiology  Poster  Rorschach Test  

Accuracy Verified: Yes


67. Andrade, J., Kavanagh, D., & Baddeley, A. (1997, May). Eye-movements and visual imagery:  A working memory approach to the treatment of post-traumatic stress disorder. British Journal of Clinical Psychology, 36(2), 209-223. doi:10.1111/j.2044-8260.1997.tb01408.x.

Language: English

Format: Journal

Abstract:
It has been claimed that the symptoms of post-traumatic stress disorder (PTSD) can be ameliorated by eye-movement desensitization-reprocessing therapy (EMD-R), a procedure that involves the individual making saccadic eye-movements while imagining the traumatic event. We hypothesized that these eye-movements reduce the vividness of distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, and that by doing so they reduce the intensity of the emotion associated with the image. This hypothesis was tested by asking non-PTSD participants to form images of neutral and negative pictures under dual task conditions. Their images were less vivid with concurrent eye-movements and with a concurrent spatial tapping task that did not involve eye-movements. In the first three experiments, these secondary tasks did not consistently affect participants' emotional responses to the images. However, Expt 4 used personal recollections as stimuli for the imagery task, and demonstrated a significant reduction in emotional response under the same dual task conditions. These results suggest that, if EMD-R works, it does so by reducing the vividness and emotiveness of traumatic images via the VSSP of working memory. Other visuospatial tasks may also be of therapeutic value (PubMed).

Keywords: Australia  Empirical Study  Eye movements  Experimental Stressors  Pictorial Stimuli  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


68. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton.

Language: English

Format: Book

Abstract:
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]

Keywords: Body Psychotherapy  Cognitive Therapy  Ego State Therapy  Hypnotherapy  Stressors  Survivors  TFT: Thought Field Therapy    

Accuracy Verified: Yes


69. Marler, M. (2005, September). Frank, E.R. Wrecked, a novel. Kliatt.

Language: English

Format: Novel(Book)

Abstract:
To quote the review of the hardcover in KLIATT, September 2005: Sixteen-year-old Anna kills her brother's girlfriend Cameron in a car crash after drinking at a party, but she was not drunk. Her best friend Ellen is also seriously injured. To make matters worse, Anna and her brother have an emotionally abusive father, a weak and distant mother, and this problem has driven a wedge into their relationship even before the trauma of the accident. This is a story of grief and the different ways people are changed by extreme events and how they heal. It is also the story of the power of friendship and the need for other people in our lives and suggests the necessity of forgiveness for the weakness of others. In addition, it explores the use of EMDR therapy to deal with post-traumatic stress disorder. Frank's use of language and her powerful flashbacks, accompanied by her insight into the human condition, make this novel rich and compelling, one whose images linger in the memory after the last page. Frank (author of America, Friction, and Life is Funny) allows her characters to speak for themselves. No authorial voice jumps in to make pronouncements. The characters chide, comfort, warn, and get angry at each other and ultimately their interactions are an essential part of the healing process. This novel's themes and execution make it an excellent read for all adolescents, though younger teens may not appreciate it as much as older teens because of its sophisticated imagery.

Keywords: Fiction  Novel  

Accuracy Verified: No


70. Choi, J., Kim, D., Kim, S-H., Lee, J-H., & Park, D-W. (2004, September). Functional MRI findings of EMDR for PTSD: A case series using script-driven imagery procedure. Poster presented at the annual meeting of EMDR International Association, Montreal, Quebec CA.

Language: English

Format: Conference

Keywords: MRI Findings  PSTD  Script-Driven Imagery Procedure  

Accuracy Verified: Yes


71. Page, M. G. (2007, July). Gathering objective data from assessment to discharge in EMDR therapy: Galvanic skin responses, verbal prompts and tactile desensitization. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
This study shows how three changes (one addition to the EMDR protocol, plus two alterations) were used in the treatment of anxiety disorders. The addition to the EMDR protocol was: 1) The use of Galvanic Skin Response (GSR) monitors to provide a constant flow of objective, testable and measurable data specific to the experience of suffering or disturbance, exclusively to the clinician (and not to the patient) throughout the therapy process, The two other alterations were: 2) Incorporating specifically targeted verbal prompts at various points in the process, thus serving to maintain the patients emotional and intellectual focus on the experience of suffering the presenting disorder. 3) Allowing the patient to close his or her eyes and using tactile desensitization and reprocessing rather than eye movements, thereby allowing the patient to maintain the mental imagery specific to the suffering. The study group achieved beneficial outcomes sooner and more effectively than the control group who were given standard EMDR therapy.[Author abstract]

Keywords: Galvanic Skin Response  Tactile Desensitization  Verbal Prompts  

Accuracy Verified: Yes


72. Naparstek, B. (2010, March 5). Getting rid of repeating nightmares: A simple, potent, wew recipe. The Huffington Post.

Language: English

Format: Newspaper

Abstract:
Drs. Padin-Rivera and Donovan developed their iteration by tweaking Barry Krakow's Imagery Rehearsal Therapy, which you may have read about last fall in the New Yorker. They added some clever elements from Francine Shapiro's EMDR (Eye Movement Desensitization & Reprocessing), streamlined the process, and came up with a fast, potent method.

Keywords: Dreams  Nightmares  

Accuracy Verified: No


73. Meredith, F. (2012, May 1). A healer of the past. Irish Times. Retrieved from http://www.irishtimes.com/newspaper/health/2012/0501/1224315400207.html on 5/1/2012.

Language: English

Format: Newspaper

Abstract:
“EMDR helps the vividness of the distressing imagery become less emotionally disturbing. It helps turn negative self-belief into something more positive,” says Paterson. [Excerpt]

Keywords: General  Overview  Paterson  

Accuracy Verified: Yes


74. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.

Keywords: Complex Trauma  Personality Disorders  Re-Scripting  

Accuracy Verified: Yes


75. Herbert, C. (2003, May). Healing the “inner child” – EMDR imagery rescripting techniques with complex trauma clients. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
EMDR-based imagery re-scripting techniques with a modified concept of Cognitive Schema Modes (Young, 1999). Based on clinical case examples, the use of imagery techniques, which draw on all sensory modalities (involving cognitive, emotional and somatic systems) during the auditory application of EMDR will be described, to help complex trauma clients firstly approach and recognize and subsequently attach to and nurture the image of their own “inner child”. Rather than establishing a sense of unrealistic dependency on the therapist by integrating him or her as the sole nurturer, clients are encouraged to develop an image of their own ‘healthy adult’, who can learn to take on the role of internal re-nurturing, protection and healing of the ‘inner child’. Techniques for overcoming blockages between a client’s ‘healthy adult’ and their ‘inner child’ representations are described. It is proposed that differentiating between ‘child’ and ‘adult’ modes and tuning into these through deep-level EMDR processing, allows clients to re-connect to feelings associated with their earlier experiences of helplessness and dependency during childhood, which can now be re-experienced within a safe and nurturing context. It is suggested that this will allow higher order brain systems, such as the hippocampus, to remain active and therefore enable cognitive and structural re-organization of the stored material in the brain and body cells. Once a positive attachment bond between a client’s internalised ‘inner child’ and ‘healthy adult’ modes has been achieved this can then be utilized further during direct trauma processing work. It is argued that healing of the ‘inner child’ enables healing of the adult client so that a more positive and secure sense of self can be achieved.

Keywords: Attachment Theory  Complex PTSD  Imagery  Inner Child  Rescripting  Symposium  

Accuracy Verified: Yes


76. Ichii, M., Amano, T., & Yoshikawa, H. (2012, June). Hemodynamic responses during EMDR treatment of traumatic memory [Respuestas hemodinámicas durante el tratamiento de memorias traumáticas con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In order to investigate brain activity during EMDR, 52-channel NIRS(near –infrared spectroscopy) and heart rate were measured in treating a traumatic memory of non-clinical twenty five year old woman. A target memory was sexually molestation by a stranger when she was ten years old, and forced to touch penis of perpetrator. And IES-R score was as low as 11. A well-experienced EMDR therapist (=M.I.) applied estandarized EMDR protocol. Negative cognition was “I am shameful person”, and positive cognition was ”I deserve to live.” The body location is both arms and hands. By thirty-seven sets of EM, 7.5 level of SUDs decreased to 0, and VOC went up from 3.5 to 7. The [oxy-Hb] change in right orbitofrontal cortex increased as the negative emotion went up, and decreased rapidly after processing. The [oxy-Hb] change in left orbitofrontal cortex decreased just after cognitive interweave of responsibility was done. The [oxy-Hb] variation in right temporal lobe increased rapidly, and the [oxy-Hb] change in left temporal lobe decreased when direction of EM was changed from horizontal to diagonal movement when negative imagery disappeared. Heart rate data show gradual decreasing tendency throughout the session. Within each set, heart rate also decreased by EM. By monitoring NIRS, various techniques or pivotal processes in EMDR may be supposed to influence brain. In order to confirm the relationship, we should collect data from more subjects.

Para poder investigar la actividad cerebral durante EMDR, se midieron la NIRS (espectroscopia cercana al infrarrojo) de 52 canales y el ritmo cardíaco para tratar los recuerdos traumático de una mujer no clínica de veinticinco años. Un recuerdo diana fue un abuso sexual de un extraño cuando tenía 10 años y el agresor la obligó a tocarle el pene. La puntuación del IES-­‐R fue de 11. Un terapeuta EMDR con experiencia (=M.I.) aplicó el protocolo estándar de EMDR. La cognición negativa fue “Soy una persona vergonzosa”, y la cognición positiva fue ”Merezco vivir.” La localización corporal fue en ambos brazos y manos. Después de 37 sets de movimientos oculares, el SUD de 7,5 bajó a 0, y el VOC subió de un 3,5 a un 7. El cambio [oxy-­‐Hb] en el córtex órbitofrontal derecho aumentó a medida que aumentaba la emoción negativa, y disminuyó rápidamente después del procesamiento. El cambio [oxy-­‐Hb] en el córtex órbitofrontal izquierdo disminuyó justo después de hacerse un entrelazado cognitivo de responsabilidad. La variación [oxy-­‐Hb] en el lóbulo temporal derecho aumentó rápidamente, y el cambio [oxy-­‐Hb] en el lóbulo temporal izquierdo disminuyó al cambiar la dirección de los movimientos oculares de horizontal a diagonal cuando desapareció la imagen negativa. Los datos del ritmo cardíaco muestran una tendencia decreciente gradual a lo largo de la sesión. En cada una de las tandas, el ritmo cardíaco también disminuyó por los movimientos oculares. A través de monitorear el NIRS, se supone que diversas técnicas o procesos centrales en EMDR influyen en el cerebro. Para poder confirmar esta relación, deberíamos recolectar datos de más sujetos.

Keywords: Hemodynamic Responses  

Accuracy Verified: Yes


77. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.

Keywords: Poster  Sub-Clinical Stress  

Accuracy Verified: Yes


78. Vasquez, S., & Breiling, B. (1997). Illuminating the windows of the soul: Facilitating psychotherapy with eye movements and strobic colored light stimulation. Bridges, 8(2), 5-7 .

Language: English

Format: Magazine

Abstract:
Eighteen hundred years ago the Greek astronomer, and mathematician, Ptolemy, discovered he could induce a feeling of contentment in those who looked at sunlight through the spokes of a spinning wheel. In the late 1800's, French psychiatrist, Dr. Pierre Janet, noted that patients at the Salpetriere Hospital in Paris experienced increased relaxation and a reduction in the symptoms of hysteria when they were exposed to flickering light. Since the late 1930's neuroscientists have known that brainwaves would rapidly mimic the rhythm of a flashing light ( or sound ) stimulus. British EEG researcher, W. Grey Walter originally called this the "flicker phenomena," noting that strobic light produced states of profound relaxation and vivid mental imagery. Today this same principle is known as visual entrainment.

Keywords: Eye Movements  Strobic Colored Light Stimulation  

Accuracy Verified: Yes


79. Steele, A. (2003, September). Imaginal nurturing. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Imaginal Nurturing blends guided imagery with EMDR components to provide a means of weaving nurturing experiences into and through the therapeutic process. These experiences build upon each other to facilitate a new relationship with self, and the development of a secure base within. In this workshop, participants will learn the principles of IN, how to use it in relation to trauma work, how to develop an attachment-related body resource, and how to ground the imagery in the client's life. There will be a review of ways to deal with probems that arise. Handouts include sample scripts.

Keywords: Imaginal Nurturing  

Accuracy Verified: Yes


80. Forgash, C. (2012, October). The impact of complex PTSD and attachment issues on personal health: An EMDR treatment approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
EMDR treatment will be presented as a successful model for dealing with the attachment deficits and health problems of trauma survivors. The development of an EMDR Treatment Plan to treat both health and attachment problems with a focus on a Health History and specific target selection is highlighted. Specialized techniques will be utilized in phases 1-3 to help the patient experience self soothing, develop emotional regulation, and to avoid re-traumatization in the health care setting. Phases 4-7 will emphasize specific work on past attachment ruptures as well as specific health issues. Skills development such as rehearsal will also be presented.

Keywords: Attachment Issues  Complex Posttraumatic Stress Disorder  Complex-PTSD  C-PSTD  Personal Health  

Accuracy Verified: Yes


81. Delpierre, M. (2005, June). Improving human potential in sport, business and education with EMDR. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
'Mental Fitness' has nothing to do with a killer instinct or ruthless play. Rather it is a precise way of thinking and acting under stress. Consider top athletes: do words like cold, callous and insensitive accurately describe their competitive performance? Hardly. Much more accurate words are flexible, responsive, strong and resilient. The difference in 'winning' is as much in technical and physical ability/potential than in mental performance. Top athletes recognize that to be at their best, they must think their best. To perform at an optimum level under high pressure (the same for top manager, musician, fire fighters...), they need to keep their ability to make choice at every moment.
EMDR and other techniques can help them (others tools also presented: Goal setting, Self-talk, Relaxation techniques, Imagery, Rituals.)

Keywords: Chronic Fatigue Syndrome  CFS  Peak Performance  Symposium  

Accuracy Verified: Yes


82. Reddemann, L. (2009). The inner safe place. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp.71-72). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The imagery of an "Inner Safe Place" is part of a body of work on stabilization techniques for trauma therapy called "Psychodynamic Imaginative Trauma Therapy (PITT)". It is used within PITT to prepare clients for EMDR. However, it works very well as a resource for EMDR. It is important to know that clients who live in unsafe circumstances are often not able to develop the images and so seeing what happens while working on installing the inner safe place can tell us something about clients' external safety. If clients are able to create an inner safe place, the therapist can proceed with the exercise. If clients are unable to create and install a safe place, other stabilization work is used. This chapter provides the Inner Safe Place Script. [PsycINFO Database]

Keywords: Inner Safe Place  Protocol  

Accuracy Verified: Yes


83. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be discussed. 1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized. Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation, assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are examples of negative cognitions whlch interfere with first stage stabilization goals: - I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better. - If I take care of myself, no one will know I hurt. - I'm pathetic, a failure. - I will die/go crazy fiom these feelings. - I can never do anything right. - I can't stand this feeling. I must cut myself. - Don't trust anyone or anything. Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc. 2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues: - fear/terror and associated avoidance - sense of powerlessnesshelplessness - responsibility/accountability - safety - self, others, environment - self-esteem/self as bad, defective, unlovable - lack of individuation - dependency - anger - grief/mouming - trust/mistrust - fear of abandonment - guilt/self-blame - shame/self-loathing With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing assessment and data collection in making decisions about EMDR targets will be addressed. 3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and issues addressed via EMDR include: - Increasing intimacy and healthy connections - Increasing self-esteem - Increasing self-efficacy and sense of mastery - Reclaiming sexuality - Increasing self-efficacy and sense of mastery - Identity exploration and development - Establishing goals, initiating new projects, and taking reasonable risks At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive and vital self-image. The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying EMDR at a specific stage of treatment.

Keywords: Sexual Abuse  Survivors  

Accuracy Verified: Yes


84. Lohr, J., Tolin, D., & Kleinknecht, R. (1996, January). An intensive design investigation of eye movement desensitization and reprocessing of claustrophobia. Journal of Anxiety Disorders, 10(1), 73-88. doi:10.1016/0887-6185(95)00036-4.

Language: English

Format: Journal

Abstract:
Two claustrophobic subjects were treated with eye movement desensitization and reprocessing (EMDR), a new treatment for induced anxiety disorders. Both subjects were interviewed to construct detailed images of fear-related events before treatment. The treatment followed a within-series phase-change design to examine the effects of eye movement added to the general treatment protocol. Both subjects' verbal reports of fear changed substantially when eye movements were added to the general treatment protocol. It was concluded that the addition of eye movement was necessary to reduce the aversiveness of some phobic imagery. No change in heart rate was observed for either subject. These results are discussed within the framework of the growing number of EMDR outcome studies (ScienceDirect).

Keywords: Claustrophia  

Accuracy Verified: Yes


85. Rossman, M. & Bresler, D. (1995, June). Interactive guided imagery and EMDR:  Synergy and complementarity. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
I. What is Imagery? An image is a thought-form with sensory qualities. It is an internal representation of personal reality. Imagery is the natural, efficient way the human nervous system stores, processes and accesses information. Imagery is the major natural language of the unconscious II. What is Interactive Communication? There are three levels of interactive communication. (1) Non-interactive communication in which the client is a passive participant of suggestion and the guide sets the pacing and direction of the experience. (2) One way interactive communication in which the guide provides the direction but the client sets the pace (e.g. "let me know when you are feeling more comfortable and relaxed). (3) Two way interactive communication in which the client provides both the pace and the direction of the experience. There are many great advantages to working interactively. Greater client participation in the process leads to greater client empowerment, and with a greater sense of personal control, clients are able to progress more rapidly with less resistance to the change process. III. What is Interactive Guided Imagery"? - Interactive Guided Imagery is a therapeutic approach that quickly accesses and simultaneously utilizes the rich resources available from both the client's conscious and unconscious minds. It includes a set of techniques designed to enhance relaxation, reduce the effects of stress, modulate affect, increase motivation, expand creativity and problem solving abilities, resolve conflicts and the sequellae of trauma and facilitate action planning. IV. The Inner Advisor - The Inner Advisor is an internalized image that has the qualifies of wisdom and compassion. It can represent a crucial inner support system for clients dealing with PTSD. Participants are taught how to find their own Inner Advisors and to establish a dialogue that can lead to future inner exploration. The benefits and potential complications of working with Advisor figures are discussed. V. EMDR and Interactive Guided Imagery - (IGI) Drs. Bresler and Rossman discuss what Interactive Guided Imagery and EMDR have in common and how they differ. In particular, EMDR therapists are encouraged to utilize Conditioned Relaxation to enhance the clearing process during eye movements, and to recruit the assistance of the Inner Advisor to prevent or reduce flooding, traumatic insight, and/or regression panic. Conflict resolution techniques are also discussed.

Keywords: Guided Imagery  

Accuracy Verified: Yes


86. Chang, S. H. & Lee, Y. H. (2006, September). Interference of spontaneous eye movements during recollections changes the vividness and emotionality of autobiographical memories?: A crucial test of possible EMDR mechanisms. Presentation at the 36th annual congress of the EABCT (European Association for Behavioural and Cognitive Therapies), Paris, France.

Language: English

Format: Conference

Abstract:
This study examined possible therapeutic mechanism of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Several studies have reported that bilateral eye movements during imagery could decrease vividness and emotionality of recollections. This study proposed a hypothesis, that was, the reduction of recall was due to the interference of spontaneous eye movements including conjugate lateral eye movements (CLEMs). 110 undergraduate students (47 men, 63 women) recalled two positive and two negative memories (the CLEMs of these memories were recorded by a digital camera at the same time) and rated their vividness and emotionality of the recollections. Next, participants recalled the memories while they were engaging in five between-group conditions (bilateral eye movements, left gaze, right gaze, central gaze, and mere imagery condition). Then participants recalled the event again and rated its vividness and emotionality. The results showed that the bilateral eye movements made autobiographical memories less vivid and less emotive, while mere image increased the vividness and emotionality of autobiographical memories (ps < .05). Importantly, there was only one significant Valence × Time interaction effect (p < .05) in the left gaze condition. It showed that right hemisphere involved more negative emotions than positive, whereas left hemisphere involved no differences between negative and positive emotions. With regard to CLEMs, there were no different lateral eye movements between negative and positive memories. The study supported the idea that bilateral eye movements during imagery could decrease vividness and emotionality of recollections, and that interfering spontaneous eye movements changed vividness and emotionality of autobiographical memories. The role of eye movements in the EMDR was discussed.

Keywords: Autobiographical Memory  CLEM  Eye Movements  Gaze Direction  

Accuracy Verified: Yes


87. Chang, S. H. & Lee, Y. H. (2005, August). Interfering CLEM reduces vividness and emotionality of autobiographical memories. Presentation at the 2005 American Psychological Association Annual Convention, Washington, DC C. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background: It was noted that when people recalled an emotional event, there is a spontaneous eye movements during retrieval of memory, known as conjugate lateral eye movements (CLEM). Eye movements during mental imagery are not epiphenomenal but assist the process of image generation (Hebb, 1968; Brandt & Stark, 1997). If restricted to a fixed point, then the image of recall is impaired (Laeng & Teodorescu 2002). These findings might shed light on why bilateral eye movements during imagery could decrease vividness and emotionality of recollections. Objectives: Based on the above findings, this study examined possible therapeutic mechanism of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001), of which eye movement was a crucial treatment component. Specifically, the hypothesis that interfering CLEM via introducing bilateral eye movements or a fixed position could reduce vividness and emotionality of autobiographical memories was examined in the present study. Further, whether there are different CLEMs (more rightward in positive and more leftward in negative) during retrieval of positive and negative memories was also investigated. Method: Seventeen healthy volunteers recalled two positive and two negative memories and rated their vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing either bilateral eye movements (interference of CLEM) or mere image condition (non-interference of CLEM). Then participants were asked to recall the event again and to rate its vividness and emotionality. Vividness and emotionality ratings were analyzed using a 2 (EM condition: bilateral eye movement vs. mere image) × 2 (valence of memory: positive vs. negative) × 2 (time: before vs. after the intervention) repeated measures analysis of variance (ANOVA). During the first and last recall of each memory CLEM were recorded by a digital camera. To examine the effect of CLEM during recollections on emotionality and vividness of autobiographical memories, eye movements in each recall were counted into percentage time of eye gaze in three regions (leftward, middle, rightward), instead of counting the first lateral eye movement as used by the traditional method. Results: Compared to mere image condition, recollections after bilateral eye movements made subsequent recollections less vivid and less emotive, while the opposite was true for mere image condition. Regarding vividness, the 2 × 2 × 2 ANOVA showed that there was a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in vividness was significant in the mere image condition, but not in the eye movement condition. As to emotionality, the three way ANOVA showed that there was also a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in emotionality was significant in the mere image condition, and in eye movement condition. Concerning percentage of gaze direction (left, right) in positive and negative memories, pair t test showed that there was a significant right gaze difference between positive and negative memories, and approached significant left gaze difference between positive and negative memories. With regard to CLEM, negative memories showed less right gazes and more left gazes than positive memories. Conclusion:The bilateral eye movements made autobiographical memories less vivid and less emotive than mere image condition, while mere image increased the vividness and emotionality of autobiographical memories. Further, there is different CLEM for negative and positive memories. While the hypothesis that interference of CLEM reduced the vividness and emotionality of autobiographical memories was confirmed, the role of eye movement in the EMDR was discussed and future research possibilities are proposed.

Keywords: Autobiographical Memory  CLEM  Eye Movements  Gaze Direction  

Accuracy Verified: Yes


88. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses the recovery process as follows: At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR). Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to working with their core addiction issues, which have now become easier to treat by especially using Desensitization and Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions. Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction and can easily be integrated into existing EMDR treatment strategies.

Keywords: Addiction  Addictive Behavior  Resourcefulness  Resilience  

Accuracy Verified: Yes


89. Janse, J., & Doornkate, L. (2012, March). Interweaves in beeld: Het visueel en nonverbaal maken van interweaves [Interweaves in image: The visual and nonverbal making interweaves]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Door ons werk met dove en slechthorende cliënten zijn wij gedwongen ons te richten op de visuele wereld. Deze wereld is echter geenszins voorbehouden aan doven en slechthorenden. Ook bij het werken met preverbaal trauma, volwassenen en kinderen die de taal (nog) niet beheersen en bv bij EMDR in een tweede taal, zullen we ons visueel moeten uitdrukken. Graag nemen we de toeschouwer/toehoorder mee in een verkenning van de visuele mogelijkheden die het EMDR proces biedt en hopen hen daardoor met mimische, beeldende en visuele mogelijkheden te verrijken. De presentatie wordt uiteraard ondersteund met beeldmateriaal en er zal een tolk Nederlandse Gebarentaal aanwezig zijn.

Through our work with deaf clients, we are forced to focus on the visual world. This world is by no means reserved for the hearing impaired. Even when working with preverbal trauma, adults and children who speak the language (yet) and control eg EMDR in a second language, we will need to express visually. We would like to take the viewer / listener along in exploring the visual possibilities offered by the EMDR process and offers them hope thereby to mimic, plastic and visual possibilities to enrich. The presentation is supported with imagery and of course there will be a Dutch sign language interpreter present.

Keywords: Cognitive Interweaves  Nonverbal Interweaves  Visual Interweaves  

Accuracy Verified: Yes


90. Lanting, J. M. (2012). Is EMDR imagination deflation? Een onderzoek naar de effecten van oogbewegingen en geconcentreerde imaginatie op herinneringen [Is EMDR imagination deflation? A study on the effects of eye movements and concentrated on memories imagination]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een veelgebruikte, effectieve therapievorm die onder andere voor posttraumatische stressstoornis (PTSS) gebruikt wordt. Imagination Inflation (II) kan optreden na het toepassen van geconcentreerde imaginatie op een herinnering. Bij EMDR worden herinneringen minder levendig en minder emotioneel. Het omgekeerde gebeurt bij II; door geconcentreerde imaginatie lijken herinneringen juist levendiger en emotioneler te worden. De vraag is of EMDR begrepen kan worden als inverse van II. De effecten van EMDR zijn goed te modelleren onder laboratoriumcondities. Als II het omgekeerde is van EMDR dan zouden onder dezelfde labcondities, maar met het vervangen van oogbewegingen door geconcentreerde imaginatie, er omgekeerde effecten op moeten treden van EMDR. Namelijk een toename van levendigheid en emotionaliteit van herinneringen. Methoden; 60 proefpersonen hebben deelgenomen aan het onderzoek, verdeeld over twee groepen. De eerste groep werd gevraagd twee negatieve herinneringen op te halen en participeerde met de ‘’alleen ophalen conditie’’ en ‘’ophalen + oogbewegingen’’. De tweede groep werd gevraagd om twee neutrale herinneringen op te halen en nam deel aan de ‘’alleen ophalen conditie’’ en ‘’ophalen + geconcentreerde imaginatie’’. Resultaten; Bij oogbewegingen zijn geen significante resultaten gevonden. Geconcentreerde imaginatie liet een toename in de levendigheid van de herinnering zien ten opzichte van de controlegroep, maar liet geen verandering in de emotionaliteit zien. Conclusie; Aangezien er geen effect gevonden is van oogbewegingen kan er niet gesteld worden dat II het tegengestelde is van EMDR. Echter in eerder onderzoek is de werking van EMDR aangetoond en in deze studie is er bij II een effect gevonden, daarom is verder onderzoek noodzakelijk.

Eye Movement Desensitization and Reprocessing (EMDR) is a much used and effective treatment for posttraumatic stress disorder (PTSD). Imagination Inflation (II) could occur after making use of concentrated imagery on a memory. Memories become less vivid and emotional after EMDR. The opposite happens with II; with concentrated imagery memories seem to become more vivid and emotional. It is the question whether EMDR can be understood as the reverse of II. EMDR effects are easily modeled under lab conditions. If II is the reverse of EMDR under the same lab conditions, except for the replacement of eye movements with concentrated imagery, then reverse effects of EMDR could be expected. For II the expectation is an increase of vividness and emotionality of memories. Methods; 60 participants took part in this research, they were divided into two groups. The first group was asked to recollect two negative memories and participated in the ‘’recall only’’ condition and ‘’recall + eye movements’’ condition. The second group was asked to recollect two neutral memories and participated in the ‘’recall only’’ condition and ‘’recall + concentrated imagery’’ condition. Results; No significant results were found for eye movements. The vividness of the memory increased with concentrated imagery in comparison to the control condition, no effect was found on emotionality. Conclusion; Based on the fact that there were no results found for eye movements, it cannot be stated that II is the opposite of EMDR. Nevertheless, earlier research proved the effects of EMDR and this research showed an effect of II, therefore more research is necessary.

Keywords: Eye Movements  Imagination  

Accuracy Verified: Yes


91. Zillhardt, P. (2007, Juin). La thérapie EMDR avec les troubles des comportements alimentaires [EMDR therapy with eating disorders]. Document présenté lors de la réunion de l'Institut Français d'EMDR, Paris, France.

Language: French

Format: Conference

Abstract:
Si les troubles des comportements alimentaires (TCA) sont considérés par de nombreux auteurs comme une pathologie addictive du fait de schémas comportementaux et d’un support neurobiologique comparables aux autres dépendances (substances ou comportements), l’accord paraît unanime pour y voir une réponse spécifique à un modèle biopsychosocial. Un tel modèle implique : des facteurs inducteurs et déclencheurs, et des facteurs facilitants et de pérennisation. Par exemple, des travaux récents mettent l’accent sur la prépondérance de facteurs socio-culturels indissociables des forces médiatiques actuelles. L’importance de ces derniers facteurs se fait particulièrement ressentir depuis la seconde moitié du 20ème siècle et pourrait aller « crescendo ». En outre, la problématique des TCA est rendue plus complexe par l’existence d’une lourde comorbidité dont les éléments pathologiques sont autant causes que conséquences. Notons que 40% des patients souffrant de TCA ont eu, à un moment de leur vie, un PTSD. Nous, praticiens, ne sommes pas étonnés de constater que bon nombre de ces patients souffrent d’une altération notable de leur identité. Le caractère dit « synclétique » de la thérapie EMDR permet une approche intégrative dans le traitement des TCA : un aspect cognitif indéniable, le processus associatif induit par les stimulations alternées met souvent en lumière des matériaux reflétant des conflits intrapsychiques plus ou moins archaïques. Le travail portant sur l’imagerie mentale ou les états dissociés du moi peut aussi être associé dans les cas difficiles de patients souffrant de TCA. Le travail d’anamnèse et l’approche phénoménologique jouent un rôle primordial dans l’approche EMDR des TCA. L’un des aspects forts de la thérapie EMDR est l’identification de « clusters possibles » représentatifs des thématiques inductrices des souffrances et des symptômes inhérents à l’expérience de vie tragique de ces patients. Le plan de la thérapie est bien sûr personnalisé pour chaque patient.

If the eating disorders (TCA) are considered by many authors pathology as a result of addictive patterns behavioral and neurobiological support comparable to other addictions (substances or behavior), the agreement seems unanimous see a specific response to a biopsychosocial model. Such a model implies: inducing factors and triggers, and facilitating factors and sustainability. For example, recent studies emphasize on the balance of socio-cultural factors inseparable forces current media. The importance of these factors is particularly experience since the second half of the 20th century and could go "crescendo". In addition, the problem of TCA is made more complex by the existence of a heavy comorbidity whose elements are all pathological causes the consequences. Note that 40% of patients with TCA had, at some point in their lives, PTSD. We practitioners are not surprised to note that many of these patients suffer a significant change of their identity. The character says "Syncletica" of EMDR provides an integrative approach in the treatment CAW: a cognitive undeniable, the process associative stimulation induced by alternating often sheds light reflecting materials intrapsychic conflicts more or less archaic. The work on mental imagery or statements dissociated ego can also be associated in the case difficult patients with TCA. Work history and the phenomenological approach play an important role in the approach EMDR CAW. One of the strengths of EMDR is identifying "clusters possible" representative inducing themes of suffering and symptoms inherent in the tragic experience of life of these patients. The plan of therapy is of course customized for each patient.

Keywords: Eating Disorders  

Accuracy Verified: Yes


92. Rogers, S. (2002, June). Latest findings in EMDR process research and component analyses. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context (Panel Discussion, June 24) (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA .

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure with cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is simply a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These findings have implications for clinicians who are interested in ‘ease of useEas well as treatment outcome. They also have implications for the habituation/extinction model of anxiety reduction. Limitations of the group design approach to the dismantling of psychotherapies will be discussed, along with the results of two recently completed studies.

Keywords: CBT  Cognitive Behaviorial Therapy  Component Analysis  Process Research  

Accuracy Verified: Yes


93. Rogers, S. (2003, August). Latest findings in EMDR process research and component analysis. Presentation at the 111th annual meeting of the American Psychological Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure and cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is best regarded as a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These finding have implications for clinicians who are interested in 'ease of use' as well as treatment outcome. They also have implications for the habituation model of anxiety reduction. This presentation provides a review of the results of group and single-case EMDR component analyses, methodological issues and suggestions for future research.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


94. Haour, F., & Servan-Schreiber, D. (2009). Les bases neuroscientifiques de l’EMDR [Neuroscientific bases of EMDR]. In J. Cottraux (Ed.), TCC et Neurosciences (pp.187-202). Issy-les-Moulineaux: Elsevier Masson.

Language: French

Format: Book Section

Abstract:
France Haour et David Servan-Schreiber présentent avec clarté la désensibilisation par les mouvements oculaires et le retraitement de l’information (EMDR), ainsi que les études qui ont été effectuées par des méthodes neuroscientifiques pour tester ces processus. Plusieurs points restent néanmoins en suspens. Effectivement, l’EMDR est d’efficacité démontrée dans le stress post-traumatique, et les traumatismes plus légers, mais il n’y a pas de données dures pour le valider dans d’autres indications. De plus, son processus, comme il est souligné dans le chapitre, demeure controversé. Il ne faudrait pas oublier qu’un EMDR sans mouvements oculaires aboutit à de résultats identiques à ceux d’un EMDR avec mouvements oculaires, dans la méta-analyse de Davidson et Parker (2001), qui inclut 13 études comparant ces deux conditions. Cinq méta-analyses ne retrouvent pas de différence d’efficacité entre TCC et EMDR. Ces faits expérimentaux ont amené aussi bien l’Association psychiatrique américaine (2004) que le rapport INSERM (2004) à classer l’EMDR dans les TCC, dont il représente une variante technique, sans véritable discontinuité. Par ailleurs, l’analogie souvent faite entre EMDR et la phase REM (phase paradoxale du sommeil correspondant au rêve et à des mouvements oculaires rapides) n’est qu’une hypothèse et ne repose pas à ce jour sur des données scientifiques. Enfin, toutes les thérapies d’exposition utilisent des distracteurs (relaxation, images mentales de sécurité, pensées positives) pour faciliter l’accès aux émotions liées au traumatisme. L’hypnose, qui a montré son efficacité dans le stress post-traumatique lors d’une seule étude contrôlée (Brom, 1989), elle aussi, se sert de mouvements oculaires, pour capter l’attention. Ainsi faisait son ancêtre, Franz Anton Mesmer, comme le montre le rapport établi en 1784 par la commission royale sur le magnétisme animal (Darnton, 1995). Quoi qu’il en soit, l’EMDR propose un protocole utile, robuste et aisé à enseigner et à appliquer.

France Haour and David Servan-Schreiber present with clarity desensitization Eye Movement and reprocessing of information (EMDR) and studies that have been conducted by neuroscientists methods to test these processes. Several points are still open. Indeed, EMDR is proven efficacy in post-traumatic stress, and lighter injuries, but there is no hard data to validate in other indications. In addition, its process, as outlined in the chapter remains controversial. We should not forget that EMDR without eye movements leads to results identical to those of EMDR with eye movements in the meta-analysis of Davidson and Parker (2001), which includes 13 studies comparing these two conditions. Five meta-analyzes found no difference in efficacy between CBT and EMDR. These experimental facts led both the American Psychiatric Association (2004) report that the INSERM (2004) to classify EMDR in CBT, which is a variant technique, no real discontinuity. Moreover, the analogy often made between EMDR and REM sleep (REM sleep corresponding dreams and rapid eye movement) is only a hypothesis and not based so far on scientific data. Finally, all therapies exposure using distractors (relaxation, mental imagery security positive thoughts) to facilitate access to the emotions related to the trauma. Hypnosis, which has shown its effectiveness in post-traumatic stress in one controlled study (Brom, 1989), it also uses movements eye for attention. So was his ancestor, Franz Anton Mesmer, as shown in the report prepared in 1784 by the Royal Commission on Animal Magnetism (Darnton, 1995). Anyway, EMDR offers a useful protocol, robust and easy to teach and apply.

Keywords: Neuroscience  Neuroscientific Bases  

Accuracy Verified: Yes


95. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa.

Language: English

Format: Conference

Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods. [The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.] This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum  Ego State Therapy  

Accuracy Verified: Yes


96. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington .

Language: English

Format: Other

Abstract:
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum  Ego State Therapy  Somatic Resourcing  

Accuracy Verified: Yes


97. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral. Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction. An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual. There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)

Keywords: Persistent Pain  

Accuracy Verified: Yes


98. Siegel, I. (2012, October). Mindful awareness and the role of resonance within EMDR protocol. Presentation at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
This workshop is experiential and informational, describing the use of tools of intuitive mindful skills and resonance within EMDR protocol. Theories and research will be presented reflecting the convergence of psychology, science, and spirituality. Relationship to brain integration and processing will be linked to tools of intuitive processes within expanded awareness and an interconnected field of energy and informational flow between therapist and client. Participants will identify internal feedback mechanisms through the use of guided imagery, leading to a nonlinear, moment to moment integrative therapy. Applications to the EMDR process and attachment issues will be discussed through case presentation.

Keywords: Mindful Awareness  Protocol  Resonance  

Accuracy Verified: Yes


99. Marich, J. (2010, April/May). Musical interweaves in EMDR treatment. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Spatial intelligence is emphasized in traditional EMDR protocols and instructional methods when focus is placed on imagery. Bodily-kinesthetic intelligence is honoured when body cues are addressed. However, individuals with primary musical or sonic intelligences are not optimally attended to with orthodox application of well-accepted EMDR strategies. Without making any changes to the stages of the Shapiro protocol, musical interventions can be implemented into EMDR treatment to amplify the holistic design of EMDR and to optimally serve those who struggle with spatial intelligence. In this workshop, participants will learn how to utilize music in resource development and EMDR preparation, to apply music as an appropriate “cognitive interweave” when processing is not flowing optimally, and to consider the impact that music can have on EMDR treatment. The presenter will implement a combination of lecture, participation activities, and case discussion to achieve learning objectives.

Keywords: Musical Interweave  

Accuracy Verified: Yes


100. Forgash, C. (2007, September). The negative impact of complex PTSD on health: an EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  Integrated Treatment  Phased Treatment Plan  

Accuracy Verified: Yes


101. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of adult CTS. Second, there are specific health problems predominant in this population which often are untreated, misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good health care may be minimal for this population. This presentation will focus on the development of an EMDR treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze, hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these problems, (these may include iatrogenic events and specific physical problems seemingly related to current health problems, which actually result from early trauma); and become assertive health consumers. Skills development needed by the CTS to become empowered and competent health consumers, such as rehearsal, identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  

Accuracy Verified: Yes


102. van der Schoot, O. M. (2010, Juli). Oogbewegingen en imaginatie: Een kritische toets van de werkgeheugen theorie bij EMDR [Eye movements and imagination: A critical test of working memory theory in EMDR]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
‘Eye movement desensitization and reprocessing’ (EMDR), een veel gebruikte behandelingbij posttraumatische stressstoornis, kan de helderheid en emotionaliteit van plezierige enonplezierige herinneringen reduceren. Tevens kunnen visuele beelden van gevreesdetoekomstige gebeurtenissen worden gedegradeerd. Verondersteld wordt dat EMDR zijnwerking verleent door manipulatie van het gelimiteerde werkgeheugen. In de huidige tweeexperimenten wordt deze veronderstelling nogmaals kritisch getoetst aan de hand van eenoogbewegingen, alleen ophalen (controle) en imaginatie conditie. Er werd verondersteld datwanneer imaginatie gebruik zou maken van dezelfde processen als EMDR (manipulatie vanhet werkgeheugen) er spiegelbeeldige effecten zouden moeten optreden. In experiment 1 werdgebruik gemaakt van neutrale herinneringen (huiskamers). In de oogbewegingen en alleenophalen conditie werd geen effect gevonden. In de imaginatie conditie nam de compleetheiden waarheidsgetrouwheid van de herinnering toe. In experiment 2 werd gebruik gemaakt vaneen Reactie Tijden (RT) taak om te objectiveren of de oogbewegingen en de imaginatiedaadwerkelijk het werkgeheugen taxeren: zowel oogbewegingen als imaginatie vertraagdende RT, maar oogbewegingen het meest, hetgeen suggereert dat oogbewegingen het meestewerkgeheugen taxeert. Vervolgens werd experiment 1 herhaald, echter ditmaal met specifiekepositieve autobiografische herinneringen. In de drie condities werd geen effect gevonden.Huidig onderzoek biedt geen ondersteuning voor de werkgeheugentheorie. Echter, geen vande andere prominente theorieën over het werkingsmechanisme van EMDR kan het uitblijvenvan effect in huidig onderzoek verklaren. Verder onderzoek naar EMDR zal nodig zijn om debehandeling verder te kunnen optimaliseren en het werkingsmechanisme beter te kunnenbegrijpen.

"Eye Movement Desensitization and Reprocessing (EMDR), a widely used behandelingbij posttraumatic stress disorder, the clarity and emotion of pleasant memories enonplezierige reduced. It may also feared future events of visual images are degraded. It is assumed that EMDR effect gives through manipulation of the limited memory. In the present two experiments were critically tested this assumption on the basis of one eye movements, only to retrieve (control), and imagery condition. It was assumed datwanneer imagination would use the same processes as EMDR (manipulation of working memory) are mirrored effects should arise. In experiment 1 was used neutral memories (homes). In the retrieval condition, eye movements and all found no effect. In the imagination condition heathlands took the complete veracity of the increased memory. Experiment 2 was used asunder Reaction times (RT) task to objectify or eye movements and working memory imaginatiedaadwerkelijk value: both eye movements and imagination-using RT slowed, but the most eye movements, suggesting that eye movements appraises the most memory. Experiment 1 was then repeated, this time with specific positive autobiographical memories. In the three conditions, no effect gevonden.Huidig research does not support the working memory theory. However, no Vande other prominent theories on the mechanism of EMDR uitblijvenvan effect may explain current research. Further research on EMDR debehandeling will be needed to further optimize the mechanism and to better understand.

Keywords: Imagination  Posttraumatic Stress Disorder  PTSD  Vividness  Working Memory  

Accuracy Verified: Yes


103. Flu, B. R. L. (2012). P-267 - Tap, tap tap the usefulllness of EMDR on kids on the autism spectrum. European Psychiatry, 27(Supplement 1), 1. doi:10.1016/S0924-9338(12)74434-6.

Language: English

Format: Journal

Abstract:
EMDR, Eye movement Reprocessing and Desensitisation is an amalgamated psychotherapy and brain activation intervention. This hyper-focussed therapy has shown its value beyond the treatment of trauma i.e. in a large number of mental health issues and developmental disorders. In autism this method requires some adaptations as described below. Aim: To give an introductory of EMDR in autism children. Objective: To establish the usefulness of this treatment. Methods: The general method is after establishing a baseline of disturbance to work through the touchstone event or focus of the trauma/feared situation from image, feelings, self-judgment and bodily feelings. The preparation also consists of exploring the ability to work with imagery and understanding of feelings. Imagery is tailored to their special interest and at time bodily sensations and feelings are worked on together when no differentiation of these experiences exist 18 cases of the age of 9– 16 underwent the method. 11 had generalised but extreme anxiety issues, 5 had experienced bullying, 4 had aggression regulation problems, 1 had obsessive compulsive disorder, 1 had a spider phobia, one had a developing eating disorder. The level of disturbance went down in all cases. One relapsed. Three needed visual augmentation for the visualisation. Three could not bear physical contact and therefore required self-tapping. 12 cases needed only one session for the focussed treatment. 9 displayed continual improvement over the next 4 weeks and 5 were treated further under conventional therapy. Conclusion: EMDR is a valuable therapy in autism children but requires specific modification.

Keywords: Autism Spectrum  Children  

Accuracy Verified: Yes


104. Parnell, L. (1998). Postpartum depression: Helping a new mother to bond. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 37-64). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
"Karen" was a young mother who came to me in desperate shape, suffering from acute postpartum depression, unable to bond with, or to take care of, her new baby. This case demonstrates how a therapist can skillfully integrate EMDR with dreams, imagery, and inner child work in intensive brief therapy. [Text, p. 37] [Pilots]

Keywords: Adults  Americans  Case Report  Childbirth  Depressive Disorders  Females  Psychotherapeutic Processes  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


105. Cohen-Posey, K. (2009, August). The power of EMDR: Evoking the self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR has enjoyed a comfortable alliance with Ego-State Therapy. ‘Inner Critics’ or ‘People Pleasers’ may be the repository for such Negative Cognitions (NCs) as, “It’s my fault,” or, “I cannot upset anyone.” But who is the author of Positive Cognitions (PCs)? Are they constructed in the assessment phase of treatment, or do PCs emerge spontaneously with Dual Attention Stimuli from the Self: our unfettered awareness and contemplation? This workshop reveals EMDR as a catalyst for dialogues between the Self and NCs. Extraordinary imagery tools that enhance work with children and adults are offered to illuminate the surfacing of the Self.

Keywords: Negative Cognitions  

Accuracy Verified: Yes


106. Miller, E. (1992, April). Principals of guided imagery. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Guided Imagery  

Accuracy Verified: Yes


107. Kinowski, K. (2003). Put your best foot forward. Clinical practice manual. An EMDR-related protocol for empowerment using somatosensory and visual priming of resource experiences (2nd Ed.). Victoria, BC: Author.

Language: English

Format: Other

Abstract:
The theory and how-to of the protocol are contained in a 153 page manual, 8 ½" x 11". The second edition updates the database and includes a new chapter with case reports from other therapists. The manual's contents include: the full text protocol enough practical information so you can knowledgeably use it if you wish a simplified record form for the client's file two new ratings scales: Subjective Units of Body Safety( SUBS) and Rating of Confidence (RoC) theoretical discussion of midbrain areas that I think are activated by the process 13 tables of descriptive statistics, n= 40, 67 administrations of the protocol stills taken from video of therapy sessions (with client permission, faces obscured) colored illustrations of client imagery, key midbrain areas, and body diagrams summarizing different results a 3 page table summarizing each of the protocol's eight stages from four operational factors - therapist mode of activity, information processing, somatosensory processing, and conjectured neural activation more than 15 cases are described in whole or in part, 8 from other therapists

Keywords: Empowerment Protocol  

Accuracy Verified: Yes


108. Engelhard, I. M., van den Hout, M. A., Dek, E. C. P., Giele, C. L., van der Wielen, J.-W., Reijnen, M. J., & van Roij, B. (2011, May ). Reducing vividness and emotional intensity of recurrent “flashforwards” by taxing working memory: An analogue study. Journal of Anxiety Disorders, 25(4), 599-603. doi:10.1016/j.janxdis.2011.01.009.

Language: English

Format: Journal

Abstract:
Several studies have found that making eye movements while retrieving visual images about past negative events reduces their vividness and emotional intensity. A working memory account states that eye movements tax working memory and interfere with visual imagery, thus degrading images. This study examined whether eye movements also affect recurrent, intrusive visual images about potential future catastrophes (“flashforwards”) in a sample of female undergraduates who had indicated on a screening-scale that they suffer from such intrusions. They were asked to recall two intrusive images with or without making eye movements. Before and after each condition, participants retrieved the image, and rated its vividness and emotionality. Results showed that vividness of intrusive images was lower after recall with eye movement, relative to recall only, and there was a similar trend for emotionality. Potential implications are discussed.

Keywords: Flashforwards  Intrusive Images  PTSD  Working Memory  

Accuracy Verified: Yes


109. Martin, N. (2001, July). Research in brief:  Eye remember it well: Eye movements affect the vividness of your emotional memories. The Psychologist, 14(7), 376.

Language: English

Format: Magazine

Abstract:
Can eye movement reduce trauma? eye movement desensitisation and reprocessing (EMDR) has shown that people retrieving traumatic events while making 10–20 lateral eye movements, experienced less trauma than did those who simply reported the traumatic event without eye movement (see article on EMDR on p. 361). Students who either looked at a computer screen, tapped their fingers or followed a symbol across a computer screen with their eyes also reported significantly less vivid imagery of autobiographical events in the eye movement condition; images we re most vivid in the control condition. The results suggest that visuospatial working memory is disrupted by eye movement, reducing the vividness of the recollection. However, EMDR suggests that future recollections of the event should also be less vivid.

Keywords: Practice  Theory  

Accuracy Verified: Yes


110. Parnell, L. (2012). Resource tapping activating your healing resources through bilateral stimulation. Shreveport, LA: Summit Interactive.

Language: English

Format: Video

Abstract:
Dr. Parnell teaches basic skills in resource tapping, an EMDR-related technique that harnesses the power of imagery and bilateral body stimulation to achieve healing. She describes how this clinically recognized system impacts affect management, ego strengthening, and emotional regulation as well as its capacity to build resilience and calm the body on a deep physiological level.

Keywords: Resource Tapping  

Accuracy Verified: Yes


111. Parnell, L. (2009, July). Resource tapping: Step-by step instructions for managing emotions and reducing anxiety with trauma patients . Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, S.C..

Language: English

Format: Conference

Abstract:
Resource Tapping is a powerful and effective EMDR-related technique that uses imagery and bilateral stimulation to harness the power of inner resources. It is an effective, easy-to-use technique for ego strengthening, affect regulation and stress reduction in the treatment of trauma. This technique can be used to help rebalance the nervous system, activate the parasympathetic restoration cycle, and teach self-regulation. Participants will learn to interweave this mind-body technique throughout the course of treatment to help with anxiety, sleep problems, triggers, depression, and strong emotions such as fear, anger, and sadness. .

Keywords: Mind-Body Medicine  Resource Tapping  

Accuracy Verified: Yes


112. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT), Traumatic Incident Reduction (TIR), and Visual/Kinesthetic Dissociation (V/KD) are relatively new approaches in the treatment of trauma-related disorders. These approaches have come under intense scientific and professional scrutiny and criticism, with proponents and critics offering diverse and intriguing arguments in support of their respective points of view. This discussion will focus on the current empirical and anecdotal evidence on the efficacy of these five approaches, as well as various criticisms that have been proferred in response to the empirical and clinical literature on treatment efficacy and theory. EMDR will be highlighted, given the growing empirical database on EMDR outcome studies and the contention surrounding the treatment and its’ theory. The evidence for and/or against the other four approaches will also be presented, upon which we will raise for discussion issues relating to methodological rigour, scientific reporting of clinical data, and the interpretation of efficacy studies in general. The discussion will occur within the context of philosophical discourse on the ideal of integration of science and practice, and the feasibility of attaining this ideal within the current scientific Zeitgeist. INTERVENTION RESEARCH, CLINICAL CASE STUDY Sandringham Skills-Based Treatment of Dissociation: A Case Study 238 Chair: ELHAI, Jon D., Nova Southeastern University Discussant: GOLD, Stephen A clinical case study of skills-based treatment of a 48-year-old, female survivor of child sexual abuse (CSA) reporting severe dissociative symptomatology is presented. Chief complaints were daily amnestic episodes, depersonalization, panic attacks, agoraphobia, and consequent long-term unemployment. In contrast to most approaches to therapy for dissociative syndromes, it is argued that treatment does not need to be primarily trauma-focused. Instead treatment focused on targeting dissociation and anxiety by teaching skills to be implemented by the client outside of session. Functional behavioral analysis of particular recent incidents of dissociation were conducted over several sessions. Imagery-based relaxation and progressive muscle relaxation were used and monitored to help the client learn additional methods of reducing distress. Grounding techniques were implemented to counter the dissociative tendency to lose experiential awareness of the here and now. Cognitive interventions were utilized to challenge the erroneous notions reported about dissociative experiences, such as the panic she experienced when her dissociation had been revealed to others. Last, in vivo systematic desensitization was used with a fear hierarchy, ranging from the least to most fearful stimuli that precipitate dissociation, where graduated exposure was followed by relaxation. At termination the client reported elimination of panic attacks, resumption of driving, and marked reduction in frequency and duration of amnestic periods, with substantial additional gains and progress in finding full-time employment reported at 8 month follow-up. Treatment outcome is assessed based on psychological test data obtained at intake, discharge, and 8 month follow-up, as well as client anecdotal report.

Keywords: Neoteric Trauma Treatments  Practice Guidelines  

Accuracy Verified: Yes


113. Grand, D. (2002, March/April). The role of EMDR in enhancing creativity and performance. EMDRNews.com.

Language: English

Format: Newsletter

Abstract:
By its nature, creativity takes place in the moment. The therapist tunes in and listens in the moment, and flows with his clients wherever they go. EMDR works with directed activation of sensory, cognitive, affective and bodily experience -- all in the moment. It's notwhat happened then, it's what you're experiencing now. Activation of imagery, sound, smell and emotion and where they are felt in the body open the doors to EMDR's creative processing. And when creativity is blocked, EMDR can be a godsend.

Keywords: Creativity  Performance Enhancement  

Accuracy Verified: Yes


114. Devilly, G. J. (2011, July). The role of imagery rehearsal with and without eye movements in the creation of false memories. Psychology, Crime and Law, 17(6), 529-543. doi:10.1080/10683160903397524.

Language: English

Format: Journal

Abstract:
This study explored differences in recall accuracy following experimental manipulations of two elements specific to two common approaches to trauma treatment – inducing saccadic eye movements during imagery rehearsal (Eye Movement Desensitization and Reprocessing; EMDR) and imagery rehearsal without eye movements (Imaginal Exposure; IE). The study also looked into whether outcome was related to high suggestibility and distress characteristics. The sample consisted of 48 non-clinical adult participants. The results found no significant difference in false recalls between EMDR and IE. While the EMDR group did make more false recognitions, they also made more correct recalls than the IE group. In effect, those in the EMDR group appear to make more true recalls and more false recollections than those in the IE group.Irrespective of treatment condition, fewer positive words were recalled and recognized than neutral and trauma words. As well as all subjects displaying no avoidant encoding style for trauma words overall, we also noted no avoidant encoding style as a function of trauma history or treatment condition. Our results argue against the avoidant encoding hypothesis for those with a history of trauma and also suggest a lowered response criterion following EMDR.; (AN 25481115)

Keywords: Absorption  CBT  Cognitive Behavior Therapy  Dissociation  Exposure  False Memory  Imagery Rehearsal  

Accuracy Verified: Yes


115. Chang, S. H., & Chen, K. P. (2009). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Abstract:
In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.

Keywords: Imagery Vividness  Negative Emotiveness  Posttraumatic Stress Disorder  PTSD  Saccadic Eye Movement  Semantic Association  Working Memory  

Accuracy Verified: Yes


116. Chang, S. H. & Chen, K. P. (2004, July). Saccadic eye movement and change of semantic associations: Possible therapeutic mechanisms of EMDR. Presentation at the Hawaii International Conference on Social Sciences, Honolulu, Hawaii, In 2004 HICSS (Hawaii International Conference on Social Science) Conference Proceedings (pp. 569-574).

Language: English

Format: Conference

Abstract:
In light of a putative model proposed by Stickgold and to mimic clinical trial of Eye Movement Desensitization and Reprocessing (EMDR), this study examined possible therapeutic mechanism and effect of eye movements (EM) on change of semantic associations and to explore if the effect would be influenced by valence of stimuli and order of presentation. Seventy-five college students were recruited as participants. The results showed that the effect of 8s saccadic bilateral eye movement in terms of change of semantic associations was associated with valence of words and their presentation order, which echoed Stickgold’s model, Shapiro’s clinical procedure, and also advanced the evidence regarding the mechanism of EM from the framework of working memory model. The present study further highlights the importance of taking into consideration these three treatment variables simultaneously when doing EM. The implications of the findings from both the theoretical and clinical viewpoints are discussed.

Keywords: Imagery Vividness  Negative Emotiveness  Posttraumatic Stress Disorder  PTSD  Saccadic Eye Movement  Semantic Association  Working Memory  

Accuracy Verified: Yes


117. Twombly, J. (2009). Safe place imagery. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 251-267). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Protocol  Safe Place  

Accuracy Verified: Yes


118. Twombly, J. H. (2001, December). Safe place imagery: Handling intrusive thoughts and feelings. EMDRIA Newsletter, 6(Special Edition), 35-38.

Language: English

Format: Newsletter

Abstract:
This paper will expand on the EMDR protocol of Safe Place Imagery (SPI) making it useful to a wider range of clients. Clients with overt and covert trauma histories will frequently experience traumatic intrusions in to the Safe Place or not be able to find one. Knowledge of trance both explains these phenomena and informs the process of teaching these clients to block out intrusions. Use of SPI with clients with complex ego states and Dissociative Disorders will also be discussed.

Keywords: Dissociative Disorders  Safe Place Imagery  SPI  

Accuracy Verified: Yes


119. Simonson, E. L. (2009). School-based intervention programs for symptoms of traumatic stress. Universitetet i Stavenger, Stavenger, Norway.

Language: English

Format: Dissertation/Thesis

Abstract:
This thesis attempts to provide an up-to-date overview of school-based intervention programs for symptoms of traumatic stress. The objectives were: 1) to identify school-based intervention programs for preventing or reducing symptoms of traumatic stress, 2) to examine the effectiveness of the intervention programs, and 3) to identify the accordance of the intervention programs with three current theories of posttraumatic stress disorder (PTSD). The three main academic databases used to locate the studies for this thesis were ERIC, PsycINFO, and MEDLINE. Inclusionary/exclusionary criteria included: 1) use of a control group, 2) use of randomized/quasi-experimental design, 3) school setting, 4) participant exposure to a traumatic event, 5) targeted at the prevention/ reduction of symptoms of traumatic stress, 6) use of standardized instruments, and 7) not targeted Type II trauma. Using these criteria, 19 studies conducted in 11 different countries were selected. Unfortunately, school-based studies conducted in Norway were not located. The selected studies dealt with various types of trauma exposure such as natural disasters, community violence, and war. Fourteen of the studies used cognitive-behavioral therapy (CBT) methods as the main treatment approach. Other treatment approaches used included Eye Movement Desensitization and Reprocessing (EMDR), mind-body techniques (e.g., guided imagery, relaxation techniques, and meditation), play therapy, art therapy, and drama. The findings of this thesis suggest that intervention provided within the school setting can be effective in helping children and adolescents following a variety of traumatic events. The majority of the studies had good results in relation to reducing symptoms of PTSD. Of the 19 studies, 14 had effect sizes in the medium to large range. Most of the intervention programs were found to be in accordance with the treatment recommendations of the three theories presented; however, none appeared to be explicitly based on the theories.

Keywords: Posttraumatic Stress Disorder  PTSD  School Intervention  Trauma  

Accuracy Verified: Yes


120. Strenge, H. (2005). Sexuelle traumata und ihre behandlung mit EMDR [Sexual traumas and their treatment with EMDR]. In G. Nissen, H. Csef, W. Wolfgang, & F. Badura (Eds.), Sexualstörung: Ursachen - Diagnose- Therapie (pp. 147-155). Darmstadt: Steinkopff. doi:10.1007/3-7985-1600-6_12.

Language: German

Format: Book Section

Abstract:
Die EMDR-Therapie mit sexuell traumatisierten Patienten erfordert psychotraumatologische Behandlungserfahrung (Peichl 2000). Auf unbewusste Blockierungen während des Prozesses, Affektdysregulation, chronische Übererregung oder dissoziative Zustände ist zu achten und angemessen zu reagieren, beispielsweise mit geleiteten Imaginationen oder differenzierten Einwebtechniken (Shapiro 1995; Parnell 2003). Der Sicherheitsaspekt spielt eine große Rolle, vor allem bei Patienten aus inzestuösen Familien, die häufig nur im Alleinsein ausreichend Schutz und Sicherheit empfanden. Jede neue Beziehung, auch in der Therapie, muss daher im Vorfeld einen Glaubwürdigkeitstest bestehen und für den Patienten eine klare Unterscheidung zwischen Fürsorglichkeit und ausbeutender Sexualität ermöglichen. Dabei erscheint unentbehrlich, dass sich der Therapeut seiner Wertvorstellungen und Überzeugungen hinsichtlich der zahlreichen Aspekte von sexueller Gewalt bewusst wird. EMDR bei sexuell Traumatisierten stellt erhöhte Anforderungen an die Stabilisierungsbedürfnisse der Patienten und die therapeutische Flexibilität des Therapeuten. Die frühzeitige Erkennung und therapeutisch angemessene Bewertung von spontan auftauchenden dissoziativen Symptomen, Körpersensationen ohne visuelle Erinnerungen und starken Abreaktionen stellen besondere therapeutische Herausforderungen dar. Hierbei entscheidet sich, ob der Therapeut vom Patienten als empathisches, gegenwärtiges und angstfreies Objekt erlebt und geschätzt werden kann.

The EMDR therapy with sexually traumatized patients requires psychotraumatological treatment experience (Peichl 2000). blockages at the unconscious during the process, Affektdysregulation, chronic hyperarousal or dissociative states to respect and respond appropriately, for example with guided imagery or differentiated Einwebtechniken (Shapiro 1995, Parnell 2003). The security aspect plays an important role, especially in patients from incestuous families, often felt only in being alone sufficient protection and security. Each new relationship, even in therapy must, therefore run in a credibility test for the patient there and make a clear distinction between caring and exploitative sex. It seems essential that the therapist's values ​​and beliefs regarding the many aspects of becoming aware of sexual violence. EMDR for sexually traumatized places increased demands on the stabilization needs of patients and the therapeutic flexibility of the therapist. The early diagnosis and therapeutic proper assessment of spontaneously arising dissociative symptoms, body sensations without visual memories and strong abreaction provide special therapeutic challenge this will determine whether the therapist can be experienced by the patient as empathic, present, and fear-free object and appreciated.

Keywords: Sexual Trauma  

Accuracy Verified: Yes


121. Richardson, P., Williams, S. R., Hepenstall, S., Gregory, L., McKie, S., & Corrigan, F. (2009). A single-case fMRI study: EMDR treatment of a patient with posttraumatic stress disorder. Journal of EMDR Practice and Research, 3(1), 10-23. doi:10.1891/1933-3196.3.1.10.

Language: English

Format: Journal

Abstract:
This study assessed the effects of a session of eye movement desensitization and reprocessing (EMDR) with auditory alternating bilateral stimulation (ABS) using functional magnetic resonance imaging (fMRI) of brain activations. A case study was conducted with a female participant who was suffering from posttraumatic stress disorder following a severe assault. The fMRI scan began with safe-place imagery, for purposes of comparison, and then attention to the trauma memory without ABS. After this, ABS was provided as she began using EMDR procedures to process the traumatic memory. At postsession, the traumatic memory showed robust and significant changes on self-report measures. The initiation of the EMDR protocol with provision of ABS was associated with a marked change in brain activation within the prefrontal cortex demonstrating a ventromedial shift. The authors argue that the structure of the EMDR protocol encourages such a ventromedial activation, which is then intensified by ABS to overcome the block to information processing that has been preventing natural healing from occurring spontaneously.

Keywords: fMRI  Functional Magnetic Resonance Imaging  Posttraumatic Stress Disorder  PTSD  Single Case  

Accuracy Verified: Yes


122. Anton, A., Funabiki, D., Shiromoto, J., & Spiro, M. L. (1994, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Is the anxiety reaction better conceptualized as a post-traumatic effect of the client's illness experiences and/or medical interventions? Identify relevant anxiety-provoking stimuli (sensory, cognitions, images) related to the past experience. Establish EMDR targets and desired cognitions. EMDR procedure. Assess for generalization of therapeutic effects. Evaluate anticipatory anxiety for the medical intervention. Can the intervention be conceptualized as an acute psychological crisis? Understand the client's "explanatory models for the illness as it relates to the medical intervention. Determine client's knowledge about the illness and intervention; provide educational component as necessary. Identify salient anxiety-provoking stimuli (sensory, cognitions, images). Assist client in developing a "personal places or a state of "0 SUDS". Use Guided Imagery to help client reframe the medical intervention. Use imagery and metaphor to create a therapeutic context for the medical intervention. Incorporate key elements of the interventions (e.g., preoperative preparation, the surgery room, the medical staff and apparatuses). Rehearse cognitions involving coping strategies.

Keywords: Somatic Disorders  

Accuracy Verified: Yes


123. Anton, A., Funabiki, D., & Spiro, M. L. (1993, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Is the anxiety reaction better conceptualized as a post-traumatic effect of the client's illness experiences and/or medical interventions? Identify relevant anxiety-provoking stimuli (sensory, cognitions, images) related to the past experience. Establish EMDR targets and desired cognitions. EMDR procedure. Assess for generalization of therapeutic effects. Evaluate anticipatory anxiety for the medical intervention. Can the intervention be conceptualized as an acute psychological crisis? Understand the client's "explanatory models for the illness as it relates to the medical intervention. Determine client's knowledge about the illness and intervention; provide educational component as necessary. Identify salient anxiety-provoking stimuli (sensory, cognitions, images). Assist client in developing a "personal place or a state of "0 SUDS". Use Guided Imagery to help client reframe the medical intervention. Use imagery and metaphor to create a therapeutic context for the medical intervention. Incorporate key elements of the interventions (e.g., preoperative preparation, the surgery room, the medical staff and apparatuses). Rehearse cognitions involving coping strategies.

Keywords: Somatic Disorders  

Accuracy Verified: Yes


124. Shapiro, F. (1994). Stray thoughts: Affect, imagery, and memory. EMDR Network Newsletter, 4(3), 1-3.

Language: English

Format: Newsletter

Abstract:
It has appeared me that affect plays a pivotal, and perhaps under It has appeared me that plays a pivotal, and perhaps under appreciated, role in the information processing we observe in EMDR therapy. I have found that the ability to achieve positive treatment effects is not based on the ability to retrieve images, but rather on the ability to tap into the network of dysfunctional material through the affect and connected body sensations. As I have explored in earlier Newsletters, in the Accelerated Information Processing model, the dysfunctionl information is typified by its storage in state-specific form, along with its inability to link up with more adaptive information characterized by different affect. In either case, the parallel positive or negative cognitions are merely constructions which are simply verbal manifestations of the affect. These verbalizations allow the dysfunctionally stored information to be more readily accessed which, in turn, stimulates physical sensations that can be both focal points for the client during processing, and indications of the degree of treatment success.

Keywords: Affect  

Accuracy Verified: Yes


125. Leeds, A. M. (2002, June). Strengthening identity and performance. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop will articulate an enlarged set of EMDR related Resource Development and Installation (RDI) protocols. All these procedures emphasize the deliberate incorporation of positive emotion as part of restructuring and developing new affect scripts across discrete behavioral states. A majority of workshop time will be devited to experiential practice in dyads and small groups of these clinically relevant procedures. Strategies for accessing and evoking positive emotion will include movement, posture, music, artistic and emotional expression, and a variety of imagery processes. In these experiential exercises, participants will identify personally relevant areas of desired professional development including issues of recurring countertransference stressors and compassion fatigue. The aim of these procedures is to access naturalistic capacities for positive emotion and incorporate these capacities into new affect scripts that strengthen identity and enhance performance and interaction.

Keywords: RDI  Resource Development and Installation  

Accuracy Verified: Yes


126. Engelhard, I. M., van den Hout, M. A., & Smeets, M. A. (2011, March). Taxing working memory reduces vividness and emotional intensity of images about the queen's day tragedy. Journal of Behavior Therapy and Experimental Psychiatry, 42(1), 32-37. doi:10.1016/j.jbtep.2010.09.004.

Language: English

Format: Journal

Abstract:
Eye movements during exposure to distressing mental images reduce their vividness and emotional intensity, which may be due to both tasks competing for working memory (WM) resources. WM theory predicts an inverted U-shaped relationship between degree of taxing and beneficial effects: greater taxing of WM will more greatly reduce vividness/emotionality, but extremely taxing tasks prevent holding the image in mind, thereby reducing benefits. This study examined whether mental arithmetic (subtraction) tasks during visual imagery reduce image vividness/emotionality ratings, and taxing WM and reduced vividness/emotionality show the predicted quadratic relationship. A non-clinical sample retrieved a distressing image of the Queen's Day tragedy (which occurred 1-3 months earlier in the Netherlands), and rated it for vividness and emotionality. Participants were assigned to one of four conditions: exposure alone or exposure with concurrent 'simple' subtraction, 'intermediate' subtraction, or 'complex' subtraction. Afterwards, vividness and emotionality were rated again. A reaction time task showed that the subtraction tasks increasingly taxed WM. Consistent with WM theory, exposure with subtraction reduced image vividness and emotionality compared to exposure alone. The expected inverse U-curve relationship was found for emotionality, but not for vividness: simple or intermediate subtraction had more beneficial effects than no dual-task or complex subtraction. Clinical implications are discussed.

Keywords: Emotionality  Vividness  

Accuracy Verified: Yes


127. Smeets, M. A. M., Dijs, M. W., Pervan, I., Engelhard, I. M., & van den Hout, M. A. (2012, May). Time-course of eye movement-related decrease in vividness and emotionality of unpleasant autobiographical memories. Memory, 20(4), 346-357. doi:10.1080/09658211.2012.665462.

Language: English

Format: Journal

Abstract:
The time-course of changes in vividness and emotionality of unpleasant autobiographical memories associated with making eye movements (eye movement desensitisation and reprocessing, EMDR) was investigated. Participants retrieved unpleasant autobiographical memories and rated their vividness and emotionality prior to and following 96 seconds of making eye movements (EM) or keeping eyes stationary (ES); at 2, 4, 6, and 10 seconds into the intervention; then followed by regular larger intervals throughout the 96-second intervention. Results revealed a significant drop compared to the ES group in emotionality after 74 seconds compared to a significant drop in vividness at only 2 seconds into the intervention. These results support that emotionality becomes reduced only after vividness has dropped. The results are discussed in light of working memory theory and visual imagery theory, following which the regular refreshment of the visual memory needed to maintain it in working memory is interfered with by eye movements that also tax working memory, which affects vividness first.

Keywords: Emotionality  Unpleasant Autobiographical Memories  Vividness  

Accuracy Verified: Yes


128. Ferrie, R. K. (2006, September). Transforming imagery in the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Many trauma therapies, including EMDR, rely on the transformation of traumatic imagery to images of self-empowerment and safety, either spontaneously or by design. When traumatic memories resolve by transformation, many of the same areas of the brain are involved, as in the original perception: the brain revisits the scene and has a second chance to "see" it a different way i.e. to reprocess the memory. This workshop will begin by examining the neuroscience supporting this hypothesis. Fortunately, not only is mental imagery central to trauma therapy, facility with mental imagery is a set of skills, which can be learned by clients. Participants will be introduced to a method of teaching mental imagery skills as part of no overall resource development protocol the presenter has used in a single-case design study of Complex PTSD. This study examines the correlation between the client's degeee of facility with mental imagery and subsequent recovery from the symptoms of Complex PTSD. The method and results of this study will be presented. Client material will be used to illustrate these techniques and their application to EMDR therapy. Participants will be able to critique this study as well, and in the process, will learn how to apply the single case design paradigm to their own practices.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Mental Imagery  

Accuracy Verified: Yes


129. Parnell, L. A., & Cohn, L. (1998, July). Transforming sexual abuse trauma with EMDR. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) how to best integrate EMDR into their work with sexual abuse survivors; 2) how to use imagery techniques throughout EMDR treatment of sexual abuse survivors and in the beginning, middle, and end of individual ongoing EMDR sessions; 3) how to use art throughout EMDR treatment with sexual abuse survivors; 4) how to use cognitive and imaginal interweaves when clients are looping or stuck in the processing of a traumatic event; and 5) several techniques for closing down EMDR sessions, including use of imagery, art, and meditation.

Keywords: Art  Closing A Session  Cognitive Interweave  Imagery Techniques  Imaginal Interweave  Meditation  Sexual Abuse  Survivors  Trauma  

Accuracy Verified: Yes


130. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel:  EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes, and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using EMDR and will lead a meditation to help create this no-mind state. 2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new sense of Self in relation to others and the universe. 3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self- Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating organisms, each understands and values the power of being witness to the present moment, and each makes room for the client to discover a heretofore "unimaginable outcome" to his or her work. The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships. Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access points to higher states of consciousness. 5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True Self. EMDR may be a key to the profound transformation of personality types. 6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a question and answer period between the audience and the panel members.

Keywords: Guided Imagery  Hypnosis  Panel  Transpersonal  Transpersonal Psychotherapy  

Accuracy Verified: Yes


131. Cass. H., & Speare, J. (1994, March). Transpersonal, hypnosis & guided imagery:  Guided imagery and hypnosis. Panel presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Guided Imagery  Hypnosis  Panel  Transpersonal  

Accuracy Verified: Yes


132. Katz, I. (1994, March). Transpersonal, hypnosis & guided imagery:  Transpersonal/hypnosis. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Guided Imagery  Hypnosis  Panel  Transpersonal  

Accuracy Verified: Yes


133. Katz, I., Cass, H., & Speare, J. (1993, March). Transpersonal, hypnosis and guided imagery. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Transpersonal  Hypnosis  Guided Imagery  

Accuracy Verified: Yes


134. Zantvoord, J. (2012, November). Trauma focused psychotherapies from a neurodevelopmental perspective: fMRI and physiological pilot outcome data from a RCT conducted in the Netherlands with children suffering from PTSD. Symposium conducted at the 28th annual meeting of the ISTSS, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
Neurobiological treatment outcome studies in adults with PTSD have shown that successful treatment is associated with changes in activity of frontal brain areas and the amygdala, brain areas which are involved in fear conditioning and extinction. Frontal brain regions undergo considerable maturation during childhood and adolescence and only reach anatomical and functional maturity well within the third decade of life. In this light, results obtained in neurobiological studies in adults can’t be readily translated to children and adolescents. Neurobiological treatment outcome studies in children with PTSD are thus required, yet are almost nonexistent to date. Neurobiological treatment outcome studies addressing the mechanism involved in treatment response or non response can contribute to improve treatment strategies for non responders especially for treatment non responders and in time help clinicians to tailor treatment for individuals with PTSD. In this part of the symposium we will present treatment outcome data of our neurobiological pilot study conducted in children with PTSD in the Netherlands. Children aged 8 to 18 with PTSD were randomly assigned to receive either 8 sessions of manualized Trauma Focus cognitive behavioral therapy or EMDR. fMRI data of a working memory task with emotional distracters and physiological data obtained during script driven imagery will be presented. Treatment outcome results will be placed in a neurodevelopmental framework.

Keywords: Children, fMRI  Netherlands  Neurodevelopment  Pilot  Posttraumatic Stress Disorder  PTSD  Random Control Trial  RCT  

Accuracy Verified: Yes


135. Uttendorfer, J. (2009, October). Traumazentrierte pädagogik von der entwicklung einer kultur des sicheren ortes [Traumazentrierte Pedagogy, Trauma centered education from the development of a culture of safe places]. Festvortrag anlässlich des 10-jährigen Bestehens der Johanniter Tagesgruppen in Neuwied [Lecture to mark the 10th anniversary of Johanniter-Tagesgruppe fur Kinder und Jugendliche e. V., Neuwied], De [16 pages].

Language: German

Format: Other

Abstract:
Die vorliegende Abhandlung skizziert das Konzept der Traumazentrierten Pädagogik, die Erkenntnisse aus der Psychotraumatologie und Ergebnisse der Gehirnforschung in die Pädagogik integriert. Wesentlicher Bestandteil dieses Konzeptes ist die aus der Arbeit mit Imaginationen abgeleitete Entwicklung einer Kultur des „Sicheren Ortes“ in Jugendhilfeeinrichtungen. ... Durch die Erkenntnisse aus der Psychotraumatologie, der Neurophysiologie und Neurobiologie sowie der Hirnforschung – um einfach einmal die wesentlichen Forschungsrichtungen aufzuzählen, die multidisziplinär in diesem neuen Ansatz zusammenwirken - haben sich Fakten ergeben, an denen eine zeitgemäße Pädagogik nicht vorübergehen kann. Ich bin der Überzeugung und diese will ich Ihnen in meinem Vortrag nahe bringen: Eine zeitgemäße, traumazentrierte Pädagogik, in der die neuen Erkenntnisse einfließen, vermag bei Kindern, deren Entwicklung durch Traumatisierung blockiert ist, die Potentiale für Entwicklung wieder frei zu räumen!

The present paper outlines the concept of trauma-centered education, the findings from psycho-trauma and results of brain research in the integrated education. A key component of this concept is from the work with imagery derived development of a culture of "safe place" in youth services facilities. ... Through the findings of the psychotraumatology, neurophysiology and Neurobiology and brain research - to simply once the essential Research directions enumerate the multidisciplinary approach in this new - Work together facts have emerged, in which a contemporary Education can not pass. I am of the conviction and that I will Bring you close in my presentation: A contemporary, traumazentrierte Education, incorporated in the new knowledge can, in children whose Development is blocked by trauma, the potential for development to grant free again!

Keywords: Safe Place  

Accuracy Verified: Yes


136. Uttendorfer, J. (2008). Traumazentrierte pädagogik. Von der entwicklung der kultur eines "Sicheren Ortes" [Trauma-centered education. From the development of a culture of a "safe place"]. Unsere Jugend, 2, 50-65.

Language: German

Format: Journal

Abstract:
Das vorliegende Papier umreißt den Begriff des Trauma-Zentrum Bildung, die Erkenntnisse aus psycho-Trauma und die Ergebnisse der Hirnforschung in der integrierten Bildung. Ein wichtiger Bestandteil dieses Konzepts ist aus der Arbeit mit Bildern abgeleitet Entwicklung einer Kultur des "sicheren Ort" in der Jugendhilfe Einrichtungen.

The present paper outlines the concept of trauma-centered education, the findings from psycho-trauma and results of brain research in the integrated education. A key component of this concept is from the work with imagery derived development of a culture of "safe place" in youth services facilities.

Keywords: Children  Safe Place  Youth  

Accuracy Verified: Yes


137. Zillhart, P. (2007, Juin). Troubles du comportement alimentaire et EMDR [EMDR and eating behavioral disorders]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Défaut d’intériorsation des objets dans la théorie des relations objectales ou véritable pathologie de la consommation et du changement au carrefour des domains environnementaux et socio-culturels, les TCA constituent un probleme de santé sociale. Leur nature addictive est discutée.
Le problematique des TCA est rendue plus complexe par l’existence d’une lourde comorbidité dont les éléments pathologiques sont autant causes que conséquences. Notons que 40% des patients souffrant de TCA ont eu, à un moment de leur vie, un psychotraumatisme.
La thérapie EMDR permet une approche intégrative dans le traitement des TCA: un aspect cognitif indéniable, le processus associatif unduit par les stimulations alternées met souvent en lumuiere des matériaux reflétant des conflits intrapsychiques plus ou moins archaiques.
Le travail portant sur l’imagerie mentale ou les états dissociés du moi peut aussi etre associé dans les cas difficiles de patients souffrant de TCA Le présent atelier a pour but :
- D’éclairir les points clef des classifications nosographiques actuelles, notamment dans leur incidence thérapeutique, sans oublier les cas l’urgences.
- De présenter les aspects les plus récents du modèle bio-psychosocial des TCA, véritable clef de voute des interventions thérapeutiques, notommanent concernant la therapie EMDR. La therapie EMDR se veut indvidualisée selon l’histoire de vie de chaque patient.
La connaissance profounde de l’histoire de vie des patients avec leurs thématiques existentielles permet la construction de "clusters" multiples. Ceux-ci offrent un mode d’induction privilégié des processus associatifs de restructuration cognitive, émotionnelle, et corporelle proper à la thérapie EMDR.
- Des protocoles sont proposés selon cas et illustrés par quelques exemples et vignettes cliniques.
- De répondre à un maximum de questions durant l’atelier.

Failure intériorsation objects in the theory of object relations or true pathology of consumption and change at the junction of domains environmental and socio-cultural, the CAW is a social health problem. Their addictive nature is discussed. The problematic CAW is complicated by the existence of a significant comorbidity with pathological elements are all causes than consequences. Note that 40% of patients with ABI had, at some point in their life, a psychological trauma. EMDR allows an integrative approach in the treatment of TCA, a cognitive undeniable, the associative process unduit by alternating stimulation is often lumuiere materials reflecting intrapsychic conflicts more or less archaic. The work on mental imagery or dissociated ego states may also be involved in difficult cases of patients with ABI This workshop aims to: - To explain the key points nosographic current classifications, particularly in their therapeutic effect, without forgetting the emergency cases. - Present the most recent aspects of the biopsychosocial model CAW real keystone of therapeutic interventions notommanent on EMDR therapy. The EMDR therapy is meant indvidualisée by life history of each patient. Profound knowledge of the history of life of patients with their existential issues allows the construction of clusters multiple. They offer a privileged mode of induction of associative processes of cognitive restructuring, emotional, and physical Proper to EMDR. - Protocols are proposed under event and illustrated by some examples and clinical vignettes. - To answer many questions as possible during the workshop.

Keywords: Eating Disorders  

Accuracy Verified: Yes


138. Hancox, J., & Weber, N. (1999, June). Understanding transformations of energy in EMDR. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) learn how to utilize the 5 senses in creating a safe environment; 2) learn how to open the 6th sense, the "third eye of intuition" by utilizing at least two breathing techniques that slow thought process, and help establish and maintain the objective observer for the EMDR protocol; 3) learn two creative visualizations that decrease changes of client flooding - learn to install positive resources through color and senses, as well as creating the safe place utilizing bilateral self-stimulation; 4) learn how to diagnose emotional issues through the "Anatomy of Energy" by recognizing 7 energy centers in the body and corresponding physical dysfunctions; and 5) learn how to transform resistant energy through the sensory pathways and eidetic imagery exercises.

Keywords: Energy  Safe Place  Third Eye  

Accuracy Verified: Yes


139. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.

Language: English

Format: Conference

Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives: 1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain 2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy 3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality 4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy. 5. Participate in a practicum on the use of dreams.

Keywords: Dissociation  Dreams  Ego State Therapy  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Cognitive Interweave  Imaginal Interweave  Sexual Abuse  Survivors  

Accuracy Verified: Yes


141. de Jongh, A., Holmshaw, M., Carswell, W., & van Wijk, A. (2011, March-APril). Usefulness of a trauma-focused treatment approach for travel phobia. Clinical Psychology and Psychotherapy, 18(2), 124-37. doi:10.1002/cpp.680.

Language: English

Format: Journal

Abstract:
Despite its prevalence and potential impact on functioning, there are surprisingly little data regarding the treatment responsiveness of travel phobia. The purpose of this non-randomized study was to evaluate the usefulness of a trauma-focused treatment approach for travel phobia, or milder travel anxiety arising as a result of a road traffic accident. Trauma-focused Cognitive Behavioural Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing were used to treat a sample of 184 patients, who were referred to a psychological rehabilitation provider. Patients in both treatment groups were encouraged to encounter their feared objects and situations between sessions. Specific (i.e., travel) phobia was diagnosed in 57% of cases. Patients in both treatment conditions showed equally large, and clinically significant, decreases in symptoms as indexed by three validated measures (Impact of Event Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire), therapist ratings of treatment outcome, and a return to driving or travelling by car or motorbike. These improvements were obtained within an average course of 7.3 sessions of 1 hour each. Patients with travel phobia responded with a greater reduction of anxiety and post-traumatic stress disorder symptoms than those with milder travel anxiety. Passengers reported higher levels of trauma symptoms than drivers, but no difference in effectiveness of treatment was found between these groups. The results suggest that trauma-focused psychological interventions can be a treatment alternative for patients with travel anxiety. Given the seriousness of the clinical problems related to road traffic accidents more rigorous outcome research is warranted and needed. Copyright (c) 2010 John Wiley & Sons, Ltd.Key Practitioner Message: As the literature on the treatment of travel phobia is largely limited to small-n studies, this is the largest naturalistic outcome study of the treatment of patients with fear and avoidance of travel, subsequent to a traumatic event, to date. Travel phobia following road traffic accidents should be regarded as a treatable psychological condition requiring a limited number of sessions. In a significant minority of cases the condition is unlikely to remit spontaneously, potentially disrupting occupational, social and personal adjustment. Besides a purely exposure, in vivo-based approach, a mainly trauma-focused approach, such as imagery exposure or Eye Movement Desensitization and Reprocessing, can be an effective intervention for both travel phobia and milder forms of travel anxiety, and for both drivers and passengers.

Keywords: Phobia  Travel Phobia  

Accuracy Verified: Yes


142. Greenwald, R. (1994). Using EMDR with children: “Cleaning up” afterwards. EMDR Network Newsletter, 4(3), 8.

Language: English

Format: Newsletter

Abstract:
Since describing an evolving approach to using EMDR with children (Greenwald, 1993), I have become aware of a subtle problem in confirming that a child has completed the processing of a memory. This may occur whether the full adult protocol is used, or a more abbreviated imagery- focused adaptation is chosen.

Keywords: Children  

Accuracy Verified: Yes


143. Pace, P. (2002, June). Using imagery and EMDR to facilitate the healing of adults with a history of abuse and neglect. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Keywords: Abuse  Imagery  Neglect  Poster  

Accuracy Verified: Yes


144. Lilley, S. A., Andrade, J., Turpin, G., Sabin-Farrell, R., & Holmes, E. A. (2009, September). Visuospatial working memory interference with recollections of trauma. British Journal of Clinical Psychology, 48(3), 309–321. doi:10.1348/014466508X398943.

Language: English

Format: Journal

Abstract:
Objectives: Laboratory research using a working memory framework has shown modality-specific reductions in image vividness and emotionality when concurrent tasks are performed while maintaining the image in consciousness. We extended this research to trauma images in a clinical population awaiting treatment for post-traumatic stress symptoms. Design: A within-subjects design was used, with each participant completing an imagery task under three concurrent task conditions: side-to-side eye-movements, counting, and exposure only (no concurrent task). Methods: Eighteen participants selected three images each, the images being those that were the most distressing from participants’ trauma memories and most likely to intrude involuntarily. Participants gave baseline ratings of the vividness and emotionality of each of their trauma images. Each image was assigned to a condition. Each condition comprised 8 trials in which participants recollected the appropriate image for 8 s while performing eye-movements, counting or no concurrent task, and then rated its vividness and emotionality. Follow-up ratings were obtained by telephone 1 week later. Results: The eye-movement task reduced vividness and emotionality of the trauma images relative to the counting task and exposure only, but did so only during the imagery period and not at follow-up. The images were predominantly visual. Conclusions: Concurrent tasks matched to the modality of trauma images may provide a useful treatment aid for temporarily dampening emotional responses to recollections of trauma.

Keywords: Trauma  Memory  Visuospatial Working Memory Interference  

Accuracy Verified: Yes


145. van der Landen, M. E. (2012). Zijn de effecten van EMDR en imagination inflation tegengesteld bij herinneringen? Een onderzoek naar levendigheid en emotionaliteit van herinneringen bij geconcentreerde imaginatie en oogbewegingen [Are the effects of EMDR and imagination inflation opposed to memories? A study of vividness and emotionality of memories with concentrated imagery and eye movements]. Universiteit Utrecht, Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een veelgebruikte, effectieve therapievorm voor posttraumatische stressstoornis (PTSS). Imagination Inflation (II) kan optreden na geconcentreerde imaginatie. Bij EMDR worden herinneringen minder levendig en minder emotioneel. Het omgekeerde gebeurt bij II; door geconcentreerde imaginatie lijken herinneringen juist levendiger en emotioneler te worden. De vraag is of EMDR begrepen kan worden als de inverse van II. De effecten van EMDR zijn goed te modelleren onder laboratorium condities. Als II het omgekeerde is van EMDR zouden onder dezelfde lab condities, maar met het vervangen van oogbewegingen door geconcentreerde imaginatie er omgekeerde effecten op moeten treden van EMDR. Namelijk een toename van levendigheid en emotionaliteit van de herinneringen. Methoden: In totaal participeerden 60 personen verdeeld over twee groepen. Bij de ene groep werd 1) ophalen + oogbewegingen en 2) alleen ophalen toegepast, waarbij men twee negatieve herinneringen kreeg. De andere groep kreeg 1) ophalen + geconcentreerde imaginatie en 2) alleen ophalen toegepast met twee neutrale herinneringen. Resultaten: Geconcentreerde imaginatie leidde tot meer levendigheid van de neutrale herinnering, maar leidde niet tot toename van de emotionaliteit van de herinnering. Bij oogbewegingen zijn er geen statistisch significante resultaten gevonden. Conclusie: In tegenstelling tot eerdere literatuur, kon er geen significant effect van oogbewegingen aangetoond worden. Verondersteld is dat dit mogelijk een toevalsfluctuatie betreft. Geconcentreerde imaginatie leidde wel tot een significante toename van levendigheid van een neutrale herinnering. Vervolgonderzoek is nodig om dit verder te onderzoeken.

Eye Movement Desensitization and Reprocessing (EMDR) is a widely used and effective form of therapy for post-traumatic stress disorder (PTSD). Imagination Inflation (II) can occur after concentrated imagination. In EMDR memories are less vivid and less emotional. The reverse happens when II by concentrated imagination seem more vivid and emotional memories just be. The question is whether EMDR can be understood as the inverse of II. The effects of EMDR are well modeled under laboratory conditions. If II is the opposite of EMDR would under the same laboratory conditions, but with the replacement of movements by concentrated imagination is opposite effects have occurred in EMDR. Namely an increase of vividness and emotionality of memories. Methods: A total of 60 people participated divided into two groups. In one group, 1) + pick eye movements, and 2) only applied retrieval, where one received two negative memories. The other group received 1) + pick concentrated imagination and 2) only get applied with two neutral memories. Results: Concentrated imagination led to greater vividness of the neutral memory, but did not lead to increased emotionality of memory. When eye movements are no statistically significant results were found. Conclusion: Contrary to previous literature, there could be no significant effect of eye movements demonstrated. It is assumed that this may be a chance fluctuation concerns. Concentrated imagination did lead to a significant increase vibrancy of a neutral memory. Further research is needed to investigate this further.

Keywords: Emotionality  Eye Movements  Imagery  Imagination Inflation  Vividness  

Accuracy Verified: Yes