Francine Shapiro Library - EMDR Bibliography Links
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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.
Language: English
Format: Conference
Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.
Keywords: Children Dissociation
Accuracy Verified: Yes
2. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag.
Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren.
Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod.
Werkvorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior.
Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve.
Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment.
Form
In the presentation combines theory and practice. Video images support the story.
Keywords: Infants Children Pre-Verbal Trauma
Accuracy Verified: Yes
3. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This paper presents the assessment and four year
psychotherapy of a Hispanic man with Complex PTSD
and Dissociative Disorder NOS. The patient’s history of
childhood sexual abuse caused significant disruptions
in normative developmental processes causing what
van der Kolk (2005) posits as a Developmental Trauma
Disorder. Based on Shapiro’s (2001) adaptive information
processing paradigm, the patient’s memories of extensive
childhood sexual victimization became blocked from
resolution from adaptive memory networks, becoming
embedded in the emotional brain and activated by the 9/11
tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled
his experiences of 9/11 and memories of severe childhood
sexual abuse, establishing a narrative of victimization,
helplessness, and confusion about his sexual orientation
(Gardner, 1999). Furthermore, there were episodes of
dissociation revealing the possibility of alters. Attempts
to access adaptive networks using EMDR protocols were
thwarted by intractable defenses. The patient’s desire
to return to work was offset by his entitlement to Social
Security Disability that was initially denied. Working through
my concordant countertransference (Racker, 1968), I
ultimately accepted his wish for SSD, which he obtained
on appeal based upon my symptom-specific evaluation.
The patient transferred to a clinic that accepted SSD.
Participants will be able to :
♦♦ identify the developmental derailing
effects of childhood sexual abuse on
normative developmental processes.
♦♦ assess how childhood trauma(s) that are
repressed or dissociated are invoked by
trauma(s) in adulthood through associative
memory networks causing Complex PTSD.
♦♦ apply methods of working with patients
dissociative defenses in psychotherapy.
Keywords: Case Study Developmental Trauma Disorder
Accuracy Verified: Yes
4. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Events at birth are traumatic and create feelings of powerlessness when they
are actually or appear life-threatening to self or loved ones, are sudden,
change quickly from "normal" to dangerous without explanation, and when
the situation appears overwhelming. There is no time to prepare, no way to
plan an escape or to prevent something from happening. A number of
events during labor or birth such as unplanned interventions, serious
problems in the mother, physical damage, a sick infant, and separation from
the baby can be classified as traumatic. Major trauma for a woman occurs
in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how
a woman is treated and how she perceives the experience, often causing
humiliation and stigma. Trauma during the prenatal period can affect the
parents' perception of the baby, their own self-concept, their relationship,
and can impair bonding and attachment. Early trauma can have both
immediate and long-range effects on the parents and the infant and may
create later in the adult psychological and somatic conditions and a
negative self-concept. Equally important is the history the parents bring to
this event as well as the quality of their relationship. Birth is a magnet for
unresolved issues to emerge. Clinicians will learn about the causes and
effects of these early traumas as well as methods, including EMDR to
uncover, resolve, and heal them.
Keywords: Birth Defects
Accuracy Verified: Yes
5. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
6. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.
Language: English
Format: Newsletter
Abstract:
Linda (not her real name) is a 40-
year-old professional woman whose
avocation is healing and who is proficient
in several of the touch therapies.
She has a Dissociative Disorder with
well-defined "parts," but she has not
experienced time loss. She is not on
medication and although she is often
depressed, she is able bfunction fairly
well most of the time. As a child, she
was emotionally and sexually abused
by her father for approximately ten
years. He is bedridden now, but she is
still subject to his verbal abuse when
she visits him once a week. He has
never acknowledged his abuse, nor
has she confronted him about it (although
she has told her mother). She
said she will not feel totally safe until
he is dead. We have had ten sessions
together. EMDR was used in most of
our sessions during which she processed
specific incidents of abuse that
were very traumatic for her. She
believes that she has many dissociated
infant and child parts-each of
whom hold a memory of one of the
abusive incidents she experienced.
Keywords: Cognitions
Accuracy Verified: Yes
7. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
8. Paulsen, S. L. (2008, November). Conversion seizures manifesting as infant alters: EMDR, somatic and ego state therapy. Presentation at International Society for the Study of Trauma and Dissociation, Chicago, IL.
Language: English
Format: Conference
Keywords: Conversion Seizures, Ego State Therapy Infant Alters, Somatic
Accuracy Verified: Yes
9. 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
10. Oppenheim, H.-J. (2005, November). De som der delen: EMDR bij de behandeling van een vrouw met DIS [The sum of its parts: EMDR to treat a woman with DIS]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er zijn, zover bekend, zeven artikelen verschenen over de toepassing van EMDR bij DIS. Young (1994) beschrijft de toepassing van EMDR gericht op de fobische symptomen bij DIS. Paulsen (1995) komt met een theoretisch model gebaseerd op neuronale netwerken voor de dissociatieve stoornissen. Volgens Paulsen zorgt EMDR voor de her-associatie van het gedisscocieerde materiaal. Zij maant echter tot behoedzaam gebruik van EMDR, zeker bij de ernstige dissociatieve stoornissen. Anderen maken melding dat, vaak aangepaste versies van, EMDR zinvol kan zijn als een beperkte toegevoegde techniek in de behandeling van DIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000; Twombly, 2000; Fine & Berkowitz, 2001). Gelinas (2003) gaat nog verder en stelt een behandeling voor waarin een gemodificeerde vorm van van EMDR wordt gecombineerd met een ‘fase georiënteerde trauma behandeling’.
In deze presentatie staat de behandeling van een 44 jarige, zeer ernstig getraumatiseerde vrouw met DIS centraal. Zij volgt sinds eind 1997 een cognitief-gedragstherapeutische therapie. In september 2004 is er gestart met EMDR. Mede aan de hand van videofragmenten wordt het half jaar durende verwerkingsproces verteld, van één van de vele trauma’s die de cliënte heeft meegemaakt. Te zien valt onder meer hoe met behulp van EMDR specifieke informatie van de diverse alters zodanig geïntegreerd wordt, dat volledige verwerking mogelijk blijkt te zijn. Er zal aandacht besteed worden aan de specifieke wijze waarop bij deze behandeling met EMDR moest worden omgegaan.
There are known to be seven articles about the use of EMDR in DIS. Young (1994) describes the application of EMDR focused on phobic symptoms in DIS. Paulsen (1995) with a theoretical model based on neural networks for the dissociative disorders. According to Paulsen EMDR allows for the re-association of the gedisscocieerde material. It urges, however, to cautious use of EMDR, especially in severe dissociative disorders. Others have reported that, often modified versions of, EMDR can be useful as a limited added technique in the treatment of CIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000, Twombly, 2000, Fine & Berkowitz, 2001). Gelinas (2003) goes further and proposes a treatment for which a modified form of EMDR is combined with a phase-oriented trauma treatment.
In this presentation, the treatment of a 44 year old woman with very severely traumatized central CIS. It follows since the end of 1997 a cognitive-behavioral therapy. In September 2004 has started with EMDR. Partly on the basis of video clips, the half-year process told by one of the many traumas that the client has experienced. Is to see how including using EMDR specific information from the various alters so integrated that complete processing proves impossible. Attention will be paid to the specific manner in which this treatment with EMDR should be handled.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
11. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.
Keywords: DID Dissociative Identity Disorder Distal-Proximal Process Interweave Sexual Trauma
Accuracy Verified: Yes
12. Janssen, J. (2012, February). Een bijzondere casus (serie): EMDR-behandeling van vroegkinderlijke trauma’s bij een cliënte met een eetstoornis [A special case (series): EMDR treatment of early childhood trauma in a client with an eating disorder]. Tijdschrift voor Psychotherapie, 38(1), 21-37. doi:10.1007/s12485-012-0003-3.
Language: Dutch
Format: Journal
Abstract:
Onveilige hechting en vroegkinderlijke trauma’s liggen aan de basis
van veel problemen die onze cliënten ervaren in hun dagelijkse
leven en zij leiden tot disfunctionele gedachten- en gedragspatronen.
In de babyfase ontwikkelt zich het (sociale) brein op basis van
liefde of het ontbreken ervan. Het is de interactie tussen baby’s en
hun ouders in de eerste jaren die bepalend is. Het introduceren in
de therapie van liefde en liefdevolle ouders die er voor hen zijn, lijkt
van essentieel belang te zijn voor een succesvolle behandeling.
In dit artikel wordt het vier-stappenmodel van Katie O’Shea uiteengezet.
De eerste drie stappen bieden de effectieve stabilisatie die
nodig is om de behandeling van vroegkinderlijke trauma’s aan te
gaan. In stap 4 kan deze behandeling vervolgens op gestructureerde
wijze plaatsvinden. Met haar ‘EMDR’-model creëren we als het
ware een nieuwe blauwdruk in het brein met als uitkomst ‘een reconstructie
van het zelfbeeld’. O’Shea beoogt met haar model herstel
van prenataal en perinataal trauma, wat met het standaard
EMDR-protocol niet gemakkelijk wordt bereikt.
DRS.
Insecure attachment and early childhood traumas are the basis
of many problems that our clients experience in their daily
life and they lead to dysfunctional thoughts and behavioral patterns.
In the infant stage develops the (social) brain based on
love or lack thereof. It is the interaction between babies and
their parents in the early years is decisive. Introducing into
the therapy of love and loving parents who are there for them, seems
of vital importance for a successful treatment.
In this article, the four-step model Katie O'Shea put apart.
The first three steps provide effective stabilization to the
necessary for the treatment of early childhood trauma to
go. In step 4, this treatment can then structured by
manner. With its' EMDR' model we create as
were a new blueprint in the brain as being 'a reconstruction
of the self '. O'Shea aim with the recovery model
of prenatal and perinatal trauma, what with the standard
EMDR protocol is not easily achieved.
DRS.
Keywords: Childhood Trauma Eating Disorder
Accuracy Verified: Yes
13. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Journal
Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth
Accuracy Verified: Yes
14. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Conference
Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Stillbirth
Accuracy Verified: Yes
15. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation.
The transition is usually seamless in well-adjusted people, but where there has been
disrupted attachment or sustained early life trauma the result is often the formation of
particular ego states, also known as alters, parts, or schema modes. These states perform
roles usually geared towards survival, but in adulthood they can be dysfunctional.
Depending upon a client’s early life experiences some ego states can be malevolent, wanting
bad things for the client such as willing them to suffer in some way.
It is necessary for clients to remain safe during EMDR sessions and contained between
sessions. There is a need, therefore, to learn techniques to work with more difficult clients
so they too can benefit from EMDR. It is also helpful to know how to deal with blocked
processing due to the interference of an ego-state.
This workshop provides an overview of dissociation and a review of models to explain it.
There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical
case material is used to illustrate learning points. Through demonstration and practice
participants will learn how to access ego states in a controlled way and effect therapeutic
change. In the latter part of the day, participants will see a video of a live case where EST is
used effectively to moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand the forms of dissociation
Understand the concept of ego state therapy.
Learn how to access ego states in a controlled way and effect therapeutic change.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy Trauma
Accuracy Verified: Yes
16. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders.
It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state.
This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand how complex trauma and dissociative disorders impact EMDR processing
Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol.
Learn how to access ego states in a controlled way and effect therapeutic change and stability.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
17. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.
Keywords: Complex Trauma Dissociation Ego State Therapy
Accuracy Verified: Yes
18. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
19. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
20. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a
infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and
post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic
stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR)
in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment
design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using
the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative
data from individual interviews with the participants was collected. Participants in the study were four out-patient women
with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in
an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after
treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only
had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants
completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories.
They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might
be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after
stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Grief Mothers Poster Posttraumatic Stress Disorder PTSD Stillbirth
Accuracy Verified: Yes
21. McMahon, E. (2002). EMDR in the treatment of attachment and bonding difficulties. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 31-36). London: The Association for Child Psychology and Psychiatry.
Language: English
Format: Book Section
Abstract:
A case of a young mother with an insecure attachment history herself who suffered severe post-natal depression after the birth of her first child and who regretted having this baby. Although recovering well from depression when first seen, having benefited from drug therapy and group therapy, there ware nevertheless little progress regarding her bonding with the child. Assessment indicated the emergence of an insecure/ambivalent attachment on the part of the baby resulting in excessive clinginess, sleeping, feeding and management difficulties. Apart from EMDR a number of other models of therapy were used in this case, including mother-infant psychotherapy, solution-focused and narrative therapy. In my own estimation, and in feedback from Susan, EMDR was the most powerful of all interventions. I think this care then represents a very good example of how EMDR is integrated with other therapeutic approaches. In terms of our understanding of this process, one conceptual model (Shapiro, 1995) is that the positive perspective and more adaptive interpretation that traditional therapy provides – including insight and a coherent narrative – is held in a separate neurological network and therefore cannot influence the network containing the dysfunction ally stored material associated with the traumatic memory. Traditional therapy is often unable to help the client link one to the other, and this is where EMDR is so impressively effective.
Keywords: Attachment Bonding Children Occasional Paper
Accuracy Verified: Yes
22. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.
Language: English
Format: Book
Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features:
•Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field
•Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio
•Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology
•Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities
Keywords: Adjunct Approaches Attachment Children Dissociation Trauma
Accuracy Verified: Yes
23. Potgieter, R. (2009, June). EMDR with a 14-week old baby with oral trauma. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Infant Oral Trauma
Accuracy Verified: Yes
24. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children
of different ages, including single traumas, multiple traumas, complex
disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop,
participants will be able to discuss and understand the above topics.
Keywords: Children War Refugees
Accuracy Verified: Yes
25. Griffith, H. (2009, July). Evoking the embodied image with EMDR: Jung in the age of the brain. Presentation at the International Association for Jungian Studies Conference, Wales, Scotland.
Language: English
Format: Conference
Abstract:
A new paradigm for understanding psychopathology is emerging out of the convergence of research in formerly disparate domains such as neurobiology, attachment theory, and the effects of trauma. At the same time, unorthodox treatment modalities such as EMDR (Eye Movement Desensitization and Reprocessing) and the Energy therapies are beginning to gain favour in mainstream psychotherapy, not only because they seem to be supported by findings in fields such as neurobiology, but because they are so effective. As Jungians, I believe that our challenge is to revisit our work in the light of these latest scientific discoveries.
In this paper, I first outline what brain imaging techniques are revealing about the importance of the dance between mother and infant in the actual hard-wiring of the babys developing brain. I then focus on trauma research, which shows how the release of stress induced hormones can result in the disorganization of the brain and the consequent shut down of integrative neuronal pathways. If we bring these two streams of research together we can see how early trauma within the parent infant bond, in which there is no adequate container to prevent the baby from falling into unbearable anxiety and terror, can initiate the hard-wiring of dysfunctional attitudes and behaviours that become reinforced throughout the childs development.
I then briefly describe the EMDR protocol, which is proving to be a very effective technique in helping adult patients work through some of these dysfunctional patterns internalized in that very early parental dyad. This protocol uses a bilateral stimulation of the brain to engage a wider network of neuronal pathways to help process the painful psychological material, or complex, with which the patient is struggling. Facilitating a successful EMDR session is a little like witnessing a spontaneous active imagination as the patient weaves together the threads of a multitude of images, sensations, emotions, and cognitions into the fabric of a fuller, more nuanced, healing story of the self.
The purpose of my paper is to demonstrate how these recent theoretical insights and treatment protocols can illuminate and enhance a Jungian approach to conducting psychotherapy. What I find remarkable is the compatibility between much of the contemporary research on the brain and many of Jungs ideas about the psyche.
In this paper, however, I focus primarily on what we can learn about the complex. Drawing on numerous examples from case histories, I illustrate the effectiveness of the EMDR protocol in evoking the affect and embodied image at the core of the complex. I also demonstrate how the bilateral stimulation of the brain not only helps facilitate change but also, through the material which is engendered, gives us a window into how the complex was constructed in the first place.
Accuracy Verified: No
26. Woosley, L. (2002, June 2). Eye movement eases angst for those haunted by memories. Tulsa, OK: The Tulsa World, Final Home Edition, Living, 1.
Language: English
Format: Newspaper
Abstract:
A therapy meant to muscle man over traumatic memories is gaining popularity and regard in the world of psychology. EMDR, or eye-movement desensitization and reprocessing, taps into the brain's storage bin of bad experiences, and using a combination of bilateral eye movement and talk therapy, alters how one processes a traumatic event.
Keywords: General Overview Tulsa
Accuracy Verified: Yes
27. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136.
Language: English
Format: Journal
Abstract:
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.
Keywords: Caregiving System Connection: Contingecy Differentiation Mentalization Regulation
Accuracy Verified: Yes
28. 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
29. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing: EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Childhood abuse memories can be activated at significant developmental periods
or at stressful life events. Childbearing is especially vulnerable due perhaps to
uncontrollable factors such as rapid changes in the woman's body, uncertainty
and pain of labor, numerous invasive procedures, coping with medical
professionals who are strangers with authority and power, and responsibility
for a tiny, dependent infant. Participants will identify symptoms that may be
exhibited during childbearing, recognize specific triggers that activate abuse
memories and interfere with birth or parenting, and learn how to incorporate
EMDR with specific interventions to help survivors reduce fears, minimize
htrggers, promote healing and bonding.
Keywords: Child Bearing Sexual Abuse
Accuracy Verified: Yes
30. O'Malley, A. (2008, June). The impact of neglect and trauma on the developing infant brain and the implications for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
This presentation starts with sensory development in pregnancy. By 22 weeks there is already a high level of
brain organisation with touch, taste, hearing and smell already well developed. Balance, vision and motor
development follow and the links to learning and states of consciousness are explained. The concept of birth as
our first traumatic experience is introduced and the implications for future EMDR therapy are discussed. Infant
brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct
relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma
for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral
stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is
explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. The concept of a structural developmental model of
emotional awareness is explained with how this relates to trauma and a sense of self. The anatomical correlates
of emotional processing are suggested at both cortical and limbic system levels. Ways in which EMDR can be
modified in light of this knowledge are proposed. An additional model of applying EMDR is outlined. This involves
multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be
shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles
generating rapid eye movement.
Keywords: Infantile Brain Development
Accuracy Verified: Yes
31. Paulsen, S. (2009, August). Infant alters and conversion seizures: EMDR with ego-state and somatic interweaves. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The recent literature on conversion seizures suggests that they are not only traumatic but dissociative in nature. In two cases, the presenter has found conversion seizures to be manifestations of infant alters. The presentation will convey, by lecture and videotape, the treatment of a remarkable client and how EMDR, Ego-State Therapy, and somatic interweaves were seminal in treating conversion seizures to remission. The video illustrates AIP and Porges polyvagal theories’ expression in infant trauma and will illustrate how the therapeutic relationship and increased compassion between parts of self are avenues for the transformation of attachment injury in EMDR.
Keywords: Conversion Seizures Ego-State Interweaves Infant Alters Somatic Interweaves
Accuracy Verified: Yes
32. O'Malley, A. (2009, March). Infant mental health & EMDR. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
The watch wait and wonder (www) approach to parental and infant mental
health was developed in Toronto over the last 20 years. In the last few years a number of
therapists have set up www clinics in the UK. We have been running a joint EMDR and www
clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer
trauma focussed psychotherapy together with infant mental health in either the UK or
Ireland.
Infant brain development occurs sequentially implying vulnerabilities during the early years
of life. This has a direct relationship on attunement, which is influenced by developmental
neglect and trauma. The effects of this trauma for EMDR therapy are explored. New
information about the probable mechanism of action of the bilateral stimulation used in
EMDR is presented. The mechanism of translating sensory input into new neuronal patterns
is explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the
reasons why EMDR can help alleviate trauma by expanding the window of tolerance.
An additional model of applying EMDR is outlined. This involves multilateral activation of
sympathetic nervous systems to consciously overcome traumas. This process will be shown
to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular
muscles generating rapid eye movement. This approach involves motor and sensory
integration at the level of the 12 cranial nerves. Some case examples using bilateral olfactory
desensitisation are discussed.
Recommendations for the development of parent infant mental health services within the
NHS are outlined
Accuracy Verified: Yes
33. O'Malley, O. (2010, March). Integrating EMDR mindfulness & sensorimotic psychotherapy. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
The watch wait and wonder (www) approach to parental
and infant mental health was developed in Toronto over the last 20 years. In the last few
years a number of therapists have set up www clinics in the UK. We have been running a
joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the
only clinic to offer trauma focussed psychotherapy together with infant mental health in
either the UK or Ireland.
Over the last 12 months the service has developed as a combined clinic between Adult
mental health and child & adolescent mental health services. The team comprises myself
and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant
psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives
referrals from the access and advice team or directly from the adult inpatient unit. Thelma
Osborn practises as a specialist health visitor in primary care and is employed by the
Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers
referred with post natal depression. She has recently completed basic EMDR training
(2008-9)
I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma
focussed psychotherapy in a new theoretical paradigm which I have termed integrated
reprocessing therapy (IRT). I will outline the use of this approach where traumatic births
and neonatal vulnerabilities are a key feature of the presentation
Recommendations for the development of parent infant mental health and a tier 3
perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will
be outlined.
Keywords: Watch Wait and Wonder Approach WWW Approach
Accuracy Verified: Yes
34. Paterson, M. (2008, June). Moderating malevolent alters with ego state therapy in the preparation phase of EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Disrupted attachment or sustained early life trauma often results in the formation of ego states, also known as
alters or parts. These states perform roles usually geared towards survival, but in adulthood they can be
dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad
things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during
EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with
more difficult clients so they too can benefit from EMDR. This presentation provides an overview of Ego State
Therapy (EST) and how it fits with EMDR. It demonstrates how to access ego states in a controlled way and goes
on to show a video of a live case where EST is used effectively to moderate the malevolence displayed by a
difficult ego state. In this case example, the client went on to experience the standard 8 Phases of EMDR.
Keywords: Ego State Therapy
Accuracy Verified: Yes
35. Bradshaw, J. (2008, June). Neurobiological factors when working with children who have been victims of domestic violence and other traumatic events using EMDR. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This presentation will highlight the effects of domestic violence and other traumatic experiences on children from
pre birth to 12 years of age and how EMDR can reduce the symptoms and give the subject a more appropriate
perception of their experiences. The neurobiological aspects will be discussed at pre and post treatment of
EMDR. EMDR therapy has proven to be a highly successful technique in the relief of psychological distress after
trauma. It will be shown that babies traumatised before birth can be treated as effectively as children
traumatised after birth. The impact on the developing baby will be discussed in relation to the stage of gestation
that the mother experienced trauma. Knowledge of sensory development in pregnancy can inform the
treatment plan for mother and baby subsequently. The impact of domestic violence and traumatic birth will be
explored. If untreated in the mother there can be long lasting effects in the mother, child and the parent child
relationship. Clinical examples will explain how EMDR can be modified to treat unresolved traumatic events. In
infancy and early childhood memories are stored in sensory form often with little language. We will illustrate on
video a narrative approach combined with parent facilitated EMDR in a traumatised 30 month old infant whose
parents have a history of drug use. The impact of traumatic stress on the developing brain will be discussed and
illustrated by video of two EMDR sessions with 10 and 12 year old children. This will show how the normal EMDR
protocol must be modified to take childhood factors into account.
Keywords: Children Domestic Violence
Accuracy Verified: Yes
36. Schore, A. (2000, September). The neurobiology of attachment and the origin of self: Implications for theory and clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
The participant will: 1) learn how the attachment relationship acts to regulate the child's emotional state; 2) learn how these interactions influence the experience-dependent maturation of the infant's right hemisphere; and 3) learn the structure-function relationships of a regulatory system in the orbital prefrontal areas of the cortext.
Keywords: Neurobiology
Accuracy Verified: Yes
37. Stramrood, C., van der Velde, J., Schultz, W. W., & van Pampus, M. (2011, March). A new application of EMDR: Treatment of posttraumatic stress following childbirth. Poster presentation at the American Psychosomatic Society 69th Annual Scientific Meeting, San Antonio, TX.
Language: English
Format: Conference
Abstract:
Purpose: To evaluate the possibility of using eye-movement desensitization and reprocessing (EMDR) treatment for women with posttraumatic stress following childbirth. EMDR is internationally recognized as one of the treatments of choice for posttraumatic stress disorder (PTSD). However, as outlined in a recent article on the management of PTSD following childbirth, very little is known about the effect of the intervention in women who experienced the delivery as traumatic. Methods: Two patients suffering from posttraumatic stress symptoms following childbirth were treated with EMDR. Patient A developed PTSD symptoms following the lengthy labor of her first child that ended in an emergency cesarean section (CS) after unsuccessful vacuum and forceps extraction. Patient B suffered from PTSD symptoms since the birth of her first child, during which a second degree vaginal rupture occurred, causing pain and resulting in the inability to use tampons and engage in sexual intercourse for several years. RESULTS: Both patients received EMDR treatment during their second pregnancy, using the standard protocol. After 2 sessions of EMDR including RDI and future template, patient A felt strong and confident about the upcoming delivery. She did not prefer a CS over vaginal birth or vice versa, as long as she would end up psychologically undamaged. Due to insufficient engaging of the fetal head, patient A underwent a secondary CS, but nonetheless looks back positively at the experience. Patient B felt calm and less anxious after two sessions of EMDR. Despite her initial request for an elective CS, she agreed to attempt vaginal delivery, and a healthy infant was born. Even though she suffered another second degree vaginal rupture, which fortunately did not cause dyspareunia this time, patient B also looks back positively at the second delivery. Conclusion: Treatment with EMDR reduced PTSD symptoms in these two women, and hence proved to be an effective intervention. Furthermore, both women were confident enough to attempt vaginal birth rather than demanding an elective CS. We advocate a large scale RCT involving women with postpartum PTSD to confirm the effect of EMDR in this patient group.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
38. Rebeiro, G. (2007, Novembro). O tratamento do trauma infantil [The treatment of infant trauma]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Accuracy Verified: Yes
39. Young, W. C. (1992, December). Observations on using EMDR with patients with a history of sadistic and ritual abuse. EMDR Network Newsletter, 2(2), 14-15.
Language: English
Format: Newsletter
Abstract:
When working with patients with a
history of sadistic and ritual abuse,
judgment needs to be made as to his
or her readiness to continue when
alters present for EMDR. For example,
in preparing one patient for
EMDR, a child alter presented. Feeling
that this was her starting point,
she began to realize she was not yet
prepared and felt too much was coming
at her. In another patient, a
"non-feeling" satanic alter presented.
I assumed the starting point was of a
state that did not feel and that the
processing would lead this state to
the pain of the others (which it did).
Another woman recalled concentrating
on "Satan's" robe when raped,
seeing i t was not ironed, but
wrinkled, and asked herself how a
demon could present with a wrinkled
robe. She was on the way to becoming
more realistic.
Keywords: Ritual Abuse Sadistic Abuse
Accuracy Verified: Yes
40. Holm, O. (2012, October). On the path of shame affect: Its management in traumatized and dissociative patients with the compass of shame and EMDR special interventions and/or IFS ego states. 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:
Five traumatized patients grouped this way: 2 males, 2 females, one boy of 11. The two men had received treatment with CBT, 1 of females Gestalt therapy, the other female with EMDR, and the 11 years old boy with IFS; they had come to a point of stuck in their therapy because of the therapists not being able to manage Shame Affect during trauma confronting; also, when alters appeared during some therapy sessions in one of the adult females. Four of the patients had already worked on some traumatic memories with previous therapists. According to Compass of Shame 2 of the male patients had a rather high urge to enter into Attacking others pole with rage, and one of them, also, into Avoidance pole with drug abuse, compulsive sex and gamble; two females were more urged to enter into Attack self pole and in 1 of the females, her alter and patient described herself as being very upset and paralyzed with Shame. The 11 years old boy was stuck in Withdrawn pole; a highly Shamed Negative Part was so paralyzed that the Integrating Strategy was stopped until the child Ego state was released from Shame.
Learning Objectives:
EMDR/and not EMDR participants will able to perform interventions characterized by working with Shame or preparing patients to tolerate Shame.
Participants will be able to define the scripts inside each pole of the Compass
Participants will be able to identify the different poles of Compass of Shame.
Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect
Accuracy Verified: Yes
41. Armstrong, M., & Vaughan, K. (1996, March). An orienting response model of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 27(1), 21-32. doi:10.1016/0005-791(95)00056-9.
Language: English
Format: Journal
Abstract:
Dyck's conditioning model of EMD provides a useful description of failure of habituation in PTSD, but may not account for some common EMD phenomena. An alternative model proposes that the therapist's waving hand -- in the presence of a trauma-related cortical set -- triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect his survival and current safety -- as true outcome of the trauma -- and associated conditioned responses extinguish. Proposals for experimental evaluation of the model are described. [Author Summary]
Keywords: Conditioned Emotional Responses PTSD Treatment Effectiveness
Accuracy Verified: Yes
42. Vaughan, K., & Armstrong, M. (1995, June). An orienting response model to EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The authors reviewed the literature of EMDR and consulted their own clinical experiences to establish the characteristic
phenomenology of EMDR. Dyck's (1993) conditioning model of eye movement desensitization provides a useful account of failure
and habituation in post-traumatic stress disorder (PTSD), but does not account for some of these common EMDR phenomena. The
authors propose an alternative model in which the therapist's waving hand-- in the presence of a trauma-related cortical set-triggers
an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and
provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect their
survival and current safety -- as true outcome of the trauma - and associated conditioned responses extinguish. Some proposals for
experimental evaluation of the model are described.
Keywords: Orienting Response
Accuracy Verified: Yes
43. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.
Keywords: Dissociation Mechanism Plenary Right Brain Affect Regulation Trauma
Accuracy Verified: Yes
44. Wesselmann, D. (2003, May). Plenary. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract: Attachment theory has identified adults with a secure attachment style as more resilient to stress and trauma than insecurely attached adults. The secure adult tends to have supportive relationships which buffer him from stress (Bowlby, 1988), and he is able to reflect upon his inner state and process emotions without becoming overwhelmed (Fonagy, 2000; van der Kolk 1996). In infancy secure attachment is related to the capacity to be soothed and comforted by the caregiver. The caregivers of secure infants are observed to be emotionally attuned, responsive and nurturing (Solomon & George, 1999). Schore (1996) explains that mothers of secure babies synchronize with the infant. The mother's organized brain synchronizes or harmonizes with the baby's disorganized brain, attuning to its feelings and needs, helping it calm when distressed and stay regulated when it is happy and excited. As a result, the infant's brain develops optimal circuitry for emotion regulation, and also learns through experience to trust and be comforted and to comfort himself. His basic sense of safety and trust gives him confidence as he begins leaving his parent's side and exploring the world.
Keywords: Plenary
Accuracy Verified: Yes
45. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background: What to do with women who experienced childbirth as so
traumatic that they keep having nightmares, flashbacks and problems
concentrating, who do not want to become pregnant again or demand a
cesarean section at the next delivery? One to two percent of women
suffers from posttraumatic stress disorder (PTSD) following childbirth,
which may affect mother-child bonding as well as future pregnancies.
Methods: Based on current knowledge from literature, including own
research, an overview will be presented of the prevalence, risk factors,
diagnosis and treatment of PTSD following childbirth. Results: PTSD
is an anxiety disorder affecting 1-2 percent of women after childbirth.
Risk factors include [a] obstetric complications and interventions
(emergency cesarean section, preterm birth), [b] history of psychiatric
problems or depression/anxiety during pregnancy, [c] psychosocial
factors (low coping skills, low social support). Furthermore, 50 percent
of women with PTSD following childbirth also suffers from
postpartum depression. When PTSD is suspected, clinicians can use the
self-report measure Traumatic Event Scale-B to quantify symptoms,
and refer to a psychiatrist/psychologist if necessary. Several studies
indicate that spontaneous remission of PTSD following childbirth is
uncommon. Possible negative consequences of the condition include
insecure attachment of the infant, impaired partner relationship,
avoiding future pregnancies and demanding a cesarean section in a
subsequent pregnancy. Although these possible adverse outcomes
justify treatment and prevention, effective interventions and prevention
strategies have not been adequately researched in this patient group.
International guidelines regarding PTSD in other (non-pregnant)
populations point to eye-movement desensitization and reprocessing
(EMDR) and cognitive behavioral therapy (CBT) as the most
promising treatments. Identification of women at risk, both during
pregnancy and postpartum, is key to early intervention and possible
prevention. Conclusions: Posttraumatic stress disorder following
childbirth is a serious condition affecting 1-2 percent of postpartum
women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues.
Adequate identification of women at risk and those with clinical
symptoms is key to early intervention and eventually prevention.
Keywords: Childbirth
Accuracy Verified: Yes
46. Luber, M., & Shapiro, F. (2009). Protocol for excessive grief. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 175-187). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This protocol is to be used when there is a high level of suffering, self-denigration, and lack of remediation over time concerning the loss of a loved one. EMDR does not eliminate healthy appropriate emotions, including grief. It allows clients to mourn with a greater sense of inner peace. The protocol is similar to the Standard EMDR Protocol for trauma. The goal of this work is to have your client accept the loss and think back on aspects of life with the loved one with a wide range of feelings, including an appreciation for the positive experiences they shared. Francine Shapiro often brings up the issue: How long does one have to grieve? She asks us to not place our limitations on our clients as this would be antithetical to the notion of the ecological validity of the client's self-healing process. For example, a woman who believed that the death of her infant son was her fault despite her doing everything she could to prevent it, worked with EMDR soon after his death. "I can feel him in my heart. I am grateful for the time we had together. He's in a better place." Her work with EMDR did not take away her grieving but allowed her to accept the loss and to have a full range of feelings about her son. This chapter is a summary of the Excessive Grief Protocol (Shapiro, 2001, 2006). When there is excessive grief, target the following: past memories, present triggers, and a future template. The Excessive Grief Protocol Script is provided. [PsycINFO Database]
Keywords: Excessive Grief Protocol
Accuracy Verified: Yes
47. Young, W. C. & Young, L. J. (1997). Recognition and special treatment issues in patients reporting childhood sadistic ritual abuse; Appendix A: Informed consent regarding the treatment of traumatic and dissociative disorders. In G. A. Fraser (Ed.), The Dilemma of Ritual Abuse: Cautions and Guides for Therapists (Clinical Practice, No. 41) (1st ed.) (pp. 65-93, 95-100). Washington, DC: American Psychiatric Press.
Language: English
Format: Book Section
Abstract:
The purpose of this chapter is to review reports of the Sadistic Ritual Abuse (SRA) phenomenon, to discuss credibility of the accounts, and to describe current issues in its treatment, including preparation for treatment, general treatment issues, management of cultic or satanic alters, pharmacological treatment, and controversy over historical accuracy. Controversial trends in the etiology and treatment of SRA cases are also discussed. It should be kept in mind that the controversy surrounding SRA continues to heighten. Actual clinical interpretations may be considerably different if scientific data should support patients' accounts or, from an opposing viewpoint, if a socially contagious, media-influenced syndrome is shown to run its course among dissociative, suggestible individuals. [Text, p. 68]
Keywords: Adults Child Abuse Dissociative Amnesia Dissociative Identity Disorder Drug Therapy Etiology False Memory Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Ritual Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
48. Madrid, A., Skolek, S., & Shapiro, F. (2006, October). Repairing failures in bonding through EMDR. Clinical Case Studies, 5(4), 271-286. doi:10.1177/1534650104267403.
Language: English
Format: Journal
Abstract:
Maternal-infant bonding is an intense emotional tie between mother and infant that often begins during pregnancy and continues after birth. Prolonged physical separation from one's infant or traumatic interference can sometimes impede this process, leading to a lack of bonding. Whereas many medical procedures and illnesses can cause mother and child to become separated immediately after birth and affect bonding, other causes of emotional separation may be somewhat more difficult to identify. Nevertheless, maternal trauma has been identified as one such form of emotional separation that can interfere with bonding. This article illustrates the application of Eye Movement Desensitization and Reprocessing (EMDR) for addressing bonding difficulties related to trauma issues. EMDR is an integrative psychotherapy that uses a standardized eight-phase approach to treatment and is a well-accepted treatment for trauma. Although more research is needed, this case suggests that EMDR may be an appropriate and efficient treatment for bonding difficulties. [Author Abstract]
Keywords: Attachment Behavior Bonding Failures Case Report Clinical Case Study Females Integrative Psychotherapy Maternal Infant Bonding Maternal Mother Child Relations Separation Reactions Parenting Behavior Physical Separation Pregnancy Stressors Survivors Trauma
Accuracy Verified: Yes
49. Madrid, A., Skolek, S., & Shapiro, F. (2007). Repairing maternal-infant bonding failures. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 131-145). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Asthma Attachment Attachment Behavior Attachment Disorders Bonding Problems Bonding Failure Maternal-Infant Bonding Mother-Infant Bonding Mother Child Relations Mothers
Accuracy Verified: Yes
50. 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
51. Vogelmann-Sine, S. L. (1993, October). The role of EMDR in crisis intervention. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.
Language: English
Format: Conference
Abstract:
EMDR is a procedure capable of assisting with MPD patients by defusing acute distress associated with current crises. In order to benefit from EMDR without risking retraumatization, the diagnosis of MPD needs to be established and consent obtained from the system as a whole. The systems needs to agree that a decrease in distress is a desirable treatment outcome.
In treating MPD, crises may arise before the system has been fully mapped. EMDR amy be cautiously used in this situation by 1) asking the entire system to listen, 2) explaining the procedure, 3) asking for any parts, know to the therapist or unknown, who disagress to let their concerns be known or they will have to be construed to have consented. The relief provided by the successful defusing of the crisis tends to increase confidence in the therapist and encourage others to alters to reveal themselves.
Several case examples will be presented illustrating the application of EMDR to crisis intervention with MPD patients. Preliminary data from case examples indicate that (1) clients report lasting relief from distress associated with current crisis; (2) clients report relief even though distress levels did not reach zero; (3) EMDR for crisis intervention is a cost-effective procedure for reducing the frequency of hospitalizations by managing crises in an outpatient basis.
Keywords: Dissociation Multiple Personality States
Accuracy Verified: Yes
52. Paulsen, S. (2008, November). Somatic aspects of treatment - Conversion seizures manifesting as infant alters: EMDR, ego state therapy & somatic therapy. Presentation at the 25th Annual Meeting of the Society for the Study of Trauma and Dissociation, Chicago, IL.
Language: English
Format: Conference
Keywords: Conversion Seizures Ego State Therapy Infant Alters Somatic Therapy
Accuracy Verified: Yes
53. Lamprecht, F. (2003). Themenschwerpunkt behandlung psychotraumatischer belastungsstörungen mit EMDR [Topics focus on treatment of psychological trauma with EMDR]. Kröning: Asanger.
Language: German
Format: Book
Abstract:
Mit Beiträgen über EMDR in der Behandlung von chronischem Schmerz, EMDR in der Psychotherapie von Persönlichkeitsstörungen mit und ohne Symptomatik einer PTPS, EMDR in der Behandlung dissoziativer Störungen, EMDR bei Schädel-Hirn-Traumatisierten, über die psychophysiologische Regulation bei Patienten mit PTSD und den Veränderungen nach einer EMDR-Behandlun sowie den physiologischen und biologischen Veränderungen nach frühen kindlichen Traumata und deren Behandlungsmöglichkeit.
Focus: Treatment of psycho traumatischer stress disorders with EMDR (ed. Lamprecht). With contributions of EMDR in the treatment of chronic pain, EMDR in psychotherapy personality disorders with and without symptoms of a PTPS EMDR in treatment of dissoziativer disorders, EMDR at skull-brain-Traumatisierten, on the psycho physiological regulation in patients with underlying and changes after a EMDR Behandlun and the physiological and biological changes after early infant trauma and their treatment option.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
54. Unfried, N. (2003). Trauma und entwicklung: Physiologische und biologische veränderungen nach frühen kindlichen traumata und deren behandlungsmöglichkeit [Trauma and development: Physiologic and biologic variations after early infant traumatisations and attendance of them]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 59-71.
Language: German
Format: Journal
Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Entwicklung des Kindes ist heutzutage als Prozess zu verstehen. Ein Kind ist dementsprechend zu jedem Zeitpunkt seiner Entwicklung "reif", einschließlich seines intrauterinen Lebens, d.h. es verfügt über die für die jeweilige Zeit notwenige Ausstattung. Von Beginn an erfolgt dieses mehr oder weniger störanfällige Geschehen mit anderen im aktiven intra- und interagierenden informativen, energetischen und stofflichen Austausch. An diesem Entwicklungsprozess nimmt der gesamte Körper, jede Zelle, einschließlich des Gehirns als Organ der sensomotorischen und psychophysischen Verarbeitung teil. Die Stressreaktion und Stress auf bewältigbarem Niveau hilft dem Kind kritische Phasen zu überstehen (Hüther, 1999). Jedoch führt nicht bewältigbarer Stress zu tiefgreifenden Veränderungen funktionell bis strukturell, wenn der Organismus keine neue Lösungsmöglichkeit findet. Mehrere Autoren belegen, dass traumatische Erlebnisse Veränderungen im limbischen System und Cortex zeigen können (Hüther, 1999; van den Kolk, 1998; Roth, 1998). Bei unkontrolliertem Stress (frühzeitig) kommt es zur Daueraktivierung der Amygdala und über die Amygdala zur Aktivierung mehrerer Systeme, unter anderem auch der Hypothalamus-Hypophysen-Nebennieren- Achse mit einem Ausschütten von Stresshormonen. Diese Daueraktivierung löst körperlich die Notfallreaktion im Sinne einer Schockreaktion aus, gleichzeitig führt sie zur Störung der Einspeicherung von Informationen in den Hippocampus. Die imaginativ-methodische Herangehensweise scheint für frühtraumatisierte Kinder und Jugendliche eine Möglichkeit zu sein, die dissoziierten Anteile der traumatischen Szene abzurufen und somit einen Weg zur Integration zu finden. Die therapeutische Beziehung ermöglicht das Wiedererleben der Schmerzen, der Angst, aber auch die Beendigung der traumatischen Situation. Es konnte gezeigt werden, wie die triggerabhängigen Projektionen bei den Kindern endeten und Veränderungen der Persönlichkeitsentwicklung nachweisbar waren. Der Erfahrungsbericht stellt ein vorläufiges Ergebnis dar.
Psychosocial treatment of traumatic stress disorders with EMDR
Children’s development is now understood as a process. Balance and imbalance are said to alternate with one another, and impaired functioning is to be seen as an inducement for further development. Even the early organism has the opportunity of finding a new level of organisation. Right from the beginning, this process, which is susceptible to disruption to a greater or lesser extent, takes place with others in an intra- and interactive exchange of energy and material. This developmental process involves the entire body, every cell, including the brain as the organ of sensomotoric and psychophysical processing. The stress reaction and stress at a manageable level help the child to survive critical periods (Hüther, 1999). However, stress that is not manageable leads to far-reaching changes, in both functional and structural terms, unless the organism finds new solutions. There are sensitive stages during prenatal development that give the brain a high degree of adaptability; however, they also make the embryo, foetus and young infant receptive for disruptive or even hostile influences can lead to changes in the limbic system and the cortex (Hüther 1999; van den Kolk 1998; Roth, 1998). In the event of (early) uncontrolled stress, the amygdala becomes permanently activated, and via the amygdala, several systems are also activated, including the hypothalamic-pituitary-adrenal axis, by the secretion of stress hormones. This permanent activation triggers a physical emergency reaction in the sense of a shock reaction and at the same time leads to a disruption of the storage of information in the hippocampus. The imaginative approach to be a way for children and adolescents with early traumas to recall the dissociated parts of the traumatic scene and hence to find a way of integrating them. The therapeutic relationship allows the pain and fear to be reenacted, but also enables the traumatic situation to be brought to a close. It was able to be shown how the trigger-dependent projections stopped in the children, and changes in personality development were able to be observed. The report presents preliminary results.
Keywords: Attachment Chidlren Biologic Variations Psysiologic Variations Trauma
Accuracy Verified: Yes
55. Settle, C., & Bolte, C. S. (2012, October). Treating dissociation, ritual abuse and mind control from an attachment perspective. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Using EMDR as an integrative therapeutic approach from an attachment and developmental trauma lens, this presentation will give practical strategies for treating clients with Dissociative Identity Disorder (DID) symptoms who have experienced Ritual Abuse and Mind Control (RA/MC). Infant disorganized attachment is an important precursor to adult dissociation and perhaps even more of a predictor of Post Traumatic Stress Disorder (PTSD) than severe trauma alone (van der Kolk). RA/MC programming will be explained so the clinician understands the layers of complexity in treating these dissociative symptoms and ego states.
Keywords: Attachment Dissociation Mind Control Ritual Abuse
Accuracy Verified: Yes
56. Went, M., & Struik, A. L. (2010, June). The use of EMDR with infants. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Often it is said that traumatization in the preverbal
period cannot be treated. Doctors, psychologists, police officers
tell parents to wait until the child is older, so it can talk about
it. In this presentation we will demonstrate the contrary. That
EMDR is a very useful method for processing preverbal traumatic
memories in infants.
We will start by explaining how to structure the EMDR sessions,
illustrated by videotapes of boy (nearly three) and his parents
who was traumatized by medical treatments starting in the first
months of his life. We will explain how to access and activate
the traumatic memories, how to help the child during desensitization
by timing and dosing stimuli, and how to determine
whether the traumatic memory is completely processed.
Then we will illustrate the devastating consequences on the
development of an infant of preverbal traumatization. These
consequences usually are underestimated by parents, pediatricians and even psychologist. As these children get older, their
development is more and more disturbed and they behave like
children with ADHD of Autistic disorders, and sometimes even
get diagnosed.
After EMDR these infants start to recover and grow rapidly in
emotional en social development and the use of play. Their oppositional
behavior changes in daily life activities as changing
a diaper, brushing teeth, going to bed and changing clothes.
They become less resistant.
Parents see that the presumed characteristics of their child
change and looking back they recognize those as symptoms of
traumatization. This is even clearer with children who are
traumatized by medical treatment. They are usually referred to
EMDR therapist because of their resistant behavior in the hospital
which makes medical treatment impossible. The urgent requirement
of medical care is often the main reason for staking
treatment. The realization of the impact of the medical treatment
on their child is very painful for the parents. Nowadays parents are often asked to assist during these treatments and
they feel as perpetrators. If necessary we also offer parents
EMDR.
New and unique: The use of EMDR in infants is quite unique
because it requires knowledge of infant psychiatry and traumatization
and EMDR It is a very complicated but rewarding
treatment.
The aspect of traumatization and the use of EMDR in medical
treatment is very underestimated The material in this workshop
is new and unique for the use of EMDR in these children.
Learning objectives:
- Participant will learn the basic tenants of the assessment of
preverbal traumatization.
- Participant will learn the basic tenants of the assessment of
preverbal medical traumatization, which is very much underestimated.
- Participant will learn how to access and activate the traumatic
memories in infants and how to help the child during desensitization
by timing and dosing stimuli.
-Participant will learn how to determine whether the traumatic
memory is completely processed in these infants.
Keywords: Infants Preverbal Medical Traumatization
Accuracy Verified: Yes
57. O'Malley, A. (2007, June). Using EMDR in unresolved neonatal trauma in a 13 year old and in a 7 year old whose father killed their mother. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: I am presenting the case of a 13-year-old boy who was referred because of uncontrolled rage evident in his relationship with peers in one incident he had a fellow pupil’s head under water until he was gasping for air.. He had shown little remorse towards the boy and described the incident as funny. The family had experienced a series of traumatic events. They were forced to evacuate their home when criminal gangs attempted to burn them out; his was to use the house for drug-related activity. Gang members had assaulted my patient and his mother in the street after going to the police. After meeting with the parents and brother and older sister, I had identified that on top of this recent trauma L had extreme hostility towards his mother who he described as “that woman.” My initial EMDR sessions were with L and his father. During processing of the trauma, my video will show bizarre movement including rolling his head back, hypotonic posture and behavior similar to an infant. This can be understood in relation to L’s early development. He was born at 33 weeks gestation and spends his first 6 weeks in a special care baby unit (CBU) in an incubator. My presentation will discuss the neurological consequences of early trauma and how a narrative approach using EMDR can help in recovery. This approach is based on the work of Dr. Joan Lovett. She is a California-based pediatrician who has developed a protocol for working with children who have experienced significant trauma following premature birth.
My second case is J, a 7-year-old boy who witnessed his father murder his mother approx 1 year ago. He was then held hostage by his father for 6 hours with the body of his mother lying in a pool of blood in the kitchen while the police negotiated with J’s father for his release. My first involvement with J was an in depth assessment of his emotional attachment and placement needs for the court. During this process, he developed frequent infantile rages and I advised the system of care around J on their management. At one stage, he had recurrent dreams about joining his mother in heaven and he was discovered attempting to strangle himself. I will discuss how I used the safe place protocol to alleviate his distress. I am now using EMDR directly with J. I use a variety of bilateral alternating stimuli. These include drumming, musical symbols, and a xylophone. I am able to get J to draw sequentially with each new drawing generated by J performing the “Butterfly hug.” I was inspired to use this technique after I attended a wonderful workshop facilitated by Michel Silvestre entitled “integrating family therapy and EMDR.” I hope to discuss in this presentation how EMDR can be combined with other therapeutic approached in a case of extreme trauma experienced by a 6-year-old boy who is now effectively orphaned as his father is in prison probably for the rest of his natural life. I will also allude to some of the techniques discussed by Dr. Atle Dyregrov at the 5th annual UK and Ireland conference in London in March last year. He presented in depth therapeutic work with a girl who suffered the trauma of her mother’s suicide. I will discuss some of the challenges presented by traumatic grief and how the EMDR protocol can be adapted for use in children.
Keywords: Children
Accuracy Verified: Yes
58. van Nuys, D. (2007, November 17). Using hypnosis and EMDR to repair broken maternal-infant bonds: David Van Nuys, Ph.D., aka “Dr. Dave” interviews Tony Madrid, Ph.D. Shrink Rap Radio #119.
Language: English
Format: Audio
Abstract:
Okay, well I’m definitely going to want to talk to you about that. In fact,
there are a bunch of things I want to focus on in our conversation. I want us to
touch on maternal bonding, hypnosis, EMDR, and your work on the treatment of
asthma. So let’s get started with maternal-infant bonding. First of all, how did you
come to get interested in that? [Excerpt]
Keywords: Hypnosis Interview Maternal-Infant Bonds Transcript
Accuracy Verified: Yes
59. Grainger, R. K. (1992, May). Variations in direction of eye movements. EMDR Network Newsletter, 2(1), 7.
Language: English
Format: Newsletter
Abstract: In working with a young woman with
multiple personality disorder, diagonal
eye movements brought about
almost immediate abreactions. (In
fact, the first time that EMDR was
conducted with this client, two heretofore
unknown, cult-induced, alters emerged.) EMDR has been used at almost every session, each time with the client-preferred diagonal direction. Sometimes it induces abreactions, and sometimes only anxiety management. For the past two sessions, with the advice, consent, and watchful eyes of 12 already
integrated alters who have
arranged to be able to talk with the
therapist as desired, a change in
the direction of eye movements has
increased the speed and thoroughness
of reprocessing.
Keywords: Eye Movements
Accuracy Verified: Yes
60. O'Malley, A. (2010, March). The watch wait and wonder. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .
Language: English
Format: Conference
Abstract:
The watch wait and wonder (www) approach to parental
and infant mental health was developed in Toronto over the last 20 years. In the last few
years a number of therapists have set up www clinics in the UK. We have been running a
joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the
only clinic to offer trauma focussed psychotherapy together with infant mental health in
either the UK or Ireland.
Over the last 12 months the service has developed as a combined clinic between Adult
mental health and child & adolescent mental health services. The team comprises myself
and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant
psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives
referrals from the access and advice team or directly from the adult inpatient unit. Thelma
Osborn practises as a specialist health visitor in primary care and is employed by the
Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers
referred with post natal depression. She has recently completed basic EMDR training
(2008-9)
I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma
focussed psychotherapy in a new theoretical paradigm which I have termed integrated
reprocessing therapy (IRT). I will outline the use of this approach where traumatic births
and neonatal vulnerabilities are a key feature of the presentation
Recommendations for the development of parent infant mental health and a tier 3
perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will
be outlined.
Accuracy Verified: Yes
61. Vazquez, A. G. (2008, June). Work with parts in DID & EMDR. Presentation at the annual meeting of the EMDR International Association, London, England.
Language: English
Format: Conference
Abstract:
Work with Dissociative Identity Disorder is a complex therapy process. Many warnings have been made about
using EMDR with this group of patients. But problems with EMDR therapy in DID are basically attributable to the
risk always involved in working directly on traumatic memories in complex dissociative disorders. If we know the
general principles of the treatment of dissociative disorders, we should be able to use EMDR safely. Work with
alters or parts is a specific aspect of therapy in DID patients. This work should be used throughout the therapy
stages: stabilization; trauma work; integration. In this workshop we will show how to implement EMDR protocols
working with dissociative parts or alters in DID therapy. The exposition will be illustrated with clinical vignettes
and short therapy fragments on video.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
62. Gonzalez, A. (2008, June). Work with parts in DID & EMDR. Presentation at the annual meeting of EMDR Europe Association, London, UK.
Language: English
Format: Conference
Abstract:
Work with Dissociative Identity Disorder is a complex therapy process. Many warnings have been made about
using EMDR with this group of patients. But problems with EMDR therapy in DID are basically attributable to the
risk always involved in working directly on traumatic memories in complex dissociative disorders. If we know the
general principles of the treatment of dissociative disorders, we should be able to use EMDR safely. Work with
alters or parts is a specific aspect of therapy in DID patients. This work should be used throughout the therapy
stages: stabilization; trauma work; integration. In this workshop we will show how to implement EMDR protocols
working with dissociative parts or alters in DID therapy. The exposition will be illustrated with clinical vignettes
and short therapy fragments on video.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes