Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Imaginal Reliving 109 Results

1. Dunne, T., & Farrell, D. (2009, March). Accredited, brand-named psychotherapies and the standard of evidence: A reply to Davidson. Clinical Psychology Forum, 195, 3-4.

Language: English

Format: Journal

Abstract:
Prof Davidson also trots out that old chestnut of McNally’s (1996 a & b) regarding EMDR to wit: “What is new is not effective and what is effective is not new”. This has been effectively rebutted by Perkins & Rouanzoin (2002) who convincingly, even for the most rabid of sceptics, demonstrated that McNally, in dismissing EMDR as just another variant of systematic desensitisation, failed to notice that, unlike EMDR, systematic desensitisation is not particularly helpful in the treatment of PTSD. Perkins & Rouanzoin also showed how McNally misreported data to support his contentions regarding EMDR whiles simultaneously excluding or ignoring Van Etten & Taylor’s (1998) meta-analysis. Van Etten & Taylor concluded that EMDR is not simply a variant of imaginal exposure, a conclusion which contradicts McNally’s argument but is omitted by him. [Excerpt]

Keywords: Letter Standard of Evidence

Accuracy Verified: Yes

2. Lee, C. W., Taylor, G., & Drummond, P. D. (2006, March-April). The active ingredient in EMDR: Is it traditional exposure or dual focus of attention?. Clinical Psychology and Psychotherapy, 13(2), 97-107. doi:10.1002/cpp.479.

Language: English

Format: Journal

Abstract:
Very little is known about the mechanisms that underlie the therapeutic effectiveness of eye movement desensitization and reprocessing (EMDR). This study tested whether the content of participants' responses during EMDR is similar to that thought to be effective for traditional exposure treatments (reliving), or is more consistent with distancing, which would be expected given Shapiro's proposal of dual process of attention. The responses made by 44 participants with PTSD were examined during their first EMDR treatment session. An independent rater coded these responses according to whether they were consistent with reliving, distancing, or focusing on material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement on a measure of PTSD symptoms occurred when the participant processed the trauma in a more detached manner. Cross-lagged panel correlations suggest that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that covaried with improvement. [Author Abstract]

Keywords: Adults Attention Australians Cognitive Processes Empirical Study Mechanism of Action Posttraumatic Stress Disorder PSTD Quantitative Study Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

3. Waldon, A. (2008, February). Adios pensamientos y sentimientos feos, Manual de EMDR para ninos [Goodbye yucky thoughts and feelings, An EMDR workbook for children] . Lulu.com.

Language: Spanish

Format: Book

Abstract:
Translated from English by Maria Elana Aduriz, Utilizando este cuaderno, el psicoterapeuta de niño EMDR indica el cliente de niño por el protocolo de EMDR. Las ilustraciones visualmente atrayentes basadas en los dibujos de niños son utilizadas para favorecer el niño a dibujar imaginal y recursos existentes para la fuerza, para la maestría, y para el consuelo. Utilizando estos dibujos, el terapeuta prepara al niño para procesar un trauma. Entonces, después de que el niño dibuje un lugar seguro, el terapeuta utiliza el cuaderno para ayudar al niño identifica los pensamientos, las emociones, y las sensaciones del cuerpo relacionadas al trauma. El niño está entonces listo para la Fase 4, la insensibilización y volver a tratar del trauma. El cuaderno continúa ayudando al terapeuta indica el cliente de niño por las fases restantes del protocolo, terminando con un Certificado del Logro para el niño para mantener. Las instrucciones para el terapeuta y hojas de trabajo para las notas del terapeuta son incluidas.

Using this book, the child psychotherapist EMDR client indicates the child EMDR protocol. The visually appealing illustrations based on drawings by children are used to encourage the child to draw imaginal and resources for the strength, expertise, and for comfort. Using these drawings, the therapist prepares the child to process trauma. Then, after the child draw a safe place, the therapist uses the notebook to help the child identify the thoughts, emotions, and sensations of the body related to trauma. The child is then ready for Phase 4, the stunning and come back to the trauma. The book continues to help the therapist tells the client as a child for the remaining phases of the protocol, ending with a Certificate of Achievement for the child to maintain. The instructions for the therapist and worksheets for the therapist's notes are included.

Keywords: Children

Accuracy Verified: Yes

4. Lee, C. (2005, September). An analysis of critical processes and components in EMDR treatment of trauma memories. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Very little is known about the mechanisms that underlie the effectiveness of EMDR. Participants will be presented with information to facilitate their understanding of two competing hypotheses to account for EMDR effectiveness. Namely, because it uses similar processes found effective in traditional exposure treatments (reliving). Alternaitvely according to Shapiro's proposal of dual process of attention, the procedure may be successful because it elicits distancing responses. Participants will be able to describe how these competing hypotheses were investigated. The responses made by 44 participants with Post Traumatic Stress Disorder (PTSD) were examined during their first EMDR treatment session. Participants will be able to describe the key process variable found to be effective in EMDR treatment of trauma memories and the extent to which this process is determined by eye movement or by therapist instructions.

Keywords: Dual Attention Mechanism of Action Reliving

Accuracy Verified: Yes

5. Selvig, A. L. (2004). Analyzing individual patterns of change in two treatments for posttraumatic stress disorder. University of Georgia.

Language: English

Format: Dissertation/Thesis

Abstract:
Two therapies for posttraumatic stress disorder (PTSD) have received considerable support in the clinical literature: prolonged imaginal exposure (PE) and eye movement desensitization and reprocessing (EMDR). Although PE is empirically supported, its critics purport that it causes symptom exacerbation. In contrast, proponents of EMDR claim that its response pattern is characterized by rapid decline in symptoms. The current investigation aimed to study and compare the patterns of symptom change during PE and EMDR using hierarchical linear modeling (HLM). HLM avoids many shortcomings inherent in traditional longitudinal analyses by focusing on trajectories of change rather than group means. 62 women with PTSD following rape were randomly assigned to 9 sessions of PE or EMDR. Results indicated that neither group experienced symptom exacerbation nor rapid symptom decline. The patterns of symptom change in the two groups were not significantly different. The strengths and limitations of HLM and the studys design were discussed.

Keywords: Patterns of Change PE Prolonged Exposure

Accuracy Verified: Yes

6. 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

7. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998). The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice Learning Objectives: Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps. Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp. Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.

Keywords: Attachment Repair Early Trauma Temporal Integration

Accuracy Verified: Yes

8. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol

Accuracy Verified: Yes

9. Gersons, B. (2013, June). Brief eclectic psychotherapy for PTSD (BEP). Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEP) is a trauma-focused treatment which has been shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is a need not only for decreasing anxiety but also for learning how the traumatic event has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEP-protocol has proved to be effective in randomized controlled trials. Also psychobiological recovery has been demonstrated. In the workshop the different elements of BEP will be outlined and taught, also using a DVD. Similarities and differences between CBT and EMDR will be presented. To summarize, CBT, EMDR and BEP are equally effective in reducing PTSD by different forms of exposure. BEP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Clinical cases will be discussed.

Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

10. Gersons, B. (2011, June). Brief eclectic psychotherapy for PTSD (BEPP). Preconference presentation at the 12th annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

11. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (http://www.traumatreatment.eu/). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

12. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). PreConference presentation at the 27nd annual meeting of the International Society for Traumatic Stress Studies, Vienna, Austria.

Language: English

Format: Conference

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

13. Naccarato, C. (2001, December). The capsule adventure. EMDRIA Newsletter, 6(Special Edition), 12-14.

Language: English

Format: Newsletter

Abstract:
In EMDR, a client often cannot seem to move forward in processing a particular memory or scene, and continued attempts seem to worsen the client’s physical response, causing pain or other discomfort. This is a potentially damaging situation in that the discomfort may remain, the memory may not get processed to resolution, and the client may develop a negative view of EMDR and of therapy. Some years ago, I developed a low-risk imaginal invasive technique to encourage clients to explore what was happening in, and to, their bodies, I call it the “Capsule Adventure.” Having used this intervention more than 50 times, I have found it to be a reliable way of resolving this type of impasse and moving the session forward.

Keywords: Capsule Adventure

Accuracy Verified: Yes

14. Loris, M., & Johnson, D. R. (2001, December). Case study: Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatment. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract: This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Counting Method Prolonged Exposure Poster

Accuracy Verified: Yes

15. Spierts, I. (2009). Casus 20 – Met stomheid geslagen: Een 50-jarige vrouw vindt haar stem en zelfvertrouwen terug [Casus 20 – Dumb beaten: A 50-year-old woman finds her voice and confidence back]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 279-287). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_29.

Language: Dutch

Format: Book Section

Abstract:
Christina is een 50-jarige huisvrouw die – via maatschappelijk werk – bij mij wordt aangemeld. Dit vanwege ernstige depressieve klachten en stagnatie in een al twee jaar durende behandeling bij het reguliere maatschappelijk werk. Christina heeft last van herbelevingen van traumatische gebeurtenissen en krijgt steeds meer moeite om de dagen door te komen.

Christina is a 50-year-old housewife who - through social work - I have notified. This is because severe depression and stagnation in an already two years of treatment with regular social work. Christina burden of reliving traumatic events, and getting increasingly difficult to get through the day.

Keywords: Women

Accuracy Verified: Yes

16. Loris, M., & Johnson, D. R. (2001, December). Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatments. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

17. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .

Language: Farsi (Iran)

Format: Journal

Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients. Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests. Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up. Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months. Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD

Accuracy Verified: Yes

18. Simon, M. J. (2000, September). A comparison between EMDR and exposure for treating PTSD: A single-subject analysis. the Behavior Therapist, 23(8), 172-175.

Language: English

Format: Newsletter

Abstract:
The intent of this study is to use a single-subject analysis to compare the efficacy of EMDR to imaginal exposure for the treatment of PTSD. More specifically, this study compared exposure and EMDR for treating symptoms associated with the traumatic memories reported by two subjects diagnosed with PTSD. Standardized assessments were used to measure severity of trauma-related intrusive thoughts and sleep disturbances, whereas levels of symptoms were tracked throughout treatment and at 3-month follow-up. [Text, p. 173] [Pilots]

Keywords: Empirical Study Exposure Therapy Females Posttraumtic Stress Disorder PTSD

Accuracy Verified: Yes

19. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR onderzocht bij verschillende soorten aandoeningen en vergeleken met andere behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.

There is a lot of controversy about the effectiveness of EMDR. This thesis consists of a critical overview of the literature concerning the effectiveness of EMDR. First this thesis will look at the procedure that EMDR maintains and possible explanations for how EMDR works will be given. Next the effectiveness of EMDR will be researched to see if it differs between the different diseases. EMDR will also be compared to other treatments. Research shows that EMDR is an effective treatment when treating PTSD. When treating phobias, EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when we compare EMDR to exposure treatment it is not fully clear which treatment is the most effective. Exposure therapy is more effective when it comes to a decrease in reliving and avoidance, but EMDR has a greater efficiency. At last there will be given recommendations for future research.

Keywords: Literature Review

Accuracy Verified: Yes

20. Resick, P., Monson, C., Griffin, M., Rothbaum, B., Rasmusson, A., & Shalev, A. (2006, November). Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors. In Psychobiology and Treatment of PTSD. Symposium conducted at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.

Language: English

Format: Conference

Abstract:
Psychobiological treatment of PTSD: This symposium will examine four CBT treatment studies with regard to biological markers. The questions here are whether pretreatment psychobiology or physiological responding can be used to predict treatment outcome, or whether they themselves change as a result of effective treatment.

Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors: Many studies have noted increased cortisol production in trauma survivors with PTSD, but it is not clear whether effective treatment alters these responses. As part of a larger study, 60 female sexual assault survivors with PTSD began one of two types of cognitivebehavioral treatment (Prolonged Exposure (PE) or EMDR). Each treatment consisted of nine sessions. Sessions 1 and 2 included information gathering, trauma education, and therapy preparation. Sessions 3 through 9 consisted of processing traumatic memories and emotions via either imaginal exposure or EMDR.To examine potential cortisol changes over the course of treatment, salivary cortisol samples were collected at three time points during treatment. A baseline sample was taken at session 1, a second sample was taken at the start of the treatment portion of therapy (session 3), and a third sample was taken at the end of treatment (session 9). Of the original sample of 60 participants, 50 women completed treatment, and ten dropped out. Cortisol responses will be examined in treatment responders and non-responders as well as in treatment completers vs. treatment dropouts.

Keywords: Cortisol Posttraumatic Stress Disorder Prolonged Imaginal Exposure Assault PSTD Survivors Symposium

Accuracy Verified: Yes

21. Rothbaum, B. O., Astin, M., Gerardi, M., & Kelley, M. (2006, November). Cortisol pre-and post- treatment with EMDR or prolonged imaginal exposure in PTSD assault survivors. Presentation at the Annual Meeting of the Internatinal Society for Traumtic Stress Studies, Hollywood, CA.

Language: English

Format: Conference

Keywords: Assault Posttraumatic Stress Disorder Prolonged Imaginal Exposure PTSD Survivors

Accuracy Verified: Yes

22. Johnson, D. R., & Lubin, H. (2006). The counting method: Applying the rule of parsimony to the treatment of posttraumatic stress disorder. Traumatology, 12(1), 83-99. doi:10.1177/153476560601200106.

Language: English

Format: Journal

Abstract:
A study is described comparing Prolonged Exposure, Eye Movement Desensitization and Reprocessing, and the Counting Method with 51 multiply-traumatized women. Measures of PTSD were significantly reduced by all three methods, but differences among the methods were negligible. Because the Counting Method utilizes only imaginal exposure as a therapeutic element, support is given to the more parsimonious conclusion that imaginal exposure may be both the necessary and sufficient factor in therapeutic effect, countering a trend in the field toward more complex, multi-faceted treatment packages. [Author Abstract]

Keywords: Adults Counting Method Exposure Therapy Females Imaginal Exposure Multiple Traumatic Events Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Survivors Treatment Effectiveness Women

Accuracy Verified: Yes

23. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.

Language: English

Format: Journal

Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR) are examined by evaluating the procedural differences between it and exposure therapy. Major factors include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to which clients are encouraged to focus on direct trauma experiences versus experiences associated with the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in EMDR did not correlate with symptom improvement. Instead, consistent with an information processing model, the degree of distancing in EMDR was significantly associated with improvement. A case study is described to highlight these methodological divergences in the respective therapies relating to reliving. Finally, the research regarding the possible sources of the distancing response within EMDR was examined. The results indicate that the distancing process was more likely to be an effect produced by eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the mechanisms underlying EMDR and traditional exposure therapy are different.

Keywords: Exposure Therapy Information Processing Posttraumatic Stress Disorder PTSD Reliving

Accuracy Verified: Yes

24. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.

Language: Dutch

Format: Journal

Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer. Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental. Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.

The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue. Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership. All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.

Keywords: Mindfulness and Meditation Training, MTT

Accuracy Verified: Yes

25. van Arkel, E. P. M., & Baas, A. M. (2008, Juni). De rol van het op afstand beleven en het herbeleven in eye movement desensitisation and reprocessing (EMDR) [The role of the remote experience and relive in eye movement desensitisation and reprocessing (EMDR)]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek was voor ons zowel een eerste kennismaking met Eye Movement Desensitisation and Reprocessing (EMDR) als een eerste kennismaking met het klinische werkveld. Naast het leerzame traject van het onderzoek zelf, waren deze aspecten een speciale aanvulling op onze scriptie. Wij hebben dan ook met veel enthousiasme aan deze scriptie gewerkt en ons op verschillende gebieden breder ontwikkeld. Wij zijn voornamelijk blij dat wij „op de valreep van onze studie‟ nog kennis hebben mogen maken met de behandelmethode EMDR. Het is een behandelmethode die wij in onze verdere loopbaan binnen de psychologie zeker mee zullen nemen. Onze dank gaat uit naar de therapeuten en cliënten die mee wilden werken aan dit onderzoek. Zonder deze medewerking was dit onderzoek immers niet tot stand gekomen! Daarnaast willen wij graag onze begeleidster mw. dr. H.K. Hornsveld bedanken voor het overbrengen van haar enthousiasme voor EMDR en al haar op- en aanmerkingen op ons onderzoek. Mede dankzij haar is dit onderzoek goed afgerond en is ons enthousiasme gegroeid.

This study gave us both a first encounter with Eye Movement Desensitisation and Reprocessing (EMDR) as a first introduction to the clinical field. Besides the educational process of research itself, these issues were a special addition to our thesis. We also have enthusiastically worked on this paper and our wider development in various fields. We are especially pleased that we are "at the very end of our study" may even be familiar with the EMDR treatment method. It is a treatment that in our careers in psychology will certainly take it. Our thanks go to the therapists and clients who wanted participate in this study. Without this cooperation, this research was not realized! In addition, we want our companion mw. Dr. H.K. Hornsveld thanks for transferring her enthusiasm for EMDR and all her observations and comments on our research. Partly thanks to her that this study is well rounded and our enthusiasm grew.

Keywords: Desensitization, Distancing Reliving Vividness

Accuracy Verified: Yes

26. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.

Language: Dutch

Format: Conference

Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan. De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma: • Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt. • Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik). De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.

Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them. The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma: • On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops. • On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse). The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.

Keywords: Debriefing

Accuracy Verified: Yes

27. Kuiken, D., Miall, D., Bears, M., & Smith L. (1998). Defamiliarization in dreaming and reading: Eye movements and attentional engagement. Presentation at the VIth Biannual IGEL Conference, Utrecht.

Language: English

Format: Conference

Abstract:
The fictional world imaginatively constituted during literary reading is sometimes compared with the imaginal world created during dreaming. At the core of both reading and dreaming may be the type of attentional adjustment that occurs when departures from expected events emerge in experience. During dreaming, markers of this attentional adjustment – and of the related transformations of dream content – are the eye movements characteristic of REM sleep. Recent research suggests that eye movements induced during wakefulness similarly prompt dreamlike transformations of imaginal activity. Therefore, we hypothesized that, during reading, induced eye movements would facilitate defamiliarization in response to the deviations from literal meanings found in metaphoric expressions. To test this hypothesis, twenty-five undergraduates completed 20 seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (a) a covert visual attention task (Posner & Cohen, 1984), in which a cue indicated the likely position of a subsequent target, and (b) a sentence rating task, in which sentences with either metaphoric or non-metaphoric endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and increased the extent to which metaphoric sentence endings were found striking. These results suggest that induced eye movements facilitate attentional reorientation toward the novel meanings found in metaphoric expressions, providing evidence that dreaming and reading involve a similarly “defamiliarizing” attentional adjustment.

Keywords: Dreaming Reading

Accuracy Verified: Yes

28. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop is about the application of EMDR in the treatment of secondary and tertiary structural dissociation with survivors of early chronic traumatization. The succeeding of the EMDR sessions in the treatment of DID, depends mainly on the appropriate indication and a thorough preparation. How to do this in clinical practice, will be pointed out in this presentation. What follows is an explanation of the process (and the essential elements in it) of the integration of traumatic memories and this process will be demonstrated by a dvd of Maria, an woman with DID. We can select and analyze particular scenes, depending on the requests from the audience. For example scenes about confirming positions of ANP's and EP's at the beginning of the session, attacking the NC by the self-‐destructive part, guiding reliving experiences, presentification, coping with anger, differentiating between the past and the present, personification, preventing the flight-‐reaction, coping with transference and facilitate internal cooperation. After reporting on the outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing and preparation of the sessions, about adaptations in the EMDR-‐protocol and about integration of EMDR in the broader phase-‐oriented treatment of DID.

Este taller trata la aplicación de EMDR en el tratamiento de disociaciones estructurales secundarias y terciarias con supervivientes de la traumatización crónica temprana. El éxito de la sesiones de EMDR en el tratamiento de Trastornos de identidad disociativo, depende principalmente de unas instrucciones apropiadas y una dura preparación. Como hacer esto en la práctica clínica será el tema de esta presentación. Continuaremos con una explicación del proceso (y los elementos esenciales dentro de este) de la integración de los recuerdos traumáticos y este proceso será demostrado en el DVD de María, una mujer con trastorno de identidad disociativos. Podemos señalar y analizar escenas particulares, dependiendo de las peticiones que hagan los participantes a la presentación. Por ejemplo, escenas acerca de la confirmación de posiciones de ANP y EP al principio de la sesión, atacando al NC por la parte autodestructiva del yo, guiando y reviviendo experiencias, atención al presente, gestionar la ira, diferenciar entre pasado y presente, personificación, prevenir la evitación, afrontar la transferencia y facilitar la cooperación interna Después de informar acerca de los resultados de la terapia, la conclusión es que el EMDR puede ser efectivo para pacientes disociados si cumplen muchos requisitos previos. Este criterio es sobre la conceptualización de acuerdo con el modelo estructural de disociación, sobre la indicación, temporalización y preparación de las sesiones, sobre las adaptaciones del protocolo del EMDR y la integración del mismo en un tratamiento más amplio en fases del tratamiento del Trastorno de Identidad Disociativo.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

29. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment dropout? We will examine clinical impressions and research in this area. First, clinical perspectives on the tolerability of exposure will be presented.Then, three empirical papers will explore: dropout rates for exposure, symptom exacerbation in women undergoing imaginal exposure, and factors that influence treatment choices.

Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In the present paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 17 controlled studies of cognitive behavioral treatment for PTSD that 67 Concurrent Sessions–Saturday,November 9 Saturday: 1:00 p.m.–2:15 p.m. included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR.These findings are consistent with previous research about the tolerability of exposure therapy.

Keywords: Dropout Rate Symposium

Accuracy Verified: Yes

30. Lee, C. W., & Drummond P. D. (2008, June). Effects of eye movement versus therapist instructions on the processing of distressing memories. Journal of Anxiety Disorders, 22(5), 801-808. doi:10.1016/j.janxdis.2007.08.007.

Language: English

Format: Journal

Abstract:
The effectiveness of components of eye movement desensitization and reprocessing (EMDR) was tested by randomly assigning 48 participants to either an eye movement or an eye stationary condition and to one of two types of therapist instructions (reliving or distancing). Participants were university students (mean age 23) who were asked to recall a personal distressing memory with measures of distress and vividness taken before and after treatment, and at follow-up. There was no significant effect of therapist's instruction on the outcome measures. There was a significant reduction in distress for eye movement at post-treatment and at follow-up but overall no significant reduction in vividness. Post hoc analysis revealed a significant reduction in vividness only for the eye movement and distancing instruction condition. The results were consistent with other evidence that the mechanism of change in EMDR is not the same as traditional exposure.

Keywords: Empirical Study Eye Movement Follow-Up Study Quantitative Study Randomized Comparison

Accuracy Verified: Yes

31. Kavanaugh, D. J., Freese, S., Andrade, J., & May, J. (2001). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267-280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objectives. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Eye Movement Imaginal Expsoure Visio-Spatial

Accuracy Verified: Yes

32. Kavanagh, D. J., Freese, S., Andrade, J., & May, J. (2001, September). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267–280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objective. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Visuospatial Tasks

Accuracy Verified: Yes

33. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models. Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach. Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT. The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress. This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement. The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented. Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

34. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Untill now, only a small number of studies have investigated the safety and effects of psychological treatment for PTSD in psychotic patients. The main aim of this study was to explore the effects of two psychological, highly manualized, guideline PTSD treatments: EMDR and prolonged exposure. Another important aim was to determine if negative side effects would occur as a result of therapy. Among clinicians fear exists of harming vulnerable patients with confronting therapeutic procedures, thus risking psychotic exacerbation, suicidal behaviour or other adverse events. Methods: In a N=10 single case study design the effects of psychological PTSD treatment were studied in psychiatric patients who suffer from psychoses. Participants were randomly assigned to either EMDR or Prolonged Exposure. Weekly measurements of PTSD and psychotic symptoms prior to, during and after treatment, gave a strong impression of how symptoms respond to treatment. The treatment in both conditions consisted of 12 sessions of 90 minutes. Adverse events were monitored weekly. Before, directly after and 3 months after treatment all subjects were tested more extensively for the variables PTSD and psychosis, and for three secondary outcome measures cognitive style, social functioning and quality of life. Results: The results show that PTSD-treatment can be quite effective for both PTSD and even some of the psychotic symptoms. PTSD symptoms dropped considerably, in a number of cases below the point of still having a PTSD. In some cases treatment helped diminish the occurence of harming voices. Not one patient became psychotic as a result of therapy, not even patients that went through the guided reliving of traumatic psychotic events during Prolonged Exposure. No suicide attempts occured. Occasional minor adverse events with medication occurred, but results taken as a whole the treatments were obviously safe. Conclusion: This study shows that PTSD-treatment in psychotic patients is a serious option, next to medical treatment. It can be done safely, effectively and in a manualized fashion. No information can be derived from this study as to which of the two, Prolonged Exposure or EMDR, can be best applied in specific situations. Both seem to be equal in the limited number of cases.

Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium

Accuracy Verified: Yes

35. 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

36. Schlattmann, N. (2006). EMDR en de allerkleinsten: Een gevalsbeschrijving [EMDR and the very young: A case study]. Kinder en Jeugdpsychotherapie, 33(3), 25-38.

Language: German

Format: Magazine

Abstract:
Voor de behandeling van de posttraumatische stress stoornis (PTSS) bestaan er twee behandelmethoden waarvan de werkzaamheid voldoende is aangetoond: gedragstherapie (imaginaire exposure) en Eye Movement Desensitization and Reprocessing (EMDR) (de Jongh en ten Broeke, 2003). EMDR is in Amerika door Shapiro ontdekt en ontwikkeld. In de 90’er jaren is deze behandelmethode in Nederland geïntroduceerd. Oorspronkelijk is het een vorm van psychotherapie voor volwassenen. In Amerika zijn onder anderen Lovett, Tinker en Wilson begonnen om EMDR ook bij kinderen toe te passen. Het eerste onderzoek naar de behandeling van kinderen met EMDR is in 1996 gepubliceerd door Chemtob (Lovett, 1999). Inmiddels zijn er in Nederland verschillende artikelen geschreven over de toepassing van EMDR bij kinderen (de Roos en Beer, 2003; Beer en de Roos, 2004). EMDR kan goed bij schoolgaande kinderen gebruikt worden. Er wordt dan gewerkt met het kinderprotocol. Adolescenten, pubers en lagere schoolkinderen worden nu vaak met EMDR behandeld als er sprake is van PTSS. De toepassing bij peuters is minder bekend. Hoe jonger het kind des te sneller therapeuten geneigd zijn om niet met het kind zelf te werken. Dikwijls wordt dan volstaan met ouderbegeleiding. Ouders krijgen adviezen hoe zij hun kind kunnen helpen bij de verwerking van het trauma. Naast de ouderbegeleiding krijgt het kind zelf vaak helemaal geen behandeling, terwijl behandeling van het kind wel datgene is waar ouders om vragen. Het kind behandelen werkt directer en waarschijnlijk ook efficiënter en effectiever. Bij kinderen onder de vier jaar zijn een heleboel elementen uit het EMDR protocol niet uitvoerbaar. Toch is het heel goed mogelijk om EMDR ook bij de allerkleinsten te gebruiken, namelijk door middel van de “storytelling” techniek van Lovett (1999). De hulp en inzet van ouders is daarbij een vereiste. In dit artikel wordt deze techniek beschreven aan de hand van een gevalsbeschrijving van een jongetje van drie jaar, Tommy. Het artikel begint met een uiteenzetting van de voorgeschiedenis van de casus. Daarna wordt aangegeven welke elementen van het EMDR protocol aangepast moeten worden bij peuters en wordt de “storytelling” techniek, oftewel de verhalenmethode, beschreven. Dan volgt een weergave van het verhaal dat de ouders van Tommy met behulp van de therapeut voor hem schreven. Vervolgens wordt de behandeling van Tommy beschreven. Het artikel eindigt met een conclusie.

For the treatment of post traumatic stress disorder (PTSD), there two treatments for which efficacy has been adequately demonstrated: behavioral therapy (imaginal exposure) and Eye Movement Desensitization and Reprocessing (EMDR) (de Jongh and Ten Broeke, 2003). EMDR in America discovered and developed by Shapiro. In the 90's, this treatment method introduced in the Netherlands. It was originally a form of psychotherapy for adults. In America, among others Lovett, Tinker and Wilson began to EMDR in children applying. The first research on the treatment of children with EMDR in 1996 published by Chemtob (Lovett, 1999). There are now several articles on the Netherlands use of EMDR in children (de Roos and Beer, 2003, Bear and Rose, 2004). EMDR may well be used in school children. It is then worked with the children's protocol. Adolescents, adolescents and lower school children are now often treated with EMDR when there is PTSD. The application in toddlers is less known. The younger the child the faster therapists tend not to child to work. Often parent guidance are sufficient. Parents get advice on how they can help their child in the processing of the trauma. Besides the parent guidance, the child itself is often no treatment, while treatment of the child does what is true for parents questions. The child works deal more directly and probably more efficient and effective. In children under four years are a lot of elements from the EMDR protocol is not feasible. Yet it is quite possible to EMDR also in toddlers to use, namely through the storytelling technique of Lovett (1999). The help and commitment of parents is a prerequisite. This article describes the technique using a case report of a boy of three years, Tommy. The article begins with an account of the history of the case. Then identifying the elements of the EMDR protocol adapted to are young children and the storytelling technique, or the stories method described. Then follows a representation of the story that Tommy's parents by the therapist wrote for him. Then the treatment of Tommy described. The article ends with a conclusion.

Keywords: Case Study Children

Accuracy Verified: Yes

37. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut. Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.

During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist. Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

38. Arabia, E., Manca, M. L., & Solomon, R. M. (2011). EMDR for survivors of life-threatening cardiac events: Results of a pilot study. Journal of EMDR Practice and Research, 5(1), 2-13. doi:10.1891/1933-3196.5.1.2.

Language: English

Format: Journal

Abstract:
This pilot study evaluated the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating posttraumatic stress disorder (PTSD) symptoms and concomitant depressive and anxiety symptoms in survivors of life-threatening cardiac events. Forty-two patients undergoing cardiac rehabilitation who (a) qualified for the PTSD criterion “A” in relation to a cardiac event and (b) presented clinically significant PTSD symptoms were randomized to a 4-week treatment of EMDR or imaginal exposure (IE). Data were gathered on PTSD, anxiety, and depressive symptoms at pretreatment, posttreatment, and 6-month follow-up. EMDR was effective in reducing PTSD, depressive, and anxiety symptoms and performed significantly better than IE for all variables. These findings provide preliminary support for EMDR as an effective treatment for the symptoms of PTSD, depression, and anxiety that can follow a life-threatening cardiac event.

Keywords: Anxiety Cardiovascular Disease Depression Posttraumatic Stress Disorder PTSD Rehabilitation

Accuracy Verified: Yes

39. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive internal resource images, such as the inner advisor child-self – adult-self assessment and development, nurturer and protector figures, spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories; TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.

Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference

Accuracy Verified: Yes

40. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

41. Vogelmann-Sine, S., Sine, L., & Smyth, N. (1999, October). EMDR to reduce stress and trauma-related symptoms during recovery from chemical dependency. International Journal of Stress Management, 6(4), 285-290. doi:10.1023/A:1021996406108.

Language: English

Format: Journal

Abstract:
The following letter from S. Vogelmann-Sine, L. Sine, and N. Smyth discusses a unique application of a therapeutic method termed "eye movement desensitization and reprocessing (EMDR)" to chemical dependency, suggesting effects of EMDR additional to its impact on symptoms of current and prior stress/trauma in a patient's life. The method of EMDR ordinarily consists of a number of brief "desensitization" periods during a treatment session in which a patient focuses on imaginal material in relation to movements. These desensitization periods are interrupted by the therapist who will probe for associations and redirect the images for the next period. In addition, the EMDR involves "processing" of negative self-cognitions in relation to the stressor(s) and "installation" of positive self-statements in the course of therapy. Other components of the method are detailed by F. Shapiro(see record 1995-98132-000) in the reference cited by Vogelmann-Sine et al in their letter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Drug Dependency Emotional Trauma Human Patients Letter Stress Symptoms Trauma-Related Symptoms During Chemical Recovery

Accuracy Verified: Yes

42. McGoldrick, T. (2001, May). EMDR treatment of body dysmorphobia". Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Body Dysmorphic Disorder presents a preoccupation with imagined ugliness, typically involving facial flaws, such as spots or wrinkles, or the shape of the face, nose, mouth or jaw. More rarely the complain involves the appearance of the feet, hands, breasts or genitalia. It is frequently chronic and may lead to marked disruption of the patients social, marital and occupational life (Phillips, 1991). The disorder is fairly unremitting with few symptom-free periods, although the body part focused upon may change over time. It is generally regarded as a condition that is difficult to treat (Phillips, 1991). A variety of cognitive and behavioural techniques have been described to have some effect but all tend to be lengthy. To the author's knowledge here are no reports on the use of Eye Movement Desensitisation and Reprocessing (EMDR) in its treatment. Here we describe our use of EMDR in fourteen consecutive patients with body dysmorphic disorder. Outcome data is presented. The treatment time is much less than the combination of treatment and homework used in imaginal exposure (Vaughan et al, 1994). Such homework was not given to our patients. Furthermore, as EMD leads to involuntary changing images throughout a session, the exposure element is further reduced. In contrast to exposure, EMDR does not involve exacerbating or increasing the patients level of anxiety and, whilst patients experience a rapid positive shift in cognitions during EMDR, this has not been found in treatments with exposure only (Kilpatrick, Veronen & Resnick, 1982).

Keywords: Body Dysmorphic Disorder

Accuracy Verified: Yes

43. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students [Author abstract]

Keywords: Adolescents Children Imaginal Exposure, In Vivo Desentization, Outpatient Setting School Refusal Student Reintegration Symposium

Accuracy Verified: Yes

44. Hornsveld, H. (2008, Maart). EMDR werkt! Maar hoe? [EMDR works! But how?]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Het leidt geen enkele twijfel dat EMDR een effectieve behandelvorm is. EMDR is opgenomen in de guidelines van de International Society for Traumatic Stress Studies (ISTSS) waarbij zowel EMDR als Imaginaire Exposure (IE) als ‘treatment of choice’ bij de behandeling van PTSS gelden. Ook in de Nederlandse GGZ-richtlijnen (Trimbos Instituut, 2003) worden EMDR en imaginaire exposure (IE) genoemd als superieure behandelvormen voor PTSS. Rechtstreekse vergelijking van CGt en EMDR leverde echter wisselende resultaten op. Over het geheel genomen kan worden gesteld dat wat betreft effectiviteit er geen duidelijk verschil is vastgesteld tussen CGt en EMDR. Dit is opvallend, omdat de procedures en de veronderstelde werkingsmechanismen bij IE en EMDR duidelijk verschillen. Bij IE wordt reliving essentieel geacht en bij EMDR distancing. Hier is echter nog nauwelijks expliciet onderzoek naar gedaan; het meeste onderzoek heeft zich tot nu toe gericht op de effectiviteit van EMDR en op de rol van de BLS. In deze presentatie zullen drie eigen experimenten worden besproken die worden uitgevoerd met masterstudenten van de Universiteit Utrecht naar het effect van reliving versus distancing. Het onderzoek bouwt voort op het werk van de Chris Lee en zijn collega’s. (Lee et al 2006) In het onderzoek worden 3 experimenten uitgevoerd, waarbij de variabele distancing en reliving worden gevarieerd. Verondersteld wordt (vanuit de EMDR visie) dat responses tijdens de desensitisatiefase, die getuigen van distancing leiden tot meer verbetering dan responses die getuigen van reliving. Een tweede onderzoeksvraag die wij beogen te beantwoorden is of dit verschil groter is voor narigheid uit het domein “zelfwaardering” dan voor narigheid uit het “domein controle en machteloosheid”. Een derde onderzoeksvraag betreft de vraag of een verhoogde parasympatische (arousal onderdrukkende) activiteit (een reeds aangetoond effect van BLS) samengaat met veranderingen in SUD-niveau en levendigheid van de herinneringen. De workshop is bedoeld voor therapeuten die geïnteresseerd zijn in de achtergronden van EMDR. Op zo eenvoudig mogelijke wijze zal een overzicht worden gegeven van de “state of the art” met betrekking tot de veronderstelde werkingsmechanismen. Dit zal worden geïllustreerd met bovengenoemd onderzoek en videomateriaal. Aan het eind van de workshop zal de therapeut zijn cliënten en collega’s iets meer kunnen zeggen dan “ dat EMDR de verwerking stimuleert door de linker en de hersenhelften beter te laten samenwerken, waardoor gevoel en verstand beter met elkaar verbonden raken.”

There is no doubt that EMDR is an effective form of treatment. EMDR is included in the guidelines of the International Society for Traumatic Stress Studies (ISTSS) where both EMDR and imaginal exposure (IE) as treatment of choice in the treatment of PTSD are. Also in the Dutch mental health care directives (Trimbos Institute, 2003) are EMDR and imaginal exposure (IE) identified as superior forms of treatment for PTSD. Direct comparison of CBT and EMDR yielded mixed results, however. Overall it can be stated that in terms of effectiveness there is no clear difference observed between CBT and EMDR. This is striking because the procedures and mechanisms assumed by IE and EMDR markedly different. When IE is reliving considered essential to EMDR and distancing. There is still little research has been done explicitly, most research has hitherto focused on the effectiveness of EMDR and the role of the BLS. This presentation will discuss three own experiments conducted with master students of the University of Utrecht to the effect of relieving versus distance. The research builds on the work of Chris Lee and his colleagues. (Lee et al 2006) In the study, three experiments, with variable distancing and reliving be varied. It is assumed (from the EMDR vision) that responses during desensitisatiefase, evidence of distancing lead to more improvement than responses that show reliving. A second research question we seek to answer is whether this difference is in trouble from the domain "esteem" than for trouble from the "domain control and powerlessness". A third research question concerns whether an increased parasympathetic (arousal suppressive) activity (an effect already demonstrated BLS) is associated with changes in SUD level and vividness of the memories. The workshop is designed for therapists interested in the backgrounds of EMDR. In the simplest possible manner, an overview of the state of the art "regarding the supposed mechanisms of action. This will be illustrated with the above study and video material. At the end of the workshop, the therapist will have clients and colleagues can say little more than "that EMDR stimulates the processing by the left and the brain work better together, making sense and intellect more interrelated."

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: Dutch

Format: Book Section

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

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

Keywords: Practice Theory

Accuracy Verified: Yes

46. Staff (2011, Juni). EMDR: Belasting werkgeheugen verklaart werkzaamheid [EMDR: Tax memory activity states]. Psychopraktijk, 3(3), 38. doi:10.1007/s13170-011-0048-y.

Language: Dutch

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een omstreden behandelmethode. Eerst werd het beschouwd als een ritueel met oogbewegingen, en later als een vorm van korte exposure door het oproepen van een traumatisch beeld. Echter, uit gecontroleerde studies bleek dat EMDR een effectieve behandelmethode is voor post traumatisch stress stoornis (PTSS; zie ook elders in dit nummer). EMDR werd in de multidisciplinaire richtlijnen aanbevolen als eerste keus behandeling bij PTSS naast imaginaire exposure. Adepten van EMDR menen dat je het kunt toepassen bij elke willekeurige stoornis, maar daar lijkt nog onvoldoende evidentie voor. Vervolgens kwam er discussie waardoor EMDR überhaupt werkt. Zou het een vorm van korte exposure kunnen zijn? Deze verklaring bleek niet houdbaar. Vanuit de EMDR-therapeuten kwam een theorie over bilaterale stimulatie van de beide hemisferen. Een EMDR-therapeut kan dan niet alleen gebruik maken van oogbeweging, maar ook van piepjes afwisselend in beide oren of aanrakingen op beide handen. Maar experimenteel onderzoek liet zien dat ook deze theorie niet houdbaar is.

Eye Movement Desensitization and Reprocessing (EMDR) is a controversial treatment method. First, the considered a ritual with eye movements, and later as a form of short exposure by calling a traumatic image. However, controlled studies showed that EMDR is an effective treatment for post-traumatic stress disorder (PTSD; see elsewhere in this issue). EMDR was in the multidisciplinary guidelines recommended first choice treatment for PTSD in addition to imaginal exposure. adepts EMDR believe that you can apply to any disorder, but there seems insufficient evidence for. Next came a discussion which EMDR works anyway. Could it be a form of short exposure be? this statement proved untenable. From the EMDR therapists came a theory of bilateral stimulation of both hemispheres. An EMDR therapist can not only use eye movement, but also of beeps alternately in both ears or touches on both hands. But experimental research showed that this theory is not tenable.

Keywords: Tax Memory

Accuracy Verified: Yes

47. Prencipe, M. (2010). EMDR: Stato dell’arte e linee future di ricerca [EMDR: Current status and future lines of research]. Università degli Studi di Torino.

Language: Italian

Format: Dissertation/Thesis

Abstract:
“ Quando si vive un’esperienza davvero sgradevole, due sono le cose che si possono fare, due sono le strade che si possono percorrere. Una è quella di guardare in faccia il ricordo di quell’esperienza, continuare a pensarci, a parlarne e a provare sensazioni al riguardo: può essere difficile, ma è come se ogni volta si desse a quel ricordo un piccolo morso, lo si masticasse per bene e lo si digerisse. Esso allora entra a far parte del nostro nutrimento e ci aiuta a crescere. E la parte che fa male si riduce sempre di più. Quando si dice che attraverso i momenti difficili si diventa più forti, e a questo che ci si riferisce. Purtroppo a volte la gente percorre l’altra strada. Il ricordo è così doloroso, fa così male che lo si vuole solo scacciare, si vuole mettere un muro tra noi e lui, ci si vuole soltanto sentire bene e riuscire a tirare avanti la giornata. Questo funziona, almeno per un po’; ci dà sollievo. Ma il problema è che il ricordo non va via, è sempre lì, fresco come il giorno in cui il fatto è accaduto, sempre pronto a ripresentarsi per essere masticato completamente e digerito in modo da diventare parte del passato. E poi, ogni volta, c’è qualcosa che ci fa ripensare a quel ricordo, come se questo dicesse: ‘Ehi, ci sono anch’io, mi fai entrare adesso?’. Ecco un esempio, quasi tutti noi, se camminando veniamo urtati incidentalmente da qualcuno, be’, forse ci secchiamo un po’ per qualche secondo, ma non di più, basta un: ‘Mi scusi’, e tutto finisce. Ma se la persona che viene urtata ha un mucchio di rabbia compressa dietro a quel muro, avrà la nostra stessa minima normale reazione, con in più tutto quel materiale che sta dietro al muro e che dice: ‘Anch’io’, per cui la persona sarà talmente fuori dai gangheri da essere pronta a litigare. E’ questo il problema: il materiale che sta dietro al muro; ci può saltare addosso in ogni momento e provocare in noi reazioni eccessive, rendere difficili le cose facili. Così a volte la gente, quando si ammala per via di questi problemi, va da un terapeuta per farsi aiutare. E con il suo aiuto riesce a riafferrare ciò che ha cacciato dietro al muro: prende un pezzetto di quel ricordo, lo mastica per bene, lo digerisce e diventa molto più forte. Con l’EMDR accade qualcosa di molto simile a quanto succede con le altre terapie: si riesce a riprendere ciò che sta dietro al muro, se ne prende un pezzo, lo si mastica per bene, tutto qui. Solo che con l’EMDR si rivivono i vari pezzi del brutto ricordo molto più in fretta, magari si ripercorre un intero ricordo in sole due sedute, talvolta in più, talvolta in meno”(Greenwald, 2000, p.35).

"When you live a truly unpleasant experience, there are two things that you can do, there are two ways you could go. One is to face the memory of that experience, continue to think about it, talk about it and try to sensations about it: it can be difficult, but it's as if every time you gave at the memory a small bites, chew it well and it is digested. It then becomes part of our nourishment and helps us grow. And the part that hurts is reduced more more. When it is said that through the tough times you become stronger, and that this it refers. Unfortunately sometimes people runs the other way. The memory is so painful, it hurts so much that you just want to drive, you want to put a wall between us and him, you only want to feel good and be able to get by the day. This works, at least for a while ', gives us relief. But the problem is that the memory does not go away, is always there, as fresh as the day on which the event took place, always ready to recur to be chewed and digested completely in order to become part of the past. And then, every time, there is something that makes us realize that memory, as if this should say, 'Hey, I'm here too, let me in now?'. Here's an example, almost all of us, if we come walking accidentally bumped by someone, well, 'maybe there secchiamo a little 'for a few seconds, but no more, just a:' Excuse me ', and all ends. But if the person who is hit has a bunch of repressed rage behind that wall will have our very minimal normal reaction, plus all that material behind the wall and says: 'I too', for which the person will be so off the hinges to be ready to fight. And 'This is the problem: the material behind the wall, there could pounce at any time and cause reactions in us excessive, make difficult things easy. So sometimes, when people get sick for Because of these problems, go to a therapist for help. And with his help can recapture what has driven behind the wall: it takes a little bit of that memory, the chew well, digests it, and it becomes much stronger. With EMDR something happens very similar to what happens with other therapies: you can not take back what is behind the wall, it takes a piece, chew it well, that's all. Only with EMDR is reliving the various pieces of the bad memory much faster, maybe you retraces an entire memory in just two sessions, sometimes more, sometimes in less "(Greenwald, 2000, p.35).

Keywords: Research

Accuracy Verified: No

48. Derksen, M. T. H., & Baeten, B. M. (2011, April). EMDR: theorie en praktijk binnen de ziekenhuispsychiatrie [EMDR: Theory and practice within the psychiatric hospital]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: EMDR (eye movement desensitisation and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(EN). Over het effect van emdr is wetenschappelijk aangetoond dat het mogelijk is kwellende herbelevingen van vroegere gebeurtenissen kwijt te raken. emdr is, volgens (inter)nationale richtlijnen, de eerste keus bij behandeling van posttraumatische stressstoornis (PTSS). emdr maakt de in het geheugen opgeslagen traumatische ervaringen toegankelijk en activeert het natuurlijk verwerkingsproces zodat deze gebeurtenissen worden ontdaan van hun emotionele lading en een nieuwe betekenis krijgen. emdr kan ook toegepast worden bij traumagerelateerde stoornissen zoals bij angststoornissen, eetstoornissen, somatoforme stoornissen, seksuele stoornissen, verslaving en chronisch pijn. EMDR is een relatief nieuwe therapie, overigens alweer 20 jaar oud. Grondlegster is de Amerikaanse Francine Shapiro, die in 1989 een eerste versie van emdr beschreef. Door Shapiro zelf en later ook door andere therapeuten is het EMDRprotocol aangescherpt en verbeterd. Halverwege de jaren ’90 van de vorige eeuw introduceerden Ad de Jongh en Erik ten Broeke emdr in Nederland. De laatste jaren wordt er nauwelijks nog iets aan het basisprotocol veranderd of toegevoegd. De belangrijkste ontwikkelingen vinden plaats in de theorievorming en de toepassingsmogelijkheden. Hoe werkt EMDR, welke hersengebieden zijn erbij betrokken, wat is het werkzame mechanisme en bij welke stoornissen kan deze therapie worden toegepast. De kern van deze workshop is het leren kennen van recente verklaringsmodellen over de werking van emdr. De bijzondere kenmerken en effecten van EMDR en de verschillende toepassingsgebieden worden besproken. Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie. Leerdoel: Na de workshop heeft de deelnemer zicht op de verschillende recente theoretische verklaringsmodellen van emdr en heeft hij kennis van het brede indicatiegebied van EMDR en de plaats van emdr binnen de psychotherapie.

Contents of the workshop: EMDR (Eye Movement Desensitisation and Reprocessing) is a intensive form of psychotherapy for people that to suffer the consequences of one (or more) shocking experience (S). On the effects of EMDR has been scientifically proven that it is possible agonizing reliving past losing events. EMDR is, according to (inter) national guidelines, The first choice of treatment for posttraumatic stress disorder (PTSD). EMDR allows the memory traumatic experiences accessible and activates the natural process so that events are stripped of their emotional charge and a new meaning. EMDR can also be applied in trauma-related disorders such as anxiety disorders, eating disorders, somatoform disorders, sexual disorders, addiction and chronic pain. EMDR is a relatively new therapy, however already 20 years old. Founder is the U.S. Francine Shapiro, who in 1989 first version of EMDR described. By Shapiro himself and later by other therapists is EMDRprotocol strengthened and improved. Mid-90s of the last century Ad de Jongh introduced and Erik ten Broeke EMDR in the Netherlands. In recent years there hardly anything to change the basic protocol or added. The main developments are place in the theory and application. How does EMDR, which brain areas are involved, what is the active mechanism and disorders which can therapy administered. The core of this workshop is to learn Declaration of recent models on the operation EMDR. The particular characteristics and EMDR and the effects of different application are discussed. Methods: Presentation, illustrated with video, time for questions and an interactive discussion. Objective: After the workshop, the participant view of the various recent theoretical explanatory models of EMDR and has broad knowledge of the indication area of EMDR and the location of EMDR in psychotherapy.

Keywords: Practice Psychiatric Hospital Theory

Accuracy Verified: Yes

49. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..

Language: Dutch

Format: Book

Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress. EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc. De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.

EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl

Keywords: Practice Theory

Accuracy Verified: Yes

50. Joseph, S., & Linley, P. A. (2002, April). EMDR: What's the evidence?. Counselling & Psychotherapy Journal, 13(3), 18-19.

Language: English

Format: Journal

Abstract:
The evidence so far that eye movements are of therapeutic value is, say Stephen Joseph and P Alex Linley, not convincing; the effectiveness of EMDR can probably be attributed to imaginal exposure[Ebsco]

Keywords: Eye Movements Mechanism of Action

Accuracy Verified: Yes

51. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., Macklin, M., Michaels, M. J., & Steketee, G. S. (1996, November-December). Emotional processing and outcome of imaginal flooding therapy in Vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37(6), 409-418. doi:10.1016/S0010-440X(96)90025-5.

Language: English

Format: Journal

Abstract:
This study examined emotional processing and outcome in 20 Vietnam veterans with chronic posttraumatic stress disorder (PTSD) who underwent imaginal flooding therapy. Results supported the occurrence of emotional processing, as manifest in significant activation, within-session habituation, and partial across-session habituation of physiologic and self-reported process variables. The flooding therapy produced only modest overall improvement, which was statistically significant for avoidance symptomatology measured by the Impact of Events Scale (TOES) and number of intrusions per day recorded by the subject in a log. Symptomatic improvement appeared to generalize from a treated to an untreated experience. Heart rate activation during the first flooding session predicted a decrease in daily number of intrusive combat memories across the therapy. Otherwise, there was little association between extent of emotional processing and therapeutic outcome. The results provide limited support for the notion that mobilization of phychophysiologic arousal during exposure therapy predicts improvement. [Author Abstract]

Keywords: Emotional Processing Flooding Therapy Posttraumatic Stress Disorder PTSD Vietnam Veterans

Accuracy Verified: Yes

52. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., & Macklin, M. (1996, November-December). Emotional processing during eye-movement desensitization and reprocessing therapy of Vietnam veterans with chronic post-traumatic stress disorder. Comprehensive Psychiatry, 37(6), 419-429. doi:10.1016/S0010-440X(96)90025-5.

Language: English

Format: Journal

Abstract:
This study examined emotional processing and outcome in 27 Vietnam veterans with chronic PTSD who underwent eye movement desensitization and reprocessing (EMDR) therapy, with and without the eye movement component, in a crossover design. Results supported the occurrence of partial emotional processing, but there were no differences in its extent in the eye-movement versus eyes-fixed conditions. Therapy produced a modest to moderate overall improvement, mostly on the Impact of Event Scale. There was slightly more improvement in the eyes-fixed than eye-movement condition. There was little association between the extent of emotional processing and therapeutic outcome. In our hands, EMDR was at least as efficacious for combat-related PTSD as imaginal flooding proved to be in a previous study, and was better tolerated by subjects. However, results suggest that eye movements do not play a significant role in processing of traumatic information in EMDR and that factors other than eye movements are responsible for EMDR's therapeutic effect. [Author Abstract]

Keywords: Americans Clinical Trial Empirical Study Longitudinal Study Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

53. Feinstein, D. (2008). Energy psychology: A review of the preliminary evidence. Psychotherapy, 45(2), 199-213. doi:10.1037/0033-3204.45.2.199.

Language: English

Format: Journal

Abstract:
Energy psychology utilizes imaginal and narrative-generated exposure, paired with interventions that reduce hyperarousal through acupressure and related techniques. According to practitioners, this leads to treatment outcomes that are more rapid, powerful, and precise than the strategies used in other exposure-based treatments such as relaxation or diaphragmatic breathing. The method has been exceedingly controversial. It relies on unfamiliar procedures adapted from non- Western cultures, posits unverified mechanisms of action, and early claims of unusual speed and therapeutic power ran far ahead of initial empirical support. This paper reviews a hierarchy of evidence regarding the efficacy of energy psychology, from anecdotal reports to randomized clinical trials. Although the evidence is still preliminary, energy psychology has reached the minimum threshold for being designated as an evidence-based treatment, with one form having met the APA Division 12 criteria as a “probably efficacious treatment” for specific phobias; another for maintaining weight loss. The limited scientific evidence, combined with extensive clinical reports, suggests that energy psychology holds promise as a rapid and potent treatment for a range of psychological conditions.

Keywords: Energy psychology

Accuracy Verified: Yes

54. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .

Language: English

Format: Conference

Abstract:
Several psychosocial treatments appear to be effective in treating posttraumatic stress disorder (PTSD). However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for others. To investigate this issue, outcome predictors were examined for three 8-session treatments: Exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). Sixty people with PTSD entered and 45 completed treatment. To our knowledge, ours was the first EMDR study to meet all the Foa and Meadows Gold Standards for methodologically sound outcome research. Treatments did not differ in attrition or perceived credibility. Predictors of treatment outcome in PTSD: While psychological treatments for PTSD have developed considerably in recent years, large variation in individual treatment response is apparent. This symposium integrates research from the USA, Canada, and Australia to examine the impact of personal characteristics, childhood abuse history, and treatment setting as predictors of response to cognitive behavioral interventions.

PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Of the potential outcome predictors examined, severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. The best predictor of treatment outcome was whether or not patients received exposure therapy.

Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium

Accuracy Verified: Yes

55. van Es, A. K. & Schoen, J. M. (2008, Juni). Eye movement desensitization and reprocessing (EMDR): Effect van instructies op de verwerking van nare herinneringen [Eye movement desensitization and reprocessing (EMDR): Effect of instructions on the processing of unpleasant memories]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007), heeft dit onderzoek onderzocht de invloed van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen. Bovendien, dit onderzoek onderzocht of het type van het trauma ook de manier waarop het geheugen wordt verwerkt invloeden. Het onderzoek is uitgevoerd door en onder studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement Desensibilisatie and Reprocessing (EMDR; Shapiro, 1989)-protocol werd gebruikt. De deelnemers (13 mannen en 23 vrouwen, gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van het geheugen was gedesensibiliseerd herbeleven door een van beide of afstand instructies. De resultaten tonen geen verschil in effectiviteit tussen afstand en herbeleven voorwaarden. Verder werden geen verschillen gevonden tussen de condities onmacht en schuld / schaamte. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en de voorwaarden van het type van het trauma worden aangepast. Verder is het aangeraden om een controle conditie toe te voegen aan het onderzoek, om te bepalen of de bilaterale stimuli doeltreffend zijn en of ze invloed op de effectiviteit van de therapeut instructies.

Based on previous research by Lee and Drummond (2007), this research has examined the influence of the type of therapist instructions (reliving and distancing) on the processing of distressing memories. Furthermore, this research examined whether the type of the trauma also influences the way the memory is being processed. The research has been conducted by and among university students. A detailed protocol – based on the original Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989) protocol –was used. Participants (13 males and 23 females, mean age 22.4 year) were asked to recall a distressing memory, after which the content of the memory was desensitized by either reliving or distancing instructions. Results show no difference in effectiveness between reliving and distancing conditions. Furthermore, no differences were found between the conditions powerlessness and guilt/shame. Partly based on the used measures it can be concluded that the manipulation of the conditions failed. For future research it is recommended that the protocol be expanded and the conditions of the type of trauma be adjusted. Furthermore it is recommended to add a control condition to the research, in order to determine whether bilateral stimuli are effective and whether they influence the effectiveness of therapist instructions.

Keywords: Distancing Reliving Vividness

Accuracy Verified: Yes

56. ten Broeke, E., & de Jongh, A. (1995, November). Eye movement desensitization and reprocessing (EMDR): 'Gewoon' imaginaire exposure? [Eye movement desensitization and reprocessing: Just imaginal exposure?]. Tijdschrift de Psycholoog, 30(11), 459-464.

Language: Dutch

Format: Magazine

Abstract:
Oogbeweging desensibilisatie and Reprocessing (EMDR) is een relatief nieuwe methode voor de behandeling van PTSS. Sinds de eerste studie meer dan 10.000 artsen zijn opgeleid hele wereld en de positieve resultaten met EMDR zijn gemeld met een groot aantal van de bevolking. Er is gesuggereerd dat EMDR is niets meer dan een complexe vorm van de blootstelling. Het doel van dit artikel is om deze bewering te kritisch aan te pakken. Een korte schets van exposure in vivo behandeling, de EMDR-behandeling protocol, EMDR en een case-studie worden gepresenteerd. Geconcludeerd wordt dat de waargenomen procedurele en theoretische verschillen tussen blootstelling en EMDR leiden tot de conclusie dat de effectiviteit van EMDR, meest waarschijnlijk is, niet kan worden verklaard door de effecten van imaginaire exposure alleen. [Samenvatting Auteur] [Loodsen]

Eye movement desensitization and reprocessing (EMDR) is a relatively new treatment method for PTSD. Since the initial study over 10,000 clinicians have been trained world-wide and positive results with EMDR have been reported with a wide number of populations. It has been suggested that EMDR is nothing more than a complex form of exposure. The aim of the present article is to address this claim critically. A brief outline of exposure in vivo treatment, the EMDR treatment protocol, and an EMDR case-study are presented. It is concluded that observed procedural and theoretical differences between exposure and EMDR lead to the conclusion that the effectiveness of EMDR, most likely, cannot be explained by the effects of imaginal exposure only. [Author Summary] [Pilots]

Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD

Accuracy Verified: Yes

57. Deen, M. L., & Droogendijk, J. S. (2008, Juli). Eye movement desensitization and reprocessing (EMDR): Effect van therapeutinstructies op psychologische en fysiologische maten [Eye movement desensitization and reprocessing (EMDR): Effect of therapist instructions on psychological and physiological measures]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007) heeft dit onderzoek onderzocht de invloed van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen. De hypothese was dat afstand instructies, instructies ten opzichte van herbeleven, zou leiden tot een sterkere daling van subjectieve angst en nowness van het evenement. Bovendien was de verwachting dat de levendigheid van het evenement zou afnemen tijdens de sessie, ongeacht de instructies. In elke onder de sympathische en parasympathische activiteit van het zenuwstelsel wordt gemeten. Het was verondersteld dat de sympathische activiteit zou een sterkere daling in de afstand conditie moet beschikken in vergelijking met de toestand herbeleven. Een sterkere stijging werd verwacht voor de parasympathische activiteit in de afstand staat, in vergelijking met de toestand herbeleven. Bovendien, aan het begin van de zitting van de sympathische activiteit hoger zou zijn in het herbeleven conditie dan in de afstand voorwaarde dat, in tegenstelling tot de parasympathische activiteit. Het onderzoek is uitgevoerd door en onder universitaire studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement en Desensibilisatie Reprocessing (EMDR; Shapiro, 1989) protocol - werd gebruikt. De deelnemers (12 mannen en 24 vrouwen, gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van de geheugen was gedesensibiliseerd door een herbeleving of afstand instructies. De resultaten tonen geen verschil in doeltreffendheid (Suds, Nowness-Scale en levendigheid) tussen afstand en herbeleven voorwaarden. Er was ook geen significant verschil gevonden in het sympathische (PEP) en parasympathische (HR-en RMSSD) activiteit. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en het toevoegen van een controle conditie aan het onderzoek. [Auteur abstracte]

Based on previous research by Lee and Drummond (2007) this research has examined the influence of the type of therapist instructions (reliving and distancing) on the processing of distressing memories. It was hypothesized that distancing instructions, compared to reliving instructions, would cause a stronger decrease in subjective distress and nowness of the event. Furthermore it was expected that the vividness of the event would decrease during the session, regardless of the instructions. In every subject the sympathetic and parasympathetic activity of the nervous system is measured. It was supposed that the sympathetic activity would have a stronger decrease in the distancing condition compared to the reliving condition. A stronger increase was expected for the parasympathetic activity in the distancing condition, in comparison with the reliving condition. Moreover, at the beginning of the session the sympathetic activity would be higher in the reliving condition than in the distancing condition, in contrast to the parasympathetic activity. The research has been conducted by and among university students. A detailed protocol – based on the original Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989) protocol – was used. Participants (12 males and 24 females, mean age 22.4 year) were asked to recall a distressing memory, after which the content of the memory was desensitized by either reliving or distancing instructions. Results show no difference in effectiveness (SUDS, Nowness-Scale and Vividness) between reliving and distancing conditions. There was also no significant difference found in the sympathetic (PEP) and parasympathetic (HR and RMSSD) activity. Partly based on the used measures it can be concluded that the manipulation of the conditions failed. For future research it is recommended that the protocol be expanded and to add a control condition to the research. [Author abstract]

Keywords: Physiological Measures Psychological Measures Therapist's Instructions

Accuracy Verified: Yes

58. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology, Chicago, IL. AAT 9926476.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.

Keywords: Avoidance Case Report Empirical Study Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

59. Foley, T. (1996). Eye movement desensitization and reprocessing treatment of communication anxiety: A closer look. Western Michigan University. AAT 9640073.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to replicate the results of previous research with respect to EMD/R (eye movement desensitization and reprocessing) and of this researcher's investigation of EMD/R treatment of public-speaking anxiety (Foley & Spates, 1995). The present study, however, included components to permit more extensive analysis of the elements of treatment that contribute to therapeutic effectiveness. The study investigated the contribution of assessment speeches to treatment effectiveness by using a two factor design in which one factor featured a condition of pre-treatment/post-treatment speeches vs. a condition of post-treatment speeches only. The other factor featured two treatment conditions, permitting consideration of the contribution of the imaginal exposure component of EMD/R to treatment effectiveness. One treatment condition received EMD/R while the other condition received an alternative treatment that differed from EMD/R only in that there were no instructions to visualize the traumatic event during the eye movement component. Subjects were 32 college students who suffered from communication anxiety and had experienced a specific traumatic event related to a communication situation. The research was carried out in a two factor repeated measures design consisting of four treatment groups: EMD/R-speech condition, EMD/R-no speech condition, Alternative treatment-speech condition, Alternative treatment-no speech condition. Results showed a significant decrease from pre to post-treatment for all groups on several measures. There were no significant differences between groups; however, the results on one measure (CAI) suggests that if power were increased, the groups would differ significantly with respect to the pre-treatment behavioral assessment factor. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(7-B), Jan 1997, pp. 4705.

Keywords: Assessment Speeches College Students With Communication Anxiety Effectiveness Evaluation Empirical Study Oral Communication Speech Anxiety Treatment Treatment Effectiveness

Accuracy Verified: Yes

60. 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

61. Goldstein, A., & Feske, U. (1993, Fall). Eye movement desensitization and reprocessing: An emerging treatment for anxiety disorders. ADAA Reporter, 1(4), 1, 12.

Language: English

Format: Newsletter

Abstract:
The eye movement desensitization and reprocessing (EMDR) procedure developed by Shapiro (1889a,b; 1991) is an imaginal exposure and cognitive reprocessing technique for treating negative affect associated with traumatic memories. EMDR requires that the client engage in recall via imagination of the disturbing event and focus on associated affect, cognitions, and body sensations while performing rapid saccadic eye movements by following the repetitive motion of the therapist's hand. After the eye movement set, which usually lasts for about 20 seconds, the client briefly reports on any changes in the image, or co-occurring experiences. The client then engages in the next set of eye movement during which he or she is to focus on any newly, spontaneously generated material. This cycle of imaginal exposure in conjunction with eye movement followed by the client's feedback is continued until the client no longer generates relevant associations, feels comfortable, and reports no discomfort in response to the original memory. At this point a positive cognition is paired with the original scene by having the client imagine the original scene, rehearse the positive statement covertly, and simultaneously engage in eye movement.

Keywords: Anxiety Disorders

Accuracy Verified: Yes

62. Abbott, G. (2005, September). Four methods of target identification and ordering for EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will present an important review of Phase One of EMDR treatment as it fits within the Adaptive Information Processing Model. The presenter will describe and analyze four strategies for identifying and ordering targets for EMDR rreatment. Strategies to be covered are I ) Francine Shapiro's standard method; 2) A time line method, 3) A Genogram method proposed by Maureen Kitchur in her Strategic Developmental Model and 4) A hypnotic method inspired by Milton Erickson's February Man cases. Analysis of the unique strengths and limitations of each approach will be made. Clinical choices will be outlined with respect to the use of each strategy in light of characteristics of the client, the clinician, and the clinical setting itself. Case examples will be presented. Handouts wlth guidelines for each method will be distributed. Participants will be invited to engage in imaginal exercises to further the exploration of these strategies.

Keywords: February Man Genogram Maureen Kitchur Milton Erickson Targeting Timeline

Accuracy Verified: Yes

63. Leeds, A. (2010, June). The future of EMDR. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In less than 20 years, EMDR achieved international acceptance as an empirically supported treatment for posttraumatic stress disorder. In achieving this recognition, EMDR has raised fundamental questions, both about the essential mechanisms of action of existing treatments and what the foundational principles should be for future approaches to psychotherapy. Can EMDR best be explained as a variant on the exposure-extinction model of imaginal exposure? Will EMDR turn out to be an equally or more effective treatment for other anxiety disorders, for depressive disorders and for personality disorders, than other methods such as Cognitive Behavioural and Interpersonal Therapy? Is the Adaptive Information Processing model essential to the current use and the future of EMDR or is it merely an unproven and extraneous model? How will EMDR evolve over the next 20 years? For what conditions will it turn out to be most successful? How will the emergence of new technologies impact the delivery of psychotherapy in general and of EMDR? A glimpse of what lies ahead.

Keywords: History Keynote

Accuracy Verified: Yes

64. van Rens, L. W., de Weert-van Oene, G. H., van Oosteren, A. A., & Rutten, C. (2012). Gevalsbeschrijving - Klinische behandeling van posttraumatische stressstoornis bij patiënten met ernstige dubbele diagnose [Case Study - Clinical treatment of posttraumatic stress disorder in patients with serious dual diagnosis problems]. Tijdschrift voor Psychiatrie, 54(4), 383-388.

Language: Dutch

Format: Journal

Abstract:
Three patients with severe addiction problems, early sexual trauma, posttraumatic stress disorder PTSD comorbid psychotic vulnerability and personality problems received integrated treatment following admission to a clinic specialising in the care of patients with a dual diagnosis. Treatment was administered in accordance with current guidelines and involved either imaginal exposure or eye movement desensitization and reprocessing EMDR, integrated with relapse management of addiction problems. It is concluded that the current evidence-based guidelines regarding PTSD and addiction can also be applied successfully and effectively to an extremely vulnerable patient population.

Keywords: Dual Diagnosis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

65. Waldon, A. P. (2004). Goodbye yucky thoughts and feelings: An EMDR workbook for children. LuLu.com and EMDRResources.com.

Language: English

Format: Book

Abstract:
Using this workbook, the child EMDR psychotherapist guides the child client through the EMDR protocol. Visually appealing illustrations based on children's drawings are used to encourage the child to draw imaginal and existing resources for strength, mastery, and comfort. Using these drawings, the therapist prepares the child for processing a trauma. Then, after the child draws a safe place, the therapist uses the workbook to help the child identify the thoughts, emotions, and body sensations related to the trauma. The child is then ready for Phase 4, desensitization and reprocessing of the trauma. The workbook continues by helping the therapist guide the child client through the remaining phases of the protocol, finishing with a Certificate of Accomplishment for the child to keep. Instructions for the therapist and worksheets for the therapist's notes are included. [EMDRResources abstract]

Keywords: Children Workbook

Accuracy Verified: Yes

66. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.

Keywords: Affect Theory

Accuracy Verified: Yes

67. 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

68. Verstraaten, M. J., & van Vliet, E. (2009, Juni). Het werkzame mechanisme van eye movement desensitization and reprocessing (EMDR): Is dit het van een afstand bekijken of het herbeleven van een traumatische gebeurtenis? [The active mechanism of eye movement desensitization and reprocessing (EMDR): Is this the view from a distance or reliving a traumatic event?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek is een replicatie van de studie van Lee, Taylor en Drummond (2006) waarin de werkingsmechanismen beschrijft tijdens een desensibilisatie Eye Movement and Reprocessing (EMDR) behandeling. Deze studie onderzocht of er een relatie is tussen verbetering van de symptomen en de manier waarop de cliënt ziet de traumatische gebeurtenis, is dit vanuit een oogpunt van vrijstaande (afstand) of wanneer het trauma opnieuw wordt ervaren (herbeleving). De reacties van de 30 klanten tijdens een EMDR sessie, worden ingedeeld in vier categorieën volgens de classificatie van Lee et al.. (2006) (distantiëring, herbeleven, beïnvloeden en verbonden). Toegevoegd in dit onderzoek is de categorie onbeslist. De resultaten laten zien is er geen verschil in de antwoorden die tijdens een EMDR sessie en de vermindering van PTSS-symptomen (gemeten met de Nederlandse versie van de Impact of Event Scale) en van het verdriet (gemeten met de subjectieve Eenheden van Disturbance Scale). Alle reacties zijn gerelateerd aan een verbetering, ongeacht de categorie. Deze resultaten zijn niet in overeenstemming met de bevindingen van Lee et al.. (2006) die aantonen dat afstand-reacties zijn geassocieerd met een grotere vermindering van de symptomen dan herbeleven-reacties. Naast Lee et al.. (2006), de huidige studie is gebleken dat zowel de aard van het trauma (opzettelijk of niet opzettelijk) alsmede de negatieve cognitie van een cliënt (onmacht of eigenwaarde) niet zijn geassocieerd met een verbetering van de symptomen tijdens de EMDR behandeling. Toekomstig onderzoek kan bijdragen aan kennis over andere factoren die geassocieerd kan worden met de effectiviteit van EMDR.

This research is a replication of the study of Lee, Taylor and Drummond (2006) which describes the working mechanisms during an Eye Movement Desensitization and Reprocessing (EMDR) treatment. This study tested whether there is a relation between improvement in symptoms and the way the client sees the traumatic event; is this from a detached point of view (distancing) or when the trauma is re-experienced (reliving).The responses of 30 clients during an EMDR session, are classified into four categories according to the classification of Lee et al. (2006) (distancing, reliving, affect and associated). Added in this study is the category undecided. The results show there is no difference in the responses given during an EMDR session and the reduction of PTSD-symptoms (measured with the Dutch version of the Impact of Event Scale) and of the distress (measured with the Subjective Units of Disturbance Scale). All the responses are related to an improvement, regardless of the category. These results are not in line with the findings of Lee et al. (2006) that show distancing-reactions are associated with a greater reduction in symptoms than reliving-reactions. In addition to Lee et al. (2006), the current study found that both the nature of the trauma (intentional or not intentional) as well as the negative cognition of a client (powerlessness or self-esteem) are not associated with an improvement in symptoms during EMDR treatment. Future research may contribute to knowledge about other factors that may be associated with the effectiveness of EMDR.

Keywords: Distancing Reliving

Accuracy Verified: Yes

69. Acierno, R., Hersen, M., van Hasselt, V. B., Tremont, G., & Mueser, K. T. (1994, November). How valid is eye-movement desensitization and reprocessing?. Clinician's Research Digest, 12(11), 2.

Language: English

Format: Newsletter

Abstract:
Eye-movement desensitization and reprocessing (EMDR), which combines the use of imaginal exposure with eye movement, has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. The authors question Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. They argue that this practice impedes unbiased replication research, and they call for public dissemination and scientific scrutiny of EMDR methodology.

Keywords: Eye Movements Methodology Statistical Validity

Accuracy Verified: Yes

70. 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

71. Miller, K. (2013, May). The intricacies of time orientation: Going beyond “What year is this? . Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Dual attention is necessary for successful EMDR trauma reprocessing. This implies the client has sufficient time orientation, knowing the feelings are from a memory and the event is not happening now. Complex trauma and PTSD’s component of flashbacks and reliving requires that clinicians have a myriad of time orientation skills readily available when needed. EMDR therapists need to be especially attentive to this issue because of the high intensity of affect EMDR can stimulate. This 90 minute workshop will teach the art and intricacies of time orientation within an EMDR framework. Lecture, case transcripts and video clips will show the power, depth and art of time orientation skills. Learning Objectives: • Describe the theoretical reason why time orientation skills are • Necessary when using EMDR with PTSD and complex trauma • Describe the EMDR Standard Protocol Phase where the majority of time orientation interventions are used. • Describe 5 ways to time orient a client • Understand the power of time orientation to stabilize a client when using EMDR.

Keywords: Orientation Interventions Time Orientation Skills

Accuracy Verified: Yes

72. Steele, A. (2001). Introduction to imaginal nurturing with EMDR in the treatment of adult clients with insecure attachment. Presentation at the EMDR Association of Canada Conference in Vancouver, B.C..

Language: English

Format: Conference

Keywords: Adult Attachment Imaginal Nurturing

Accuracy Verified: Yes

73. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Dual Attention

Accuracy Verified: Yes

74. Brewin, C. (2005, June). Memory and identity in PTSD: Core processes underlying treatment efficacy. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
PTSD appears to incorporate two quite separate sets of processes. One is concerned with specific reactions to extreme threat. The encoding of long-lasting image-based memories interferes with the encoding of verbal memories that are necessary to represent the trauma as a past event and inhibit the reliving of the trauma. The second set of processes is concerned with the challenge the trauma poses to the victim's identity. "Trauma processing" leaves original memory representations intact and involves the construction of alternative memories that are helped to compete more effectively for retrieval in the presence of reminders of the traumatic event.

Keywords: Identity Memory Plenary Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

75. Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E. B. (2010, August). A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clinical Psychology Review, 30(6), 635-641. doi:10.1016/j.cpr.2010.04.007.

Language: English

Format: Journal

Abstract:
Two decades of research demonstrate the efficacy of exposure therapy for posttraumatic stress disorder (PTSD). The efficacy of prolonged exposure (PE), a specific exposure therapy program for PTSD that has been disseminated throughout the world, has been established in many controlled studies using different trauma populations. However, a meta-analysis of the effectiveness of PE for PTSD has not been conducted to date. The purpose of the current paper is to estimate the overall efficacy of PE for PTSD relative to adequate controls. We included all published randomized controlled trials of PE vs. control (wait-list or psychological placebo) for the treatment of PTSD in adolescents or adults. Treatments were classified as PE if they included multiple sessions of imaginal and in vivo exposure and were based on the manualized treatment developed by Foa, Rothbaum, Riggs, and Murdock (1991). Thirteen studies with a total sample size of 675 participants met the final inclusion criteria. The primary analyses showed a large effect for PE versus control on both primary (Hedges's g = 1.08) and secondary (Hedges's g = 0.77) outcome measures. Analyses also revealed medium to large effect sizes for PE at follow-up, both for primary (Hedges's g = 0.68) and secondary (Hedges's g = 0.41) outcome measures. There was no significant difference between PE and other active treatments (CPT, EMDR, CT, and SIT). Effect sizes were not moderated by time since trauma, publication year, dose, study quality, or type of trauma. The average PE-treated patient fared better than 86% of patients in control conditions at post-treatment on PTSD measures. PE is a highly effective treatment for PTSD, resulting in substantial treatment gains that are maintained over time.

Keywords: CBT Cognitive Behavioral Therapy PE Prolonged Exposure Exposure Meta-Analysis Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

76. Pagani, M., Flumeri, F., Salmaso, D., Nardo, D., Sanchez-Crespo, A., Danielsson, A. M., Brolin, F., Jacobsson, H., Larsson, S. A., & Hogberg, G. (2008, October). Neurobiological changes in post traumatic stress disorder following treatment with eye movement desensitisation reprocessing. Presentation at the European Association of Nuclear Medicine Congress, Munich, Germany, European Journal of Nuclear Medical and Molecular Imaging, 35(Supp 2).

Language: English

Format: Conference

Abstract:
Background: Only few studies have reported functional or structural modifications in Post Traumatic Stress Disorder (PTSD) patients following pharmacological treatment or psychotherapy. Eye movement desensitization and reprocessing (EMDR) is a novel eclectic psychotherapy utilising, among other techniques, relaxation and safe place exercises, cognitive restructuring, future projections, and imaginal exposure of the trauma combined with sensory stimulation. The aim of the study was to analyse the differences in regional cerebral blood flow (rCBF) distribution and in brain volumetry before and after EMDR therapy. Subjects and Methods: Fifteen subjects with chronic PTSD following occupational health hazards were treated with five sessions of EMDR. They were assessed with psychometric scales and diagnostic interviews before and directly after treatment. SPECT, during administration of an individualised trauma script, was performed using 99mTc-HMPAO. After EMDR, the subjects were subdivided into responders (R, n=10) and non-responders (NS, n=5), based on the absence or presence, respectively, of full PTSD diagnosis. SPECT and volumetric data (MRI) analyses were carried out by Statistical Parametric Mapping (SPM2). SPECT and MRI data were covaried by age and by time elapsed from trauma to SPECT. SPECT data were further covaried by the amount of grey matter normalised by the total intracranial volume. Results: Immediate significant post-treatment changes towards normality in all scales measuring psychological status were found in responders. As compared to NR, R showed a significantly decreased tracer uptake in parieto-occipital (Brodmann Area, BA, 37, fusiform gyrus) and in primary visual cortex (BA17) and in the hippocampus (p<0.001). The opposite comparison highlighted an increased tracer uptake in left frontal cortex (BA 44; p<0.05). Structural grey matter modifications were found in visual, posterior cingulate and parieto-temporal cortex, paralleling the functional changes. Conclusion: The positive EMDR outcome corresponded to increased 99mTc-HMPAO uptake in the left dorsolateral frontal cortex, processing attention and self confidence and exerting an inhibitory effect on the amygdala whose firing is supposed to be responsible for PTSD. After successful treatment significant decreases were found in primary visual cortex, processing images of traumatic memories and flashbacks; in fusiform gyrus, processing the memories of faces, bodies and words and in the hippocampi, involved in episodic and autobiographical memories. Volumetric changes paralleled the ones in tracer uptake in all regions Taken as a whole these findings suggest that the positive clinical outcome following EMDR therapy causes functional and structural neurobiological changes towards normality.

Keywords: Brain Volumetry Neurobiological Changes Posttraumtic Stress Disorder PTSD rCBF Regional Cerebral Blood Flow

Accuracy Verified: Yes

77. Taylor, S. (2003, Summer). Outcome predictors for three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Cognitive Psychotherapy, 17(2), 149-162. doi:10.1891/jcop.17.2.149.57432.

Language: English

Format: Journal

Abstract:
Several psychosocial treatments appear to be effective in treating PTSD. However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for other treatments. To investigate this issue, outcome predictors were investigated for three 8-session treatments: exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). 60 people with PTSD entered and 45 completed treatment. Treatments did not differ in attrition or perceived credibility. Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. A number of clinical and cognitive variables were examined to identify predictors of treatment dropouts as well as predictors of the likelihood that patients would be remitted from PTSD after treatment. These analyses were conducted by controlling for treatment condition. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. These findings suggest that treatment outcome could be improved by improving treatment credibility. The findings also support the use of exposure therapy and, to a lesser extent, the use of EMDR in treating PTSD. [Author Abstract]

Keywords: Adults Brief Psychotherapy Clinical Trial Disability Evaluation Empirical Study Exposure Therapy Follow-up Study Insurance Legal Processes Manual-Based Treatments Quantitative Study Relaxation Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial Reexperiencing RCT Social Security Stressors Survivors Treatment Dropouts Treatment Effectiveness Treatment Outcome

Accuracy Verified: Yes

78. Lipke, H. (2011, August). An overview of EMDR. Author.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy developed by psychologist Francine Shapiro as a treatment for psychological distress associated with trauma, when she chanced to notice a connection between a decrease in her own emotional distress over a personal concern after having spontaneously moved her eyes back and forth. Integrating her eye movement (em) observation with aspects of, at least, imaginal exposure, cognitive therapy, psychodynamic therapy, and mindfulness teachings, and adding an early positive psychology idea, Shapiro developed a treatment, which she informally tested. Shapiro (1989a) first systematically tested her work in a wait list control study of 21 subjects recruited from local mental health centers, including a DVA veteran readjustment center. Remarkably, all of her first 21 subjects showed profound single session desensitization effects. In addition, Shapiro (1989b) published a case study in a journal edited by Joseph Wolpe, an originator of behavior therapy, in which Wolpe, in an editorial footnote, endorsed Shapiro’s rapid effects from his own informal replication. [Excerpt]

Keywords: General Overview

Accuracy Verified: Yes

79. Lanius, U., & Paulsen, S. L. (2010, September/October). Part II - Towards an embodied self: The treatment of traumatic dissociation. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop synthesizes neurobiology, EMDR, and elements from ego state, somatic, and attachment therapies. 1) Prior to EMDR: a) somatic interventions for affect and soma tolerance, b) hypnotic containment, c) ego state maneuvers to decrease, d) resetting affective circuits, and e) planning fractionation. 2) During EMDR: a) temporal integrationism or fractionating by time segments from conception to repair attachment b) accelerating processing with somatic, ego state, imaginal, and information channel interweaves, and c) decelerating processing by further fractionating by channel. Please note: Part I (Session 332) and Part II (Session 432) each stand alone without prerequisite and are designed to complement each other. You do NOT have to take Part I to take Part II.

Keywords: Embodied Self Traumatic Dissociation

Accuracy Verified: Yes

80. Schnyder, U., Gersons, B., Wittmann, L., Nijdam, M., Maercker, A., Mueller, J., & Olff, M. (2008, November). Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR. In Brief eclectic psychotherapy for PTSD: New evidence. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD: New evidence: Brief Eclectic Psychotherapy (BEP) is a multimodal treatment for PTSD comprising five essentials: psychoeducation; imaginal exposure; writing assignments and mementos; domain of meaning and integration; and a farewell ritual. This symposium presents findings from two recent randomized controlled trials testing BEP versus a minimal attention control group, and versus EMDR.
Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR: How posttraumatic growth is related to posttraumatic stress pathology is a matter of ongoing debate. Examining these reactions in response to trauma-focused psychotherapy can help us gain more insight into these phenomena. In this paper, preliminary results are presented from a randomized controlled trial comparing Brief Eclectic Psychotherapy (BEP; n = 70) and Eye Movement Desensitization and Reprocessing therapy (EMDR; n = 70). Participants were outpatients who had a diagnosis of PTSD following various kinds of type I trauma. The measures we applied to assess pre-post differences were SI-PTSD, SCID-I/P, IES-R, and PTGI. Preliminary analyses indicate a significant increase in posttraumatic growth and a significant decrease in PTSD symptomatology for both treatment conditions. Relationships between these variables and differences between treatment conditions are discussed.

Keywords: Brief Eclectic Psychotherapy New Evidence Posttraumatic Growth PTSD Symposium

Accuracy Verified: Yes

81. Karatzias, A., Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., & Swanson, V. (2007, February). Predicting treatment outcome on three measures for post-traumatic stress disorder. European Archives of Psychiatry and Clinical Neuroscience, 257(1), 40-46. doi:10.1007/s00406-006-0682-2.

Language: English

Format: Journal

Abstract:
The aim of the present study was to investigate predictors of treatment outcome for Posttraumatic Stress Disorder (PTSD) after treatment completion and at 15-months follow-up (n = 48), in a trial of Eye Movement Desensitisation and Reprocessing (EMDR) versus Imaginal Exposure and Cognitive Restructuring (E+CR). Factors associated with treatment outcome were investigated using regression analyses with the mean change scores in three assessor and self-rated PTSD symptomatology measures, including the Clinician-Administered PTSD Scale (CAPS), the Impact of Events Scale (IES) and the PTSD Symptom Checklist (PCL) from pre- to post-treatment and pre-treatment to follow-up as the dependent variables and demographics, trauma, clinical and personality measures as independent variables. Irrespective to outcome measures and assessment points it was found that four variables were able to predict significantly treatment outcome. These included baseline PTSD symptomatology, number of sessions, gender and therapy type. Overall, our results showed that it is difficult to use pre-treatment variables as a powerful and reliable tool for predicting treatment outcome, as significant predictors were found to be sample-specific and outcome measure-specific. Clinical relevance of the present results and directions for future research are discussed.

Keywords: Empirical Study Postraumatic Stress Disorder Predictors PTSD Quantitative Study Treatment Outcome

Accuracy Verified: Yes

82. Lahad, M., Farhi, M., Leykin, D., & Naplansky, N. (2010, November). Preliminary study of a new integrative approach in treating post-traumatic stress disorder: SEE FAR CBT. The Arts in Psychotherapy, 37(5), 391-399. doi:10.1016/j.aip.2010.07.003.

Language: English

Format: Journal

Abstract:
SEE FAR CBT is a suggested new protocol for the treatment of anxiety disorders and post-traumatic stress disorder (PTSD) using creative form treatment based on empowerment through fantastic reality. The model emphasizes the role of fantastic reality and the use of imaginal re-narration of the traumatic event with the use of cards as a means of externalization or distancing. The treatment protocol incorporates methods of somatic memory reduction as well as CBT elements. The main objective of this study was to introduce the model and test the therapeutic efficacy of this new integrative therapeutic approach by comparing it to a well-established treatment approach; eye movement desensitization and reprocessing (EMDR). Adult PTSD patients, divided into EMDR (n = 12) and SEE FAR CBT (n = 9) groups, were assessed for traumatic symptoms at three time intervals (pre-treatment, post-treatment and 1-year follow-up). Both EMDR and SEE FAR CBT were associated with effective alleviation of traumatic symptoms, showing statistically significant decreases in their trauma symptoms over time but not differing in treatment efficacy during any of the assessment times. With some methodological limitations, results suggest further inquiry of the proposed model in clinical and experimental settings.

Keywords: Anxiety Comparative Studies Cognitive Therapy Posttraumatic Stress Disorder PTSD SEE FAR CBT Symptoms

Accuracy Verified: Yes

83. Woodward, C. L. (2001). Processing trauma: studies into posttraumatic stress disorder, eye movement desensitisation and reprocessing and posttraumatic growth. University of Warwick.

Language: English

Format: Dissertation/Thesis

Abstract:
While PTSD results in various symptomatology, key characteristics concern a sense of being "stuck" on the trauma which keeps the person reliving it through thoughts, feelings and images and a need to avoid anything which reminds them of the trauma. Such avoidance is suggested to prevent the opportunity for processing and integrating the distressing material. One key clinical question is how to help the person work through their trauma without them becoming overwhelmed by trauma symptoms? Eye Movement Desensitisation and Reprocessing (EMDR) is a relatively new technique that has been reported to help PTSD sufferers reduce the intensity and intrusiveness of traumatic thoughts and images. Despite the growing clinical evidence of the effectiveness of EMDR, a strong debate exists within the research literature regarding its empirical and theoretical validity. One aspect of this dissertation is an experimental study looking at the role of eye movements in Eye Movement Desensitisation and Reprocessing and testing a working memory model of "distress reduction". Of course not everyone who experiences a traumatic event will go on to develop PTSD. An often neglected area of trauma investigation is how some individuals experience positive change and personal growth as a result of their traumatic experiences. This is an area that is now beginning to receive some attention and has been termed Posttraumatic Growth (PTG). The move away from looking exclusively at the impact of trauma to consider how people who have experienced trauma might construct a more positive understanding of themselves in the light of the trauma forms the main section of this dissertation. This exploratory study uses personal experience narratives of posttraumatic growth.

Keywords: Posttraumatic Growth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

84. Paunovic, N. (2002, April). Prolonged exposure counterconditioning (PEC) as a treatment for chronic post-traumatic stress disorder and major depression in an adult survivor of repeated child sexual and physical abuse. Clinical Case Studies, 1(2), 148-169. doi:10.1177/1534650102001002004.

Language: English

Format: Journal

Abstract:
Prolonged exposure counterconditioning (PEC) was tested as a treatment for chronic post-traumatic stress disorder (PTSD) in an adult survivor of repeated child sexual and physical abuse. PEC utilizes imaginal reliving of very pleasurable life moments in order to weaken traumatic conditioned emotional responses (CERs). A higher-order conditioned stimuli (CS) is used as a traumatic CER elicitor. Prolonged imaginal reliving of pleasurable CSs is used as a counterconditioner to the traumatic CERs. A statistical technique for analyzing single-case subject designs based on classical test theory was used to evaluate the client’s progress in treatment. Results showed that PEC effectively decreased the client’s PTSD symptoms, depression, and anxiety. In addition, the client’s negative cognitions became considerably more positive. Also, the client lost his comorbid conditions of chronic major depressive disorder and social phobia. Finally, other clinically observed symptoms, which are described in the article, improved markedly. All results were maintained at a 3-month follow-up.

Keywords: Imaginal Reliving PEC Posttraumatic Stress Disorder Prolonged Exposure Counterconditioning PTSD

Accuracy Verified: Yes

85. Steele, A. (2008, September). Providing an attachment context for adult EMDR trauma work. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This presentation offers a context for EMDR that strengthens the client’s sense of self and security. We will consider the therapeutic relationship from an attachment perspective and explore the clinical implications or recognizing it as triadic (adult-‘child’-therapist). Participants will identify ways to facilitate experiences of connectedness and nurturance through Imaginal Nurturing, thus fostering a consistent, ongoing development of a new relationship with self for the client. Opportunities for deepening the attachment context of EMDR therapy will be explored in detail with examples. Such an approach provides solid preparation for trauma work and greater security while doing that work, thus a gentler experience for the client and less likelihood of dissociation during processing.

Keywords: Attachment

Accuracy Verified: Yes

86. Tibaldi, M. (2004, Luglio-Dicembre). Psicologia analitica ed EMDR: Un'avvicinamento possibile? [Analytical psychology and EMDR: A rapprochement possible?]. Studi Junghiani, 10(2), 127-145.

Language: Italian

Format: Journal

Abstract:
Attraverso la narrazione del proprio incontro con l’EMDR (Eye Movement Desensitization and Reprocessing), l’autrice presenta la Teoria dell’Elaborazione Accelerata dell’Informazione e il protocollo di Francine Shapiro, usato nel trattamento delle esperienze traumatiche codificate a livello somatico. Sono evidenziate le competenze psicologico-analitiche che valorizzano l’uso di questa metodica e si discute la possibilità di ricorrere, nel trattamento di sintomi resistenti alla terapia verbale, a un setting integrato nel quale l’EMDR rappresenti, tra l’altro, un punto di partenza per l’elaborazione immaginale.

Through the narration of his encounter with the EMDR (eye movement desensitization and reprocessing), the author presents Accelerated Information Processing model Francine Shapiro used in the treatment of traumatic experiences encoded at a somatic level. They highlighted the psychological and analytical skills which enhance the use of these methods and discusses the possibility of making use in the treatment of symptoms resistant to talk therapy, to an integrated setting in which EMDR represents, among other things, a point basis for the development imaginal.

Keywords: Adaptive Information Processing AIP

Accuracy Verified: Yes

87. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572.

Language: English

Format: Journal

Abstract:
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]

Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors

Accuracy Verified: Yes

88. Juraschka, W. (2009, May). Resourcing the child inside the trauma memory. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Learn this therapeutic intervention for adults traumatized as children by working inside the trauma memory when EMDR reprocessing breaks down because of emotional flooding. The inability to maintain dual attention is the primary cause of feeling overwhelmed and needing to stop. Intense emotions pull the client back into their memory and make it feel like they are reliving it (Re-traumatize). The goal of working inside the memory is to Rescue, Witness, Nurture, and Restore resourceful qualities to the frozen child within. This will help stabilize the client and allow the therapist to continue EMDR reprocessing.

Keywords: Children Trauma

Accuracy Verified: Yes

89. Acierno, R. E., Hersen, M., van Hesselt, V. B., Tremont, G., & Meuser, K. T. (1994). Review of the validation and dissemination of eye-movement desensitization and reprocessing: A scientific and ethical dilemma. Clinical Psychology Review, 14(4), 287-299. doi:10.1016/0272-7358(94)90026-4.

Language: English

Format: Journal

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a technique that combines imaginal exposure with eye movement, recently has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. To date, several uncontrolled case studies have found EMDR to be effective. However, none employed objective or standardized dependent measures of therapeutic improvement and all combined EMDR with other interventions. In contrast to results obtained from case studies, controlled experiments utilizing objective and standardized dependent measures have failed to support the efficacy of the technique beyond that of its imaginal exposure component. Unfortunately, these experiments employed small samples with a limited range of disorders, indicating the need for further evaluation. However, unbiased replication is impeded by Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. We articulate our concern that despite its lack of empirical validation clinical application of the technique by behavior therapists is rapidly increasing. [Author Abstract]

Keywords: Commentary Literature Review Treatment Effectiveness

Accuracy Verified: Yes

90. Steele, A. (2001). The right side: Therapy from the right side of the brain: A role for EMDR with imaginal nurturing in the treatment of early neglect. Unpublished.

Language: English

Format: Other

Abstract: T
his paper proposes that early deficits in adult clients with insecure-attachment patterns can be addressed directly through a therapeutic component of imaginal nurturing with EMDR. These clients may exhibit little sense of self, low self-esteem, a sense of alienation, poor affect tolerance, inability to regulate emotions, inability to empathize, and impaired interpersonal relationships. Traditionally, the burden of the client's attachment deficits is left to be resolved through the therapeutic relationship itself. In this paper, a three-pronged approach to therapy is suggested: affect tolerance and emotion regulation skills training, imaginal nurturing, and trauma reprocessing, all within the context of a validating and caring therapeutic relationship. The focus of this paper is imaginal nurturing, the goals of which include developing an attachment between the adult, and infant and child selves to create a new relationship to self in the present. Two forms of imaginal nurturing are presented: Core Imaginal Nurturing, freestanding imaginal work in which the client experiences both providing and receiving nurturance, and Adjunctive Imaginal Nurturing which is incorporated into trauma reprocessing. A conceptual basis for this work is provided, and examples are given showing its use, benefits, and problems that can arise.

Keywords: Imaginal Nurturing Neglect

Accuracy Verified: Yes

91. 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

92. Forrest, M. S. (1995, June). Self-soothing and the multiple trauma survivor. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Remember the joke about the doctor who says, "The operation was a success, but the patient died"? That's how some clients feel about EMDR. They succeed in accessing deep and important material, but find themselves extremely depressed and/or anxious in the days afterward. For these clients, who are often survivors of multiple trauma such as long-tenn child abuse or incest, the ability to self-soothe (both during and after an EMDR session) makes the difference between whether they regard EMDR as a useful tool or a necessary evil. To find out what self-control techniques work best for such clients, I interviewed EMDR clients (all women) who had experienced long-term sexual abuse in childhood. The first thing I learned was that for survivors of multiple trauma, the ability to feel safe starts long before EMDR is ever used. Many women cited their relationship with their therapist as the foundation of their feeling safe with EMDR: "I trust my therapist absolutely." One client's therapist told her he had used EMDR himself: "That made a huge difference to me," she said. Other advance work included planning and taking preventative measures. Planning means picking the right time (and pace) for doing EMDR: being sure the therapist and/or other support people will be available in the days after the session; not driving or going back to work afterward (if possible); being able to have plenty of alone time; and going slowly, doing EMDR in small increments. "I didn't expect myself to go out in the world and be social afterward. I was pretty raw for a few days, sometimes for a whole week," B. told me. Planning also means taking preventive measures, such as teaching the client how to find "a safe place." Most clinicians know the importance of this, but one of the women I interviewed was emphatic that creating a safe place was very different from being able to go to it when she was in a session and reliving the experience of being a three-year-old overwhelmed by extreme grief or terror. She said she needed a lot of practice accessing her safe place and some special interventions (see below) to get through the intense times. Being able to self-soothe between sets of eye movements was very difficult for most clients. "I cry all the time we do it," S. told me. "I have to sit near the door and not have my therapist sit too close," said M. Another woman said, "We do the eye movements for a few seconds and we talk in between."One successful intervention, especially for clients overwhelmed by the intensity of their feelings, involved the therapist asking his client to listen to the sound of his breathing and to breathe along with him. Another clinician has his client when she gets extremely upset ask her "inner guide or "higher power" whether it's "okay to continue;" a third asks, "Is there more underneath or is it time to wind down?" Letting the client control the pace and progress of his/her own processing can be an important way to teach self-trust -- especially to people for whom loss of power was endemic to their abuse. Some clients are able to repeat special phrases or afirmations over and over between sets to calm themselves. L., a ritual abuse survivor, said she grounds herself by silently reciting a mindfulness verse from Zen master Thich Naht Hanh in time with her inbreath and out-breath: "In, out. Deep, slow, Calm, ease. Smile, release. In, out. Deep, slow ...... Different kinds of self-soothing techniques work best after the eye-movement sets are completed. Immediately afterwards, while still in session, one client said she falls asleep for a few minutes -- she finds this a big help in countering the dissociated state in which she typically concludes an EMDR session. Another said she and her therapist share a cup of tea and talk over what happened as a way to "come down" and normalize the experience. Some clinicians close a session by doing eye movements to reinforce the client's safe place. One woman said her therapist has her "cement the present in place" by doing eye movements on either a present-day image, an image of her inner child in the safe place, or a positive statement. Francine Shapiro has often said that what happens after the EMDR session can be as important as what happens during it. The women I interviewed felt exactly the same way. They had learned the necessity of talung exquisitely good care of themselves in the hours and days that follow. "I take time-and time out," declared B., who often has a delayed fear reaction following EMDR. Most clients said they go home and either curl up in bed or in a favorite rocking chair with their stuffed animals. They cry, sleep, write in their journals, draw pictures, listen to music, look at favorite photographs, and/or call a support person. M. uses self-talk to ease her feelings: "I say to myself, 'You know that knot of fear. I know it's only fear. I know that nothing is going to hurt me right now'." For others, going home immediately is not the best option: D. takes a walk along the shores of Long Island Sound; C., the mother of three young children, finds solace in a favorite bookstore. Sometimes all the planning in the world doesn't help: the abreaction seems to launch the client back to the age she was when she was abused - and she simply can't remember how to calm herself. To counter this, several clients said they carry a list of things they can do to quiet themselves. S. finds reading mystery stories comforting("At the end you always find out what really happened."), but has to keep two of them on her bedside table at all times: "If they're not in full view, I forget about using them." One interesting example of "assigned" self-soothing was given by a ritual abuse survivor who was new to EMDR. After a session when a lot of memories came up about how her sexuality was used and degraded during the abuse, her therapist gave her very specific instructions on how to care for herself, including buying a romantic nightgown and soaking in bath salts for 45 minutes; listening to romantic music; and not touching or kissing her partner for 48 hours. "It worked out great!" she told me happily. "I felt SO pretty and so safe." The conclusion I reached about how multiple-trauma survivors learn to self-soothe in the face of the intense feelings EMDR can trigger is not revolutionary. The recipe is: Step 1. Plan for the worst. Step 2. Let the client select the self-soothing techniques that specifically fit for her or him. Step 3. Make sure s/he is able to use these techniques no matter how intense his/her emotions are. Sometimes this will call for the therapist to take an active role by either leading the client in specific calming techniques or by assigning very clear-cut homework. If the recipe calls for planning and practicing, then the pot in which the ingredients are cooked is labeled "TRUST"-trust before initiating EMDR, trust during the eye movements, and trust after the sets are completed. Unless the client deeply trusts the clinician, the method itself, and his or her own capacity to go into the feelings and me out safely, the recipe for success with EMDR can turn into a recipe for disaster.

Keywords: Survivor Trauma

Accuracy Verified: Yes

93. Knipe, J. (1999, June). Strengthening affect tolerance and adult perspective through construction of imagined dissociative avoidance. EMDRIA Newsletter, 4(2), 10, 25.

Language: English

Format: Newsletter

Abstract:
Some clients, because of very difficult life experience, have low affect tolerance; that is, they are unable to endure, even briefly, their own intensely disturbing post-traumatic images and affect. For these clients, the therapeutic benefits of EMDR are blocked because of an automatic response of overwhelming terror or disorientation, often accompanied by a loss of objectivity or adult perspective. For these individuals, the experience is not so much one of remembering, but of emotionally reliving their trauma. Understandably, when this occurs, the client may being to “numb out,” dissociate, or consciously avoid thinking of the material.

Keywords: Affect Tolerance Dissociative Avoidance

Accuracy Verified: Yes

94. Pagani, M., Lorenzo, Gd., Verardo, A., Nicolais, G., Monaco, L., Niolu, C., Fernandez, I., & Siracusano, A. (2012, March-April). Substrato neurobiologico della terapia con EMDR [Neurobiological correlates of EMDR therapy]. Rivista di Psichiatria, 47(Supplement 1), 16S-18S. doi:10.1708/1071.11734.

Language: Italian

Format: Journal

Abstract:
I EEG in un gruppo di dieci soggetti con grave trauma psicologico trattati con EMDR e in dieci controlli sono stati registrati sia durante l'ascolto del racconto autobiografico del trauma indice (script) e nel corso di una intera sessione EMDR. Gli EEG sono stati eseguiti nuovamente durante l'ultima sessione di EMDR quando i pazienti erano liberi da sintomi. Durante l'ascolto uno script di attivazione prevalente delle regioni limbiche corrispondenti alla corteccia prefrontale e orbitofrontale è stato registrato, essere spiegato come l'eccitazione emotiva durante trauma rivivere nella fase sintomatica. La diminuzione significativa di tali attivazioni durante la fase tardiva asintomatica rappresenta il correlato neurobiologico del recupero. Inoltre, l'evidenza di una significativa attivazione corticale nelle aree temporo-parieto-occipitale, durante l'ultima sessione, suggerisce uno switch del segnale elettrico dominante verso aree corticali con funzione prevalente cognitiva.

The EEGs in a group of ten subjects with major psychological trauma treated with EMDR and in ten controls have been registered both during the listening of the autobiographical narrative of the index trauma (script) and during a whole EMDR session. The EEGs have been performed again during the last EMDR session when patients were free of symptoms. During script listening a prevalent activation of the limbic regions corresponding to prefrontal and orbitofrontal cortex has been registered, being explained as the emotional arousal during trauma reliving at the symptomatic phase. The significant decrease of such activations during the late asymptomatic phase represents the neurobiological correlate of recovery. Moreover, the evidence of significant cortical activation in the parietal-temporo-occipital areas, during the last session, suggests a switch of the dominant electrical signal towards cortical areas with a prevalent cognitive function.

Keywords: Neurobiology

Accuracy Verified: Yes

95. Kaplan, S., & Gilson, G. (2005, September). The therapeutic interweave in EMDR: Responsibility, safety and choices. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop presents the expanded concept of the Therapeutic Interweave in EMDR treatment as it relates to responsibility, safety, and choices. It includes cognitive interweaves, as well as affective, body awareness, imaginal, ego state, experiential, dynamic, spiritual, and other interweaves. It offers a format for EMDR clinicians to utilize in decision-making in clinical pracice. The workshop also teaches assessment of the client's need to front-load their system for resourcing and stabilization, i.e., self-soothing, affect modulation, and ego strengthening before beginning or during the EMDR protocol. The workshop is rich in strategies, current case examples and specifically designed practice exercises.

Keywords: Affective Interweave Body Awareness Interweave Dynamic Interweave Ego State Interweave Experiential Interweave Imaginal Interweave Therapeutic Interweave Spiritual Interweave

Accuracy Verified: Yes

96. Kaplan, S., & Gilson, G. (2000, September). Therapeutic interweave: Before and beyond. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to define the cognitive interweave and go beyond it to be able to define an expanded conceptualization of the therapeutic interweave; 2) be able to identify a range of therapeutic interweaves, including cognitive, affective, body awareness, imaginal, ego state, experiential, dynamic, spiritual, healing, etc.; 3) be able to assess for and build in a foundation of safety, where needed, before beginning EMDR work; 4) be able to explain how the range of therapeutic interweaves can help clients establish appropriate responsibility, safety, and choices and explain how therapists can make a space for clients to be able to effect an adaptive change on their own; 5) learn a framework for deciding when, how, and if to use the therapeutic interweave during EMDR treatment when clients have not spontaneously found their way to an adaptive resolution; and 6) develop competence in assessing for and creating a foundation of safety, be able to share interweave approaches that participants have found to be effective, and develop competence in choosing, developing, utilizing, and timing of the therapeutic interweave in carefully designed experiential learning exercises.

Keywords: Therapeutic Interweave

Accuracy Verified: Yes

97. 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

98. Qirjako, E. (2007, Feburar). Traumatisierte kinder und jugendliche. Einfluss posttraumatischer belastungsstörung auf psychische auffälligkeiten bei kindern und jugendlichen [Traumatized children and youth. Influence of post-traumatic stress disorder to mental disorders in children and adolescent trauma]. Ludwig-Maximilians-Universität München.

Language: German

Format: Dissertation/Thesis

Abstract:
Die Geschichtsbücher über die Kriege zeichnen ein furchtbares Bild des Grauens. Erlebte Realität ist nicht gedruckte Seiten, das wir lesen, sondern die Angst, Schmerz und Leiden, die uns für den Rest unseres Lebens begleiten werden. Tragische Ereignisse wie der Krieg im ehemaligen Jugoslawien haben bei der betroffenen Bevölkerung tiefe seelische Wunden hinterlassen. All das hat das Zusammenleben der verschieden ethnokulturellen Gruppen stark erschüttert und ist meistens nicht mehr möglich. Die Kriegs- und Traumaopfer leiden häufig noch Jahren unter den schlimmen Folgen der Extrembelastungen. Typische „posttraumatische“, psychische Folgen sind das ständige schmerzliche Wiedererleben der durchlittenen Situationen, Alpträume, erhöhte Schreckhaftigkeit, Reizbarkeit sowie Auswirkungen im sozialen Bereich. Diese Symptome werden seit 1980 unter dem Begriff Posttraumatische Belastungsstörung (PTB) in den offiziellen Klassifikationsmanualen psychischer Störungen zusammengefasst (DSM-IV-R, 1994).

The history books about the wars paint a terrible picture of horror. Experienced reality is not printed pages, we read, but the fear, pain and suffering that will accompany us for the rest of our lives. Tragic events like the war in former Yugoslavia have left deep emotional scars, the affected population. All this shook the coexistence of different ethno-cultural groups is not strong and more usually possible. The war and trauma victims often suffer for years under the terrible consequences of extreme stress. Typical "post-traumatic", the constant psychological consequences are painful reliving of the artist went through situations, nightmares, increased nervousness, irritability and social impact. These symptoms are grouped together since 1980 under the term Post Traumatic Stress Disorder (PTB) in the official classification manual of mental disorders (DSM-IV-R, 1994).

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

99. Latenstein, E., & de Roos, C. (2005, June). Treatment of a couple that survived the tsunami with their four children. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Twelve days after the 26th of December 2004 a couple came to my private practice, on referral from Prof. Dr. Ad de Jongh. that looked death in the eye when the Tsunami hit Sri Lanka. The couple has four children, age four to eleven, who survived with them. On Sri Lanka they were called 'The fortune family'. They both had severe symptoms of Acute Stress Disorder: reliving the disaster day and night and were, only just, managing to take care of the children and their daily life.
They already read about EMDR and had their hopes up that I could help them stabilize. As soon as they started telling me about their distressing experience I noticed that, especially the woman, started reliving it. Knowing that they had been telling everything already many times to family and friends, I asked them f I could immediately do the first EMDR session with each of them. Quite noticeable was that the experience was still in their minds with every detail and with several peaks of the most distressing moments. In total they had three single sessions each with two-days intervals. Their children who at first were doing relatively well had started to develop serious symptoms and needed treatment; after the three EMDR sessions for each of the parents they were stable and could give their full attention to EMDR-treatment of their children, who went to Carlijn de Roos MA, clinical child-psychologist, who leads a trauma centre for children in the Netherlands. At the end of February the parents were still doing well and at the time of the EMDR Europe Conference I will have seen them for a follow-up.

Keywords: Symposium Tsunami

Accuracy Verified: Yes

100. Tarrier, N., & Sommerfield, C. (2004, Spring). Treatment of chronic PTSD by cognitive therapy and exposure: 5-year follow-up. Behavior Therapy, 35(2), 231-246. doi:10.1016/S0005-7894(04)80037-6.

Language: English

Format: Journal

Abstract:
Patients who had taken part in a randomized clinical trial of the treatment of chronic PTSD by either cognitive therapy or imaginal exposure were reassessed after 5 years. At 5-year follow-up a clear superiority of cognitive therapy over imaginal exposure emerged, although there had been no difference between the two treatment groups up to 12 months posttreatment. The cognitive therapy group showed significant differences on the primary outcome measures: total PTSD symptoms on the CAPS and percentage of PTSD cases. At 5 years no patients who received cognitive therapy were diagnosed with full PTSD compared to 29% of those who received imaginal exposure. All secondary outcomes showed lower scores for cognitive therapy, of which 3 were significant. Those who were not assessed at 5 years scored significantly higher on assessment measures, especially avoidance, at posttreatment.

Keywords: Cognitive Therapy Exposure Therapy, Posttraumatic Stress Disder PTSD

Accuracy Verified: Yes

101. Russo, S. A., Hersen, M., & van Hasselt, V. B. (2001, January). Treatment of reactivated post-traumatic stress disorder: Imaginal exposure in an older adult with multiple traumas. Behavior Modification, 25(1), 94-115. doi:10.1177/0145445501251006.

Language: English

Format: Journal

Abstract:
A single-case analysis was used to assess the effects of imaginal exposure in a 57-year-old woman suffering from current and reactivated post-traumatic stress disorder (PTSD) following a transient ischemic attack. The client’s responses to self-reported depression, anxiety, and PTSD symptoms were repeatedly recorded during four phases: (a) initial psychotherapy, (b) imaginal exposure, (c) skill generalization, and (d) fading of treatment. In addition to dramatic reduction in levels of depression and anxiety, results showed a significant improvement in PTSD symptoms relating to recent and remote traumatic experiences. Improvements were maintained approximately 16 months after imaginal exposure ended, despite ongoing external stressors.

Keywords: Adults Imaginal Exposure Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

102. Vaughan, K., Armstrong, M., Gold, R., O'Connor, N., Jenneke, W., & Tarrier, N. (1994, December). A trial of eye movement desensitization compared to image habituation training and applied muscle relaxation in post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 25(4), 283-291. doi:10.1016/0005-7916(94)90036-1.

Language: English

Format: Journal

Abstract:
36 patients with PTSD were randomly allocated to individual treatment with imaginal exposure (image habituation training - IHT), or applied muscle relaxation (AMR) or eye movement desensitization (EMD). Assessment by a blind independent rater and self-report instrument applied pre and posttreatment and at 3-month follow-up indicated that all groups improved significantly compared with a waiting list and that treatment benefits were maintained at follow-up. Despite a failure to demonstrate differences among groups, there was some suggestion that immediately after treatment EMD was superior for intrusive memories. [Author Summary]

Keywords: Adults Australians Exposure Therapy Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

103. 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

104. Yarosh, D. (2005, September). Using EMDR to achieve breakthroughs in the treatment of love relationship problems: Case conceptualization and technique. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
The Adaptive Information Processing Model can provide a potent conceptual framework for working with clients experiencing "stuck points" in their love relationships. In this workshop. participants will learn to apply the model to trauma-related love relationship problems. Participants will learn to move from the presenting complaint to the foundation issues. Through the use of a Trauma History, "peelback" and floatback, participants will learn to move from the presenting complaint with the painful memories and blocking beliefs that underlie the current love relationship impasse. Creative cognitive and imaginal interweaves to deal with blocked processing will be demonstrated.

Keywords: Blocking Beliefs Cognitive Interweave Floatback Imaginal Interweave Love Relationship Issues Peelback

Accuracy Verified: Yes

105. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium.

Language: English

Format: Conference

Abstract:
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.

Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

106. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.

Keywords: Dissociative Disorders Plenary

Accuracy Verified: Yes

107. van Minnen, A., Hendriks, L., & Olff, M. (2010, April). When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors. Behaviour Research and Therapy, 48(4), 312-320. doi:10.1016/j.brat.2009.12.003.

Language: English

Format: Journal

Abstract:
To investigate when and why therapists opt for or rule out imaginal exposure (IE) for patients with posttraumatic stress disorder (PTSD), 255 trauma experts were randomized to two conditions in which they were presented with four cases in which the patients’ comorbidity and treatment preferences were manipulated. The results confirmed IE to be an underutilized approach, with the majority of professionals being undertrained in the technique. As predicted, the patient factors influenced the expert’s choice of therapy: in case of a comorbid depression, IE was significantly less preferred than medication. Also, IE was significantly more likely to be offered when patients expressed a preference for traumafocused treatment. The therapist factors were also found to be importantly related to treatment preferences, with high credibility in the technique being positively related to the therapists’ preference for IE. Perceived barriers to IE, such as a fear of symptom exacerbation and dropout, were negatively related to the perceived suitability of the treatment when patients had suffered multiple traumas in childhood. The results are discussed in the light of clinical implications and the need of exposure training for trauma professionals.

Keywords: Controlled Study: Exposure Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

108. Kasiviswanathan, T. K. (2002, November-December). Why not EMDR for PTSD?... eye movement desensitization and reprocessing. National Journal of Homoeopathy, 4(6), 359-361.

Language: English

Format: Journal

Abstract:
People with PTSD frequently feel as if the trauma is happening again. This is technically called "Intrusive re-experiencing. The person may have intrusive pictures in his/her head about the trauma, have recurrent nightmares or may even experience hallucinations about the trauma. Intrusive symptoms sometimes cause people to lose touch with the "here and now" or the present moment and react in ways that they did when the trauma originally occurred. Earlier the psychotherapists often downplayed this aspect until after the return of the Vietnam War veterans with severe PTSD. While with counseling and rational minds these patients might very well understand that this trauma was not of their making, yet their lives would continue to be disrupted by anger, shame and fear with recurring nightmares. Special techniques such as flooding and systematic desensitization, devised to diminish the emotional charge of traumatic memories ironically and unfortunately involved reliving those memories again and again."

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

109. Linklater, A. (2007, February 10). The woman who was afraid of water. London, England: The Guardian, Weekend, 69.

Language: English

Format: Newspaper

Abstract:
Iris explained that, in cognitive therapy, this was called memory "processing", and the particular method she used had a rather scientific-sounding name - EMDR, or Eye Movement Desensitisation and Reprocessing. But it was actually quite simple. It wasn't about revisiting childhood fears; it didn't even do what was expected in some trauma treatment, which was to relive an event through "imaginal exposure". With EMDR, you had only to think about your particular symptoms, and the events or beliefs that went with them. This was called "dual awareness" - thinking about the past and present at the same time. And there was an easy trick involved. Iris would tap Mai's knees while she let her reactions sink in, or move a finger back and forward across her eyes.

Keywords: General Overview Phobia

Accuracy Verified: Yes