Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Intellectual Disability 72 Results

1. Giltaij, H. (2004). Alsof er een stofzuiger door mijn hoofd is gegaan. EMDR bij mensen met een visuele en verstandelijke beperking, [As if a vacuum cleaner went through my head. EMDR in people with visual and intellectual disabilities]. Tijdschrift voor Kinder-& Jeugdpsychotherapie, 3, 81–97.

Language: Dutch

Format: Magazine

Keywords: Intellectual Disabilities Visual Disabilities

Accuracy Verified: Yes

2. 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

3. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.

Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders

Accuracy Verified: Yes

4. Offen, L., Walker, R., & Freeman, A. (2008, August). Birmingham psychotherapy service for people with ID: 8 years on. In Symposium: EMDR therapy and psychotherapy and ID presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Aim: This study aimed to generate descriptive data relating to Birmingham Psychotherapy Services for People with Intellectual Disabilities in order to: a) Provide an understanding of the key characteristics of clients using the service. b) Identify those clients who find it difficult to engage with the service in order to introduce measures to improve its accessibility. c) Identify gaps in the information collected to date so that information gathering mechanisms can be improved. d) Provide a platform from which appropriate outcome measures for the service can be examined. Method: Data was collected by use of a proforma from client files. A selected sample of 141 files was analysed and the results collated. Results: Data pertaining to the above was analysed and the results recorded. Conclusions: A clearer profile of the clients using the service was developed that facilitated a change in clinical focus and the implementation of key changes in service delivery. This has led to a greater emphasis on the use of groups and on the development of more accessible information.

Keywords: Adolescents Adults Children ID Intellectual Disabilities Symposium

Accuracy Verified: Yes

5. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred (non-directive) Play Therapy model is now well recognised as a way of helping children and adolescents who have experienced psychological trauma to work through their experiences in a way that is both empowering and non-threatening. It is based on Rogerian principles (Rogers 1951), with the philosophy that given the right therapeutic conditions the children, like adults, have an innate drive towards health. The child leads the way, and the therapist follows. I have struggled to see how EMDR can fit comfortably within a client-centered play therapy model, although I recognise that Shapiro describes the model as client-centred. To test a hypothesis that EMDR could be integrated into a client-centred play therapy approach, three children were identified. All 3 were waiting for some regular weekly client-centred play therapy sessions, within the Child and Adolescent Mental Health Service, in West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had experienced complex psychological trauma including sexual abuse. My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The sessions were set up introducing the EMDR protocol alongside setting up the client-centred play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I will summarise my findings and hope to show how possible ways the two approaches can be integrated.

Keywords: Children Play Therapy Poster

Accuracy Verified: Yes

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

Language: Dutch

Format: Book Section

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

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

Keywords: Dentistry Intellectual Disability

Accuracy Verified: Yes

7. Struik, A. (2009). Casus 18 – Getraumatiseerd door een eigen misdrijf: Behandeling van een 15-jarig meisje dat vrijkomt uit de jeugdgevangenis [Case 18 – Traumatized by my own crime: Treatment of a 15-year-old girl who is realeased from a youth detention center]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 259-264). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_26.

Language: Dutch

Format: Book Section

Abstract:
Gea is een meisje van 15 jaar met PDD-NOS (een stoornis in het autistisch spectrum; zie kader in de inleiding bij deel VI), waarvoor ze in behandeling is binnen de kinder- en jeugdpsychiatrie. Ze heeft gesprekken met een van mijn collega's waarin psycho-educatie centraal staat. Haar ouders hebben ouderbegeleiding omte leren omgaanmet de handicap van hun dochter. Gea leeft in haar eigen wereld en het is voor haar moeilijk om zich in te leven in gedachten en gevoelens van de mensen om haar heen. Ze reageert vaak vanuit haar eigen behoeften en gevoelens op anderen.

Gea is a girl of 15 years with PDD-NOS (a disorder in the autistic spectrum, see box in the introduction to Part VI), which it is pending in the juvenile and adolescent psychiatry. She talks with one of my colleagues that psychological education is central. Her parents learn to parent guidance omte omgaanmet their daughter's disability. Gea lives in her own world and it is difficult for her to act to live in thoughts and feelings of the people around her. She often responds from its own needs and feelings to others.

Keywords: Adolescents Crime Detention Center PDD-NOS

Accuracy Verified: Yes

8. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2002, August). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring, versus waiting list in the treatment of post traumatic stress disorder. Journal of Clinical Psychology and Psychotherapy, 9(5), 299-318. doi:10.1002/cpp.341.

Language: English

Format: Journal

Abstract:
A total of 105 patients with PTSD were randomly allocated to eye-movement desensitization and reprocessing (EMDR) (n = 39) versus exposure plus cognitive restructuring (E + CR) (n = 37) versus waiting list (WL) (n = 29) in a primary care setting. EMDR and E + CR patients received a maximum of 10 treatment sessions over a 10-week period. All patients were assessed by blind raters prior to randomization and at end of the 10-week treatment or waiting list period. EMDR and E + CR patients were also assessed by therapists at the mid-point of the 10- week treatment period and on average at 15 months follow-up. Patients were assessed on a variety of assessor-rated and self-report measures of PTSD symptomatology including the Clinician Administered PTSD Scale (CAPS), the Impact of Events Scale (IOE) and a self-report version of the SI-PTSD Checklist. Measures of anxiety and depression included the Montgomery Asberg Depression Rating Scale (MADRS), the Hamilton Anxiety Scale (HAM-A), and the Hospital Anxiety and Depression Scale (HADS). A measure of social function, the Sheehan Disability Scale, was also used. Drop-out rates between the three groups were 12 EMDR, 16 E + CR, and 5 WL. Treatment end-point analyses were conducted on the remaining 72 patients. Repeated measures analysis of variance of treatment outcome at 10 weeks revealed significant time, interaction, and group effects for all the above measures. In general there were significant and substantial pre-post reductions for EMDR and E + CR groups but no change for the WL patients. Both treatments were effective over WL. The only indication of superiority of either active treatment, in relation to measures of clinically significant change, was a greater reduction in patient self-reported depression ratings and improved social functioning for EMDR in comparison to E + CR at the end of the treatment period and for fewer number of treatment sessions for EMDR (mean 4.2) than E + CR (mean 6.4) patients. At 15 months follow-up treatment gains were generally well-maintained with the only difference, in favour of EMDR over E + CR, occurring in relation to assessor-rated levels of clinically significant change in depression. However, exclusion of patients who had subsequent treatment during the follow-up period diminished the proportion of patients achieving long-term clinically significant change. In summary, at end of treatment and at follow-up, both EMDR and E + CR are effective in the treatment of PTSD with only a slight advantage in favour of EMDR. [Author Abstract]

Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

9. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro. Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato. Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite. In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.

The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.

Keywords: Practrice Theory

Accuracy Verified: Yes

10. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op. EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie. Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken. Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.

People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD. EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population. In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate. Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.

Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

11. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2011, December). Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?. Journal Intellectual and Developmental Disability, 36(4), 274-279.

Language: English

Format: Journal

Abstract:
Background. There is not one case report of successful trauma treatment with the use of an evidence-based treatment method in people with substantially limited verbal capacities. This paper assessed the applicability of eye movement desensitisation and reprocessing (EMDR) in two clients with moderate ID, serious behavioural problems, and histories of negative life events. Method. The 8-phase protocol of EMDR, a first-line treatment for psychological trauma, was applied. Results. In both cases, posttraumatic stress disorder (PTSD)-like symptoms decreased in a total of only 6 and 5 sessions, respectively. Gains were maintained at 32 and 10 months' follow-up. Conclusions. EMDR seems to be an applicable psychological trauma treatment for persons with limited verbal capacities. Considering the importance of these findings, further and more rigorous research is required.

Keywords: Developmental Disabiities Intellectual Disabilities

Accuracy Verified: Yes

12. Krafona, K. (2010). Does eye movement desensitization and reprocessing (EMDR) have any utility in intellectual disabilities? Two bereavement case reports. The Ghana International Journal of Mental Health, 2(1).

Language: English

Format: Journal

Abstract:
Individuals with intellectual disabilities (ID) are to some extent discriminated against when it comes to the psychotherapies. The long held belief that individuals with ID do not benefit from such interventions has been attributed in part to communication difficulties, lack of insight and lack of language sophistication. Yet, it is well known that these individuals are about four-fold at risk of developing mental health problems. Cognitive behavior therapies (CBT) and other related therapies are becoming more recognized in the field of intellectual disabilities. Loss and bereavement is common among people with ID but their exposure to interventions such as Eye Movement Desensitization and Reprocessing (EMDR) has been limited. EMDR is a psychological intervention that encompasses many aspects of traditional therapies such as CBT and psychodynamic therapies. There is little research in this area for people with ID. This paper reports two cases in individuals with intellectual disabilities who were struggling with bereavement. They appear to have benefited from EMDR sessions and there may be scope for research to establish its efficacy in this field.

Keywords: Intellectual Disabilities

Accuracy Verified: Yes

13. Hechler, T., Blankenburg, M., Dobe, M,, Kosfelder, J., Hübner, B., & Zernikow, B. (2010, January). Effectiveness of a multimodal inpatient treatment for pediatric chronic pain: A comparison between children and adolescents. European Journal of Pain, 14(1), 97.e1–97.e9, DOI: 10.1016/j.ejpain.2009.03.002.

Language: English

Format: Journal

Abstract:
Objectives: To evaluate short and long-term treatment outcome of children (7-10 years) in comparison to adolescents (11-18 years) with disabling chronic pain following multimodal inpatient pain treatment. Patients and Methods: Thirty-three children and 167 adolescents underwent multimodal inpatient pain treatment. Standardized assessment of pain-related variables, disability, coping, and use of analgesics was performed at admission, 3- and 12-month follow-up. Results: Children and adolescents displayed similar pain-characteristics at admission. Adolescents demonstrated significantly higher disability and passive pain coping. Children relied more on others when in pain. All core variables (i.e., pain intensity, pain-related disability, school absence and pain-related coping) decreased significantly in both children and adolescents after 3 months. Both groups maintained this decline 12 months later. More than half of the children and adolescents demonstrated a 50%-reduction in pain intensity after 3 months, and almost 60% after 12 months. Use of analgesics was significantly reduced at 3-month follow-up with no additional changes after 12 months. While age did not exert any impact on results, there were significant gender differences in pain intensity and school absence. Girls demonstrated higher pain intensity and higher school absence 1 year following treatment. Conclusions: Children display similar pain-characteristics to adolescents when entering inpatient treatment. A multimodal inpatient program appears to stop the the long-term vicious cycle of disability and pain for both children and adolescents. The demonstrated gender differences raise issues for further research and the possibility of additional pain management strategies for girls.

Keywords: Adolescents Children Multimodal Inpatient Treatment Pediatric Chronic Pain

Accuracy Verified: Yes

14. Benjamin, A., Rodenburg, R., Stams, G. J., Meijer, A. M., & Jongeneel, R. (2007. Effectiviteit van EMDR bij kinderen gekoppeld aan mogelijkheden van EMDR voor mensen met een verstandelijke beperking. Een meta-analyse naar de effectiviteit van EMDR voor kinderen en een casus waarin de mogelijkheden van EMDR voor mensen met een verstandelijke beperking worden onderzocht [Effectiveness of EMDR in children linked to capabilities of EMDR for people with intellectual disabilities. A meta-analysis of the effectiveness of EMDR for children and a case in which the possibilities of EMDR for people with intellectual disabilities are examined]. Amsterdam: Universiteit van Amsterdam, pedagogische en onderwijskundige Wetenschappen (Masterscriptie Orthopedagogiek).

Language: Dutch

Format: Dissertation/Thesis

Keywords: Children Intellectual Disabilities

Accuracy Verified: Yes

15. Hofmann, A., & Hase, M. (2012, June). EMDR to treat chronic depression [EMDR en el tratamiento de la depresión]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Depression is an often debilitating disease with a high prevalence. Not only is depression associated with other diseases, often leads into disability but shows a high risk of suicides. Relapse is seen often and every relapse increases the risk of chronicity. Research shows that there is no strong correlation with genetic factors but with stressful life-‐events. There is growing evidence of the efficacy of EMDR in the treatment of chronic depression. Two pilot studies show promising data. A European multicenter study is running since 2010. As EMDR is often well tolerated and accepted there is hope to gain another option in the treatment of chronic depression. The EMDR depression protocol aims to achieving more complete remissions of a depressive episode and prevent later relapse. In this workshop the presenters will explain the depression protocol, regarding treatment planning, targeting sequence and techniques. Video demonstration will outline the teaching points and will enable the participant to integrate this approach into clinical practice.

La depresión es a menudo una enfermedad debilitante con una alta prevalencia. No sólo se asocia a otras enfermedades, en muchas ocasiones puede derivar en una invalidez y muestra un alto riesgo de suicidios. Las recaídas son muy comunes y cada recaída incrementa el riesgo de la cronicidad. Las investigaciones muestran que no existe una fuerte correlación entre los factores genéticos, pero sí con eventos vitales estresantes. Existe una creciente evidencia de la eficacia del EMDR para el tratamiento de la depresión crónica. Dos estudios piloto muestran datos prometedores en un centro multidisciplinar que lleva funcionando desde 2010. Como la terapia con EMDR normalmente es bien tolerada y aceptada, existe la esperanza de contar con otra opción para el tratamiento de depresión crónica. El protocolo de depresión crónica EMDR, tiene como objetivo conseguir una más completa remisión de los episodios depresivos y prevenir las recaídas. En este taller los ponentes explicarán el protocolo de depresión referente a la planificación del tratamiento, detección de secuencias y técnicas. Una demostración en vídeo resumirá las pautas de actuación y permitirá al profesional integrar este enfoque en la práctica clínica.

Keywords: Depression

Accuracy Verified: Yes

16. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience and the present through play to help them connect the pieces of experience into a narrative that is understandable for them. Every piece of trauma in the past is integrated into their life and may adversely influence their personality formation. Trauma work with children through play and EMDR techniques can be helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years old boy with learning disability. He was separated from his family and stayed at the residential home. He had his past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods. Because of his limitation, he preferred to communicate his emotions through action and play rather than verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied corresponding with the event in play, for example checking through the worst event, the negative event, the positive event, the strength, the changes taking place in their mind and the play. Most of his play started with the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were monitored at the residential home and at the school. It was found later that he could control his anger better and he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours, affects, and communication.

Keywords: Children Play Therapy

Accuracy Verified: Yes

17. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
A history of failed or disappointing relationships is a primary symptom for many clients. Bowen Theory is a family systems model that offers a conceptual roadmap for working with individuals, as well as families on enhancing the capacity to be a Self, while staying in healthy connection to others. The theory helps guide clear thinking about how the emotional system works within a multigenerational frame and offers concepts that predict human relational behavior over time. Yet, as we know, intellectual understanding can only bring us so far without the kind of whole brain integration that can be so swiftly brought about with EMDR treatment. By integrating the Adaptive Information Processing Model and the EMDR approach with Bowen Theory, this treatment model facilitates a client learning to have a whole new experience in their significant relationships. This workshop will provide a basic overview of Bowen Theory. An integrative model using Bowen Theory and EMDR will then be described, followed by an in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of EMDR targets causing high levels of reactivity involving closeness to others, coaching to re-work and repair significant relationships in the family of origin, and finally the targeting of present day triggers in a newly forming relationship.

Keywords: Bowen Theory Relationship Issues

Accuracy Verified: Yes

18. Hensel, T. (2007). EMDR bei mentaler behinderung [EMDR mental disability]. In EMDR mit kindern und jugendlichen: Ein handbuch (pp 215-219). Göttingen: Hogrefe .

Language: German

Format: Book Section

Keywords: Intellectual Disabilities

Accuracy Verified: Yes

19. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied. Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend. Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.

Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area. From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized. When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD

Accuracy Verified: Yes

20. Lievegoed, R., & Giltaij, H. (2005, November). EMDR bij mensen met een verstandelijke en/of meervoudige beperking [EMDR with people with mental and/or multiple restriction]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Na een korte inleiding over de speciale problemen die mensen met een Verstandelijke en/of Meervoudige (visueel-en-verstandelijke) Beperking in hun leven ontmoeten en de vele vormen van psychotrauma, die voor hen ontstaan door situaties die door anderen vaak niet als traumatisch worden ervaren (door het vermogen ervaringen zin en plaats te geven), zal vooral aan de hand van casuïstiek worden toegelicht hoe het EMDR standaardprotocol en de werkwijze aangepast kunnen worden aan de meer beperkte vaardigheden van de mensen in deze doelgroep. Hierbij zal ook gerefereerd worden aan de aanpassingen van het protocol zoals die voor jonge kinderen door diverse therapeuten is ontwikkeld, en die voor de onderhavige doelgroep vaak ook zeer relevant zijn. De behandeling van een vrouw met een sterke visuele beperking plus een verstandelijke handicap zal d.m.v. een video gedemonstreerd worden, nadat kort gewezen is op de problemen die iemand heeft met een dubbele handicap: er staan dan immers minder compensatiemogelijkheden voor de handicap(s) ter beschikking.
Doelstelling: Deelnemers leren zien dat EMDR ook bij de genoemde doelgroep(en) toegepast kan worden en maken kennis met enkele voorbeelden van hoe de behandeling specifiek vorm gegeven kan worden. Maar belangrijkste doelstelling van deze workshop is dat behandelaars enthousiast kunnen worden voor de toepassing van EMDR juist ook voor deze kwetsbare mensen!

After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a double Disabled: There are after all less than redress for disability (s) available.
Objective: Participants learn that EMDR also said the target group (s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people! After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a doubleDisabled: There are after all less than redress fordisability (s) available.
Objective:Participants learn that EMDR also said the target group(s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!

Keywords: Mental Disabilities Visual Impairments

Accuracy Verified: Yes

21. Dautovic, E., Aldenkamp, E., & Rodenburg, R. (2012, June). EMDR effectiveness in adults with PTSD and an intellectual disability: A case series [La efectividad del EMDR en adultos con una discapacidad intelectual y TEPT: Series de casos]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Background People with an intellectual disability (ID) have an increased vulnerability for abuse and assault, and subsequently an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD is found to be significantly higher in people with intellectual disabilities than in people without disabilities. Eye movement Desensitization and Reprocessing (EMDR) has proved to be an effective PTSD treatment in people without ID. EMDR is widely used in treating people with ID, while research into the effectiveness of EMDR in individuals with an ID is very scarce. Therefore more research is necessary to speak of EMDR being an evidence-based trauma treatment for this specific population. Objective The objective of this study was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) in treating PTSD in adults with an ID. The effects of the treatment on anxiety, symptoms of depression, and quality of life were also investigated. Methods From September 2010 till december 2012, adults with an ID, diagnosed with PTSD and treated with EMDR, were included in the study. Before and after treatment questionnaires were completed by the participants. Normative deviation scores (NDS) were calculated to estimate the condition of the participant before and after treatment compared to the non-disabled population. The Reliable Change Index (RCI) was used to establish statistically significant change due to treatment. Preliminary results Primarily, a significant change in PTSD symptoms, from clinical to non-clinical levels, is found. Secondarily, co-morbid anxiety and depression complaints are detected, which decline after treatment with EMDR. In addition, an increase in wellbeing in the participants is found. Conclusion From the preliminary results EMDR seems an effective treatment for PTSD in adults with an ID. However, for calculations are still being conducted, the final results and conclusions will be presented at the conference

La población con una discapacidad intelectual, tiene un riesgo mayor de vulnerabilidad para el abuso y el asalto, y por tanto un aumento en el riesgo de desarrollar un trastorno de estrés post-‐traumático (TEPT). La prevalencia del TEPT es significativamente mayor en personas con retraso mental que en personas sin este tipo de discapacidad. El EMDR ha sido mostrado como efectivo en el tratamiento del TEPT en personas sin discapacidad intelectual. EDMR es ampliamente usado en el tratamiento de personas con discapacidad intelectual, mientras tanto la investigación en la efectividad del EMDR en personas con discapacidad intelectual es muy escasa. Consecuentemente mas investigaciones son necesarias para hablar de EMDR siendo un tratamiento valido para el trauma en esta población especifica. El objetivo de este estudio fue investigar la eficacia del reprocesamiento por movimiento oculares (EMDR) en el tratamiento del TEPT en adultos con una deficiencia mental. Los efectos de este tratamiento en ansiedad, síntomas de depresión y calidad de vida fueron también investigados. Desde Septiembre de 2010 hasta diciembre de 2012, los adultos con una deficiencia mental, fueron diagnosticados de TEPT y tratados con EMDR, fueron incluidos en este estudio. Se pasaron cuestionarios pre y post tratamiento a los participantes. Las puntuaciones de desviación típica fueron calculadas para estimar la condición del participante antes y después del tratamiento comparada con la población sin discapacidad. El índice de cambio real (RCI) fue utilizado para establecer de manera estadísticamente significativa el cambio debido al tratamiento. Los resultados preliminares, muestran un cambio significativo en el los síntomas del TEPT, en niveles clínicos y no clínicos. De manera secundaria, quejas de comorbilidad con ansiedad y depresión fueron detectadas que disminuyeron tras el tratamiento con EMDR. Además, un incremento en el bienestar de los participantes fue encontrado. La conclusión de estos datos preliminares es que el EMDR parece ser un tratamiento efectivo para el TEPT en adultos con una discapacidad intelectual. Sin embargo, los cálculos aún están siendo analizados, los resultados finales y las conclusiones serán presentadas en la conferencia.

Keywords: Adults Intellectual Disability Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

22. Dautovic, E., Aldenkamp, E., & Rodenburg, H. R. (2011, September). EMDR effectiveness in adults with PTSD and intellectual disability: A case series. Presentation at the Annual Meeting of the International Mental Health In Intellectual Disability Congress, Manchester, UK.

Language: English

Format: Conference

Keywords: Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

23. Lievegoed, R. (2005, June). EMDR for mentally retarded people. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
After a short introduction concerning the special problems people with an intellectual handicap often have in their iives and the many forms of psychotrauma which arise for them in situations which are by others sometimes not experienced as traumatic, we'll show by means of case studies how the protocol can be adapted to the limited skills of people in this target group. We also refer to the adaptations of the protocol for young children. Participants will learn to see that EMDR can very well be applied for this target group and how they should proceed with the treatment. Our most important aim is that therapists can become motivated to also use EMDR for these people!

Keywords: Mental Retardation Poster

Accuracy Verified: Yes

24. Seubert, A. & McDonagh, J. (2002). EMDR mit geistig behinderten Menschen [EMDR with mentally disabled clients]. Institut fur Traumatherapie [8 pages].

Language: German

Format: Other

Abstract:
John ist Psychotherapeut und arbeitet seit einigen Jahren mit Menschen mit geistiger Behinderung, allerdings betont er mehrfach, dass es sich bei seinen Klienten um mildly retarded clients mit guten sprachlichen Möglichkeiten handelt, das entspricht im Deutschen eher dem Begriff der Lernbehinderung. Er bedauert, dass es nach wie vor die weitverbreitete Annahme gibt, dass Menschen mit psychiatrischen Problemen und einer leichten geistigen Behinderung nicht von Psychotherapie profitieren können oder dass sie allenfalls mit Verhaltenstherapie oder Medikamenten behandelt werden. Dabei hat er selbst die Erfahrung gemacht, dass diese Klienten genauso gut auf EMDR ansprechen, wie andere auch.

John is a psychotherapist and has worked for several years with people with intellectual disabilities, but he repeatedly stressed that it is mildly retarded with his clients to clients with good linguistic possibilities, which corresponds more to the German concept of learning disability. He regrets that it still is the widespread assumption that persons with psychiatric problems and a slight mental disability can benefit from psychotherapy or that they at best treated with behavioral therapy or medications. He himself made the experience that these clients respond as well to EMDR, like any other.

Keywords: Mentally Disabled Mentally Handicapped

Accuracy Verified: Yes

25. Hensel, T. (2012, Juni). EMDR mit kindern und jugendlichen mit mentalen handicaps [EMDR with children and adolescents with mental handicaps]. Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: German

Format: Conference

Abstract: EMDR bei mentaler: Behinderung
Der Zugang zu traumatischen Erinnerungen und das visuelle Vorstellungsvermögen bei biografischen Episoden ist NICHT gestört.
Die Verarbeitungsprozesse laufen NICHT langsamer ab.

EMDR mental: disability
Access to traumatic memories and the visual imagination in biographical episodes is NOT disturbed.
processing processes are NOT slower. {Excerpt]

Keywords: Adolescents Children Intellectual Disabilities

Accuracy Verified: Yes

26. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co.

Language: English

Format: Book

Abstract:
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]

Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

27. Mevissen, L., Lievegoed, R., & de Jongh, A. (2010, March). EMDR treatment in people with mild ID and PTSD: 4 cases. Psychiatric Quarterly, 82(1), 43-57. doi:10.1007/s11126-010-9147-x.

Language: English

Format: Magazine

Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four people with mild ID, suffering from PTSD following various kinds of trauma. In all cases PTSD symptoms decreased and the gains were maintained at 3 months to 2.5 year follow-up. In addition, depressive symptoms and physical complaints subsided, and social and adaptive skills improved. It is concluded that clients' improvements converge to suggest the applicability of EMDR in people with mild ID. Difficulties involved in arriving at an accurate PTSD diagnosis in ID clients are discussed.

Keywords: ID Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

28. Seubert, A. (2005). EMDR with clients with mental disability. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 293-311). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Until recent times those with the dual diagnosis of mental retardation and mental health issues were deemed inappropriate candidates for counseling or psychotherapy. Dysfunctional behaviors and emotional displays generated by mood disorders, grief, or trauma were often written off as part of the mental disability, in what has come to be known as diagnostic overshadowing. Time, experience, and compassion have changed this. Counseling and psychotherapy have been shown to be "feasible and successful" with this population. Most effective are approaches that utilize and integrate concrete, experiential, and behavioral aspects of the treatment. The task and responsibility of the therapist is to follow the client's internal and interpersonal process as it reveals itself and find the ways, means, and language to facilitate this organic movement toward well-being. [Text, p. 293] [Pilots]

Keywords: Mentally Retarded Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

29. Mevissen, L., & Lievegoed, L. (2012, June). EMDR, a healing pathway also for people with Autism? [Mevissen]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Autism is characterized by impairment in information processing, with direct consequences for the AIP in EMDR as a result. This core impairment in autism strongly influences attachment development, relation to and communication with others, sense of self, relation to the own body and thus to bodily senses, functioning of the sensory system (hypo or hyper), view on the world, development of cognitive schemata and development of the stress system. People with autism are easily traumatized, even by 'small-‐small-‐t events'. Often a single trauma leads to complex traumatization. Because PTSD symptoms mimic symptoms of autism, 'diagnostic overshadowing' is a frequently seen phenomenon. This is even more the case in clients with some form of intellectual disability. In this workshop several cases of people with autism treated with EMDR will be presented and discussed, with the use of abundant video material: cases in which treatment is influenced by the autism, as well as cases in which the diagnosis 'autism' no longer fits after treatment of PTSD symptoms, or the other way round when a client referred for PTSD shows up in the course of treatment as having an autism spectrum disorder. Autism has consequences for all phases of the 8 phase 3 pronged therapy model of EMDR. This workshop emphasizes on the creative implementation of the core principles of EMDR in the treatment of people with various autism spectrum disorders.

El autismo se caracteriza por un impedimento del procesamiento de la información y, por tanto, con consecuencias directas para el SPIA en EMDR. Este impedimento fundamental en el autismo incide fuertemente en el desarrollo del apego, las relaciones y la comunicación con terceros, sentido del yo, la relación para con el propio cuerpo y, por ende, con los sentidos corporales, el funcionamiento del sistema sensorial (hipo o hiper), con su visión del mundo, el desarrollo de esquemas cognitivos y con el desarrollo del sistema del estrés. Las personas con autismo sufren traumatización con facilidad, incluido como consecuencia de 'sucesos con t minúscula'. A menudo, un único trauma conduce a una traumatización compleja. Dado que los síntomas de TEPT imitan los síntomas del autismo, 'el eclipse diagnóstico' es un fenómeno frecuente, aún más entre clientes que sufren algún tipo de discapacidad intelectual. En este taller, se presentará y se hablara de varios casos de personas con autismo que han sido tratados con EMDR, sirviéndose de mucho material en vídeo: aquellos casos en los que el tratamiento se ve afectado por el autismo, así como aquellos en los que el diagnóstico de 'autismo' deja de ser apropiado tras el tratamiento de los síntomas de TEPT o viceversa cuando en el transcurso del tratamiento, resulta que un cliente derivado por TEPT presenta un trastorno del espectro autista. El autismo tiene consecuencias en todas las fases del modelo terapéutico de EMDR que consta de 8 fases que trabajan en tres contextos. Este taller resalta la implantación creativa de los principios fundamentales del EMDR en el tratamiento de personas que sufren trastornos del espectro autista.

Keywords: Autism

Accuracy Verified: Yes

30. Montgomery, R. W. (1993). An empirical investigation of eye movement desensitization. Georgia State University, Atlanta, GA. AAT 9409413.

Language: English

Format: Dissertation/Thesis

Abstract:
Recently, a series of studies have presented a highly unorthodox procedure, Eye Movement Desensitization (EMD), which involved the repeated exposure of a subject to their own disturbing memories while generating a series of saccadic eye movements. These reports are largely clinical case reports, therefore the technique has not been empirically validated. The current investigation determined if the simple saccadic eye movements (rhythmically tracking a stimulus) in conjunction with the repeated exposure decreased the intensity of disturbing memories experienced in PTSD or whether such decreases could be obtained through repeated exposure alone. Subject's self-reports and physiological information regarding the discomfort experienced during their disturbing memories were recorded prior to, during, and following treatment. Diagnostic procedures including a structured clinical interview were utilized in making diagnoses.A series of three multiple baseline across subjects single-case experimental designs were utilized. Results indicate that rates of distress were uniformly high during the intake/baseline. The initial control treatment condition, Shapiro's EMD treatment package minus the saccadic eye movements, was ineffective in altering these high levels of distress. Treatment of these 6 patients with the EMD protocol resulted in 5 of the 6 subjects showing clinically significant decreases in their self-reported levels of distress around their intrusive disturbing memories. Physiological data also reflected greater positive change during the EMD treatment for each subject. Overall, the EMD treatment protocol resulted in over a 70% decrease in self-reported distress across the 6 subjects investigated. This investigation of the use of EMD with non-combat PTSD subjects reflects the first investigation of EMD with this population utilizing single-case experimental methodology. The results were clear and dramatic. The treatment was effective with 5 of the 6 subjects and for that subject who reported no positive changes issues of secondary gain for continued disability were salient. Overall, this report represents an attempt to investigate EMD with a PTSD population utilizing a systematically replicated multiple baseline across subjects design. Further investigation, particularly focusing on treatment package dismantling, is therefore called for with EMD. [Author Abstract]

Keywords: Clinical Trial Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

31. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635..

Language: English

Format: Journal

Abstract:
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]

Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT

Accuracy Verified: Yes

32. Du Bois, M. G., & de Kroon, M. (2008, August). Enlarging skills and self-efficacy as an important outcome of EMDR with individuals with ID. Poster presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Many individuals with behaviour problems have long-lasting negative experiences in relation to their environment. Because of this they often have low self-esteem. The treatment is focussed on reduction of complaints and acquisition of skills. But the treatment is more successful when there is also the acquisition of a positive view of the self. EMDR is mainly focussed on trauma treatment and positive cognitive connotation. This competence is very useful as a therapeutic intervention when reinforcing a positive self in people with ID. For our target group it is difficult to translate a positive cognition to daily life. With the use of resources from EMDR such as the use of objects and manual communication, the self image can be reinforced and advance the practising of behaviour experiments. This poster will focus on theory of EMDR and practical implications.

Keywords: ID Intellectual Disabilities Poster

Accuracy Verified: Yes

33. du Bois, M. G., & de Kroon, M. (2008, August). Enlarging skills and self-efficacy as an important outcome of EMDR with individuals with ID: Presenting a video case. Poster presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa .

Language: English

Format: Conference

Abstract: Eye Movement Desensitisation and Reprocessing’s basic principles, procedures and protocols direct the clinician in assisting clients to transmute negative experiences into adaptive learning experiences. EMDR is also recognised as giving resources with a positive picture to assist processing the traumatic experiences. The so-called Resource Development and Installation (RDI) is a specific strategy to strengthen the client by mobilising and strengthening positive cognitions associated with positive experiences in the past. By activating positive functional memory networks and relating the positive picture with the present, the client will be able to practise these in situations where they feel problematic. A client with ID is able to transfer a positive picture to the present. On the basis of these data, presented in a video case, we will give examples of our practise as clinicians in the mental health care of individuals with ID.

Keywords: ID Intellectual Disabilities

Accuracy Verified: Yes

34. Jumelet, C. (2011, April). Eye movement desensitisation and reprocessing (EMDR) bij kinderen met een verstandelijke beperking [Eye Movement Desensitisation and Reprocessing (EMDR) in children with intellectual disabilities]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract: Achtergrond: Eye movement desensitisation and reprocessing (EMDR) is een evidence-based behandelmethode voor zowel kinderen als volwassenen die blijvende psychische of lichamelijke klachten overhouden aan een of meer ingrijpende gebeurtenissen. Er is nog nauwelijks effectonderzoek verricht bij kinderen met een verstandelijke beperking (VB). Deze doelgroep heeft meer risico op traumatische ervaringen vanwege beperkte cognitieve en verbale vaardigheden en geringere draagkracht (Mevissen 2010). EMDR doet weinig beroep op verbale mogelijkheden, is een concrete en directieve methode en lijkt daarom in het bijzonder geschikt voor kinderen met een VB. Doel: emdr beschikbaar maken voor getraumatiseerde kinderen met een VB. Methoden: Bestaande EMDR-protocollen worden aangepast door elementen aan te brengen als: visualiseren middels pictogrammen; ouders meer betrekken, bijvoorbeeld door hen het verhaal te laten vertellen; effectevaluatie via ouders en belangrijke derden (leerkracht), meer herhaling en meer sessies. Resultaten: In een caseserie van 10 patiënten met een iq tussen 50-85 was er in 70% een goed resultaat. Alle patiënten maakten de behandeling af. Het aantal sessies varieerde tussen 2 en 10. Conclusie: emdr is een veelbelovende behandelmethode bij kinderen met een VB.
Background: Eye Movement Desensitisation and reprocessing (EMDR) is an evidence-based treatment for both children and adults that permanent mental or physical complaints about holding one or more major events. There is little outcome research performed in children with intellectual restriction (VB). This group has more risk limited due to traumatic experiences cognitive and verbal skills and lower capacity (Mevissen 2010). EMDR does little rely on verbal abilities, is a concrete and directive method and therefore seems particularly for children with a VB. Purpose: EMDR available to traumatized children with a VB. Methods: Existing EMDR protocols be modified by elements to as: visualization using icons; parents more involved, by for instance the story to tell, through impact assessment parents and significant others (teacher), more repetition and more sessions. Results: In a case series of 10 patients with an IQ between 50-85, there was 70% a good result. All the patients were treatment. The number of sessions varied between 2 and 10. Conclusion: EMDR is a promising treatment for children with VB.

Keywords: Children Intellectual Disabilities

Accuracy Verified: Yes

35. Mevissen-Renckens, L., & Lievegoed, R. (2009). Eye movement desensitisation and reprocessing (EMDR) A treatment method for trauma-related psychiatric disorders and psycho-social problems related to negative life events. Presentation at the 7th European Congress of Mental Health in Intellectual Disability, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
In the last two decades there is an increasing number of studies on the effects of trauma and life events in people with Intellectual Disabilities (ID). Behavioural problems and depressive symptoms are frequently reported. Post Traumatic Stress Disorder (PTSD) is a specifi c trauma-related anxiety disorder with high prevalence rates in the normal population and with disruptive effects on the patient’s everyday life. As in children, behavioural problems are supposed to be a common feature in people with ID who have been exposed to traumatic life events.
In regard to the general vulnerability of people with ID, PTSD is supposed to be considerably under diagnosed and under treated in this population. In the normal population Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR) are evidence based treatment methods for PTSD. Because of its highly nonverbal character EMDR seems to be a suitable treatment method for people with intellectual and developmental disabilities.
In this workshop the focus is on
• the recognition of symptoms related to psycho trauma or to sequences of negative life experiences, illustrated by a variety of case studies on people with ID.
• EMDR treatment in children and adults with a mild, moderate or severe ID, illustrated by video presentations. The participants get opportunities to experience some working mechanisms of EMDR by supervised practicing.

Keywords: Negative Life Events Psychiatric Disorders Psycho-Social Problems

Accuracy Verified: No

36. Rodenburg, R., Benjamin, A., Meijer, A. M., & Jongeneel, R. (2009, September). Eye movement desensitization and reprocessing in an adolescent with epilepsy and mild intellectual disability. Epilepsy & Behavior, 16(1), 175-180. doi:10.1016/j.yebeh.2009.07.015.

Language: English

Format: Journal

Abstract:
Intellectual disability is a comorbid condition in epilepsy. People with epilepsy and intellectual disability are at high risk of developing behavioral problems. Among the many contributors to behavioral problems in people with epilepsy and intellectual disability are those of traumatic experiences. As such, behavioral problems can be seen as a reflection of these traumatic experiences. Among established trauma therapies, eye movement desensitization and reprocessing (EMDR) is an emerging treatment that is effective in adults and also seems to be effective in children. This article is a case report of EMDR in an adolescent with epilepsy and mild intellectual disability, in whom the EMDR children’s protocol was used. The aim was to assess whether clinical trauma status significantly diminished to nonclinical status posttreatment. Change in trauma symptoms was evaluated with the Reliable Change Index (RCI). Results showed a significant decrease in trauma symptoms toward nonclinical status from pretreatment to posttreatment. EMDR consequences for epilepsy and intellectual disability are discussed.[Elsevier 2009]

Keywords: Case Report Children Epilepsy Intellectual Disability Reliable Change Index Trauma Symptoms

Accuracy Verified: Yes

37. Krafona, K. (2010). Eye movement desensitization and reprocessing with individuals with autistic spectrum disorders: Two case reports. The Ghana International Journal of Mental Health, 2(1).

Language: English

Format: Journal

Abstract: Individuals with intellectual disabilities (ID) as well as those with autistic spectrum disorders (ASD) tend to have mental health problems as well. Many individuals with intellectual disability and ASD do not receive mainstream psychotherapy. Cognitive behavioral therapy appears to be making good success among this client group. Eye movement desensitization and reprocessing (EMDR) is relatively new among the psychological therapies but it has made a great impact in the treatment of post-traumatic stress disorders (PTSD) and anxiety-related problems. In this paper, the use of EMDR with two individuals who had ASD as well as ID is reported and implications for further research delineated.

Keywords: Autistic Spectrum Disorder

Accuracy Verified: Yes

38. Hassard, A. (1993). Eye movement desensitization of body image. Behavioural and Cognitive Psychotherapy, 21(2), 157-160. doi:10.1017/S0141347300018127.

Language: English

Format: Journal

Abstract:
This single case history reports the use of eye movement desensitization, a new cognitive therapy procedure originally developed for PTSD and similar problems, to treat anxieties and body image problems resulting from operation scars and a degree of physical disability. The procedure was effective within one session and subsequent improvements in behaviour and cognitions reported. [Author Abstract]

Keywords: Adults Case Report Disfigurement Females Physical Pain Self Concept Surgical Procedures Survivors

Accuracy Verified: Yes

39. Staff. (1996, March 14). The eyes have it: How the method works -- Here's how eye-movement desensitization and reprocessing is performed. Salt Lake City, UT: Salt Lake Tribune, Final, C8.

Language: English

Format: Newspaper

Abstract:
Therapists say clients with a single tramuatic event may need only one to three 90-minute sessions. Those with chronic post-traumatic stress disorder -- women molested for years as children or Vietnam veterans -- can require many more sessions as well as other kinds of assistance to treat what EMDR creator Francine Shapiro calls ``secondary gain.'' These are the benefits that reinforce the trauma, such as the disability checks a Vietnam veteran receives or the attention and nurturing a molestation victim gets.

Keywords: General Overview Salt Lake City

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Galvanic Skin Response Tactile Desensitization Verbal Prompts

Accuracy Verified: Yes

41. Seubert, A. (2007, June). The heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: For the past three decades clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of clients with mental disability (MH/MR)(Objective #1). At first, behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population. Particularly through the use of process therapies, it has become clear that traditional insight and cognitive therapy must be adopted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population.
EMDR, given it primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model (Objective #2). Attention will also be given to ways in which the basic EMDR protocol need to be adapted to meet the needs of these clients (Objective #3).
A report on the progress of a series of single case studies with client with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clip of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR (Objective #4).
The workshop will leave time for participants to apply the learning to cases of their own (Objective #5).

Keywords: Mental Disability

Accuracy Verified: Yes

42. Seubert, A. (2008, June). A heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
For the past three decades clinical experience as well as research has supported the validity of counselling and psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centred, play) have been effectively employed with this population. Particularly through the use of process therapies it has become clear that traditional insight and cognitive therapy must be adapted in favour of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population. EMDR, given its primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model. Attention will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of these clients. A report on the progress of a series of single case studies with clients with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clips of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR. The workshop will leave time for participants to apply the learning to cases of their own.

Keywords: Mental Disabilities

Accuracy Verified: Yes

43. Giamp, J. S. (2003). Honoring their voice: Eye movement desensitization and reprocessing through the eyes of inmates with developmental disabilities. Walden University, Minneapolis, MN. AAT 3119790.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) on inmates with developmental disabilities (DD) who were incarcerated in a special needs correctional facility in the southwestern United States. Cognitively, these inmates ranged from borderline intellectual functioning (BIF) to mild mental retardation (MMR), and all suffered from PTSD-like symptoms. A repeated measure pre- and postanalysis design with one sample group was utilized. The Emotional Problem Scales (EPS), Impact of Events Scales - 8 Items (IES-8), Validity of Cognition Scales (VOCS), and Subjective Units of Disturbance Scales (SUDS) were used to gather quantitative data on the 17 volunteer participants. Baseline and outcome data were collected by an independent assessor. The T-Test was incorporated to analyze the data and determine significance. Due to the small sample of convenience, the data were skewed, so the researcher also used the nonparametric Wilcoxon Signed Rank Test. Descriptive data on EMDR were collected and analyzed.As measured by the SUDS, IES-8, and VOCS, the statistical findings revealed self-reported reductions in levels of distress, avoidance, and intrusiveness of the traumatic memory, and an increase in self-esteem and the believability of positive cognitions about self and the event after the application of EMDR. However, the clinical scales from the Self-Report Inventory (SRI) of the EPS did not reveal any changes after the application of EMDR. Staff familiar with the study volunteers also reported a significant decrease in clinical pathology and an increase in prosocial behavior, as measured by the Behavior Rating Scale (BRS) of the EPS. Findings suggest that the utilization of EMDR with persons having developmental disabilities may have clinical utility. Thus, further research in this area is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 436.

Keywords: Americans Empirical Study Mentally Retarded Posttraumatic Stress Disorder Prison Inmates PTSD Quantitative Study Self Esteem Treatment Effectiveness

Accuracy Verified: Yes

44. Ford, G., & Adler-Tapia, R. (2010, November). Improving lives: Diagnosis of PTSD and EMDR treatment for people with I/DD. Plenary presented at the annual NASDDDDS (National Association of State Directors of Developmental Disabilities Services) Conference, Arlington, VA..

Language: English

Format: Conference

Abstract:
Due to their vulnerability and cognitive functioning, people with intellectual/developmental (I/DD) disabilities experience Post-Traumatic Stress Disorder (PTSD) more often than the general population. Their symptoms are often undiagnosed, and remain untreated because these individuals are unable to identify and express their experiences and needs. Furthermore, the symptoms of trauma may be misinterpreted as problematic behavior and unnecessary medications prescribed. Many professionals are not aware of the successful use of EMDR with people with I/DD. EMDR is an efficacious treatment for trauma where the standard protocol can be adapted to the intellectual and developmental level of the individual. Not only can EMDR improve the lives of individuals, but may result in the need for less intensive and expensive supports.

Keywords: I/DD Intellectual/Developmental Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

45. Adler-Tapia, R., & Ford, G. (2011, August). Improving lives: PTSD and the use of EMDR in psychotherapy for people with intellectual & developmental disabilities. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Due to their vulnerability and cognitive functioning, people with intellectual/developmental (I/DD) disabilities experience Post-Traumatic Stress Disorder (PTSD) more often than the general population. Symptoms are often undiagnosed, and remain untreated causing years of unnecessary suffering because these individuals are unable to identify and express their experiences and needs. These symptoms of trauma may be misinterpreted as problematic behaviors for which unnecessary medications are prescribed. Many professionals are not aware of the successful use of EMDR with people with I/DD. EMDR is an efficacious treatment for trauma where the standard protocol can be adapted to the intellectual and developmental level of the individual. Not only can EMDR improve the lives of individuals, but may result in the need for less intensive and expensive supports.

Keywords: Developmental Disabilities Mental Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

46. Spence, J., Titov, N., Johnston, L., Dear, B. F., Wootton, B., Terides, M., & Zou, J. (2013, March). Internet-delivered eye movement desensitization and reprocessing (iEMDR): An open trial [v1; ref status: indexed, http://f1000r.es/8l]. F1000Research, 2, 79. doi:10.12688/f1000research.2-79.v1).

Language: English

Format: Other

Abstract:
Recent research indicates internet-delivered cognitive behavioural therapy (iCBT) can reduce symptoms of post traumatic stress disorder (PTSD). This study examined the efficacy of an internet-delivered treatment protocol that combined iCBT and internet-delivered eye movement desensitization and reprocessing (iEMDR), in an uncontrolled trial. Eleven of the 15 participants completed post-treatment questionnaires. Large effect sizes were found from pre-treatment to 3-month follow-up (d = 1.03 – 1.61) on clinician-assessed and self-reported measures of PTSD, anxiety and distress, with moderate effect sizes (d = 0.59 – 0.70) found on measures of depression and disability. At post-treatment, 55% of the participants no longer met criteria for PTSD and this was sustained at follow-up. Symptom worsening occurred in 3 of 15 (20%) of the sample from pre- to post-treatment; however, these participants reported overall symptom improvement by follow-up. Future research directions for iEMDR are discussed.

Keywords: Internet-Delivered

Accuracy Verified: Yes

47. National Council on Disability (2009, March). Invisible wounds: Serving service members and veterans with PTSD and TBI. Author.

Language: English

Format: Publication

Abstract:
More than 1.6 million American service members have deployed to Iraq and Afghanistan in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). As of December 2008, more than 4,000 troops have been killed and over 30,000 have returned from a combat zone with visible wounds and a range of permanent disabilities. In addition, an estimated 25-40 percent have less visible wounds--psychological and neurological injuries associated with post traumatic stress disorder (PTSD) or traumatic brain injury (TBI), which have been dubbed "signature injuries" of the Iraq War. National Council on Disability (NCD) concurs with the recommendations of previous Commissions, Task Forces and national organizations that: (1) A comprehensive continuum of care for mental disorders, including PTSD, and for TBI should be readily accessible by all service members and veterans. This requires adequate staffing and adequate funding of Veterans Administration (VA) and Department of Defense (DoD) health systems; (2) Mechanisms for screening service members for PTSD and TBI should be continuously improved to include baseline testing for all Service Members pre-deployment and follow up testing for individuals that are placed in situations where head trauma may occur; and (3) The current array of mental health and substance abuse services covered by TRICARE should be expanded and brought in line with other similar health plans. As this report indicates, the medical and scientific knowledge needed to comprehensively address PTSD and TBI is incomplete. However, many evidence-based practices do exist. Unfortunately, service members and veterans face a number of barriers in accessing these practices including stigma; inadequate information; insufficient services to support families; limited access to available services, and a shortage of services in some areas. Many studies and commissions have presented detailed recommendations to address these needs. There is an urgent need to implement these recommendations. (Contains 4 exhibits.)

Keywords: Afghanistan Iraq Military Posttraumatic Stress Disorder PTSD TBI Traumatic Brain Injury Veterans

Accuracy Verified: Yes

48. Navas-Torrejano, D. S. (2011, Enereo-Junio). La desensibilización y reprocesamiento del movimiento (EMDR): El tratamiento para el trastorno de estrés postraumático [Eye movement desensitization and reprocessing (EMDR): Treatment for posttraumatic stress disorder]. Revista Ciencias Biomédicas, 2(1), 158-162.

Language: Spanish

Format: Journal

Abstract:
El trastorno de estrés postraumático está clasificado como uno de los trastornos deansiedad dado como una respuesta patológica a un evento estresante que supone unriesgo físico o psicológico. Corresponde a un problema de salud pública que causagran incapacidad y dificultades en el desarrollo biopsicosocial de la persona afectada.Actualmente se llevan a cabo diferentes métodos terapéuticos para el tratamiento dedicha patología, dentro de las mas estudiadas y con amplios resultados positivos seencuentra la terapia de reprocesamiento llamada Desensibilización y Reprocesamientopor medio de Movimiento Ocular (EMDR por sus siglas en inglés) basado en estimulaciónbilateral ocular, principalmente, que otorga al paciente la oportunidad de asimilar elevento traumático transformando su contenido emocional y brindando adaptación eintegración de la información y equilibrio físico y psicológico con respuestas adaptativasque permite el desarrollo e interacción normal con el entorno. Con la Técnica EMDR paraenfrentar el trastorno de estrés postraumatico, se alcanza que si bien el recuerdo está,ya no hiere.

Posttraumatic stress disorder is classified as an anxiety disorder characterized for apathological response to a stressful event that involves a physical or psychological risk.It is a public health problem that causes great disability and difficulties in biopsychosocialdevelopment of the patient. Currently, there are different therapeutic methods fortreating this disease; the most studied one with positive results is “eye movementdesensitization and reprocessing” (EMDR) based on bilateral visual stimulation, whichgives the patient an opportunity to assimilate the traumatic event, transforming itsemotional content and providing adaptation and integration of information and physicaland psychological balance with adaptive responses allowing normal development andinteraction with the environment. With EMDR to address post-traumatic stress disorderthe memory is there, but it does not hurt.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

49. Offen, L., Sterkenburg, P.. S., & Mevissen-Renckens, L. (2008, August). Mental health - EMDR therapy and psychotherapy and ID. Presentation (Moderator, A. Jahoda) at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Keywords: Intellectual Disabilities

Accuracy Verified: Yes

50. Sultan, K. (2012, October). My mission to Turkey & Libya. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
This presentation covers my mission to Turkey during February 2012, and Libya during April 2012. I am a Psychiatrist practising EMDR and living in Yorkshire and originating from Syria. My mission to Turkey resulted in diagnosing and successfully treating fifteen cases of PTSD with EMDR treatment as well as an additional seven cases of clinical depression. In addition I was able to review clients with several other psychiatric disorders. My mission to Libya resulted in assessing and treating around forty patients with PTSD with or without depression, Psychotic illnesses, autistic spectrum disorder, learning disability, phobias, and depression with bereavement. I can report that 32 of the 40 cases resulted in significant improvement.

Keywords: Libya Turkey

Accuracy Verified: Yes

51. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Definition of client population: Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their perfectionism or their quiet devaluing of others. View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style. People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters, however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either superior and powerful or inferior and worthless; supportive and admiring or critical and attacking. Difficulties in using EMDR: Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect, other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and worthlessness and their confusion about who they are and what is truly meaningful and valuable to them. Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts, body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change. In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or painful past experiences. Length of treatment: I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires. Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions: The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions. Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire me. It is often helpful to narrow these cognitions down to make them manageable with EMDR Treatment: In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed Among other things, these facilitate more effective copitive interweaves. The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's own response to situations he has witnessed in news media, TV, movies or theater. A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the client as supportive but nevertheless make hun or her aware of having wandered. Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must, however, retain her healthy perspective if the client is to learn to accept himself. For more clinical information about treating disorders of the self: 1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York, N. Y., 1990 2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992. 3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach, Professional Resource Exchange, Inc., Sarasota, Florida, 1990.

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

52. Dees, L. (2006, November 10). A new way to treat stress: Trauma responds to moving-finger-therapy. Biloxi, MS: Sun Herald, Your Life, B1.

Language: English

Format: Newspaper

Abstract:
Jeffries' psychologist used eye-movement desensitization and reprocessing. EMDR therapy is based on the principle that traumatic memories are stored differently in the brain --- recorded as bits and pieces. EMDR tries to create "cohesive images" by adding clinician-guided eye movements and tactile stimulation to the traditional intellectual approach.

Keywords: Biloxi General Overview Stress

Accuracy Verified: Yes

53. Lilieblad, B. (1996, October 9). Ogonrorelser vid bearbetning av traumatisk stress [Eye movements when coping with traumatic stress]. Läkartidningen, 93(41), 3553.

Language: Swedish

Format: Newsletter

Abstract:
Många personer som exponerats för traumatisk stress kan inte verbalisera sina upplevelser och känslor vilket försvårar krisbearbetningen. En del av dessa riskerar psykisk invaliditet, posttraumatiskt stresssyndrom (PTSD).

Many people who were exposed of traumatic stress can not verbalize their experiences and feelings which complicates emergency processing. Some of these risk mental disability, post-traumatic stress syndrome (PTSD).

Keywords: Letter Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

55. Kelley, S. D., & Bozorg, A. (2010, December). Outcomes of trauma-induced psychogenic nonepileptic attacks treated with eye movement desensitization and reprocessing. Poster presented at the 64th Annual Meeting of the American Epilepsy Society, San Antonio, TX.

Language: English

Format: Conference

Abstract:
Rationale: Because of high rates of trauma (44-100%) and abuse (23-77%) among PNEA patients, it has been suggested that PNEA are a clinical expression of a PTSD subtype. Although little is known about psychological treatments that are most effective with PNEA, EMDR has proved to be an effective treatment for trauma and is now showing promise in the treatment of PNEA patients with trauma and abuse histories. This presentation details outcomes of 74 patients with PNEA, the majority of whom have such histories, who have been referred for mental health treatment. Methods: This study integrates EMDR into the mental health treatment of PNEA patients referred after video EEG monitoring confirmed the presence of psychogenic attacks and diagnostic interviews revealed virtually ubiquitous trauma and abuse histories/experiences. Data were analyzed for patients referred over a 6-year period from a hospital-based clinic serving Floridians and persons from the southeastern US. Results: The study protocol was comprised of 2-3 initial sessions for diagnosis and rapport building followed by weekly EMDR ranging from 3 to 15 sessions. Of 74 patients referred, 31 were from distant locales and were matched with mental health practitioners in their home locations. 43 patients were interviewed; 20 were seen for consultation only - they refused treatment, preferring to pursue disability benefits. 21 of 23 remaining had trauma and abuse histories. 14 of those realized complete remission of PNEA with EMDR; 8 discontinued treatment because of relocation, transportation difficulties, and the like. Followup reveals no return to seizure status. Conclusions: EMDR appears to be an efficacious intervention in the psychological treatment of PNEA patients with trauma histories. A two year highly innovative single center randomized controlled tial comparing EMDR with another innovative promising approach, Neurofeedback Therapy (NFT) is planned for the fall of 2010 for 60 patients.

Keywords: Trauma-Induced Psychogenic Nonepileptic Attacks

Accuracy Verified: Yes

56. Hechler, T., Dobe, M., Damschen, U., Blankenburg, M., Schroeder, S., Kosfelder, J., & Zernikow, B. (2010, June). The pain provocation technique for adolescents with chronic pain: Preliminary evidence for its effectiveness. Pain Medicine, (11), 897-910.

Language: English

Format: Journal

Abstract:
Objective: This study aims to investigate the effectiveness of the "pain provocation technique" (PPT)--a focused treatment strategy incorporating interoceptive exposure (i.e., imagining increases in pain intensity), bilateral stimulation (tactile stimulation), and implementation of pain-related coping to decrease pain intensity--for adolescents suffering from chronic pain. Design: Prospective observational comparative study. Methods: Adolescents utilizing PPT (19 boys and 21 girls) within multimodal inpatient treatment were compared with adolescents in standard multimodal inpatient treatment matched for age, gender, and diagnosis. Core outcome variables (pain intensity, disability, emotional distress) were assessed at admission and 3 months posttreatment. Results: Adolescents in the PPT group demonstrated a sharper decrease in pain intensity and school aversion. Both groups demonstrated significant reductions in disability and emotional distress. Conclusions: Results are discussed in terms of the importance of focused treatment strategies such as interoceptive exposure for adolescents suffering from disabling chronic pain. Future studies are warranted to carefully investigate the effectiveness and possible process of change during the PPT such as sensory, cognitive, emotional, and memory aspects.

Keywords: Pain Provocation Technique PPT

Accuracy Verified: Yes

57. Guettler, K. (2004, June). A preverbal trauma mastered by dynamic psycho-therapy and EMDR. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
A special variety of dynamic therapy is presented which was successfully combined with EMDR. A new diagnostic category is tentatively proposed. A man in his twenties, successful in studies and in political and welfare organizations, managed his life by intellectual consideration but with hardly any emotional assessment being at a loss when confronted with demands for a personal stand. He disliked his lack of integrity and indecision which he liberated himself from during the initial three years of therapy in so far as friends and societies were concerned. However, all his intimate relations kept breaking up. He could not account for why and in this context he appeared to be alexithym. When the partner left him it was a total surprise to him, he got very upset in a diffuse way and quite bewildered. At some occasions he got regressive spells of yelling, crying and struggling. They seemed to be flashbacks and not a hysterical acting out. As a trauma might be an etiological factor I proposed EMDR and he accepted to try it. During four EMDR-sessions memories with intense emotional involvement appeared. Altogether the material made me venture a construction of him as a baby yelling and kicking in desperate need for a mother who kept being absent. Shortly afterwards he entered a relation that was satisfying to both him and his partner. The therapy was terminated. In a follow up two years later the relation was still good and he told me that the construction had made him grasp his life-history. A prerequisite for the EMDR-sessions and their effect was the three years of psychotherapy with the focusing of his central problem, but the liberation from this problem could not have been reached without EMDR -at least not in such a short time.

Keywords: Preverbal Trauma Primary Repression Repetition-Compulsion Symposium Trauma

Accuracy Verified: Yes

58. Mevissen, L., & de Jongh, A. (2010). PTSD and its treatment in people with intellectual disabilities: A review of the literature. Clinical Psychological Review, 30(3), 308-316. doi:10.1016/j.cpr.2009.12.005.

Language: English

Format: Journal

Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to suffer from Post-Traumatic Stress Disorder (PTSD), reviews of the evidence base, and the potential consequences of this contention are absent. The purpose of this article is to present a comprehensive account of the literature on prevalence, assessment, and treatment of PTSD in people with ID. Some support was found for the notion that people with ID have a predisposition to the development of PTSD. Differences in comparison with the general population may consist of the expression of symptoms, and the interpretation of distressing experiences, as the manifestation of possible PTSD seems to vary with the level of ID. Since reliable and valid instruments for assessing PTSD in this population are completely lacking, there are no prevalence data on PTSD among people with ID. Nine articles involve treatment of PTSD in people with ID. Interventions reported involve those aimed to establish environmental change, the use of medication and psychological treatments (i.e., cognitive behavioral therapy, EMDR and psychodynamic based treatments). Case reports suggest positive treatment effects for various treatment methods. Development of diagnostic instruments for assessment of PTSD symptomatology in this population is required, as it could facilitate further research on its prevalence and treatment. Copyright © 2010 Elsevier Ltd. All rights reserved.

Keywords: Assessment Intellectual disability (ID) Learning Disabilities Mental retardation (MR) Post-Traumatic Stress Disorder (PTSD) Prevalence Psychological trauma Trauma treatment

Accuracy Verified: Yes

59. Holmshaw, M., Hodder, K. I., & Carswell, J. W. (2009, April). The relative efficacy of trauma-focused cognitive behavioural therapy and EMDR in treating psychological trauma resulting from road traffic accidents. Presentation at the annual British Psychological Society Conference, Brighton, UK.

Language: English

Format: Conference

Abstract:
Objectives: Following road traffic accidents (RTAs) psychological problems are common and can cause long-term disability. Whilst both trauma-focused cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have proved successful in treating such problems there is currently no clear evidence supporting one treatment over the other. Previous comparisons of these treatments have been based on small samples. The present research aimed to explore the relative efficacy of CBT and EMDR in treating psychological trauma resulting from RTAs in a large sample. Design: Patients who had previously been involved in an RTA were referred to a psychological rehabilitation provider and received treatment with either CBT or EMDR by accredited therapists. The treatments were compared on drop-out rate number of sessions required for completion of treatment therapist rating of success and a number of widely used psychometric measures which were administered at assessment and again at the end of treatment. Methods: A total of 1179 referrals were made of which 435 met the inclusion criteria and proceeded to treatment. These patients presented with a range of psychological trauma symptoms resulting from RTAs which had occurred an average of 21 months previously. Posttraumatic stress disorder (PTSD) was diagnosed in 51 per cent of patients with the remaining patients presenting with travel anxiety depression general anxiety and other psychological conditions. Outcomes were assessed in the whole sample and separately for those with a diagnosis of PTSD. Results: No differences emerged between the treatments on any outcome measure both for patients diagnosed with PTSD and for those with other trauma-related symptoms. Both CBT and EMDR resulted in large improvements in self-rated symptoms as assessed using the psychometric measures and in both groups over 80 per cent of cases were rated by the therapist as successful or having made good progress by the end of treatment. The CBT group required an average of 9.1 sessions and the EMDR group required an average of 9.9 sessions. Reliable change indices showed that over 80 per cent of patients made clinically significant improvements in both treatment groups. Conclusions: In conclusion both CBT and EMDR proved to be effective treatments for psychological trauma resulting from RTAs but no differences emerged between them in terms of efficacy patient compliance and number of sessions required. Psychological trauma following RTAs is eminently treatable in the community when treatment is offered by trained CBT or EMDR therapists.

Keywords: CBT Cognitive Behavior Therapy Road Traffic Accidents

Accuracy Verified: Yes

60. Kristal, B. (2012, April). Reportage in therapie - Eindelijk valt alles op zijn plaats [Reporting in therapy - Finally falling everything is in its place]. Markant, 14-16.

Language: Dutch

Format: Magazine

Abstract:
Mensen met een verstandelijke beperking die kampen metpsychiatrische stoornissen hebben gespecialiseerde zorg nodig. Kristal wil de reguliere GGZ voor hen toegankelijk maken en biedt die zorg. De eerste onderzoeksresultaten zijn veelbelovend.

People with intellectual disabilities who are experiencing psychiatric disorders have specialized care. Crystal wants the regular mental health care accessible to them and offers that care. The first results are promising.

Keywords: Practice Theory

Accuracy Verified: Yes

61. Troost, P. W. (2011, April). Sociale informatieverwerking en behandeling bij kinderen met een verstandelijk beperking [Social information processing and treatment of children with a mental restriction]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
De psychiatrische morbiditeit bij kinderen met een verstandelijke beperking (VB) is hoog. Daarbij spelen tekorten in de sociale informatieverwerking (SI) een belangrijke rol. Bestaande diagnostische instrumenten als intelligentietesten geven daarover onvolledige informatie. Tegen deze achtergrond wordt de Sociale Informatie Verwerkings Test (SIVT) ontwikkeld om op gestandaardiseerde wijze tekorten in de sociale informatievewerking te kunnen bepalen. Kennis van de specifieke beperkingen bij kinderen met een verstandelijke beperking maakt het mogelijk voor normaal intelligente kinderen ontwikkelde evidence-based behandelingen als eye movement desensitisation and reprocessing (EMDR) en Functional Family Therapy (FFT) aan te passen voor kinderen met een verstandelijke beperking. Veel van de gezinnen kampen met multipele problemen en worden vanuit een poliklinische setting onvoldoende bereikt. Om deze reden is een outreachende vorm van hulpverlening ontwikkeld waarbij zorg wordt geboden op school. Leerdoel: De deelnemer heeft weet van: 1. de ontwikkeling van de SIVT voor kinderen met een verstandelijke beperking; 2. hoe kennis over specifieke beperkingen bij kinderen met een verstandelijke beperking te gebruiken bij de aanpassing van bestaande evidence-based behandelvormen als emdr en FFT; 3. het inzetten van methodieken van verplaatste zorg als ‘de zorgklas’.

The psychiatric morbidity in children with intellectual disabilities (VB) is high. While deficits in play social information (SI), a major role. Existing diagnostic tools such as Intelligence tests provide about incomplete information. Against this background, the Social Information Processing Test (SIPT) developed standardized manner to shortages in the informative social force to be determined. Knowledge of the specific limitations in children with an intellectual disability makes it possible for normally intelligent children developed evidence-based treatments such as eye Movement Desensitisation and Reprocessing (EMDR) and Functional Family Therapy (FFT) to adapt for children with intellectual disabilities. Many of families facing multiple problems and from an outpatient setting insufficiently reached. For this reason, an outreach form of development assistance where care is provided at school. Objective: The participant knows: 1. the development of children with SIPT learning disabilities; 2. how knowledge about limitations in children with intellectual restriction to use in adjusting existing evidence-based treatment modalities as EMDR and FFT; 3. the use of methodologies to transfer care as' care class.

Keywords: Children FFT Functional Family Therapy Mental Disabilities Social Information Processing Symposium

Accuracy Verified: Yes

62. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in EMDR with dissociative clients and teach solutions. Procedural modifications have been the focus in dealing with pathological dissociation in EMDR treatment. Separately, transference and counter-transference with dissociative patients have been written about extensively by experts in the dissociation field. Research findings about the effects of mirror neurons and embedded simulation on the inter-subjective field of patient and therapist have also been published. Strategies for dealing with these transference and counter-transference in EMDR treatment have received little attention even though this population has intense transference, and can activate intense counter-transference. These issues may begin during an evaluation of the presenting problems. Strategies for identifying and using transference to enhance dual awareness during history taking will be demonstrated. An elongated preparation phase to develop enough trust and stabilization before exploring traumatic memories can limit induced transference. Different parts of a dissociative patient may have different kinds of transferences. These transferences may cause the patient to withdraw, cling or attack; affecting the therapist’s abilities to stay attuned and focused on the work in different phases of EMDR. Strategies of attunement to the activated part of the client will be demonstrated in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and different (transferential) parts may activate dissociative parts of the therapist. Strategies to somatically identify and use these counter-transferential activations in the therapist will be taught through body based awarenesses. R/D/I strategies can be used to limit countertransference to remain grounded and attuned. Transference and counter-transference during the assessment phase will be identified and solutions presented. During the Desensitization phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions will be discussed as unacknowledged dissociative moments with indications for inducing transference, counter-transference, or both. Decisions need be made collaboratively whether to process or contain these events. Understanding and dealing with dilemmas of dissociative enactments are crucial to keeping the healing process going. These inter-subjective issues may be most intense during the first four phases, but some problems may continue into Installation and the Body Scan. Problems and solutions during Incomplete Closure and the Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist may become activated as well. Solutions to these issues that occur during different phases will be taught so that participants will leave the workshop with additional strategies to use with their dissociative patients. Attunement to dissociative parts, identifying transference and counter-transference binds; The Clinician Self Awareness Questionnaire ; Compartmentalization; use of self soothing skills; using Relational, Empathic, and Transferential Interweaves; identifying moments of projective identification and enactments, and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective strategies . Case examples and awareness exercises will used throughout the workshop to facilitate intellectual and experiential learning.

Keywords: Counter-transference Dissociative Disorders Transference

Accuracy Verified: Yes

63. Settle, C. (2008, June). Speciality topics on using EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop focuses on specialty topics for children under ten including the advanced application of EMDR with other clinical, behavioural, regulatory, medical, and educational issues with recommendations for procedural considerations and additional treatment modalities used in conjunction with the EMDR protocol. Information will be provided through handouts, case presentations, and videos on how EMDR can be used to assist the child in lessening, managing, or eliminating symptomatology in these following areas: 1. Attention Deficit/Hyperactivity Disorder (ADHD)—information will be presented on targeting social and academic challenges that can reduce anxiety and improve focus and self-control), 2. Sensory Integration Dysfunction (SID)—identifying and reprocessing sensory difficulties will be taught to help the child achieve reduction in hypersensitivity, 3. Tics—targeting the child’s anxiety can result in the reduction of tics, 4. Trichotillomania—a specific procedure will be presented to assist in decreasing or eliminating the incidence of hair-pulling, 5. School refusal behaviour—case conceptualization will be explored to assist in targeting behaviour and improve school attendance, 6. Gifted and talented—techniques for reprocessing emotional and sensory targets will be demonstrated to assist the child in bridging their intellectual, emotional, and social challenges, 7. Regulatory issues—skills for combining EMDR with behavioural and educational techniques will be discussed to help the child reduce or eliminate eating, sleeping, or urinary/bowel difficulties, 8. Traumatic brain injury—targeting the 22 precipitating event and the ongoing medical traumas utilized with a parent narrative protocol can reduce the child’s anxiety and improve functioning.

Keywords: Children

Accuracy Verified: Yes

64. Barol, B. I., & Seubert, A. (2010). Stepping stones: EMDR treatment of individuals with intellectual and developmental disabilities and challenging behavior. Journal of EMDR Practice and Research, 4(4), 156-169. doi:10.1891/1933-3196.4.4.156 .

Language: English

Format: Journal

Abstract:
Trauma and its ensuing accommodations, including challenging behaviors, have been a growing consideration for practitioners working with people with intellectual and developmental disabilities (IDD). Recognizing the importance of one’s client’s trauma history, practitioners are seeking effective methods of providing therapy to IDD clients with posttraumatic stress disorder (PTSD) and other trauma-related diagnoses. In this exploratory study, using a multiple single case study design, six individuals with IDD and known trauma histories were treated with eye movement desensitization and reprocessing (EMDR). The researchers employed the standard EMDR protocol, adapting it when necessary to accommodate the needs of each participant. Outcomes provide preliminary evidence that EMDR may be an effective method of trauma treatment for clients with intellectual abilities, pointing to EMDR as a treatment with potential for facilitating healing from trauma with IDD clients.

Keywords: Autism Intellectual and Developmental Disabilities Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

65. Brandon, M., & Goldstein, A. T. (2007). Therapy update for women: The treatment of low libido in women using an integrated biopsychosocial approach. In A. F. Owens & M. S. Tepper (Eds.), Sexual health V. 4: State-of-the-art treatments and research (pp. 107-130). Westport, CT, US: Praeger Publishers/Greenwood Publishing Group.

Language: English

Format: Book Section

Abstract:
For men and women alike, libido represents a primary aspect of sexual health. In fact, low libido is the most frequently reported sexual concern among women. Women of all ages, ethnic backgrounds, and education levels report concerns about low desire. Regardless of whether a woman is actually diagnosed with hypoactive sexual desire disorder (HSDD), if she seeks help for the subjective experience of a decreased libido, practitioners must embrace a theoretical framework for her care. In this chapter, we explore a holistic, integrative, biopsychosocial model for such treatment. We will outline first why we believe the traditional treatment model involving a sole practitioner providing the majority of patient care does not optimally serve patients with low libido. Second, we will review some of the benefits for both patients and clinicians of practicing within a biopsychosocial treatment paradigm. Third, we will describe our particular framework for treating low libido in women. This integrated biopsychosocial treatment model addresses four quadrants of a woman's experience; namely, her physical, emotional, intellectual, and spiritual health, as they relate to her libido. Finally, we find eye movement desensitization and reprocessing (EMDR) to be a helpful therapeutic tool in these circumstances. EMDR utilizes repetitive eye movements to assist patients in exploring and processing difficult emotional material. It can be utilized for women with low libido in a variety of ways, including the exploration and redefinition of negative thinking patterns. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Biopsychosocial Approach Cognitive Techniques Female Sexual Dysfunction Holistic Health Inhibited Sexual Desire Low Libido Models Sex Drive Treatment Matching

Accuracy Verified: Yes

66. Mevissen, L., & Lievegoed, R. (2010, June). Trauma and institutionalization - EMDR: A tool to cure, relieve or prevent. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Because of their vulnerability children as well as adults with developmental disorders are supposed to be at greater risk to suffer from the disruptive effects of trauma or cumulating negative life events. Resulting psychopathology or behavioral problems might bring them into contact with institutional psychiatric or educational care. On the basis of four video-illustrated clinical vignettes various aspects according the use of EMDR are discussed. Institutionalization in itself can be traumatizing as shown by EMDR treatment of an adult with autism and traumatic memories of being outplaced and long-term isolated. Outplacement might be a consequence of untreated trauma. EMDR can relieve suffering as shown by the treatment of a 12-year old boy with behavioral problems who's family ties were broken. Outplacement can be traumatic and as a consequence block personal growth as illustrated by the case of a 48-year old man with mild to moderate intellectual disability and autism, who had been institutionalized at the age of 8. Desperate parents regain educational skills by using a combination of EMDR and intensive psychiatric family support as illustrated by the case of an 8 years old girl with supposed multi-complex developmental disorder (McDD). Adaptations of the standard protocol might be necessary when using EMDR in patients with psychiatric disorders as shown in two of the cases that will be presented. As posttraumatic stress symptoms can be manifested differently in this population there is a risk of diagnostic errors. Learning objectives: Participants take note of possibilities to make EMDR beneficial to the institutionalized population; are able to identify adaptations to the EMDR protocol required by particular needs of clients with developmental disorders; are able to use EMDR to help parents to overcome the trauma of having a child with developmental disorders; become aware of nonspecific symptoms of trauma in this special population.

Keywords: Institutionalization

Accuracy Verified: Yes

67. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
According to recent neuroscience research, psychological trauma disrupts homeostasis and can negatively affect various organs and biological systems (Solomon & Heide, 2005). Somatic therapy addresses the physiological elements of the trauma by focusing on the body, which, in turn, helps individuals cognitively and emotionally process trauma (Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the experience of 5 participants who underwent ongoing somatic therapy in the treatment of symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed twelve common essential elements among all the participants that illustrated their experience prior to and during the somatic therapeutic process. Some of the elements identified included: presence of severe trauma history of emotional, physical, and/or sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of PTSD in physical symptoms and/or illness; increasing awareness of body allowed access to trauma; newfound knowledge and tools gained in helping to manage triggers; and gaining a sense of physical and psychological freedom. Three additional essential elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A process was identified in which a non-verbal bodily experience became a verbal, intellectual, or cognitive experience. In addition, seven characteristics were identified within the transformative process of improving PTSD symptoms occurring during the somatic therapy. According to the participants’ reports, somatic therapy not only decreased their PTSD symptoms, but the process had a significant positive impact on the quality of their lives. This study’s findings highlight the potential of somatic therapy to help those dealing with the effects of psychological trauma.

Keywords: Body Biological Systems Somatic Therapy Trauma

Accuracy Verified: Yes

68. Mevissen-Renckens, L. (2008, August). Trauma and trauma therapy (EMDR) in people with ID. Symposium presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Aim: People with ID might be particularly vulnerable to significant life events and at high risk to develop Post Traumatic Stress Disorder. In the general population EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based trauma treatment method. On small-scale EMDR is used in people with ID and seems to be efficacious and not placing a load on clients. However research on PTSD and EMDR in this population is missing so has to be done. Method: Research on the relationship between life events en mental health problems in people with ID is listed and analysed. The findings are compared with the outcomes of single case studies on clients with ID, treated with EMDR.
Results: Correlational and retrospective analyses of case files consistently show an association between life events on one hand and behaviour problems and depression on the other hand. The only prospective study that is found indicates a causal relationship. EMDR treatment effects also suggest a causal relationship between mental health problems and being exposed to overwhelming events. Conclusions: Further research is necessary to develop evidence based assessment and treatment procedures for people with ID who suffer from complaints due to traumatic experiences.

Keywords: ID Intellectual Difficulties Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

69. Lievegoed, R. (2006, August). Treating people with intellectual disabilities who are traumatized with EMDR. Poster session presented at the 2nd European Conference of IASSID (International Association for the Scientic Study of Intellectual Disabilities), Maastricht, The Nederlands.

Language: English

Format: Conference

Keywords: Intellectual Disabilities Qualitative Research Trauma

Accuracy Verified: Yes

70. Lievegoed, R. (2006, August). Treating people with intellectual disabilities who are traumatized with EMDR. Poster presented at the 2nd World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Maastricht, the Netherlands.

Language: English

Format: Conference

Keywords: Intellectual Disabilities Poster

Accuracy Verified: Yes

71. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2012). Treatment of PTSD in people with severe intellectual disabilities: A case series. Developmental Neurorehabilitation, 15(3), 223-232 doi:10.3109/17518423.2011.654283.

Language: English

Format: Journal

Abstract:
Objective: There is a dearth of information regarding the treatment of PTSD in people with severe intellectual disabilities (ID). The purpose of the present case studies was to assess the applicability and effects of an evidence-based treatment method for psychological trauma with this population. Methods: The treatment of four single cases with Eye Movement Desensitization and Reprocessing (EMDR) was evaluated. Participants included adults and children with a variety of symptoms, as well as different histories of negative life events. Results: In all cases PTSD symptoms decreased. In all but one case, the gains were maintained at 15.5 months to 2.5 years following treatment. Depressive symptoms and physical complaints diminished and social and adaptive skills improved. Conclusion: EMDR seems to be an applicable treatment method for clients with severe ID. Reduction and maintenance of PTSD symptoms in individuals with severe ID appears to be both desirable and obtainable.

Keywords: Case Study Intellectual Disabilities Posttraumatic Stress Disorder PTSD Psychotherapy Trauma Treatment

Accuracy Verified: Yes

72. Rivlin, E. (2009, March). The utility of psychometric assessment and monitoring within the Context of EMDR with refugee and asylum seeking Children/Adolescents. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
Accurate neuropsychological/psychological assessment and monitoring are crucial to complex cases of refugee and asylum seeking children and adolescents. These are examined in the context of relevant case vignettes. The limitations and relevance of accurate and therapeutic assessment and monitoring are examined and the utility of psychological instruments. Language and timing of interventions are also considered. The use of a multimodal approach sensitive to individual and intellectual differences and relevance of EMDR is discussed.

Keywords: Asylum Psychometric Assessment Refuges Symposium

Accuracy Verified: Yes