Francine Shapiro Library - EMDR Bibliography Links
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1. 孙海霞，杨蕴萍 [Sun Hai Xia, Yang Yun Ping]. (2004, August). 眼动脱敏与再加工治疗现状 [The psychotherapy of eye movement desensitization and reprocessing]. 中国临床心理学杂志，2004，12（3）：324 [Chinese Journal of Clinical Psychology, 12(3), 324-326].
Language: Chinese
Format: Journal
Abstract:
眼动脱敏与再加工(Eye movement desensitization and reprocessing ,以下简称EMDR) 由Francine Shapiro 于1987 年创立,最初仅为眼动脱敏( EMD) ,1991 年发展为眼动脱敏与再加工,其中眼动脱敏仅是EMDR 中双侧刺激的一种,而双侧刺激是EMDR 操作中众多组分的一部分。EMDR 是一种整合的心理疗法,它借鉴了控制论(cybernetics) 、精神分析、行为、认知、生理学等多种学派的精华,建构了加速信息处理的模式,帮助患者迅速降低焦虑,并且诱导积极情感、唤起患者对内的洞察、观念转变和行为改变以及加强内部资源,使患者能够达到理想的行为和人际关系改变[1 ] 。本文拟对EMDR 的有关机理与实践应用作一综述。
(Eye movement desensitization and reprocessing, hereinafter referred to as EMDR) Francine Shapiro in 1987 by the creation of an initial eye movement desensitization only (EMD), 1991 years of development for the eye movement desensitization and reprocessing, which EMDR eye movement desensitization only in a bilateral stimulation, and EMDR bilateral stimulation is part of the operation of many components. EMDR is an integrated psychological therapy, which draw on the control theory (cybernetics), psychoanalysis, behavioral, cognitive, physiological, and other schools of the essence of information processing to speed up construction of the model, to help patients rapidly reduce anxiety, and induce positive affect, arouse patients insight into the internal, the concept of change and behavior change and the strengthening of internal resources, so that patients can achieve the desired changes in behavior and interpersonal relationships [1]. This paper about the mechanism of EMDR reviews the application and practice.
Keywords: Mechanism of Action Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
2. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case
conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation.
Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay
implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and
their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey
through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows
adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma,
and provides a dynamic and adaptive tool to navigate through therapy.
Keywords: 6 Gear Mechanics Complex Trauma
Accuracy Verified: Yes
3. Spierings, J. J. (2005, June). Adapting EMDR to work effectively with clients from other cultures. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Intercultural competence is the ability to expand your EMDR skills to other
cultures. It has both an attitude aspect and a technical aspect : a different
style of relating and communicating with your client, and different things to
ask and explore.
This workshop offers a systematic way to understand this type of differences,
it offers also very practical do's and don'ts, and tips and tricks to overcome
difficulties.
The participants will learn intercultural competence in the development of
resources and the building up of affect tolerance, making use of the healing
rituals, objects and symbols of their clients own culture.
Keywords: Culture
Accuracy Verified: Yes
4. Cotraccia, A. J. (2012). Adaptive information processing and a systemic biopsychosocial model. Journal of EMDR Practice and Research, 6(1), 27-36. doi:10.1891/1933-3196.6.1.27.
Language: English
Format: Journal
Abstract:
Shapiro's (2001) adaptive information processing (AIP) model portrays an innate healing system hypothesized to be composed of neurophysiological mechanisms of action causally related to the resolution of disturbing life experiences. The author expands the model to include psychosocial mechanisms and suggests that a model of a biopsychosocial system can best depict causal properties related to positive outcomes of eye movement desensitization and reprocessing (EMDR). Teleofunctionalist and evolutionary perspectives are applied: the first, to explain the inclusion of the psychological and social features highlighted in the updated model; the second, to support the hypothesis that AIP is a goal of the human attachment system. It is posited that bonding, following a disturbing life experience, facilitates the access of information related to previous states, thus allowing an update of self/world models. These interactions are analogous to psychotherapeutic encounters, with multiple levels of information processing at subpersonal, personal, and interpersonal levels. Analysis of the causal properties of personal and interpersonal levels supports a broader understanding of AIP's scope in conceptualizing psychopathology and informing treatment applications and research.
Keywords: Adaptive Information Processing AIP Biopsychosocial Internal Working Models Teleofunctionalism
Accuracy Verified: Yes
5. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
6. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.
Language: Spanish
Format: Magazine
Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.
The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.
Keywords: Adoption Attachment Family Narrative Therapy
Accuracy Verified: Yes
7. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
8. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
9. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.
Keywords: Aachen Horses Poster Sports World Equestrian Games
Accuracy Verified: Yes
10. Dunton, R. (1993, March). Applying the EMDR method to children and adolescents with school related behavior and learning issues. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
"I know that girl--it's Pat," said Sophie to the Moon Rabbit. She's
always sour-faced , always quarreling. Nobody likes her."
"But here (on the moon) you see her as she really is, underneath her
shyness and loneliness. You see her as she would be if she were treated like a
princess. That's what everyone deserves, you know," said the Moon Rabbit.
(Excerpt from The Princess and the hloon, Daisaku Ikeda-1991, Knopf, NY.)
Keywords: Children Learning Difficulties
Accuracy Verified: Yes
11. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).
Keywords: Abreactions Intense Affect
Accuracy Verified: Yes
12. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An
inherent value of EMDR is to facilitate natural
processing and the client's natural patterns. Assuming client readiness and
preparation to deal with emotional material, an
interweave (which elicits other neural networks),
or resource installation (which initiates a state
change) or prolonged talking (which initiates an
interpersonal process) - though often useful - can
interfere with the client's own internal processing and take the client away from their natural and
unique resolution and integration. The therapist
can enable the client to process intense material
utilizing a) strong attunement skills to hold the
client in one's therapeutic presence, b) recognition
of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally
intervene and when to "stay out of the way". Hence,
more important than the mechanics of bilateral
stimulation is the way EMDR is delivered. EMDR
is a "dance" between client and therapist with the
therapist interacting through bi-lateral stimulation
even more than through verbal communication.
This workshop will focus on dealing with intense
affect with EMDR (the dance) and include
discussjon of 1) How to assess client readiness for
dealing with intense material, both before and during
EMDR processing. 2) Therapist clinical presence
and attunement skills. 3) Detecting behavioral
manifestations of processing and calibrating bilateral
stimulation to the client in order to maximize
processing, and control intensity of processing. 4)
Therapeutic choice points concerning verbal
interventions and "staying out of the way". Demonstration and video tapes will be used to
illustrate teaching points. (Participants should be
aware that the videos have intense emotional content).
Keywords: Abreactions
Accuracy Verified: Yes
13. Brock, S. E. (2009). Assessing and intervening with PTSD. Presentation at the National Association of School Psychologists (NASP) Annual Convention.
Language: English
Format: Conference
Abstract:
Preface
1 PTSD necessarily involves exposure to a
traumatic stressor.
2 A traumatic stressor can generate initial stress
reactions in just about anyone.
3 However, not everyone exposed to these
events develops PTSD.
4 Among those who develop PTSD, significant
impairments in daily functioning (including
interpersonal and academic functioning) are
observed.
5 Developmentally younger individuals are more
vulnerable to PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
14. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
15. Dworkin, M. (2009, August). Attachment, attunement, and resonance in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Attachment, attunement, and resonance in the eight phases of EMDR enhance therapeutic outcomes. Patients with disorganized attachment processes may have complications that may make EMDR treatment more difficult. This workshop is designed to teach attunement, resonance, and therapeutic relatedness strategies in the work with patients with complicated attachment histories. Problems and solutions for misattunements during the eight phases will be the main focus of this workshop. Interpersonal neurobiological concepts will be taught to enhance the participant’s effectiveness. The Clinician Self Awareness Questionnaire will be demonstrated as a tool to deal with correct therapist misattunement.
Keywords: Attachment
Accuracy Verified: Yes
16. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
defense
system
(freezing-‐fight-‐flight-‐feigned
death),
that
is
set
into
motion
in
every
individual
by
the
exposure
to
any
event
that
threatens
life
or
bodily
integrity
in
the
self
or
in
significant
others,
is
terminated
after
the
event
is
over
by
mental
and
interpersonal
processes
involving
the
soothing
and
security-‐
seeking
system
(attachment).
If
the
functions
of
the
attachment
system
are
hindered
by
memories
(internal
working
model,
IWM)
of
early
attachment
interactions
with
neglecting
or
abusive
caregivers,
the
defense
system
may
remain
active
for
long
periods
of
time
after
the
traumatic
event
is
over.
Insecure
and
especially
disorganized
IWMs
of
early
attachments,
together
with
the
unavailability
of
social
support
after
the
trauma,
are
thus
risk
factors
for
developing
the
symptoms
of
post-‐traumatic
stress
disorders.
This
lecture
dwells
on
the
main
features
of
attachment
disorganization,
on
the
negative
interference
of
attachment
disorganization
in
the
therapeutic
relationship,
and
on
the
reasons
why
the
characteristic
patient-‐therapist
relationship
in
EMDR
interventions
can
be
instrumental
in
by-‐passing
such
negative
interference.
El
sistema
de
defensa
(respuesta
de
inmovilización-‐lucha-‐huída-‐muerte
fingida)
que
se
pone
en
marcha
en
toda
persona
por
la
exposición
a
cualquier
incidente
que
amenaza
su
vida
o
la
integridad
física
o
las
de
sus
allegados
llega
a
su
fin
tras
el
incidente
mediante
procesos
mentales
e
interpersonales
implicados
en
el
sistema
de
tranquilizar
y
la
búsqueda
de
seguridad
(apego).
Si
las
funciones
del
sistema
de
apego
se
ven
impedidas
por
los
recuerdos
(el
modelo
del
funcionamiento
interno,
IWM,
por
sus
siglas
en
inglés)
de
interacciones
precoces
de
apego
con
cuidadores
negligentes
o
abusivos,
es
posible
que
el
sistema
de
defensa
permanezca
activo
durante
períodos
prolongados
después
de
que
el
evento
traumático
haya
terminado.
Así,
los
IWM
inseguros
y
especialmente
desorganizados
del
apego
temprano,
junto
con
la
falta
de
apoyo
social
tras
el
incidente
traumático,
se
convierten
en
factores
de
riesgo
para
el
desarrollo
de
síntomas
de
los
trastornos
postraumáticos.
Esta
conferencia
se
centra
en
los
rasgos
esenciales
de
la
desorganización
del
apego,
en
la
interferencia
negativa
de
la
desorganización
del
apego
en
la
relación
terapéutica
y
en
los
motivos
por
los
cuales
la
relación
característica
entre
paciente
y
terapeuta
en
las
intervenciones
con
EMDR
pueden
ser
instrumentales
para
puentear
dicha
interferencia
negativa.
Keywords: Attachment Keynote
Accuracy Verified: Yes
17. Kirsch, A., & Seidler, G. H. (2004). Ausdruck und erleben von emotionen bei der posttraumatischen belastungsstörung: Erste ergebnisse einer studie mit gewaltopfern [Expression and experience of emotion in patients with posttraumatic stress disorder: First result of a study with victims]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, ZPPM 2(1), 45-60.
Language: German
Format: Journal
Abstract:
Emotionale Betäubung (EN) in PTSD ist ein Cluster von schwächenden Symptomen mit Problemen in der Erfahrung und dem Ausdruck von Emotionen. EN ist in drei separate diagnostischen Kriterien dargestellt: deutlich vermindertes Interesse an wichtigen Aktivitäten, Gefühle der Ablösung oder Entfremdung von anderen, und eingeschränkte Bandbreite des Affekts. Die funktionale Beziehung zwischen anderen Klassen von PTSD Symptome und EN ist nicht gut verstanden. In diesem Artikel werden verschiedene Studien diskutiert werden. Es wird davon ausgegangen, dass Patienten mit psychischen Erkrankungen eine spezifische Wechselwirkung Muster implementieren, die in der Gesichts-affektiven Ausdruck und äußerte sich vor allem in Gesichts-affektiven Mikro-Verhalten. Das Ziel der vorliegenden Pilot-Studie war die Analyse von Gesichts-affektive Verhalten von Patienten mit PTSD im Vergleich zu gesunden Personen. Erste Ergebnisse der ersten EMDR-Sitzungen auf Video aufgezeichnet von Patienten und psychodynamischen Interviews von gesunden Personen (keine psychische / psychiatrische Störungen nach ICD-10) wurden mit dem codierten Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Danach wurden diese Analysen mit Blickverhalten verbunden. PTSD Patienten zeigten eine Verringerung der gesamten Mimik und eine verminderte Häufigkeit von Gesichts wirkt im Vergleich zu gesunden Personen. Unter dem Blickverhalten in Betracht, wurde es offensichtlich, dass PTSD Patienten zeigten Anteil sank gegenseitigen Blick im Vergleich zu gesunden Personen. Außerdem war der Gesichtsausdruck affektiven Ausdruck von vier Patienten (Eltern, die durch den gewaltsamen Tod ihrer Kinder beraubt) erste und letzte EMDR-Sitzung verglichen. Eine leichte Erhöhung des Gesichts affektiven Ausdruck gefunden wurde. [Autor Summary)
Emotional numbing (EN) in PTSD is a cluster of debilitating symptoms involving problems in the experience and expression of emotion. EN is represented in three separate diagnostic criteria: markedly diminished interest in significant activities, feelings of detachment or estrangement from others, and restricted range of affect. The functional relationship between other classes of PTSD symptoms and EN is not well understood. In this article different studies will be discussed. It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The aim of the presented pilot-study was the analysis of facial-affective behaviour of patients with PTSD in comparison to healthy persons. First results of videotaped first EMDR sessions of patients and psychodynamic interviews of healthy persons (absence of mental/psychiatric disorder according to ICD-10) were coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. PTSD patients showed a reduction of overall facial expressions and a reduced frequency of facial affects in comparison to healthy persons. Taking the gazing behaviour into consideration, it became obvious that PTSD patients showed decreased portion of mutual gaze compared to healthy persons. Furthermore, the facial affective expression of four patients' (parents bereaved by the violent deaths of their children) first and last EMDR session was compared. A slight increasing of facial affective expression was found. [Author Summary]
Keywords: Crime Emotional Numbing Interpersonal Interaction Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors
Accuracy Verified: Yes
18. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
19. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Achtergrond: Dagelijks raken veel
kinderen betrokken bij ongelukken, brand, (seksueel)
geweld, pesten, of andere ingrijpende
gebeurtenissen. Het meemaken van dergelijke
gebeurtenissen kan leiden tot een posttraumatische
stressstoornis (PTSS). ptss gaat gepaard met
hoge comorbiditeit, slechtere schoolprestaties en
heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003).
In internationale richtlijnen wordt traumagerichte
cognitieve gedragstherapie (TG-CGT)
voor de behandeling bij kinderen aanbevolen en
eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten
naar de effecten van deze behandelingen
bij kinderen zijn nog steeds schaars (Stallard
2006).
Doel: Binnen een pilotonderzoek worden
de behandeleffecten van TG-CGT en EMDR bij kinderen
vastgesteld.
Methoden: Op een poliklinische afdeling
zijn gegevens verzameld van 20 kinderen tussen
de 8 en 18 jaar met posttraumatische stressklachten
en van hun ouders. Van deze kinderen
hebben 10 een behandeling met TG-CGT ondergaan
en 10 een behandeling met emdr. Bij kinderen
en ouders zijn zowel voor als na de behandeling behandeling
de klachten in kaart gebracht met behulp van
een diagnostisch interview en verschillende vragenlijsten.
Voor het stellen van de diagnose ptss
en comorbide diagnosen is het Anxiety Disorders
Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised
Impact of Event Scale (CRIES-13), de Revised Child
Anxiety and Depression Scale-Child Version (RCADS)
en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten.
Resultaten: Traumaklachten zijn
zowel in de EMDR-groep alsook in de TF-CBTgroep
afgenomen. Gedetailleerdere resultaten
worden tijdens het congres besproken.
Conclusie Zowel TG-CGT als emdr
blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.
Background: Daily affects many
children involved in accidents, fires, (sexual)
violence, bullying, or other major
events. The experience of such
events can lead to a posttraumatic
stress disorder (PTSD). PTSD is associated with
high comorbidity, poorer school performance and
has a negative impact on the physical recovery of children (Winston 2003).
International guidelines is trauma-focused
Cognitive behavioral therapy (CBT-TG)
recommended for the treatment of children and
Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research
the effects of these treatments
children are still scarce (Stallard
2006).
Purpose: In a pilot investigation
the treatment effects of TG-CBT and EMDR in children
established.
Methods: In an outpatient department
Data were collected from 20 children between
8 and 18 years with post traumatic stress symptoms
and their parents. Of these children
have a treatment with 10 undergoing TG-CBT
10 and treatment with EMDR. In children
and parents before and after treatment treatment
complaints mapped using
a diagnostic interview and several questionnaires.
For the diagnosis of PTSD
comorbid diagnoses and the Anxiety Disorders
Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised
Impact of Event Scale (CRIES-13), the Revised Child
Anxiety and Depression Scale-Child Version (RCADS)
Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems.
Results: Trauma Complaints are
both in the EMDR group and the TF-CBT-groep
decreased. More detailed results
be discussed during the congress.
Conclusion: Both TG-CBT and EMDR
appear to be resolving the ptssklachten in children.
Keywords: CBT Cognitive Behavior Therapy
Accuracy Verified: Yes
20. Maxwell, E. (1994). Beyond deficiency motivation: EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.
Language: English
Format: Newsletter
Abstract:
When I initially heard of EMDR, I was
totally uninterested. I was happy with
my repertoire of skills and simply could
not be bothered. However, the reports
of colleagues who had the training
were so exceptional I thought it was
time to have a look. I still was not
prepared to waste my precious hours
on a training, and my way around this
was to experience EMDR myself. I
had genuine difficulties isolating a
problem since I was at a particularly
fulfilling stage of my life; however, I
finally settled on a minor irritation
that I was having with one of my
clients. That session, plus two others,
moved me very rapidly to a decision to
move into private practice, to implementing
that decision, and to currently
experiencing a life of ease, gentle pacing,
and tranquility that I had no previous vision
of being possible. In fact,
there has been a total life style
transformation. I now work only three
days a week, have time to follow the
joyous explorations of my toddler for
hours, am writing a novel, and am experiencing considerable relaxation
of the Puritan work ethic. The starting
point had been a life style I had
previously perceived as fulfilling and
perfectly for me.
Accuracy Verified: Yes
21. Gomez, A. (2008, September). Beyond PTSD: Treating depression in children and adolescents using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Traumatized children frequently exhibit symptoms of disorders other than PTSD. There is evidence of comorbidity between PTSD, depression and other behavioral disorders and a large overlap in symptom criteria between PTSD and depression in children and adolescents. The first part of this presentation explores what current research has identified as the key factors for the development of depression in children and adolescents. The evidence linking trauma, stress and PTSD to some forms of depression and the relationship between disorders of attachment, difficulties with affect regulation and the development of depression in children and adolescents will be explored. The second part of this presentation will introduce preliminary evidence that EMDR can be a potentially effective treatment for depression in children and adolescents through a series of case studies and anecdotal reports. The presentation will conclude with an overview of strategies for working with depressed children and adolescents across the eight phases of the EMDR protocol. Even though this presentation will focus on working with pediatric depression, it will provide a foundation for understanding and treating adult depression as well. Video clips of sessions will be shown to provide a concrete and tangible experience for clinicians.
Keywords: Adolescents Children Depression
Accuracy Verified: Yes
22. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
23. Laliotis, D. (2010, March). Beyond trauma: Part I and II - EMDR as a broad-based psychotherapy. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR is widely used as a highly effective treatment for PTSD based on neutralizing past memories of trauma, few therapists recognize how powerful a tool it can be in helping clients reprocess difficult experiences - traumatic or not - that impede their client's ability to move forward with their lives. In this workshop, you'll be introduced to an eight-phase information-processing model of EMDR for helping clients identify and reprocess significant childhood experiences and chronic patterns or themes that shadow their lives, hinder their emotional growth, and limit their ability to fully express their own identity. You'll learn a practical clinical procedure for identifying the predominant themes in clients' lives that underlie their current difficulties and freeing the, from attitudes that limits a fuller, more flexible experience of self.
Accuracy Verified: Yes
24. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.
Accuracy Verified: Yes
25. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)
Keywords: Rebuilding Self
Accuracy Verified: Yes
26. Spector. J. (2003, February). Blocked processing. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
When EMDR goes at it is suppose to, there is no psychotherapeutic procedure as
remarkable, effective, and efficient for the treatment of trauma based disturbance and
especially PTSD. However, as with all psychotherapy, things do not always go according
to plan and as we might expect. Clients bring a whole range of personality and
relationship issues into therapy that can make progress problematic as well, of course, as
different degrees of disturbance and psychopathology with the most long standing
difficulties and deeper disturbance causing the greatest problems.
Keywords: Blocked Processing
Accuracy Verified: Yes
27. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.
Keywords: Children Family Systems Approach
Accuracy Verified: Yes
28. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
29. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
30. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.
Language: Spanish
Format: Other
Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico.
El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia.
Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Chronic Posttraumatic Stress Disorder Chronic PTSD
Accuracy Verified: Yes
31. Royle, L. (2012, October). The challenges of integrating EMDR basic training into the context of your own practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The workshop will look at common challenges faced by therapists when beginning the task of integrating EMDR basic training into their existing practice and skills. It will discuss how therapists often react to this challenge (including ‘giving up’ and ‘protocol drift’) and offer suggestions on how to overcome this. The specific difficulties encountered by those with different theoretical backgrounds will be highlighted. This workshop is aimed at novice EMDR therapists who may be feeling apprehensive about applying their new skills.
Accuracy Verified: Yes
32. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.
Accuracy Verified: Yes
33. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.
Language: English
Format: Journal
Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast.
These 2 years can be characterized by constant struggle and pain as the people
try to reattain some semblance of life as they knew it before Katrina struck.
Some have chosen to leave their ancestral homes, homes where they were
raised and where they, in turn, raised their own families. Those who did leave
are able, in some way, to reestablish some semblance of normality, but those
who stayed showed manifestations of and dealt with psychological trauma.
These manifestations include regression, inattentiveness, aggressiveness, somatic
complaints, irritability, social withdrawal, nightmares, and crying. Longer
lasting effects may include depression, anxiety, adjustment disorders, and
interpersonal or academic difficulties. These postdisaster manifestations can
linger or remain hidden until well after the traumatic event and could persist
for years. This article presents issues about the effects of Katrina on the mental
health of the people of New Orleans. It discusses the profile of posttraumatic
stress disorder and presents evidence-based review of interventions the health
care provider can implement to care for thosewho continue to suffer the effects
of this horrific disaster.
Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
34. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.
Language: English
Format: Journal
Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD
Accuracy Verified: Yes
35. Leeds, A. M., & Korn, D. L. (2012). A commentary on Hornsveld et al. (2011): A valid test of resource development and installation? Absolutely not. Journal of EMDR Practice and Research, 6(4), 170-173. doi:10.1891/1933-3196.6.4.170.
Language: English
Format: Journal
Abstract:
Researchers have published evidence supporting both the “working memory“ and the “REM/Orienting Response“ hypotheses as mechanisms underlying the documented treatment effects of EMDR on patients with posttraumatic stress disorder. Hornsveld et al. (2011) provide additional evidence of the impact of eye movements (EMs) on aspects of positive memory recall, but overstate their findings relevance to resource development and installation (RDI: Korn & Leeds, 2002) and to the interhemispheric interaction hypothesis (Propper & Christman, 2008). Most likely multiple mechanisms underlie the observed effects of EMDR and RDI. The needed RDI test is to randomly assign patients with Disorders of Extreme Stress not Otherwise Specified with measured coping difficulties to alternate conditions: one an RDI procedure without bilateral (or other distracting) sensory stimulation and one with bilateral EMs.
Keywords: RDI REM/Orienting Response Resource Development and Installation Working Memory
Accuracy Verified: Yes
36. Prattos-Spongalides, T. A. (2001, June). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
The goal of this workshop is to determine connotation difficulties encountered in the application of important EMDR components like Safe Place, Negative Cognition, and VoC into one's native lnaguage; identify successful solutions already used in non-English speaking countries; share and demonstrate how cultural differences and value may alter/cloud the content of protocol components; develop a list of flexible alternative phrasings for use with novice EMDR therapists in non-English speaking countries as a resource aid and relief to the strain stemming from the unavoidable adaption of the EMDR protocol into one's native language.
Accuracy Verified: Yes
37. Prattos-Spongalides, T. A. (2002, May). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract:
Chairs: Sack, M. & Spector, J.
Keywords: Cultural Considerations Native Language
Accuracy Verified: Yes
38. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van
complexe ptss-patiënten wordt niet altijd de evidence-
based behandeling toegepast, zoals die wordt
beschreven in de richtlijnen. Doorgaans is de
mening, dat stabilisatie het enige mogelijke is
vanwege gevaar voor psychische decompensatie.
Inmiddels is voldoende evidentie, dat traumagerichte
therapieën ook bij complexe ptsspatiënten
mogelijk en effectief zijn.
Doel: In deze bijblijfsessie zal worden
betoogd, dat evidence-based traumagerichte behandeling
bij complexe ptss-patiënten mogelijk en
wenselijk is. Aandacht zal worden besteed aan
moeilijkheden en mogelijkheden bij deze groep
patiënten.
Methoden: Na een algemene inleiding
over de richtlijnen voor psychotherapeutische
behandeling van ptss en over complexe ptss (R.
Jongedijk), zullen vervolgens presentaties worden
gegeven over drie evidence-based behandelvormen
voor ptss, te weten het Kort Eclectisch Protocol
voor ptss (kep; B. Gersons), narratieve exposure
therapy (net; R. Jongedijk) en eye movement desensitisation
and reprocessing (emdr; J. ter Heide).
Expliciet zal worden ingegaan op de moeilijkheden
en mogelijkheden van deze therapievormen
bij complexe ptss-patiënten. De aanpassingen in
de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen
en discussie.
Resultaten: Er is een duidelijk overzicht
gegeven van drie evidence-based psychotherapievormen
voor ptss. Voor de complexe groep
ptss-patiënten zijn de eventuele aanpassingen
aan de standaardprocedures van de behandeling
aan bod gekomen.
Aangetoond is dat deze behandelvormen
goed toepasbaar zijn bij complexe ptss-patiënten.
Conclusie: Evidence-based behandeling
van complexe ptss-patiënten door middel van
traumagerichte psychotherapie heeft doorgaans
de voorkeur. De deelnemer van de bijblijfsessie
heeft kennis genomen van drie evidence-based
behandelvormen voor ptss en kent de moeilijkheden
en mogelijkheden om deze toe te passen bij
complexe ptss-patiënten.
In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
39. Black, J., & Gauvreau, P. (2010, Avril/Mai). De la problématique, à la cible, à la désensibilisation [Of the problem, the target, the desensitization]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Il peut être parfois un défi pour les thérapeutes EMDR à aider les clients à identifier les cibles de travail EMDR lorsque la personne se présente avec un problématique généralisée ou des enjeux « non-traumatiques » par exemple, certains associés à l’estime personnel, l’affirmation de soi, les habiletés relationnelles pour lesquelles des événements traumatiques « petits-t » où les liens ou expériences à cibler ne sont pas facilement identifiables. Cet atelier à pour objectif de permettre aux cliniciens à mieux aider leur clients à préciser d’avantage les enjeux et les cibles de travail potentielles avec l’EMDR; ainsi que de faciliter à ce que le client puisse, à partir de la problématique, de la cible et de l’image, mieux trouver les cognitions/croyances négatives activées. Dans ce processus, on vise aussi à accentuer l’importance de la phase 1 (l’histoire de la personne). Également, l’atelier se penchera sur l’importance de bien identifier/cerner la croyance négative sous-jacente au moment d’amorcer le travail avec les cibles identifiées, afin de maximiser les effets du retraitement et de favoriser la généralisation.
À travers des présentations didactiques, des vignettes cliniques et des exercices de groupes, les participant(e)s pourront développer des stratégies pour mieux conceptualiser les plans de traitement EMDR avec ces types de problématiques. Également, les cliniciens seront amenés à réfléchir sur les thèmes des enjeux travaillés et leurs liens avec les cognitions négatives identifiées, sous les thèmes de responsabilité, sécurité et choix personnel. (Tous les niveaux)
It can sometimes be a challenge for EMDR therapists to help clients identify targets EMDR work when the person presents with a widespread issue or issues "non-traumatic" for example, some associated with the estimated personnel, assertiveness, interpersonal skills for which the traumatic events "small-t" which links or targeting experiments are not easily identifiable. This workshop aims to enable clinicians to better help their clients to clarify issues and benefit the target potential working with EMDR, as well as to facilitate the client can, using the issue of and the target image, find the best cognitions / beliefs turned negative. In this process, it also aims to highlight the importance of phase one (the story of the person). Also, the workshop will focus on the importance of identifying / understanding the underlying negative belief at the time to begin work with the targets identified in order to maximize the effects of reprocessing and to promote generalization. Through didactic presentations, clinical vignettes and group exercises, the participant (s) will develop strategies to better conceptualize the EMDR treatment plans with these types of issues. Also, clinicians will need to reflect on themes and issues worked their links with negative cognitions
Keywords: Target
Accuracy Verified: Yes
40. Torres, R. V. (2012, Novembro). Depressão por parto na adoção: A cura pelo EMDR [Partum depression after adoption: The EMDR cure]. In Casos Clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptação da adoção de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: à vinculação afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e à percepção do papel materno, aliados a fortes sintomas somáticos. Com a existência de grande desejo de ser mãe, há 15 anos fazia tratamento para engravidar. A adoção não representava um tabu para a mesma. No entanto, a infância vinha à tona com frequência e representava grande parte de seu sofrimento: sua mãe estava com 46 anos quando de seu nascimento e, desde então, fora acometida de enfermidades por toda sua vida, impedindo a realização de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessões de EMDR e as experiências traumáticas da relação mãe x filha, bem como os medos de repetir a história passada, foram processados a uma resolução adaptativa, que permitiram a assimilação de suas lembranças passadas e a incorporação de padrões para experiências positivas, possibilitando a oportunidade de ampliar conexões com redes positivas. As memórias armazenadas que serviam de base para percepção, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente à maternidade. A percepção sobre sua mãe foi alterada e conseguiu trazer à tona bons momentos de sua infância com a mãe. Também foi reprocessada uma situação relacionada ao perdão mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessões, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.
This paper aims to present a clinical case of a patient of 46 years in the adjustment period from the adoption of a child of five. Difficulties were initially related: the linking maternal affection, exercise and physical care of the child with affection, exercise and perception of the maternal role, coupled with strong somatic symptoms. With the existence of a great desire to be a mother 15 years ago was receiving treatment for getting pregnant. The adoption did not represent a taboo for the same. However, childhood came to the fore and often represented a large part of his suffering: his mother was 46 years old when his birth and has since been stricken with illness throughout his life, preventing the achievement of physical and emotional care to her. Were performed 20 sessions of EMDR and traumatic experiences of the mother x daughter, as well as fears of repeating past history, were processed to an adaptive resolution, which allowed the assimilation of their past memories and incorporation of standards for positive experiences, allowing the opportunity to expand connections with positive networks. The stored memories that served as the basis for perception, attitudes and behaviors were reprocessed and, therefore, the physical symptoms were abolished, so as to allow the patient to assume a new stance facing the motherhood. The perception has changed about his mother and managed to bring out good moments of his childhood with his mother. It was also reprocessed a situation related to mutual forgiveness. The patient now lives the process of motherhood healthy and happy, and 04 months after the close of the session, adopted a boy of 03 months, without symptoms reappeared.
Keywords: Adoption Motherhood Postpartum Depression
Accuracy Verified: Yes
41. Siegel, D. J. (2002). The developing mind and the resolution of trauma: Some ideas about information processing and an interpersonal neurobiology of psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 85-121). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of an interdisciplinary approach to understanding the nature of the developing mind and how the unresolved effects of trauma may be resolved within psychotherapy. Following is a brief background of my introduction to eye movement desensitization and reprocessing (EMDR) and Francine Shapiro, the founder and a leading pioneer in the field of EMDR.My work comes from an interdisciplinary approach that combines numerous independent fields, including attachment theory and research, cognitive neuroscience, complexity theory, developmental psychology and psychopathology, genetics, psycholinguistics, and the study of trauma. By weaving the findings from these varied disciplines together with clinical work as a child psychiatrist, I developed a conceptual framework that was published as a book, "The Developing Mind: Toward a Neurobiology of Interpersonal Experience" (1999). This chapter offers a brief overview of this work and highlights ways in which this interpersonal neurobiology approach may help in understanding some possible mechanisms underlying trauma and its resolution. [Text, pp. 85, 86]
Keywords: Adults Cognitive Processes Neurobiology Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
42. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
43. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.
Language: English
Format: Newsletter
Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.
Keywords: Dissociation
Accuracy Verified: Yes
44. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .
Language: German
Format: Magazine
Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).
The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).
Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization
Accuracy Verified: Yes
45. Mosquera, D., & González-Vázquez, A. (2012, March-April). Disturbo borderline di personalità, trauma e EMDR [Borderline personality disorder, trauma and EMDR]. Rivista di Psichiatria, 47(2 Suppl. 1):26S-32S. doi: 10.1708/1071.11736. .
Language: Italian
Format: Journal
Abstract:
Gli autoriesaminano i diversi criteri diagnostici per il disturbo borderline di personalità, leggendoli secondo la prospettiva del modello dell’elaborazione adattiva dell’informazione e indicandoli come guida all’esplorazione e ricerca di ricordi traumatici di natura relazionale, che hanno a che fare con la storia di attaccamento e che possono essere affrontati grazie al lavoro terapeutico con l’EMDR.
The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.
Keywords: Attachment Borderline Personality Disorder Complex PTSD C-PTSD Trauma
Accuracy Verified: Yes
46. 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
47. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Affect Phobias Phobias Relational Trauma
Accuracy Verified: Yes
48. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Poster Social Engagement
Accuracy Verified: Yes
49. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The
technique is not recommended for couples in which
either or both partners do not have adequate affect
tolerance, observing ego, or trust of each other's
integrety. Other risk factors for using EMDR in
couples therapy that have been highlighted in other
presentations and literature will be briefly reviewed.
Participants will learn to differentiate between
clients' statements that represent present experience
and those that represent concepts of present
experience or reporting of past experiences.
Participants will be taught specific interventions
which they will practice in guided exercise that
will enable them to facilitate both individuals and
couples to stay in their present experience during
EMDR targeting. Irrational emotional responses
to daily interactions and conflicts are often the result
of unresolved issues resulting from underlying
feeder memories. Participants will learn a simple
method for identifying underlying issues of each
individual partner related to a given conflict. The
final and most substantial portion of this
presentation will be focused on using a refined
"affect bridge" technique to identify the feeder
memories associated with those issues so that they
can be targeted with the standard EMDR protocol.
Specific methods will be taught to overcome
clients' resistance and difficulties with accessing
memories; these methods include use of accessing
cues (re: Neurolinguistic Programming) and
developing eidetics (re: Eidetic Psychotherapy)
These methods will be illustrated using a case
transcript, guided participant experiential exercise, and live demonstration.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
50. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
51. Rubin, Al., Bischofshausen, S., Conroy-Moore, K., Dennis, B., Hastie, M., Melnick, L., Reeves, D., & Smith, T. (2001, July). The effectiveness of EMDR in a child guidance center. Research on Social Work Practice, 11(4), 435-457. doi:10.1177/104973150101100402 .
Language: English
Format: Journal
Abstract:
Objective: This study evaluated the effectiveness of adding EMDR to the routine treatment regimen of child therapists. Method: 39 child guidance center clients were randomly assigned to an experimental group that received EMDR plus the center's routine treatment package or a control group that received only the center's routine treatment package. Results: Analyses of variance found no significant differences in Child Behavior Checklist scores between groups. Subanalyses conducted for 33 clients with elevated pretest scores found moderate effect sizes that approached, but fell short of, statistical significance. Conclusions: These findings raise doubts about notions that EMDR produces rapid and dramatic improvements with children whose emotional and behavioral problems are not narrowly connected to a specific trauma and who require improvisational deviations from the standard EMDR protocol. Further research is needed in light of the special difficulties connected to implementing the EMDR protocol with clients like those in this study. [Sage]
Keywords: Affective Disorders Behavior Problems Effectiveness Emotional & Behavioral Problems Empirical Study Treatment Treatment Effectiveness Evaluation Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
52. Fleming, J. (2013). Efficacité de l’EMDR dans le traitement d’enfants et d’adolescents traumatisés [Effectiveness of EMDR in the treatment of traumatized children and adolescents]. Journal of EMDR Practice and Research, 6(1), 16–26. doi:10.1891/1933-3196.7.1.E12.
Language: French
Format: Journal
Abstract:
On trouvera ici un résumé de tous les articles qui ont étudié le traitement par l’EMDR d’enfants et
d’adolescents traumatisés. L’efficacité du traitement est établie par plus de quinze études. Le présent
article examine les effets de l’EMDR sur le stress traumatique d’enfants et d’adolescents après des traumas
de type I et II. Si un nombre considérable d’études évaluent le traitement des traumas de type I par
l’EMDR, apportant des preuves solides de son efficacité, rares sont celles qui ont investigué spécifiquement
le traitement EMDR des traumas de type II. L’auteur examine aussi l’effet de l’EMDR sur divers
symptômes et difficultés. Elle donne enfin des recommandations pour l’application clinique de l’EMDR,
et pour des recherches futures.
This paper provides a summary of all items that have studied the EMDR treatment of children and
adolescents traumatized. The effectiveness of treatment is determined by more than fifteen studies. this
article examines the effects of EMDR on traumatic stress in children and adolescents after trauma
Type I and II. If a considerable number of studies evaluating the treatment of type I trauma
EMDR, providing strong evidence of its effectiveness, few have specifically investigated
EMDR trauma treatment of type II. The author also examines the effect of EMDR on various
symptoms and difficulties. She finally gives recommendations for the clinical application of EMDR
and for future research.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Trauma Treatment Review
Accuracy Verified: Yes
53. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents
the form of psychotherapy which has the most research data to
build on in the treatment of mental disorders for adults.
Method: In this review we will introduce CBT and present the
results of pertinent outcome research for mood and anxiety
disorders. Efficacy at the end of the treatment will be discussed,
as well as long term effectiveness and the efficacy of combined
treatment with medication and CBT
Results: The results of this review show that CBT is an effective
treatment for mood and anxiety disorders; depression,
dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and
specific phobia. Results of follow-up studies also show that the
efficacy of CBT lasts for a considerable time after the termination
of treatment. CBT is more effective than other forms of
psychotherapy except for behaviour activation and interpersonal
therapy in treatment for depression and EMDR in treatment for
PTSD. When CBT is compared with medication (SSRI) results
reveal that CBT is as effective or more effective than medication.
This is true except for the treatment of dysthymnia, especially
when the long-term effects are considered. Results are
contradictory regarding whether medication improves or reduces
the efficacy of CBT, e.g., there are indications that the medication
reduces the efficacy of CBT for some disorders, like panic disorder.
Discussion: It is clear that CBT is an effective treatment for most
common mental disorders. Side effects are almost never a
problem and long-term success is a good. Further research is
needed on combined treatment – CBT and medication.
Conclusion: Numerous studies support the efficacy of CBT for
common mood and anxiety disorders and its good long term effects.
Accuracy Verified: Yes
54. Smikun, L. (2009). The efficacy of combined treatment of EMDR and sleep therapy to manage chronic pain and sleep difficulties. Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Chronic Pain Sleep Difficulties Sleep Therapy
Accuracy Verified: Yes
55. Dworkin, M. (2006, June). El cuestionario EMDR v.6 de autoconocimiento para clínicos [EMDR v.6 questionnaire for self-awareness for clinicians]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: Spanish
Format: Conference
Abstract:
Para comprobar un conocimiento creciente de cómo los estados antiguos y
dependientes de memoria pueden ser activados; para poder valorar que es lo que
proviene del clínico y qué proviene del cliente; para desarrollar estrategias relacionales
de EMDR. Muchos problemas pueden ocurrir en la fase 1 cuando el cliente aporta
información que suscita un arousal negativo; o en la fase 2, cuando el cliente tiene
dificultades en entender los elementos de preparación o desea avanzar procesando el
trauma de forma prematura; o en la fase 3, cuando existe un problema que subyace a la
pieza de valoración. Muchas veces la información del cliente puede que no despierte un
arousal negativo hasta llegada la fase 4, cuando el cliente está procesando activamente.
Muchas veces, nuestros desencadenantes provienen de nuestros recuerdos antiguos.
Estos recuerdos pueden ser explicitados; y otras veces siguen implícitos (memoria
somatosensorial). Observando estos momentos en uno mismo puede ayudarle en la
continuidad de un proceso productivo.
To verify an increased awareness of how ancient states and
dependent memory can be activated, in order to evaluate what they
from the clinician and what comes from the client to develop relational strategies
EMDR. Many problems can occur in phase 1 when the client brings
information that raises a negative arousal, or in phase 2, when the client has
difficulties understanding the items you want to advance preparation or processing the
trauma prematurely, or in phase 3, when there is a problem underlying the
piece of assessment. Many times the customer information may not appeal to a
negative arousal to arrival phase 4, when the client is actively processing.
Many times, our triggers memories from our past.
These memories can be made explicit, and sometimes they are implicit (memory
somatosensory). Looking at these moments can help yourself in
continuity of the production process.
Keywords: Clinicians Questionnaire Self-Awareness
Accuracy Verified: Yes
56. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.
Language: Spanish
Format: Other
Abstract:
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack.
The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency.
He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability
Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real.
En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.
Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change.
In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health.
The letters called EMDR that mean in English:
Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.
Keywords: Practice, Theory
Accuracy Verified: Yes
57. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]
Keywords: EMDR Blind to Therapist Protocol Script Survivors Therapeutic Relationship Traumatic Memories
Accuracy Verified: Yes
58. Heiman, M., Packwood, S., Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., & Peterson, G. (2003, June). EMDR & children: A guide for parents, professionals, and others who care about children. EMDR International Association.
Language: English
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing
is a treatment method that is effective for
resolving emotional difficulties caused by
disturbing, difficult, or frightening life
experiences. EMDR has been used to help
children overcome traumatic events and other
childhood problems and symptoms.
Keywords: Brochure Children Guide
Accuracy Verified: Yes
59. Herbert, C. (2008, June). EMDR & positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
There has been increasing academic interest and growth in the field of Positive
Psychology in recent years. Despite this, applied Clinical Psychology, Psychiatry and
much of therapeutic practice and academic research in Europe remains focused on
the diagnosis and treatment of pathology and dysfunction and the reduction in
symptoms frequently used as the sole outcome measure. Most of EMDR research and
practice also follows this pattern. While, achievement of symptom relief is clearly of
great importance, often especially situations, which confront individuals with great
inner pain, such as a life crisis or present or past trauma, have the potential to move a
person into a process of enormous inner growth and positive life development. People
can become more authentic, accepting and loving of themselves. This, in turn,
frequently, has a very positive effect on people’s functioning in life, including
improvements in their interpersonal relationships, feelings of inner happiness and
greater contentment and fulfilment. This workshop introduces concepts and findings
from the field of Positive Psychology and explores how these can be incorporated into
the practice of EMDR to facilitate positive inner growth, the development of a more
authentic Self and help individuals attain greater, personal meaning in their lives.
Keywords: Positve Psychology
Accuracy Verified: Yes
60. Plassmann, R., & Seidel, M. (2003, May). EMDR - Group therapy with patients having eating disorders. In Eating Disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
We understand a therapeutic group, here the EMDR-group, analog to the opinion of Watzlawick et al., Koffka and Grinberg as a multiplicity that is more than only the sum of the individuals. An individual is a part of a group, who expresses himself in the collective „we". Even if the individual expresses himself at first individually, the remarks turn into collective-appearances with basic-convictions–and assumptions. This group-structure, labeled by the authors as a dynamic collective-constellation, is based on unconscious processes projecting and introjecting identification. The group-member takes in those feelings and impulses of the others that are similar to the own emotions, and perceives them due to the experienced reinforcement more severely. Simultaneously the individual projects his objects of the unconscious imagination on the others and tries to reproduce the specific pattern of his difficult interpersonal relationships.
Keywords: Binge Eating Eating Disorders Symposium
Accuracy Verified: Yes
61. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
62. Spuijbroek, P. (2010, July). EMDR and ASD? Yes! EMDR in relation with austistic spectrum. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A lot of children with autism spectrum disorders are treated with EMDR in my practice, especially whenever there are
traumatic situations, ( i.e. bullying!!, sexual harassment) anxiety, often as a start of further treatment or embedded in an
cognitive therapy. I want to share my experiences with other participants by showing videos and be helpful with solutions/
adjustments in treatments. Make participants aware of different approaches. Why is EMDR useful at ASD, indications and
contra indication, which difficulties are being to be considered with clients with ASD, which results could be expected? And
which solutions or adjustments are helpful. My presentation has videos, which will show the theory.
Keywords: ASD Autism Autistic Spectrum Disorder
Accuracy Verified: Yes
63. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.
Language: English
Format: Conference
Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult.
“By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308).
Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR?
Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering?
Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why?
This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings.
The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.
Keywords: Complex Trauma
Accuracy Verified: Yes
64. Richman, A. (2003, March). EMDR and cross-cultural issues. Presentation at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
As trauma therapists, we are increasingly encountering the challenges of using EMDR cross-culturally with highly traumatised clients who are refugees from war torn countires and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters.
Keywords: Cross-Cultural Issues
Accuracy Verified: Yes
65. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
66. Barbez, C., & Devoogdt, A. (2005, June). EMDR and resolving hurt feelings. Presentation at the annual meeting of the EMDR Europe Association, Belgium, Brussels.
Language: English
Format: Conference
Abstract:
Hurt has been defined as an emotion, which arises in a social interaction as
a consequence of certain interpersonal events. Leary (1998) asserts that the
common denominator in all instances of hurt feelings is the perception of
relational devaluation.
The overall aim of the workshop is to point at the importance of hurt feelings
in unresolved interpersonal conflicts. More specific learning objectives are:
11) understanding under what conditions hurt feelings are likely to be harmful
and why, (2) how hurt feelings may affect the perception of ongoing
relationships, (3) demonstrating the use of EMDR in the resolution of hurt
feelings.
Keywords: Emotional Sensations
Accuracy Verified: Yes
67. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.
Language: English
Format: Journal
Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.
Keywords: Adaptive Information Processing AIP Integrative Treatment Memory Networks
Accuracy Verified: Yes
68. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.
Keywords: Partners of Survivors
Accuracy Verified: Yes
69. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
Keywords: Stuttering
Accuracy Verified: Yes
70. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The aim of these exploratory study is to test the application
of therapy EMDR in case of traumatic bereavement. The
traumatic bereavement, which corresponds to the brutal loss of
"other significant", answers a precise clinical picture whose principal
characteristics are the intrusive thoughts concerning the
late one and of the difficulties of adjustment to the loss (feeling
of vacuum, difficulties of recognizing the death, irritability, lack
of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years ( S D = l I . l ) and including 75% women,
followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering
protocol EMDR The effectiveness of the therapy was
evaluated starting from several criteria including traumatic bereavement,
anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (TO), after six
meetings (TI), at the end of the therapy (T2), then in three
months (T3) and twelve months (T4) after the end of the therapy.
The principal results seem to indicate an effectiveness of the
therapy EMDR. Indeed, we observe a reduction in all the indicators
between the beginning (TO) and the end of the therapy
(TI). Moreover, when this reduction does not continue to three
and twelve months, it remains, at least, stable at one year. These
observations are very encouraging especially when it is known
that 10 to 15% of the patients develop a chronic depression.
Keywords: Accident Victims Symposium Train Accident Traumatic Bereavement
Accuracy Verified: Yes
71. Shapiro, F. (2002). EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism. Washington, DC: American Psychological Association Books.
Language: English
Format: Book
Abstract:
Beyond the talking cure: somatic experience and subcortical imprints in the treatment of trauma; The developing mind and the resolution of trauma: some ideas about information processing and an interpersonal neurobiology of psychotherapy; EMDR and psychoanalysis; EMDR and cognitive-behavior therapy: exploring convergence and divergence; Combining EMDR and schema-focused therapy: the whole may be greater than the sum of the parts; EMDR: an elegantly concentrated multimodal procedure?; EMDR and hypnosis; EMDR and experiential psychotherapy; Feminist therapy and EMDR: theory meets practice; EMDR in conjunction with family systems therapy; Transpersonal psychology, eastern nondual philosophy, and EMDR; Integration and EMDR.
Keywords: Adults Psychotherapy Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
72. 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
73. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs.
Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles à la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.).
La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)
Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.
Keywords: Case Study Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
74. Nicolais, G. (2011, Settembre). EMDR e attaccamento [EMDR and attachment]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Secondo Bowlby, le esperienze precoci del bambino con le proprie figure di attaccamento determinano rappresentazioni mentali - denominate Modelli Operativi Interni della relazione - che regolano aspetti centrali dello sviluppo come la regolazione degli affetti e la fiducia interpersonale. Analogamente, il modello AIP di Shapiro ipotizza l’effetto di esperienze precoci sullo sviluppo futuro del bambino. Ricordi di eventi particolarmente stressanti o traumatici tendono ad essere immagazzinati in modo disfunzionale nel cervello in uno stato non metabolizzato, sotto forma di “network mnestici” contenenti costellazioni di percezioni, aspettative negative, affetti e sensazioni corporee che possono essere riferite all’esperienza di caregiving. In situazioni infantili all’interno di accudimento particolarmente disfunzionali, il modello di attaccamento sviluppato dal bambino conterrà quindi network mnestici caratterizzati dall’esperienza del rifiuto e/o del maltrattamento. Il modello AIP prefigura perciò interventi, realizzati attraverso l’approccio dell’EMDR, che agiscono in senso trasformativo sulle peculiarità dei Modelli Operativi Interni della relazione. Le implicazioni di tale premessa sono l’oggetto della relazione presentata.
According to Bowlby, the child's early experiences with attachment figures determine their mental representations - called internal working models of the report - that regulate key aspects of development such as affect regulation and interpersonal trust. Similarly, the model AIP Shapiro assumed the effect of early experience on the future development of the child. Memories of traumatic or stressful events tend to be stored in a dysfunctional brain in a non-metabolized form of "network mnemonic" containing clusters of perceptions, expectations, negative emotions and bodily sensations that may be related to the experience of caregiving . In situations in caregiving particularly dysfunctional childhood, the attachment model developed by the child will then contain mnemonic networks characterized by the experience of rejection and / or mistreatment. The model therefore anticipates AIP intervention, achieved through the approach of EMDR, which act in the sense of transformation on the peculiarities of the internal working models of the relationship. The implications of this premise are the subject of the report.
Keywords: Attachment
Accuracy Verified: Yes
75. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .
Language: Spanish
Format: Journal
Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.
The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.
Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma
Accuracy Verified: Yes
76. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.
Language: English
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?
Keywords: Client Francine Shapiro Male
Accuracy Verified: Yes
77. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
To know the present status of EMDR in Asian countries:
Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people
were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India,
Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand.
Questions were on the origin of EMDR, the first training, the number of trainings so far, the number
of trained practitioners, credentials, academic organization, acceptance from government, media, and
professional world, future possibilities, and difficulties expected.
Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems
to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization
started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started
publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on
trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early
stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural
disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could
be a good opportunity to start mutual understanding and cooperation in Asia.
Keywords: Asia Keynote History
Accuracy Verified: Yes
78. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
79. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
80. Seidler, G. H., Wagner, F. E., Feurer, D. C., Micka, R., Kirsch, A., & Hofmann, A. (2004). EMDR in der behandlung von akut traumatisierten mit "akuter PTSD" [EMDR in the treatment of acute traumatized patients with "acute PTSD"]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 2(1), 61-72.
Language: German
Format: Journal
Abstract:
Nach begrifflichen Präzisierungen zum Verständnis von „akut“ wird eine Studie skizziert, in der akut traumatisierte Gewaltopfer mit unterschiedlichen treatments (nur EMDR, EMDR und Stabilisierungsgruppe, nur Stabilisierungsgruppe) behandelt werden. Zu den Untersuchungen gehören auch Mimikanalysen. Erste Ergebnisse belegen die Wirksamkeit der EMDR-Therapie und demonstrieren unterschiedliche mimische Aktivitätsmuster in Abhängigkeit von der Schwere des jeweiligen Traumas.
We are conducting a study according to conceptual specifications of our understanding of 'acute', in which acutely traumatized victims of violence are treated with various treatments (either solely EMDR, EMDR and stabilization exercises in group setting, or solely stabilization exercises in group setting). Analyses of facial expressions are included in the research. The initial findings prove the efficacy of EMDR therapy and demonstrate the different mimic or facial patterns as dependent on the severity of the trauma experienced. [Author Summary]
Keywords: Acute Stress Disorder ASD Clinical Trial Crime Germans Interpersonal Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
81. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen. Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen. Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders. The importance and difficulty of choosing good cognition in these treatments. Dialog protocol] . Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: German
Format: Conference
Abstract:
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.
[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered.
During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]
Keywords: Attachment Disorders Cognitions Dissociation
Accuracy Verified: Yes
82. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 .
Language: English
Format: Journal
Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research
Accuracy Verified: Yes
83. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.
Language: German
Format: Journal
Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.
EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders
Accuracy Verified: Yes
84. Tumani, V. (2011, June). EMDR in interkulturellen therapien [EMDR in intercultural therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: German
Format: Conference
Abstract:
Derzeit Migration verfügt über umfangreiche Ausmaße angenommen. Weltweit gehen wir von einer 1 bis 200 Migranten (WHO). Durch Bürgerkriege, Naturkatastrophen, politischen und wirtschaftlichen Umständen die wahre Zahl dürfte noch höher.
So ist es zunehmend vor, dass Psychiater und Psychotherapeuten bei der Behandlung Einzelpersonen aus anderen Kulturen begegnen, präsentiert mit verschiedenen psychiatrischen Symptome. Die Behandlung dieser Menschen werden manchmal große Schwierigkeiten. Nicht nur wegen der Sprache, sondern auch wegen der relativen Bedeutung bestimmter Symptome in einem kulturellen Kontext, ist es wichtig, Kultur Hintergrund arbeiten Milieu und Unordnung bestimmten psychiatrischen / psychotherapeutischen betrachten. Aber was bedeutet Kultur-und Milieu sensiblen Psychiatrie oder Psychotherapie bedeuten? Basierend auf den vorhandenen Studien über Menschen mit Migrationshintergrund und die Untersuchungen des Sozio-Vision-Institute, und unsere eigenen Erfahrungen, die wir klären, wie eine interkulturelle Begegnung und ein Milieu sensiblen Psychotherapie erfolgreich angewandt werden.
Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher.
So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.
Keywords: Intercultural Therapies
Accuracy Verified: Yes
85. McMahon, E. (2002). EMDR in the treatment of attachment and bonding difficulties. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 31-36). London: The Association for Child Psychology and Psychiatry.
Language: English
Format: Book Section
Abstract:
A case of a young mother with an insecure attachment history herself who suffered severe post-natal depression after the birth of her first child and who regretted having this baby. Although recovering well from depression when first seen, having benefited from drug therapy and group therapy, there ware nevertheless little progress regarding her bonding with the child. Assessment indicated the emergence of an insecure/ambivalent attachment on the part of the baby resulting in excessive clinginess, sleeping, feeding and management difficulties. Apart from EMDR a number of other models of therapy were used in this case, including mother-infant psychotherapy, solution-focused and narrative therapy. In my own estimation, and in feedback from Susan, EMDR was the most powerful of all interventions. I think this care then represents a very good example of how EMDR is integrated with other therapeutic approaches. In terms of our understanding of this process, one conceptual model (Shapiro, 1995) is that the positive perspective and more adaptive interpretation that traditional therapy provides – including insight and a coherent narrative – is held in a separate neurological network and therefore cannot influence the network containing the dysfunction ally stored material associated with the traumatic memory. Traditional therapy is often unable to help the client link one to the other, and this is where EMDR is so impressively effective.
Keywords: Attachment Bonding Children Occasional Paper
Accuracy Verified: Yes
86. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.
Language: English
Format: Journal
Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]
Keywords: Adults Americans Borderline Personality Disorder Case Report Child Abuse Clinical Case Study Empirical Study Females Incest Individual Psychotherapy Interpersonal Difficulties Interpersonal Interaction Psychotherapeutic Processes Qualitative Study Rape Suicide Survivors Treatment
Accuracy Verified: Yes
87. Brown, S., Shapiro, F., & Fang Li (2011). EMDR in the treatment of borderline personality disorder. Journal of Xihua University 3, 15-24. doi:cnki:sun:CDcdsf.0.2011-03-005.
Language: English
Format: Journal
Abstract:
Individuals diagnosed with borderline personality disorder(BPD) usually experience significant impairment in their ability to function.Impulsivity,affect instability,interpersonal difficulties,and identity problems are hallmark features of this disorder,frequently leading to suicidal and para-suicidal behaviors.Although BPD has traditionally been considered chronic and enduring,recent research has indicated that it can remit over time and that psychotherapy can accelerate this process.The etiology of BPD has been associated with childhood abuse and inadequate attachment.Given the significance of childhood abuse and trauma,eye movement desensitization and reprocessing(EMDR),a recognized trauma therapy,may be a reasonable treatment option for BPD.The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
88. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
As trauma therapists we are increasingly encountering the challenges of using
EMDR cross-culturally with highly traumatised clients who are refugees from wartorn
countries and/or oppressive regimes. This presentation seeks to address
some of the issues to be taken into consideration and the difficulties in working
with the victims of systematic infliction of physical and/or psychological torture.
Use of EMDR with these highly traumatised individuals will be examined and
ways in which the basic EMDR protocol may need to be adapted to treat these
highly traumatised individuals will be examined.
Keywords: Victims of Torture
Accuracy Verified: Yes
89. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
Keywords: Masters Series
Accuracy Verified: Yes
90. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Dissociation is a normal human process. We all
dissociate. Some individuals are so severely and
chronically traumatized that, in order to survive,
they split their awareness into at least two levels
or streams of consciousness - one level being the
participant in the abuse drama and the other level
being an observer watching as if the abuse was
happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to
the reprocessing of their traumatic memories. This
presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and
complications of clinical treatment with
dissociative process; the nature of dissociative
process; screening for dissociation and the 'Red
Flags' of treatment concerns; the differential
diagnoses of dissociation - from dissociation
found in diagnostic categories other than
Dissociative Disorders (e.g., Mood Disorders,
Anxiety Disorders, PTSD) to DDNOS (ego states
work) and DID; the use of EMDR in the treatment
of dissociation in relation to trauma; therapist
attributes that help contribute to the successful
treatment of dissociative patients. Participants will
be encouraged to share their own insights and
difficulties in working with this very traumatized
population of individuals.
Keywords: Accelerated Information Processing Model AIP DID Dissociation
Accuracy Verified: Yes
91. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997).
EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation
will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests
the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001).
Current practice is that UK personnel who are having significant difficulties in functioning after exposure to
trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental,
both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this
problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst
serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he
was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for
treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little
evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate
this novel application of EMDR is planned. This presentation will introduce participants to the challenges of
providing psychological treatment during military operations and the potential value of EMDR in this setting.
Keywords: Early Interventions Military
Accuracy Verified: Yes
92. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
Accuracy Verified: Yes
93. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.
Language: English
Format: Book
Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features:
•Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field
•Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio
•Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology
•Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities
Keywords: Adjunct Approaches Attachment Children Dissociation Trauma
Accuracy Verified: Yes
94. 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
95. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students
[Author abstract]
Keywords: Adolescents Children Imaginal Exposure, In Vivo Desentization, Outpatient Setting School Refusal Student Reintegration Symposium
Accuracy Verified: Yes
96. Rittenhouse, J. (2000, September). EMDR treatment of PTSD in a biracial client. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify ways in which EMDR is uniquely helpful to biracial and minority clients; 2) describe ways in which racially mixed individuals are oppressed in the United States; 3) describe how problems stemming from prejudice and discrimination can be resolved using EMDR; and 4) apply EMDR to the difficulties some clients may have due to life experiences relating to ethnicity and will develop a richer understanding of some of the problems caused by rascism.
Keywords: Biracial Client Minority Client Rascism
Accuracy Verified: Yes
97. Galvin, M. (2007, June). EMDR treatment tactics: Using the accelerating-decelerating model and energy psychology to enhance interventions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR therapists are frequently faced with two situations where treatment must be adjusted: blocked processing and incomplete sessions. The first is address in the Part I Training Manual under Facilitating Black Processing in Phase Four. That secion describes three situations: Where processing proceeds “favorably,” where the client over-responds, and where the client under-responds. The manual then describes decelerating tactics for addressing the second situation and accelerating strategies for addressing the third situation. We will use a format introducing an expansion of the TICES (Trigger, Image, Cognition, Emotion, Sensation) model for improves pacing of treatment. The expanded model draws on Multimodal Therapy and adds the modalities of Behavior, Interpersonal Aspects, and Drugs (actually all areas of health including diet, mediation, exercise, and the like). Clinicians can utilize the concepts to recognize when therapy has stalled (or is about to stall) because of client’s under responding and over responding in the sesson, and then apply appropriate interventions. The interventions are from EMDR, from other methods, and from Energy Psychology (EP). Increasingly, EMDR therapists are also practitioners of EP. The second challenging situation faced by EMDR therapists us when time is running out, yet the level of disturbance is still elevated. The Training Manual describes a procedure for closing such a session in Phase Seven, including a containment exercise. This workshop will show how EP techniques are an additional resource to bring to bear when dealing with incomplete sessions. There will be a description and demonstration of a couple of simple but powerful EP techniques. Participants can quickly learn these methods and will be able to immediately incorporate them into their practices. Handouts on the TICES/BID/Acceleration-Decelerating model and on the Energy Psychology techniques will be distributed.
Keywords: Energy Psychology Treatment Tactics
Accuracy Verified: Yes
98. Shapiro, F. (2007, September). EMDR update: Theory, research, and practice. Keynote presented at the EMDR International Association annual conference, Dallas, TX.
Language: English
Format: Conference
Abstract:
New research continues to shed light on EMDR as a distinct psychotherapy approach. Dr. Shapiro will review several new studies and their implications for both theory and future clinical development. The Adaptive Information Processing model and research on underlying mechanisms will be used as a springboard to explore potential applications and ways to overcome a variety of clinical difficulties. Specific clinical cases will be used to illustrate the integration of EMDR with other orientations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.
Keywords: Adaptive Processing Model AIP Keynote Research
Accuracy Verified: Yes
99. [Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1（1）、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43].
Language: Japanese
Format: Journal
Abstract:
The junior high school girl in this case witnessed her mother's suicide at the age of four. She
has been acting violently since she entered elementary school. One yearbefore the author met
her, a consultation office for children intervened due to physical abuse by her father. Flashbacks
and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic
and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved
her interpersonal relationship and began to trust others. The consultation aclivities by a school
counselor, namely the offering of psycho-educational information to the school, supporting teachers
and improving teacher's psychological understandings about her, was also important in addition to
individual treatment. The author discussed about the treatment of school children survivors who
rarely visit mental or medical institutions.
Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
100. Green, M. (2003, May). EMDR with children and adolescents – Getting started: EMDR and psychotherapy in a special school for children with emotional and behavioural difficulties. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Adolescents Children
Accuracy Verified: Yes
101. Morris-Smith, J. (2001, May). EMDR with children exposed to chronic abuse and domestic violence. Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
This paper aims to discuss some of the issues of working using EMDR, as a part of the
integrated treatment process of children, who have been exposed to chronic abuse and
domestic violence. These children are all in the care system and are living with foster parents
who know very little about their previous lives. Often the professionals caring for them also
have little of the child's history and many details of what they have been exposed to are not
known. The children are frequently detached, dissociated and shut down from their past
experiences, though their traumatised behaviours continue to blight and dominate their entire
lives and present major difficulties in their daily management and future planning. Their
emotional and social development appears to be arrested by their chronic multiple
traumatisation. They are also kept in transitional placements for long periods of time, whilst
their long-term needs are assessed. There is a struggle to identify appropriate long-term
placements for such damaged children as their severe multiple traumatisation prevents them
from being able to trust or begin to form new attachments or even to develop a sense of
safety. There is a nee for early intervention to treat their severely traumatised symptoms and
memories, to help rid them of their overwhelming terror and fears of the adult world and to
free them to begin to form healthier more appropriate behaviours and attachments. How
using EMDR to enable these children to develop and progress emotionally and socially
towards a more positive future is described.
Keywords: Children Chronic Abuse, Domestic Violence
Accuracy Verified: Yes
102. 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
103. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades.
Language: Spanish
Format: Book
Abstract:
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas.
Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.
During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.
Keywords: Dissociation
Accuracy Verified: Yes
104. Mosconi, A., Pezzolo, M., & Trotta, B. (2012, June). EMDR y terapia sistemica - Puntos de conexión, relectura e integración en el proceso terapéutico [EMDR and systemic psychotherapy - Connection points, new interpretations and integrations in the therapeutic process]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: Spanish
Format: Conference
Abstract:
En el aproche sistémico-relacional del Milán Model, el primer paso para la introducción de un cambio sea al interno de un contexto de terapia individual sea de pareja y/o familiar, es la construcción junto al paciente/sistema familiar de una Hipótesis Sistémica relativo al problema llevado. Tal proceso proporziona
la exploración en profundidad sea sincrónica sea
diacrónica de los contextos relacionales generadores del problema.
La hipótesis con respecto al sistema Relacional coconstruida
en el proceso terapéutico, toca temas
específicos a través de el uso de precisas técnicas locuaces.
Los pilastros de la hipótesis cumplen las dimensiones descritas en el cuadrilátero sistémico en el cual el problema del paciente está conectado en un proceso recursivo a los aspectos interpersonales del contexto de pertenencia.
In the systemic-relational approach of Milan Model, the first step to the introduction of a change both within the context of individual therapy and couple/family one
consists of outlining a Systemic Hypothesis on the given problem together with the patient/family system. This
process involves both synchronic and diachronic indepth exploration of the relational contexts representing the problem generators.
The hypothesis referred to the relational system, outlined together during the therapeutic process, touches specific subjects through the use of specific conversational techniques.
The pillars of the hypothesis comply with the dimensions highlighted in the Systemic Quadrilateral where the problem of the patient is connected to a process related to the interpersonal aspects of his environment.
Keywords: Poster Systemic Psychotherapy
Accuracy Verified: Yes
105. 陈庆玲 [Chen Qingling] (2012). EMDR用于艾滋病患者心理康复研究——以某一艾滋病患者创伤心理治疗的成功个案为例 [The EMDR for AIDS patients psychological Rehabilitation Research - successful cases of an AIDS patient trauma psychotherapy]. 西华大学学报：哲学社会科学版,6.
Language: Chinese
Format: Dissertation/Thesis
Abstract:
感染艾滋病病毒对于生命和躯体安全都是一个严重的创伤性事件,患者往往会承受巨大的精神压力,并有不同程度的情感障碍问题。本文采用EMDR方法对一例具有抑郁情绪和人际交往障碍的艾滋病患者进行治疗,治疗结果显示对HIV/AIDS患者采用EMDR方法能获得良好的效果,因此有必要进行更深入的研究和应用。
HIV infection for the safety of life and body are a serious traumatic event, patients tend to be under tremendous mental stress, and have varying degrees of affective disorder. In this paper, the EMDR method for treatment of one case of AIDS patients with depression and interpersonal barriers, treatment outcomes of HIV / AIDS patients can get good results with EMDR method, it is necessary to carry out more in-depth research and application.
Keywords: AIDS Depression HIV Trauma
Accuracy Verified: No
106. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers.
Language: English
Format: Book
Abstract:
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Contents:
Robert H. Tinker. EMDR for traumatised children around the world
Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems
Joanne Morris-Smith. EMDR: a case for pre-verbal memory?
Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties
Guinevere Tufnell. EMDR: working with the legal system
Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project
Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey
Tony Roberts. Websites relating to psychological trauma: with emphasis on children
Keywords: Children
Accuracy Verified: Yes
107. Bianucci, M. A. (2008). EMDR: Dificultades a superar en el abordaje de las adicciones [EMDR: Difficulties to overcome in dealing with addictions]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 351-365). Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract:
No abstract available.
Keywords: Addiction Treatment
Accuracy Verified: Yes
108. Staff (2012, December). EMDR: Técnica ajuda a superar traumas,Tratamento dura em média 15 sessões e ajuda as pessoas traumatizadas a transmutarem o pensamento negativo [EMDR: Technique helps overcome trauma, Treatment lasts an average of 15 sessions and helps traumatized people ransmute negative thinking]. Folha de Londrina Website. Retrieved from http://www.folhaweb.com.br/?id_folha=2-1--3403-20121231 12/31/2012.
Language: Portuguese
Format: Other
Abstract:
Traumas psicológicos trazem consequências emocionais e físicas. Quem passou por um trauma geralmente lembra da situação com certa frequência e o sofrimento vivido vem à tona fazendo com que a pessoa reviva o momento. Angústia profunda, sensação de estar preso, fobia, isolamento, raiva, agressividade, depressão, dificuldade nos relacionamentos interpessoais são algumas consequências de um trauma.
A questão é que a pessoa também pode apresentar sintomas físicos como enxaqueca, fibromialgia, síndrome do intestino irritável, amnésia psicogênica, tontura, sudorese, distúrbio do sono e outros. ''O trauma é um estresse crônico porque a pessoa que passa por uma situação assim fica reincidindo, lembrando da ocasião, e acaba ficando o tempo todo em estado de alerta, por isso desenvolve uma porção de sintomas que caracteriza o estresse pós-traumático'', conta a psicóloga Dorotéia Murcia Souza.
As terapias com psicólogos são eficazes na superação de traumas, mas a psicologia convencional costuma ser um tratamento de longo prazo. Uma das técnicas usadas nesta área é uma abordagem psicoterápica chamada EMDR, ou Movimento Ocular, Dessensibilização e Reprocessamento (sigla em inglês). A técnica consiste em acessar as memórias traumáticas do paciente, dessensibilizá-lo para a ocasião e reprocessar o entendimento dele referente àquelas memórias. Este tipo de tratamento dura em média 15 sessões.
Psychological traumas bring emotional and physical consequences. Who went through the trauma. Usually remember the situation with some frequency and experienced Suffering comes up Causing the person to relive the moment. Deep distress, feeling of being trapped, phobia, isolation, anger, aggression, depression, difficulty in interpersonal relationships are some Consequences of the trauma. The point Is that the person may have physical Also Symptoms such as migraines, fibromyalgia, irritable bowel syndrome, psychogenic amnesia, dizziness, sweating, sleep disturbance, and others. '' The trauma is a chronic stress because the person who goes through a situation like this is reincidindo, remembering the occasion and end up all the time on the alert, so a lot of Develops Symptoms That characterize the post-traumatic stress '' says psychologist Dorothy Souza Murcia. therapies with psychologists are effective in overcoming trauma, but conventional psychology is Often the long-term treatment. One of the techniques used in this area is a psychotherapeutic approach called EMDR, or Eye Movement, Desensitization and Reprocessing. The technique Consists in Accessing the patient's traumatic memories, it desensitize and reprocess the occasion is his understanding Regarding Those memories. This type of treatment lasts an average of 15 sessions.
Accuracy Verified: Yes
109. Parnell, L. (2009, December). EMDR: A trauma therapy power-tool. Presentation at the 21st International Psychology of Health, Immunity & Disease Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.
Accuracy Verified: Yes
110. Parnell, L. (2009, October). EMDR: A trauma therapy power-tool. Presentation at the NICABM (National Institute for the Clinical Application of Behavioral Medicine) Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.
Accuracy Verified: Yes
111. Shapiro, E. (1993, Fall/Winter). EMDR: Warts and all. EMDR Network Newsletter, 3(2), 4-5.
Language: English
Format: Newsletter
Abstract:
After my first training with Francine
in 1989, in Israel, I was excited by
this promising method and infected
with her enthusiasm. I went on to
use EMDR whenever I could in my
work at the Nazareth Ilite Educational
Psychological Service and in
my private practice, as well as during
my present sabbatical leave in London.
I often incorporated EMDR into
my work and felt comfortable and
confident with a wide range of clients,
ages, and difficulties and was
ready to explore further with the
method. Since my Level II training
in November of 1992, I have learned
to be more discerning, perhaps even
overcautious for the time being, in
applying EMDR. Reflecting over my
earlier years of bolder and freer uses
of EMDR, I did not encounter any
negative effects. The worst that happened
was that nothing much happened,
and this occurred in a minority
of cases (perhaps in less than
20%). Even with those cases, I had
noticed that there may have been a
tendency to underestimate positive
effects. One of the subtle difficulties
I observed assessing outcomes was
that the cognitive changes that occurred
were sometimes so spontaneous
and "naturally" that the client took
them for granted. I first notice this
phenomenon clearly in two cases.
Keywords: Outcome Positive Effects
Accuracy Verified: Yes
112. 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
113. Scharf, C., Berliner, K., Meyers, M., Schwartberg, N., & Weinshel, M. (2006, September). Enhancing couples therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: Couples often have difficulties changing present day maladaptive patterns of interaction when they are triggered by past traumatic events and/or attachment traumas. This workshop will demonstrate ways in which EMDR can be incorporated into couples therapy in order to interrupt "stuck" cycles of interaction, decrease reactivity. and deepen connections. Our work is informed by a family systems perspective and attachment theory. There will be a theoretical discussion on how we use EMDR in couples work, as well as an experiential exercise illustrating these concepts. Clinician examples and videtape excepts from a year-long course of therapy will illustrate thc ongoing choices the therapist makes in incorporating EMDR in her work with a couple. We will also demonstrate how one partner's witnessing and the other's being witnessed during the processing enhances the healing of old wounds and opens up possibilities for new ways of relating.
Keywords: Couples Therapy
Accuracy Verified: Yes
114. Henry-Schneider, P. (2007, September). Enhancing the flow toward mental health: Integrating EMDR and ai chi. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Ai Chi is a moving meditation in warm water that can be understood within the context of the Adaptive Information Processing Model. It can be utilized as part of the overall EMDR-oriented treatment plan, both to prepare for desensitization and as a way to close down incomplete sessions. It can also be part of performance enhancement EMDR. As a multimodal experience, Ai Chi helps to develop the body as a resource and parallels the interpersonal neurobiology definition of mental health. Unique qualities that Ai Chi offers will be explored. Participants will be given the opportunity to experience the process firsthand. Please Note: In order to fully participate, please bring a swimsuit or other suitable attire for use in a swimming pool.
Keywords: Ai Chi Meditation
Accuracy Verified: Yes
115. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.
Language: French
Format: Dissertation/Thesis
Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale
(TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble.
Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants
n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.
This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy
(CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder.
The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants
who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.
Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
116. Inoue, N. (2009). Evaluation of an EMDR treatment outcome using the Rorschach, the TAT, and the IES-R: A case study of a human-caused trauma survivor. Rorschachiana, 30(2), 180-218. doi:10.1027/1192-5604.30.2.180.
Language: English
Format: Journal
Abstract:
In order to better understand treatment outcome through eye movement desensitization and reprocessing (EMDR) trauma therapy, the author conducted comprehensive pre- and posttreatment assessments using the Impact of Event Scale-Revised (IES-R), the Rorschach Comprehensive System (CS), and the Thematic Apperception Test (TAT) on a survivor of human-caused trauma. The results of the Rorschach CS and the TAT showed significant improvements in terms of interpersonal relationships after the treatment. On the other hand, the posttreatment Rorschach scores indicated that the EMDR therapy promoted self-insight in much the same way as a traditional uncovering therapy. In this case study, the findings gained through the two performance-based methods shed light on what a successful EMDR trauma therapy can yield aside from symptom reduction. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Rorschach TAT Trauma Treatment Outcome
Accuracy Verified: Yes
117. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353.
Language: English
Format: Dissertation/Thesis
Abstract:
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study
Accuracy Verified: Yes
118. Boyer, W. R. (2007). An exploratory study of the effects of EMDR on state/trait anxiety and anger in adult male sex offenders. Argosy University, San Francisco, CA. ATT 3286571.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this exploratory study was to investigate the effects of EMDR
on state and trait anxiety and anger levels associated with developmental
traumas of sexual offenders in outpatient sex offender treatment. A
qualitative component explored the participants' perceptions of their
therapy experiences as helpful in resolving problematic reactive behaviors
linked with the developmental traumas and other negative life experiences.
The male participants ranged in age from 20 to 49 and were self-selected
from a purposive sample of clients receiving treatment in an outpatient sex
offender program in Southwest Florida. From this sample group, N = 17, the
study participants were randomly assigned to one of two treatment
modalities, EMDR or CBT. This exploratory study utilized a
quasi-experimental, mixed methods format to analyze the effects of EMDR on
state/trait anxiety and anger levels. The study utilized both quantitative
and qualitative research strategies to acquire what Webster and Marshall
(2004) described as "the clearest, fullest picture of behavior" (p. 118).
The quantitative analysis of data obtained from the pre and post-testing
found no significant differences between the treatment groups in reducing
state/trait anxiety and anger levels. The analysis of the qualitative
interview data revealed four core themes: Treatment Efficacy, Emotional
Processing, Therapeutic Alliance, and Empowerment. The emergent themes of
emotional processing and the therapeutic alliance have not been fully
explored in sex offender therapy and may warrant further scrutiny.
Additionally, processing of developmental traumas and past victimization has
been avoided or minimized in standard cognitive-behavioral sex offender
treatment contrary to more recent research findings that identify attachment
problems and intimacy deficits as key dynamic risk factors associated with
sexual recidivism (Adams, 2003). The field of sex offender therapy may
benefit from future research that investigates the role of trauma resolution
in mitigating dynamic risk factors that are linked with recidivistic sexual
violence. EMDR may serve as an adjunctive therapy to assist sexual offenders
to effectively process developmental wounds and in so doing target dynamic
risk factors by improving their ability to emotionally self-regulate and
enhance their ability to more fully experience victim empathy and improve
interpersonal relationships. Future sex offender research may benefit from
more expanded investigations of EMDR and other limbic therapies. Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(10-B), 2008, pp. 6951.
Keywords: Anger Anxiety Criminals Developmental Disabilities Empirical Study Qualitative Study Outpatients Quantitative Study Sex Offenders Sex Offenses Trauma Treatment
Accuracy Verified: Yes
119. Samec, J. R. (2007, Maj). Externalisering med EMDR för behandlingen av svår enkopres och traumatiserade barn med aggressivt beteende [Externalisation with EMDR for treatment of severe elimination and traumatized children with aggressive behavior]. Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(1), 7-9.
Language: Swedish
Format: Newsletter
Abstract:
Enligt min erfarenhet, är Michael Whites
(1991) externaliserings metod för behandling
av enkopres (se bilagan för en beskrivning)
effektiv. Men med en mer komplicerad form av
enkopres, t.ex. långvarig enkopres hos äldre
barn, räcker externalisering inte alltid till.
Genom att kombinera externalisering med Eye
Movement Desensitization and Reprocessing
(EMDR), kan svårigheterna bearbetas snabbt
och effektivt med bestående resultat. Metoden
förutsätter att barnet har undersökts av en
läkare. Terapeuten bör vara uppmärksam på
eventuella trauman eller andra stressfaktorer
under anamnestagning. Metoden ger också bra
resultat med traumatiserade barn med
aggressivt beteende.
In my experience, Michael White
(1991) externalizing adjustment method for treatment
of enkopres (see annex for a description)
effective. However, a more complex form of
enkopres, e.g. prolonged enkopres elderly
children, enough externalization not always.
By combining outsourcing with Eye
Movement desensitization and Reprocessing
(EMDR), the difficulties can be processed quickly
and effectively with lasting results. The method
assumes that the child has been examined by a
doctor. The therapist should be aware of
any trauma or other stress factors
during history taking. The method also gives good
results with traumatized children
aggressive behavior.
Accuracy Verified: Yes
120. Renssen, M. R., & Winkel, F. W. (1999). Eye movement desensitization and reprocessing (EMDR) bij verkeersslachtoffers met chronische whiplash-klachten: Een exploratieve studie naar het verzachten va traumasymptomen [Eye movement desensitization and reprocessing (EMDR) in road casualties with chronic whiplash injuries: An exploratory study to alleviate symptoms of trauma]. Directieve Therapie, 19(4), 148-156. doi:10.1007/BF03060223.
Language: Dutch
Format: Journal
Abstract:
Dit onderzoek bij verkeersslachtoffers met whiplash-klachten maakte deel uit van een omvangrijker studie naar de kwaliteit van hulpverlening aan slachtoffers van verkeersongevallen, in het kader van het Achmea-project ‘Kwaliteit Slachtofferhulp’. Gerapporteerd wordt een viertal gevalsbeschrijvingen van patiënten met chronische whiplash-klachten. Vier vrouwen die gemiddeld 22 maanden geleden bij een auto-ongeval betrokken waren, werden tweemaal anderhalf uur behandeld met Eye Movement Desensitization and Reprocessing (EMDR). Voor en na de behandeling werden de Symptom Checklist 90 (SCL-90) en de Schokverwerkingslijst (SVL) afgenomen. Vergelijking van voor- en nameting toonde een duidelijke afname van klachten, onder meer op Herbeleving en Vermijding (SVL) en Somatisatie, Angst, Depressie, Slaapproblemen, Wantrouwen en Interpersoonlijke Sensitiviteit (SCL-90). Deze resultaten zijn hoopgevend: EMDR bleek bij te dragen aan een verzachting van traumasymptomen. In verder onderzoek zouden de effecten en onderliggende mechanismen van emdr bij een grotere groep chronische whiplash-patiënten bestudeerd moeten worden.
This study of road accident victims with whiplash injuries was part of a larger study on the quality of assistance to victims of traffic accidents, as part of the Achmea project 'Quality Victim'. Reported four case reports of patients with chronic whiplash injuries. Four women who averaged 22 months ago in a car accident, were two and a half hours with Eye Movement Desensitization and Reprocessing (EMDR). Before and after treatment were the Symptom Checklist 90 (SCL-90) and Shock Treatment List (SVL) decreased. Comparison of pre-and post-test showed a significant reduction of complaints, including the re-experiencing and Avoidance (IES) and Somatization, Anxiety, Depression, Insomnia, Distrust, and Interpersonal Sensitivity (SCL-90). These results are encouraging: EMDR appeared to contribute to an alleviation of trauma symptoms. In further research, the effects and underlying mechanisms of EMDR in a larger group of chronic whiplash patients should be studied.
Keywords: Motor Vehicle Accidents Road Casualties Whiplash
Accuracy Verified: Yes
121. Balk, J. L. (2001, Nov 1). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Alternative Medicine Alert, 4, 121-124.
Language: English
Format: Newsletter
Abstract:
Post-traumatic stress disorder (PTSD) is a fairly common disorder. Roughly 8-10% of the population will suffer from PTSD at some point in their lives. For victims of violent crimes such as rape, the rate of PTSD may be 60-80%. (1) According to the DSM-IV, diagnostic criteria for PTSD include: 1) perceived or actual threat to life or physical integrity, accompanied by an emotional response of horror, helplessness, or intense fear; 2) re-experience of the trauma (e.g. flashbacks and nightmares); 3) avoidance of trauma-related stimuli and numbing of interest and affect; and 4) increased unwanted arousal, such as concentration difficulties, irritability, and insomnia. Specific criteria exist regarding the numbers of symptoms in each category that must be present.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
122. Pollock, P. (2000, April). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder (PTSD) following homicide. Journal of Forensic Psychiatry, 11(1), 176-184. doi:10.1080/095851800362454.
Language: English
Format: Journal
Abstract:
Homicide perpetrators have been observed to report symptoms of PTSD directly related to involvement in the offense itself. A single-case study is presented, which describes the application of eye-movement desensitization and reprocessing for a male perpetrator of homicide. The nature of the difficulties these offenders experience is considered and the need for appropriate psychological intervention in such cases is discussed. [Author Abstract]
Keywords: Case Report Clinical Case Study Empirical Study Homicide Males Posttraumatic Stress Disorder PTSD Perpetrator Treatment Effectiveness
Accuracy Verified: Yes
123. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320.
Language: English
Format: Journal
Abstract:
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author Abstract]
Keywords: Brief Psychotherapy Clinical Case Study Energy Psychotherapy Posttraumatic Stress DIsorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
124. Protinsky, H., Sparks, J., & Flemke, K. (2001, June). Eye movement desensitization and reprocessing: Innovative clinical applications. Journal of Contemporary Psychotherapy, 31(2), 125-135. doi:10.1023/A:1010217707351.
Language: English
Format: Journal
Abstract:
Neurologically-based therapies such as Eye Movement Desensitization and Reprocessing (EMDR) are being clinically implemented and researched in the field of psychotherapy. While EMDR has a theoretical base and some research support for its effectiveness with PTSD, therapists are now developing and using EMDR for other clinical problems. This report illustrates some of the unique applications of EMDR with clinical problems such as: driving phobia, interpersonal arguments, dyspareunia, depression, anxiety, and eating problems. [Author Abstract]
Keywords: Anxiety Conflict Depressive Disorders Dyspareunia Eating Disorders Interpersonal Interaction Phobia Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Somatic Symptoms Stressors Survivor Treatment Effectiveness
Accuracy Verified: Yes
125. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Performance Enhancement
Accuracy Verified: Yes
126. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing: Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480.
Language: English
Format: Dissertation/Thesis
Abstract:
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.
Keywords: Case Report Empirical Study Male Multiple Traumatic Events Nonclinical Case Study Posttrauamtic Stress Disorder Preadolescents PTSD Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
127. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.
Language: English
Format: Dissertation/Thesis
Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]
Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community
Accuracy Verified: Yes
128. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Colloquium Performance Enhancement
Accuracy Verified: Yes
129. Wizansky, B. ([2003]). Footsteps through the maze - A model for using EMDR with oppositional children. Presentation at the EMDR Israel Association, Nazereth Ilit, Israel.
Language: English
Format: Other
Abstract:
This paper presents a therapeutic model developed to facilitate communication with children who have difficulty cooperating with the therapeutic process. The model utilizes the concept of a Maze metaphorically, in combination with the directed focusing, dual attention, and bilateral stimulation of
EMDR in order to meet and process disturbing emotion. Underlying this model is the concept of an internal psychic space, connected to memory and association, wherein reside the child's potential range of emotions. “The Maze”, becomes the metaphor for that space, while a step by step process leads gradually to playful, non threatening communication with the child about his problem. (the entrance). The Footsteps (self drumming on alternate knees) provide the bilateral stimulation and dual attention required by EMDR. These lead the child on his own path to better ways of coping (the exit).
Before presenting the model, the paper discusses several points: First, the necessity of touching on this inner space in order to bring about balance and change; second, the difficulties which traumatized, rigidly defended children have in approaching their emotions; and third, the role of cumulative trauma in preserving the child’s defenses and oppositional stance.
Keywords: Children Footsteps Through the Maze Opposition Disorder
Accuracy Verified: Yes
130. Korkmazlar, U., Kurt, B., Bilgisin, G., & Atçeken, S. H. (2012, June). From child to family: Team work with EMDR [Del Niño a la Familia: Trabajo en Equipo EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This presentation will focus on why we need team work especially when we are working with children and how do we integrate
EMDR into our clinical work. We believe that when working with children, the teamwork and the cooperation with the family system are
crucial. Most of the time parents bring their children to therapy as identified patients and want us to fix them. However, in the first session we
realize that most of the child’s difficulties stem from unhealthy family system and parents’ conflicted relationship patterns. Most problems
arise from attachment and trust/ security issues. We observe that when children have difficulty choosing home as safe place; this is a first sign
that there are problems in the family system. Therefore, how we integrate the safe place exercise with play therapy, and the use of EMDR with
storytelling method will be explained. We believe that after a couple of sessions with children, it is very effective referring parents to individual
or couples therapy to work on their own relational and attachment issues to improve children’s mental health. We also mention how to use
EMDR for unresolved trauma and deficient family resources that have been carried from previous generations. The effects of parents’ own
attitudes and problems on children and their own inter-generational attachment issues are going to be explicated in detail including EMDR
therapy to resolve those unfinished business. All these topics above will be explained with case examples.
Esta presentación se centrará en por qué necesitamos trabajar en equipo, especialmente cuando trabajamos con niños y cómo
integramos EMDR dentro de nuestro trabajo clínico. Creemos que cuando trabajamos con niños, el trabajo en equipo y la cooperación con
el sistema familiar son cruciales. La mayor parte del tiempo, los padres traen a sus hijos a terapia como pacientes identificados y quieren que
los curemos. Sin embargo, en la primera sesión, nos damos cuenta de que la mayoría de las dificultades del niño provienen de un sistema
familiar poco sano y de las pautas relacionales conflictivas de los padres. La mayor parte de los problemas surgen de problemas de apego y
confianza / seguridad. Observamos que cuando los niños tienen dificultades escogiendo su hogar como lugar seguro, es una primera señal
de que existen problemas en el sistema familiar. Por tanto, explicaremos cómo integramos el ejercicio del lugar seguro dentro de la terapia
de juego y cómo usamos EMDR con el método cuentacuentos. Creemos que después de un par de sesiones con niños, es muy efectivo el
derivar a los padres a terapia individual o de pareja para trabajar en sus propios problemas relacionales y de apego para mejorar la salud
mental de los niños. También mencionamos cómo usar EMDR para el trauma no resuelto y para recursos familiares deficientes que han sido
pasados de generaciones anteriores. Se explicarán en detalle los efectos de las actitudes y problemas de los padres sobre los niños y sus
propios problemas intergeneracionales de apego, incluyendo la terapia EMDR para resolver esos temas incompletos. Todos los temas
anteriores serán explicados con ejemplos de casos.
Keywords: Children Family Team Work
Accuracy Verified: Yes
131. Leeds, A. (2010, June). The future of EMDR. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In less than 20 years, EMDR achieved international acceptance as an empirically supported treatment for posttraumatic stress disorder. In achieving this recognition, EMDR has raised fundamental questions, both about the essential mechanisms of action of existing treatments and what the foundational principles should be for future approaches to psychotherapy.
Can EMDR best be explained as a variant on the exposure-extinction model of imaginal exposure? Will EMDR turn out to be an equally or more effective treatment for other anxiety disorders, for depressive disorders and for personality disorders, than other methods such as Cognitive Behavioural and Interpersonal Therapy? Is the Adaptive Information Processing model essential to the current use and the future of EMDR or is it merely an unproven and extraneous model? How will EMDR evolve over the next 20 years? For what conditions will it turn out to be most successful? How will the emergence of new technologies impact the delivery of psychotherapy in general and of EMDR? A glimpse of what lies ahead.
Accuracy Verified: Yes
132. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
with
people
suffering
from
complex
trauma
often
leads
to
difficulties
regarding
the
treatment
plan,
but
also
during
desensitization,
reprocessing,
with
a
risk
of
major
destabilization,
and
treatment
drop
outs.
Often,
many
targets,
especially
those
coming
from
early
childhood,
are
pre-‐verbal
in
nature
and
stay
therefore
implicit.
Should
we
then
renounce
in
doing
EMDR
with
these
people?
Is
it
possible
to
apply
EMDR
safely
and
without
getting
lost,
adjusting
to
each
person,
so
different
from
another,
and
their
life
events
somewhat
chaotic?
The
gearbox,
through
the
metaphor
of
a
journey
by
car,
suggests
a
hierarchical
processing
structure
to
navigate
through
therapy
with
people
suffering
from
complex
trauma,
which
allows
the
therapist
to
adapt
to
the
client,
his/her
life
context,
knowing
what
to
do,
and
why.
The
result
is
a
more
self-‐confident
therapist,
who
is
able
to
adapt
to
the
client,
being
so
more
flexible
and
safe
while
doing
EMDR.
By
integrating
the
current
knowledge
of
EMDR
for
complex
trauma,
the
gearbox
is
a
dynamic
and
adaptive
tool.
EMDR
en
personas
que
sufren
trauma
complejo
a
menudo
conlleva
dificultades
respecto
al
plan
terapéutico
y
también
durante
la
desensibilización
y
reprocesamiento,
con
el
riesgo
de
una
desestabilización
mayor
y
el
abandono
del
tratamiento.
Con
frecuencia,
muchos
de
los
objetivos
y,
muy
especialmente
los
que
tienen
su
origen
en
la
primera
infancia,
son
preverbales
y,
por
lo
tanto,
permanecen
implícitos.
¿Deberíamos
renunciar
al
uso
de
EMDR
con
estas
personas?
¿Es
posible
aplicar
EMDR
de
forma
segura
y
sin
perderse,
adaptándose
a
cada
persona,
tan
distintas
unas
de
otras,
así
como
a
sus
eventos
de
vida,
algo
caóticos?
“Gearbox”,
a
través
de
una
metáfora
de
un
viaje
en
coche,
sugiere
una
estructura
jerárquica
de
procesamiento
para
navegar
por
la
terapia
con
personas
que
sufre
trauma
complejo,
lo
que
permite
al
terapeuta
a
adaptarse
al
cliente,
el
contexto
de
su
vida,
sabiendo
qué
hacer
y
por
qué.
El
resultado
es
un
terapeuta
con
más
confianza
en
sí
mismo,
capaz
de
adaptarse
al
cliente,
con
mucho
más
flexibilidad
y
seguridad
mientras
utiliza
EMDR.
Al
integrar
los
conocimientos
actuales
de
EMDR
en
casos
de
trauma
complejo,
“la
caja
de
cambios”
es
una
herramienta
dinámica
y
adaptativa.
Keywords: Gear Box
Accuracy Verified: Yes
133. Richards, J. B. (2010, June). Group EMDR after individual trauma treatment as assistance back into everyday life. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The learning objectives are as follows;
By the end of the workshop, participants will demonstrate:
An awareness of the potential value of group EMDR for traumatised
clients.
An understanding of the place of group EMDR as a final stage
in treatment, after individual EMDR trauma therapy.
Familiarity with a range of EMDR techniques which are useful
in this mode of treatment.
This experiential workshop will commence with a short Power-
Point presentation, including some client material.
There will then follow a brief discussion, followed by an opportunity
to try out a group experience of using EMDR techniques
The use of group EMDR as a stage of EMDR trauma treatment
arose from the expressed need of clients for a sense of shared
experience, and peer support as they returned to everyday life
as a changed person. Many have physical impairments as a re^
suit of their traumatic experiences, and feel a sense of empathic
understanding when sharing their difficulties.
A further benefit has been the improved reflective functioning displayed
by the group members, which may be related to greater
Vagus nerve relaxation, and resulting increased neocortical activity.
The workshop leader is an accredited EMDR practitioner, who
has been treating traumatised people individually and in groups
for more than thirty years, and has been using EMDR in groups
increasingly in recent times.
Keywords: Group Therapy
Accuracy Verified: Yes
134. Allon, M. (2010, June). Group therapy of women raped in the Congo. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In 2008 i was invited to work and train professionals
working with women who had been raped in the wars raging in
the Congo. Seeing that there are tens of thousands of women
who were raped, I decided to apply a group therapy model using
EMDR The Power Point presentation will include videos of the
work and the process that was used. In addition the statistical
methods and findings of the work will be provided. The workshop
will provide further information about the power of EMDR in group settings. The workshop will provide information about
how to work with groups and when group work is not an appropriate
method of therapy. The workshop will also teach what
tools to use prior and post for assessing the results of group therapy.
The workshop will also address the difficulties and methods of
working with a population that does not know to read or write.
Keywords: Congo Group Therapy Rape Women
Accuracy Verified: Yes
135. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.
Keywords: Posttraumatic Stress Disorder Psychotherapy Treatment
Accuracy Verified: Yes
136. Forgash, C. A. (2005, September). Healing the heart of complex trauma through EMDR, ego state and somatosensory work. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR is increasingly being utilized to treat highly challenging clients with a
variety of diagnoses including complex PTSD, DESNOS, and a range of
dissociative disorders. The dissociative processes commonly described as
part of the PTSD spectrum, are also predicted by early attachment difficulties
and losses. These clients may present with elements of several disorders (i.e.,
Borderline PD). Without considerable stabilization work, they may be unable
to process information safely. This presentation, through lecture, experiential
work and case presentation, will provide clinicians with a model that enables
them to provide EMDR treatment effectively with this population.
Participants will become familiar with specialized treatment planning that begins with detailed and complex history taking and pays particular attention to an extensive individualized preparation phase. They will learn how and when to integrate ego state work, somatosensory work and disociative treatment strategies in this phase and throughout EMDR protocol work. This systemic work will be understood to help patients resolve internal conflicts, deal with stabilization, affect regulation, triggering, overwhelm, dissociation, and resistance.
Keywords: Challenging Clients Dissociation Ego State Therapy Master Series Somatosensory Therapy
Accuracy Verified: Yes
137. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
Keywords: Attachment Behavior Psychotherapy Stressors Survivors
Accuracy Verified: Yes
138. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives:
Know that trauma influences psychotic symptoms,
Understand how EMDR can influence paranoia and hallucinations, and
Be able to conceptualize EMDR for these symptoms
Keywords: Psychosis
Accuracy Verified: Yes
139. Yordy, J. [2005]. How trauma affects children & the benefits of EMDR processing. Jan Yordy.
Language: English
Format: Other
Abstract:
There are many different factors which need to be taken into account in order to help
children resolve the physical, emotional and mental difficulties caused by unresolved
trauma. One of the most important factors is having a therapy technique which first
desensitizes the trauma memories and then repatterns how the brain stores the previously
traumatic information. Eye Movement Desensitization & Reprocessing (EMDR)
provides this type of unique treatment which is highly effective for resolving emotional
difficulties and traumatic experiences.
Keywords: Benefits Children Trauma Effects
Accuracy Verified: Yes
140. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .
Language: English
Format: Conference
Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management
Accuracy Verified: Yes
141. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.
Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.
Keywords: Personality Disorders
Accuracy Verified: Yes
142. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.
Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.
Keywords: Infertility
Accuracy Verified: Yes
143. Daigger, M. (2007). Imaginative techniken in der psychotraumatherapie unter besonderer berücksichtigung des motivs "Die innerern helfer" [Imaginative techniques in the psychotrauma-therapy in special view of the motif "The inner helpers"]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 39-51.
Language: German
Format: Journal
Abstract:
In psychotraumatherapy den therapeutischen Prozess (Stabilisierung, Therapie mit dem inneren Kind, Trauma-Exposition) ist oft durch mehrere Probleme behindert. Dann das Motiv "Die Inneren Helfer" als eine phantasievolle Ressource im Zusammenhang mit der suggestiven Beeinflussung durch den Therapeuten kann gute Dienste leisten. Die Inneren Helfer symbolisieren unbewussten Teile des Selbst, die losgelöst haben und verdrängten durch das Mittel der Projektion im Sinne von Fähigkeiten, die der Patient hat (noch) keinen Zugang. Die Inneren Helfer nehmen eine repräsentative Funktion für den Patienten, bis er in der Lage, diese Teile des Selbst nach Gebrauch mit integrierten ihnen. Die Aktivierung dieser Ressourcen phantasievolle ermöglicht nicht nur ein Erfolg versprechende Stabilisierung und Therapie mit dem inneren Kind, sondern auch eine sanfte und wenig Anstrengung Trauma Exposition für Patient und therapist.In diesem Artikel möchte ich zunächst das Motiv einführen "Die Inneren Helfer" . Ich weiterhin durch den Nachweis wichtige Techniken der Psychotraumatologie, indem sie Beispiele für mögliche Anwendungen der das Motiv des Inneren Helfer in schwierigen Situationen des therapeutischen Prozesses. Alle Techniken ergänzen einander und können miteinander kombiniert werden. [Autor Zusammenfassung]
In psychotraumatherapy the therapeutic process (stabilization, therapy with the Inner Child, trauma exposure) is often hindered by multiple difficulties. Then the motif "The Inner Helpers" as an imaginative resource in connection with suggestive influencing by the therapist can serve well. The Inner Helpers symbolize unconscious parts of the self that have been dissociated and repressed by the means of projection in the sense of abilities to which the patient has (yet) no access. The Inner Helpers take a representative function for the patient until he is able to use these parts of the self after having integrated them. The activation of these imaginative resources not only makes possible a success promising stabilization and therapy with the Inner Child, but also a gentle and little straining trauma exposure for patient and therapist.In this article I first want to introduce the motif "The Inner Helpers". I continue by demonstrating important techniques of psychotraumatology by giving examples of possible applications of the motif of the Inner Helpers in difficult situations of the therapeutic process. All techniques complete each other and can be combined. [Author Summary]
Keywords: Psychotrauma
Accuracy Verified: Yes
144. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource,
because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing
environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and
construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients
to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the
EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a
little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel,
levels of integration that constitute mental health will be explored. It will become clear that the characteristics
that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai
Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The
experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will
learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most
populations, it is particularly helpful for people with chronic pain issues as well as an older population.
Learning Objectives:
• Come to a basic understanding of mental health from an interpersonal neurobiological point of view
• Learn about the practice of Ai Chi
• Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel
MD
• Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety
of mental health issues
• Experience Ai Chi and/or watch video demonstrating Ai Chi.
Keywords: Ai Chi Mind/Body Connection
Accuracy Verified: Yes
145. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
Keywords: Affect Tolerance Poster Self-Regulation Social Functioning
Accuracy Verified: Yes
146. Baldwin, D. (1997). Innovation, controversy, and consensus in traumatology. Traumatology, 3(1), 7-22. doi:10.1177/153476569700300103 .
Language: English
Format: Journal
Abstract:
Controversy follows innovation and threats to the status quo in many social domains, including the sciences. This article briefly summarizes information from the philosophy of science and data from studies of conflict in diverse fields. It then introduces two independent contemporary controversies in traumatology -- a new clinical method called EMDR and the Final Report of the APA Working Group on memories of childhood abuse -- and considers them within a broader context of the historical rift between psychological research and practice. The aim is to step outside the frame of specific conflicts and identify differences in philosophical orientation and values that contribute to communication difficulties and associated conflict between partisans. Approaches are offered toward building consensus within the field. [Author Abstract]
Keywords: Child Abuse Commentary False Memory Rape Scientific Research Survivors
Accuracy Verified: Yes
147. Hoffman, S., & Laub, B. (2006). Innovative interventions in psychotherapy. Boca Raton, FL: Universal-Publishers.
Language: English
Format: Book
Abstract:
The present volume unquestionably constitutes a significant contribution to clinical literature. The case reports, with their descriptions of many types of therapeutic interventions and combinations of interventions in dealing with a wide variety of difficulties presented by different patients and patient groups, as well as the discussions of important topics in psychotherapy, add to our knowledge of the many facets of psychotherapy, enrich our understanding of the treatment process, and deepen our appreciation of the importance of therapeutic sensitivity and flexibility.
Accuracy Verified: Yes
148. Staff. (2012, December 7). Innovative trauma therapy on offer to East Lancashire children. Lancashire Telegraph. Retrieved from http://www.lancashiretelegraph.co.uk/news/10095556.Innovative_trauma_therapy_on_offer_to_East_Lancashire_children/ on 12/8/2012.
Language: English
Format: Newspaper
Abstract:
Clinical psychologists at the Lancashire Care NHS Foundation Trust have been trained offer EMDR - which stands for Eye Movement Desensitization and Reprocessing The technique is used to deliver therapy to help children who are experiencing emotional difficulties such as phobias, anxiety and chronic pain. [Excerpt]
Accuracy Verified: Yes
149. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.
Language: English
Format: Book Section
Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models
Accuracy Verified: Yes
150. Aloisio, T. M. F. (2012, October). Integrating structural Bowen theory and EMDR: Healing trauma and sexual disorders after a rape suffered. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
The couple was assaulted by four men, one appeared to be a minor. They forced the couple into their own car and raped the wife, forcing the husband to watch the rape under gunpoint.
With both parents assaulted and raped, the family reported a history of sexual trauma and underwent an EMDR therapy in addition to Bowen theory.
They presented the following symptoms: The wife: episodes of panic, depression, insomnia and nightmares, anorgasmia and vaginismus. The husband: anxiety disorder, insomnia, intrusive negative thoughts, premature ejaculation and erectile difficulties. The children: Larissa - difficultues in sleeping and concentrating in her studies. Yago - nocturnal enuresis and difficulty sleeping alone in his bedroom.
The EMDR standard protocol was used to clear the trauma within the relationship as well as with outside relationships. Experiences from before and after the rape were also targeted, as well as differentiation in the couple, including unsatisfactory sex.
There were nine encounters, during nine weeks, with an average of three hours each.
Follow up data from the couple was obtaained after six months.
Keywords: Bowen Theory Poster Rape Sexual Disorders Victim
Accuracy Verified: Yes
151. Rouanzoin, C. (2007, September). The integration of EMDR in the treatment of dissociative clients. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will focus on the use of EMDR in the treatment of patients who span the dissociative spectrum. The participants will learn how to understand dissociative process from simple to complex dissociation and how to utilize EMDR in their treatment. This presentation will discuss dissociative process from the Adaptive Information Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the ‘Red Flags’ of treatment concerns; the differential diagnoses of dissociation – from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; and therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this highly traumatized population of individuals.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
152. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
40% of Therapists trained in EMDR report difficulties
integrating EMDR into their clinical practice. This paper will report
on a qualitative study of Therapists who were interviewed
as part of my Doctoral research project at the University of
Middlesex, London. The paper will explore and report on the
types of difficulties which therapists are reporting and the reasons
why. It will explore ways forward to resolve these issues
including the implications for training, and the need for ongoing
clinical supervision post training.
Participants will learn of the difficulties in integration of EMDR
in clinical practice and the reasons why.
Participants will come away with a better understanding of the
professional and organizational difficulties involved in integration
Participants will also learn how to resolve these issues.
This study is unique because it is the first study undertaken with
Therapists trained in EMDR outside the USA and because the
qualitative nature of the study is counterbalanced with the findings
of quantitative data which make the findings more generalizable
and cross cultural in nature.
Keywords: Research Symposium Training Issues
Accuracy Verified: Yes
153. Holstein, B. (2008). The integration of focusing with EMDR and kabbala concepts. Presentation at the 10th International Focusing Conference, Spring Valley, New York.
Language: English
Format: Conference
Abstract:
This session will be a presentation of concepts and exercises from the Kabbala as applied to living forward in one's life through focusing and EMDR. Specific struggles, such as addictive eating, repeated relationship difficulties, and identity and esteem issues will be addressed. This workshop will include experiential exercises toward living the life you envision. 1.5 hrs. Bonnie Holstein, PsyD.
Keywords: Kabbala
Accuracy Verified: Yes
154. Faretta, E., & Parietti, P. (2003, May). Integration of hypnotic therapy with EMDR in the psychodynamic treatment of panic attacks disorder: Trauma and panic. In Anxiety disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
The authors illustrate here a special intervention plan that has demonstrated particular benefit in the treatment of Panic Disorder. They introduce here a specific modality of treatment, based upon the integration of hypnotic techniques with EMDR, and following a carefully planned procedure.
This modality of treatment is comprised of several steps that allow the articulation of a structured intervention. This precise scheme of work is based on the eight phases of EMDR and its integration with hypnosis therapy.
The authors present an elaborated single case study of one patient with Panic Disorder along with summaries of several others who were treated with this integrated modality.
The results of the intervention show a noteworthy decrease in the frequency of panic attacks, a reduction in anticipatory anxiety, the alleviation of the somatic symptoms, depression, and other difficulties associated with this disorder.
These clinical case studies suggest the efficacy of this modality of EMDR integrated with hypnosis, and encourage further research in this area. [Author abstract]
Keywords: Anxiety Disorders Hypnotic Therapy Hypnotism Panic Attacks Psychodynamic Therapy Symposium
Accuracy Verified: Yes
155. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171.
Language: English
Format: Journal
Abstract:
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.
Keywords: Empathy Intersubjective Cognitive Interweave Cognitive Processes Countertransference Integrative Model Integrative Psychotherapy Interpersonal Interaction Models Posttraumatic Stress Disorder Psychotherapy PTSD Transference Psychotherapeutic Transference Subjectivity
Accuracy Verified: Yes
156. Paterson, M. (2001, May). Interactive cognitive sub-systems as a theoretical basis for EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is a novel approach to treating
Post Traumatic Stress Disorder (PTSD). It relies upon having clients access images of their
traumas, negative self-schemas, emotions, and somatic memories and reprocessing these to
resolution of the traumatic memory. The simultaneous linking of these components is
accompanied by alternating stimulations of the brains hemispheres using either auditory
tones, tactile sensation, or rapid eye movements across the visual field. Successful
completion of the treatment results in trauma images fading, positive cognitive shift,
reduction of negative affect, and disappearance of somatic sensations.
Shapiro (1995) proposed an 'accelerated processing model' for EMDR that essentially pulls
together the different strands of the treatment in a coherent way. It suggests that the brain
heals itself, as with tissue damage, and changes in symptomatology are always from negative
to positive. What Shapiro's model does not do is operationally define her concepts and
explain the way changes in dysfunctional information occur. For example, the EMDR model,
as with Beck's (1987) Clinical Cognitive Model, accepts that clients place new meaning on
dysfunctionally stored information, but lacks explanation of how this occurs: i.e. the shift
from irrational to rational beliefs, and from 'cold' to 'hot' cognitions.
This paper rectifies the difficulties the 'accelerated processing model' has in acting as a
theoretical basis for EMDR. It describes firstly the received wisdom on the
neurophysiological, and psychological correlates of PTSD. It then goes on to examine the
treatment components considered necessary for the effective resolution of the disorder. In its final phase, the paper considers how well models of information processing explain the
acquisition and maintenance of PTSD. It adopts a modification of the Ingerchanging
Cognitive Subsystems (ICS) approach (Teasdale & Barnard, 1993), a theory based in
cognitive science, to operationally define EMDR's component parts and its process in the
treatment of PTSD. The ICS approach is recommended as a useful way to conceptualise the
maintenance of PTSD and a strong theoretical basis for EMDR.
Keywords: Theory
Accuracy Verified: Yes
157. Affonso, S. D. S. (2012, Novembro). Intervenção do EMDR em uma situação de luto traumático infantil: Vivência de uma criança de seis anos no adoecimento e morte de sua irmã de dois anos vítima de leucemia [EMDR intervention in a situation of childhood traumatic grief: Experiences of a child of six years in the illness and death of her sister two years of leukemia victim]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Em uma família com estrutura complexa: a mãe vive há 14 anos durante o dia com o companheiro que é casado com outra mulher (com quem passa as noites) e teve dois filhos desse relacionamento. Importante ressaltar que a mãe vivia nas ruas e teve uma nova chance ao ser acolhida por uma madrinha. A menina, de dois anos, adoeceu e faleceu vítima de leucemia. O menino, de seis anos, passou a apresentar comportamento agressivo na escola, dificuldade de aprendizagem, dispersão e insônia. A madrinha foi quem procurou o EMDR por telefone. Com seis sessões, intercalando atendimentos à mãe e à criança, com uso de EBs auditivos para a mãe e EBs visuais para o segundo, desenhos para ambos, relato de sonhos, e na última sessão com mãe e filho, com o uso de um ritual de despedida com a linha do tempo. Nesta última, contaram sobre as melhoras do menino em dormir e em seu aproveitamento escolar. Aproveitaram para dizer que os sonhos continuavam encaminhados e estavam finalmente começando a dar certo.
In a family with complex structure: the mother lives 14 years ago during the day with a partner who is married to another woman (who spends his nights) and had two children from that relationship. Importantly, the mother lived on the streets and had another chance to be accepted by a sponsor. The girl, two years old, fell ill and died of leukemia. The boy, six years old, began to show aggressive behavior in school, learning difficulties, insomnia and dispersion. The godmother was the one who tried EMDR by phone. With six sessions, alternating visits to the mother and child, using EBs hearing for the mother and for the second visual EBs, drawings for both reporting of dreams, and last sessions with mother and child, with the use of a ritual farewell to the timeline. In the latter, told the boy about the improvements in sleep and in their school. Took the opportunity to say that dreams were still underway and finally starting to go right.
Keywords: Childhood Trauma Family Grief Process
Accuracy Verified: Yes
158. Snyder, M. (1996, December). Intimate partners: A context for the intensification and healing of emotional pain. Women and Therapy, 19(3), 79-92. doi:10.1300/J015v19n03_08.
Language: English
Format: Journal
Abstract:
A case of a lesbian couple is presented in which one partner experienced early sexual abuse and the other a series of major losses (beginning with the death of her mother) in early childhood. The first partner developed an alcohol addiction and the second a high level of emotional lability and some practices of self-harm. Both partners developed dissociative patterns. The couple is now in a committed relationship and have continued in therapy for the last 9 months, with sessions gradually becoming less frequent. The therapeutic work has included the "externalization" of the problem(s), some individual work within the couple session using Eye Movement Desensitization and Reprocessing (EMDR), and a strong emphasis on the development of empathic skill through the technique of "becoming" the other person. The case reveals the way in which a primary relationship often surfaces intense unresolved feelings and dysfunctional relationship practices, and also the way in which emotional commitment and a structure for the couple becoming therapeutic agents to each other allows for a deep level of healing. The couple comments on their relationship process and the therapeutic process as part of the article. [Author Abstract]
Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors
Accuracy Verified: Yes
159. Dunne, T., & Farrell, D. (2011). An investigation into clinicians' experiences of integrating EMDR into their clinical practice. Journal of EMDR Practice and Research, 5(4), 177-188. doi:10.1891/1933-3196.5.4.177.
Language: English
Format: Journal
Abstract:
This study was conducted in the United Kingdom at two major conferences to examine how therapists (N = 83) integrated eye movement desensitization reprocessing (EMDR) into their clinical practice. Data from a mixed methodology suggests that up to 40% of the sample experienced difficulties post-EMDR training. Results indicated that analytically trained and humanistic therapists experienced significantly more difficulties in integrating EMDR into the current clinical practice than integrative or cognitive behavioral clinicians. This study also ascertained that EMDR clinicians experienced workplace difficulties and challenges. Consideration is given to how the study findings may have implications for both the teaching and learning of EMDR and workplace issues.
Keywords: Dissemination of Empirically Supported Therapies Integration Psychtherapeutic Orientations
Accuracy Verified: Yes
160. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA)
and Chi-Square tests to examine the relationships between Questionnaire items for
significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice
and integration issues. This qualititative data was content analyzed. No differences were
found between both groups on Biodata factors, years of experience as a Therapist or years
using EMDR which gives further confidence in the results when comparing both cohorts.
Results: Respondents endorsed two types of explanation as to why they believed EMDR
works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes
(77%) and Adaptive Information Processing (73%). This suggests that Therapists are not
just following Shapiro’s AIP model slavishly but are rather making up their own minds.
There were no significant differences between Analytic, CBT, Integrative and Humanistic
Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active
ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical
practice than Analytic or Humanist Therapists. This finding was supported by the results of
the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced
difficulties in integrating EMDR into their clinical practice, post training. The types of
difficulties identified included: Differences in theoretical beliefs, more active style of
EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational
issues and hostility from clinical colleagues, bullying, lack of supervision and support
post training.
Conclusions: The results of this study confirm findings from earlier studies regarding
Therapists’ beliefs about EMDR but also extend those finding internationally so that
previous findings can now be accepted as universal given that this present study
contained respondents from three other continents other than North America. This study
also found that up to 40% of Therapists trained in EMDR experienced significant
difficulties in integrating EMDR into their clinical practice post-training. Analytic and
Humanist Therapists reported the biggest difficulties which included conflict with the
Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist
confidence and lack of supervision and support, Organizational and Management issues of
opposition to EMDR and Therapist Bullying. The implications for EMDR training are
discussed and communicated to relevant EMDR Training Organizations.
Keywords: Poster Research Therapist's Beliefs
Accuracy Verified: Yes
161. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.
Language: English
Format: Book Section
Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]
Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
162. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders Symposium Trauma
Accuracy Verified: Yes
163. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura.
A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica.
L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività.
Nell’ambito del Workshop verranno approfondite le seguenti tematiche:
• Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico.
• Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici.
• Ruolo dell’abuso sessuale.
• Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare.
• Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico.
• Strumenti di screening psicodiagnostico.
• Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche
• Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature.
Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy.
EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness.
As part of the workshop will examine the following issues:
• Differential diagnosis between different types of pain, uro-gynecology.
• Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events.
• Role of sexual abuse.
• psychophysiological mechanisms in the onset of the disorder: the role of muscle tension.
• Psychological characteristics of women with uro-gynecological pain.
• psycho-diagnostic screening tools.
• Work on the main strategies for assessment and intervention uro-gynecological and pharmacological
• Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.
Keywords: Urogenital Pain
Accuracy Verified: Yes
164. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.
Language: French
Format: Other
Abstract:
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une
rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite
enfance sont de nature préverbale et restent de ce fait implicites. Devons-‐nous pour autant renoncer à travailler en EMDR ? Est-‐il possible de travailler en
EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie
avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.
EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major
termination of treatment. Often, many targets, especially those of small
preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work
EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy
with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.
Keywords: Gearbox
Accuracy Verified: Yes
165. 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
166. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España.
Language: Spanish
Format: Conference
Abstract:
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la
bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte
impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y
multifactorial que exige una atención y actuación que incluya los aspectos clínicos,
familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato
físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009).
Los profesionales que trabajan con TCA disponen en el EMDR de un modelo
psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta
comunicación es el explicar como se puede trabajar con EMDR para poder tomar
conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.
The feeding behavior disorders (ED), one of which is anorexia and
bulimia nervosa, are an emerging health problem that has a strong
impact on our society. The problem of these disorders is as varied and
multifactorial requiring attention and action, including the clinical,
family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse
physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009).
Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this
communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
167. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.
Language: Italian
Format: Conference
Abstract:
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.
When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.
Keywords: Interpersonal Trauma
Accuracy Verified: Yes
168. Dunton, R. (1992, April). Learning issues and children. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Children Learning Difficulties
Accuracy Verified: Yes
169. Kim , N. H. (2010, July). Long-term treatment effect of complex PTSD by using eye movement desensitization and reprocessing: A case report. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
People who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological
disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complex
PTSD). The author reports a case of the successful sequential integrative treatment mainly composed of eye movement
desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment
with psychotropic medications and supportive psychotherapy. Nineteen sessions of EMDR treatment were done for the
patient. Psychological assessments and behavioral measures were performed before starting the treatment, after 4 months of
treatment (mainly EMDR treatment), after 17 months of treatment (mainly supportive psychotherapy integrated with EMDR
treatment for 13 months) and after 32 months of treatment (supportive psychotherapy for 15 months). The antidepressant
medication had been maintained through the treatment. After the treatment, the patient improved on all the psychological
scales and behavioral measures. This case suggests that the sequential integrative treatment using EMDR may be effective
for complex PTSD patients.
Keywords: Case Report Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Poster
Accuracy Verified: Yes
170. Meignant, I. (2012, April). L’approche systémique et l’EMDR: Soigner le couple [The systems approach and EMDR: Treating the couple]. Présentation à la réunion annuelle de l'EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
L’utilisation conjointe du modèle systémique du double lien réciproque de Mony ElKaïm et du modèle du Traitement Adaptatif de l'Information (TAI) d’EMDR est une nouvelle perspective pour la thérapie de couple. L'utilisation des deux approches permet de développer un plan de traitement en EMDR qui tient compte et respecte les systèmes relationnels ex : couple, homme /femme, parent/enfant, employé/employeur. Lors de cette présentation les participants apprendront quand et comment travailler avec un membre du couple comme co-thérapeute ; comment un lieu sûr sur le plan individuel peut aussi s’appliquer au niveau du couple et être utilisé durant la session et à la maison ; comment déterminer les cibles dans un plan de traitement EMDR et systémique qui soit guidées par la compréhension systémique du double lien réciproque et finalement comment adapter les 8 phases du protocole EMDR auprès du couple en se basant sur le modèle systémique.
Objectifs d'apprentissage:
1. Déterminer lorsqu’il est approprié d’utiliser l’EMDR en thérapie de couple
2. Pouvoir faire l’installation d’un lieu sûr afin que cela soit une ressource pour le couple
3. Comprendre comment utiliser le modèle systémique du double lien réciproque afin d’identifier les cibles individuelles qui contribuent aux difficultés actuelles du couple
4. Comprendre les particularités de chacune des 8 phases du protocole EMDR lorsque utilisés auprès du couple.
Using both the systemic model of the double reciprocal link Mony Elkaim and model of the Adaptive Information Processing (ADP) EMDR is a new perspective for couple therapy. The use of both approaches can develop a treatment plan that considers EMDR and respects relational systems eg couple, man / wife, parent / child, employee / employer. During this presentation participants will learn when and how to work with a member of the couple as co-therapist; how a safe place at the individual level can also be applied to the couple and used during the session and at home, how identify targets in a treatment plan that is systemic and EMDR guided by the systemic understanding of the double reciprocal link and finally how to adapt the eight phases of EMDR protocol with the torque based on the systemic model.
Learning Objectives:
1. Determine when it is appropriate to use EMDR in couples therapy
2. Able to install a safe place so that this is a resource for the couple
3. Understand how to use the systemic model of the double reciprocal link in order to identify individual targets that contribute to the current difficulties of the couple
4. Understand the particularities of each of eight phases of EMDR protocol when used with the couple.
Keywords: Couples
Accuracy Verified: Yes
171. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
172. Giannantonio, M. (2008, Novembre). L’integrazione possible: accedere alle emozioni con strategie imaginative e corporee [Integration impossible: Access to emotions with imaginative and corporeal strategies]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Il modello paradigmatico di intervento clinico al quale l’EMDR si ispira è di non interferenza all’interno dell’elaborazione adattiva prodotta autonomamente dal paziente, stimolato da una ottimale relazione terapeutica e dalla stimolazione bilaterale all’interno di un campo di attenzione duale. Nondimeno, è esperienza abituale del clinico come tale modello incappi regolarmente all’interno di stalli rielaborativi che impediscono una adeguata desensibilizzazione e rielaborazione degli eventi stressanti o francamente traumatici. Per tale motivo, l’EMDR può massimizzare la sua efficacia psicoterapeutica attraverso l’impiego di specifiche strategie di “intervento cognitivo integrativo”, finalizzate all’implementazione adattiva ed ecologica delle risorse inattingibili da parte del paziente. In questa comunicazione, che prende in parte ispirazione dalle domande e dalle difficoltà emergenti nei colleghi durante l’attività di supervisione, attraverso numerose esemplificazioni cliniche si intenderà mostrare l’impiego flessibile ed euristico di strategie immaginative e corporee come interventi integrativi di particolare efficacia. In particolare, verrà posta una specifica attenzione nei confronti degli stalli integrativi dovuti principalmente a meccanismi dissociativi che possono causare difficoltà anche notevoli all’attività dello psicoterapeuta. Fenomeni dissociativi massicci, infatti, possono mostrarsi sin dall’inizio (in particolare qualora l’evento abbia suscitato una dissociazione peritraumatica), rendendo apparentemente non affrontabile il ricordo del paziente, in quanto non evocatore di alcuna risonanza emotiva; diversamente, la gestione dissociativa dei ricordi comparirà tra una seduta e l’altra, oppure all’interno del processo elaborativo condotto con l’EMDR. Verrà mostrato come la dissociazione, che può rendere impossibile l’elaborazione, possa essere gradualmente ridotta iperassociando il paziente nei confronti dei propri ricordi, di volta in volta privilegiando attività rivolte nei confronti delle immagini mentali oppure attraverso l’adozione di posture corporee finalizzate alla rottura delle barriere dissociative.
The paradigmatic model of clinical intervention in which EMDR is based is not interference in preparing adaptive generate themselves from the patient, stimulated by optimal therapeutic relationship and the bilateral stimulation within a field of attention dual. Nevertheless, it is habitual experience of the clinician how this model regularly encountering processed within stalls that prevent a adequate desensitization and reworking frankly stressful or traumatic events. Therefore, EMDR can maximize its effectiveness through the use of specific psychotherapeutic strategies, "Integrative cognitive intervention, aimed at the implementation of adaptive and ecological resources unattainable by the patient. In this communication, which takes some inspiration, the questions and difficulties emerging in the colleagues during the supervisory activities through numerous clinical examples to show you will understand the use of flexible, heuristic imaginative strategies and body as supplementary measures, particularly effective. In particular, specific attention will be paid in respect of the stalls due mainly to additional dissociative mechanisms that can cause considerable difficulties although the activity of psychotherapist. Dissociative phenomena massive, in fact, can show the beginning (in particularly if the event has generated a dissociation peritraumatica), making apparently not face the memory of the patient, because not suggestive of any resonance emotional, otherwise the management dissociative memories appear between sessions and one or within the computational process conducted with EMDR. Will be shown as the dissociation which may make it impossible to process, can be gradually reduced iperassociando
the patient against their own recollections, each time focusing on activities aimed respect of mental images or through the adoption of body postures designed to rupture of dissociative barriers.
Keywords: Imaginative Strategies Somatic Interventions
Accuracy Verified: Yes
173. de Jongh, A., & ten Broeke, E. (2006, November). Masterclass EMDR. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De uitvoering van EMDR kent zo zijn lastige kanten, bijvoorbeeld omdat het proces niet op gang lijkt te komen, of omdat het scherpstellen niet gemakkelijk gaat. In veel gevallen heeft dat te maken met een gebrek aan ervaring met de unieke dynamiek van EMDR als informatie-verwerkingsmethode, maar vaak ook ligt de oorzaak in het niet optimaal toepassen van het protocol.
In deze bijeenkomst wordt een overzicht gegeven van - en uitleg gegeven over - veelvoorkomende EMDR ‘fouten’ en moeilijkheden. De deelnemers krijgen tips en instructies om geblokkeerd gewaande processen weer op te starten, ook bij complexe patiëntenpopulaties. Uitgebreid wordt ingegaan op het conceptualiseren van casus voor de toepassing van EMDR, onder andere aan de hand van video-opnamen. Van de deelnemers wordt gevraagd hun eigen vragen en problemen met de EMDR procedure in te brengen om van deze masterclass een levendige bijeenkomst te maken.
The implementation of EMDR knows its tough edges, such process will not start because it seems to be, or because the focus is not easy. In many cases, this has to do with a lack of experience with the unique dynamics of EMDR as an information processing method, but often the reason lies in not fully implement the protocol.
In this session gives an overview of - and explanations are given - EMDR common 'mistakes' and difficulties. Participants receive tips and instructions for processes blocked supposed to restart, even in complex patient populations. Extensively discusses the conceptualization of case for the application of EMDR, including using video recordings. Participants are asked their own questions and problems with the EMDR procedure to bring this master of making a lively meeting.
Accuracy Verified: Yes
174. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"] . EMDR Deutschland e.V. Rundbrief, 19, 20-34.
Language: German
Format: Newsletter
Abstract:
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung.
Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)
Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment.
In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).
Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders
Accuracy Verified: Yes
175. Chandarasiri, P. (2012, June). Mekong Project - EMDR treatment for traumatised populations [El proyecto Mekong -‐ Tratamiento con EMDR para poblaciones traumatizadas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Trauma
Aid
is
a
non-‐profit
association
whose
major
aim
is
to
improve
the
quality
of
trauma
treatment
of
people
who
have
been
exposed
to
violence
and
other
forms
of
extreme
psychological
distress.
Project
Mekong
was
established
in
response
to
the
living
circumstances
of
the
target
region
populations
of
Thailand,
Cambodia,
Myanmar
and
Indonesia
whose
experiences
have
been
shaped
by
natural
disasters,
military
conflicts
and
acts
of
interpersonal
violence.
The
main
objective
of
this
EMDR
Humanitarian
Assistance
Programme
(EMDR
HAP)
project
is
to
establish
an
integrated
training
program
for
the
treatment
of
PTSD
for
therapists
in
the
Mekong
region
and
Indonesia.
The
project
commenced
in
early
2011
and
offers
a
unique
layered
approach
by
offering
five
different
training
levels,
training
participants,
EMDR
facilitators
in
training,
EMDR
supervisors
in
training,
EMDR
trainers
in
training,
and
continuous
professional
development
of
existing
EMDR
trainers.
Within
the
training
program
there
are
over
60
participants
from
eleven
different
countries.
This
culturally
rich
component
of
the
project
allows
the
bringing
together
of
personal
resources,
creativity
and
a
wealth
of
experiences
between
the
project
participants
and
the
training
team.
The
purpose
of
this
presentation
is
to
outline
some
of
the
audit
data
being
collected
by
training
participants
with
the
clinical
work
with
clients
and
provides
an
insight
into
how
EMDR
is
being
successfully
applied
with
trauma
populations
within
the
Mekong
region.
Trauma
Aid
es
una
asociación
sin
ánimo
de
lucro
cuyo
objetivo
principal
es
el
de
mejorar
la
calidad
del
tratamiento
para
trauma
de
personas
expuestas
a
violencia,
así
como
a
otras
formas
de
angustia
psicológico
extremo.
El
Proyecto
Mekong
se
estableció
como
respuesta
a
las
circunstancias
de
vida
de
las
poblaciones
de
la
región
diana
en
Tailandia,
Camboya,
Birmania
e
Indonesia,
cuyas
experiencias
han
sido
conformadas
por
las
catástrofes
naturales,
conflictos
militares
y
actos
de
violencia
interpersonal.
El
objetivo
fundamental
de
este
proyecto
del
Programa
de
Ayuda
Humanitaria
de
EMDR
(EMDR
HAP,
por
sus
siglas
en
inglés)
consta
de
implantar
un
programa
de
formación
integral
para
el
tratamiento
de
TEPT
para
los
terapeutas
en
la
región
del
Mekong
e
Indonesia.
El
proyecto
tuvo
su
comienzo
a
principios
del
año
2011
y
ofrece
un
planteamiento
singular
por
capas
al
proporcionar
cinco
niveles
distintos
de
formación:
la
formación
de
participantes,
facilitadores
de
EMDR
en
formación,
supervisores
de
EMDR
en
formación,
formadores
de
EMDR
en
formación
y
desarrollo
profesional
de
los
formadores
de
EMDR
ya
existentes.
Dentro
del
programa
de
formación,
existen
más
de
60
participantes
de
once
países
diferentes.
Este
componente
del
proyecto
tan
rico
en
cultura
permite
aunar
recursos
personales,
creatividad,
así
como
una
plétora
de
experiencias
entre
los
participantes
en
el
proyecto
y
el
equipo
a
cargo
de
la
formación.
El
propósito
de
esta
presentación
es
el
de
esbozar
algunos
de
los
datos
de
auditoría
que
se
están
recabando
por
parte
de
los
participantes
en
formación
con
el
trabajo
clínico
con
clientes
y
dar
mayor
conocimiento
y
perspectiva
acerca
de
cómo
se
está
aplicando
EMDR
con
éxito
en
poblaciones
traumatizadas
dentro
de
la
región
del
Mekong.
Keywords: Mekong Project Trauma Aid
Accuracy Verified: Yes
176. Sanfiz, J. (2006). Memoria clinica d'un cas en psicoterapia: Tratamiento de un caso de disociacion con hipnosis y EMDR conbinados [Treatment of a case of dissociation combined with hypnosis and EMDR]. Facultat de psicologia, Departament de personalitat, avaluacio y tractament psicologics, Universitat de Barcelona y EMDR Forum Barcelona, Grupo de Trabajo de Disociacion, Casos Clinicos.
Language: Spanish
Format: Conference
Abstract:
La paciente, a la que llamaremos R, es una mujer de 35 años, físicamente explosiva, pide consulta por las dificultades que tiene para “sentir algo” cuando tiene relaciones sexuales con su pareja, con la que convive desde hace año y medio. Se queja de falta de deseo sexual. Cuando tiene relaciones sexuales con su pareja, siente angustia y rechazo.
The patient, whom we shall call R, is a woman of 35 years, physically explosive, consultation requests by the difficulties he has to "feel something" when you have sex with your partner, you live with for a year and a half. Complains of lack of sexual desire. When you have sex with your partner, you feel anxiety and rejection.
Keywords: Dissociation Hypnosis
Accuracy Verified: Yes
177. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS.
De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.
Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD.
The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
178. 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
179. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Narrative family therapy is the study of individuals, systems and the research on origins, development and
transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could
symbolically represent an entity, both individual and collective, and express a personal identification, a family tie,
a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is
a process to “get out” from the person any element or quality that is transformed in some with entity. In
psychotherapy, externalising is the use of language to convert problems that affect person or family on to
independent entity. This transformation allows people to fight against them or to view them from a new
perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family
entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create
a link between the child history and the family history in order to cope with difficulties that children and families
find after adoption. We use tales inside the symbolic techniques that permits families work together with
meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases
with families that have adopted a child. During the treatment we have combined EMDR and narrative family
therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and
benefices of EMDR and narrative therapy in these family processes.
Keywords: Adoption Narrative Family Therapy
Accuracy Verified: Yes
180. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.
Language: English
Format: Conference
Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with
current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma
survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative
disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of
adult CTS. Second, there are specific health problems predominant in this population which often are untreated,
misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health
needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good
health care may be minimal for this population. This presentation will focus on the development of an EMDR
treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized
Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage
triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze,
hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these
problems, (these may include iatrogenic events and specific physical problems seemingly related to current
health problems, which actually result from early trauma); and become assertive health consumers. Skills
development needed by the CTS to become empowered and competent health consumers, such as rehearsal,
identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy
Accuracy Verified: Yes
181. Oxdale, R. (2008, June). Neurophysiological observations on impaired processing: some things we can learn about PSTD & EMDR from sleep disorder conditions such as sleep apnoea and limb movement of sleep disorder. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
EMDR has developed on a theoretical background of information processing. What do we know about the
structure and functioning of the processing parts of the brain, or “the processor”? In this talk I will bring together
information from the research studies of Harvard neurophysiologist Robert Stickgold, the MRI studies of Ruth
Lanius, and my own co-morbidity studies of PTSD, which show a very high co-morbid sleep disorder association.
EMDR practitioners in UK and Europe may be unfamiliar with sleep disorder medicine, and this presentation aims
to introduce them to this realm of interest. I will explain why sleep disorders render people vulnerable to
developing PTSD; and why EMDR will help resolve PTSD; and why sometimes the sleep disorder problem needs
to be recognized and addressed in its own right. Instruction on how to screen for significant sleep disorders and
how to recognize them and distinguish them from sleep disturbance will be given. I will discuss recent and
ongoing studies of limb movement disorder of sleep, which often seems to contribute to vulnerability to
adjustment disorder and PTS symptoms. The ecological neatness of EMDR will be apparent, and difficulties in
achieving results in chronic PTSD will be understandable and seen as remediable. The direction of possible future
research efforts in this area will be discussed.
Keywords: Neurobiology
Accuracy Verified: Yes
182. 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
183. ten Broeke, E., Korrelboom, K., & de Jongh, A. (1998, December). Over de noodzaak van herhaalde en langdurige blootstelling aan traumatische herinneringen bij de behandeling van posttraumatische stress stoornis (PTSS)? [Is prolonged exposure to traumatic memories necessary in PTSD?]. Gedragstherapie, 31(4), 273-290.
Language: Dutch
Format: Magazine
Abstract:
Langdurige blootstelling aan traumatische herinneringen wordt door velen beschouwd als een noodzakelijk element in de behandeling van posttramatic stress-stoornis (PTSS). Deze bewering wordt ondersteund door de doeltreffendheid van de directe therapeutische blootstelling (DTE), zoals blijkt uit gecontroleerde studies. Omgekeerd is er aanwijzingen dat andere behandelmethoden die geen gebruik maken van langdurige blootstelling wijzen verschijnt even effectief. Bovendien is de effectiviteit van de DTE bemoeilijkt door zowel psychiatrische complicaties en de beperkte compliance van de patiënt als gevolg van problemen met de blootstelling huiswerkopdrachten. In deze paper wordt geconcludeerd dat de DTE is een levensvatbare behandeling voor PTSS, maar het is twijfelachtig of DTE moet worden beschouwd als de 'voorkeursbehandeling' voor PTSS. Steekwoorden: langdurige blootstelling, PTSS, te herzien.
Prolonged exposure to traumatic memories is considered by many as a necessary element in the treatment of posttramatic stress disorder (PTSD). This claim is supported by the effectiveness of direct therapeutic exposure (DTE), as is evident from controlled outcome studies. Conversely, there is evidence to suggest that other treatment approaches that do not use prolonged exposure appear equally effective. Furthermore, the effectiveness of DTE is complicated by both psychiatric complications and limited patient compliance as a result of difficulties with exposure homework assignments. In this paper, it is concluded that DTE is a viable treatment for PTSD, but it is questionable whether DTE should be considered the 'treatment of choice' for PTSD. Key words: prolonged exposure, PTSD, review.
Keywords: Cognitive Therapy Episodic Memory Implosive Therapy Posttraumatic Stress Disorder PTSD Prolonged Exposure Review Treatment
Accuracy Verified: Yes
184. Kravic, N., & Hasanovic, M. (2011, January). P02-377 - Moral conflict and first sexual experience - Case presentation. European Psychiatry, 26(Supplement 1), 973-973. doi:10.1016/S0924-9338(11)72678-5.
Language: English
Format: Journal
Abstract:
Objectives: In our mind as well as in our body and nature nothing is happened accidentally, we can often see that there is mutual connection between them. There is a case presentation of young man age 29 with obsessive thoughts for getting fatal disease if step on junky needles which he had seen in his neighbor. It thoughts influence his all life he is avoiding to go out of his apartment, poorly sleep, he insisted to be admitted to in patient treatment because he „would probably kill himself if he had to stay there jet…” His first difficulties appeared when he was 20, after his first sexual experience which he has had with prostitute, after his friend’s birthday party. Then he obsessively started to think about getting AIDS, getting died… Four years ago he really have got malignant testicular tumor and in his 24he had passed through exhausting surgery and chemotherapy. As a child he was growing up during the war time, experienced snake bite, often tonsil infections.Now he has no job, live with parents and one year older brother, no girlfriend or other relationship. Treated with antidepressant venlafaxin, and atypical narcoleptic risperidon, with additionally used EMDR, he showed good recovery and getting into every day activities.
Keywords: Sexual Experience
Accuracy Verified: Yes
185. Morini, P. L., & Romanini, M. L. (2001). Pedophilia: An integrated treatment in a prison setting. Tigis.
Language: English
Format: Other
Abstract:
This report describes the results of a long term (3 years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting.
Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to pedophilia and a detailed report of one case study.
In this case study we describe the nature of the crime, the evolution of the offender’s pathology and cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions.
To overcome any difficulties that a prison setting imposes on the treatment process we have thought to make this treatment option entirely voluntary, with the subject beeing offered not other‚ incentive‚ than a free choice to have the opportunity to ‚looking into himself‘.
In this report we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison only two years ago compaired to the four years of follow up in the case study; each of these four subjects appears to be doing well in living a fully integrated life outside of prison.
It is ous view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected with sexual deviance.
Keywords: Pedophilia Prison Setting
Accuracy Verified: No
186. Romanini, M., & Morini, P. (2004, June). Pedophilia: An integrated treatment in a prison setting. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
This report describes the results of a long term (three years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting.
Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to the pedophilia, and a detailed report of one case study.
In this case study, we describe the nature of the crime, the evolution of the offender’s pathology, and the cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions and EMDR treatment.
To overcome any difficulties that a prison setting imposes on the treatment process, we have sought to make this treatment option entirely voluntary nature with the subject being offered no other “’incentive’ than a free choice to have the opportunity to “looking into himself.’
In this report, we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison but have a shorter follow up period. Each of these four subjects has now completed their prison sentence and appears to be doing well in living a fully integrated life outside of prison.
It is our view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected to sexual deviance.
Keywords: Pedophilia Symposium
Accuracy Verified: Yes
187. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.
Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.
Keywords: Personality Disorders
Accuracy Verified: Yes
188. Potter, A., & Wesselmann, D. (2009, August). Phase-based trauma treatment of adults with problems of trauma and attachment: DBT and EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as well as other complex psychiatric issues, have significant skill deficits in the area of emotion regulation and attachments. Phase-based trauma treatment (DBT followed by EMDR) assists clients in developing adequate emotion regulation skills and developing healthy interpersonal relationships during a preliminary phase of therapy prior to trauma processing. This presentation offers rationale and instruction for phase-based treatment with complex client populations. Case and video examples and the results of a small pilot project are utilized to illustrate topics presented.
Keywords: DBT Dialectical Behavior Therapy
Accuracy Verified: Yes
189. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea.
Language: English
Format: Dissertation/Thesis
Abstract:
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors.
Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels
Accuracy Verified: Yes
190. Friedman, M. J. (2006, April). Posttraumatic stress disorder among military returnees from Afghanistan and Iraq. American Journal of Psychiatry, 163(4), 586-593. doi:10.1176/appi.ajp.163.4.586 .
Language: English
Format: Journal
Abstract:
Although most military personnel returning from recent deployments will readjust successfully to life in the United States, a significant minority will exhibit PTSD or some other psychiatric disorder. Practitioners should routinely inquire about war-zone trauma and associated symptoms when conducting psychiatric assessments. Treatment should be initiated as soon as possible, not only to ameliorate PTSD symptoms but also to forestall the later development of comorbid psychiatric and/or medical disorders and to prevent interpersonal or vocational functional impairment. If evidence-based practices are utilized, complete remission can be achieved in 30%–50% of cases of PTSD, and partial improvement can be expected with most patients. We can all look forward to future breakthroughs that will improve our capacity to help people with PTSD. [Author Summary]
Accuracy Verified: Yes
191. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.
Language: English
Format: Journal
Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]
Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness
Accuracy Verified: Yes
192. Zimmermann, E. (2010, June). The potential of EMDR in gynaecology and obstetrics: Special application with infertile women. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The author of this presentation works as psychologist
and psychotherapist in a clinic in Fribourg/Switzerland in the
department of gynecology and obstetrics. Various applications
of EMDR are used, both in gynecologic and obstetrical outcomes.
A special patient population, namely infertile women
in search of becoming pregnant, are an important part of the
work. The purpose of this presentation is to show the special
approach that E. Zimmermann has developed by working with
infertile women. Infertile women - in opposition to sterile women
- are women with no apparent medical reason why they do
not become pregnant.
These infertile women often pass a particularly long and difficult
phase to get pregnant. They are always disappointed by
the repeated negative outcome of all their efforts to become
pregnant. This is a very difficult phase in the life of the couple
too, and not few couples separate during this phase. Especially
women feel unable being a mother and their self-esteem is very
low. This is why the author has developed a special application
of EMDR to this population. The aim is to cope with the difficulties
related to these different stages. Another purpose is
preparing a desired and possible pregnancy.
Women mostly have very different anamnesis, some also including
trauma. They have in particular a personal pregnancy
or non-pregnancy history, e.g. also abortion. In addition the
medical assistance utilized for getting pregnant is quite different
for every case. Lots of them end up by using fertilization techniques,
which have a low chance of success. This makes it rather difficult for EMDR to treat these women i
a standardized way. The author of this workshop has developed
a flow-chart providing an concept of applying EMDR at different
stages with different types of targets in order to compare
the outcomes.
By working with EMDR and infertile women, it appears that
they become pregnant quicker than what the statistics predict.
There are also women who become pregnant after working with EMDR before they start the fertility-program. This is why
the author prepares a research study to try to figure out if the
EMDR-process can have a positive impact on fertility.
Keywords: Female Issues Gynecology Infertility Obstetrics Symposium
Accuracy Verified: Yes
193. van der Vleugel, B. (2011, August-September). Practical guidelines for PTSD treatment in psychotic patients. In Treating PTSD in patients with psychotic disorders, Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Objectives: Professionals are very cautious, if not reluctant, to
treat trauma-related symptoms in psychotic patients. As is argued
by the other speakers there is growing evidence psychotic patients
can safely be exposed to PTSD treatment. There are several
possible links between trauma and psychosis and an integrative
approach to conceptualizing these relationships is needed
(Morrisson et al., 2003)
Methods: In this presentation practical guidelines are given with
respect to gathering information in the assessment phase and
presenting this information in an individual case
conceptualisation. Choices regarding which experiences to work
with and in what way, will be discussed. Treatment processes are
illustrated by vignettes and video material. Some difficulties one
may encounter when using interventions like EMDR and
prolongued exposure with psychotic patients, will be adressed.
Results: Attendants will be mindful of an integrative model of
trauma and psychosis and will be able to use this to identify the
target(s) for intervening. They will be prepared for some diffuclties
they may encounter while conducting PTSD treatment.
Conclusions: Case formulations aim to explain the development
and maintenance of client‘s experienced problems in terms of
causal relationships. It is vital that both client and therapist have
a shared understanding of the problems that are going to be
addressed in therapy and that interventions are guided by this
formulation.
Keywords: Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
194. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.
Language: English
Format: Journal
Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.
Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees
Accuracy Verified: Yes
195. Rubin, A. (1999, November). Presidential editorial: Controlling for potential biases in research on social work practice effectiveness: Are higher standards needed?. Research on Social Work Practice, 9(6), 635-639. doi:10.1177/104973159900900601.
Language: English
Format: Journal
Abstract:
The article offers views on the processes and standards used by professional journals with respect to the review of manuscripts that report evaluations of practice effectiveness. The article discusses rejecting a study that randomly assigned clients to a treatment group and wait-list control group. The article discusses biases in research on social work practice effectiveness. Although the obvious bias in these studies regarding expectation for improvement or experimental demand was roundly criticized in subsequent reviews, it didn't keep them from being published. Given the difficulties researchers face in finding agencies that will permit rigorous experimental outcome studies, it is easy to recommend publishing a study that is strong in virtually every way but one-even if that one weakness is so severe that it virtually destroys the credibility of the study's findings. The author believes in studies using randomized assignment to experimental and control groups, where readers are so impressed by the randomized experimental design that they cut the author some slack regarding possible measurement bias or the potentially biasing effects of expectation for improvement or experimental demand.[EbscoHost]
Keywords: Editorial
Accuracy Verified: Yes
196. Russell, M. C. (2012, January 27). Preventing military misconduct stress behaviors. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-veterans_b_1228546.html on 2/5/2023..
Language: English
Format: Other
Abstract:
Since 2004, EMDR has been recognized by the DVA and DoD as a top evidence-based treatment for post-traumatic stress disorders according to their own clinical practice guidelines. With high rates of mental health stigma in the military, EMDR has the unique advantage of being noticeably different than standard talk therapy. Service personnel are not required to self-disclose details of events that they have witnessed or participated in, and the effects tend to be more rapid and generalize to other contributing experiences that often underlie difficulties associated with depression, suicide, anger, substance use, aggression, medically unexplained conditions, and so on. [Excerpt]
Keywords: Blog Military Stress Veterans War
Accuracy Verified: Yes
197. Castello, A. L. G. (2012, Novembro). Processamento das experiências traumáticas parentais intergeracionais através do EMDR [Processing intergenerational trauma with EMDR]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Este trabalho foi realizado numa Clínica Pediátrica, CLIAP, em São Paulo, Brasil, com 128 pais na idade de 28 a 56 anos, numa amostra de 2.560 atendimentos individuais, sendo 20 atendimentos para cada pai. Estes pais vieram para tratamento psicológico por intermédio do pediatra da clínica com queixas de dificuldades na condução do papel parental. Foram utilizados 2560 protocolos de EMDR individual com os pais. Objetivos: Este trabalho é o início de um trabalho de pesquisa com EMDR com pais, onde a técnica é utilizada como articulação metodológica no trabalho terapêutico para processamento das experiências traumáticas vivenciadas pelos pais em suas famílias de origem nas diversas situações de vida familiar. É um trabalho que vem sendo realizado desde 2007 e será instrumento de Pós-Doutorado da autora a partir do ano de 2013. Os atendimentos são individuais com EMDR e os pais se submetem a 20 sessões de protocolos adaptados de EMDR. Resultados: Durante o trabalho acontece o processamento das experiências traumáticas vivenciadas pelos pais em suas famílias de origem, onde ocorrem a redefinição do papel parental durante as sessões de EMDR. Palavras-chave: pais; experiências traumáticas; EMDR.
This work was performed in a Pediatric Clinic, CLIAP in Sao Paulo, Brazil, with 128 parents at age 28-56 years, a sample of 2,560 individual visits, 20 visits for each parent. These parents came to psychological treatment through the pediatric clinic with complaints of difficulties in conducting the parental role. 2560 were used EMDR protocols with individual parents. Objectives: This study is the beginning of a research work with EMDR with parents, where the technique is used as methodological articulation in therapeutic work for processing of traumatic experiences experienced by parents in their families of origin in the different situations of family life. It is a work that has been performed since 2007 and will instrument Postdoctoral the author from the year 2013. Services are individual EMDR and parents undergo 20 sessions of EMDR protocol adapted. Results: During the processing of the work happens traumatic experiences experienced by parents in their families of origin, where there are redefining the parental role during sessions of EMDR. Keywords: parents; traumatic experiences, EMDR.
Keywords: Parents Traumatic Experiences
Accuracy Verified: Yes
198. Oren, U. (2008, December). Promising results with the EMDR method - Alleviating traumatized bodies and minds . Rehabilitation and Research Centre for Torture Victims: An International Evidence-Based Conference, Copenhagen, Denmark .
Language: English
Format: Conference
Abstract:
A patient moving his eyes back and forth following the therapist's fingers as they move across his field of vision for 20-30 seconds. EMDR (Eye movement desensitization and reprocessing) might sound as a scam, but in fact it is becoming a highly recognized and widespread treatment method. It is an innovative clinical treatment. It has successfully helped over one million people who have experienced psychological difficulties which originate from some kind of traumatic experience, such as sexual abuse, childhood neglect, road traffic accidents and violence.
Keywords: Mind-Body
Accuracy Verified: Yes
199. Tausch, R. (2007, Spring). Promoting health: Challenges for person-centered communication in psychotherapy, counseling and human relationships in daily life. Person-Centered and Experiential Psychotherapies, 6(1), 1-13. doi:10.1080/14779757.2007.9688424.
Language: English
Format: Journal
Abstract:
For person-centered psychotherapy and counseling to be scientifically acknowledged and accepted by public health services, the following are required: (a) more empirical research on the effectiveness of person-centered therapy for different diagnostic categories (ICD-10) and counseling modes (group, family, health-related counseling); (b) incorporation of alternative interventions to increase the effectiveness of short-term person-centered psychotherapy consistent with the approach and the client-centered behavior of the therapist, such as having patients choose their therapists, providing written information on stress reduction and self-help, teaching daily relaxation exercises, using EMDR (Eye Movement Desensitization and Reprocessing) with minor anxiety, and suggesting homework assignments; (c) improvement of the therapist-patient relationship via regular written feedback from the patient for the therapist, reflections that incorporate cognitions and emotions in proportion to clients' expressions, and active, intensive (non-directive) efforts by the therapist to improve the therapeutic relationship; and (d) promotion of person-centered behaviors by people in daily situations and relationships outside the therapeutic setting (e.g., teachers, parents, partners). (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Client Centered Therapy Counseling Interpersonal Relationships Person-Centered Therapy Psychotherapeutic Techniques
Accuracy Verified: Yes
200. Jarero, I., Roque-López, S., & Gomez, J. (2013). The provision of an EMDR-based multicomponent trauma treatment with child victims of severe interpersonal trauma. Journal of EMDR Practice and Research, 7(1), 17-28. doi:10.1891/1933-3196.7.1.17.
Language: English
Format: Journal
Abstract:
This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.
Keywords: Children Complex Trauma Integrative Group Treatment Protocol Interpersonal Trauma Multicomponent-Phased Therapy
Accuracy Verified: Yes
201. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta
portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo
campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo
raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la
più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con
successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse
una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta.
Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita
delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di
continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno
portato definitivamente al centro dell’attenzione la presenza di esperienze reali come
implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto
“modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi
secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti
essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata
dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi
Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la
concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso
delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi
post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995,
2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più
vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001),
pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici,
genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda,
1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2
traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente
sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le
ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi
totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione,
evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia
costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie
interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).
The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).
Keywords: Attachment Posttraumatic Stress
Accuracy Verified: Yes
202. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.
Language: English
Format: Journal
Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]
Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment
Accuracy Verified: Yes
203. Rothbaum, B. (2001). Psychosocial treatments for posttraumatic stress disorder. The Economics of Neuroscience: Ten, 3(10), 59-63.
Language: English
Format: Journal
Abstract:
Impressive advances in treating posttraumatic stress disorder (PTSD) have been made in the past 15 years especially with respect to pharmacotherapy and cognitive-behavioral therapy (CBT). This review offers a summary of literature on psychosocial interventions for PTSD. It begins with a brief review of traditional therapies for PTSD and then examines the larger literture on the efficacy of CBTs for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
204. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36.
Language: French
Format: Magazine
Abstract:
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux...
Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ...
Comment continuer après ?
Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. »
Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»
First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ...
Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ...
How to continue after that?
Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. "
Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "
Accuracy Verified: Yes
205. Schottenbauer, M. A., Arnkoff, D. B., Glass, C. R., & Gray, S. H. (2006). Psychotherapists in the community: Reported prototypical psychodynamic treatments of trauma. Journal of the American Psychoanalytic Association, 54(4), 1347-1353. doi:doi:10.1177/00030651060540040111.
Language: English
Format: Journal
Abstract:
The effort to categorize psychotherapeutic treatments according to their efficacy has in the past decade led to a number of lists of empirically supported treatments (ESTs; Chambless and Ollendick 2001). With regard to trauma, the primary treatments that have undergone the rigorous empirical testing necessary to be included in lists of ESTs (e.g., Nathan and Gorman 1998; Roth and Fonagy 2005) are largely cognitive—behavioral treatments and eye movement desensitization and reprocessing (EMDR; Shapiro 1995). Nevertheless, there are many indications that clinicians in the community use psychodynamic psychotherapy for treating trauma. A recent guideline for psychiatrists on the treatment of PTSD notes clinical consensus on the usefulness of psychodynamic psychotherapy in treating certain types of trauma, particularly in cases where interpersonal functioning is substantially impacted (APA 2004). Empirical research reveals that many clinicians in the community employ psychodyna
Keywords: Poster Psychodynamic Treatments Trauma
Accuracy Verified: Yes
206. Siegel, D. (2001, June). Psychotherapy and the resolution of trauma: Mental health and neural integration. Plenary at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This plenary will offer an overview of one perspective for understanding the human mind, the impact of trauma on development, and the role of psychotherapy in the resolution of traumatic impairments to mental health. By examining the fundamental interrelationships among mind, brain, and the interpersonal experience, this view provides a scientifically based foundation for understanding how various forms of traumatic and disorganizing interactions can produce incoherencies in how the mind achieves an integrated form of functioning fundamental to mental health. Effective psychotherapy of unresolved trauma can be seen to involve the facilitation of blockages to the crucial process of neural integration.
Keywords: Neurobiology Plenary
Accuracy Verified: Yes
207. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973.
Language: English
Format: Journal
Abstract:
Although psychotherapy is successful in altering emotional distress, the biological mechanism by which it achieves this has not been the subject of intensive neurobiological investigation. Mindful processing of emotion has been proposed to be a key factor in prevention of relapse in depressive illness and here that hypothesis is developed and extended to include other conditions in which emotion processing may be obstructed or dysregulated. Cognitive therapy, interpersonal psychotherapy, psycho-dynamic psychotherapy, and dialectical behaviour therapy, each in a different way and with a distinct emphasis, encourage awareness of emotions and their associated cognitions and biographies, and their varying success may depend on the degree to which they achieve activation of internal healing processes. In eye movement desensitisation and reprocessing (EMDR), the selected target is formatted for endogenous processing which is facilitated and accelerated by eye movements or alternating bilateral auditory or tactile stimulation. The ability to sustain focussed attention on the affect and its visceral, cognitive, and biographical components is postulated to activate a homeostatic process of distress resolution, seen most clearly in treatment of PTSD with EMDR, in which resolution of distress can be intense and rapid while therapist input is non-directive, although supportive, empathic, and non-judgemental. Once the therapist has helped to frame the questions, the patient's brain will find the answers needed for the resolution of the distress and all the components of the traumatic event, whether visceral, cognitive, affective, or interpersonal. The anterior cingulate cortex, especially the dorsal and rostral components, is suggested to be the key neurobiological substrate for the efficacious psychotherapeutic relief of distress, and relevant functional neuroimaging studies are summarised. One limitation of some previous imaging studies of emotion is that they have tended to use mild stimuli to discrete emotions. An alternative approach would be to image the brain during reprocessing of an unpleasant event which has profoundly affected the person so that the associated intense emotions could be clearly labelled and correlated with changes in regional brain functioning. [Author Summary]
Keywords: Cognitive Processes Cognitive Therapy Neurobiology
Accuracy Verified: Yes
208. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.
Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
209. Beere, D., Simon, M., & Welch, K. (2000, January-April). Recommendations and illustrations for combining hypnosis and EMDR in the treatment of psychological trauma. American Journal of Clinical Hypnosis, 43(3-4), 217-231. doi:10.1080/00029157.2001.10404278.
Language: English
Format: Journal
Abstract:
Three experienced therapists, trained in hypnosis and EMDR, distilled some tentative hypotheses about the use of hypnosis in EMDR from fifteen cases, two presented here. When a therapist uses hypnosis with EMDR, it seems that the client is having difficulty or the therapist anticipates that the client will have difficulty managing the experiences processed with EMDR. Hypnosis initiated either during the introduction to EMDR or within a therapy session prior to the initiation of EMDR seems to have served two functions. The first function is to activate inner work that prepares the client to use EMDR successfully, and the second function is to facilitate overtly the processing of the traumatic experience. Clients might have two kinds of difficulties in managing affect or distress: (1) they may have a long-standing, irrational and strongly held belief that interferes with managing affect or distress, and (2) they may never have developed the capacity to tolerate intense affect, distress or pain. Should a therapist use hypnosis during the closing down phase of a session without preparing the client with hypnosis during the introduction to EMDR, the therapist should seriously reconsider the pace and focus of EMDR and the client's resources to manage affect and distress. [Author Abstract]
Keywords: Hypnotherapy Treatment Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Effectiveness
Accuracy Verified: Yes
210. Ramos-Ruggiero, L., & Sondergaard, H. P. (2008, April). Recovered traumatic memories through eye movements? A Case presentation from Sweden. Presentation at the 1st B-Annual International European Society for Trauma and Dissociation, Amsterdam, The Netherlands.
Language: English
Format: Conference
Abstract:
This is a case presentation regarding the treatment of a severely traumatized woman
formerly treated for depression and PTSD following incarceration in prison,
“disappearance” of husband, and torture. After psychotherapy for several years, the
patient improved and started to work in a qualified job. After some years, however, the
patient returns because she has a feeling that the therapy was unfinished, and because of
remaining psychosomatic symptoms, difficulties breathing, obesity, overeating, and
recurrent urinary tract infections. The therapist then decided to try the resource installation
protocol. However, in an impulse, he asked her to concentrate on her bodily sensations.
Several video-recorded sequences illustrate how the patient, seemingly for the first time in
her life, discovered and re-experienced childhood trauma. It seems that the eye
movements during attempts at EMDR treatment made it possible to lift repression and
dissociation as well as to make processing possible, thus liberating the patient from a
heavy burden of mental and psychosomatic symptoms. At follow-up by the second author,
the patient is entirely asymptomatic, with low DES scores and is no longer obese.
Learning objectives:
1. Somatoform symptoms as a bridge to dissociated traumatic childhood experiences
2. How dissociation might lift during treatment
3. Recent research findings regarding the effect of eye movements on episodic
memory.
26
Keywords: Eye Movements Sweden
Accuracy Verified: Yes
211. Bronner, M. B., Beer, R., Jozine van Zelm van Eldik, M., Grootenhuis, M. A., & Last, B. F. (2009, June). Reducing acute stress in a 16-year old using trauma-focused cognitive behaviour therapy and eye movement desensitization and reprocessing. Developmental Neurorehabilitation, 12(3), 170-174. doi:10.1080/17518420902858975. .
Language: English
Format: Journal
Abstract:
Objective: To assess the effects of trauma-focused cognitive behaviour therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) for the treatment of acute stress in an adolescent. Methods: A combination of TF-CBT and EMDR was provided to a 16-year-old girl with distressing memories, anxiety and flashbacks. For measurement of the efficacy of the treatment package, the Children's Revised Impact of Event Scale (CRIES-13) was used. Results: Acute stress reactions decreased considerably after treatment and remained stable. CRIES-13 scores showed substantial reduction in stress scores. The girl reported no more flashbacks of the injury, sleeping difficulties or recurrent and distressing memories. Conclusion: This case study illustrates the potential efficacy of a combination of TF-CBT and EMDR for patients with acute stress reactions. Future studies should examine the efficacy of this treatment package in a large sample of children.[Ebsco]
Keywords: Acute Stress Cognitive Behavioural Therapy
Accuracy Verified: Yes
212. Goldberg, A. (2010, October). Relational affect regulation: An integrative protocol for complex trauma surviviors. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Attachment theory and interpersonal neurobiology
demonstrate the importance of the therapeutic relationship as a primary change mechanism. With survivors of childhood relational trauma, betrayal of trust and attachment
issues create obstacles to developing a secure therapeutic alliance. Even when the therapeutic relationship feels more secure, these clients often experience separation between
sessions as attachment loss. This can feel burdensome to the therapist, who may receive multiple crisis phone calls throughout the week. In this presentation, the relational affect regulation protocol will be explained and case
examples will illustrate how it is put into practice. Drawing upon concepts from Stress Inoculation Training (SIT), Accelerated Experiential Dynamic Psychotherapy (AEDP)
and Eye Movement Desensitization and Reprocessing
(EMDR), the protocol helps facilitate dyadic affect regulation and object constancy during the stabilization phase of treatment with complex trauma survivors. The elements of an SIT script will be described and creative
adaptations will be proposed. AEDP microprocessing of the client’s experience of the therapist reading the script to the client will be explained and illustrated. The EMDR
procedure for installation of the therapist as a resource will be taught and strategies for utilizing this as a selfsoothing method between sessions will be delineated.
Participants will be able to:
discuss two problems clients ♦♦ with Complex PTSD
have with attachment and fear of attachment
loss in therapy, and will be able to identify
three strategies to address this issue.
♦♦ explain AEDP microprocessing of interactions
between client and therapist, and how this
technique can help survivors of childhood relational trauma to develop trust in the therapist.
♦♦ list the four essential elements of an SIT script and utilize the steps involved in the relational affect regulation protocol with their clients.
Keywords: Complex Trauma Relational Affect Regulation
Accuracy Verified: Yes
213. Mosquera, D., Gonzalez, A., & Seijo, N. (2010, April). Relational problems in severely traumatized patients. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
A practical workshop focused on frequent clinical situations in therapy. Its main goal is help the participants to identify relational patterns based on reciprocal role procedures, in order to be able to overcome therapist-patient difficulties. A brief therapeutic exposure about different theoretical sources will be presented: Cognitive-Analytic Therapy, Adaptive Information Processing Model and EMDR, Theory of Structural Dissociation of the Personality, Attachment Theories, psychodynamic transference-countertransference conceptualizations, and therapies focused on relational issues (systemic family therapy, psychodramatic group therapy, etc) Vignettes of frequent reciprocal role procedures in therapeutic relationship with severely traumatized people will be presented, explained the different kinds of presentation. The linking of these vignettes with the traumatic history will be developed. Short video-cases will illustrate these situations and some interventions to overcome them. Modified EMDR interventions will be described and showed.
Learning Outcomes Therapeutic relationship problems are main issues in severely traumatized people. Different authors coming from different theoretical orientations have presented thoughtful approaches to these situations and how to overcome them. In this workshop we will review many of these contributions, but we will base our theoretical development on the concept of reciprocal role procedures from the Cognitive Analytic Therapy (Ryle). From this concept we will summarize frequent relationship problems in therapy, how we conceptualize them from the Adaptive Information Processing model from EMDR and how we work on these issues using EMDR methodology. An additional learning outcome of this workshop is that the participants will review their own experience with their patients through a specific evaluation, and will have the opportunity to share their experiences.
Keywords: Relationship Issues Trauma
Accuracy Verified: Yes
214. Madrid, A., Skolek, S., & Shapiro, F. (2006, October). Repairing failures in bonding through EMDR. Clinical Case Studies, 5(4), 271-286. doi:10.1177/1534650104267403.
Language: English
Format: Journal
Abstract:
Maternal-infant bonding is an intense emotional tie between mother and infant that often begins during pregnancy and continues after birth. Prolonged physical separation from one's infant or traumatic interference can sometimes impede this process, leading to a lack of bonding. Whereas many medical procedures and illnesses can cause mother and child to become separated immediately after birth and affect bonding, other causes of emotional separation may be somewhat more difficult to identify. Nevertheless, maternal trauma has been identified as one such form of emotional separation that can interfere with bonding. This article illustrates the application of Eye Movement Desensitization and Reprocessing (EMDR) for addressing bonding difficulties related to trauma issues. EMDR is an integrative psychotherapy that uses a standardized eight-phase approach to treatment and is a well-accepted treatment for trauma. Although more research is needed, this case suggests that EMDR may be an appropriate and efficient treatment for bonding difficulties. [Author Abstract]
Keywords: Attachment Behavior Bonding Failures Case Report Clinical Case Study Females Integrative Psychotherapy Maternal Infant Bonding Maternal Mother Child Relations Separation Reactions Parenting Behavior Physical Separation Pregnancy Stressors Survivors Trauma
Accuracy Verified: Yes
215. Quilez P., R. (2007, Novembro). Resolución de trastorno de conducta alimentaria desde el modelo EMDR [Resolution of eating disorder from the EMDR model]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract: Objetivos de aprendizaje:
• Informar del estado actual de la investigación
del EMDR y los TCA
• Identificar las principales dificultades que
pueden aparecer
• Aprender a manejar adecuadamente con EMDR
los diferentes TCA.
Learning Objectives:
• Report the current state of research
EMDR and the TCA
• Identify the major difficulties
can appear
• Learning to cope adequately with EMDR
different TCA
Keywords: Eating Disorders
Accuracy Verified: Yes
216. Steele, A. (2001). The right side: Therapy from the right side of the brain: A role for EMDR with imaginal nurturing in the treatment of early neglect. Unpublished.
Language: English
Format: Other
Abstract: T
his paper proposes that early deficits in adult clients with insecure-attachment
patterns can be addressed directly through a therapeutic component of imaginal
nurturing with EMDR. These clients may exhibit little sense of self, low self-esteem, a
sense of alienation, poor affect tolerance, inability to regulate emotions, inability to
empathize, and impaired interpersonal relationships. Traditionally, the burden of the
client's attachment deficits is left to be resolved through the therapeutic relationship
itself. In this paper, a three-pronged approach to therapy is suggested: affect tolerance
and emotion regulation skills training, imaginal nurturing, and trauma reprocessing, all
within the context of a validating and caring therapeutic relationship. The focus of this
paper is imaginal nurturing, the goals of which include developing an attachment
between the adult, and infant and child selves to create a new relationship to self in the
present. Two forms of imaginal nurturing are presented: Core Imaginal Nurturing,
freestanding imaginal work in which the client experiences both providing and
receiving nurturance, and Adjunctive Imaginal Nurturing which is incorporated into
trauma reprocessing. A conceptual basis for this work is provided, and examples are
given showing its use, benefits, and problems that can arise.
Keywords: Imaginal Nurturing Neglect
Accuracy Verified: Yes
217. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.
Keywords: Culture Ethnicity Spirituality Trauma
Accuracy Verified: Yes
218. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The Narrative Constructivist personal psychology
model postulates that traumatized children and
adults experience disturbances in cognitive
schemata within domains of their psychological
and interpersonal functioning: safety, trust, power,
esteem and intimacy. Their processing of
themselves and the world, which is greatly
affected by ethno-cultural and spiritual beliefs,
becomes rigidified around the "trauma story."
Their responses to stimuli are thus limited to
repetitive and intrusive manifestations of fear and
withdrawal. Utilizing culturally and spilitually
salient metaphors, as well appropriate timing,
EMDR facilitates the creation of meaningful
narratives about the person's present and future
and the world, enhancing sense of self and
focused, purposeful behaviors. This symposium
will introduce the narrative/cultural context model
of trauma, with discussion, film clips and
handouts; engage participants in a brief group
intervention based on this model, to explore the
emotional impact of ethno-cultural issues in
regard to trauma and treatment interventions; and
present clinical cases treated with EMDR based
on cultural-sensitive choice-points and useful
metaphors in work with diverse populations.
Keywords: Culture Ethnicity Spiriturality
Accuracy Verified: Yes
219. Mize, S. (2002, February). The role of eye-movement desensitization and reprocessing (EMDR) in the interdisciplinary treatment of low sexual desire women. Presentation at the American Psychological Association Public Interest Directorate; Women's Programs.
Language: English
Format: Other
Abstract:
Low sexual desire disorder is the most common sexual dysfunction in women. There is no standard definition for "normal" sexual desire and there are many factors that can influence it, hence, low desire can be one of the more difficult sexual dysfunctions treat. Given its inherent complexity, it frequently requires interdisciplinary assessment and treatment. The present symposium is an attempt to share our model for the treatment of this widespread and yet, poorly understood dysfunction. One component of the complexity of low sexual desire is its correlation with other difficulties, for example, PTSD, depression, anxiety, relationship disturbance, physical illness, and life stress. Another one of these concerns is childhood sexual abuse. EMDR has been used very successfully to resolve the trauma associated with sexual assault as well as sexual dysfunctions. We will illustrate the use of EMDR with a woman presenting with low sexual desire and a history of sexual abuse. EMDR methodology will be described. The use of EMDR for abuse recovery as a method of resolving low desire will be discussed. We will explore a number of important therapeutic issues including: (1) fundamental questions of responsibility, control and safety as they relate to sexual abuse and ultimately sexual desire in the current relationship; (2) individuation from partner and perpetrator, barriers to this process and the impact on sexual desire of successful differentiation; and (3) repression of anger and the concomitant physical manifestations. In addition, we will discuss the collaboration with both sexual medicines and psychiatry around modulation of medications to maximize treatment outcomes with EMDR.
Enhancing Outcomes in Women's Health: Translating Psychosocial Behavioral Research Into Primary Care, Community Interventions, and Health Policy; American Psychological Association
[American Psychological Association Public Interest Directorate; Women's Programs].
Keywords: Females Inhibited Sexual Desire Low Sexual Desire Sexual Abuse
Accuracy Verified: No
220. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: The Guilford Press .
Language: English
Format: Book
Abstract:
Designed to bring about lasting change in clients with personality disorders and other complex difficulties, schema therapy combines proven cognitive-behavioral techniques with elements of interpersonal, experiential, and psychodynamic therapies.
Keywords: Schema-Focused Therapy
Accuracy Verified: Yes
221. Ehntholt, K. A., Smith, P. A., & Yule, W. (2005, April). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clinical Child Psychology and Psychiatry, 10(2), 235-250. doi:10.1177/1359104505051214.
Language: English
Format: Journal
Abstract:
This study evaluated the effectiveness of a school-based group intervention
designed for children who have experienced trauma. Twenty-six children (aged
11–15 years) who were refugees or asylum-seekers from war-affected countries
participated. The manual-based intervention consisted of cognitive-behavioural
therapy (CBT) techniques and was implemented within secondary schools. The
treatment group (n = 15) received six sessions of group CBT over a 6-week period,
while the control group (n = 11) were placed on a waiting list for 6 weeks and then
invited to enter treatment. Children in the CBT group showed statistically significant,
but clinically modest improvements following the intervention, with
decreases in overall severity of post-traumatic stress symptoms. Significant
improvements were also found in overall behavioural difficulties and emotional
symptoms. Children in the waiting list control group did not show any improvements
over the same period. However, follow-up data, which were only available
for a small subset of eight children, suggest that gains in the CBT group were not
maintained at 2-month follow-up.
Keywords: Children Group CBT Group Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD Refugees School
Accuracy Verified: Yes
222. Wizansky, B. & Overkamp, B. (2007, März-August). Schritte durch das labyrinth: Ein modell zum leichteren einsatzgruppen von EMDR bei kindern [Footsteps through the maze - A model for facilitating the use of EMDR with children]. EMDRIA Deutschland e.V. Rundbrief, 12, 14-27.
Language: German
Format: Newsletter
Abstract:
Dieser Artikel stellt ein Modell vor, das den Einstieg in die Therapie mit Kindern erleichtern soll,
die mit dem Einsatz von EMDR als Therapiemethode Schwierigkeiten haben und im
therapeutischen Prozess nicht mitarbeiten können. Das dem Modell zugrunde liegende
Konzept bezieht sich auf einen aus Erinnerungen und Assoziationen bestehenden inneren
psychischen Raum, in dem es die gesamte Bandbreite an Emotionen gibt, die dem Kind zur
Verfügung stehen, wenn es sich durch seinen Alltag navigiert. Nach meiner Vorstellung muss
ein Kind diesen inneren Raum betreten, wenn es Ausgleich und Veränderung erreichen will.
Für die Kinder aber, für die dieses Modell entwickelt wurde, ist das In Kontakt kommen mit
möglicherweise unangenehmen Gefühlen unerträglich gefährlich. Seine Angst vor dem Erleben
unkontrollierbarer Emotionen schließt Kommunikation aus – sowohl mit sich selbst als auch mit
dem Therapeuten.
This article presents a model that will facilitate entry into therapy with children,
with the use of EMDR as a treatment method with children who have difficulties and can not participate in the therapeutic process. The model underlying
concept refers to an existing memories and associations inner
mental space in which there is a whole range of emotions that the child
finds when it navigates through his everyday life. I imagine a child must
enter this inner space, if it is to achieve balance and change.
This model was developed for the children who come in contact with
potentially dangerous unpleasant insufferable feelings. Their fear of the experience of uncontrollable emotions does connect with both themselves and the therapist.
Keywords: Children Footsteps Through the Maze
Accuracy Verified: Yes
223. Astbury, J. (2006, December). Services for victim/ survivors of sexual assault - Identifying needs, interventions and provision of services in Australia. Issues, Australian Centre for the Study of Sexual Assault, 6, 1-26.
Language: English
Format: Publication
Abstract:
Firstly, the perceived needs of
victim/survivors are identified. Secondly, literature
on the existing interventions that are perceived to
address these needs, and data on their effectiveness
are reviewed. Currently, most of these interventions
are therapeutic or counselling interventions. Finally,
data on the services that currently provide these
interventions, with patterns of service usage, barriers
to using these services, and the characteristics of these
services that victim/survivors find particularly valuable
are identified. The paper will end by making some
recommendations for primary health care providers
working with victim/survivors of sexual assault.
The paper employs a gendered, health and human
rights perspective and an ‘ecological framework’
to inform the overall aim of investigating current
intervention programs for victim/survivors of sexual
assault. A multilevel ecological perspective informed
This paper begins to address this gap by providing a summary of the international
and national literature that exists on sexual assault services. The paper focuses by a gender and human rights perspective is considered
the most appropriate model for understanding
interpersonal violence including sexual violence
(Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002). The
ecological framework recognises the multifaceted
nature of sexual violence and encourages exploration
of the relationship between individual and contextual
factors. Sexual violence is seen as the product of
multiple levels of influence on behaviour from the
level of the individual, to relationships, community
and society.
Keywords: Violence
Accuracy Verified: Yes
224. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.
Language: English
Format: Journal
Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of
Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national
prevalence of the disorder, which is a strong indication that the current therapies for sexualassault-
related PTSD are in need of improvement. Increasing knowledge and understanding of the
pathologies associated with rape trauma in biological, psychological and sociological domains will
help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic-
Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a
fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms.
Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted
by the survivor. Psychological health is compromised following interpersonal trauma and many
psychological therapies are available, but with varying efficacy. A person's cognitions have a
dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological
impacts of assault influence the development of PTSD through victim-blaming attitudes and the
perpetuation of rape myths. Perceived positive regard and early social support is shown to be
important to successful recovery. Education is vital in rape prevention and to foster a supportive
environment for survivors. The biological, psychological and sociological impacts and treatments
should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions
of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate
the physical and emotional pain following the trauma of rape.
Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma
Accuracy Verified: Yes
225. Easton, S., & Ost, J. (2006). Should EMDR really be recommended as equivalent to CBT for post trauma difficulties?. BABCP Magazine, 19. Retrieved from http://www.port.ac.uk/departments/academic/psychology/staff/downloads/filetodownload,62618,en.pdf 8/21/2012.
Language: English
Format: Magazine
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been recommended
for individuals who have experienced difficulties following a traumatic experience in
the National Institute for Clinical Excellence (NICE, 2005) report on treatments for
Post Traumatic Stress Disorder (PTSD). Cognitive Behavioural Therapy (CBT) is
also singled out for recommendation, apparently indicating some degree of
equivalence of these two approaches. The NICE guidelines are intended to give an
indication of expert consensus on best practice and, as such, are already affecting
perceptions, beliefs and preferences of both the wider public and service providers.
Keywords: CBT Cognitive Behaviorial Therapy
Accuracy Verified: Yes
226. Matthess, H., & Yang, Y. (2010, July). Social and cultural adaptation. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
We know from research that since neurobiology is the same for humans, then the reaction to stress is the same for all human
beings in the world. That is why EMDR works so well with victims of natural disasters and of adverse childhood experiences,
including sexual and physical violence and emotional neglect.
Because of cognitive functioning, e.g., creating metaphors and images for self-soothing, establishing social contact and/
or personal interpretation, or assigning meaning to stressful experiences, we have to emphasize the importance of cultural
influences.
We want to invite people from different cultures to join this open meeting to present, share, and discuss their experiences
and perhaps difficulties with cultural adaptation of trauma-therapy techniques, including EMDR. For example, we may need
to examine where and how the wording of the EMDR-protocol needs to be adapted to recognize and accommodate cultural
differences; perhaps we need to look at the language structure and its accessibility. Let us share our ideas and experiences
so that we may get new insights on how to more effectively implement our trauma-therapy techniques and spread our
knowledge about neurobiology to various cultural backgrounds.
Keywords: Social and Cultural Adaptation
Accuracy Verified: Yes
227. Kinowski, K. (2002, June). A somatosensory anchoring of confidence using EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop will present a treatment protocol that is specifically aimed at finding and strengthening a somatosensory basis for confidence
to help clients deal with recurrent difficulties. Short sets of slow eye movements are used. Participants will see video illustrations of different sections of the protocol and review in session outcomes with follow-up report by clients that suggest a generalization towards increased resilience. Participants will also learn the conjectured theoretical underpinnings of
the protocol in terms of neurophysiological processes and relationship attachment issues. This treatment protocol does not replace the standard EMDR protocol but may be used as an adjunct or as a stand alone therapy
for mild to moderate range GAF problems.
Keywords: Confidence Somatosenory Anchoring
Accuracy Verified: Yes
228. 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
229. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions.
The workshop will promote an understanding of:
•Complex PTSD presentations in refugees and asylum seekers
•Stabilisation and symptom management in preparation for trauma focused interventions
•Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks
•Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work
•How best to work with trauma memories and when to use NET, CBT or EMDR
•Cultural considerations
•Managing vicarious traumatisation and self care
Keywords: Refugees Stablilization
Accuracy Verified: Yes
230. Armstrong, R. (2011, March). The subjective experiences of children following EMDR for PTSD following a single incident trauma. In EMDR research. Symposium (Derek Farrell, Chair) conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This study explored the subjective experiences of children from 10 to 16 years who
had completed an episode of Eye Movement Desensitization and Reprocessing (EMDR) therapy
for the treatment of Post Traumatic Stress Disorder (PTSD) following a single traumatic incident.
Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding
of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are
identified describing how the participants engaged in the therapy, were assisted to keep going and
what they made of the EMDR process. Results suggest that difficulties in engaging in the therapy
were overcome by a combination of desperation and determination to get better, support of family
and friends, the credibility of the therapist and finding that they started to feel better after about
two sessions. EMDR was perceived as a surprisingly effective therapy in the light of almost universal
initial scepticism, and an approach that generally did not require a conscious effort by the participant
to make it work.
Keywords: Children Interpretative Phenomenological Analysis IPA Single Incident Trauma Subjective Experiences Symposium
Accuracy Verified: Yes
231. Pelling, N., Brear, P., & Lau, M. (2006, June). A survey of advertised Australian counsellors. International Journal of Psychology, 41(3), 204-215, DOI: 10.1080/00207590544000202. .
Language: English
Format: Journal
Abstract:
As counselling is a developing profession without statutory regulation in Australia, anyone can engage in counselling practice and use “counsellor” as a professional title. Not much is known about those who call themselves counsellors in Australia. This survey research in a field setting aimed to describe Australian Yellow Pages Advertised Counsellors, thus providing a snapshot of advertised counsellors in Australia. This research was thus designed to describe those who are engaging in advertised counselling practice in Australia. Data was collected using a multiple mailing survey method and resulted in a 62.2% return rate. The counsellors' (1) demographic characteristics, (2) counselling training and development, (3) provision of counselling services, and (4) professional involvement were assessed. Advertised Australian counsellors tend to be female, mature, Caucasian, married or partnered, heterosexual, have families, and hold Christian beliefs. The majority of counsellors live in urban areas. The field could arguably benefit from increasing the diversity of its members. Nevertheless, advertised Australian counsellors are qualified professionals who tend to hold university qualifications and are likely to have received their training in counselling from a university provider. They are experienced service providers and engage in ongoing supervision as a supervisee. Moreover, these counsellors are involved in a variety of professional organizations. Advertised Australian counsellors, however, often struggle with issues related to burnout. They demonstrate their belief in the power of counselling by engaging in personal counselling. Advertised Australian counsellors actively engage in professional development, read professional journals, and report wanting further training regarding cognitive behaviour therapy, family therapy, EMDR, hypnosis, and trauma‐related difficulties. The majority of counsellors indicate making $40,000 or less per year. Survey results clearly indicate that the professionalisation of counselling is underway. Tandis que le counseling est une profession en développement sans régulation statutaire en Australie, n'importe qui peut s'engager dans la pratique du counseling et utiliser le titre professionnel de “conseiller.” Très peu est connu sur ceux qui se prétendent conseillers en Australie. Cette enquête visait à décrire les conseillers annonçant dans les pages jaunes en Australie, permettant d'avoir une image de ces derniers. Elle cherchait donc à décrire ceux qui étaient engagés dans la pratique du counseling publicisé en Australie. Les données furent collectées par le biais d'une méthode d'enquête par multiples envois postaux résultant à un taux de réponse de 62,2%. Les facteurs évalués chez les conseillers incluent: (a) les caractéristiques démographiques, (b) la formation et le développement en counseling, (c) les services desservis et (d) l'implication professionnelle. Les conseillers australiens publicisés tendent à montrer les caractéristiques suivantes: femmes, matures, caucasiens, mariés ou en couple, hétérosexuels, ayant une famille et ayant des croyances chrétiennes. La majorité des conseillers vivent dans les zones urbaines. Le domaine peut sans conteste bénéficier d'une plus grande diversité de ses membres. Néanmoins, les conseillers australiens publicisés sont des professionnels qualifiés qui tendent à posséder des qualifications universitaires et qui sont susceptibles d'avoir reçu leur formation en counseling d'une université. Les conseillers australiens publicisés sont des professionnels d'expérience et sont engagés dans de la supervision en tant que supervisés. De plus, ces conseillers sont impliqués dans une variété d'organizations professionnelles. Cependant, ils font souvent face à des problèmes reliés au burn‐out. Ils montrent leur croyance dans le pouvoir du counseling en recevant eux‐mêmes des services de counseling. Les conseillers australiens publicisés s'engagent activement dans le développement professionnel, ils lisent des revues professionnelles et ils rapportent vouloir davantage de formation sur la thérapie cognitivo‐comportementale, la thérapie familiale, la désensibilisation et le retraitement du mouvement de l'oeil, l'hypnose et les difficultés reliées aux traumatismes. La majorité d'entre eux indique faire 40,000$ ou moins par année. Les résultats de cette enquête indiquent clairement que la professionnalisation du counseling est sur la bonne voie. Debido a que en Australia el consejo es una profesión en desarrollo sin reglamentación estatutaria, cualquier persona pued.
Keywords: Counseling Counselor Characteristics Counselors Counselor Education Empirical Study Professional Development Professional Organizations Quantitative Study
Accuracy Verified: Yes
232. Dieffenbach, I. (2010, June). TAFO study II (Task force) long-term evaluation of specific therapeutic early interventions following acute strain among children and adolescents with multiple trauma experience. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Existing research into the after effects of
traumatic experiences with regard to children and adolescents
is scanty. Early intervention is intended to prevent or at least
reduce chronic manifestation of acute traumatic strain (Zehnder,
Hornung & Lanolt, 2006) since such strain has a negative
impact on the child's day-to-day quality of life and overall development, including the development and functioning of the
brain (Cohen, Perel, DeBellis, Friedman & Putnam, 2002).
Studies of multiple trauma among adults and adolescents have
shown that the severity of any impairment upon their psychological
health must be seen in relation to the number of traumatic experiences
that took place during childhood (Turner RJ, Lloyd DA
1995, Finkelhor D, Omrod RK, Turner HA 2007-1, Finkelhor D,
Omrod RK, Turner HA 2007-11, Holt MK. Finkelhor D, Kantor CK
2007). In this process, interpersonal traumatic experiences such
as accidents or severe illnesses can adversely affect development
as much as traumatic exposure connected to elements of crime.
Objectives: Interventions following acute traumatic strain will
be examined with regard to the symptoms and the mental
health of children and adolescents with multiple trauma experience
in the long term. The study will examine whether early
intervention has a positive effect on symptoms and whether
such effects are of a short or long-term nature.
The study should show whether gender specific and/or age
specific correlation can be identified in the development of
symptoms according to specific types of trauma, and whether
risk groups can be identified as a result.
The study will examine whether there exists an independent sub-group of children with multiple trauma under the age of 6,
whose symptoms correspond to a developmental trauma disorder
(van der Kolk 2005).
Methods: The study will be divided into a retrospective and
prospective part. The retrospective part will contain an examination of the treatment results of 150 children and adolescents
with multiple trauma experiences in the Vestische Children's
Clinic in Datteln between 2002 and 2009. This will be followed
by an evaluation of the treatment results by way of a newly
developed telephone catamnesis, based on validated questionnaires
(CRIES-13, ILK, Telekat) for measurement points TI-T3
Results: First results of the retrospective examination of children
and adolescents with multiple trauma experience will be presented
in comparison to the results of the evaluation of specific
therapeutic early interventions following acute strain among
children and adolescents with mono trauma experience.
Keywords: Acute Stress Adolescents Children Early Intervention Multiple Trauma Incidents Symposium TAFO
Accuracy Verified: Yes
233. Mosquera, D., González, A., & Vazquez, I. (2012, Enero ). Terapia EMDR (eye movement desensitization reprocessing) en el trastorno límite de personalidad: Reflexiones en torno a un caso de patología dual [EMDR (Eye Movement Desensitization Reprocessing) in BPD personality: Reflections on a case of dual diagnosis]. Revista Espanola de Drogodependencias, 37(1), 82-95.
Language: Spanish
Format: Magazine
Abstract:
Los pacientes con trastorno límite de la personalidad y adicciones suponen un desafío
para los centros de atención específicos. Los pacientes con patología dual suelen presentar
dificultades en los programas orientados a la evitación del consumo. No solo
por sus frecuentes problemas interpersonales sino debido a que su problemática de
adicción no se ajusta al patrón prototípico de abuso o dependencia de sustancias.
La terapia Eye Movement Desensitization Reprocessing (EMDR), orientada al tratamiento
de las experiencias desde las cuales se han desarrollado ambos trastornos, permite un
abordaje integral de ambos problemas. EMDR es una terapia que aborda las situaciones
relacionadas con trauma temprano y apego disfuncional, altamente prevalentes tanto
en el trastorno límite de personalidad como en las conductas adictivas.A través de un
caso clínico se ilustra un posible plan de tratamiento para trabajar la patología dual
desde EMDR.
Patients diagnosed with borderline personality and substance abuse disorders represent
a challenge for specific treatment centers.These patients tend to experience difficulties
in substance or alcohol abuse programs due to their frequent interpersonal problems
and their addiction patterns, which do not fit into a standard pattern of substance abuse
or dependence. Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented
toward the treatment of the experiences that originate both disorders, allows an integrated
approach of both problems. EMDR is a psychotherapy that addresses early trauma
and dysfunctional attachment experiences, which are highly prevalent both in BPD and
substance abuse disorders.We will illustrate a possible treatment plan from the EMDR
perspective through a case example.
Keywords: Alcohol Abuse Borderline Personaity Disorder BPD Dual Diagnosis
Accuracy Verified: Yes
234. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with
comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting
from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding
of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities
for patients who are considered difficult to treat though urgently in need of therapy.
Given this background, the workshop aims at enhancing the participants’ capacity to manage problems
of therapeutic relationship in traumatized clients with personality disorder.
In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and
behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality
integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can
be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment
conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a
psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference
and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients
with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems
of therapeutic relationship.
Keywords: Interpersonal Relationship Personality Disorders
Accuracy Verified: Yes
235. Musaeus-Schurmann, B. (2005, June). Therapeutical difficulties in the trauma therapy of a three year old boy bitten by a dog. EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Assocation, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Type I traumata in children are often quick and rewarding therapies. But
sometimes even in uncomplicated cases there is only limited progress in
therapy. Exemplary with the case vignette of a three year old boy, bitten by a dog
and treated with EMDR, the problems of this case will be discussed and
possible solutions are delivered with the focus on systemic therapeutical
work and EMDR.
Keywords: Children Dog Bite Symposium
Accuracy Verified: Yes
236. Mosquera, D., & Gonzalez, A. (2009, June). Therapist's difficulties with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.
Language: English
Format: Conference
Keywords: Therapist Difficulty
Accuracy Verified: Yes
237. Parnell, L. (2008). A therapist's guide to EMDR tools and techniques for successful treatment. Princeton, NJ: Recording for Blind & Dyslexic.
Language: English
Format: Audio
Abstract:
For over a decade, eye-movement desensitization and reprocessing (EMDR) has been gaining attention and momentum as an effective therapeutic tool for treating a range of trauma and phobic disorders. More and more therapists are seeking proper training to be able to incorporate EMDR into their practices. But often, therapists leave EMDR training enthusiastic, desiring to use these techniques in their practice, only to lose their nerve when encountering difficulties and treatment obstacles. Somehow, the theory learned in training is hard to translate into clinical practice. In A therapist's guide to EMDR, Parnell addresses this common dilemma by offering therapists an all-in-one, practical handbook for skillfully and successfully using EMDR in their practices. Drawing on fifteen years of experience as a pioneering EMDR clinician and trainer, Parnell bridges the gap between EMDR training and actual practice by identifying and exploring the four areas where most EMDR-trained therapists need help: case formulation, ego strengthening, target development, and processing difficulties. After a helpful refresher on basic EMDR procedure and protocol, as well as a discussion of how to modify these steps to fit your client's needs, Parnell delves into the areas essential to successful utilization of EMDR with clients: case conceptualization; preparation for EMDR trauma processing, including resource development and installation; target development; methods for unblocking blocked processing, including the creative use of interweaves; and session closure. A step-by-step description of a typical EMDR session is also presented, including all the major procedural steps, followed by an explanation of the clinical applications of EMDR in working with phobias, traumas, and critical incidents. Case examples, vignettes, and illustrations throughout help to clarify important concepts. Written in an accessible and practical style by someone who has trained thousands of EMDR practitioners, Parnell bases the book on on-the-ground experience of doing EMDR, incorporating the tools, techniques, and tips she has generated and gathered from conferences, workshops, and consultation with colleagues, as well from her own clinical experience. Perhaps most importantly, she acknowledges the unique approaches to EMDR use that are possible, emphasizing therapist-client flexibility, attunement, and intuition, rather than rigidity of practice. For EMDR-trained therapists who would like a little help integrating EMDR into their day-to-day practice, A therapist's guide to EMDR is a useful resource. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Accuracy Verified: Yes
238. Sivan, A. (2008, June). Therapists’ views on the use of EMDR: The case of Hong Kong. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Since the introduction of EMDR training courses in Hong Kong a few years ago, the method has been gaining an
enormously growing interest among professionals. One of the indications to the growing interest in EMDR is the
high rate of participation in the training courses. While there is a volume of studies on the efficacy of EMDR
among different populations, therapists’ viewpoints on its use has not been studied extensively. The purpose of
the paper is to examine the views of therapists who have undergone EMDR training in Hong Kong and have used
the method in their practice. Data were collected through an open-ended questionnaire and follow-up in depth
interviews with a group of therapists. The questionnaire sought information about their initial experience of
using EMDR, the types of patients they used it with, the contribution of the method to the therapy and the
difficulties they encountered. Follow-up interviews aimed to shed more light on issues raised by the respondents
and to provide a platform for their further elaboration. Participants’ responses indicated the positive effects
EMDR use on clients and its facilitation of the therapy process. The respondents indicated difficulties in following
the exact EDMR protocol especially in relation to the terminology such as: “completely false”, “completely true”,
“emotions” and “sensation”. Additional issues raised around the use of the scales and of different bilateral
stimulations. On the basis of these finding special consideration should be given to the adaptation of the EMDR
protocol to the Chinese language and way of thinking.
Keywords: Hong Kong
Accuracy Verified: Yes
239. Peterson, B. (1996). Three co-researchers' experiences during their first session of eye movement desensitization and reprocessing. University of British Columbia, Vancouver, Canada.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b, 1995) is a relatively new procedure used primarily for treating posttraumatic stress disorder (PTSD). This study is the first to systematically investigate the moment-to moment experiences of PTSD victims during their first treatment session. Using variations of Interpersonal Process Recall (Elliot, 1994), and Colaizzi's (1978) phenomenological research methodology, findings confirmed many of Shapiro's (1995) descriptions of experience, with nothing of a disconfirming nature being discovered. Three distinct patterns of co-researcher experience were identified, with one co-researcher reaching full in-session resolution of her baseline measures. Further, three broad categories of experience were discovered (Participant Experiences and Spectator Experiences [Cochran, 1990]; and Treatment Specific Effects); each of which was further found to consist of four dimensions, or components, of experience. Movement from the Participant to Spectator realm was consonant with co-researchers' working through, contextualizing and making meaning of trauma-related memories.
Keywords: Case Study
Accuracy Verified: Yes
240. Tinker, R. H., & Wilson, S. A. (1999). Through the eyes of a child: EMDR with children. New York W. W. Norton.
Language: English
Format: Book
Abstract:
Explores the use of eye movement desensitization and reprocessing (EMDR) with children and adolescents. The book demystifies the application of EMDR for children, from the first session with the parents to later sessions with children at all developmental stages. The adult protocol is modified so that it can be applied to children as young as two years old (and possibly younger). A system of classification of childhood trauma allows therapists to predict a child's response to EMDR is presented. Myriad cases illustrate the use of EMDR with various traumas. Many examples of simple traumas are presented, including automobile accidents, lightning strikes, bereavement, and specific phobias such as a fear of animals. In addition, cases illustrate success with complex traumas, where aspects of the trauma are ongoing and EMDR becomes part of several possible therapeutic interventions. EMDR is also discussed as an intervention for children who have problems that are not caused by trauma. Case illustrations show how EMDR can be used with children with attention deficit hyperactivity disorder (ADHD), anxiety, depressive, or reactive attachment disorders as well as learning difficulties and somatoform disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Children Mental Disorders Phobias Posttraumatic Stress Disorder PTSD Stressors Survivors Therapeutic Processes
Accuracy Verified: Yes
241. Robinson, N. S. (2001). Time-line EMDR. EMDRIA Newsletter, 6(3), 4-5.
Language: English
Format: Conference
Abstract:
We often find clients who are not satisfied with their life
situation, are underfunctioning, or have negative thoughts/
cognitions about themselves. These issues persist in spite of
successful lives or significant amounts of therapy. Trauma concerns
are either non-existent or resolved. Existing EMDR techniques such
as Resource Development and Installation (Deborah Korn, Andrew
Leeds), Performance Enhancement (Lendl & Foster, 1997) or doing a
“float back” can be tried with these clients. RDI can strengthen clients
and increase their ability to cope. Performance protocol can help them
improve functioning with mental rehearsals. The float back technique
can put them in touch with affect and accompanying bodily sensations
which can help identify blocking beliefs or identify early events still
impacting current difficulties. These techniques have not always been
sufficient for some of my clients. I have turned to my family systems
training in order to expand my clinical resources. Family systems
reminds us that negative and positive messages, beliefs, loyalties and
ways of being are passed down through generations and have a farreaching
impact on each of us. I have developed a time-line technique
that allows me to use EMDR to tap into historical and cultural sources
to help clients clear through blockages as well as discover new personal
resources.
Accuracy Verified: Yes
242. Meignant, M. (2006, May 6). To love with EMDR. Presentation at the 14th Annual International Conference on Conflict Resolution, Climax, MI.
Language: English
Format: Conference
Abstract:
The strict EMDR protocols are used to treat love, sexual and relational difficulties. The traumatic target is selected in the childhood and in the affective life since the beginning of the love and the sexual life. EMDR sessions are powerful to develop love sentiments and resolve couple crisis. EMDR protocol is also use to develop love resources.
Keywords: Love Relational Difficulties
Accuracy Verified: Yes
243. Siegel, D. J. (2001, June). Toward an interpersonal neurobiology of the developing mind. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Expanding on the overview provided in the plenary, this day-long workshop will offer an in-depth exploration of the interdisciplinary findings that are the foundation for an "interpersonal neurobiology" approach to understanding development, subjective-experience, and psychotherapy. The topics covered will include: mind, brain, and experience, memory, attachment, emotion, mental representation and neural asymmetry, state of mind, self-regulation, interpersonal connections, and neural integration. The weaving of these ideas with discussion of the psychotherapeutic process throughout the workshop will reveal the practical applicaitons of this neurobiological view of the development and trauma.
Keywords: Neurobiology
Accuracy Verified: Yes
244. Mosquera, D. (2012, June). Trastorno narcisista de la personalidad y EMDR [Narcissitic personality disorder and EMDR]. Presentación en el IX Congreso Nacional de Trastornos de la Personalidad. Asociación Española para el Estudio de los Trastornos de la Personalidad. Zaragoza, Spain.
Language: Spanish
Format: Conference
Abstract:
La descripción de la DSM-IV del trastorno de personalidad narcisista se centra en las cualidades "externas" del narcisismo (grandiosidad, explotación de otros, arrogancia, problemas interpersonales y rabia) mientras que omite las características "internas" menos obvias y más sutiles (tendencia a ser sensitivos a la vergüenza, introvertidos, vulnerables, inhibidos y tendentes a la ansiedad: Gabbard, 1989). Las características narcisistas de grandiosidad son a menudo asociadas a la personalidad del abusador, pero ambas formas de narcisismo pueden ser relevantes tanto en víctimas como en familiares "no abusadores".
Una característica central del narcisismo es la falta de empatía. Los rasgos narcisistas y antisociales pueden ser el resultado final de un entorno negligente, de abuso crónico o de una valoración excesiva. Los problemas de apego con los cuidadores principales pueden dar lugar a falta de empatía y egocentrismo.
En esta presentación se realizará una descripción de diferentes perfiles caracterizados por egocentrismo, actitud egoísta y falta de empatía. Se planteará la patología narcisista desde la perspectiva del trauma y el abordaje con EMDR.
The description of the DSM-IV narcissistic personality disorder focuses on the qualities of "outside" of narcissism (grandiosity, exploitation of others, arrogance, anger and interpersonal problems) while omitting features "internal" less obvious and more subtle (tendency to be sensitive to shame, introverted, vulnerable, inhibited and prone to anxiety: Gabbard, 1989). Grandiose narcissistic characteristics are often associated with the personality of the abuser, but both forms of narcissism may be relevant to both victims and family members "not abusive".
A central feature of narcissism is a lack of empathy. Narcissistic and antisocial traits may be the end result of a negligent environment of chronic abuse or excessive valuation. The problems of attachment with primary caregivers may result in lack of empathy and self-centeredness.
This presentation will be a description of different profiles characterized by selfishness, selfish and lack of empathy. We will examine the narcissistic pathology from the perspective of trauma and EMDR approach.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
245. Castello, A. G. L. (2012, Novembro). Tratamento de fobias e traumas em crianças através do EMDR [Treatment of phobias and trauma in children through EMDR]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Este trabalho foi realizado numa Clínica Pediátrica, CLIAP, em São Paulo, Brasil, com 450 crianças na idade de 0 a 12 anos. Estas crianças vieram para tratamento psicológico com queixas de fobias e traumas simples e complexos. Foram utilizados 2850 protocolos de EMDR individual com as crianças e 220 protocolos individuais com os pais. Estes pais vieram para tratamento psicológico por intermédio do pediatra da clínica com queixas de dificuldades na condução do papel parental. Objetivos: Este trabalho é o início de uma pesquisa com EMDR com crianças, onde a técnica é utilizada como articulação metodológica no trabalho terapêutico com crianças e pais nas diversas situações de vida familiar, e tem sido realizado nos últimos cinco anos. Os atendimentos são feitos com EMDR individuais com as crianças e EMDR individuais com os pais quando necessário. Resultados: conseguimos obter um processamento das situações que foram trazidas como queixas pelos pais e pelas crianças, onde aparecem processos terapêuticos evidenciados pela elaboração dos traumas da Matriz de Identidade ligados a essas situações e o reprocessamento e rematrizações obtidas pelo EMDR.
This work was performed in a Pediatric Clinic, CLIAP in Sao Paulo, Brazil, with 450 children age 0-12 years. These children came to treatment complaining of psychological traumas and phobias simple and complex. We used 2850 individual EMDR protocols with children and 220 parents with individual protocols. These parents came to psychological treatment through the pediatric clinic with complaints of difficulties in conducting the parental role. Objectives: This study is the beginning of a survey of EMDR with children, where the technique is used as methodological articulation in therapeutic work with children and parents in diverse situations of family life, and has been held in the past five years. Services are made with individual EMDR with children and individual EMDR with parents when necessary. Results: we can get a processing situations that were brought as complaints by parents and children, where they appear therapeutic processes evidenced by the development of trauma Matrix Identity linked to these situations and reprocessing and rematrizações obtained by EMDR.
Keywords: Children, Phobias Processing Traumas
Accuracy Verified: Yes
246. 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
247. Dutton, P. (2007, September). Trauma in children and young people. Counselling Children and Young People, 1-10.
Language: English
Format: Newsletter
Abstract:
Trauma might be described in terms of an event
experienced, or the effects or consequences
(symptoms) of the event. In the latter case,
the American Psychiatric Association’s DSM-IV-TR1
is the most quoted source for defining post-traumatic
stress disorder (PTSD). This collection of symptoms
is helpful in indicating when trauma is severe enough
to need serious treatment. Smaller trauma, on the
other hand, is often neglected by therapists, doctors
and the general population as something we just
have to cope with. But the effects of even small
trauma in childhood are seriously accumulative and
often underrated. It is also arguable that untreated
attachment difficulties in early childhood can
increase the likihood of PTSD – but this statement
still rests on anecdotal evidence.
Keywords: Bereavement Children Grief Trauma
Accuracy Verified: Yes
248. Urtz, A. (2010, June). Trauma treatment via EMDR after heart attack. A psychologist´s report from a rehabilitation hospital for heart and cardiovascular diseases. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Incidence of heart disease: 43 % of all death cases are
caused by heart disease. In total this means 32,294 persons a
year in Austria.
Stationary treatment receiving 314,010 patients, with an average
term of hospitalization of 8 days (Statistics Austria 2008). For Germany the total figures are around 10 times higher. This
is the largest single patient group.
11.25% of the heart disease patients get PTSD, adjustment
disorder or other reactions to severe stress (Titscher. 2008).
Only for Austria a minimum of 35.000 patients could benefit
from a trauma treatment like EMDR. For Germany the
figure rises up to 350,000 patients a year who could benefit
from EMDR. To physicians the problem is well known, but
the only treatment they can offer is medication or further diagnostics
like angiography which doesn't cure the problem.
Despite the high number of traumatized heart patients, there are
only publications about trauma as a risk factor for heart disease.
There are a few publications about heart disease causing trauma,
but there are nearly no publications about treating trauma
caused by heart disease.
Typical symptoms for trauma after heart attack: Feeling of
tightness or pressure on the chest, tightness in the throat, with
difficulties in breathing. Ascending feeling of heat from the
stomach, trembling, weeping, fear and panic. Flashbacks of the
heart attack, with symptoms looking similar to angina pectoris.
Reduced stress tolerance by getting easily angry or depressed.
Useful questions for differential diagnostics between organic
and mental symptoms: What are the symptoms? How long do
they last? Were there any symptoms prior to the heart disease?
Which symptoms were present during the heart attack? Is it
distressing to remember the heart attack? How distressing on a
SUD-scale 0 to 10.
What are the medical findings? Two specifics:
1. Mainly I use the butterfly hug or tapping on the chest for
processing. This form of tapping is easy applicable and the patients
like it.
2. Weaving in Positive Cognitions (PCs) during the processing,
makes the processing less stressful, I offer PCs during the
processing and look if they help to reduce the stress.
Useful PCs: I survived. I am still alive. I am through. It is a long
time ago. i have trust in my body and my heart. If that doesn't
work: Even when my trust in my heart is shattered, I love and accept
myself. I am grateful. I live as long as I may I am confident.
Usually I use them in that succession with some adoptions according
to the process.
What is special about my presentation.
1. Hear about a large group of patients who can benefit from
EMDR.
2. Mostly heart disease are to consider as mono-traumatic. With
some specific knowledge and experience they are not difficult
to treat.
3. Notice the advantage of bipolar tapping on the chest.
4. Understand the advantage of weaving in PCs during the
processing.
5. The big question is: How to install EMDR in the rehabilitation
system?
Keywords: Heart Attack Medical Issues Symposium
Accuracy Verified: Yes
249. Schubbe, O. (2006). Traumatherapie mit EMDR: Ein handbuch für die ausbildung [Trauma therapy with EMDR: A manual for the training]. Göttingen: Vandenhoeck & Ruprecht.
Language: German
Format: Book
Abstract:
"Traumatherapie mit EMDR" ist ein Trainingsmanual für Psychotherapeuten, die sich für eine Ausbildung in dieser Traumaverarbeitungsmethode interessieren oder sie in ihrer therapeutischen Arbeit bereits anwenden. EMDR steht für Eye Movement Desensitization and Reprocessing, deutsch: Desensibilisierung und Neubearbeitung mit Augenbewegungen. Es ist eine Technik therapeutischer Traumaverarbeitung und gleichzeitig eine innere Haltung und fast ein kleines Wunder. Die Methode folgt einer klaren Zielorientierung, um dysfunktionale Lernerfahrungen in funktionale verwandeln zu helfen. Ausgegangen wird davon, dass Menschen ein natürlicher Antrieb zu Wachstum und Integration von Erfahrung innewohnt. Der angeleitete EMDR-Prozess unterstützt die genaue Beobachtung und das differenzierte Erleben bewusstseinsfähiger innerer Prozesse und ein nachvollziehendes Verstehen und Akzeptieren von Zusammenhängen. Oft berichten die Klienten von spontanen inneren Einsichten, die sich mit den traumatischen Erinnerungen verbinden und anschließend zu neuen Gefühlen, Gedanken und Handlungen befähigen.
Nach einer Einführung zur allgemeinen Psychotraumatologie und zum theoretischen Hintergrund werden empirische Erfahrungen m it EMDR berichtet.
Der Schwerpunkt des Buches liegt auf der Erläuterung der praktischen Durchführung von EMDR. Dabei werden therapeutische Schwierigkeiten differenziert aufgegriffen, angemessene Umgangsweisen damit dargestellt, professionelles Affektmanagement und ressourcenorientiertes Arbeiten vorgestellt.
"Trauma Therapy with EMDR is a training manual for psychotherapists who are interested in training in this trauma processing method or apply them in their therapeutic work already. EMDR stands for Eye Movement Desensitization and Reprocessing, German: desensitization and revised edition with eye movements. It is a technique of therapeutic trauma processing, while an inner attitude, and almost a small miracle. The method follows a clear goal orientation, to help transform learning experiences into functional dysfunctional. The starting point is the fact that inherent in a natural human impulse to growth and integration of experience. The guided EMDR process supports the close monitoring and the differentiated experience of becoming conscious of inner processes and understand understanding and accepting connections. Often, clients report of spontaneous internal insights that are combined with the traumatic memories and then to new feelings, thoughts and actions qualify.
After a general introduction to psychological trauma and the theoretical background, empirical experience w ith EMDR are reported.
The focus of the book is on explaining the practical application of EMDR. These therapeutic difficulties are addressed differentiated, appropriate ways of dealing presented thus presented professional resource-management and emotional work.
Keywords: Trauma
Accuracy Verified: Yes
250. Gomez, A. (2010, September/October). Treating children with pervasive emotion dysregulation EMDR and adjunctive approaches. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system such as: children exhibiting insecure patterns of attachment, complex trauma and dissociation. A broader perspective is presented by integrating concepts from the AIP model, attachment theory, affect regulation theory, and interpersonal neurobiology. An overview of how to incorporate other approaches such as play therapy, ego state therapy, theraplay activities and somatic intervention, while maintaining adherence to the protocol, will be addressed. How to use interweaves that can help complete defensive responses, repair the attachment system and integrate dissociated material will be presented.
Keywords: Children Adjunctive Approaches Pervasive Emotion Dysregulation
Accuracy Verified: Yes
251. Fourie, D. P. (2006, September). Treating phobias or treating people? Of acronyms and the social context. Health SA Gesondheid, 11(3), 41-47.
Language: Afrikaans
Format: Journal
Abstract:
Fobies is van die mees algemene versteurings wat onder die aandag van terapeute en dokters kom. Die klassieke
behandeling van keuse was SD (sistematiese desensitisasie), soms in kombinasie met hipnose. Meer onlangs het
VR- (virtuele realiteit) prosedures en EMDR (oogbeweging desensitisasie herprosessering) na vore gekom as
opwindende alternatiewe. SD en die VR-prosedures is operasionaliserings van kognitiewe gedragsterapie (CBT) en
is op leerteorie gebaseer terwyl EMDR gewoonlik vanuit ‘n psigoneurologiese perspektief beskou word. Die oorwegend
goeie resultate wat met die metodes behaal word waarna hierdie akronieme verwys, word dikwels gebruik om die
geldigheid van die onderliggende teorie te bevestig. Hierdie teorieë onderverteenwoordig egter die interpersoonlike
of sosiale aspekte van fobiese gedrag. Deur ‘n inter-persoonlike fokus by die algemene intra-persoonlike beskouing
van fobiese gedrag te voeg, word beide die sukses van die gewone behandelingsmetodes en die relatief-rare
mislukkings meer volledig verklaar. Deur gevalle as illustrasies te gebruik, werp hierdie artikel lig op die wyse
waarop fobiese gedrag dikwels ingebed is in ‘n matriks van interpersoonlike en sosiale invloede en stel dit die meer
gerigte en effektiewe benutting hiervan in die behandeling van fobielyers voor.
HEALTH
Phobias are some of the most common disorders brought to the attention of treatment agents. Classically, the treatment of choice was SD (systematic desensitisation), sometimes combined with hypnosis. More recently, VR (virtual reality) procedures and EMDR (eye movement desensitisation reprocessing) emerged as exciting alternatives.
SD and the VR procedures are operationalisations of CBT (cognitive behaviour therapy) and are based on learning theory, while EMDR is usually viewed from a psychoneurological perspective. The generally good results obtained with the methods known by these acronyms are often taken to confirm the soundness of the particular underlying theory. However, these theories under-represent the interpersonal or social aspects of phobic behaviour. Adding an inter-personal focus to the generally intra-personal view of this behaviour much more fully explains both the success of the usual treatment procedures and the relatively rare failures. Using case illustrations, this paper highlights the way in which phobic behaviour is often embedded in a matrix of interpersonal and social influences
and suggests the more deliberate and effective utilisation of these in the treatment of phobic sufferers.[Journal abstract]
Keywords: CBT Cognitive Behaviorial Therapy Memory Processing Phobias Social Constructionism Systematic Desensitisation SD Virtual Reality VR
Accuracy Verified: Yes
252. Puk, G. (1991, June). Treating traumatic memories: A case report on the eye movement desensitization procedure. Journal of Behavior Therapy and Experimental Psychiatry, 22(2), 149-151. doi:10.1016/0005-7916(91)90010-3.
Language: English
Format: Journal
Abstract:
There are at present three published papers on the eye movement desensitization procedure. This paper reports two successfully treated cases, one with traumatic memories of childhood sexual abuse, and the other based on memories of a terminally ill sister. Follow-ups of 12 and 6 months, respectively showed maintenance of treatment effects. [Author Summary]
Keywords: Case Report Child Abuse Death of Sibling Females Interpersonal Interaction Posttraumatic Stress DIsorder PTSD Rape Survivors Young Adults
Accuracy Verified: Yes
253. Wright, S. A., & Russell, M. C. (2013, April). Treating violent impulses: A case study utilizing eye movement desensitization and reprocessing with a military client. Clinical Case Studies, 12(2), 128-144, doi:10.1177/1534650112469461.
Language: English
Format: Journal
Abstract:
The growing attention to acts of interpersonal violence and misconduct among military members has accompanied a host of research investigating the nature and causes associated with these behaviors. As such, a robust body of literature exists lending insight into risk factors and clinical presentations associated with anger and aggression; however, such factors are multidimensional and complex, particularly for those suffering with war stress injuries. Furthermore, mental health stigma and treatment compliance with exposure and cognitive-based models, particularly in clients with aggressive presentations, can impact successful outcomes. One active-duty marine was referred to an outpatient mental health clinic for the treatment of posttraumatic stress disorder (PTSD). Four sessions of eye movement desensitization and reprocessing (EMDR) were used to significantly reduce obsessive violent impulses, traumatic grief, and depression. The benefit of EMDR therapy as a treatment for violent impulses is explored. The results are promising, but more research is needed.
Keywords: Military Misconduct Violence
Accuracy Verified: Yes
254. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Treatment integration of traumatic memories vs. suppression of distress. Presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
This presentation will review a series of three studies that investigated the
quality of traumatic memories in three subject populations, using the
Traumatic Memory Inventory (TMI- van der Kolk & Fisler, 1996): 1) victims
of interpersonal trauma, 2) victims of motor vehicle accidents, and 3)
patients who experienced awareness during anesthesia. We then will present
the results of the Memory component study from a large treatment outcome
study comparing EMDR and fluoxetine for PTSD which showed that,
following effective treatment with EMDR, the fragmentation of memory
imprints was resolved, while treatment with fluoxetine did not alter the
quality of traumatic memories, but suppressed subjective distress.
Keywords: Awareness During Anesthesia Fluoxetine Motor Vehicle Accidents Traumatic Memory Inventory
Accuracy Verified: Yes
255. Ford, J. D. (2009). Treatment of children and adolescents with traumatic stress disorders. In J. D. Ford's (Ed.) Posttraumatic Stress Disorder: Scientific And Professional Dimensions (pp. 223-250). New York: Academia Press.
Language: English
Format: Book Section
Abstract:
Excerpt: Practice guidelines for the assessment and treatment of children and adolescents
with posttraumatic stress disorders (PTSD) were first developed by an expert
panel convened more than a decade ago by Cohen and the American Academy
of Child and Adolescent Psychiatry Work Group on Quality Issues (1998). Since
the release of that seminal set of practice guidelines, substantial additional validation
has been provided in scientific studies of the most robustly evidence-based
treatment model, trauma-focused cognitive behavior therapy (TF-CBT; Cohen
et al., 2006, 2008). Other approaches to the treatment of children and adolescents
with PTSD have been sufficiently clinically or scientifically tested to be
included as actually or potentially evidence-based (Saxe et al., 2007b; Vickerman
and Margolin, 2007) in the recent second edition of the International Society
for Traumatic Stress Studies (ISTSS) Practice Guidelines, Effective Treatments
for PTSD (Foa et al., 2008). These include eye movement desensitization and
reprocessing (EMDR; Spates et al., 2008), school-based cognitive behavior therapies
(Jaycox et al., 2008), psychodynamic therapies (Lieberman et al., 2008),
creative arts therapies (Goodman et al., 2008) and psychopharmacotherapy (treatment
with therapeutic medications; Donnelly, 2008). Family systems therapies
were included in the ISTSS Practice Guidelines only for adults, but promising
approaches for family therapy with children with PTSD have been developed (Ford
and Saltzman, 2009).
Chapter Outline
• Evidence-Based and Empirically-Informed Psychotherapy Models for Children with PTSD
• Trauma focused-cognitive behavior therapy (TF-CBT)
• Eye Movement Desensitization and Reprocessing (EMDR; Spates et al., 2008)
• Cognitive behavior therapy in schools (Jaycox et al., 2008)
• Psychodynamic therapies (Lieberman et al., 2008)
• Creative arts therapies (Goodman et al., 2008)
• Family systems therapies (Ford and Saltzman, 2009)
• Affective and interpersonal regulation therapies (Ford and Cloitre, 2009)
• Psychopharmacotherapy (Connor and Fraleigh, 2008; Donnelly, 2008)
• Integrative psychotherapy and pharmacotherapy models
• Real World Challenges in Treating Children with PTSD
• Conclusion
Keywords: Adolescents Children Traumatic Stress Disorders
Accuracy Verified: No
256. Hofmann, A. (2004, June). The treatment of complex PSTD with EMDR. Plenary presented at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.
Language: English
Format: Conference
Abstract:
Disorder of Extreme Stress
- Complex PTSD - Proposed diagnosis by J. Herman (1992). PTSD as a diagnosis does not describe the
symptoms of victims of interpersonal violence.
Field-Study for DSM-IV: van der Kolk et al.
(Am. J. Psychiatry, 1996 ). Currently: international studies (with a diagnostic interview - SIDES). Symptom can be grouped in three clusters.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Disorder of Extreme Stress Plenary
Accuracy Verified: Yes
257. Kim, N. H., Lee, H. Y., & Kim, J. K. (2007, June). Treatment of complex PTSD by using eye movement desensitization and reprocessing: A case report. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: P
eople who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complex PTSD). The authors report a case of the successful sequential integrative treatment mainly composed of eye movement desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment with psychotropic medications and supportive psychotherapy.
Twelve sessions of EMDR and three sessions of supportive psychotherapy were done for the patient. Psychological assessments were performed before starting the treatment and a week after completing the treatment. After the treatment, the patient improved on all the psychological scales and behavior measures. The case suggests that the integrative treatment composed of EMDR may be [unfinished abstract as found in the Conference Program]
Keywords: Case Study Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
258. Toon, K. (2009, October). Troubleshooting. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
This workshop is aimed at all EMDR clinicians who sometimes struggle with the standard protocol. It highlights some of the common difficulties encountered when using EMDR, and offers practical solutions based on the theoretical background. We will consider responses to questions frequently asked in supervision including: Why is processing so slow with this client? Why has it stopped? How do we speed it up again? Why does processing result in my client being overwhelmed? How can we slow it down again? What if the client doesn't have a negative thought?
Keywords: Standard Protocol Troubleshooting
Accuracy Verified: Yes
259. Jacome, S. (2012, Novembro). Uma proposta de abordagem grupal de eventos traumáticos heterogêneos [A proposed approach heterogeneous group of traumatic events]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Este workshop fornece elementos teóricos e práticos para EMDR terapeutas com conhecimento trabalha ou pretende trabalhar com grupos. Fornece uma visão geral da integração do modelo de EMDR com elementos de psicoterapia psicodramática de grupo. Algumas ideias para a aplicação prática dos princípios da psicoterapia de grupo em conjunto com maneiras criativas de usar EMDR.
Com a crescente demanda por cuidados de saúde mental, psicoterapia individual tem várias limitações, abordagens individuais são geralmente caros e inacessíveis para grandes segmentos da população. A terapia de grupo tem sido desenvolvido como um baixo custo, otimizando recursos humanos, tempo e economia.
EMDR é originalmente uma abordagem individual e de grupo, embora alguns procedimentos EMDR foram desenvolvidos, abordando a necessidade ea urgência de intervir em situações de crise, especialmente envolvendo grupos e populações inteiras, ainda há uma maneira de aproximar-se do grupo e não só no grupo.
Esta proposta surge a partir da formação do primeiro autor como um terapeuta com um terapeuta psicodrama foco do grupo e, em seguida, como EMDR, que vem buscando uma maneira de integrar as fases da abordagem EMDR com uma abordagem de grupo de psicodrama, psicoterapia que permite desenvolver maneiras de tratar grupos de pessoas com problemas diferentes, com experiências diferentes, o que na psicoterapia de grupo é chamado de grupos heterogêneos.
Também irá abordar várias preocupações, dificuldades e preocupações que surgem quando se explora a possibilidade de combinar a psicoterapia de grupo e EMDR, como abreactions manipulação, processamento, memória e outras dificuldades.
This workshop provides theoretical and practical elements for EMDR therapists with expertise working or want to work with groups. Provides an overview of the integration of model elements with EMDR psychotherapy group psychotherapy. Some ideas for the practical application of the principles of group psychotherapy in conjunction with creative ways to use EMDR.
With the growing demand for mental health care, individual psychotherapy has several limitations, individual approaches are often expensive and inaccessible to large segments of the population. Group therapy has been developed as a low cost, optimizing human resources, time and economy.
EMDR is an approach originally individual and group, though some EMDR procedures were developed, addressing the urgent need to intervene in crisis situations, especially involving groups and entire populations, there is still a way to approach the group and not just the group.
This proposal arises from the formation of the first author as a therapist with a focus group psychodrama therapist and then as EMDR, which has been seeking a way to integrate the phases of the EMDR approach with an approach to group psychodrama psychotherapy that allows developing ways to treat groups of people with different problems, with different experiences, which in group psychotherapy is called heterogeneous groups.
It will also address several concerns, difficulties and concerns that arise when exploring the possibility of combining the group psychotherapy and EMDR, as abreactions handling, processing, memory and other difficulties.
Keywords: Trauma
Accuracy Verified: Yes
260. Mosquera, D. (2012, June). Understanding and treating narcissistic and antisocial personalities with EMDR [Personalidades narcisistas y antisociales. Comprensión y abordaje desde EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
DSM-‐IV
description
of
narcissistic
personality
disorder
focuses
on
the
“overt”
qualities
of
narcissism
(grandiosity,
exploitation,
arrogance,
interpersonal
problems
and
rage)
while
omitting
the
less
obvious
and
more
subtle
“covert”
characteristics
(tendency
to
be
shame
sensitive,
introverted,
vulnerable,
inhibited
and
anxiety-‐prone).
A
core
characteristic
of
narcissism
is
lack
of
empathy.
While
empathy
issues
can
be
present
in
many
people
with
personality
disorders,
there
are
two
personality
disorders
that
are
more
related
with
lack
of
empathy,
and
a
(sometimes
only
apparent)
lack
of
concern
about
the
suffering
that
they
can
cause
in
other
people:
narcissist
and
antisocial
personality
disorder.
Both
types
of
personalities
share
this
self-‐centered
profile.
People
characterized
by
lack
of
empathy
and
selfishness
are
usually
considered
difficult
to
treat
and
poor
candidates
for
psychotherapy
(even
untreatable)
but
many
cases
can
be
treated
effectively
with
EMDR.
Targeting
the
roots
of
the
symptoms
is
crucial
for
an
adequate
case
conceptualization.
A
description
of
different
profiles
characterized
by
self-‐centerness,
selfish
attitude
and
lack
of
empathy
will
be
described
in
this
presentation.
These
aspects
may
be
present
in
abusers
and
victims,
in
overt
or
subtle
presentations.
To
conceptualize
EMDR
therapy
in
these
cases
it
is
important
to
understand
the
pathway
from
early
experiences
to
present
problems.
Narcissism
and
antisocial
features
can
be
final
outcomes
of
a
neglecting
environment,
chronic
abuse
or
excessive
appraisal.
Different
attachment
disturbances
with
primary
caregivers
can
lead
to
lack
of
empathy
and
self-‐centerness.
In
some
cases,
structural
dissociation
is
underlying
narcissistic
or
antisocial
features
that
can
characterize
some
dissociative
parts
of
the
personality.
All
these
aspects
and
the
complexity
of
therapeutic
relationship
in
narcissistic
and
antisocial
personalities
will
be
reviewed
in
this
presentation.
La
descripción
de
la
DSM-‐IV
del
trastorno
de
personalidad
narcisista
se
centra
en
las
cualidades
“externas”
del
narcisismo
(grandiosidad,
explotación
de
otros,
arrogancia,
problemas
interpersonales
y
rabia)
mientras
que
omite
las
características
“internas”
menos
obvias
y
más
sutiles
(tendencia
a
ser
sensitivos
a
la
vergüenza,
introvertidos,
vulnerables,
inhibidos
y
tendentes
a
la
ansiedad.
Una
característica
central
del
narcisismo
es
la
falta
de
empatía.
Mientras
que
los
problemas
de
empatía
pueden
estar
presentes
en
muchas
personas
con
trastornos
de
personalidad,
hay
dos
trastornos
de
personalidad
más
relacionados
con
la
falta
de
empatía
y
la
falta
de
preocupación
(en
ocasiones
tan
sólo
de
modo
aparente)
sobre
el
sufrimiento
que
pueden
causar
en
otras
personas:
el
trastorno
de
personalidad
narcisista
y
el
antisocial.
Ambos
tipos
de
personalidad
comparten
un
perfil
egocéntrico.
Las
personas
que
se
caracterizan
por
una
falta
de
empatía
y
egoísmo,
normalmente
son
consideradas
difíciles
de
tratar
y
malos
candidatos
para
psicoterapia
(incluso
intratables)
pero
muchos
casos
pueden
ser
tratados
de
manera
efectiva
con
EMDR.
Entender
la
raíz
de
los
síntomas
es
crucial
para
una
adecuada
conceptualización
del
caso.
En
esta
presentación
se
realizará
una
descripción
de
diferentes
perfiles
caracterizados
por
egocentrismo,
actitud
egoísta
y
falta
de
empatía.
Estos
aspectos
pueden
estar
presentes
en
agresores
y
víctimas,
de
forma
evidente
o
sutil.
Para
realizar
una
adecuada
conceptualización
de
estos
casos
desde
EMDR
es
importante
comprender
cómo
las
experiencias
tempranas
influyen
en
la
problemática
actual.
Los
rasgos
narcisistas
y
antisociales
pueden
ser
el
resultado
de
un
entorno
negligente,
de
abuso
crónico
o
de
un
exceso
de
elogio
y
refuerzo.
Los
diferentes
problemas
de
apego
con
los
cuidadores
principales
pueden
generar
una
falta
de
empatía
y
una
actitud
egocentrista.
Todos
estos
aspectos
y
la
complejidad
de
la
relación
terapéutica
en
las
personalida
Keywords: Antisocial Personality Disorder Narcissistic Personality Disorder
Accuracy Verified: Yes
261. Mosquera, D. (2013, June). Understanding and treating narcissistic personality disorder with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Narcissistic Personality Disorder is associated with selfish behaviors and lack of empathy towards others. Patients with this diagnosis show a self-centered profile and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people but this is only part of the picture.
The DSM-IV description of narcissistic personality disorder focuses on the “overt” qualities of narcissism (grandiosity, exploitation, arrogance, interpersonal problems and rage) while omitting the less obvious and more subtle “covert” characteristics (tendency to be shame sensitive, introverted, vulnerable, inhibited and anxiety-prone). All of these aspects may be present in both abusers and victims, in either overt or subtle presentations. In this presentation we will show how to conceptualize and treat different profiles characterized by self-centeredness, selfish attitudes and a lack of empathy from the EMDR perspective.
To conceptualize EMDR therapy in these cases it is important to understand the developmental pathways from early experiences to present problems. Narcissism features can be final outcomes of a neglecting environment, chronic abuse or other adverse experiences. In some cases it can even be related to excessive appraisal. A variety of attachment disturbances with primary caregivers can lead to lack of empathy and self-centeredness. Being able to identify (and reprocess) the etiological experiences at the roots of the symptoms is crucial for an adequate case conceptualization.
All these aspects and the complexity of therapeutic relationship in narcissistic personalities will be reviewed in this presentation linking theory and case examples. Video cases will be shown to illustrate case conceptualization and treatment methods.
Learning objectives:
Narcissism is in many cases a trauma-based disorder. Students will be able to understand Narcissism from a trauma perspective; as a presentation of early complex traumatization.
Special interest will be placed on relevant aspects for the history taking and how present symptoms can be linked to traumatic events (triggers).
Relational difficulties and defenses are key aspects in the treatment of personality disorders and their management will be one of the objectives of this workshop.
Treatment and conceptualization of these complex cases will be explained with the necessary adaptations of the EMDR procedures for narcissism.
Description of how workshop would achieve the learning outcomes:
The theory will be illustrated through case examples. Videos of interviews and clinical sessions will be showed, maintaining an interactive dialogue with the audience, where theoretical concepts will be exemplified and discussed with the participants.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
262. Mosquera, D., & Gonzalez, A. (2010, June). Understanding dissociative language. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In order to get a complete and comprehensive case
conceptualization in Phase 1 of the EMDR protocol, it is important
to explore dissociative symptomatology. But the cinicai
picture of dissociation may be difficult to identify for inexperienced clinicians; some symptoms can be difficult to observe
even for experienced therapist who haven't seen severe cases.
in consultation we often find therapist who bring a 'complex
case' for supervision and quite frequently this 'complexity' has
to do with dissociation. Our goal with this presentation is to
show the many different ways dissociation can be manifested
during EMDR sessions. Another goal is to give practical examples
of interventions with dissociative patients during EMDR
processing. Many examples of subtle manifestations (what we
call 'dissociative language') will be illustrated with video cases.
Severely traumatized people don't communicate in a direct and
clear way, they have their 'own language' and in order to understand
the patient's inner world, we need to understand the
silences, the somatic symptoms the subtle (and not so subtle)
intrusions; all of these are frequent symptoms that the patient
can't detect, understand or disclose to us (not directly).
It is widely known that EMDR clinicians must be careful when
dealing with dissociative patients; techniques that can be used
during the stabilization phase have been developed for the
treatment of dissociative disorders (Knipe, Forgash .......). These
techniques are complementary to the basic protocols and are
very useful but the problem arises when therapists are not able
to identify and/or understand what we call the 'dissociative
language'.
We must keep in mind that most dissociative patients have
grown in an early environment where their needs were not taken
into account. Many never had the possibility to express their
feelings openly. For this, it is important to focus and under^
stand the indirect, complex and ambivalent communication of
these people especially during an EMDR session. The approach
to these difficulties is not only a question of protocol modifications.
but a complex learning from the therapist of the 'dissociative
language'. Several examples from videos of therapy
sessions and case descriptions will be presented.
Keywords: Dissociation
Accuracy Verified: Yes
263. Nickerson, M. (2011, August). Undoing stigma: EMDR applications for the dismantling of culturally-based internalized oppression and prejudice. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop will depict the nature of internalized oppression and social prejudice as they relate to client difficulties and treatment objectives. Research supported information and theory from the fields of social psychology and social work will be integrated within the AIP model to predict the profound potential EMDR offers for addressing culturally based trauma. Research supported strategies to dismantle internalized oppression and social prejudice will be taught including a more culturally aware psycho-social assessment and case formulation, resource development, target selection and special protocols. Practical strategies will be described with case examples including clinical videos to illuminate points.
Keywords: Cultural-Based Trauma Internalized Oppression
Accuracy Verified: Yes
264. Pessina, C (2007, June). The use and adaptation of EMDR technique with sexually abused children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Thanks to a European Equal project the sexually abused children who came to our Center for therapy have been treated with EMDR. We will illustrate, through the use of clinical examples, the main therapeutic issues, the difficulties and strategies in order to exceed them. In particular, we will address the following topics: the use of "menus,” the use of positive installations, how to identify targets, how to exceed the use of psychological defenses, mainly dissociative, etc. We will then highlight the advantages of using EMDR with those children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
265. Klaus, P. (2005, June). The use of EMDR in medical and somatic problems. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Clients facing medical or somatic conditions may present for psychotherapy
with fears about the illness, anxiety about treatment, trepidation about the
medical system. and concern about their ability to heal. Many clients suffer
from chronic conditions, which undermine their lives, leaving them feeling less functional than desired. Some conditions may be the result of
somatization due to childhood trauma, chronic stress, long-term
interpersonal problems, or maladaptive patterns established early in life.
Therapy includes several levels of investigation. including current and past
symptom and psychosocial history. Clinicians will learn about a multilayered
approach for assessment and developing targets for EMDR processing.
Keywords: Medical Problems Somatic Problems
Accuracy Verified: Yes
266. Klaus, P. (2007, June). The use of EMDR in medical and somatic problems. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clients facing medical problems or experiencing somatic conditions may present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself (e.g., cancer, anxiety about various aspects of the treatment they need to undergo, surgery, etc., and some trepidation and genitive experiences from their interaction with the medical system or medical personnel, causing secondary trauma, Clients may also be concerned about the strength or weakness of their own bodies to heal immune system, mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthsma, migraine, bowel problems, ulcerative colitis, Cohn’s disease, PMS, insomnia). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain (a defense against strong feelings), unconscious need to mask strong negative affect; dissociative disorders of co aversion reactions; as well as acute or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions may result.
History taking includes several levels of investigation, including current and past psychosocial and symptom history, looking for premorbid or comorbid conditions, and helping clients uncover related trauma as well as unrecognized strengths. Since a number of somatic and medical problems often have their origins in more obscure beginnings, this method helps reveal a deeper and more comprehensive history taking and decision-making process to help the clinician choose the level of complexity to use in the face of a client’s physical or emotional distress. This process may enable the clinician to help the client more quickly gain access to underlying factors which may block healing. Along with a clearer picture of the condition, integrating a variety of healing mechanisms with EMDR provides an individualized approach to activate the client’s own potential to heal.
Keywords: Health Problems Medical Problems Somatic Problems
Accuracy Verified: Yes
267. Klaus, P. (2008, June). The use of EMDR in somatic & medical problems: Special emphasis on early life interventions. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Clients facing medical problems or experiencing somatic conditions present for psychotherapy with a variety of
concerns which include: distress or fears about the illness or condition itself i.e., cancer, anxiety about various
aspects of the treatment they need to undergo, surgery, etc., and some have trepidation and negative
experiences from their interaction with the medical system or medical personnel, causing secondary trauma.
Clients may also be concerned about the strength or weakness of their own bodies to heal (immune system,
mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic
episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e.,
asthma, migraine, bowel problems, ulcerative colitis, Crohn’s disease, PMS, insomnia). Some aspects of illness
may be the result of somatisation due to childhood trauma, secondary gain (a defence against strong feelings),
unconscious need to mask strong negative affect; dissociative disorders or conversion reactions; as well as acute
or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be
suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in
one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions my result. History
taking includes several levels of investigation, including current and past psychosocial and symptom history,
looking for pre-morbid or co-morbid conditions, and helping clients uncover related traumas as well as unrecognized strengths. Clinicians will learn a special multi-layered approach for assessment and developing
targets for EMDR processing.
Keywords: Early Life Interventions Medical Problems Somatic Problems
Accuracy Verified: Yes
268. St. Andre, É. (2010, April/May). Use of EMDR in the treatment of obsessive compulsive disorder: a case study. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Obsessive compulsive disorder (OCD) is a chronic anxiety disorder with recurrent obsessions, like persistent thoughts, mental images, impulses, and compulsions such as repetitive behaviours or mental acts, that are performed after obsessions. This workshop will provide clinical information on the presenter's use of EMDR with a patient with OCD, as well as some examples provided by other clinicians who have worked with patients with OCD. In addition, general information on OCD (e.g., epidemiology, neurobiology) will be discussed. The presenter will highlight what is unique about the use of EMDR with OCD, difficulties she met in using EMDR with an OCD patient, and adaptations she used to improve treatment. She will describe how to use the standard 8 step approach (past, present, future), how to identify targets, managing OCD symptoms and barriers in his day-to-day life. The presenter will look at how to manage challenges that arise for the clinician with this population. Participants will have an opportunity to apply the strategies with a case example exercise. (All Levels)
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
269. Bohm, K. (2012, June). Use of EMDR in the treatment of obsessive-compulsive disorders: A case series [El uso de EMDR en el tratamiento de trastornos obsesivocompulsivos: Una casuística]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Various studies have demonstrated that 15-40% of patients with obsessive-compulsive disorders (OCD) do not respond to it;
they cannot be motivated to undergo treatment, drop out, or experience persisting difficulties in regulating their emotions. In this practical
workshop, EMDR is presented as an additional method in the treatment of OCD.
OCD-patients experienced EMDR as a useful and motivating method. Furthermore, they felt encouraged to deal with their emotions in
additional psychological treatments. Confrontation therapy markedly reduced OCD symptoms. EMDR is shown as a useful augmentation
method in treating patients with OCD by using videos, live-demonstrations and speech. Especially, important interweaves for OCD-patients
and the timing in therapy will be shown.
Varios estudios han demostrado que entre el 15 y el 40% de los pacientes con trastornos obsesivo-compulsivo (TOC) no
responden; no se les puede motivar para someterse a tratamiento, lo abandonan o sufren dificultades persistentes en la regulación de sus
emociones. En este taller de naturaleza práctica, se presenta EMDR como otro método adicional [a utilizar] en el tratamiento de TOC.
Los pacientes con TOC vivieron su experiencia con EMDR como un método útil y motivador. Es más, se sintieron animados a afrontar sus
emociones en el entorno de otros tratamientos psicológicos. La terapia de afrontamiento redujo marcadamente sus síntomas de TOC. Se ha
demostrado que EMDR representa un método útil de aumento en el tratamiento de personas con TOC mediante el empleo de vídeos,
demostraciones en directo y charlas. De particular interés son los entretejidos importantes que se presentarán para la terapia en individuos
con TOC y el momento idóneo para introducirlos.
Keywords: Obsessive Compulsion Disorder OCD
Accuracy Verified: Yes
270. Blore, D. C. (1997, September-October). Use of EMDR to treat morbid jealousy: A case study. British Journal of Nursing, 6(17), 984-988.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new psychological intervention which has mainly been utilized to treat PTSD symptoms. The following case study of a 75-year-old World War II veteran, however, illustrates that such symptoms can present in less obvious ways. During his incarceration, the soldier had been subjected to systematic taunting by his Japanese captives. The resultant traumatic memories had been triggered in a range of social situations over the next 50 years, leaving a legacy of morbid jealousy which was quickly and effectively treated. Potential areas for research are indicated. [Author Abstract]
Keywords: Aged British Case Report Imprisonment Interpersonal Interaction Intrusive Thoughts Jealousy Males Survivors Treatment Effectiveness Veterans War World War II
Accuracy Verified: Yes
271. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts
in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the
study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and
Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental
health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the
country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of
the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from
peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster.
Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those
who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and
appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are
then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an
informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the
protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement
and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay.
Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks
and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of
intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares
diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety
levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38
and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol
of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels
of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post
traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data
presented is only preliminary and is based on a small number out of a larger sample.
Keywords: Military Posttraumatic Stress Disorder PTSD Terrorism
Accuracy Verified: Yes
272. Tahir, K., Tareen, S., & Keenan, P. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in earthquake affected women: A series of cases of post traumatic stress in physically injured persons. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective Main objective is to study the therapeutic responses of EMDR on the survivors of earthquake
North of Pakistan in Kashmir. This study is carried on the spinal injury patients of National Institute
Rehabilitation Medicine (NIRM), which is a 160 bed hospital in Islamabad. It has a spinal injury unit which
established after the earthquake in February 2006. All the female patients suffering from spinal injury
earthquake were shifted here. Physically injured patients who also fulfilled the criteria of PTSD according
ICD10 were offered the treatment with EMDR. Patients who consented were seen by EMDR practitioner(level 2).
Sessions of EMDR as per protocol of 8 stages were carried out. The number of sessions varied according
severity of illness and degree of improvement. EMDR practitioner was supervised by EMDR consultants through
email and telephony. It is a part of ongoing EMDR training programme. Paper also discusses the problems
while seeing patients and benefits of distance supervision. It also describe case study of 2 patients. Initially 15 patients consented for treatment. However 10 patients completed the sessions and showed improvements
their symptoms. Their weeping and sleep problems settled. Their social and interpersonal functioning
improved. Marked reduction is seen in level of distress. EMDR has proven to be an effective non pharmacological
intervention in terms of PTSD in people suffering from co-morbid physical and psychological conditions
earthquake. Data presented is only preliminary and based on a small number out of a large segment.
Keywords: Earthquake Poster Posttraumatic Stress Reprocessing
Accuracy Verified: Yes
273. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of
sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use
in the beginning, middle and end of EMDR sessions.
In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their
treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and
image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity
and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response.
Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and
want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something
happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered
flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another
reason but uncover what they believe to be sexual abuse memories with EMDR.
There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment
of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of
traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been
uncovered and preparation for life outside of therapy.
Interweaves can be utilized in the beginning, middle and end of EMDR sessions.
In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week.
What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets
for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing).
A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the
safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the
client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork.
Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can
stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established
along with the EMDR protocol.
In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur
frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time
lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator
can hurt me), look for blocking images, and talking to the child part (what does he/she need?).
Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these
include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a
powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can
helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc.
It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the
adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger
to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling
too overwhelmed.
There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic
memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these
cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the .
safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave
it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult
can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by
protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the
session, installing their response with eye movements.
It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work,
exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for
teaching self soothihg to adult survivors of sexual abuse.
Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors
Accuracy Verified: Yes
274. Laliotis, D. (2008, June). Using EMDR as a contemporary psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic
experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which
is being used to treat low self-esteem, relationship difficulties, and performance issues not connected
to major trauma but rather to networks of unprocessed early experiences. This workshop will help
clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are
not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be
presented in depth with videotape to illustrate how the treatment process evolves using EMDR and
how to adequately address the insidious nature of these childhood experiences. Participants will
learn how to conceptualize the case over time, how to apply cognitive interweave strategies to
facilitate the client’s process, and how to develop future templates to facilitate personal growth and
lasting change.
Keywords: Contemporary Psychology
Accuracy Verified: Yes
275. Bravman, N. (2005, September). Using EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Eating disorders, which are frequently associated with Core Attachment
Difficulties, present particular challenges to the EMDR clinician, since clients
with eating disorders want to disconnect from precisely the affects that EMDR
is designed to access. This workshop presents an EMDR model for safe and
effective use of EMDR with eating disordered clients. Participants will learn: (1)
Techniques to enhance affect tolerance and stabilization; (2) Strategies for target
selection and protocol variations; (3) Strategies for enhancing optimal EMDR reprocessing.
Keywords: Core Attachment Difficulties Eating Disorders
Accuracy Verified: Yes
276. Zilbergeld, B. (1995, June). Using EMDR in the treatment of sexual problems. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This presentation is based entirely on my own clinical work and discussions with a few other sex therapists who use it in their work.
I am well aware of the lack of solid research to back up my claims and to provide evidence of their generalizability to other clients,
therapists, and situations.
1. Why EMDR is used so little in treating common sexual dysfunctions and dissatisfactions.
2. Why EMDR is relevant and appropriate in treating these problems. Everything depends on how we define trauma. If
we use a broad definition - one that includes humiliations, embarrassments, anxiety, as well as hurts and wounds -the
relevance of EMDR becomes obvious.
3. The kinds of causative and maintaining issues in sex cases that EMDR can be helpful for. These include anticipatory
anxiety, unresolved early learnings about intimacy and sexuality, and current and past relationship fears and hurts.
4. Case examples of EMDR in the treatment of dysfunctions and dissatisfactions: orgasm and erection difficulties, rapid
ejaculation, and desire/frequency complaints.
5. EMDR and meditation. I have found that for some clients meditation is a valuable adjunct to EMDR. It serves as a
safe place for them and has also been helpful in bringing up issues that need work as well as a place to process and
integrate material that comes up in EMDR. No special instructions are required; the very act of meditation does the
bringing up of issues and processing on its own.
6. Litations of EMDR in dealing with cases of sexual problems. As far as I know, EMDR by itself has not resulted in
complete resolution of a presenting sexual problem While extremely helphful in many cases, EMDR has to be viewed
as one tool in a comprehensive treatment package. This means that those who use it need to have knowledge of and
experience with the tools of sex therapy and marital therapy. EMDR is also limited, as are all therapy methods, by the
dynamics of the relationship in which the sexual difficulty exists. While it can help resolve past wounds inflicted by
the partner, it will not be effective in the long run if the relationship continues to feel unsafe.
7. There is a critical need for good research to back up claims of EMDR's benefits with sexual cases and to determine
exactly how and when to use the method to maximum effect.
Keywords: Sexual Issues
Accuracy Verified: Yes
277. Tartakovsky, M. (2012, March). Using EMDR therapy to heal your past: Interview with creator Francine Shapiro. PsychCentral. [6 pages] Retrieved from http://psychcentral.com/lib/2012/using-emdr-therapy-to-heal-your-past-interview-with-creator-francine-shapiro/2/ on 3/26/2012.
Language: English
Format: Other
Abstract:
Is there something from EMDR that could be generalized to helping people live more mentally healthy, even if they don’t have a PTSD concern?
Recent research has shown that certain types of life experiences can cause more PTSD symptoms than major trauma. It has also been documented that negative childhood experiences can cause later problems.
EMDR therapy addresses the life experiences that set the foundation for a wide range of clinical complaints involving negative emotions, physical sensations, thoughts, beliefs, behaviors and relationship difficulties. It also incorporates procedures to address future concerns and challenges.
[Excerpt]
Keywords: Francine Shapiro Interview
Accuracy Verified: Yes
278. Tinker, R. H. (1995, June). Using EMDR to treat children. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Last year over 3 million children were exposed to physical and sexual abuse, and/or community and domestic violence (based on
conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to
PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR
with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in
childhood.
General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be
illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers.
Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds
and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For
example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy
resolving a nightmare image.
Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred
for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided,
with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes
and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental
considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how
EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be
presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible,
footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR
with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a
youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and
illustrated via videotape. References will be provided.
Keywords: Children
Accuracy Verified: Yes
279. Tufnell. G. (2004, February). Using EMDR to treat PTSD in preadolescent children. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract: This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movement Desensitisation and Reprocessing (EMDR). EMDR has shown to bring rapid relief in adults with PTSD, Studies are begining to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situation where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had receive no treatment in spite of suffering from significant and chronic symptoms ofr years. One had suffered a traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a comprehensive treatment package. Results: In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6 month follow-up. Comment: EMDR can be adapted for use with preadolescent children. It can povide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young childen with PTSD and additional mental health problems.
Keywords: Children Posttraumatic Stress Disorder Preadolescents PTSD
Accuracy Verified: Yes
280. Tufnell, G. (2004, June). Using EMDR to treat PTSD in preadolescent children. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movemetn Desensitization and Reprocessing (EMDR). EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package.
Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had received no treatment, in sprit of suffering from significant and chronic symptoms for some years. One had suffered traumatic bereavement. All had additional problems with required intervention. EMDR was use as part of a comprehensive treatment package.
Results: In all cases, the children’s PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children’s symptomatic improvement was maintained at 6 month follow-up.
Comment: EMDR can be adapted for use with preadolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treamtne package for young children with PTSD and additional mental helath problems.
Reference: Tinker, R., & Wilson, S. (1999). Through the eyes of a child: EMDR with children. New York: Norton.
Keywords: Children Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
281. Tinker, R. (1996, June). Using EMDR with children. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Last year over 3 million children were exposed to physical and sexual abuse, andor community and domestic violence (based on
conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to
PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR
with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in
childhood.
General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be
illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers.
Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds
and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For
example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy
resolving a nightmare image.
Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred
for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided,
with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes
and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental
considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how
EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be
presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible,
footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR
with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a
youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and
illustrated via videotape. References will be provided.
Keywords: Children
Accuracy Verified: Yes
282. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium.
Language: English
Format: Conference
Abstract:
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.
Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
283. Laliotis, D. (2008, Mai). Utiliser l’EMDR comme psychothérapie contemporaine [Using EMDR as a contemporary psychotherapy]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Il y a 20 ans l’EMDR débutait en tant que technique pour aider les clients à retraiter des expériences traumatiques. Depuis, l’EMDR s’est développé et constitue une approche thérapeutique complexe utilisée pour traiter des enjeux d’estime personnelle, de difficultés relationnelles ou de performances qui ne sont pas
toujours reliées à des traumatismes majeurs, mais plutôt à des réseaux d’expériences non-intégrées. Le but de cet atelier est d’aider les cliniciens à développer une vision quant à la façon d’appliquer l’EMDR à ces situations où les « traumas » ne sont pas aussi évidents, mais où les expériences du passé ont encore des impacts importants sur les difficultés actuelles du client. Des présentations cliniques sur bande vidéo, permettront d’illustrer l’évolution du traitement EMDR et la manière adéquate de traiter la nature insidieuse de ces expériences de l’enfance. Les participants apprendront à conceptualiser le traitement, à appliquer les tissages cognitifs de façon à faciliter le processus de retraitement, et comment développer des projections futures qui supporteront la croissance personnelle et des changements durables.
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma
but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature
of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
Accuracy Verified: Yes
284. Solomon, R. (2012, June). Utilization of EMDR with vicarious trauma [Utilización de EMDR en casos de trauma indirecto]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Vicarious traumatization has been defined as the "negative effects of caring about and caring for others” (Pearlman and Saakvitne
1995), It results from exposure to clients’ traumatic material and can disrupt the therapist’s view of the themselves’, other people, and the
world. Vicarious Trauma has been discussed in terms of the Constructivist Self Development Theory (McCann & Pearlman, 1992), which states
that the changes in the therapist’s schemas and perceptions result from the interaction of clients’ stories and therapist personal characteristics.
In this context, vicarious traumatization can be understood through the Adaptive Information Processing Model (Shapiro, 199, 2001) where
current difficulties are understood to be the result of past experiences that are dysfunctionally stored in the brain. This workshop will focus on how EMDR can be used to treat Vicarious Traumatization by processing relevant past memories, present triggering
circumstances, and laying down a future template for adaptive future behavior. Lecture material will be supplemented by case examples and
demonstrations.
Se ha definido la traumatización indirecta como los “efectos negativos de preocuparse por y cuidar de terceras personas”
(Pearlman and Saakvitne 1995). Es la consecuencia de la exposición al material traumático de los clientes y puede perturbar cómo el terapeuta
se vea a sí mismo, a terceros y al mundo. Se ha hablado de la traumatización indirecta en términos de la Teoría del autodesarrollo
constructivista (McCann & Pearlman, 1992), que afirma que los cambios en los esquemas del terapeuta, así como en sus percepciones se
derivan de la interacción de las historias de los clientes y las características personales del terapeuta. En este contexto, la traumatización
indirecta se puede comprender a través del Modelo del procesamiento de la información a estados adaptativos (Shapiro, 199, 2001) en el
cuál las dificultades actuales se comprenden como el fruto de experiencias pasadas almacenadas en el cerebro de forma disfuncional.
Este taller se centrará en cómo se puede utilizar EMDR para tratar la traumatización indirecta mediante el procesamiento de los recuerdos
relevantes del pasado, las circunstancias desencadenantes en el presente y el establecimiento de una plantilla para el futuro para una
conducta adaptativa en el futuro. El material de la conferencia será suplementado con casos ilustrativos y demostraciones.
Keywords: Vicarious Trauma
Accuracy Verified: Yes
285. Lovell, C., & Langford, K. (2005, September). Utilizing EMDR and DBT techniques in trauma and abuse recovery groups. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
There is a strong link between Borderline Personality Disorder and Post
Traumatic Stress Disorder. DBT is the most effective method of treating
Borderline Personality Disorder. EMDR and adjunct therapies may be
effectively incorporated into these groups for more substantial results that
remain over time. As new skills are mastered. EMDR is the most effective
method of strengthening these. Increasing mindfulness, improving
interpersonal relationships and improving emotional regulation skills, are of
tremendous benefit to PTSD patients. In this workshop, participants will
learn the format to do this and receive suggestions for the ways to use EMDR
and adjunct therapies to increase results over time.
Keywords: Borderline Personality Disorder CBT Cognitive Behavioral Therapy, Dialectical Behavioral Therapy DBT Posttrauamatic Stress Disorder PTSD Trauma Recovery Groups
Accuracy Verified: Yes
286. Forgash, C. A. (1997, July). Utilizing EMDR consultation in a concurrent treatment model. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Psychotherapy treatment with sexual abuse survivors is often lengthy and complex. For
therapists and patients alike, intrusive and dissociative aspects of Post Traumatic Stress
symptoms in combination with self injurious behavior, mood disorders and current problems
produce a variety of treatment difficulties. These range from dealing with destabilization,
dissociative episodes and crisis intervention to more typical treatment impasses and resistances.
These difficulties and resistances to theraputic work may involve a range of fears of
exposure, violating early taboos against "telling", sequelae to revelations, and overwhelming
shame and concern about rejection by the therapist. Other patient concerns are of being flooded
by feelings and memories; or of dissociating in such a way as to remain "lost" to themselves.
Stuck, immobilized and frozen in this state. the patient may have a sense of "pseudosafety"
in the familiarity of these feelings. At the same time, as the symptoms persist with small
or no reduction in levels of distress, patients may experience high levels of frustration. increased
feelings of defeat, depression and anxiety. Loss of motivation and belief in the efficacy of
therapy often follows.
At such times, the therapist may wish to consider EMDR as an adjunctive course of
treatment to resolve problems such as the above.
Keywords: Concurrent Treatment Model Consultation
Accuracy Verified: Yes
287. Keenan, P., & Royle, L. (2007, Fall). Vicarious trauma and first responders: A case study utilizing eye movement desensitization and reprocessing (EMDR) as the primary treatment modality. International Journal of Emergency Mental Health, 9(4), 291-298 .
Language: English
Format: Journal
Abstract:
Traumatic events can occur and adversely affect people during their lifetime. Natural disasters such as the earthquake in Pakistan in 2005 or the Tsunami in Asia in 2004, terrorist atrocities around the world, or personal events such as physical or sexual assault, can result in psychological difficulties for those people directly affected by these events. The diagnostic term PTSD is generally used to explain the often-severe psychological sequelae that people may exhibit when directly affected by trauma. However, what of those people not directly involved in the trauma, but those who have borne witness to it, either by listening to the stories of survivors, or in the case of the helping professionals (such as police officers, nurses, doctors, psychotherapists, fire-fighters), actively working with survivors in psychological distress? This paper examines the potential psychological consequences for those in helping professions who are working with traumatized clients. This paper then focuses on a specific treatment intervention, EMDR, utilizing a case study by way of explanation. [Author Abstract]
Keywords: Case Report Clinical Case Study Cognitive Schemas Depressive Disorders Helping Professionals Males Police Officers Police Personnel Psychotherapeutic Processes Stressors Stigma Treatment Effectiveness Vicarious Trauma
Accuracy Verified: Yes
288. Schmuldt, L. M., Gentile, T. I., Bluemlein, J. S., Fitch III, J. C., & Sterner, W. R. (2013). The war within: One soldier's experience, several clinician's perspectives. Journal of Military and Government Counseling, 1(1), 2-18.
Language: English
Format: Journal
Abstract:
Soldiers returning from deployment are presenting with a plethora of serious
mental health challenges, including depression, anxiety, post-traumatic stress
disorder, sleep disturbances, and substance abuse issues. This paper will describe
the journey of one soldier following his deployment to Iraq and the difficulties he
faced during reintegration. Clinicians representing five approaches – dialectical
behavior therapy (DBT), eye movement desensitization and reprocessing
(EMDR), group systems theory, and motivational interviewing (MI) will provide
perspectives on the development of traumatic response symptomology, as well as
suggestions for understanding and treating the soldier profiled in the case study.
Keywords: DBT Dialectical Behavior Therapy Group Development Mental Health Military Motivational Interviewing Soldier
Accuracy Verified: Yes
289. Roberts, T. (2002). Websites relating to psychological trauma: With emphasis on children. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 51-52) London: The Association for Child Psychology and Psychiatry.
Language: English
Format: Book Section
Abstract:
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Keywords: Children Occasional Paper Trauma Websites
Accuracy Verified: Yes
290. Armstrong, R. (2008, June). What do the children say? Traumatised children’s experience of EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This study explored experiences of children treated with Eye Movement Desensitisation and Reprocessing
(EMDR) for Post Traumatic Stress Disorder (PTSD). The research aimed to understand more about salient aspects
of the therapy such as needing therapy, parent support, the relationship with the therapist and the impact of the
EMDR. Semi-structured interviews were carried out with nine children across England and Scotland, aged 10 to
16 years who had completed EMDR therapy within the past two years. Interpretative phenomenological analysis
(IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery
from PTSD. Three super-ordinate themes are identified which describe how the participants engaged in the
therapy, were assisted to keep going and what they made of EMDR. Results suggest that difficulties in engaging
in the therapy were overcome by determination to get better, support of family and friends, the credibility of the therapist and starting to feel better after about two sessions. EMDR was perceived as an effective therapy
despite initial scepticism, and an approach that generally did not require a conscious effort by the participant to
make it work. Findings are related to neurobiological hypotheses concerning underlying neurological mechanisms
for the resolution of traumatic memories. Practical implications fro improving clinical practice with children and
families will be presented.
Keywords: Children
Accuracy Verified: Yes
291. Elgin, E. (2008, September 7). What is EMDR? A client's perspective. Mental Health Issues Examiner. Retrieved from http://www.examiner.com/x-796-Mental-Health-Issues-Examiner~y2008m9d7-What-is-EMDR-A-Clients-Perspective 3/4/2009.
Language: English
Format: Other
Abstract:
(PTSD), Borderline Personality Disorder (BPD) or any number of personality or disorders, a new
type of therapy has emerged as a hopeful alternative in recent years. Eye Movement Desensitization and Reprocessing (EMDR) is an information processing psychotherapy that was
developed to resolve symptoms resulting from disturbing and unresolved life experiences. Containing aspects of many different types of therapy including psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies, has had a very impressive success rates in recent years using double blind placebo studies.
Accuracy Verified: Yes
292. Curry, S. (2007, June). Where protocol meets client: Choices in case conceptualization in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR is being increasingly – and successfully – utilized for a broader range of big “T” and small “t” traumas. Research indicates that adherence to the 8-phase protocol and the 3-pronged approach brings about the most successful outcomes in our clients. The problem in their application, however, is frequently “how?” A day in the life of an EMDR therapist can involve a plethora of symptoms: attachment difficulties, anxiety, Phobias, relational dysfunction, dissociation, and mood disorders, to name just a few client presentations. Much confusion and discouragement can arise as the clinician struggles with the variety of client presentations and the awkwardness of learning a significantly different approach to psychotherapy. Consultation experience reveals that it is most often psychotherapy. Consultation experience reveals that it is most often these two factors which bring about the unfortunate discrepancy between the numbers of those who take EMDR training and those who utilize it frequently. By means of a discussion of pre-screening typical and atypical case scenarios and the provision of a decision tree using appropriate resources and specialize protocols, participants will learn a more systematic way to conceptualize their cases. In addition, there will be a summary of frequently asked questions about the course of EMDR therapy garnered from the presenter’s consultees. And guidelines for keeping treatment on a course as common challenges in EMDR present themselves. This workshop is an outgrowth of “Decisions, Decisions ... Forks in the Road in EMDR: What, When and Why” presented at the EMDR Europe Conference in Istanbul and the EMDRIA conference in Philadelphia in 2006.
Keywords: Case conceptualization Protocol
Accuracy Verified: Yes
293. Grinbaum, A., & Levy, M. (2007, June). Working with child care in public service. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Work in child care in a pubic service, brings us to accept all people who come to us whatever their origin (Mediterranean, Black Africa, Asia), their social class (from the most impoverished to the upper class), or any kind of difficulty (from school and socio-educational problems to autism or serious psychosis). We are psychologists, psychoanalysts ad family therapist with more than 25 years of experience. Through our work, we learned listening, patience, neutrality, and interpretation. While sometimes our experience brought us to invent means to come in contact with them, the EMDR method gave us another mode of relation with the child which is at the same time more flexible and closer to them. Since our training in 2004, we noticed a change in our practice ad in the attitude of our colleagues and fellow workers toward us. We would like to describe in this talk the feeling of freedom we felt to work with such a rigid protocol; to work differently with problems like drugs or sexual abuse as well as difficulties in early childhood to work in turn with the parent and the children, to work with the whole family while treating one of their members in from of them. We want to present some clinical examples and share with you the enthusiasm that this new therapy arouses in us after so many years of practice.
Keywords: Children Child Care Poster
Accuracy Verified: Yes
294. Gattinara, P. C. (2009). Working with EMDR in chronic incapacitating diseases: The experience of a neuromuscular diseases center. Journal of EMDR Practice and Research, 3(3), 169-177. doi:10.1891/1933-3196.3.3.169.
Language: English
Format: Journal
Abstract:
This article examines the use of EMDR in a rehabilitation center to deal with traumatic experiences associated with serious incapacitating disease. Through clinical examples, the author describes the utility and function of EMDR treatment in helping both patients and their families overcome the frightening events related to the worsening of the illness and in helping them cope with feelings of loss and separation. The usefulness of attachment theory for a better comprehension of the dysfunctional interpersonal patterns that can arise between family members is discussed. In addition, the importance of eye movement desensitization and reprocessing (EMDR) is explored in helping to facilitate secure attachment relationships between patients and their caregivers, allowing the families to grow closer and more supportive. EMDR appears to offer specific advantages in treating this especially difficult population, affording patients who live with a chronic condition of extreme physical vulnerability a sense of greater control over their own bodies and therefore over their own lives.
Keywords: Attachment Neuromuscular Pathologies Respiratory Crisis Traumatic Events
Accuracy Verified: Yes
295. Spierings, J. (2004, June). Working with EMDR in the treatments of clients with other (sub)cultures and religions: multi-culti EMDR. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract: Working with traumatized clients from other cultures can be very demanding, and even frustrating: many times it just does not work out, despite your compassion and efforts. “Just staying out of the way” many times is not enough to do this job.
Intercultural competence is the ability to expand and translate your therapeutic skills to other cultures. It has both an attitude aspect and a technical aspect: a different style of relating and communications with your client, and different things to ask and explore.
Also in other cultures traumatic events happening to people have a different meaning asking for an approach from another angle in doing EMDR: interpreting traumas a stupid bad luck, Allah’s will, the evil eye, karma, or punishment by the ancestors, will have different (therapeutic) consequences.
This workshop offers not only a systemic way to understand these type of differences, it offers also very practical dos and don’ts, and of course tips and tricks to overcome difficulties.
The presentation puts strong emphasis on the development of resources and the building up of affect tolerance, making use of the healing rituals, objects and symbols of your clients own culture. These resources are utilized both before and during EMDR.
Part of the presentation is a collection of magical; healing objects from other cultures, including your own (maybe forgotten) culture, with ideas how to use them in the EMDR process. This is to inspire participants to develop their own collection.
The presentation follows the 8 phases of the EMDR protocol, describing specific considerations for each of the phases.
Keywords: Africa Asia Diversity Intercultural Competence Intercultural Interweaves Mediterranean Multi-Cultural Refugee Trust-Building Techniques
Accuracy Verified: Yes
296. Richman, A. (2004, June). Workshop refugees and EMDR - EMDR with refugees and victims of torture. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
As trauma therapists we are increasingly encountering the challenge of using EMDR cross-culturally with highly traumatized clients who are refugees from war torn countries and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters, who themselves may have been traumatized. EMDR has been found to be a highly effective treatment for refugees, especially where there is a high degree of somatization.
Accuracy Verified: Yes